首页 > 最新文献

Radiography最新文献

英文 中文
The difference in image quality assessment between radiographers and radiologists and its relationship with diagnostic accuracy 放射技师和放射医师在图像质量评估方面的差异及其与诊断准确性的关系。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-14 DOI: 10.1016/j.radi.2024.10.021
R. Decoster, M.-L. Ryan, R. Toomey

Introduction

Radiographers must ensure that the radiographs they produce are of sufficient quality before reporting by radiologists. However, does radiographers’ perception of image quality relates to the diagnostic accuracy of radiologists?

Methods

38 unique postero-anterior (PA) chest radiographs containing either no pathology, well defined or diffuse lesions were presented to four radiologists and 24 radiographers. Image quality was rated using RadLex quality descriptors. Additionally, radiologists rated their confidence of a radiograph being were normal or abnormal on a 5-point scale. Radiographers rated visibility of anatomical structures, satisfaction with positioning, collimation and adequacy of detector dose. Modelling correlation explored relationships between radiologists' detection of pathology and radiographers’ ratings.

Results

Radiographers rated image quality of 56 % of radiographs as non-diagnostic or limited, compared to 30.7 % by radiologists. Modelling revealed that chances of a radiograph being classified in lower quality categories by radiographers increased inversely proportionally with perceived dose, and suddenly increased when positioning was considered unacceptable. No correlation (p = 0.10) was found between quality descriptors by radiographers and diagnostic accuracy of radiologists.

Conclusion

Findings suggest that perceived “better” image quality, as defined by radiographers, may not necessarily correlate with diagnostic accuracy. This implies that radiographs repeated in clinical practice might not enhance diagnostic value.

Implications for practice

These findings raise the question which elements in the radiography or actual content (such as representation of anatomical structures) are key elements used to diagnose, which may have implications for image quality studies. Exploring the evolution of decision-making in radiographers trained to report could provide further valuable insights.
导言:放射技师在向放射科医生报告之前,必须确保他们制作的射线照片具有足够的质量。然而,放射技师对图像质量的感知是否与放射医师的诊断准确性有关?方法:4 名放射医师和 24 名放射技师共拍摄了 38 张独特的后前方 (PA) 胸片,这些胸片要么没有病变,要么病变清晰,要么病变弥漫。使用 RadLex 质量描述符对图像质量进行评分。此外,放射科医生还以 5 分制评定他们对 X 光片正常或异常的信心。放射技师对解剖结构的可见度、定位满意度、准直度和探测器剂量的充足性进行评分。建模相关性探讨了放射医师发现病变与放射技师评分之间的关系:结果:放射技师将 56% 的射线照片的图像质量评为无诊断意义或有限,而放射科医生则将 30.7% 的射线照片的图像质量评为有诊断意义或有限。建模结果显示,放射技师将射线照片归入较低质量类别的几率与感知剂量成反比增加,当定位被认为不可接受时,几率会突然增加。放射技师的质量描述与放射医师的诊断准确性之间没有相关性(p = 0.10):研究结果表明,由放射技师定义的 "较好 "图像质量不一定与诊断准确性相关。这意味着临床实践中重复拍摄的放射照片可能不会提高诊断价值:这些发现提出了一个问题,即放射影像中的哪些要素或实际内容(如解剖结构的表现)是用于诊断的关键要素,这可能会对影像质量研究产生影响。探索接受过报告培训的放射技师的决策演变过程,可以提供更多有价值的见解。
{"title":"The difference in image quality assessment between radiographers and radiologists and its relationship with diagnostic accuracy","authors":"R. Decoster,&nbsp;M.-L. Ryan,&nbsp;R. Toomey","doi":"10.1016/j.radi.2024.10.021","DOIUrl":"10.1016/j.radi.2024.10.021","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiographers must ensure that the radiographs they produce are of sufficient quality before reporting by radiologists. However, does radiographers’ perception of image quality relates to the diagnostic accuracy of radiologists?</div></div><div><h3>Methods</h3><div>38 unique postero-anterior (PA) chest radiographs containing either no pathology, well defined or diffuse lesions were presented to four radiologists and 24 radiographers. Image quality was rated using RadLex quality descriptors. Additionally, radiologists rated their confidence of a radiograph being were normal or abnormal on a 5-point scale. Radiographers rated visibility of anatomical structures, satisfaction with positioning, collimation and adequacy of detector dose. Modelling correlation explored relationships between radiologists' detection of pathology and radiographers’ ratings.</div></div><div><h3>Results</h3><div>Radiographers rated image quality of 56 % of radiographs as non-diagnostic or limited, compared to 30.7 % by radiologists. Modelling revealed that chances of a radiograph being classified in lower quality categories by radiographers increased inversely proportionally with perceived dose, and suddenly increased when positioning was considered unacceptable. No correlation (p = 0.10) was found between quality descriptors by radiographers and diagnostic accuracy of radiologists.</div></div><div><h3>Conclusion</h3><div>Findings suggest that perceived “better” image quality, as defined by radiographers, may not necessarily correlate with diagnostic accuracy. This implies that radiographs repeated in clinical practice might not enhance diagnostic value.</div></div><div><h3>Implications for practice</h3><div>These findings raise the question which elements in the radiography or actual content (such as representation of anatomical structures) are key elements used to diagnose, which may have implications for image quality studies. Exploring the evolution of decision-making in radiographers trained to report could provide further valuable insights.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 89-96"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the current situation of challenging clinical interactions for medical radiation undergraduates: An integrative literature review 了解医学放射专业本科生面临的具有挑战性的临床互动现状:综合文献综述。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-14 DOI: 10.1016/j.radi.2024.10.027
J.L. Ago, A. Kilgour, C. Smith

Objectives

The objectives of this review were to identify the causes, types, and effects of clinical interactions that medical radiation students (MRS) consider as challenging and assess available support and coping strategies during these challenging interactions. The overarching aim is to understand the current situation of challenging clinical interactions (CCIs) for MRS during clinical placement (CP).

Key findings

A comprehensive literature search on PubMed, Scopus, Web of Science, Ovid Medline, CINAHL, ERIC, OpenDissertation, and ProQuest Digital databases for studies published from 2005 to 2024 found 133 studies, with 11 meeting the inclusion criteria. Most of the studies (n = 8) recruited medical imaging students with no study found for nuclear medicine undergraduates. The main cause of CCIs identified thematically was inadequate support and preparation, while three themes were identified for the types of CCIs: students’ self-perceived challenges, clinical scenarios and situations, and unacceptable behaviours. Similarly, three themes were identified regarding the effects of CCIs: attitudinal changes, long-lasting effects, and professional identity development. The identified coping and support strategies were support from supervisors, educators, and students.

Conclusion

Compared to nursing and medicine, the issue of CCIs has received little research interest in medical radiation education. This could result in increased attrition, while its potential to impede students’ professional capability development cannot be underestimated. These CCIs and their effects need to be studied thoroughly with all stakeholders.

Implication for practice

To enable MRS to achieve their clinical learning objectives, a major goal in the future will be to assess the effectiveness of the support and coping strategies available to all MRS during CCIs and to ensure the development of effective support strategies.
目的:本综述旨在确定医学放射专业学生(MRS)认为具有挑战性的临床互动的原因、类型和影响,并评估在这些具有挑战性的互动中可用的支持和应对策略。主要目的是了解医学生在临床实习(CP)期间具有挑战性的临床互动(CCIs)的现状:在PubMed、Scopus、Web of Science、Ovid Medline、CINAHL、ERIC、OpenDissertation和ProQuest Digital数据库中对2005年至2024年发表的研究进行了全面的文献检索,发现了133项研究,其中11项符合纳入标准。大多数研究(n = 8)都招募了医学影像专业的学生,没有发现针对核医学本科生的研究。从主题上看,CCIs 的主要原因是支持和准备不足,而 CCIs 的类型则有三个主题:学生的自我认知挑战、临床场景和情况以及不可接受的行为。同样,CCI 的影响也有三个主题:态度转变、持久影响和专业身份发展。所确定的应对和支持策略包括来自督导、教育工作者和学生的支持:结论:与护理和医学相比,CCIs 问题在医学辐射教育中很少受到研究关注。结论:与护理和医学相比,CCIs 问题在医学放射教育中很少受到研究关注,这可能会导致学生流失率增加,同时其阻碍学生专业能力发展的潜力也不容低估。这些CCIs及其影响需要与所有利益相关者一起进行深入研究:为使 MRS 能够实现其临床学习目标,未来的一个主要目标将是评估在 CCI 期间向所有 MRS 提供的支持和应对策略的有效性,并确保制定有效的支持策略。
{"title":"Understanding the current situation of challenging clinical interactions for medical radiation undergraduates: An integrative literature review","authors":"J.L. Ago,&nbsp;A. Kilgour,&nbsp;C. Smith","doi":"10.1016/j.radi.2024.10.027","DOIUrl":"10.1016/j.radi.2024.10.027","url":null,"abstract":"<div><h3>Objectives</h3><div>The objectives of this review were to identify the causes, types, and effects of clinical interactions that medical radiation students (MRS) consider as challenging and assess available support and coping strategies during these challenging interactions. The overarching aim is to understand the current situation of challenging clinical interactions (CCIs) for MRS during clinical placement (CP).</div></div><div><h3>Key findings</h3><div>A comprehensive literature search on PubMed, Scopus, Web of Science, Ovid Medline, CINAHL, ERIC, OpenDissertation, and ProQuest Digital databases for studies published from 2005 to 2024 found 133 studies, with 11 meeting the inclusion criteria. Most of the studies (<em>n</em> = 8) recruited medical imaging students with no study found for nuclear medicine undergraduates. The main cause of CCIs identified thematically was inadequate support and preparation, while three themes were identified for the types of CCIs: students’ self-perceived challenges, clinical scenarios and situations, and unacceptable behaviours. Similarly, three themes were identified regarding the effects of CCIs: attitudinal changes, long-lasting effects, and professional identity development. The identified coping and support strategies were support from supervisors, educators, and students.</div></div><div><h3>Conclusion</h3><div>Compared to nursing and medicine, the issue of CCIs has received little research interest in medical radiation education. This could result in increased attrition, while its potential to impede students’ professional capability development cannot be underestimated. These CCIs and their effects need to be studied thoroughly with all stakeholders.</div></div><div><h3>Implication for practice</h3><div>To enable MRS to achieve their clinical learning objectives, a major goal in the future will be to assess the effectiveness of the support and coping strategies available to all MRS during CCIs and to ensure the development of effective support strategies.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 104-113"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using a digital transformation framework to explore the experiences of radiographers in the use of digital radiography in a low-resource setting 利用数字化转型框架,探讨放射技师在低资源环境中使用数字化放射摄影的经验。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-14 DOI: 10.1016/j.radi.2024.10.024
N. Kapapa , O. Bwanga , J.M. Sichone , S. Kafwimbi , B. Ohene-Botwe

Introduction

Digital radiography (DR) systems have revolutionised radiographers' experiences, particularly those accustomed to analogue methods. Despite the advantages, DR poses challenges due to its cost and technical requirements, especially in low-resource settings. Zambia, predominantly reliant on analogue systems, is gradually transitioning to DR. Understanding radiographers' experiences with DR is crucial for leveraging its benefits. Therefore, this study aimed to explore the experiences of Zambian radiographers with DR using the digital transformation framework (DTF).

Methods

This qualitative method employed a descriptive phenomenological approach to interview 14 radiographers from five governmental hospitals in the Copperbelt province of Zambia. Interviews were conducted face-to-face, digitally audio-recorded, transcribed, and analysed using Colaizzi's (1978) phenomenological framework and Natural Language Processing (NLP).

Results

Following data analysis, three main themes were developed: education and training in DR, departmental workflow in DR, and challenges of DR. The findings revealed predominantly positive experiences among radiographers using DR, with improved patient waiting times, image quality, workflow efficiency, and job satisfaction. However, challenges such as technological adaptation and system breakdowns were identified.

Conclusion

The study highlighted the positive experiences of radiographers during the initial implementation of DR in Zambian medical facilities. Although challenges exist, the findings suggest that they can be overcome by improving infrastructure and training, thereby maximising the benefits of DR.

Implication of practice

The positive experiences demonstrated by radiographers in implementing DR in Zambian medical facilities indicate that targeted training and infrastructure improvements can enhance workflow efficiency, image quality, and overall patient care.
介绍:数字放射摄影(DR)系统彻底改变了放射技师的经验,尤其是那些习惯于使用模拟方法的放射技师。尽管 DR 具有诸多优势,但由于其成本和技术要求,它也带来了挑战,尤其是在资源匮乏的环境中。主要依赖模拟系统的赞比亚正在逐步过渡到 DR 系统。了解放射技师使用 DR 的经验对于充分利用 DR 的优势至关重要。因此,本研究旨在利用数字化转型框架(DTF)探讨赞比亚放射技师在使用 DR 方面的经验:这项定性研究采用了描述性现象学方法,对赞比亚铜带省五家政府医院的 14 名放射技师进行了访谈。访谈是面对面进行的,采用数字音频录音、转录,并使用 Colaizzi(1978 年)的现象学框架和自然语言处理(NLP)进行分析:经过数据分析,形成了三大主题:DR 的教育和培训、DR 的部门工作流程以及 DR 面临的挑战。研究结果表明,放射技师在使用 DR 的过程中主要获得了积极的体验,病人等待时间、图像质量、工作流程效率和工作满意度都得到了改善。然而,也发现了技术适应和系统故障等挑战:这项研究强调了放射技师在赞比亚医疗机构初步实施 DR 过程中的积极体验。尽管存在挑战,但研究结果表明,可以通过改善基础设施和培训来克服这些挑战,从而最大限度地发挥 DR 的效益:放射技师在赞比亚医疗机构实施 DR 过程中取得的积极经验表明,有针对性的培训和基础设施改进可提高工作流程效率、图像质量和整体患者护理水平。
{"title":"Using a digital transformation framework to explore the experiences of radiographers in the use of digital radiography in a low-resource setting","authors":"N. Kapapa ,&nbsp;O. Bwanga ,&nbsp;J.M. Sichone ,&nbsp;S. Kafwimbi ,&nbsp;B. Ohene-Botwe","doi":"10.1016/j.radi.2024.10.024","DOIUrl":"10.1016/j.radi.2024.10.024","url":null,"abstract":"<div><h3>Introduction</h3><div>Digital radiography (DR) systems have revolutionised radiographers' experiences, particularly those accustomed to analogue methods. Despite the advantages, DR poses challenges due to its cost and technical requirements, especially in low-resource settings. Zambia, predominantly reliant on analogue systems, is gradually transitioning to DR. Understanding radiographers' experiences with DR is crucial for leveraging its benefits. Therefore, this study aimed to explore the experiences of Zambian radiographers with DR using the digital transformation framework (DTF).</div></div><div><h3>Methods</h3><div>This qualitative method employed a descriptive phenomenological approach to interview 14 radiographers from five governmental hospitals in the Copperbelt province of Zambia. Interviews were conducted face-to-face, digitally audio-recorded, transcribed, and analysed using Colaizzi's (1978) phenomenological framework and Natural Language Processing (NLP).</div></div><div><h3>Results</h3><div>Following data analysis, three main themes were developed: education and training in DR, departmental workflow in DR, and challenges of DR. The findings revealed predominantly positive experiences among radiographers using DR, with improved patient waiting times, image quality, workflow efficiency, and job satisfaction. However, challenges such as technological adaptation and system breakdowns were identified.</div></div><div><h3>Conclusion</h3><div>The study highlighted the positive experiences of radiographers during the initial implementation of DR in Zambian medical facilities. Although challenges exist, the findings suggest that they can be overcome by improving infrastructure and training, thereby maximising the benefits of DR.</div></div><div><h3>Implication of practice</h3><div>The positive experiences demonstrated by radiographers in implementing DR in Zambian medical facilities indicate that targeted training and infrastructure improvements can enhance workflow efficiency, image quality, and overall patient care.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 75-82"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accuracy of interpretation of nasogastric tube position on chest radiographs by diagnostic radiographers: A multi-case, multi-reader study 放射诊断技师对胸片上鼻胃管位置判读的准确性:多病例、多阅片人员研究。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-14 DOI: 10.1016/j.radi.2024.10.022
A. Creeden , S. McFadden , C. Rainey , S. Campbell , S. Ather , A. Hajilou , R. Bond , P. McAllister , N. Woznitza

Introduction

Feeding via a misplaced nasogastric tube (NGT) is a common but preventable cause of patient harm. The aim of this study was to determine the accuracy of diagnostic radiographers’ assessment of NGT position on chest radiographs (CXRs) and safe-to-feed decisions.

Methods

A multi-case, multi-reader study was conducted using an online image interpretation platform. A test bank consisting of 15 CXRs with an NGT in-situ was created. Diagnostic radiographers without formal qualifications in CXR interpretation were recruited via two international conferences. Participants placed an electronic marker on each CXR to identify the location of the tip of the NGT and indicated whether or not they believed that the tube was safely positioned.

Results

68 participants were recruited. Each participant reviewed 15 CXRs, providing 1020 unique image assessments. 76 % (n = 778/1020) image assessments were completely correct (both the position of the tip of the NGT was accurately located and an appropriate safe-to-use decision made). In 5 % (n = 56/1020) of cases the NGT was safely positioned and the location of the tip was correctly identified by the participant but the tube was erroneously determined to be unsafe for feeding. In a further 6 % (n = 59/1020) of cases the participant correctly located the tip of an NGT in an unsafe position but indicated that the tube was safe to use. Participants failed to correctly identify the tip of the NGT in the remaining 12 % (n = 127/1020) of cases.

Conclusion

Consistent with previous studies involving other staff groups, diagnostic radiographers without formal qualification in CXR interpretation can assess NGT positioning on radiographs with moderate accuracy but require further training, including strategies for the identification of poorly-visualised tube tips, to achieve the 100 % accuracy necessary for this safety-critical task.

Implications for practice

A bespoke training programme which includes teaching on image quality, tube tip identification and assessment of tube positioning using the National Patient Safety Agency (NPSA) four criteria, should be delivered prior to implementation of a radiographer-led NGT CXR evaluation service.
导言:通过位置错误的鼻胃管 (NGT) 喂食是造成患者伤害的常见原因,但却可以预防。本研究旨在确定放射诊断技师对胸片(CXR)上鼻胃管位置的评估准确性以及安全喂食决策:方法: 使用在线图像解读平台进行了一项多病例、多阅片师研究。建立了一个包含 15 张带有原位 NGT 的 CXR 的测试库。通过两次国际会议招募了未获得正规 CXR 解读资格的放射诊断技师。参与者在每张 CXR 图像上放置一个电子标记,以确定 NGT 尖端的位置,并指出他们是否认为 NGT 管已安全就位:结果:共招募了 68 名参与者。每位参与者查看了 15 张 CXR,提供了 1020 次独特的图像评估。76%(n = 778/1020)的图像评估完全正确(既准确定位了 NGT 尖端的位置,又做出了适当的安全使用决定)。在 5%(n = 56/1020)的病例中,NGT 被安全定位,参与者也正确识别了管尖的位置,但却错误地判定该管不适合喂食。在另外 6% 的案例中(n = 59/1020),受试者正确找到了 NGT 管尖端的不安全位置,但表示该管可以安全使用。在其余 12% 的案例中(n = 127/1020),参与者未能正确识别 NGT 的尖端:结论:与之前涉及其他员工群体的研究一致,没有获得正规气管造影判读资格的放射诊断技师可以在X光片上评估NGT位置,准确率中等,但需要进一步的培训,包括识别视野不佳的管尖的策略,才能达到这项安全关键任务所需的100%准确率:在实施由放射技师主导的 NGT CXR 评估服务之前,应提供定制的培训计划,其中包括图像质量、管尖识别以及使用国家患者安全局 (NPSA) 的四项标准评估管道定位等方面的教学内容。
{"title":"Accuracy of interpretation of nasogastric tube position on chest radiographs by diagnostic radiographers: A multi-case, multi-reader study","authors":"A. Creeden ,&nbsp;S. McFadden ,&nbsp;C. Rainey ,&nbsp;S. Campbell ,&nbsp;S. Ather ,&nbsp;A. Hajilou ,&nbsp;R. Bond ,&nbsp;P. McAllister ,&nbsp;N. Woznitza","doi":"10.1016/j.radi.2024.10.022","DOIUrl":"10.1016/j.radi.2024.10.022","url":null,"abstract":"<div><h3>Introduction</h3><div>Feeding via a misplaced nasogastric tube (NGT) is a common but preventable cause of patient harm. The aim of this study was to determine the accuracy of diagnostic radiographers’ assessment of NGT position on chest radiographs (CXRs) and safe-to-feed decisions.</div></div><div><h3>Methods</h3><div>A multi-case, multi-reader study was conducted using an online image interpretation platform. A test bank consisting of 15 CXRs with an NGT in-situ was created. Diagnostic radiographers without formal qualifications in CXR interpretation were recruited via two international conferences. Participants placed an electronic marker on each CXR to identify the location of the tip of the NGT and indicated whether or not they believed that the tube was safely positioned.</div></div><div><h3>Results</h3><div>68 participants were recruited. Each participant reviewed 15 CXRs, providing 1020 unique image assessments. 76 % (n = 778/1020) image assessments were completely correct (both the position of the tip of the NGT was accurately located and an appropriate safe-to-use decision made). In 5 % (n = 56/1020) of cases the NGT was safely positioned and the location of the tip was correctly identified by the participant but the tube was erroneously determined to be unsafe for feeding. In a further 6 % (n = 59/1020) of cases the participant correctly located the tip of an NGT in an unsafe position but indicated that the tube was safe to use. Participants failed to correctly identify the tip of the NGT in the remaining 12 % (n = 127/1020) of cases.</div></div><div><h3>Conclusion</h3><div>Consistent with previous studies involving other staff groups, diagnostic radiographers without formal qualification in CXR interpretation can assess NGT positioning on radiographs with moderate accuracy but require further training, including strategies for the identification of poorly-visualised tube tips, to achieve the 100 % accuracy necessary for this safety-critical task.</div></div><div><h3>Implications for practice</h3><div>A bespoke training programme which includes teaching on image quality, tube tip identification and assessment of tube positioning using the National Patient Safety Agency (NPSA) four criteria, should be delivered prior to implementation of a radiographer-led NGT CXR evaluation service.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 83-88"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insights into GenAI: Perspectives of radiography and pharmacy students at a leading institution in Zimbabwe 对 GenAI 的见解:津巴布韦一所知名院校放射学和药学专业学生的观点。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-14 DOI: 10.1016/j.radi.2024.11.004
B. Chinene , L.-s. Mudadi , T.A. Choto , N.D. Soko , L. Gonde , E.Y. Mushosho , L.C. Mutandiro

Introduction

This study aimed to use a tertiary institution in Zimbabwe as a case study to evaluate radiography and pharmacy students' knowledge, willingness, and concerns regarding GenAI technologies.

Methods

A cross-sectional survey, involving 147 participating students, was conducted using a structured questionnaire. Data analysis was performed using STATA 14. Descriptive statistics were presented, and demographic variables were compared using Student t-test and ANOVA.

Results

A sizeable proportion of students (74.83 %) believed that knowing GenAI was essential for healthcare students to stay competitive in the evolving academic landscape. A significant proportion of students reported that they were willing to use GenAI technologies in their day-to-day activities. They noted that AI technologies such as ChatGPT can help them save time (77.56 %) with tasks such as assignments. Most students (56.46 %) were worried that the use of GenAI technology can cause people and students alike to lose the human touch in their daily lives. They also noted that the use of AI technologies such as ChatGPT to complete assignments has the potential to undermine the value of university education (44.9 %).

Conclusion

Addressing concerns raised by students about the implications of GenAI on human interaction and educational value is essential for a balanced technology integration approach in education. Future research should concentrate on solutions for addressing issues while leveraging the benefits of GenAI in healthcare education.

Implications for practice

Understanding students’ knowledge, willingness, and concerns regarding the use of GenAI tools can help educators better integrate these technologies into the learning process, ensuring they complement and enhance traditional teaching methods.
简介本研究旨在以津巴布韦的一所高等院校为案例,评估放射学和药学专业学生对 GenAI 技术的了解程度、意愿和担忧:采用结构化问卷对 147 名参与研究的学生进行了横向调查。数据分析使用 STATA 14 进行。采用学生 t 检验和方差分析对人口统计学变量进行比较:相当大比例的学生(74.83 %)认为,了解 GenAI 对医学生在不断变化的学术环境中保持竞争力至关重要。相当一部分学生表示,他们愿意在日常活动中使用 GenAI 技术。他们指出,ChatGPT 等人工智能技术可以帮助他们节省时间(77.56 %),完成作业等任务。大多数学生(56.46 %)担心 GenAI 技术的使用会使人们和学生在日常生活中失去人情味。他们还指出,使用 ChatGPT 等人工智能技术完成作业有可能损害大学教育的价值(44.9%):解决学生提出的有关 GenAI 对人际交往和教育价值的影响的问题,对于在教育中采用平衡的技术整合方法至关重要。未来的研究应集中在如何解决这些问题,同时利用 GenAI 在医疗保健教育中的优势:了解学生对使用 GenAI 工具的认识、意愿和担忧,有助于教育工作者更好地将这些技术融入学习过程,确保它们对传统教学方法起到补充和增强作用。
{"title":"Insights into GenAI: Perspectives of radiography and pharmacy students at a leading institution in Zimbabwe","authors":"B. Chinene ,&nbsp;L.-s. Mudadi ,&nbsp;T.A. Choto ,&nbsp;N.D. Soko ,&nbsp;L. Gonde ,&nbsp;E.Y. Mushosho ,&nbsp;L.C. Mutandiro","doi":"10.1016/j.radi.2024.11.004","DOIUrl":"10.1016/j.radi.2024.11.004","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to use a tertiary institution in Zimbabwe as a case study to evaluate radiography and pharmacy students' knowledge, willingness, and concerns regarding GenAI technologies.</div></div><div><h3>Methods</h3><div>A cross-sectional survey, involving 147 participating students, was conducted using a structured questionnaire. Data analysis was performed using STATA 14. Descriptive statistics were presented, and demographic variables were compared using Student <em>t-test</em> and ANOVA.</div></div><div><h3>Results</h3><div>A sizeable proportion of students (74.83 %) believed that knowing GenAI was essential for healthcare students to stay competitive in the evolving academic landscape. A significant proportion of students reported that they were willing to use GenAI technologies in their day-to-day activities. They noted that AI technologies such as ChatGPT can help them save time (77.56 %) with tasks such as assignments. Most students (56.46 %) were worried that the use of GenAI technology can cause people and students alike to lose the human touch in their daily lives. They also noted that the use of AI technologies such as ChatGPT to complete assignments has the potential to undermine the value of university education (44.9 %).</div></div><div><h3>Conclusion</h3><div>Addressing concerns raised by students about the implications of GenAI on human interaction and educational value is essential for a balanced technology integration approach in education. Future research should concentrate on solutions for addressing issues while leveraging the benefits of GenAI in healthcare education.</div></div><div><h3>Implications for practice</h3><div>Understanding students’ knowledge, willingness, and concerns regarding the use of GenAI tools can help educators better integrate these technologies into the learning process, ensuring they complement and enhance traditional teaching methods.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 114-119"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic radiographers’ experiences with paediatric patients during radiography examinations in Malawi – A qualitative study 马拉维放射诊断技师在放射检查过程中与儿科病人接触的经历--一项定性研究。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-14 DOI: 10.1016/j.radi.2024.10.020
P. Manda , L. Gumede , C. Kammies , L. Mokoena

Introduction

Performing radiography examinations on paediatric patients is challenging and requires expertise from diagnostic radiographers. The patient needs to remain still in radiography to acquire a diagnostic image. In Malawi, diagnostic radiographers continue to experience challenges when imaging paediatric patients. Therefore, this study explored diagnostic radiographers’ experiences with paediatric patients during radiography examinations in Malawi.

Methods

The study used a qualitative, exploratory, and descriptive design. Twelve diagnostic radiographers working in five selected health facilities and registered with the Medical Council of Malawi (MCM) participated in this study. Data was collected by the main researcher using face-to-face semi-structured interviews and field notes. Qualitative thematic analysis was used to analyse the transcribed data.

Results

Three themes were developed from thematic analysis: 1) to foster an effective patient-practitioner relationship, 2) partnering with guardians during paediatric radiography and 3) application of paediatric-centred imaging techniques.

Conclusion

Findings from the study highlight how various approaches can lead to a successful radiography process with paediatric patients during examinations. Making a child cooperate for an examination was crucial for a smooth diagnostic process.

Implication for practice

Diagnostic radiographers should build strong patient-practitioner relationships and actively engage guardians to improve paediatric patients' cooperation during radiography examinations. Implementing paediatric-centred imaging techniques can significantly enhance the quality of diagnostic images and the overall efficiency of the radiography process in paediatric patients.
简介对儿科病人进行放射成像检查具有挑战性,需要放射诊断技师的专业知识。病人需要在放射成像中保持静止,才能获得诊断图像。在马拉维,放射诊断技师在为儿科患者成像时仍然面临挑战。因此,本研究探讨了马拉维放射诊断技师在对儿科患者进行放射检查时的经验:研究采用了定性、探索和描述性设计。12名在马拉维医学委员会(MCM)注册的放射诊断技师参与了这项研究。主要研究人员通过面对面的半结构化访谈和现场记录收集数据。对转录的数据进行了定性主题分析:结果:通过主题分析得出了三个主题:1)培养有效的患者与从业人员关系;2)在儿科放射摄影过程中与监护人合作;3)应用以儿科为中心的成像技术:研究结果凸显了在检查过程中,各种方法如何能使儿科患者的放射检查取得成功。让儿童配合检查对于诊断过程的顺利进行至关重要:对实践的启示:放射诊断技师应与患者和医生建立牢固的关系,并让监护人积极参与,以提高儿科患者在放射检查过程中的配合度。实施以儿科为中心的成像技术可显著提高诊断图像的质量和儿科患者放射成像过程的整体效率。
{"title":"Diagnostic radiographers’ experiences with paediatric patients during radiography examinations in Malawi – A qualitative study","authors":"P. Manda ,&nbsp;L. Gumede ,&nbsp;C. Kammies ,&nbsp;L. Mokoena","doi":"10.1016/j.radi.2024.10.020","DOIUrl":"10.1016/j.radi.2024.10.020","url":null,"abstract":"<div><h3>Introduction</h3><div>Performing radiography examinations on paediatric patients is challenging and requires expertise from diagnostic radiographers. The patient needs to remain still in radiography to acquire a diagnostic image. In Malawi, diagnostic radiographers continue to experience challenges when imaging paediatric patients. Therefore, this study explored diagnostic radiographers’ experiences with paediatric patients during radiography examinations in Malawi.</div></div><div><h3>Methods</h3><div>The study used a qualitative, exploratory, and descriptive design. Twelve diagnostic radiographers working in five selected health facilities and registered with the Medical Council of Malawi (MCM) participated in this study. Data was collected by the main researcher using face-to-face semi-structured interviews and field notes. Qualitative thematic analysis was used to analyse the transcribed data.</div></div><div><h3>Results</h3><div>Three themes were developed from thematic analysis: 1) to foster an effective patient-practitioner relationship, 2) partnering with guardians during paediatric radiography and 3) application of paediatric-centred imaging techniques.</div></div><div><h3>Conclusion</h3><div>Findings from the study highlight how various approaches can lead to a successful radiography process with paediatric patients during examinations. Making a child cooperate for an examination was crucial for a smooth diagnostic process.</div></div><div><h3>Implication for practice</h3><div>Diagnostic radiographers should build strong patient-practitioner relationships and actively engage guardians to improve paediatric patients' cooperation during radiography examinations. Implementing paediatric-centred imaging techniques can significantly enhance the quality of diagnostic images and the overall efficiency of the radiography process in paediatric patients.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 97-102"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of walking on knee articular cartilage T2 values estimated with a dictionary-based approach - A pilot study 基于字典的方法估算的步行对膝关节软骨 T2 值的影响--一项试点研究。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-13 DOI: 10.1016/j.radi.2024.10.018
J.M. Coelho , T.T. Fernandes , S.M. Alves , R.G. Nunes , L. Nogueira , A. Oliveira

Introduction

Walking is crucial for knee articular cartilage (KAC) health. Routine MRI sequences lack sensitivity for early cartilage changes, and the use of parametric T2 maps to study the effect of walking on KAC composition is limited. This study aimed to evaluate if quantitative T2 maps using an Echo Modulation Curve (EMC) matching algorithm can detect KAC T2 variations due to water content changes after walking.

Methods

Seven asymptomatic volunteers (3 females, 4 males, mean age 28.3 years) without knee pathologies participated. Sagittal knee MRI scans were performed before and after a 9-min treadmill walk using a Modified Bruce protocol. T2-weighted Multi-Echo Spin-Echo KAC images were acquired at 3T. Tibiofemoral cartilage was segmented semi-automatically on three slices per knee, defining 39 KAC samples. Quantitative T2 maps were created using a dictionary-matching algorithm. Paired t-tests assessed exercise impact on KAC T2 values, independent t-tests compared group differences, and Friedman test with Bonferroni correction evaluated regional T2 changes.

Results

Walking increased KAC T2 values (mean difference (md) 0.61 ± 1.71 ms; p = 0.016). Significant differences were observed in “normal” BMI group (md 0.69 ± 1.27 ms; p = 0.021). Regional analysis revealed significant differences in medial femur in males (md 0.9 ± 2.1 ms; p = 0.049) and lateral tibia in females (md 1.4 ± 2.5 ms; p = 0.046). The medial tibia showed significant differences across sub-regions (p = 0.026).

Conclusion

Quantitative T2 maps using the EMC matching algorithm detected consistent changes in KAC T2 values after a short walking period.

Implications for practice

EMC quantitative T2 maps effectively detected knee cartilage changes post-walking. This technique could improve cartilage hydration assessments, aiding early detection in at-risk patients. It also suggests potential for personalized monitoring and rehabilitation, advancing musculoskeletal imaging and non-invasive joint health monitoring.
简介步行对膝关节软骨(KAC)的健康至关重要。常规磁共振成像序列对软骨的早期变化缺乏敏感性,使用参数 T2 图研究步行对 KAC 组成的影响也很有限。本研究旨在评估使用回波调制曲线(EMC)匹配算法绘制的定量T2图是否能检测出行走后水分含量变化引起的KAC T2变化:七名无膝关节病变的无症状志愿者(3 名女性,4 名男性,平均年龄 28.3 岁)参加了此次研究。采用 "改良布鲁斯 "方案,在 9 分钟跑步机行走前后进行膝关节矢状位核磁共振扫描。在 3T 下采集了 T2 加权多回波自旋回波 KAC 图像。在每个膝关节的三个切片上对胫股软骨进行半自动分割,定义了39个KAC样本。使用字典匹配算法创建定量 T2 图。配对t检验评估运动对KAC T2值的影响,独立t检验比较组间差异,Friedman检验结合Bonferroni校正评估区域T2变化:步行增加了 KAC T2 值(平均差异 (md) 0.61 ± 1.71 ms; p = 0.016)。在 "正常 "体重指数组观察到显著差异(md 0.69 ± 1.27 ms; p = 0.021)。区域分析显示,男性股骨内侧(md 0.9 ± 2.1 ms;p = 0.049)和女性胫骨外侧(md 1.4 ± 2.5 ms;p = 0.046)存在显著差异。胫骨内侧在各亚区域之间存在显著差异(p = 0.026):结论:使用 EMC 匹配算法绘制的 T2 定量图能检测到短时间行走后 KAC T2 值的一致变化:EMC定量T2图能有效检测到行走后膝关节软骨的变化。这项技术可以改善软骨水合评估,帮助早期发现高危患者。它还为个性化监测和康复提供了潜力,推动了肌肉骨骼成像和无创关节健康监测的发展。
{"title":"Impact of walking on knee articular cartilage T2 values estimated with a dictionary-based approach - A pilot study","authors":"J.M. Coelho ,&nbsp;T.T. Fernandes ,&nbsp;S.M. Alves ,&nbsp;R.G. Nunes ,&nbsp;L. Nogueira ,&nbsp;A. Oliveira","doi":"10.1016/j.radi.2024.10.018","DOIUrl":"10.1016/j.radi.2024.10.018","url":null,"abstract":"<div><h3>Introduction</h3><div>Walking is crucial for knee articular cartilage (KAC) health. Routine MRI sequences lack sensitivity for early cartilage changes, and the use of parametric T<sub>2</sub> maps to study the effect of walking on KAC composition is limited. This study aimed to evaluate if quantitative T2 maps using an Echo Modulation Curve (EMC) matching algorithm can detect KAC T2 variations due to water content changes after walking.</div></div><div><h3>Methods</h3><div>Seven asymptomatic volunteers (3 females, 4 males, mean age 28.3 years) without knee pathologies participated. Sagittal knee MRI scans were performed before and after a 9-min treadmill walk using a Modified Bruce protocol. T2-weighted Multi-Echo Spin-Echo KAC images were acquired at 3T. Tibiofemoral cartilage was segmented semi-automatically on three slices per knee, defining 39 KAC samples. Quantitative T2 maps were created using a dictionary-matching algorithm. Paired t-tests assessed exercise impact on KAC T2 values, independent t-tests compared group differences, and Friedman test with Bonferroni correction evaluated regional T2 changes.</div></div><div><h3>Results</h3><div>Walking increased KAC T2 values (mean difference (md) 0.61 ± 1.71 ms; p = 0.016). Significant differences were observed in “normal” BMI group (md 0.69 ± 1.27 ms; p = 0.021). Regional analysis revealed significant differences in medial femur in males (md 0.9 ± 2.1 ms; p = 0.049) and lateral tibia in females (md 1.4 ± 2.5 ms; p = 0.046). The medial tibia showed significant differences across sub-regions (p = 0.026).</div></div><div><h3>Conclusion</h3><div>Quantitative T<sub>2</sub> maps using the EMC matching algorithm detected consistent changes in KAC T<sub>2</sub> values after a short walking period.</div></div><div><h3>Implications for practice</h3><div>EMC quantitative T2 maps effectively detected knee cartilage changes post-walking. This technique could improve cartilage hydration assessments, aiding early detection in at-risk patients. It also suggests potential for personalized monitoring and rehabilitation, advancing musculoskeletal imaging and non-invasive joint health monitoring.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 66-74"},"PeriodicalIF":2.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Features of and barriers to effective teamwork at university and on clinical placement: The student radiographer perspective 大学和临床实习中有效团队合作的特点和障碍:放射技师学生的观点。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-10 DOI: 10.1016/j.radi.2024.10.015
L. Monks, S. Mackay

Introduction

Radiography departments require effective teamwork in order to deliver high standards of safe and efficient patient care.
The aim of this study was to explore the features of and barriers to effective teamwork as experienced by pre-registration BSc and MSc diagnostic radiography students at university and during clinical placement.

Method

This qualitative study used semi-structured interviews and the thematic analysis approach of Braun and Clark to investigate the views of diagnostic radiography students on BSc and MSc pre-registration programmes from one university in the Northwest of England.

Results

Barriers to teamwork were identified in a main theme, acceptance into the team and two subthemes, theory-practice gap and trying on the professional self. Features of effective teams were identified in two main themes, positive experiences of teamwork and an ideal team. Students highlighted caring for the team, as equally as important as caring for the patient, and another main theme, a caring team, described both the barriers to, and features of, effective teams.

Conclusion

Students had a developed understanding of the features of effective teams and equated a team that cares for each other, as one able to provide the best care to patients. This study provides an insight into the impact of teamwork on radiography students experiences of university and clinical placement. Barriers to teamwork affect students’ sense of belonging and overall professional development in a clinical environment.

Implications for practice

This study can better inform university and clinical staff regarding improvements to teamworking education and practice for students. It may also provide insights which may influence the teamworking practice of clinical staff.
导言:放射科需要有效的团队合作,以提供高标准的安全、高效的患者护理。本研究旨在探讨注册前放射诊断理学士和硕士学生在大学和临床实习期间所经历的有效团队合作的特点和障碍:这项定性研究采用半结构式访谈以及布劳恩和克拉克的主题分析方法,调查了英格兰西北部一所大学注册放射诊断学学士和硕士预科学生的观点:结果:团队合作的障碍体现在一个主主题 "团队接纳 "和两个次主题 "理论与实践的差距 "以及 "对专业自我的尝试 "中。有效团队的特点体现在两个主题中:团队合作的积极经验和理想团队。学生们强调,关爱团队与关爱病人同等重要,而另一个主题 "关爱团队 "既描述了有效团队的障碍,也描述了有效团队的特点:学生们对高效团队的特征有了深入的了解,并将相互关爱的团队等同于能够为病人提供最佳护理的团队。本研究深入探讨了团队合作对放射学专业学生的大学和临床实习经历的影响。团队合作的障碍会影响学生在临床环境中的归属感和整体专业发展:这项研究可以更好地为大学和临床工作人员提供信息,帮助他们改进针对学生的团队合作教育和实践。对实践的启示:本研究可以更好地为大学和临床工作人员提供有关改进学生团队合作教育和实践的信息,也可以为临床工作人员的团队合作实践提供启示。
{"title":"Features of and barriers to effective teamwork at university and on clinical placement: The student radiographer perspective","authors":"L. Monks,&nbsp;S. Mackay","doi":"10.1016/j.radi.2024.10.015","DOIUrl":"10.1016/j.radi.2024.10.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiography departments require effective teamwork in order to deliver high standards of safe and efficient patient care.</div><div>The aim of this study was to explore the features of and barriers to effective teamwork as experienced by pre-registration BSc and MSc diagnostic radiography students at university and during clinical placement.</div></div><div><h3>Method</h3><div>This qualitative study used semi-structured interviews and the thematic analysis approach of Braun and Clark to investigate the views of diagnostic radiography students on BSc and MSc pre-registration programmes from one university in the Northwest of England.</div></div><div><h3>Results</h3><div>Barriers to teamwork were identified in a main theme, <em>acceptance into the team</em> and two subthemes, <em>theory-practice gap</em> and <em>trying on the professional self</em>. Features of effective teams were identified in two main themes, <em>positive experiences of teamwork</em> and <em>an ideal team</em>. Students highlighted caring for the team, as equally as important as caring for the patient, and another main theme, <em>a caring team</em>, described both the barriers to, and features of, effective teams.</div></div><div><h3>Conclusion</h3><div>Students had a developed understanding of the features of effective teams and equated a team that cares for each other, as one able to provide the best care to patients. This study provides an insight into the impact of teamwork on radiography students experiences of university and clinical placement. Barriers to teamwork affect students’ sense of belonging and overall professional development in a clinical environment.</div></div><div><h3>Implications for practice</h3><div>This study can better inform university and clinical staff regarding improvements to teamworking education and practice for students. It may also provide insights which may influence the teamworking practice of clinical staff.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 88-95"},"PeriodicalIF":2.5,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can radiographer regulatory compliance contribute to patient safety in the emergency department fast-track pathway? A retrospective pilot study 放射技师遵守规章制度能否促进急诊科快速通道的患者安全?一项回顾性试点研究。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-08 DOI: 10.1016/j.radi.2024.10.014
B. Pearce , S. Uribe , C. Cowling , J.-A. Pinson , W. Smith , J. Sim

Introduction

Radiographers in clinical imaging pathways ensure regulatory compliance by justifying X-ray requests, optimising exposure, and communicating urgent findings. In Australia, adherence to Australian regulatory directives is crucial for patient safety, particularly in Emergency Departments (EDs) where immediate radiologist report or guidance may be unavailable. This study explores whether Australian radiographers working within regulatory compliance of justification, optimisation and Preliminary Image Evaluation (PIE) in the ED contribute to improving patient safety?

Methods

In a retrospective blinded single-phase study, 28 radiographers reviewed 50 cases of single extremity trauma in the ED Fast-Track (FT) pathway. Data analysis assessed compliance with regulatory directives, evaluating justification, optimisation, and accuracy of Preliminary Image Evaluations (PIE) against established standards.

Results

Justification: Radiographers found 67.8 % (n = 881) of X-ray requests compliant and 32.2 % (n = 419) non-compliant. Optimisation: Participants optimised referrals by correcting anatomical selection (52.0 %, n = 676), adjusting the number of images (11.6 %, n = 151), or both (17.5 %, n = 227). PIE: Radiographer PIE demonstrated a mean sensitivity of 94.7 % (CI: 92.9 %–96.6 %), specificity of 89.6 % (CI: 87.0 %–92.2 %), and accuracy of 92.7 % (CI: 91.6 %–93.8 %). The average Positive Predictive Value (PPV) was 93.2 % (CI: 92.0–94.9 %), the Negative Predictive Value (NPV) was 91.9 % (CI: 90.2–95.0 %), and Cohen’s Kappa inter-rater reliability median was K = 0.85, with an average result of K = 0.85 (range: K = 0.74 to K = 0.96).

Conclusion

In this study, radiographer compliance with regulatory standards for justification, optimisation, and PIE is high but not fully consistent. When radiographers adhere to regulations, there is potential to improve patient safety. Collaborative compliance between radiologists, referrers, and radiographers within the ED FT pathway could further improve patient safety outcomes. Additional research, including prospective studies, is necessary to further evaluate radiographer compliance in the ED FT pathway.

Implications for practice

Radiographers are professionally obligated to follow Australian regulatory directives for safe medical radiation practice, guided by imaging protocols. Timely and accurate PIE by radiographers can enhance patient safety in ED.
导言:临床成像路径中的放射技师通过证明 X 射线请求的合理性、优化曝光和传达紧急发现,确保符合法规要求。在澳大利亚,遵守澳大利亚的监管指令对患者安全至关重要,尤其是在急诊科(ED),放射科医生可能无法提供即时报告或指导。本研究探讨了澳大利亚放射技师在急诊室工作时是否遵守了合理、优化和初步图像评估(PIE)的规定,是否有助于提高患者安全?在一项回顾性盲法单相研究中,28 名放射技师对急诊室快速通道 (FT) 中的 50 例单侧四肢创伤病例进行了审查。数据分析评估了监管指令的遵守情况,根据既定标准评估了初步图像评估(PIE)的合理性、优化和准确性:结果:合理性:放射技师发现67.8%(n=881)的X光请求符合要求,32.2%(n=419)不符合要求。优化:参与者通过纠正解剖选择(52.0%,n = 676)、调整图像数量(11.6%,n = 151)或两者(17.5%,n = 227)来优化转诊。PIE:放射技师 PIE 的平均灵敏度为 94.7 %(CI:92.9 %-96.6 %),特异度为 89.6 %(CI:87.0 %-92.2 %),准确度为 92.7 %(CI:91.6 %-93.8 %)。平均阳性预测值(PPV)为 93.2 %(CI:92.0-94.9 %),阴性预测值(NPV)为 91.9 %(CI:90.2-95.0 %),Cohen's Kappa评分者间可靠性中位数为 K = 0.85,平均结果为 K = 0.85(范围:K = 0.74 至 K = 0.96):在这项研究中,放射技师对合理性、优化和PIE等监管标准的遵守程度较高,但并不完全一致。如果放射技师遵守相关规定,就有可能提高患者安全。放射科医生、转诊医生和放射技师在急诊室快速转诊路径中的合作合规性可进一步改善患者安全结果。有必要开展更多的研究,包括前瞻性研究,以进一步评估放射技师在急诊室急诊途径中的合规性:放射技师的职业义务是在成像协议的指导下,遵守澳大利亚有关安全医疗放射实践的监管指令。放射技师及时、准确地进行 PIE 可提高急诊室患者的安全。
{"title":"Can radiographer regulatory compliance contribute to patient safety in the emergency department fast-track pathway? A retrospective pilot study","authors":"B. Pearce ,&nbsp;S. Uribe ,&nbsp;C. Cowling ,&nbsp;J.-A. Pinson ,&nbsp;W. Smith ,&nbsp;J. Sim","doi":"10.1016/j.radi.2024.10.014","DOIUrl":"10.1016/j.radi.2024.10.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiographers in clinical imaging pathways ensure regulatory compliance by justifying X-ray requests, optimising exposure, and communicating urgent findings. In Australia, adherence to Australian regulatory directives is crucial for patient safety, particularly in Emergency Departments (EDs) where immediate radiologist report or guidance may be unavailable. This study explores whether Australian radiographers working within regulatory compliance of justification, optimisation and Preliminary Image Evaluation (PIE) in the ED contribute to improving patient safety?</div></div><div><h3>Methods</h3><div>In a retrospective blinded single-phase study, 28 radiographers reviewed 50 cases of single extremity trauma in the ED Fast-Track (FT) pathway. Data analysis assessed compliance with regulatory directives, evaluating justification, optimisation, and accuracy of Preliminary Image Evaluations (PIE) against established standards.</div></div><div><h3>Results</h3><div>Justification: Radiographers found 67.8 % (n = 881) of X-ray requests compliant and 32.2 % (n = 419) non-compliant. Optimisation: Participants optimised referrals by correcting anatomical selection (52.0 %, n = 676), adjusting the number of images (11.6 %, n = 151), or both (17.5 %, n = 227). PIE: Radiographer PIE demonstrated a mean sensitivity of 94.7 % (CI: 92.9 %–96.6 %), specificity of 89.6 % (CI: 87.0 %–92.2 %), and accuracy of 92.7 % (CI: 91.6 %–93.8 %). The average Positive Predictive Value (PPV) was 93.2 % (CI: 92.0–94.9 %), the Negative Predictive Value (NPV) was 91.9 % (CI: 90.2–95.0 %), and Cohen’s Kappa inter-rater reliability median was K = 0.85, with an average result of K = 0.85 (range: K = 0.74 to K = 0.96).</div></div><div><h3>Conclusion</h3><div>In this study, radiographer compliance with regulatory standards for justification, optimisation, and PIE is high but not fully consistent. When radiographers adhere to regulations, there is potential to improve patient safety. Collaborative compliance between radiologists, referrers, and radiographers within the ED FT pathway could further improve patient safety outcomes. Additional research, including prospective studies, is necessary to further evaluate radiographer compliance in the ED FT pathway.</div></div><div><h3>Implications for practice</h3><div>Radiographers are professionally obligated to follow Australian regulatory directives for safe medical radiation practice, guided by imaging protocols. Timely and accurate PIE by radiographers can enhance patient safety in ED.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 53-65"},"PeriodicalIF":2.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A tutor training framework for radiographers: Basic concepts to effectively train future generations of professionals 放射技师导师培训框架:有效培训未来专业人员的基本概念。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-08 DOI: 10.1016/j.radi.2024.10.023
E. Scaramelli , G.R. Bonfitto , A. Roletto , L. Bombelli , S.V. Fasulo , D. Catania

Introduction

Clinical practice is crucial for the professional development of radiographers. To effectively benefit from their training, students need guidance from well-trained and competent tutors. However, the literature lacks evidence of training programs specifically designed for radiographer tutors. This study aims to suggest a novel framework able to identify the key elements of a successful tutor training curriculum for radiographers.

Methods

Through a literature review on the topic of tutor training in the healthcare sector, a novel tutor training framework specifically for radiographers was developed. This model is structured into two main components: knowledge development and skill acquisition. The framework emphasizes four key topics: understanding the essence of tutoring; conducting briefing, debriefing, and providing feedback; addressing students' psychosocial challenges; conducting simulations and role plays. It concludes with a skill test.

Results

The proposed curriculum highlights the importance of tutors understanding their roles and responsibilities, as well as the significance of providing feedback and conducting briefing activities. Noteworthy additions to this pioneering model include an in-depth examination of the psychosocial challenges faced by students during their training and the introduction of role-playing activities. These activities help tutors develop empathy and better understand the students' perspectives and needs, therefore optimizing the tutoring experience.

Conclusion

This framework outlines the fundamental principles that tutors should incorporate into their daily tutoring activities to maximize student learning and engagement. Emphasis is placed on understanding the psychological challenges faced by students, which can help tutors tailor their teaching to better meet students' needs.

Implication for practice

The proposed framework wills to promote significant improvement in the clinical practice of future professionals through the optimization of tutors' competencies.
导言:临床实践对放射技师的专业发展至关重要。为了有效地从培训中获益,学生需要训练有素、能力出众的导师的指导。然而,文献中缺乏专门为放射技师导师设计的培训计划的证据。本研究旨在提出一个新颖的框架,以确定成功的放射技师导师培训课程的关键要素:方法:通过对医疗保健行业导师培训主题的文献综述,我们开发了一个专门针对放射技师的新型导师培训框架。该模式分为两个主要部分:知识发展和技能掌握。该框架强调四个关键主题:理解辅导的本质;进行情况介绍、汇报和提供反馈;应对学生的社会心理挑战;进行模拟和角色扮演。最后是技能测试:建议的课程突出了辅导员了解自身角色和责任的重要性,以及提供反馈和开展简报活动的意义。值得注意的是,这一开创性模式增加了对学生在培训期间所面临的社会心理挑战的深入研究,并引入了角色扮演活动。这些活动有助于辅导员培养同理心,更好地理解学生的观点和需求,从而优化辅导体验:本框架概述了辅导教师在日常辅导活动中应遵循的基本原则,以最大限度地提高学生的学习和参与度。重点在于了解学生面临的心理挑战,这有助于辅导教师因材施教,更好地满足学生的需求:建议的框架将通过优化辅导员的能力,促进未来专业人员临床实践的重大改进。
{"title":"A tutor training framework for radiographers: Basic concepts to effectively train future generations of professionals","authors":"E. Scaramelli ,&nbsp;G.R. Bonfitto ,&nbsp;A. Roletto ,&nbsp;L. Bombelli ,&nbsp;S.V. Fasulo ,&nbsp;D. Catania","doi":"10.1016/j.radi.2024.10.023","DOIUrl":"10.1016/j.radi.2024.10.023","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical practice is crucial for the professional development of radiographers. To effectively benefit from their training, students need guidance from well-trained and competent tutors. However, the literature lacks evidence of training programs specifically designed for radiographer tutors. This study aims to suggest a novel framework able to identify the key elements of a successful tutor training curriculum for radiographers.</div></div><div><h3>Methods</h3><div>Through a literature review on the topic of tutor training in the healthcare sector, a novel tutor training framework specifically for radiographers was developed. This model is structured into two main components: <em>knowledge development</em> and <em>skill acquisition</em>. The framework emphasizes four key topics: understanding the essence of tutoring; conducting briefing, debriefing, and providing feedback; addressing students' psychosocial challenges; conducting simulations and role plays. It concludes with a skill test.</div></div><div><h3>Results</h3><div>The proposed curriculum highlights the importance of tutors understanding their roles and responsibilities, as well as the significance of providing feedback and conducting briefing activities. Noteworthy additions to this pioneering model include an in-depth examination of the psychosocial challenges faced by students during their training and the introduction of role-playing activities. These activities help tutors develop empathy and better understand the students' perspectives and needs, therefore optimizing the tutoring experience.</div></div><div><h3>Conclusion</h3><div>This framework outlines the fundamental principles that tutors should incorporate into their daily tutoring activities to maximize student learning and engagement. Emphasis is placed on understanding the psychological challenges faced by students, which can help tutors tailor their teaching to better meet students' needs.</div></div><div><h3>Implication for practice</h3><div>The proposed framework wills to promote significant improvement in the clinical practice of future professionals through the optimization of tutors' competencies.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 96-103"},"PeriodicalIF":2.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Radiography
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1