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1.
Radiography (Lond) ; 30(4): 1219-1224, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38905766

ABSTRACT

INTRODUCTION: This paper presents motivational factors to engage, start a research project and pursue a research career. The study aimed to investigate radiographer's motivation for engaging in research. METHODS: Eight radiographers from Denmark with experience in research were interviewed in a 2-h focus group interview in October 2023. This qualitative approach was selected to allow the participants to discuss their opinions and values. The discussions were audio recorded and transcribed before the thematic analysis was performed. RESULTS: The analysis revealed six main themes: the importance of radiographic research, the importance of radiographers' participation in research, research radiographers' motivation, funding and participation in research projects, demotivation and difficulties, and facilitating radiographic research in the future. CONCLUSION: The participants were motivated by different factors. The participants found both research in radiography and radiographers' participation in research-related activities important, although they found lack of support from managers, funding, and time to be demotivational factors. IMPLICATION FOR PRACTICE: This study contributes to the limited literature on motivational factors for becoming a researcher within radiography.


Subject(s)
Focus Groups , Motivation , Qualitative Research , Humans , Denmark , Female , Male , Radiography/psychology , Adult , Career Choice , Research Personnel/psychology , Attitude of Health Personnel , Middle Aged
2.
Clin Pediatr (Phila) ; 60(6-7): 273-278, 2021 06.
Article in English | MEDLINE | ID: mdl-33884910

ABSTRACT

Managing the anxiety of the parents of pediatric patients with head trauma is challenging. This study aimed to examine the factors that affect anxiety levels of parents whose children were admitted to the emergency department with minor head trauma. In this prospective study, the parents of 663 consecutive pediatric patients were invited to answer a questionnaire. Parents of 600 children participated in the study. The parents who believed they were provided sufficient information and who were satisfied with the service received had significantly more improvement in anxiety-related questions. Cranial X-ray assessment had a significantly positive impact on the anxiety of the parents, whereas cranial computed tomography and neurosurgery consultation did not. In assessing pediatric minor head trauma, cranial computed tomography imaging and neurosurgery consultation should not be expected to relieve the anxiety of the parents. However, adequately informing them and providing satisfaction are the factors that could lead to improvement.


Subject(s)
Anxiety/psychology , Craniocerebral Trauma/psychology , Health Communication/methods , Parents/psychology , Adult , Child , Child, Preschool , Craniocerebral Trauma/diagnostic imaging , Emergency Service, Hospital , Female , Humans , Male , Prospective Studies , Radiography/psychology , Surveys and Questionnaires , Tomography, X-Ray Computed/psychology , Turkey
3.
Radiography (Lond) ; 27(2): 419-424, 2021 05.
Article in English | MEDLINE | ID: mdl-33092995

ABSTRACT

INTRODUCTION: Imaging is essential for the initial diagnosis and monitoring of the novel coronavirus, which emerged in Wuhan, China. This study aims to assess the insight of radiographers on how the COVID-19 pandemic has affected their work routine and if protective measures are applied. METHOD: A prospective observational study was conducted among radiographers registered in the Cyprus Society of Registered Radiologic Technologists & Radiation Therapy Technologists. A questionnaire composed of 28 multiple choice questions was utilised, and the data analysis was performed using SPSS software with the statistical significance assumed as p-value < 0.05. RESULTS: Out of 350 registered radiographers, 101 responses were received. The results showed that there are statistically significant differences regarding the working hours, the feeling of stress, the work effectiveness, the average examination time, the presence of a protocol used among the different workplaces of the participants; a private radiology centre, a private hospital or a public hospital, with a p-value 0.0022, 0.015, 0.027, 0.001, 0.0001 respectively. Also, statistically significant differences were observed in the decontamination methods used for equipment (p-value 0.007), for air (p-value 0.04) and when decontamination takes place (p-value 0.00032) among the different workplaces of the participants. Nonetheless, the majority of radiographers believe that their workplace is sufficiently provided with PPE, cleaning supplies, equipment, and with cleaning personnel and are optimistic regarding the adequacy of these provisions in the next three months. CONCLUSION: This study showed that in the Republic of Cyprus, there are protocols regarding protective measures against COVID-19, and the radiographers are adequately trained on how to face an infectious disease outbreak. However, work is needed in order to develop protocols that reassure the safety of patients and medical personnel while managing the excess workload effectively. IMPLICATIONS FOR PRACTICE: This study indicates the importance of applying protective measures and protocols in the radiology departments in order to minimise the spread of the virus.


Subject(s)
COVID-19/epidemiology , Clinical Protocols , Infection Control/methods , Pandemics , Radiography/psychology , Radiography/standards , Adult , Attitude of Health Personnel , COVID-19/diagnosis , COVID-19/diagnostic imaging , COVID-19/transmission , COVID-19 Serological Testing , Cyprus/epidemiology , Decontamination , Female , Humans , Male , Middle Aged , Occupational Stress , Personal Protective Equipment , Private Practice , Prospective Studies , Radiography/instrumentation , Radiology Department, Hospital , SARS-CoV-2 , Surveys and Questionnaires , Workload , Young Adult
4.
Radiography (Lond) ; 27(2): 512-518, 2021 05.
Article in English | MEDLINE | ID: mdl-33243565

ABSTRACT

INTRODUCTION: Traditionally, shift work for radiographers at our institution comprised of three shift patterns - morning (8am-2pm), afternoon (2pm-9pm) and night (9pm-8am). However, when COVID-19 was first detected in Singapore in January 2020, the 12-h shift was introduced for better team segregation and deployment to meet the service needs of the Emergency Department. The 12-h shift consisted of the day (9am-9pm) and night (9pm-9am) shifts. While the 12-h shift is common to nursing practices, it is new to the radiography profession within the study centre. This study explores the radiographers' perspectives of the new shift and the impact of shift patterns on radiographers' wellness and work performance compared to the original three shift patterns. METHODS: A mixed-methods design study was adopted for this single-centre evaluation. An anonymous online questionnaire was administered to radiographers who had experienced both shift types. Additionally, the number of radiographers who had taken sick leave, and images rejected and accepted from the X-ray consoles were retrospectively collected to measure the impact of the new shift. RESULTS: Radiographers experienced fatigue and appreciated the longer rest days associated with the 12-h shift. Additionally, the sick leave rates and image reject counts were more favourable with the 12-h shift pattern. CONCLUSION: The findings indicate that the extended shift hours are effective during a pandemic but may result in radiographer burnout during a prolonged outbreak. IMPLICATIONS FOR PRACTICE: Studying these variables will provide an effective starting point in understanding the efficacy and applicability of a 12-h shift system during pandemic periods.


Subject(s)
COVID-19/diagnostic imaging , Emergency Service, Hospital/organization & administration , Radiography/psychology , Shift Work Schedule/psychology , Adult , Age Factors , Attitude of Health Personnel , COVID-19/epidemiology , Fatigue/etiology , Female , Humans , Male , Marital Status , Pandemics , Retrospective Studies , SARS-CoV-2 , Sick Leave , Singapore/epidemiology , Work Schedule Tolerance
5.
Radiography (Lond) ; 27(2): 346-351, 2021 05.
Article in English | MEDLINE | ID: mdl-33004276

ABSTRACT

INTRODUCTION: As of July 2020, South Africa (SA) had the fifth highest number of COVID-19 infections in the world, with the greatest contributor of these infections, being the province of Gauteng. Diagnostic radiographers in Gauteng providing chest CT, chest radiograph and MRI services are frontline workers experiencing these unprecedented times. Therefore, this study undertook to explore diagnostic radiographers' experiences of COVID-19. METHODS: A qualitative approach using an asynchronous opened-ended online questionnaire was used to explore diagnostic radiographers' experiences of COVID-19. Responses from purposively sampled diagnostic radiographers in Gauteng SA, underwent thematic analysis. RESULTS: Sixty diagnostic radiographers representing both the private and public health sector responded to the questionnaire. Thematic analysis revealed three themes: new work flow and operations, effect on radiographer well-being and radiographer resilience. CONCLUSION: Besides experiencing a shift in their professional work routine and home/family dynamics, diagnostic radiographers' well-being has also been impacted by COVID-19. Adapting to the "new way of work" has been challenging yet their resilience and dedication to their profession, providing quality patient care and skill expertise is their arsenal to combat these challenges. IMPLICATIONS FOR PRACTICE: Understanding the impact of COVID-19 on diagnostic radiographers will allow radiology departments' management, hospital management, professional bodies and educational institutions to re-evaluate provision of resources, training, employee wellness programs as well as policies and procedures.


Subject(s)
COVID-19/epidemiology , Pandemics , Radiography/psychology , Resilience, Psychological , Adolescent , Adult , Attitude of Health Personnel , COVID-19/diagnostic imaging , Financial Stress/etiology , Humans , Infection Control/methods , Middle Aged , Occupational Stress/etiology , SARS-CoV-2 , South Africa/epidemiology , Workload , Young Adult
6.
Radiography (Lond) ; 27(2): 443-452, 2021 05.
Article in English | MEDLINE | ID: mdl-33168371

ABSTRACT

INTRODUCTION: The COVID-19 pandemic has altered the professional practice of all healthcare workers, including radiographers. In the pandemic, clinical practice of radiographers was centred mostly on chest imaging of COVID-19 patients and radiotherapy treatment care delivery to those with cancer. This study aimed to assess the radiographers' perspective on the impact of the pandemic on their wellbeing and imaging service delivery in Ghana. METHODS: A cross-sectional survey of practising radiographers in Ghana was conducted online from March 26th to May 6th, 2020. A previously validated questionnaire that sought information regarding demographics, general perspectives on personal and professional impact of the pandemic was used as the research instrument. Data obtained was analysed using Microsoft Excel® 2016. RESULTS: A response rate of 57.3% (134/234) was obtained. Of the respondents, 75.4% (n = 101) reported to have started experiencing high levels of workplace-related stress after the outbreak. Three-quarters (n = 98, 73.1%) of respondents reported limited access to any form of psychosocial support systems at work during the study period. Half (n = 67, 50%) of the respondents reported a decline in general workload during the study period while only a minority (n = 18, 13.4%) reported an increase in workload due to COVID-19 cases. CONCLUSION: This national survey indicated that majority of the workforce started experiencing coronavirus-specific workplace-related stress after the outbreak. Albeit speculative, low patient confidence and fear of contracting the COVID-19 infection on hospital attendance contributed to the decline in general workload during the study period. IMPLICATIONS FOR PRACTICE: In order to mitigate the burden of workplace-related stress on frontline workers, including radiographers, and in keeping to standard practices for staff mental wellbeing and patient safety, institutional support structures are necessary in similar future pandemics.


Subject(s)
Attitude of Health Personnel , COVID-19/epidemiology , Occupational Stress , Pandemics , Radiography/psychology , Adolescent , Adult , COVID-19/diagnostic imaging , Clinical Protocols , Cross-Sectional Studies , Developing Countries/economics , Female , Ghana/epidemiology , Health Resources , Humans , Male , Middle Aged , Personal Protective Equipment , Psychosocial Support Systems , SARS-CoV-2 , Workload , Young Adult
7.
Radiography (Lond) ; 27(2): 414-418, 2021 05.
Article in English | MEDLINE | ID: mdl-33087309

ABSTRACT

INTRODUCTION: The current outbreak of COVID-19 has caused worldwide healthcare and social emergency in which healthcare professionals were under extreme work conditions while being fearful of becoming infected or spreading the disease to their relatives. The perceived threat of COVID-19 has the potential to cause severe psychological maladjustment. The aim of the study is to explore Spanish radiographers' concerns about the COVID-19 pandemic. METHODS: This study was quantitative, observational and cross-sectional. The sample was made up of 546 radiographers working in Spain during the outbreak. The instrument used for analysis was an ad hoc questionnaire with socio-demographic questions and the questionnaire on perception of threat from COVID-19 validate to spanish healthcare professionals. RESULTS: The sample consisted of 70.1% of female, 29.7% of male and 0.2% undeclare sex participants. The results showed a high level of a perceived threat from COVID-19 (7.57 ± 0.088), furthermore we observed a high level of threat about the possibility of infecting family members (8.49 ± 0.25), patients (8.33 ± 0.086), and coworkers (8.35 ± 0.084). Furthermore, females have a higher level of a perception of threat to spread infection between patients (r = -0.136; p = 0.001) and coworkers (r = -0.118; p = 0.006), than males. CONCLUSION: COVID-19 pandemic is perceived as a serious threat, being especially concerned about the threat of spreading the infection to family, coworkers, and patients. The perception of risk depends partly on professionals' gender and family responsibilities. IMPLICATIONS FOR PRACTICE: Our findings suggest that it is recommended that healthcare professionals receive formation to reinforce and improve their emotional competencies for coping successfully with potentially stressful situations like COVI19 pandemic.


Subject(s)
Attitude of Health Personnel , COVID-19/epidemiology , Occupational Stress , Pandemics , Radiography/psychology , Adult , Anxiety/etiology , COVID-19/diagnostic imaging , COVID-19/transmission , Cross-Sectional Studies , Disease Transmission, Infectious , Fear , Female , Humans , Male , Middle Aged , SARS-CoV-2 , Spain/epidemiology , Uncertainty , Young Adult
8.
Radiography (Lond) ; 27(2): 360-368, 2021 05.
Article in English | MEDLINE | ID: mdl-33032889

ABSTRACT

INTRODUCTION: This study aimed to investigate the response of the radiology workforce to the impact of the coronavirus disease 2019 (COVID-19) pandemic on professional practice in India and eight other Middle Eastern and North African countries. It further investigated the levels of fear and anxiety among this workforce during the pandemic. METHODS: A quantitative cross-sectional study was conducted using an online survey from 22 May-2 June 2020 among radiology workers employed during the COVID-19 pandemic. The survey collected information related to the following themes: (1) demographic characteristics, (2) the impact of COVID-19 on radiology practice, and (3) fear and (4) anxiety emanating from the global pandemic. RESULTS: We received 903 responses. Fifty-eight percent had completed training on infection control required for handling COVID-19 patients. A large proportion (79.5%) of the respondents strongly agreed or agreed that personal protective equipment (PPE) was adequately available at work during the pandemic. The respondents reported experiences of work-related stress (42.9%), high COVID-19 fear score (83.3%) and anxiety (10%) during the study period. CONCLUSION: There was a perceived workload increase in general x-ray and Computed Tomography imaging procedures because they were the key modalities for the initial and follow-up investigations of COVID-19. However, there was adequate availability of PPE during the study period. Most radiology workers were afraid of being infected with the virus. Fear was predominant among workers younger than 30 years of age and also in temporary staff. Anxiety occurred completely independent of gender, age, experience, country, place of work, and work status. IMPLICATIONS FOR PRACTICE: It is important to provide training and regular mental health support and evaluations for healthcare professionals, including radiology workers, during similar future pandemics.


Subject(s)
Anxiety/etiology , COVID-19/epidemiology , Fear , Pandemics , Radiography/psychology , Radiologists/psychology , Adolescent , Adult , Africa, Northern/epidemiology , Attitude of Health Personnel , COVID-19/diagnostic imaging , COVID-19/transmission , Cross-Sectional Studies , Female , Humans , India/epidemiology , Infection Control , Infectious Disease Transmission, Patient-to-Professional , Inservice Training , Male , Middle Aged , Middle East/epidemiology , Occupational Stress , Personal Protective Equipment/supply & distribution , Radiologists/education , SARS-CoV-2 , Workload , Young Adult
9.
J Med Imaging Radiat Sci ; 51(4): 512-517, 2020 12.
Article in English | MEDLINE | ID: mdl-32888858

ABSTRACT

Clinical placement experience is an important component of medical radiation science (MRS) education, equipping students to safely transition into complex healthcare environments. This commentary draws on evidence from the literature that reports challenges allied health students face in clinical environments. As several factors are implicated that could result in a higher prevalence of psychological distress and mental ill-health in MRS students, there is a need to re-emphasize the importance of developing strategies to support students in clinical education. A key recommendation is to identify associated risk factors early as they can impact on the quality of education and in severe cases be detrimental to students' psychological well-being. This requires an understanding of the full extent and nature of the challenges through partnered approaches between professional organisations, clinical departments, academics and students. Developing evidence-based strategies for improving students' well-being in clinical environments is also essential.


Subject(s)
Allied Health Occupations/education , Allied Health Personnel/education , Allied Health Personnel/psychology , Radiography/psychology , Radiotherapy/psychology , Students, Medical/psychology , Humans , Radiography/methods , Radiotherapy/methods
10.
Nurse Educ Today ; 86: 104316, 2020 Mar.
Article in English | MEDLINE | ID: mdl-31901749

ABSTRACT

BACKGROUND: Healthcare has moved towards a patient-centred caring environment. Radiography students have described feeling unprepared for daily patient interactions therefore, it is essential for educators to facilitate the development of caring attributes in students. OBJECTIVE: The objective of this article is to describe the process that was followed in order to develop a model to facilitate the teaching of caring to diagnostic radiography students. METHOD: A qualitative, theory-generating, exploratory and descriptive research design was used. Phase one was a descriptive, exploratory study that utilized focus group interviews to explore and describe the concept of caring from the perspective of first year diagnostic radiography students. Phase two, the focus of this article, was the theory generation phase of the study which began with identifying a central concept from the focus group interview results. The central concepts were then defined according to dictionary and literature sources and relationships between the identified concepts were created. Thereafter, the model was developed. RESULTS: The central concept was identified as the "facilitation of a culture of caring". This concept was then defined, classified and described. CONCLUSION: This model as a framework of reference could assist diagnostic radiography educators in facilitating the teaching of caring among student radiographers.


Subject(s)
Empathy , Radiography/psychology , Attitude of Health Personnel , Focus Groups/methods , Humans , Qualitative Research , Radiography/methods
11.
J Am Acad Orthop Surg ; 28(7): e295-e303, 2020 Apr 01.
Article in English | MEDLINE | ID: mdl-31415295

ABSTRACT

INTRODUCTION: Plain radiographs of the shoulder are routinely obtained for patients presenting with atraumatic shoulder pain, although the diagnostic utility of this imaging modality is unclear. Despite this, patients often prefer to obtain radiographs and may associate them with a more satisfactory visit. METHODS: New patients presenting with atraumatic shoulder pain were provided with information regarding the potential advantages and disadvantages of plain radiographs as part of their visit. Patients then decided whether to receive radiographs and baseline patient demographics were collected. A detailed physical examination and history was performed by a fellowship-trained provider, and a preliminary diagnosis and tentative treatment plan was formulated. The radiographs were then reviewed to determine whether the diagnosis and treatment plan was altered by addition of the radiographs. Patients who opted for radiographs then reported whether they felt the radiographs aided in diagnosis and treatment and whether the addition of the radiograph influenced their visit satisfaction. RESULTS: A total of 220 patients met the inclusion criteria. Overall, 121 patients (55%) requested a radiograph. The mean age was 57.1 ± 16.1 years (range, 18 to 91 years). Lack of bachelor's degree (odds ratio [OR], 2.8; 95% confidence interval [CI], 1.2 to 6.2; P = 0.01), lack of previous contralateral shoulder pain (OR, 4.0; 95% CI, 2.0 to 8.2; P = 0.0001), and lack of a previous shoulder radiograph (OR, 8.4; 95% CI, 4.1 to 16.9; P < 0.0001) or MRI within the last 6 months (OR, 6.2; 95% CI, 1.4 to 26.8; P = 0.01) were independently associated with patient preference to obtain radiographs for atraumatic shoulder pain. Of the 121 patients who requested radiographs, 117 (96.7%) felt that radiographs improved their satisfaction. DISCUSSION: Patients who obtained radiographs overwhelmingly reported its importance in improving visit satisfaction and diagnostic accuracy. Given the increasing emphasis on shared decision making, further study of patient factors influencing the decision to obtain routine radiographs will lead to more efficient practice management and potentially improved patient satisfaction. LEVEL OF EVIDENCE: Level II (Diagnostic).


Subject(s)
Decision Making , Patient Satisfaction , Radiography/methods , Radiography/psychology , Shoulder Pain/diagnostic imaging , Aged , Female , Humans , Male , Middle Aged
12.
Clin Radiol ; 75(2): 148-155, 2020 02.
Article in English | MEDLINE | ID: mdl-31699432

ABSTRACT

Accurate interpretation of radiological images involves a complex visual search that relies on several cognitive processes, including selective attention, working memory, and decision-making. Patient outcomes often depend on the accuracy of image interpretations, and yet research has revealed that conclusions vary significantly from one radiologist to another. A myriad of factors has been shown to contribute to the likelihood of interpretative errors and discrepancies, including the radiologist's level of experience and fatigue, and these factors are well reported elsewhere; however, a potentially important factor that has been given little previous consideration is how radiologists' interpretations might be impacted by the time of day at which the reading takes place, a factor that other disciplines have shown to be a determinant of competency. The available literature shows that while the time of day is known to significantly impact some cognitive functions that likely relate to reading competence, including selective visual attention and visual working memory, little is known about the impact of the time of day on radiology interpretation performance. This review explores the evidence regarding the relationship between time of day and performance, with a particular emphasis on radiological activities.


Subject(s)
Circadian Rhythm , Radiography , Body Temperature , Homeostasis , Humans , Psychomotor Performance , Radiography/psychology , Radiography/statistics & numerical data , Time Factors
13.
Radiography (Lond) ; 25(4): e88-e94, 2019 11.
Article in English | MEDLINE | ID: mdl-31582257

ABSTRACT

INTRODUCTION: Informed consent for ionising radiation medical imaging examinations represents a recent change to medical imaging practice. This practice has not had a definitive and authoritative integration into clinical practice, and lack of direction has caused many health care professionals to be unsure of an appropriate consent methodology. Consent practices have been undertaken inconsistently and sometimes poorly. This research sought to investigate what barriers exist to meaningful informed consent, and what pathways are suggested to overcome these barriers. These views are then discussed in the context of practical health care consent practices. METHODS: A semi-structured interview explored the views of radiographers and radiologists on the practice of disclosing the ionising radiation risk of a clinical medical imaging examination. Qualitative data was analysed using a nominal method of quantitative transformation. Responses were reviewed, and a set of definitive themes constructed. Participants considered the influences, logistics and barriers to the informed consent process. Participants were then asked what pathways might be developed that would improve the process. RESULTS: Twenty-one (21) radiographer participants and nine (9) radiologists were interviewed. The barriers to consent identified issues of time constraints, lack of a unified message, and patient presentations. Pathways suggested included limiting the scope of the consent practice, sharing the consent responsibility, and formulation of definitive consent guidelines. CONCLUSION: A unified, definitive series of guidelines for informed consent for ionising radiation examinations would alleviate many of the identified barriers. Having the consent process consistently begin with the referring doctor would facilitate more meaningful consent.


Subject(s)
Informed Consent , Radiography , Radionuclide Imaging , Adolescent , Adult , Female , Humans , Interviews as Topic , Male , Middle Aged , Radiation, Ionizing , Radiography/adverse effects , Radiography/ethics , Radiography/psychology , Radionuclide Imaging/adverse effects , Radionuclide Imaging/ethics , Radionuclide Imaging/psychology , Young Adult
14.
Radiography (Lond) ; 25(4): 308-313, 2019 11.
Article in English | MEDLINE | ID: mdl-31582237

ABSTRACT

INTRODUCTION: The question of radiographers' capacity to establish short time relationships as well as decoding patients' needs and expectations simultaneously with performing high technological examination frequently arises in the clinical practice. Additionally, the constant focus on technology and the fact that radiographers work in high productive departments accentuates the issue. Patients' experiences with radiology seem to be a neglected area of research and may help to identify areas for improvement in this highly technological and productive field. The purpose of the study was to explore oncology patients' experiences of a routine surveillance CT examination and their need for relationships and communication with the radiographer as part of the CT examination. METHODS: The study included patients diagnosed with cancer and in need of a CT examination as part of their course of treatment, and 21 semi-structured interviews were conducted. The interviews were analysed using qualitative content analysis. Themes were constructed and narratively reported. To increase validity, the themes were identified, discussed and formulated by the author group. RESULTS: Four themes were constructed based on the analysis: 1: The professional radiographer, 2. Disease and treatment, 3. The examination environment and 4: While waiting. CONCLUSION: The lack of focus on radiographers' capacity to establish relations, to consider each patient as an individual human being and being able to show sincere interest and empathy were highlighted. Findings illuminated the patient's need for relationship and communication with the radiographer as part of a CT examination.


Subject(s)
Communication , Neoplasms/psychology , Physician-Patient Relations , Radiography/psychology , Tomography, X-Ray Computed/psychology , Adult , Aged , Female , Humans , Interviews as Topic , Male , Middle Aged , Neoplasms/diagnostic imaging
15.
Radiography (Lond) ; 25(4): 327-332, 2019 11.
Article in English | MEDLINE | ID: mdl-31582240

ABSTRACT

INTRODUCTION: It is increasingly becoming a requirement for radiographers to use the concept of Evidence Based Practice (EBP) to inform their clinical practice. The purpose of this study was to assess knowledge, attitudes and practices towards the use of EBP as well as to establish factors that influence the use of EBP amongst radiographers in Uganda. METHODS: A total of 83 respondents participated in a cross-sectional survey conducted amongst qualified radiographers licensed to practice in Uganda. Data was collected using a self-reporting questionnaire that was accessed through the Bristol Online Survey Software. Using SPSS version 21, descriptive and inferential statistics were generated. RESULTS: The study revealed that 47 (57%) and 36 (43%) respondents scored themselves as having high and low knowledge of EBP respectively. However, 52 (63%) respondents scored themselves as having a negative attitude towards EBP. As regards use of EBP, 49 (59%) out of 83 respondents reported use of EBP in clinical practice. Using binary logistic regression, a significant association was found between a high knowledge level and the use of EBP (Adjusted OR, 95% CI: 9.89: 3.54-27.64). CONCLUSION: Overall, majority of the respondents had high knowledge levels about EBP. However, a high proportion of them were found to have a negative attitude towards EBP. High knowledge levels of EBP were strongly associated with use of EBP in practice. This finding provides helpful insights for policy makers to consider a holistic approach towards improving the use of EBP among radiographers through devising interventions that strengthen both knowledge and attitude towards EBP.


Subject(s)
Evidence-Based Practice , Health Knowledge, Attitudes, Practice , Radiography , Adult , Cross-Sectional Studies , Female , Humans , Male , Radiography/psychology , Radiography/standards , Surveys and Questionnaires , Uganda
16.
Radiography (Lond) ; 25(4): 333-338, 2019 11.
Article in English | MEDLINE | ID: mdl-31582241

ABSTRACT

INTRODUCTION: The aims of this study were to (1) examine what makes a communication encounter with a diagnostic radiographer effective from the patient's perspective and (2) explore the impact of communication skills on the relationship between a diagnostic radiographer and their patient. METHODS: Semi-structured interviews were conducted with 10 patients immediately after their imaging examination. Completed interviews were analysed using an inductive approach. RESULTS: Five themes were identified in the qualitative data. (1) Introduction and Greeting, (2) Explanation/Instruction, (3) Feeling at ease, (4) Clear communication and (5) Gentle manner. CONCLUSION: These results have identified that effective communication promotes the development of rapport and trust between the radiographer and patient. These findings have implications for practitioners, educators and university programs and should be considered in the development of communication skills training programs for diagnostic radiography students.


Subject(s)
Communication , Professional-Patient Relations , Radiography/psychology , Aged , Female , Humans , Interviews as Topic , Male , Middle Aged , Patient Education as Topic , Patients/psychology , Trust
17.
Radiography (Lond) ; 25(4): 365-373, 2019 11.
Article in English | MEDLINE | ID: mdl-31582246

ABSTRACT

INTRODUCTION: Radiographer role development has touched boundaries across the multidisciplinary team and more recently branched into the field of gynaecology. Radiographers are now able to perform tasks that were traditionally performed by radiologists and gynaecologists to implement a radiographer-led Hysterosalpingogram (HSG) service. The aims of the study were to (i) implement a radiographer-led HSG service with a view to decreasing waiting times. (ii) To determine ladies perceptions and satisfaction levels. METHOD: Local clinical guidelines were developed with the radiologist/gynaecologist and trainee HSG radiographers. A robust system of work was initiated which required maintaining comprehensive log books to record examinations performed and reports written. These were audited and compared with those of the radiologist. Audit cycles were monitored through Q Pulse to ensure good practise was maintained. Patient satisfaction surveys were developed and distributed to 100 consecutive ladies attending for HSG over a 6 month period from January-July 2017. RESULTS: The radiographer-led service has increased the number of appointment slots offered for HSG's throughout the year as the service now runs every week. HSG's were performed by 5 staff members but now only require 3 staff. A 75% response rate was achieved from the questionnaire survey and shows high patient satisfaction levels. Ladies reported being better informed about their examination resulting in decreased anxiety, concerns and discomfort. CONCLUSION: The implementation of this service has successfully reduced waiting lists for HSG examinations from 14 to 0 weeks. The Trust has saved £15,000 on staff salaries per annum since the service started.


Subject(s)
Hysterosalpingography , Patient Satisfaction , Radiography/methods , Cost Savings , Female , Humans , Hysterosalpingography/methods , Hysterosalpingography/psychology , Radiography/psychology , Waiting Lists
18.
Radiography (Lond) ; 25(4): e113-e118, 2019 11.
Article in English | MEDLINE | ID: mdl-31582254

ABSTRACT

INTRODUCTION: The purpose of this study was to describe workplace culture from the radiographers' point of view. METHODS: Data collection was carried out in 2017 using a structured electronic survey in Finland. The target population were radiographers of working age (N = 1808) - response rate 38% (n = 689). The questionnaire included background questions and The Nursing Context Index -instrument developed by Slater and McCormack. Workplace culture is described in the domains of work-related stress (36 items), job satisfaction (18 items), and practice environment (24 items). The respondents rated their level of agreement to statements on a seven-degree Likert-scale. Data analysis was performed using SPSS 24 -software. RESULTS: The results show that radiographers saw their workplace culture as slightly positive. They experienced some degree of stress caused mostly by workload, and least stress in relation to their career development. Radiographers were fairly satisfied in their work, with personal satisfaction featuring as the highest rated area of satisfaction, and pay and prospects as the lowest. The practice environment was perceived slightly positively. Radiographers wanted to stay in their current jobs, but felt that they had only a small degree of control over their work. CONCLUSIONS: According to this study, workplace culture is experienced by radiographers on a moderate and slightly positive level. Because workplace culture is connected to quality of care and staff's work and organizational results, it is important to improve the culture that radiographers encounter, so as to create a healthy work community that offers productive and high-quality healthcare to patients.


Subject(s)
Organizational Culture , Radiography , Workplace , Adult , Aged , Female , Finland , Humans , Job Satisfaction , Male , Middle Aged , Occupational Stress/epidemiology , Occupational Stress/etiology , Personal Satisfaction , Radiography/psychology , Workload/psychology , Workplace/organization & administration , Workplace/psychology , Young Adult
19.
J Med Imaging Radiat Sci ; 50(3): 359-364, 2019 09.
Article in English | MEDLINE | ID: mdl-31320273

ABSTRACT

PURPOSE: This study aimed to share the application, experiences, and lessons learnt regarding the value of the Mmogo-method that is a visual projective research method, in the context of exploring the experiences and coping of undergraduate diagnostic radiography students with death and dying patients in the workplace. METHODS: Verbatim data were gathered during the debriefing phase of the adapted Mmogo-method technique from the participants. In addition, the reflective memos of the independent coder and interviewer were used as data sources. RESULTS: The experiences of various stakeholders positively supported the use of the visual projective research method. The method enabled them to freely and openly verbalise their experiences of coping with death and dying in the workplace. Juxtaposing these was one experience of indifference. CONCLUSION: The Mmogo-method provides rich data and enables an ethically and methodologically rigorous opportunity to obtain new insights into sensitive topics. It is recommended for consideration when researching sensitive topics.


Subject(s)
Adaptation, Psychological , Death , Radiography/psychology , Radiology/education , Students, Medical/psychology , Humans , Interviews as Topic , Qualitative Research , South Africa
20.
Radiography (Lond) ; 25(3): 269-273, 2019 08.
Article in English | MEDLINE | ID: mdl-31301786

ABSTRACT

OBJECTIVES: Compassionate care is a core value of healthcare practice. In the post-Francis arena, the Shape of Caring review scrutinised healthcare education and training. The aim of the review was to better enable healthcare providers in delivering compassionate care and support to people with complex challenging health needs today and in the future. The review also reiterated the role of educators and universities in developing curricula capable of promoting compassionate care. Despite the review focussing upon the nursing profession, this paper suggests there is a similar role for radiography educators in delivering curricula suitable for promoting compassionate care. Potential pedagogic methods and their suitability within the radiography education setting will be considered. KEY FINDINGS: Relationships and emotions were noted as important aspects of promoting compassionate care. The themes 'practising compassionately' and 'individual and relationship factors …' are of particular relevance to education. CONCLUSIONS: Compassion remains a priority in policy which must be promoted to students as an integral aspect of healthcare education. A facilitated discussion of students' reflections around practice experiences to promote compassion is suggested. Supplemented by service user stories, students would be able to develop the skills needed to 'practise compassionately'.


Subject(s)
Education, Medical, Undergraduate/methods , Empathy , Radiography/psychology , Radiology/education , Teaching , Curriculum , Delivery of Health Care , Emotions , Health Personnel/education , Health Personnel/psychology , Humans , Radiography/methods
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