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Dissertations / Theses on the topic 'Radiographer'
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Brealey, Stephen. "An evaluation of radiographer plain radiograph reporting." Thesis, University of York, 2003. http://etheses.whiterose.ac.uk/14062/.
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Cherry, Shirley J. "Considering Patient and Radiographer Dose." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/2482.
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Dobinson, Stephanie G. "Opinions of radiographer abnormality detection systems in the paediatric setting." Thesis, Queensland University of Technology, 2022. https://eprints.qut.edu.au/228749/8/Stephanie_Dobinson_Thesis.pdf.
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Radiographer image interpretation processes at a tertiary paediatric hospital are undergoing a review. This study explored which barriers and positive outcomes radiographers of this facility identified with, in relation to radiographer abnormality detection systems from the literature.
Consistent participation was reported as the barrier most associated with, while self- assessment was deemed the outstanding benefit for radiographers practising a formal radiographer image interpretation system. Associated benefits to self-assessment included improved image interpretation, improved radiographic positioning, and improved image quality stemming from self-assessment.
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Harvey-Lloyd, Jane. "Being and becoming a daignostic radiographer." Thesis, University of Brighton, 2018. https://research.brighton.ac.uk/en/studentTheses/0434c138-4763-4670-ace2-406851df2f58.
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The response to social, economic and political influences has resulted in the radiography profession undergoing significant change, increasing service demands and a requirement for graduates to possess a much wider range of skills. The changing role of the radiographer has also been as a consequence of fast evolving technology and the subsequent demand for radiography services. Due to the increasing role that diagnostic imaging now plays in many patient pathways, a wider range of procedures are undertaken in vaster quantities and this brings with it more complex patient cases. Consequently, it has been suggested that radiography is a ‘profession under pressure’. The aim of the study was to explore the experience of newly qualified practitioners in their first post as a radiographer in a range of diagnostic imaging departments in the NHS. There is a clear need for new insights and updated knowledge about this transition experience in radiography in order to raise awareness of these challenges within the profession. An interpretive phenomenology methodology was used. This research design was a longitudinal, qualitative prospective study. Following ethical approval, data were collected from a group of nine newly qualified radiographers who had commenced employment in the NHS. Three interviews were undertaken with each participant; at three months, six months and twelve months post qualification. All participants had graduated from one university, and had entered employment within an NHS Trust in which they had not worked as trainees. Thematic analysis was utilised to ensure that there was a thorough examination of each individual experience, commonalities and relationships, including the identification of differences across the participants. The six main themes identified included; needing support, settling in, developing confidence, becoming established, feeling useful and looking forward. The impact and influence of these themes on the participant experience varied across the twelve month journey and between each participant. The sub-themes offered further insight into the experiences and these were enhanced by the final interviews at twelve months which utilised a theme board allowing some visual representation of the participants’ feelings. The anticipated contribution to knowledge will be an increased understanding and awareness of the demands of this transition period and will inform future curriculum planning, management of the student experience, and support for the newly-qualified radiographer.
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Ford, P. C. "Role of the consultant radiographer: the experience of appointees." Thesis, University of Portsmouth, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486794.
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Aims. The role of the consultant radiographer was proposed in 2001, and the first candidates were appointed in 2003, but posts were slow to be established and there were just thirteen by the spring of 2005. A full evaluation of the role has not been published. This paper investigated these early appointments from the setting up of posts and compliance with the official guidance to comparison of the job descriptions. Postholders were asked about their appointment process, understanding of, their roles, and views on the success, challenges, and training implications inherent in their posts. .1'- Method. The research cohort consisted of ten of the first twelve postholders (the researcher is the thirteenth) appointed to consultant radiographer roles. This was a three-part evaluation. i) Job descriptions were compared to one another and to the official guidance on the setting up of the roles. ii) A self-completion questionnaire was sent to each participant to obtain background information on them and the context of • their roles, academic achievements and future training requirements. iii) Using a telephone interview all participants were asked their views on their achievements, success' and challenges, and views on training and education for aspirants to the role. Results. All posts had been established in accordance with the Department of Health guidance, and the job descriptions were very similar, allowing for the different clinical components. The roles had been well supported by management and accepted by the majority of staff, a.lthough some early difficulties had to be overcome. The postholders were very positive on the personal success of their roles. They were able to demonstrate strong clinical roles, effectively taking the place of medical staff. Improvements had been made in the standards of individual patient care, and shortening of the patient pathway was evidenced. While there was strong team leadership, and education support to a wide cross section of NHS staff, the number of postholders working at strategic level within Trusts or at a national level was noticeably low. The number of published papers and amount of research being undertaken was disappointing. All had postgraduate qualifications but few held a full Masters degree. The majority were working to complete these, and two were registered on doctoral programmes. A conGern was the pressure beginning to be placed on at least one postholder to change the focus of their role to enlarge the direct clinical commitment to the detriment of the other domains of practice. This was due to a change in management and increased focus on financial and waiting list targets. Conclusions. While the research cohort was small it comprised most of the early appointees. Their experience was that the consultant radiographer role has achieved demonstrable success. This is strongest in the expert clinical practice element of their roles (approximately 50%) with much of it 9!rectly related to individual patient care. Within the other domains of practice leade'rship of professional teams was· evident, and education and training was well supported within a narrow clinical context. The strategic element of roles, with involvement at regional and national level, was not well addressed although there were some notable exceptions. The amount of research currently undertaken is low, and most study relates to individual continuing professional development. All postholders felt that any discussion on the requirement of a doctoral qualification for future candidates for these posts was unrealistic. They were concerned that the nature of consultancy was poorly understood by others in the profession. The emphasis of these posts was on the clinical aspect of working, unlike in nursing where leadership was the dominant feature. There was also less evidence of the creation of innovative roles as seen in nursing. The future of this initiative in radiography is not assured, particularly if the current shortage of radiologists is overcome. With changes in management and/or the drive to deliver on financial and waiting list targets pressures may be placed on postholders to increase the clinical element of their roles. Unless the consultants themselves become more proactive in all elements of their domains of practice, and resist these management pressures, there is the possibility that the roles will become little more than those of advanced practitioners.
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Harris, Rachel Louise. "Experiencing the research role of the consultant radiographer : a grounded theory study." Thesis, University of Exeter, 2013. http://hdl.handle.net/10871/14272.
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Aim: The aim of this study was to explore what the core domain of research means to consultant radiographers in clinical practice and to identify the key factors that facilitate or hinder research activity by this staff group. Design: Grounded theory research methodology was employed. There were three phases to the study: • Literature review. • Electronic questionnaires to all those in consultant radiographer posts as identified by the Society and College of Radiographers consultant radiographer network. • Twenty five consultant radiographers invited for telephone interview. Results: Results indicate there are variations across clinical specialties as to the amount and level of research undertaken by consultant radiographers. The principal barriers revealed were: lack of time; excessive clinical workload; lack of skills and confidence to undertake research; poor research culture; and lack of support. The main facilitators noted were: dedicated time, research training and up-skilling; mutually beneficial collaborations; managerial understanding of the research domain of the role; and research focussed on clinical demand. Conclusion: Research is one of the four core domains of consultant allied health professional and nursing roles but, as yet, it is not fully embedded into those of all consultant radiographers. Many consultant radiographers appear to spend more of their time on the ‘clinical expert’ element of their role at the expense of the research domain. This research identified factors, from the consultant radiographers’ perspective, that both support and hinder research and suggests that, with ‘an intelligent overview’, some of barriers could be overcome. This study concludes that there is an urgent need for consultant radiographers to understand why research is one of the four core domains and to recognise the need to embed research into their clinical practice.
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Neep, Michael J. "The delivery of image interpretation education for radiographers." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/123708/1/Michael_Neep_Thesis.pdf.
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Failure to correctly diagnose fractures on x-rays is an important problem in hospital emergency departments. This thesis included the first randomised controlled trial comparing the effectiveness of intensive and non-intensive formats of delivery of x-ray interpretation education for radiographers. The education was designed to improve the ability of radiographers to detect and describe abnormalities visualised on trauma radiographs. Findings suggest that the intensive format of delivery was more effective, although participants in both trial arms demonstrated improvement. These findings have relevance for healthcare and education providers who are seeking to improve radiographers' image interpretation in emergency settings.
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Carr, Douglas. "Developing the radiographer film reading role : an illustrative case in breast screening." Thesis, University of Derby, 2006. http://hdl.handle.net/10545/304841.
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Khine, R. "The professional and organisational impact of the consultant therapeutic radiographer : a case study." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/18844/.
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Background: Changes in therapeutic radiography have promoted the development of a consultant practitioner role in clinical practice. Clinical duties that were once performed by the clinical oncologist are now being shared in some trusts by Consultant Therapeutic Radiographer (CTRs) who are experts in their scope of practice. The first CTR was appointed in 2003, yet an evaluation of the role has remained limited. Aims: The thesis examines the CTR role, through the perspectives of medical, nursing, therapeutic staff and key stakeholders by means of a qualitative inquiry, with the intention to explore professional and organisational impact. Methods: A collective case study approach was adopted to facilitate the examination of the CTR role, using the Dimensions of Impact Framework (Gerrish et al., 2011). A three-phased research design was employed. Phase one of the study utilised a focus group with CTRs (n=4) as a scoping exercise to understand the current state of the CTR role in clinical practice. Phase two consisted of six case studies and utilised individual semi-structured interviews with CTRs (n=6) and interviews with medical, nursing and therapeutic staff (n=18) to gain a thorough view of the CTR role from their perspectives. Document analysis was also conducted using the CTR job descriptions to discern similarities or differences and examine whether the job descriptions provided the opportunity to demonstrate professional and organisational impact. In the analysis of the Phase two, data were mapped against the Dimensions of Framework to identify the perceived professional and organisational impact of the CTR role. Finally, Phase three utilised semi-structured interviews with key stakeholders (Society and College of Radiographers, NHS England and Health Education England) (n=6), to explore their views on the CTR role and on the themes derived from the six case studies Results: The themes identified under perceived professional impact were: professional outcomes, working relationships and identity. The themes identified under perceived organisational impact were: service targets, perceived patient experience and power. In addition, two further themes were identified: challenges of the role and future prospects of the role were also indicated. The main challenges noted were: lack of medical knowledge; lack of time for research; increased workload; meeting the expectations of the role; medico-legal implications and financial implications. The future prospects for the role were: more engagement with the consultant practice domains (such as the research domain); increase the CTR numbers and specialities; and develop CTR’s medical knowledge; further promote the CTR role, and have a responsibility for prescribing the radiotherapy treatment. Conclusions and recommendations This original piece of research has provided a detailed examination of the perceived organisational and professional impact of the CTR role. It has also identified a number of challenges and considerations for the future. Recommendations for clinical practice and policy include: conduct a national evaluation to capture the impact of the CTR role, further promote the role, develop a detailed job plan, undertake a review of educational and training of the CTR; and ensure adequate clinical support and mentoring. The addition of the concepts of power of and identity to the Gerrish et al., (2011) Dimensions of Impact Framework within this research needs testing in different professional and organisational contexts. Overall the knowledge generated from the participants’ perceptions of the CTR role presented in this thesis contributes to the literature on capturing perceived impact and provides new perspective on, and representations of, power and identity.
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Newton-Hughes, A. M. "A focussed ethnographic study of diagnostic radiographer problem solving in the trauma setting." Thesis, University of Salford, 2016. http://usir.salford.ac.uk/38048/.
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Aim: when imaging patients for x-ray examinations Diagnostic Radiographers should position the patient so that bones, joints and soft tissues can be clearly visualised. In order to achieve this a widely accepted set of positioning criteria have been developed for each anatomical region. In the trauma setting the radiographer must either move the injured body part sufficiently to meet the criteria or manipulate the imaging equipment to achieve a similar representation of the anatomy. This difference between the presenting position of the patient and the imaging position required presents the radiographer with an ill-defined problem which employs careful management to minimise patient discomfort, avoid risk of injury and optimise image quality for diagnosis. Little is known of radiographer problem solving in the clinical setting. This research uses focussed ethnography to investigate how the radiographer achieves appropriate positioning of the patient through the application of problem solving. Method: a focussed ethnographic study was undertaken in the clinical setting at two hospital sites. Sixty three observations of trauma imaging examinations were undertaken followed by semi structured interviews with the practitioners. The data were analysed thematically following a structure recommended for focussed ethnography. Results: the findings of this unique study demonstrated a multi-stage assessment process used to evaluate the patients’ injury and ability to co-operate with the examination. In light of the assessment the conduct of the examination varied with the degree of complexity of the examination and a measure of this complexity was developed to illustrate this. Findings demonstrated that in agreement with known models of practice the level of cognition required moved from subconscious to conscious as the complexity of the examination increased it was also found that radiographers recognised the importance of experience in managing imaging examinations. Opportunities for re-design of the examination request card were also identified to aid communication between the referrer and the radiographer and assist in the radiographers’ assessment of the patient. Areas for further research are also suggested.
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Söderlund, Sarah, and Tommy Lundmark. "Strålskydd för barn vid konventionell röntgen : En litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-88785.
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Bakgrund: Forskning visar att barn är känsligare för joniserande strålning än vuxna. Röntgenundersökningar får inte utföras i onödan och nyttan med undersökningen skall överstiga dess risker. Det är viktigt att optimera röntgenundersökningar och så långt som möjligt minimera stråldoser utan att påverka det diagnostiska resultatet, då forskning visar att även låga stråldoser kan ge upphov till DNA-skador och i förlängningen orsaka cancer. Syfte: Att beskriva metoder som optimerar röntgenundersökningar och minskar stråldosen till barn vid konventionell röntgen. Metod: Litteraturstudie vars resultat är baserat på 14 vetenskapliga artiklar funna i databaserna PubMed och CINAHL samt via manuell sökning. Resultat: Det fanns ett flertal metoder och tillvägagångssätt som optimerar röntgenundersökningar och minskar stråldosen till barn vid konventionell röntgen. Metoderna berörde åtgärder i undersökningsrummet, parametrar, filtrering och ny teknik. Konklusion: Röntgensjuksköterskor med kunskap om optimering har goda möjligheter att sänka stråldoser till barn vid konventionell röntgen.Background: Research shows that children are more sensitive to ionizing radiation than adults. X-ray imaging may not be performed unnecessarily and its necessity must exceed the risks. It is important to optimize the imaging and as far as possible minimize the radiation dose without affecting the diagnostic performance negatively. Research shows that even low doses of radiation can cause DNA damage and ultimately induce cancer. Objective: The aim of this paper was to describe methods that optimize the x-ray examination and reduce radiation doses to children in conventional radiography. Method: A literature study whose results are based on 14 scientific articles found in the databases PubMed and CINAHL and manual searches. Results: There were several methods that optimize the x-ray examination and reduce the radiation doses to children in conventional radiography. These methods concern approaches in the examination room, parameters, filtering and new technology. Conclusion: Radiographers’ with knowledge of optimization have good opportunities to lower radiation doses in x-ray examinations of children in conventional radiography.
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Palm, Fredrik, and Nelson Frida. "The importance of medical staff placement in CT examination rooms : A study of the scattered radiation doses in CT examination rooms in Da Nang, Vietnam." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för naturvetenskap och biomedicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-36493.
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Snaith, Beverly. "Development of the radiography evidence base: An examination of advancing practice." Thesis, University of Bradford, 2013. http://hdl.handle.net/10454/6314.
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Radiography has seen most development over the last 30 years with the
evolution of new technologies, but perhaps more significantly changes in
education models and radiographer roles. The development of advanced
and consultant posts has facilitated the growth of the profession, although
the evidence base is still evolving.
Through a number of research projects this thesis will explore the growth in
the radiography evidence base with specific reference to the extending role
of the radiographer in image interpretation. Parallel clinical and academic
developments have provided evidence of a scholarly profession which is
slowly establishing its place through publication and a growing research
base.Please Note: The full text of each of the published articles, which are listed on page vii, has been removed from the PhD online copy due to publisher copyright restrictions. Links to the publisher¿s websites are given. To see the final full text version of the articles listed on page vii, please visit the publisher¿s website. Available access to the published online version may require a subscription.
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Davidson, Robert Andrew. "Radiographic contrast-enhancement masks in digital radiography." University of Sydney, 2006. http://hdl.handle.net/2123/1932.
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Doctor of PhilosophyRadiographic film/screen (F/S) images have a narrow latitude or dynamic range. The film’s ability to record and view all the anatomy within the x-ray field is limited by this narrow dynamic range. The advent of digital radiographic means of storing and displaying radiographic images has improved the ability to record and visualise all of the anatomy. The problem still exists in digital radiography (DR) when radiographic examinations of certain anatomical regions are undertaken. In this work, the value of anatomically shaped radiographic contrast-enhancement masks (RCMs) in improving image contrast and reducing the dynamic range of images in DR was examined. Radiographic contrast-enhancement masks are digital masks that alter the radiographic contrast in DR images. The shape of these masks can be altered by the user. Anatomically shaped RCMs have been modelled on tissue compensation filters (TCFs) commonly used in F/S radiographic examinations. The prime purpose of a TCF is to reduce the dynamic range of photons reaching the image receptor and hence improve radiographic contrast in the resultant image. RCMs affect the dynamic range of the image rather than the energy source of the image, that of the x-ray photons. The research consisted of three distinct phases. The first phase was to examine physical TCFs and their effects on F/S radiographic images. Physical TCFs are used in radiographic F/S examinations to attenuate the x-ray beam to compensate for varying patient tissue thicknesses and/or densities. The effect of the TCF is to reduce resultant radiographic optical density variations in the image, allowing the viewer to observe a range of densities within the image which would otherwise not be visualised. Physical TCFs are commonly aluminium- or lead-based materials that attenuate the x-ray beam. A TCF has varying physical thickness to differentially attenuate the iii beam and is shaped for specific anatomical situations. During this project, various commonly used physical TCFs were examined. Measurements of size and thickness were made. Characteristics of linear attenuation coefficients and half-value thicknesses were delineated for various TCF materials and at various energies. The second phase of the research was to model the physical TCFs in a digital environment and apply the RCMs to DR images. The digital RCMs were created with similar characteristics to mimic the shapes to the physical TCFs. The RCM characteristics can be adjusted by the viewer of the image to suit the anatomy being imaged. Anatomically shaped RCMs were designed to assist in overcoming a limitation when viewing digital radiographic images, that of the dynamic range of the image. Anatomically shaped RCMs differ from other means of controlling the dynamic range of a digital radiographic image. It has been shown that RCMs can reduce the range of optical densities within images with a large dynamic range, to facilitate visualisation of all anatomy within the image. Physical TCFs are used within a specific range of radiographic F/S examinations. Digital radiographic images from this range of examinations were collected from various clinical radiological centres. Anatomically shaped RCMs were applied to the images to improve radiographic contrast of the images. The third phase of the research was to ascertain the benefits of the use of RCMs. Various other methods are currently in use to reduce the dynamic range of digital radiographic images. It is generally accepted that these methods also introduce noise into the image and hence reduce image quality. Quantitative comparisons of noise within the image were undertaken. The anatomically shaped RCMs introduced less noise than current methods designed to reduce the dynamic range of digital radiographic images. It was shown that RCM methods do not affect image quality. Radiographers make subjective assessment of digital radiographic image quality as part of their professional practice. To assess the subjective quality of images enhanced with anatomically shaped RCMs, a survey of radiographers and other iv qualified people was undertaken to ascertain any improvement in RCM-modified images compared to the original images. Participants were provided with eight pairs of image to compare. Questions were asked in the survey as to which image had the better range of optical densities; in which image the anatomy was easiest to visualise; which image had the simplest contrast and density manipulation for optimal visualisation; and which image had the overall highest image quality. Responses from 123 participants were received and analysed. The statistical analysis showed a higher preference by radiographers for the digital radiographic images in which the RCMs had been applied. Comparisons were made between anatomical regions and between patient-related factors of size, age and whether pathology was present in the image or not. The conclusion was drawn that digital RCMs correctly applied to digital radiographic images decrease the dynamic range of the image, allowing the entire anatomy to be visualised in one image. Radiographic contrast in the image can be maximised whilst maintaining image quality. Using RCMs in some digital radiographic examinations, radiographers will be able to present optimised images to referring clinicians. It is envisaged that correctly applied RCMs in certain radiographic examinations will enhance radiographic image quality and possibly lead to improved diagnosis from these images.
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Snaith, Beverly Ann. "Development of the radiography evidence base : an examination of advancing practice." Thesis, University of Bradford, 2013. http://hdl.handle.net/10454/6314.
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Radiography has seen most development over the last 30 years with the evolution of new technologies, but perhaps more significantly changes in education models and radiographer roles. The development of advanced and consultant posts has facilitated the growth of the profession, although the evidence base is still evolving. Through a number of research projects this thesis will explore the growth in the radiography evidence base with specific reference to the extending role of the radiographer in image interpretation. Parallel clinical and academic developments have provided evidence of a scholarly profession which is slowly establishing its place through publication and a growing research base.
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Andersson, Bodil T. "Radiographers’ Professional Competence : Development of a context-specific instrument." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-19717.
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Aims: The overall aim of this thesis was to explore and describe radiographers‟ professional competence based on patients‟ and radiographers‟ experiences and to develop a context-specific instrument to assess the level and frequency of use of radiographers‟ professional competence. Methods: The design was inductive and deductive. Both qualitative and quantitative methods were used. The data collection methods comprised interviews (Studies I-II) and questionnaires (Studies III-IV). The subjects were patients in study I and radiographers in studies II-IV. In study I, 17 patients were interviewed about their experiences of the encounter during radiographic examinations and treatment. The interviews were analysed using qualitative content analysis. In study II, 14 radiographers were interviewed to identify radiographers‟ areas of competence. The critical incident technique was chosen to analyse the interviews. Studies III and IV were based on a national cross-sectional survey of 406 randomly selected radiographers. Study III consisted of two phases; designing the Radiographer Competence Scale (RCS) and evaluation of its psychometric properties. A 42-item questionnaire was developed and validated by a pilot test (n=16) resulting in the addition of 12 items. Thus the final RCS comprised a 54-item questionnaire, which after psychometric tests was reduced to 28 items. In study IV, the 28-item questionnaire served as data. The level of competencies was rated on a 10-point scale, while their use was rated on a six-point scale. Results: In study I, the female patients‟ comprehensive understanding was expressed as feelings of vulnerability. The encounters were described as empowering, empathetic, mechanical and neglectful, depending on the radiographers‟ skills and attitudes. Study II revealed two main areas of professional competence, direct patient-related and indirect patient-related. The first focused on competencies in the care provided in close proximity to the patient and the second on competencies used in the activities of the surrounding environment. Each of the two main areas was divided into four categories and 31 sub-categories that either facilitated or hindered good nursing care. In study III the analysis condensed the 54-item questionnaire in two steps, firstly by removing 12 items and secondly a further 14 items, resulting in the final 28-item RCS questionnaire. Several factor analyses were performed and a two factor-solution emerged, labelled; “Nurse initiated care” and “Technical and radiographic processes”. The psychometric tests had good construct validity and homogeneity. The result of study IV demonstrated that most competencies in the RCS received high ratings both in terms of level and frequency of use. Competencies e.g. „Adequately informing the patient‟, „Adapting the examination to the patient‟s prerequisites and needs‟ and „Producing accurate and correct images‟ were rated the highest while „Identifying and encountering the patient in a state of shock‟ and „Participating in quality improvement regarding patient safety and care‟ received the lowest ratings. The total score of each of the two dimensions had a low but significant correlation with age and years in present position. The competence level correlated with age and years in present position in both dimensions but not with the use of competencies in the “Nurse initiated care” dimension. Conclusion: This thesis has shown that professional competence is important in the encounter between patient and radiographer. It has also demonstrated that radiographers‟ self-rated professional competence is based on nursing, technological and radiographic knowledge. From a radiographer‟s perspective, „Nurse initiated care‟ and „Technical and Radiographic processes‟ are two core dimensions of Radiographer Competence Scale. The 28-item questionnaire regarding level and frequency of use of competence is feasible to use to measure radiographers‟ professional competence.
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Blom, Elena, and Jenny Svensson. "Omhändertagande i samband med röntgenundersökning : en litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183315.
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Bakgrund: Röntgensjuksköterskan måste på kort tid bilda en förståelse för patienten och dennes behov för att kunna tillämpa ett gott omhändertagande. Det finns många delar inom omhändertagandet som måste appliceras för att kunna säkerställa en patientsäker vård. Syfte: Syftet med litteraturstudien var att belysa röntgensjuksköterskans erfarenheter av omhändertagande av patient i samband med röntgenundersökning. Metod: En litteraturstudie innehållande nio kvalitativa studier. Sökningarna genomfördes i Pubmed, Cinahl och Scopus. Resultat: Analysen resulterade i tre kategorier och sex underkategorier. Kategorierna bestod av: Medvetenhet om ansvaret, Känna krav på att vara och Hantera utmaningar. Konklusion: Hur röntgensjuksköterskan kommunicerar med patienten har en stor betydelse för hur mottaglig patienten blir mot den information som delges. Att ta sig tid att läsa av individen och dennes behov kan bidra till ett bättre omhändertagande. En tydligare beskrivning inom området som kan ge en vägledning vid olika patientmöten skulle kunna vara en tillgång för nyutexaminerade. Nyckelord: erfarenheter, radiografi, röntgenundersökning, omhändertagande, röntgensjuksköterskaBackground: The radiographer must in a short time form an understanding of the patient and his or her needs in order to be able to apply good care. There are many parts of care that must be applied to be able to ensure patient-safe care. Aim: The purpose of the literature study was to illuminate the radiographers’ experiences of the care of patients in connection with an diagnostic imaging examination. Method: A literature study containing nine qualitative studies. The searches were conducted in Pubmed, Cinahl and Scopus. Result: The analysis resulted in three categories and six subcategories. The categories consisted of: Awareness of responsibility, Feel the need to be effective and Handle challenges. Conclusion: How the radiographer communicates with the patient is of great importance for how receptive the patient becomes to the information provided. Taking the time to read the individual and his needs can contribute to better care. A clearer description in the area that can provide guidance at various patient meetings could be an asset for recent graduates. Keywords: experience, radiography, diagnostic imaging examination, caring for, radiographer
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Heiskanen, Cassandra, and Victoria Bengtsson. "A study of radiographer student´s knowledge about hygiene aspects : A comparative study in Vietnam and Sweden." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-40582.
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Background: It is important to have good hygiene in healthcare. Studies have shown that bad hygiene among healthcare professionals can lead to spread of bacteria and microorganisms, which in turn can lead to healthcare-associated infections. To counteract this there are established routines, laws and regulations, as basic hygiene routines. Purpose: To study the knowledge of hygiene aspects in patient-related work among radiographer students in Vietnam and Sweden. Method: A quantitative study with descriptive statistics and statistical tests, data was collected through surveys and observations. The number of participants in the survey was 100 students, 50 in Vietnam and 50 in Sweden. The observations were conducted on 12 students at a hospital in Vietnam. Data was analyzed in SPSS and then described in text and tables. Results: The students had relatively good knowledge of hygiene aspects, but the results showed that things could be improved in Sweden and Vietnam. There was insufficient knowledge about the use of plastic apron and the use of jewelry such as watches. The students were careful to fixed their hair, have clean work clothes and wear plastic gloves at risk of contact with body fluids. Conclusion: The study shows that there are similarities and differences among the students in both countries. There are areas that can be improved in the countries because knowledge and basic hygiene routines underlie the spread of healthcare-associatedinfectionsBakgrund: Det är viktigt med god hygien inom hälso- och sjukvård. Studier har visat att dålig hygien bland sjukvårdspersonal kan leda till spridning av bakterier och mikroorganismer, vilket i sin tur kan leda till sjukvårdsrelaterade infektioner. För att motverka detta finns framtagna rutiner, lagar och regler som basala hygienrutiner. Syfte: Att undersöka kunskapen om hygienaspekter i patientnära arbete bland röntgensjuksköterskestudenter i Vietnam och Sverige. Metod: En kvantitativ studie med deskriptiv statistik och statistiska tester där datainsamling skedde via enkäter och observationer. Antalet medverkande i enkätstudien var 100 studenter, 50 i Vietnam och 50 i Sverige. Observationerna genomfördes på 12 studenter vid ett sjukhus i Vietnam. Data analyserades i SPSS och beskrevs sedan i text och tabeller. Resultat: Studenterna hade relativt god kunskap gällande hygienaspekter men resultatet visade att saker kan förbättras i båda länderna. Bristande kunskap fanns gällande användandet av plastförkläde samt användandet av smycken som exempelvis klockor. Studenterna var noggranna med att ha håret uppsatt, ha rena arbetskläder och använda plasthandskar vid risk för kontakt med kroppsvätskor. Slutsats: Studien visar att det finns likheter och skillnader bland studenternas kunskap i båda länderna. Det finns områden som kan förbättras i både Sverige och Vietnam då kunskap och basala hygienrutiner ligger till grund för minskad spridning av sjukvårdsrelaterade infektioner.
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Lundvall, Lise-Lott. "Radiographers’ professional practice : a Swedish perspective." Licentiate thesis, Linköpings universitet, Avdelningen för radiologiska vetenskaper, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-111722.
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The general aim of this thesis was to empirically describe the radiographers’ professional scope in diagnostic imaging from the viewpoint of the practitioners and investigate how technical development affects the relations and actions in this practice. Data was collected by interviews and observations to both studies at the same time with two different aims. Eight radiographers (n=8) were interviewed. The interviews were open in character, were recorded with a digital voice recorder, and transcribed verbatim by the interviewer. The interview guide consisted of four interview questions. The observations of radiographers during their work with Computer Tomography (CT) and Magnetic Resonance Imaging (MRI) were conducted in a middle-sized radiology department in the southern part of Sweden. The observations were ten (n=10) in total. Two different theoretical perspectives were used: phenomenology (Study I) and practice theory perspective (Study II). Data was analysed with a phenomenological method in Study I. In Study II data was firstly analysed inductively, which resulted in seven codes. Secondly, abduction was made by interpretation of these codes from a practice theory perspective. This led to four themes. The findings in Study I display the main aspect of the radiographers’ work with image production. Their general tasks and responsibilities can be viewed as a process with the goal of producing images that can be used for diagnosis purposes. The process has three different phases: planning the examination, production of images, and evaluation of the image quality. The radiographers experience the production of images as their autonomous professional area. The findings in Study II report how technology development affects the relations between different actors and their actions in the practice of Computer Tomography. Four themes were identified; 1) Changed materiality makes the practical action easier. Radiographers’ practica work with image production has become easier when working with CT compared to conventional techniques because the CT usually performs the image production in one scan. 2) Changed machines cause conflict between the arrangements of the work and the patients` needs. It is difficult to plan the examination individually for each patient because of the arrangements of the CT practice, i.e. they have little information about the patient before the examination. 3) Changing materiality prefigures learning. The radiographers describe a need for constant learning activities because of the changing procedures for image production and new modalities for image production. If not achieved it may affect their relations with the patients. 4) How the connections between different practices lead to times when practical reasoning is required in the radiography process with CT. The connections between the different professions in CT practice mainly occur through material arrangements because physically they work in different areas. The external arrangements in CT practice pre-figure actions for securing accurate radiation level and image quality. But the radiographers, who meet the patients, have to critically judge the intended actions in relation to clinical observed data to ensure patient safety.
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Hayre, Christopher Maverick. "Radiography observed : an ethnographic study exploring contemporary radiographic practice." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/14517/.
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This study explores the day-to-day application of digital radiography (DR) within the X-ray environment. This study presents the voices of the radiographers' untold views, attitudes and experiences of DR through the process of observing, listening, retelling and interpreting junior and senior radiographers' responses. There were three stages to this ethnographic study. Firstly, exploring 'what radiographers did' environment by observing clinical practices. This provided 'first-hand' experience of action-in-process. Secondly, 22 semi-structured interviews were undertaken, directed by emerging themes and informal discussions from the clinical observations. Semi-structured interviews provided an understanding of the experiences, behaviours and attitudes of radiographers providing a deeper understanding of the relationship between practice and context. Thirdly, X-ray experiments were undertaken contributing to 'what had been seen and said by participants'. This data was later triangulated to support the research objectives outlined in this PhD research. Observation and interview data were analysed using thematic analysis and grouped into four overarching categories; learning, radiographer challenges, ionising radiation and patient care delivery. X-ray experimental data was inputted into SPSS and later coded. The qualitative data had numerous codes, which generated themes and could be linked in order to generate theoretical descriptions. Multiple-linear regression analysis and Pearson's Correlation provide statistically significant values (p < 0.001) for the experimental models contributing to 'what had been seen and said' by radiographers in the clinical environment. This thesis provides new insights into general radiographic practices using advancing technology. The conclusions that can be drawn from the empirical data is that advancing technology has impacted the day-to-day practices of diagnostic radiographers. Complex phenomena include; current knowledge and understanding, the practice of keeping doses 'as low as reasonably practicable' and impact on patient care delivery. These insights suggest that healthcare and academic environments may require additional support in the aim of delivering optimum patient care.
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Polinsky, Adam S. "Evaluation and Comparison of Periapical Healing Using Periapical Films and Cone Beam Computed Tomography: Post-Treatment Follow Up." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5767.
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Purpose: The purpose of this study was to assess the radiographic changes in periapical status and analysis of healing determined using periapical radiographs (PA) versus cone beam computed tomography (CBCT) pre-operatively and at 3-64 months following endodontic treatment.
Methods: Pre/post treatment radiograph and CBCT scans of patients who had NSRCT, NSReTx, or SRCT from July 2011-December 2018 at VCU Graduate Endodontic clinic were included in this study. Volumetric and linear measurements of periapical lesions on initial and recall PA and CBCT images were performed using three calibrated examiners. Changes and differences in the estimated area from PA to CBCT were compared using the Wilcoxon signed-rank test. McNemar’s chi-squared test was used to determine agreement in the proportion of lesions that were absent (0x0) between the PA and corresponding view of CBCT. This data was used to calculate the sensitivity, specificity, positive predictive value (PPV), and negative predicative value (NPV).
Results: A total of 51 patients with a median healing time of 13 months were included in the analysis. Significant healing was observed on both PA and CBCT images (p-value
Conclusion: Assessment using CBCT revealed a lower healing rate for all treatment categories compared with periapical radiographs. CBCT was more likely to detect the presence of a PARL, whereas a periapical radiograph would be less sensitive to detection of a PARL. Significant healing cannot be detected at an earlier point in time with PA radiographs or CBCT.
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Campbell, Sydney. "Experiences of analogue-trained radiographers utilising digital imaging in projection radiography." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/14796.
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The professional work of a radiographer encompasses both patient care and the use of technology. The technology employed could either be analogue or digital technology. Since 1973, the analogue imaging system has slowly been replaced by digital radiography imaging systems. Despite the many advantages of digital imaging it does present the radiographer with added responsibilities. Furthermore, analogue-trained radiographers have found adjusting to digital imaging especially challenging. The aim of the study was to explore and describe the experiences of analogue-trained radiographers utilising digital imaging in projection radiography with the intention of developing guidelines to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. The researcher used Schlossberg’s Transition Theory as a lens to look at the experiences of analogue-trained radiographers using digital imaging to produce radiographs. The research study used a qualitative design which was explorative, descriptive and contextual in nature. The target population included all diagnostic radiographers (public and private) in the local municipality who were registered with the Health Professions Council of South Africa. Purposive sampling was employed to select the radiographers that represented all radiographers in the Nelson Mandela Bay Health District. The sample included all radiographers who fulfilled the identified selection criteria. The selected participants were recruited to take part in in-depth, semi-structured individual interviews. The data was analysed using a computer-aided qualitative data analysis software package, ATLAS.ti. The trustworthiness of this study was ensured by applying Guba’s model of trustworthiness that includes credibility, transferability, dependability and confirmability. The ethical principles of respect for persons, beneficence and justice, as espoused by the Belmont Report, were adhered to in order to ensure that the study was conducted in an ethical manner. Two themes emanated from the data, namely the evolution of the radiographer when faced with the advances in technology as well the role that the work environment played in the manner that the participants experienced the change. The experiences of the participants were described using direct quotations from the interviews and a literature control was used to verify the participants’ experiences. Evidence was found of radiographer indifference towards exposure selection, dose optimisation and placement of anatomical side markers when utilising digital imaging. Finally, guidelines were developed to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. In addition, the guidelines will assist all other radiographers to better utilise digital imaging.
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Van, der Venter Riaan. "Reporting on radiographic images in after-hours trauma units :Experiences of radiographers and medical practitioners." Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/23779.
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Globally there is a lack of radiologists, which results in unreported radiographic examinations, or a delay in reporting on radiographic images even in emergency situations. In order to mitigate and alleviate the situation, and optimise the utilisation of radiographers a red dot system was introduced in the United Kingdom, which later aided in the transformation of the role of radiographers in terms of formal reporting of various radiographic examinations. Although there is a shortage of medical practitioners and radiologists in South Africa the extended role of radiographers has not been yet realised for radiographers. At present, radiographers and medical practitioners work in collaboration to interpret and report on radiographic examinations informally, to facilitate effective and efficient patient management, but this is done illegally because the regulations defining the scope of the profession of radiography does not allow for such practice, putting radiographers and organisations at risk of litigation. In order to gain an in-depth knowledge of the phenomena, to enable the researcher to provide recommendations to the Professional Board of Radiography and Clinical Technology (PBRCT) of the Health Professions Council of South Africa (HPCSA), a qualitative, exploratory, descriptive, and contextual research study was undertaken. Radiographers and medical practitioners were interviewed in order to elicit rich descriptions of their experiences regarding reporting of trauma related radiographic images in the after-hours trauma units. Data were gathered using in-depth semi-structured interviews, and the data were analysed using kesch’s method of thematic synthesis. Three themes emerged from the data, namely the challenges radiographers and medical practitioners face in the after-hours trauma units respectively, with regards to reporting of trauma related adiographs, and suggestions were proposed to optimize the participation of radiographers with regard to trauma related radiographs in these units. A thick description and literature control was done using quotes from participants. Measures to ensure trustworthiness and ethical research practices were also implemented. Thereafter, recommendations were put forward for the PBRCT of the HPCSA, using current literature and inferences made from the findings of the study.
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Woznitza, Nick. "The diagnostic accuracy of reporting radiographer chest X-ray interpretations and their influence on clinicians' diagnostic decision-making : a comparison with consultant radiologists." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/15847/.
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Background: Diagnostic imaging plays an expanding and central role in patients' medical care. Radiographer clinical reporting is being increasingly used in patient focused services. There is a paucity of research that has examined radiographer chest X-ray reporting. Aim: To determine the diagnostic accuracy of reporting radiographer chest X-ray (CXR) reporting and the influence that CXR reports have on clinicians' diagnostic decision-making. Method: A quasi-experimental study determined the diagnostic accuracy of a cohort of reporting radiographers in CXR interpretation, using a free-response methodology. The influence of CXR reports on clinicians' diagnostic decision-making was determined with a cohort study. A non-inferiority approach was used, in line with Royal College of Radiologists and College of Radiographers guidance that reporting radiographers must be comparable to consultant radiologists. Results: The diagnostic accuracy of reporting radiographers (RR) was non-inferior to consultant radiologists (CR) for all measures, all p < 0.0001; unweighted JAFROC (RR Figure of Merit [FoM]=0.828, 95%CI 0.808-0.847; CR FoM=0.788, 95%CI 0.766-0.811), weighted JAFROC (RR FoM=0.830, 95%CI 0.811-0.849; CR FoM=0.786, 95%CI 0.764-0.808) and inferred ROC (RR Area Under the Curve [AUC]=0.909, 95%CI 0.887-0.931; CR AUC=0.903, 95%CI 0.882-0.924). No difference was found in the number of CXR reports that produced a correct most likely and/or most serious diagnosis (RR 876 of 1337 cases; CR 810 of 1368; p=0.103). Uncorrected most likely diagnostic confidence (RR 72.5 to 80.2; CR 71.0 to 80.4) and uncorrected most serious diagnostic confidence (RR 34.0 to 41.9; CR 33.5 to 39.2) of reporting radiographer CXR reports was non-inferior to consultant radiologists (p < 0.001). Corrected most likely diagnostic confidence, calculated using the Tsushima methodology, was lower (RR 4.61; CR 5.02) with no apparent difference, but noninferiority was not confirmed (p > 0.05). Conclusion: With appropriate postgraduate education, reporting radiographers are able to interpret chest X-rays at a level comparable to consultant radiologists.
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Pascoal, Ana Isabel Lourenco. "Optimisation of image quality and patient dose for chest radiography with digital radiographic systems." Thesis, King's College London (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438195.
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Osman, Subeda, and Mona Abdu. "Nyexaminerade röntgensjuksköterskors upplevelse av introduktionen på en ny arbetsplats." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för naturvetenskap och biomedicin, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-27100.
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Ett bra introduktionsprogram är grundläggande för en lång framgångsrik karriär och gör det lättare för den nyexaminerade att lära sig, då övergången från studier till att börja arbeta som en legitimerad röntgensjuksköterska kan vara en stressig period. Syftet med denna studie var att undersöka nyexaminerade röntgensjuksköterskors upplevelse av introduktionen på en ny arbetsplats. Data samlades in till denna studie genom att intervjua nio röntgensjuksköterskor som tagit examen sommaren 2014. Dessa röntgensjuksköterskor arbetar på röntgenkliniker i mellan- och södra Sverige. All insamlad data analyserades med hjälp av innehållsanalys och det resulterade i tre kategorier: Introduktionsprogrammet, Handledarnas kunskap och egenskaper och Sociala relationers betydelse och påverkan. De nyexaminerade röntgensjuksköterskorna upplevde att introduktionen var tillräcklig och bra. Det fanns vissa delar som var mindre bra, till exempel att de blev räknade som en av den ordinarie personalen medan de hade introduktion. Alla informanter ansåg att det blir bäst ifall de har en specifik handledare i början av introduktionen, då det lätt kan bli förvirrande med flera handledare.A good introduction program is essential for a long successful career and makes it easier for new graduates to learn. As the transition from studies to beginning working as a licensed radiographer can be a stressful period. The purpose of this study was to investigate the new graduate radiographers experience of the introduction at a new workplace. Data was collected for this study by interviewing nine new graduate radiographers who graduated in the summer of 2014. These radiographers are working on radiology departments in central and southern Sweden. All collected data was analyzed using content analysis and it resulted in three categories: Introduction program, The preceptors knowledge and qualities and Social relationships importance and impact. The new graduate radiographers felt that the introduction was sufficient and good. There were some parts that were less good, for example, they were counted as one of the regular staff while they still had the introduction. All the informants believed that it will be best if they have a specific preceptor in the beginning of the introduction, as it can easily become confusing with several preceptors.
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Chetty, Seshree. "The determination of the need for after- hours diagnostic radiological reporting in emergency departments." Thesis, Cape Peninsula University of Technology, 2019. http://hdl.handle.net/20.500.11838/3075.
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Thesis (MSc (Radiography))--Cape Peninsula University of Technology, 2019Introduction: After-hours diagnostic imaging is essential in the majority of large public hospitals, as it plays a vital role in the treatment and management of patients. Radiologists are not always available after hours to provide reports on radiographic images since, nationally and globally, there is a shortage of these professionals. Radiographic images are frequently interpreted by emergency physicians after hours. Thus, while diagnostic imaging represents an essential component in patient care (including management and treatment), according to the literature, a significant cause of clinical error occurs through the misinterpretation of radiographic images by emergency physicians. The aim of this study was to determine emergency physicians’ views on whether there was a need for an after-hours diagnostic radiology reporting service in emergency departments at some public hospitals, in the Durban Metropole. It is important to note that in addition to the above, this study calculated the number of radiographic examinations performed after-hours, and the number that was reported by the radiologist during office hours, since there was no radiology cover after hours. Methods: A descriptive cross-sectional quantitative survey design was employed using a self-administered questionnaire as a data collection instrument completed by emergency physicians at four public hospitals. In addition, additional data was collected to determine the number of radiographic examinations that had been performed after hours, at the selected four public hospitals over a period of three months, as well as the number of radiographic examinations that was reported on. This enabled the authors to determine the number of radiographic examinations that went unreported during this study period. Results: A total of 39 emergency physicians participated in the survey, with a mean and median age of 39.46 and 38 years, respectively (SD = 9.11 years). The results of this study showed that between 0.1% and 0.6% of radiographic examinations performed after hours were reported on by radiologists during office hours, for this study period. This implies that less than 1% of all examinations produced after hours at the four public hospitals, received a radiology report. Emergency physicians felt that the interpretation of images took up valuable time. The survey found that there was near total consensus amongst respondents on whether they prefer after-hours reporting to be performed by a radiologist as 46.2% (n = 18) of the respondents strongly agreed and 41.0% agreed (n = 16). Furthermore, a total of 35.9% (n=14) of respondents agreed and 43.6% (n=17) strongly agreed, that having a reporting radiographer reporting on radiographic images after-hours, would benefit patient flow. The survey also found that 92% of the sampled emergency physicians agreed (59.0% strongly agreed and 33.3% agreed, respectively) that there was a need for further training in the interpretation of radiographic images. Discussion: From the above results, it is evident that since the majority of radiographic examinations went unreported after hours, the task to interpret the radiographic images is left to the emergency physicians as part of their patient management. Conceivably, this added image interpretation results in a further increase in the workload of emergency physicians. It is therefore not surprising that emergency physicians preferred that after-hours reporting of radiographic images be done by radiologists. According to the literature, reporting radiographers also play a role in alleviating the workload of emergency physicians and improving patient flow, by providing a report for the radiographic images during after-hours. Thus, reporting radiographers afford emergency physicians additional time to concentrate on patient treatment, resulting in faster patient throughput. Reporting on radiographic images is not yet included in the scope of the South African radiographer. The findings of this study, though, suggested that there was a need for emergency physicians to undergo training in the interpretation of radiographic images. Conclusion: The study recommends that an after-hours reporting service be considered for the four public hospitals concerned. It is recommended that the heads of the emergency and radiology departments further consider offering courses on radiographic image interpretation for emergency physicians.
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Reis, Cláudia Isabel Sá dos. "Do quotidiano da prática dos técnicos de radiologia à prática vivida como monitores de estágios do curso de radiologia em cinco hospitais de Lisboa." Master's thesis, Universidade de Évora, 2005. http://hdl.handle.net/10174/15729.
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A problemática do quotidiano desde há muito que é discutida no seio das ciências sociais e não só. No trabalho realizado não pretendi analisar todas as problemáticas que modelam as vivências dos profissionais de saúde em contexto de trabalho, pelo contrário, o seu objectivo é bem mais limitado, ficando-se apenas pela procura duma certa inteligibilidade das lógicas locais que emergem da ordem social inerente a cada serviço de Radiologia e as suas possíveis implicações no quotidiano de trabalho dos TR/monitores na produção de “imagens” radiográficas e na monitorização de estagiários. Neste sentido, a partir dos objectivos de estudo, da perspectiva de análise construída para reinterpretar os múltiplos processos de negociação, de conflito/ cooperação e de relações afectivo-cognitivas que subjazem, quer ao nível do quotidiano de trabalho em equipa dos TR, quer ao nível dos processos formativos dos alunos que são acolhidos nos serviços de Radiologia, tendo ainda presente a delimitação do universo de estudo ao nível de cinco hospitais da área de Lisboa, enquanto campo de estágios de uma Escola Superior de Saúde que comporta a formação inicial dos TR, optei por uma abordagem qualitativa do objecto, fundada num estudo de caso. Recorri como técnicas privilegiadas de recolha de dados a pesquisa documental, a observação não-participante e a aplicação de entrevistas aprofundadas a 14 entrevistados, desenvolvidas segundo os critérios de Grupo–Focus. Os resultados do estudo realizado sugerem que na vida quotidiana dos serviços de Radiologia os recursos correspondem aos papéis atribuídos a cada TR/monitor; os frutos de uma dada "jogada" sua, quer ao nível dos modelos de trabalho e da composição sócio–organizacional dos serviços de Radiologia, quer no quadro da monitorização de estágios, quer ainda ao nível das relações interpessoais, só serão aproveitados caso a sua representação como profissional de saúde e/ou como colaborador/monitor na formação inicial dos TR seja convincente perante a audiência que o rodeia. Assim sendo, as interdependências dos TR/monitores no quotidiano de trabalho, nomeadamente ao nível da divisão e organização do trabalho, das relações com as hierarquias funcionais e das práticas de monitorização dinamizam-se num puzzle complexo de relações humanas, fundadas em permanentes avaliações das dimensões de ganhos-riscos e dos processos negociativos que lhes estão inerentes. *** / Abstract - The aim of this study was not to analyse the experiences of health professionals in their work context, on the contrary, its goal is much more simplified, considering aiming the search of a certain intelligibility of the local logics that emerge from the inherent social order of each service of radiology, and its possible implications in the everyday life of work of the Radiographers/Monitors in the production of "x-ray images" and in the monitorization of trainees. So, taking into account the objects of the study, the perspectives of the analysis set to reinterpret the multiple processes of negotiation, the conflict/cooperation and affective-cognitive relations that underlie, either at the level of everyday life as a team of Radiographer, either at the level of the education of students at x-ray services, and bearing in mind the setting of the study universe of five Lisbon-based hospitals, while training setting of an higher school of health, which undertakes basic training for Radiographers, the study considered a qualitative approach, based on a case study. As for data gathering techniques, documental research was used, also, non-participant observations and the usage of 14 in-depth interviews. Such interviews applied according to the Group-Focus criteria. The results of the undertaken study suggest that in the daily life of x-ray services, the resources match the given roles to each Radiographer/Monitor. The results of a certain action, either at the level of work models and the social organizational training of the x-ray services, in the monitoring of trainees, will only be used in case of representation as a health professional and/or as a co-worker/monitor in the early education of Radiographers convinces the audience that surrounds them. Therefore the interdependences of the Radiographers/Monitors in everyday life, namely at the level of work division and organizations, of functional hierarchies relations and monitoring get active in a complex human relations puzzle, based on permanent evaluations of the dimensions of profits-risks and the negociative processes which are related to.
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Pettersson, Tobias, and Yousef Rania. "Röntgensjuksköterskors syn på jobbglidning : En enkätstudie." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för naturvetenskap och biomedicin, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-44417.
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Bakgrund: Vissa av röntgensjuksköterskans arbetsuppgifter kan utföras av andra professioner som sjuksköterska eller undersköterska detta kallas för jobbglidning mellan yrkesroller. Jobbglidning kan ske på grund av många olika orsaker som brist på personal, ökad befolkning vilket gör att mer personal behövs inom vården. Att undersköterska eller sjuksköterska utför vissa av röntgensjuksköterskans arbetsuppgifter kan påverka patientsäkerheten. Syfte: Att undersöka röntgensjuksköterskors syn på att arbetsuppgifter inom professionen utförs av sjuksköterska eller undersköterska. Metod: En kvantitativ enkätstudie med 53 deltagare som är legitimerade röntgensjuksköterskor från fyra sjukhus i två olika regioner. Resultat: Majoriteten av deltagarna anser att det är negativt att sjuksköterskor utför arbetsuppgifter inom mammografi och angiografi. Medan flera av deltagarna tycker det är bra om sjuksköterskor kan beräkna GFR inför undersökningar. Deltagarna anser att det är dåligt om undersköterskor utför konventionella röntgenundersökningar och att ge information om kontrastmedel till patienten medan de anser att det var mycket bra om undersköterskor tar in patienter på undersökningsrummet. Slutsats: Studien visar att röntgensjuksköterskorna generellt har negativ syn på att lämna deras arbetsuppgifter till de andra professionerna, utan de vill behålla deras kompetens inom områden som angiografi, mammografi och konventionell röntgen.
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Irvine, Michael Alan, and thebovus@yahoo com. "Image Quality and Radiation Dose Comparison of a Computed Radiography System and an Amorphous Silicon Flat Panel System in Paediatric Radiography: A Phantom Study." RMIT University. Applied Sciences, 2009. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20091019.122013.
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This purpose of this work was to investigate the patient radiation doses and image quality of a Philips/Agfa computed radiographic (CR) system and a Philips indirect-capture digital radiographic (DR) system in a paediatric setting. A CDRAD digital radiographic contrast-detail phantom was used to assess radiographic image quality. Perspex slabs of three different thicknesses (6, 11 and 16 cm) were used to simulate paediatric patients of three arbitrary ages. These phantoms, in conjunction with the CDRAD digital radiographic contrast-detail phantom, were imaged under three different conditions. The CDRAD Analyser software package was used to assess the quality of each image. The first experiment conducted was a comparison of the two systems under standard conditions, with beam filtration of aluminium and copper, as recommended in European Guidelines on Quality Criteria for Diagnostic Radiographic Images in Paediatrics (European Commission 1996b). Image quality was compared for each phantom size at three doses with the same entrance exposure used for both systems. A visual comparison of the resulting contrast detail curves showed the DR system generally outperformed the CR system, especially at the lowest two doses. A chi-square analysis of the targets detected generally confirmed this visual impression. The second experiment performed was to compare the two systems under the conditions used in routine clinical practice at PMH. As a result of additional beam filtration not generally being employed, the image quality of the CR system was similar to the DR system for the two smaller phantom sizes but with a major dose cost - effective doses higher by between 38% and 100%. A chi-square analysis of the targets detected showed the CR system to be significantly better than the DR system at two of three doses for the thinnest phantom and no significant difference at any doses for the intermediate phantom size. For the largest phantom size, additional filtration - although different - was used for the CR and DR systems and so the X-ray beam spectra were more similar. Consequently, the results for this phantom size reflected those from the experiment conducted under standard conditions, ie the effective doses for both systems were similar and the image quality of the DR system superior. The chi-square analysis s howed the DR system to be significantly better than the CR at all three dose levels. A third experiment was undertaken to compare doses between the two systems at 'equal' image quality. The CDRAD Analyser software specific image quality parameter, IQFinv, was held constant for both systems. The entrance exposures required to achieve this image quality were measured and then converted to effective doses using the dose calculation software package PCXMC 1.5. The DR system offered effective dose savings of between 28 and 42% for the three phantom sizes. Overall, this work suggests that a Philips flat-panel system is superior to an Agfa CR system in paediatric radiography. This result generally reflects the findings of other authors who have conducted similar studies in adult patient settings.
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Karlsson, Jonatan, and Nathalie Mårtensson. "Brister i akuta konventionella röntgenremisser i norra Sverige : en enkätstudie." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-82176.
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Introduktion Röntgenremissen ligger till grund för röntgensjuksköterskan och radiologens planering och utförande av undersökning. Det är av stor vikt att remitterande läkare skriver en informativ och relevant remiss för att röntgensjuksköterskor ska ha möjlighet att utföra ett patient- och personalsäkert arbete som samtidigt är effektivt. Tidigare forskning visar att bristfälliga remisser förekommer runt om i världen. Syfte Att undersöka och sammanställa röntgensjuksköterskans upplevda brister i akuta konventionella röntgenremisser. Metod Kvantitativ enkätstudie med fem deltagande röntgensjuksköterskor från ett sjukhus i norra Sverige. Kartläggning av vilka brister som kan finnas i röntgenremissen utan någon djupare statistisk analys. Resultat Av de besvarade 71 remisserna, 33 från hälsocentral och 38 från annan remittent upplevdes 32 remisser tillfredsställande. Brister förekom i 39 remisser varav 17 remisser från hälsocentral och 22 remisser från annan remittent. Vissa remisser ansågs tillfredsställande trots brister. Slutsats Studien visar att allvarliga brister i remisser till akut konventionell röntgen förekommer i olika utsträckning. Brister i remisser leder till mer arbete för röntgensjuksköterskan när möjligheterna att planera och prioritera försämras.Introduction The x-ray referral is the basis for the radiographer and radiologist’s planning and execution of a radiographic study. It is of critical importance that the referring physician writes an informative and thorough referral for the radiographer to conduct at safe and efficient study from a staff and patient perspective. The literature on the subject shows that suboptimal referrals occur throughout the world. Purpose To study and compile the radiographers experienced deficiencies of acute conventional x-ray referrals. Method A quantitative survey study with 5 participating radiographers at a hospital located in the north of Sweden. Results Among the 71 referrals included in the study, 33 from primary care and 38 from a different referring medical professional 32 were noted as satisfactory. Deficiencies occurred in 39 referrals, 17 from primary care physicians and 22 from other medical professionals. Some referrals were considered satisfactory even though they contained some deficiency. Conclusion The study shows that severe errors are occurring in a significant number of referrals to the emergency conventional x-ray unit. Deficiencies in referrals leads to more work for the radiographer when the opportunities to plan and prioritize deteriorate.
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Abreu, Sara Catarina Chuva de. "Análise da satisfação profissional dos técnicos de radiologia: estudo comparativo." Master's thesis, Universidade de Évora, 2011. http://hdl.handle.net/10174/12945.
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O presente estudo pretende conhecer se os níveis de Satisfação Profissional dos Técnicos de Radiologia (TR) diferem de um hospital público A para um hospital privado B, de forma a contribuir para a implementação de medidas que visem a melhoria da satisfação profissional dos TR.
A nível metodológico utilizou-se um estudo exploratório, descritivo e comparativo, recorrendo ao inquérito por questionário para recolha privilegiada dos dados, cuja concepção baseou-se na adaptação do modelo Satisfação dos Profissionais de Saúde dos Centros de Saúde (Graça, 1999b).
O universo de estudo é composto por 41 TR de dois serviços de Imagiologia de um hospital público A e de um hospital privado B. Os dados foram tratados por SPSS 18.
Como conclusões principais, verificou-se que não existem diferenças significativas no que respeita aos níveis de Satisfação Profissional entre os TR do hospital público A e do hospital privado B, e sendo os factores que os TR consideram mais importantes, em termos motivacionais, (i) as Condições de Trabalho & Saúde e (ii) a Realização Pessoal e Profissional & Desempenho Organizacional.
De acordo com os resultados obtidos, propôs-se um Plano de Intervenção Sócio-Organizacional; ABSTRACT: The present study aims to know whether levels of Job Satisfaction of Radiographer differ from the one public hospital A to a private hospital B.
Methodologically, was used a exploratory, descriptive and comparative study, using the questionnaire survey to collect privileged data, whose design was based on the adaptation of the Satisfaction Model of Health Care Professionals in Health Centers (Graca, 1999b).
The universe of study consists of 41 Radiographer of two imaging departments of a public hospital A and a private hospital B. Data were processed through SPSS 18.
As main conclusions, it was found that there are no significant differences on levels of Job Satisfaction between the public hospital A and private hospital B, and the factors that are most important to Radiographer: (i) Work Environment & Health and (ii) Personal Fulfillment and Professional & Organizational Performance.
According to the results obtained, it was proposed a socio-organizational intervention plan.
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Fialho, Ana Isabel Lino. "Diagnóstico de necessidades de formação dos técnicos de radiologia. Estudo de caso num serviço de radiologia com tomografia computorizada." Master's thesis, Universidade de Évora, 2013. http://hdl.handle.net/10174/16024.
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O campo da saúde viveu, nos últimos anos, transformações importantes decorrentes da revolução tecnológica e informacional. Na área da tomografia computorizada, a renovação tecnológica passou a determinar a necessidade de atualização permanente dos conteúdos de aprendizagem e de formação profissional dos técnicos de radiologia. A formação é assumida como um instrumento essencial para fazer face a essas mutações. Na verdade, para melhorarem a qualidade dos serviços e aumentarem a sua competitividade, as organizações de saúde, têm apostado na definição e concretização de modelos, de políticas e de sistemas de avaliação da qualidade que exigem dos profissionais saberes que nem sempre foram adquiridos nas escolas e universidades.
Esta investigação procurou responder a duas questões centrais: “será que os técnicos de radiologia sentem necessidade de adquirir ou atualizar conhecimentos, capacidades e habilidades para responderem cabalmente aos desafios profissionais na área da tomografia computorizada e às políticas de qualidade da organização com que se confrontam? Se sim, quais são essas necessidades e como podem ser, total ou parcialmente, colmatadas?”.
Para encontrar respostas a estas questões de investigação (que decorreu num serviço de radiologia de um hospital privado), procedeu-se a um desenho metodológico que cruza dados recolhidos através de análise documental, questionários a técnicos de radiologia e uma entrevista ao coordenador do serviço.
Os principais resultados indicam que os técnicos de radiologia da unidade estudada não sentem grandemente necessidade de formação e que nos casos em que esta ocorre é respeitavamente nos aos domínios do desenvolvimento e valorização profissional, da relação com o doente, do uso de produtos farmacêuticos e da radioprotecção e segurança em tomografia computorizada; ABSTRACT: The health care field has lived in recent years, important changes arising from informational and technological revolution. In the area of CT, a technological renovation started to determine the need for continuous updating of learning content and professional training of radiology technicians. In fact, to improve the quality of services and increase their competitiveness, health organizations, have invested in the definition and implementation of models, policies and systems of quality assessment that require knowledge of the professionals who were not always acquired in schools and universities.
This research sought to answer two central questions: "Does the radiology technicians feel the need to upgrade or acquire knowledge, skills and abilities to fully respond to the challenges professionals in the area of CT and the quality policies of the organization faced? If yes, what those needs are and how they can be fully or partially bridged?
To find answers to these research questions (which took place in the radiology department of a private hospital), we proceeded to a methodological design that crosses data collected through document analysis, questionnaires and interview radiology technicians to service coordinator.
The main results indicate that radiologic technicians studied the unit does not feel much need for training and that in cases where this occurs with regard to the areas of professional development and enhancement of the relationship with the patient, the use of pharmaceutical and radiological protection and safety in CT.
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Jonsson, Jessica, and Sara Carlsson. "Arbetsrelaterad stress hos röntgensjuksköterskor : En intervjustudie." Thesis, Uppsala universitet, Institutionen för kirurgiska vetenskaper, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-384330.
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Background: Healthcare professionals are often the subject to occupational stress, the professional radiographer is no exception. Occupational stress has been seen as a predictor to burn outs amongst radiographer and may jeopardise the patients’ safety during radiologic examinations. Purpose: The purpose of this study is to find out more about how radiographers in Uppsala County perceive stress in their workplace, the study aims to find out which factors affect occupational stress and how it expresses itself physically and mentally to the radiographer. Method: The study was done through a qualitative method in the form of interviews with staff at x-ray departments at different hospitals. Results: All of the informants felt some kind of occupational stress from time to time, some very rarely and others more frequent. The most common factors for stress that emerged from this study were staff shortage, and a high workflow, as well as high patient flow for radiological examinations. There were varied symptoms that appeared; mild symptoms such as sweating and more serious symptoms such as fatigue, anxiety and trouble sleeping. Conclusion: The occupational stress of radiographers affects the radiographer both physically and mentally, and also patient safety and the quality of the examinations. One can clearly see that the amount of patients in relation to the sparse staff density creates an excessively high workload that leads to stress. This means that the radiographer finds it difficult to maintain the care they would like, in terms of time and quality.Bakgrund: Hälso- och sjukvårdspersonal är ofta föremål för arbetsrelaterad stress, röntgensjuksköterskor är inget undantag. Arbetsrelaterad stress har uppfattats som en bidragande faktor för utbrändhet bland röntgensjuksköterskor och kan påverka patientsäkerheten under radiologiska undersökningar. Syfte: Att få veta mer om hur röntgensjuksköterskor i Uppsala län uppfattar stress på sin arbetsplats. Studien vill ta reda på vilka faktorer som påverkar arbetsrelaterad stress och hur det uttrycker sig fysiskt och psykiskt. Metod: Studien gjordes genom en kvalitativ metod i form av intervjuer med 11 röntgensjuksköterskor på röntgenavdelningar på olika sjukhus inom Uppsala län. Resultat: Alla informanter kände någon typ av arbetsrelaterad stress i olika grad, vissa mycket sällan och andra oftare. De vanligaste faktorerna för stress som uppkom vid denna studie var brist på personal och ett högt arbetsflöde och för många patienter som kom till en radiologisk undersökning samtidigt. Det framkom en del olika symtom, från milda symtom, som till exempel svettning men även allvarligare symptom som trötthet, ångest och sömnbesvär. Slutsats: Den arbetsrelaterade stressen hos röntgensjuksköterskor påverkar röntgensjuksköterskan både fysiskt och psykiskt och även patientsäkerheten och kvaliteten på undersökningarna. Man kan tydligt se att patientmängden i förhållande till den för glesa personaltätheten skapar en för hög arbetsbelastning som leder till stress. Detta gör att röntgensjuksköterskan upplever det som svårt att upprätthålla den vård de skulle vilja, tidsmässigt och kvalitetsmässigt.
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Sangonuga, Kazeem Sola. "Exploring the experiences, attitudes and knowledge of radiographers and forensic pathologists regarding forensic radiography services in Lagos state, Nigeria." Diss., University of Pretoria, 2020. http://hdl.handle.net/2263/75683.
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Introduction
Forensic radiography is both a vital tool and a subspecialty in forensic medicine. It can be used to complement autopsy findings and reveal minor injuries overlooked during autopsy. It is also an important tool used in the identification of the dead and for establishing abuse in the living. In the United States of America, one million abuse cases are resolved annually using medical imaging. The Nigerian National Bureau of Statistics has reported a high crime rate in Lagos State and forensic radiography could be used to resolve non-accidental injury and other criminal cases.
Aim of the study
The aim of this study was to explore and describe the experiences, attitudes and knowledge of radiographers and forensic pathologists regarding forensic radiography services rendered in Lagos state, Nigeria. The study aimed to identify the reasons that led to radiographers being reluctant to perform forensic radiographic examinations.
Methodology
A qualitative, exploratory, and descriptive study design was used to explore the experiences, attitudes and knowledge of radiographers and forensic pathologists regarding forensic radiography services. The population and sampling were determined by the numbers of radiographers and forensic pathologists employed in two government-owned tertiary institutions in Lagos state. The researcher used purposive sampling to gain a deeper understanding of the real-life experiences of the participants regarding forensic radiography services in Lagos. Focus group interviews were conducted with radiographers and forensic pathologists who work in the two government-owned tertiary teaching hospitals. Participation was voluntary and consent forms were signed by all participants before the commencement of the study. The interviews were audio-recorded and later transcribed verbatim. Thematic analysis was used for the identification of codes and categories.
Results
The following themes emerged: good and bad experiences of forensic radiographers, varying inadequate knowledge of forensic radiography, different attitudes towards forensic radiography, description of radiographers’ roles on forensic medicine teams, and recommendations for improvements of forensic radiography in Lagos state.
Discussion
The findings showed that in Lagos, forensic radiography was underutilized to resolve civil and criminal cases, and that there is need to improve the quality of forensic radiography services in Lagos state. Radiographers need to show more commitment in the aspect of postmortem imaging
Conclusion
It was concluded that the government should provide equipment and infrastructure for forensic radiography in Nigeria, specifically in Lagos state. Further research needs to be done to develop a curriculum in forensic radiography. Nigerian universities should introduce forensic radiography courses at undergraduate level and specialist training at postgraduate level.Dissertation (M.Rad)--University of Pretoria, 2020.
NILL
Radiography
M.Rad
Unrestricted
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Moström, Elin, and Evelina Nylander. "Komplikationer som drabbar patienter med perkutan nefrostomi : en litteraturöversikt." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-77240.
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Perkutan nefrostomi är en väl använd och utarbetat intervention som används som behandling av flera urologiska tillstånd. 10% av alla patienter med perkutan nefrostomi kommer att få en komplikation. Röntgensjuksköterskan ska ha kunskap om de komplikationer som uppkommer för att kunna arbeta förebyggande. Syfte: Syftet med denna litteraturöversikt var att undersöka vilka komplikationer som drabbar patienter med perkutan nefrostomi, hur allvarliga komplikationerna var och orsaken till att de uppkommer. Metod: En allmän litteraturöversikt baserad på 10 kvantitativa vetenskapliga artiklar funna genom artikelsökning i databaserna PubMed och Cinahl. Artiklarna kvalitetsgranskades och analyserades för att sedan presenteras i resultatet under tre huvudkategorier. Resultat: Patienterna drabbades av komplikationer som sepsis, urinvägsinfektion, retroperitonealt hematom, hematuri och komplikationer med nefrostomikatetern. Komplikationerna kunde leda till vidare sjukhusvistelse, utökad behandlingstid med perkutan nefrostomi och vidare ingrepp för korrigering av komplikationen. Sepsis var en bidragande faktor i de dödsfall som var noterade. Slutsats: Kunskapen om komplikationer är betydelsefull i det arbete som röntgensjuksköterskan utför för att kunna agera när de uppstår och arbeta förbyggande.Percutaneous nephrostomy is a well used and completed intervention used as treatment for many urological conditions. 10% of all patients with percutaneous nephrostomy will get a complication. The radiographer must have knowledge of the complications that occur in order to work preventively. Aim: The aim of this literature review was to examine what kind of complications affect patients with percutaneous nephrostomy, how serious the complications were and causes to the complications. Method: A literature review based on 10 quantitative scientific articles that was found in databases Pubmed and Cinahl. The articles had been quality reviewed and analyzed and was presented under three main categories. Results: The patients suffered from complications as sepsis, urinary tract infection, retroperietal hematoma, hematuria and complications with the nephrostomy catheter. The complications could lead to hospitalization, extended time of treatment with the nephrostomy catheter and more invasive correction for the complication. Sepsis was a contributing factor to the cases with a deadly outcome. Conclusion: The knowledge of the complications is an important part in the work as a radiographer in order to act when they occur and work preventively.
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Santos, Elvira Alexandra do Mar Correia dos. "A evolução tecnológica e os técnicos de radiologia: Formação contínua e balanço de competências em radiologia digital num serviço hospitalar da área metropolitana de Lisboa." Master's thesis, Universidade de Évora, 2006. http://hdl.handle.net/10174/16374.
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A Evolução Tecnológica e os Técnicos de Radiologia Formação Continua e Balanço de Competências em Radiologia Digital, num Serviço Hospitalar da área metropolitana de Lisboa A realização desta investigação pretendem analisar a problemática da evolução tecnológica e o desenvolvimento da formação contínua nos técnicos de radiologia (TR) no seu contexto sócio-profissional num hospital público da área metropolitana de Lisboa. A nível metodológico, de forma a dar resposta às perguntas de partida, alcançar os objetivos propostos e confirmar as hipóteses surgidas após o estabelecimento do modelo teórico, decidi recorrer ao paradigma quantitativo utilizando, como técnica de recolha de dados, o inquérito por questionário. O questionário foi distribuído pelos cinquenta TR do hospital de S. José e a taxa de retorno foi de 46%, 0 que corresponde a 23 casos válidos. Em seguida procedi ao tratamento, descrição e interpretação dos dados do questionário por meio da análise estatística com a aplicação da informática SPSS for Windows (Statistical Package for Social Sciences). As conclusões da investigação permitiram, pelo uso do dispositivo “balanço de competências”, identificar as competências que os TR detêm ao nível da radiologia digital (RD) e verificar as competências que eram percecionadas como essenciais para a melhoria das suas funções. O conhecimento das competências dos TR permitirá orientar futuras ações de formação contínua e criar uma melhor adequação das respostas destes profissionais às mudanças organizacionais e tecnológicas que se observam no seu local de trabalho. /ABSTRACT - The Technological Evolution and Radiographer Ongoing Training and Balance of Competencies in Digital Radiology In a Hospital Department in the Metropolitan area of Lisbon The aim of this research was to analyse the problem of the technological evolution and development in the ongoing training of radiographer or radiology technicians (RT) within their social and professional scope in a public hospital located in the Lisbon Metropolitan Area. As to methodology, in order to answer the start-off questions, reach the proposed target and confirm the chances arisen after the establishment of the theoretical model, I have decided to use the quantitative paradigm by using as my data gathering technique, an inquiry by means of a questionnaire. This questionnaire was distributed throughout the fifty RT working at the Hospital of S. José and the return rate was of 46%, which corresponds to 23 valid cases. I have subsequently proceeded to the handling, description and interpretation of the questionnaire data by carrying out a statistical analysis with the aid of the software SPSS for Windows (Statistical Package for Social Sciences). The conclusions drawn by this research allowed, through the use of the so-called “balance of competencies” device, to identify the competencies of the RT as to digital radiology (DR) and to check the competencies which were perceived as essential for the improvement of their duties. The knowledge of the RT competencies will allow to guide future ongoing training sessions and to create better answers from these professionals as to the organizational and technological changes in their workplace.
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Carlbring, Emma, and Nina Åkerström. "Röntgensjuksköterskors uppfattning om information och förutsättningar för att ge denna till barnpatienter i samband med konventionella skelettundersökningar." Thesis, Uppsala universitet, Radiologi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-412142.
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SAMMANFATTNING Nyckelord: barnröntgen, patientinformation, röntgensjuksköterska, barnkonventionen Bakgrund: För röntgensjuksköterskor är det utmanande att informera barnpatienter utifrån barnkonventionens riktlinjer, som är svensk lag sedan 2020. Syfte: Syftet med denna enkätstudie var att ta reda på vilken patientinformation som röntgensjuksköterskan ansåg var viktig att ge till barnpatienter i samband med konventionell skelettröntgenundersökning samt vilka förutsättningar som var viktiga för att kunna tilldela den informationen. Ett ytterligare syfte var att ta reda på om röntgensjuksköterskan hade kännedom om barnkonventionen och dess betydelse i samband med barnröntgenundersökning samt om det fanns någon skillnad mellan röntgensjuksköterskor verksamma på sjukhus A och sjukhus B gällande deras uppfattning om information till barnpatienter. Metod: En empirisk kvantitativ enkätstudie genomfördes. Urvalet bestod av röntgensjuksköterskor med erfarenhet att utföra konventionella skelettundersökningar på barn. Totalt 35 enkäter analyserades. Resultat: Som viktigaste information valdes allmän strålsäkerhet och varför barnet ska ligga/sitta stilla. De viktigaste förutsättningarna för att ge information ansågs vara förberedda föräldrar, förberett röntgenlabb samt att vända sig till barnet vid samtal. Majoriteten svarade att röntgenmottagningarna inte erbjöd en barnanpassad miljö och instämde delvis till att kommunikationen skulle underlättas på ett barnanpassat labb. Röntgensjuksköterskorna instämmer till stor del att de har kännedom om barnkonventionens riktlinjer och att dessa har stor betydelse vid barnröntgenundersökningar. Ingen signifikant skillnad visades mellan sjukhusen. Slutsats: Respondenterna från sjukhusen enades om att viktigast att informera om var strålsäkerhet och vikten av att vara still. Röntgenmottagningarna ansågs inte ha en barnanpassad miljö. Röntgensjuksköterskornas kännedom om barnkonventionen behöver ständigt aktualiseras och diskuteras i vårdsammanhang.ABSTRACT Key words: pediatric radiography, access to information, radiographer, Convention on the Rights of the Child Background: It is challenging for radiographers to inform pediatric patients based on the guidelines of the Convention on the Rights of the Child (CRC), Swedish law since 2020. Purpose: The purpose was to find out what radiographers from two hospitals considered to be important information and conditions for providing it to pediatric patients undergoing x-ray examinations. The aim was also to investigate whether the radiographers carry knowledge of the CRC and its significance regarding child radiographs as well as to compare the perception of radiographers from hospital A and B on what information is of importance. Method: An empirical quantitative survey study was made.The sample included radiographers experienced in performing x-ray examinations of children. In total 35 surveys were analyzed. Results: Information about general radiation safety and why the patient should keep still was considered most important. The main conditions for providing information were considered to be a prepared lab, prepared parents and paying attention to the child. The majority replied that radiology clinics did not offer a child-friendly environment. The radiographers broadly agree that they are aware of the CRC’s guidelines and that these are of great importance in x-ray examinations. No significant difference was shown between the hospitals. Conclusion: Respondents agreed that informing pediatric patients about radiation safety and the importance of being still is most important. Radiology clinics were not considered to have a well-adapted environment. Radiographers’ knowledge of the CRC needs to be constantly updated.
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Elhain, Ahmed M. S. B. "An investigation of the influence of radiographic malpositioning and image processing algorithm selection on ICU/CCU chest radiographs." Thesis, University of Bradford, 2013. http://hdl.handle.net/10454/7342.
Full textAbstract:
Mobile chest radiography remains the most appropriate test for critical care
patients with cardiorespiratory changes and with patients who have chest tubes
and lines as a monitoring tool, and to detect complications related to their use.
However, one of the most frequent issues recognized radiographically with
patients in critical care is chest tubes and lines malposition. This can be related to
technical quality reasons which can affect their appearance in the chest
radiography.
This research considers how the technical quality of the ICU/CCU chest radiography
can impact upon the appearance of chest tubes/lines and how that appearance can
impact on the decision making.
Results show that the methods used in the chest phantom experiment to estimate
the degree of angulation have a large effect upon the appearance of anatomical
structures, but it does not have a particularly large effect upon the apparent
changes of tube/line position central venous catheter and endotracheal tube (CVC,
ETT).
The study also shows that there was a little difference between the two image
processing algorithms, apart from the visualisation of sharp reproduction of the
trachea and proximal bronchi, which was significantly better using the standard
algorithm compared to the inverted algorithm.
The two methods used to estimate the degree of angulation and the apparent
position of the CVC/ETT on 17 mobile chest radiographs provide limited useful
information to the image interpreter in estimating the degree of angulation and
degree of malpositioning of the tube and line.
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Fernandes, Ana Rosalina Martins. "Viver e Construir a Profissão de Técnico de Radiologia: O Caso dos Técnicos de Radiologia da Região de Lisboa e Vale do Tejo." Master's thesis, Universidade de Évora, 2005. http://hdl.handle.net/10174/15686.
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A presente proposta de dissertação pretende contribuir para um aprofundamento do conhecimento das dinâmicas profissionais dos Técnicos de Radiologia (TR), através do estudo das suas trajetórias de desenvolvimento profissional e dos esquemas estratégicos e estruturantes das configurações ideológicas identitárias que os TR engendram para potenciar a sua formação e desenvolvimento profissional, as suas competências e qualificações, os modos de conciliação da sua vida familiar com a vida profissional. Para a pesquisa realizada, em relação às opções metodológicas, optei por um paradigma qualitativo de características fenomenológicas, onde o método biográfico através das histórias de vidas, foi a técnica privilegiada de recolha de informação seleccionada a fim de se poder perspectivar com profundidade as trajectórias de vida profissional dos TR da região de Lisboa e Vale do Tejo. As trajectórias de vida captadas nos discursos sobre a vivência dos TR demonstram que a profissão de TR é uma profissão resultante de um longo processo histórico de reconfiguração profissional, onde os saberes e as competências ocupam um lugar privilegiado de passagem. Porém, os resultados do estudo revelam igualmente que nos processos de construção identitária veiculam uma certa fronteira social inter profissional, definida pela crescente procura da autonomia em todos os processos de trabalho. No entanto, o desenvolvimento da profissão de TR tem sido marcada durante décadas por uma constelação de constrangimentos e efeitos do género, situação que tem feito veicular no campo de trabalho matrizes de desigualdade de oportunidades de desenvolvimento profissional entre os TR mulheres e os TR homens. *** /Abstract - The present proposal for essay pretends to contribute for a deeper knowledge of the profession dynamics of Radiographers, through the study of its professional development trajectories and its strategic and structuring schemes for ideological configurations of identity that Radiographers engender in order to potential their education and professional development, their competencies and qualifications, their ways of conciliation of their family and professional lives. or the research, regarding the methological options, I chose a qualitative paradigm of phenomenological characteristics, being the biographic methodology of life stories the privileged technique for selected information gathering to be able to put in deep perspective the professional life trajectories of Radiographers of Lisbon and Tejo Valley Region. The life trajectories caught up in the speeches of Radiographers demonstrate that the profession of Radiographer is a profession resulting from a long historical process of professional reconfiguration, where knowledge and competences occupy a privileged passing place. However, the study results also show that in the processes of identity construction there is certain interprofessional social frontier, defined by the growing search of autonomy in all the working processes. Nevertheless, the development of the profession of Radiographer has been marked for decades by a constellation of constraints and gender effects, which has transported in the working field matrices of inequality of opportunities of professional development between male and female Radiographers.
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Högberg, Anna, and Margareta Westermark. "Införandet av mobil CT på en neurointensivvårdsavdelning : Erfarenheter och upplevelser ur ett sjuksköterskeperspektiv." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-155374.
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Syfte: Att ur ett intensivvårds- och röntgensjuksköterskeperspektivbeskriva och jämföra upplevelser och erfarenheter av att utföra CT-hjärna på enneurointensivvårdsavdelning. Metod: En deskriptiv intervjustudie medkvalitativ design användes, där åtta sjuksköterskor inom professionernaröntgen- och intensivvård deltog. Resultat:Intensivvårdssjuksköterskorna såg fram emot att apparaten skulle börja användaspå avdelningen, medan röntgensjuksköterskorna upplevde en frustration över attför lite tid och resurser avsatts för att kunna utföra undersökningen påavdelningen på ett bra sätt. Intensivvårdssjuksköterskornaupplevde en tidsbesparing att kunna utföra undersökningen på avdelningen medanröntgensjuksköterskornas uppfattning var att man hann undersöka färre patientertotalt under samma tid. Resultatet visar också att sjuksköterskorna i bådagrupperna är medvetna om riskerna med intrahospitala transporter och ansermöjligheterna att utföra CT-hjärna på avdelningen som fördelaktigt förpatienten ur säkerhetssynpunkt. Slutsats:Noggrann planering, väl utarbetade rutiner och involvering av berörd personalär nödvändiga åtgärder för att skapa förutsättningar för ett gott arbetsklimatmellan arbetsgrupper. God kommunikation och förståelse för varandrasansvarsområden är förutsättningar för en trygg arbetsmiljö vilket iförlängningen ger en god och säker vård för patienten. Sökord: Mobil CT, intrahospitalatransporter, neurointensivvård, sjuksköterska, röntgensjuksköterska, erfarenhet.Objective: From an intensive care and radiology nursing perspective describe andcompare the experiences of performing CT brain on a neurological intensive careunit. Method: A descriptivequalitative interview, in which eight nurses in the professions radiology andcritical care participated. Results: Intensivecare nurses were looking forward to when the unit would start to be used in thedepartment, while radiology nurses experienced a frustration that not enoughtime and resources were allocated to carry out the examination in thedepartment in a good way. Intensive care nurses experienced a time save toperform the examination in the department while the radiology nurses felt thatthey had time to examine fewer patients in total during the same time. Theresults also show that nurses in both groups are well aware of the risksintrahospital transport constitute and consider the possibility to perform CTbrain in the ICU as very beneficial for the patient safety. Conclusion: Careful planning,well-developed procedures and the involvement of the personnel are necessarysteps to create conditions for a good working atmosphere between the teams. Goodcommunication and understanding of each other’s responsibilities areprerequisites for a safe working environment which ultimately provides a goodand safe care for the patient. Keywords: Mobile CT, intrahospital transport, neuro-intensivecare, nurse, radiographer, experience.
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Wu, Erik, and Elina Nordin. "Behov och förutsättningar till kompetensutveckling för röntgensjuksköterskor : En intervjustudie." Thesis, Uppsala universitet, Radiologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-318330.
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Bakgrund: Yrket röntgensjuksköterska är under ständig utveckling i Sverige gällande kompetensutveckling. Internationellt sett finns det många vägar att gå för röntgensjuksköterskor. Man kan till exempel vidareutbilda sig beskrivande radiograf. Utbildningarna har uteslutande gett positiva resultat. På grund av förändringar bland patienter måste vården utvecklas, detta gäller även röntgenverksamheten. I Sverige har man, trots den internationella utvecklingen, ännu inte fullt ut sett behovet. Syfte: Syftet med studien är att ta reda på vilket behov samt vilka förutsättningar till kompetensutveckling det finns på olika sjukhus för röntgensjuksköterskor. Metod: Studien är en kvalitativ intervjustudie med semi-strukturerade frågor. Ett strategiskt urval gjordes med inklusions- och exklusionskriterier. De kvalitativa intervjuerna utfördes per telefon eller i direkta möten och samtalen spelades in för att sedan analyseras med kvalitativ manifest innehållsanalys. Resultat: Det har varit omväxlande svar från deltagarna. De deltagande har varierande haft stora och små behov av kompetensutveckling för sina röntgensjuksköterskor. Bristen på personal är påtaglig. Alla deltagare uttryckte att de hade möjligheter och förutsättningar för att deras röntgensjuksköterskor skulle få kompetensutveckling även om utbudet varierade. Resultatet visar att kompetensutveckling behövs inom alla områden. Trots detta uttrycker inte alla sjukhus att kompetensutveckling är viktigt för deras verksamhet. Slutsats: Kompetensutveckling för röntgensjuksköterskor är ett stort ämne. Det finns mer att ta reda på och det finns många utvecklingsmöjligheter. Det finns ett behov att kompetensutveckla anställda röntgensjuksköterskor för att få en förbättring i sin profession, vilket leder till utveckling både individuellt som röntgensjuksköterska och tillsammans som röntgenavdelning.Background: Profession as radiographer is constantly developing in Sweden valid skills development. There are many different ways in order to improve the profession internationally. One can, for example, take advanced practicing to become a reporting radiographer. The advanced practicing has exclusively showed positive results. Nowadays the patients are changing in conditions rapidly that the healthcare industry needs to adapt itself. Even the international development for radiographers seems bright, the need is yet fully realized in Sweden. Purpose: The purpose of this study is to find out which needs and possibilities are available for Swedish radiographers to improve and develop their own professional skills. Method: A qualitative interview study with semi-structured questions. The participants were selected by inclusions and exclusions. The interviews were conducted by telephone or physical meetings and the interviews were recorded and analyzed using qualitative content analysis manifest. Results: The responses from the participants have been varied. Lack of radiographers is palpable. All participants expressed that they had opportunities and possibilities for their radiographers to receive an advanced practicing in skills development even though the supply varied. The result shows that skills development is needed in all areas. Despite this, all hospitals do not express that skill development is important for their radiology department. Conclusion: Advanced skills development for radiographers is an interesting topic. There are more to figure out valid skill development. There is a need to develop radiographers in order to improve individually and together as X-ray department.
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Verhovsek, Ester L. "Radiography Curriculum Change Update: American Society of Radiologic Technologists." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/2591.
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Johansson, Åsa, and Ulrika Lagervall. "N-Acetylcystein som hydreringsalternativ mot kontrastmedelsinducerad nefropati : En litteraturöversikt." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-61098.
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Inledning: Jodkontrastmedel är ett läkemedel som administreras av röntgensjuksköterskan för att förbättra kontrasten mellan inre organ och vävnader samt skilja mellan normala och patologiska områden. Jodkontrastmedel gavs uppskattningsvis i 80 miljoner doser över hela världen år 2003. Av kontrastmedel kan allvarlig biverkning eller till och med ett livshotandetillstånd uppkomma som kontrastmedelsinducerad nefropati (KMN). N-Acetylcystein (NAC) har flera egenskaper, bland annat antioxidfunktioner och förbättring av njurarnas perfusion som kan vara bidragande egenskaper till att förebygga KMN. Syfte: Denna litteraturöversikt var att sammanställa om N-Acetylcystein (NAC) är ett effektivt hydreringsalternativ för att förebygga kontrastmedelsinducerad nefropati (KMN) Metod: Studien utfördes som en allmänlitteraturöversikt. Tio vetenskapliga artiklar kvalitetsgranskades, analyserades och resultatet presenterades i kategorier. Resultat: Analysen av tio artiklar resulterade i sex kategorier, om NAC har en bra hydrerande effekt mot KMN, högriskpatienternas utveckling av KMN och NAC:s effekt, kontrastmedelsdos, mätvärden kontrollerade med serumkreatinin och cystatin C, biverkningar från oral och intravenös administration av NAC samt studiernas definition på KMN. Slutsats: NAC tillsammans med hydrering har visat sig i vissa studier vara effektivt mot KMN men det är ändå oklart om det är NAC som ger den positiva effekten. NAC tillsammans med hydrering verkar inte ge några negativa effekter för patienten då NAC har få biverkningar och är ett billigt läkemedel, men röntgensjuksköterskan bör ge kontrastmedelsdos enligt uträknad GFR.Introduction: Iodine contrast media is a drug that is administered by the radiographer to enhance the contrast between the internal organs and tissues and distinguish between normal and pathological areas. Iodine contrast media is given estimated to 80 million dosesworldwide year 2003. By contrast media, a serious side effect or even a life-threatening condition can arise like contrast induced nephropathy (CIN). N-Acetylcysteine (NAC) has acapacity of antioxidant functions and improvement of renal perfusion, which may be properties to help and prevent CIN. Purpose: This literature review was to compile if N-Acetylcysteine (NAC) is an effective hydrations alternative to prevent contrast induced nephropathy (CIN) Method: The study was conducted as a general literature review. Tenquality scientific articles were reviewed, analyzed and the results were presented in categories. Results: The analysis of the ten articles resulted in six categories, the NAC has a good dehydrating effect against KMN, high-risk patients, the development of KMN and NAC:s effect, contrast media, measurements controlled by serum creatinine and cystatin C, side effects from oral and intravenous administration of NAC and studies definition of KMN Conclusions: NAC with hydration has been shown in some studies to be effective against KMN but it is still unclear whether it is NAC that gives the positive effect. We believe that NAC along with hydration do not hurt to give to the patient when the NAC has few side effects and is an inexpensive drug, but radiographer should give contrast media according to calculated GFR.
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Allén, Oltegen Pia, and Katarina Rosengren. "Faktorer som kan påverka röntgensjuksköterskans kommunikation med patienten. : En litteraturstudie." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-72681.
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Bakgrund: I Sverige har alla personer rätt till lika vård. För att kunna utföra sitt arbete krävs en god kommunikation mellan röntgensjuksköterskan och patienten. Kommunikation innefattar verbala- och icke verbala uttryck, som är ytterst essentiellt för arbete inom vården. Genom omdöme, kunskap och noggrannhet måste röntgensjuksköterskan kunna ge adekvat information som berör undersökningen eller behandlingen. Informationen bör anpassas utefter patientens förmåga och vitala tillstånd att tillgodose sig denna. Syfte: Syftet var att sammanfatta faktorer som kan påverka kommunikationen mellan röntgensjuksköterskan och patienten. Metod: Denna studie genomfördes som en allmän litteraturstudie där databaserna PubMed och Cinahl användes. Totalt inkluderades och analyserades 10 artiklar i studien. Resultat: Studiens resultat sammanfattades i 7 olika faktorer; professionalism, språk, information, hög arbetsbelastning, tid, sjukdom och ångest/rädsla. Alla faktorer kunde förbättra kommunikationen, men också försvåra den. Slutsats: Mer kunskap och medvetande om kommunikation hos röntgensjuksköterskan behövs, samt ett samarbete med kollegor för uppmuntran till kommunikation som är individanpassad. Att sammanfatta dessa faktorer kan hjälpa röntgensjuksköterskan i dennes arbete med kommunikationen till patienten i olika situationer.Background:In Sweden, all persons are entitled to equal health care. In order for the radiographer to carry out their work, good communication between the radiographer and the patient is required. Communication with both verbal expressions and also body language which is necessary when working in health care. Through judgment, knowledge and accuracy, the radiographer must be able to provide adequate information regarding the examination or treatment.The information should be adapted according to the patient's ability and vital condition to accommodate this. Purpose: The purpose of the thesis was to summarize factors that may affect communication between the radiographer and the patient.Method: In order to achieve this, it was decided to make a qualitative, general literature study using the PubMed and Cinahl databases. A total of 10 articles were selected for the thesis. Results: The results were summarized in 7 different factors; professionalism, language, information, high workload, time, illness and anxiety/fear. All factors could improve communication, but some parts could also make it difficult. Conclusion: More knowledge and awareness of communication skills is necessary for the radiographer, as well as collaboration with colleagues to encouraging individualized communication. Summarizing these factors can help us as radiographer in our work on communicating to the patient in different situations.
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Klein, Caroline Gugisch. "Avaliação da arquitetura óssea trabecular por meio de processamento de imagem digital em radiografias panorâmicas." Centro Federal de Educação Tecnológica do Paraná, 2005. http://repositorio.utfpr.edu.br/jspui/handle/1/102.
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Este trabalho teve como objetivo modificar um algoritmo de esqueletização e criar outro para quantificar imagens radiográficas. Foi proposto um tratamento digital em radiografias panorâmicas de 50 voluntárias diagnosticadas como osteoporóticas e não osteoporóticas em um estudo anterior. Para verificar a validade deste recurso digital, foi elaborado um questionário que juntamente com as radiografias foi distribuído entre quinze examinadores radiologistas. Estes analisaram de forma subjetiva 99 imagens, respondendo quais os critérios adotados para a avaliação da arquitetura óssea trabecular. Os dados obtidos no questionário aplicado e no tratamento digital das imagens foram submetidos à análise descritiva para verificar o nível de concordância nas hipóteses de diagnóstico e definir um padrão ouro. Foi construída uma curva ROC, para verificar o ponto de corte e estabelecer qual filtro de Gauss era o melhor, com raio variável de 30, 35, 40, 45 ou 50. O filtro escolhido foi o de raio 30, pois apresentou melhor especificidade (94,3%), mesmo tendo uma baixa sensibilidade (50%). Os níveis de concordância entre os examinadores ficaram abaixo de 80%. Contudo foi registrada alta significância entre os dados percentuais de pontos pretos e de pontos terminais (p<0.001). O processamento de imagens através da esqueletização em radiografias panorâmicas pode tornar-se um valioso recurso para os cirurgiões-dentistas.The purpose of the present work was to modify a skeletonization algorithm and to create an algorithm to quantify radiographic images. A panoramic radiographic digital treatment of 50 volunteers diagnosed as otheoporotics and non-ostheoporotics in a previous work was done. In order to verify the validity of the digital resource, a questionnaire was elaborated that along with the radiographies was distributed among 15 radiologists. The examiners analyzed in a subjective way 99 images, responding which criteria were adopted for the evaluation of the trabecular bone architecture. The data obtained in the applied questionnaire and in the digital image treatment were submitted to a descriptive analysis in order to verify the agreement in the diagnostic hypothesis and to define a golden standard. A ROC curve was built to check the cut point and to establish which Gauss filter was the best, with a variable ratio of 30, 35, 40, 45, or 50. The ratio 30 filter was chosen since it presented the best specificity (94.3%), even having a low sensibility (50%). The agreement levels among the examiners were below 80%. However a high significance among the percentage of black points was registered (p<0.001). The method of image processing trough the skeletonization in panoramic radiographies can become a valuable support for the dentist-surgeons.
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Olausson, Eva, and Marie Eng. "Kompressionsdokumentation och kompressionens inverkan på patientstråldos vid ländryggsröntgen." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för naturvetenskap och biomedicin, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-27453.
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Hardy, Maryann L., and Beverly Snaith. "Radiographer interpretation of trauma radiographs: Issues for radiography education providers." 2009. http://hdl.handle.net/10454/6869.
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Hardy, Maryann L., and Gary Culpan. "Accident and emergency radiography: A comparison of radiographer commenting and 'red dotting'." 2005. http://hdl.handle.net/10454/17736.
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NoPurpose: The College of Radiographers has called for ‘Red Dot’ schemes to evolve and has recommended the development of radiographer commenting. The implementation of a radiographer comment scheme assumes that radiographers previously participating in ‘red dot’ schemes have been accurately recognising radiographic abnormalities and are, therefore, able to comment upon, and describe, such radiographic appearances. Research evidence to support such an assumption is sparse. This study compares the ability of radiographers attending a short course on musculoskeletal trauma to ‘red dot’ and comment on A&E radiographic appearances. Methods: This study adopted a pre-test, post-test approach. One hundred and twenty one radiographers attending a short course on musculoskeletal trauma (Bradford Red Dot Course) were invited to undertake an assessment of their ability to recognise (‘red dot’) and describe (comment upon) radiographic abnormalities at the start and end of the short course. Results: One hundred and fifteen radiographers (n = 115/121; 95.0%) completed both the pre- and post-training assessments. Post-training mean scores per case improved on average by 9.8% [p = 0.012; 95% CI: 2.4, 17.1] for ‘red dots’ and 12.7% [p = 0.007; 95% CI: 3.8, 21.5] for commenting. However, the difference between mean ‘red dot’ and commenting scores remained similar with mean radiographer comment scores being 13.7% less than mean ‘red dot’ scores pre-training and 10.8% less post-training. Conclusions: The results of this study indicate that the accuracy of radiographer comments was significantly reduced when compared to the accuracy of ‘red dots’ for the same radiographic images. The clinical significance of these findings for departments wanting to move from a ‘red dot’ system to a radiographer commenting scheme is that without appropriate training and audit, the quality of service and assistance to the A&E department could be significantly reduced.
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Brealey, S., Andy J. Scally, S. Hahn, N. Thomas, C. Godfrey, and A. Coomarasamy. "Accuracy of radiographer plain radiograph reporting in clinical practice: a meta-analysis." 2005. http://hdl.handle.net/10454/6405.
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To determine the accuracy of radiographer plain radiograph reporting in clinical practice.
MATERIALS AND METHODS
Studies were identified from electronic sources and by hand searching journals, personal communication and checking reference lists. Eligible studies assessed radiographers' plain radiograph reporting in clinical practice compared with a reference standard, and provided accuracy data to construct 2×2 contingency tables. Data were extracted on study eligibility and characteristics, quality and accuracy. Summary estimates of sensitivity and specificity and receiver operating characteristic curves were used to pool the accuracy data.
RESULTS
Radiographers compared with a reference standard, report plain radiographs in clinical practice at 92.6% (95% CI: 92.0¿93.2) and 97.7% (95% CI: 97.5¿97.9) sensitivity and specificity, respectively. Studies that compared selectively trained radiographers and radiologists of varying seniority against a reference standard showed no evidence of a difference between radiographer and radiologist reporting accuracy of accident and emergency plain radiographs. Selectively trained radiographers were also found to report such radiographs as accurately as those not solely from accident and emergency, although some variation in reporting accuracy was found for different body areas. Training radiographers improved their accuracy when reporting normal radiographs.
CONCLUSION
This study systematically synthesizes the literature to provide an evidence-base showing that radiographers can accurately report plain radiographs in clinical practice.