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Point shear wave elastography application in assessment pancreas tissue stiffness: A pilot study 点剪切波弹性成像在评估胰腺组织刚度中的应用:一项初步研究。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.radi.2024.12.004
F.F. Al Mutairi , J.H. Alyami , A.M. Aldhebaib , M.A. wazzan , K.G. Khashoggi , A.H. Abduljabar , J.H. Alotaibi , T.R. Alzahrani , Z.H. Alshehri , S.S. Almosabi , O.A. Alghamdi , H. Alnahdi , A.S. Almalki , R.W. Edrees , G. Alghamdi , A.A. Althobaiti , A.M. Almuraih , B.S. Almutairi

Introduction

Recent advancements in medical imaging, such as point shear wave elastography (pSWE), offer non-invasive methods to assess tissue stiffness and structural changes. This study explores the use of pSWE to evaluate pancreatic stiffness and dimensions in three different pancreas parts.

Methods

This study was conducted at diagnostic radiology department, King Abdulaziz University Hospital, Jeddah, between June 2022 and November,2022. Thirty-one diabetic patients and thirty-one healthy controls were included. Ultrasound pSWE examination was performed using a ultrasound system (Philips Elite Epic 7) to measure stiffness across different pancreatic parts. Pancreatic stiffness was quantified in meters per second (m/s), and the dimensions of each pancreatic part were recorded. Different parameters, including age, sex, height, weight, body mass index (BMI), and comorbidities, were collected and analyzed.

Results

Diabetic patients exhibited significantly higher shear wave velocities (SWVs) compared to healthy controls, indicating increased pancreatic stiffness. The mean shear wave velocity was 1.7 m/s in diabetic versus 0.6 m/s in controls (p < 0.001). Additionally, the pancreatic head dimensions were significantly large in diabetic patients (2.1 cm vs. 1.8 cm; p = 0.003), while the body and tail part showed no significant differences. A positive correlation was found between SWVs and BMI.

Conclusion

The findings underscore the potential of pSWE as a non-invasive diagnostic tool for early detection and monitoring of diabetes-related pancreatic alterations. Assessing pancreatic stiffness and dimensions through pSWE can help in identify patients at risk for pancreatic complications and optimize management strategies.

Implications for practice

Point shear wave elastography (pSWE) could be a useful, non-invasive tool for early detection of pancreatic changes in diabetic patients, identifying those at risk for complications. Integrating pSWE into routine diabetes check may enhance early interventions and improve outcomes.
医学成像的最新进展,如点横波弹性成像(pSWE),提供了非侵入性的方法来评估组织刚度和结构变化。本研究探讨了使用pSWE评估胰腺三个不同部位的刚度和尺寸。方法:本研究于2022年6月至2022年11月在吉达阿卜杜勒阿齐兹国王大学医院诊断放射科进行。纳入31例糖尿病患者和31例健康对照。超声pSWE检查使用超声系统(Philips Elite Epic 7)测量不同胰腺部位的刚度。胰腺刚度以米/秒(m/s)为单位进行量化,并记录胰腺各部分的尺寸。收集并分析不同参数,包括年龄、性别、身高、体重、身体质量指数(BMI)和合并症。结果:与健康对照相比,糖尿病患者表现出明显更高的横波速度(SWVs),表明胰腺僵硬度增加。糖尿病患者的平均横波速度为1.7 m/s,而对照组为0.6 m/s (p结论:研究结果强调了pSWE作为早期发现和监测糖尿病相关胰腺改变的非侵入性诊断工具的潜力。通过pSWE评估胰腺硬度和尺寸可以帮助识别有胰腺并发症风险的患者并优化管理策略。实践意义:点横波弹性成像(pSWE)可能是一种有用的、无创的工具,用于早期检测糖尿病患者的胰腺变化,识别那些有并发症风险的患者。将pSWE纳入常规糖尿病检查可加强早期干预并改善结果。
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引用次数: 0
Analysis of the Belgian RTT workforce and estimation of workforce needs for the near future 分析比利时 RTT 工作人员队伍,并估计不久的将来对工作人员队伍的需求。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.radi.2024.12.014
F. Sousa , J.G. Couto , D. Callens , D. Van Gestel

Introduction

Radiation Therapists (RTTs) are crucial in delivering Radiotherapy (RT) to cancer patients. The advancements in RT technology and the increasing cancer incidence have heightened the demand for RTTs, necessitating strategic workforce planning at the national level. This study aims to identify and estimate current and future RTT workforce in Belgium.

Methods

A self-designed survey based on a literature review, validated and distributed to all RTT managers in Belgium, requested information about departmental activities, current workforce, and future needs to allow for the calculation of workforce needs. Data were analysed using descriptive statistics for closed-ended and thematic analysis for open-ended responses.

Results

In 2022, Belgium had 544 RTTs or 461 full-time equivalents (FTE) RTTs. Even though 448.5 FTE RTTs would be enough to comply with Belgium law requirements, RTT managers argued that 509 FTE RTTs is more realistic to meet demands of current practice. The study identified a 20% workforce deficit, indicating a shortfall of approximately 113 RTTs. Additionally, 20% growth in annual RT treatments exacerbates this deficiency, implying a need for around 574 FTE RTTs by 2025.

Conclusion

This study provides a comprehensive analysis of the Belgian RTTs workforce. While the current number of RTTs meets legal requirements, it falls short of the ideal FTEs required to meet current practice. By 2025, the demand for RTTs is expected to surpass 2022's needs, highlighting a critical workforce shortage. Further research is necessary to identify ways to close this workforce gap.

Implications for practice

The Belgian regulations governing RT departments must be updated to reflect current practices. The findings of this study are essential for planning the RTTs workforce in Belgium, ensuring adequate staffing to meet future RT demands.
简介:放射治疗师(rtt)在向癌症患者提供放射治疗(RT)方面至关重要。放射治疗技术的进步和癌症发病率的增加增加了对放射治疗的需求,需要在国家一级进行战略性的劳动力规划。本研究旨在确定和估计当前和未来的RTT劳动力在比利时。方法:在文献综述的基础上自行设计调查,验证并分发给比利时所有RTT经理,要求提供有关部门活动、当前劳动力和未来需求的信息,以便计算劳动力需求。对数据进行了封闭式的描述性统计分析,对开放式的答复进行了专题分析。结果:在2022年,比利时有544个rtt或461个全日制(FTE) rtt。尽管448.5台FTE RTT足以符合比利时的法律要求,但RTT管理人员认为,509台FTE RTT更符合当前实践的要求。该研究确定了20%的劳动力缺口,表明大约113名rtt的缺口。此外,每年20%的放射治疗增长加剧了这一不足,这意味着到2025年需要大约574个FTE放射治疗。结论:本研究提供了比利时rtt劳动力的全面分析。虽然目前rtt的数量符合法律要求,但仍未达到满足当前做法所需的理想fte数量。到2025年,对rtt的需求预计将超过2022年的需求,凸显出严重的劳动力短缺。需要进一步的研究来确定缩小这一劳动力差距的方法。对实践的启示:管理RT部门的比利时法规必须更新以反映当前的实践。本研究的结果对于规划比利时的rtt劳动力至关重要,确保足够的人员配备以满足未来的RT需求。
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引用次数: 0
Interprofessional education and collaborative practice with practicing radiographers: A mixed methods scoping review 执业放射技师的跨专业教育和合作实践:混合方法范围审查。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.radi.2025.01.001
K. Johnson , P. Martin , D. McDonald , M. McGrail

Introduction

There is increasing evidence substantiating the advantages of Interprofessional Education and Collaborative Practice (IPECP) in healthcare. Despite this, global adoption is still in its infancy. Whilst there has been some recognition of the importance of collaborative practice in healthcare, implementation of IPECP programs remain limited in many countries.

Methods

This scoping review aimed to synthesise global evidence for the implementation and effectiveness of IPECP on practicing radiographers and to further identify the enablers and barriers to the implementation of IPECP within radiography. The JBI guidelines for the conduct of scoping reviews and the PRISMA guidelines for reporting scoping reviews were followed. Databases searched included Medline, CINAHL, Scopus, Embase, Cochrane library, and JBI. Grey literature was searched through Google, Google Scholar, and the ProQuest Dissertations and Theses Global.

Results

Following full text screening, 21 articles were included in the review, and data was extracted onto a custom-developed template. IPECP competencies identified in the included studies were mapped against the Canadian Interprofessional Health Collaborative (CIHC) framework of competencies.

Conclusion

Results indicate that while certain factors such as peer support and interprofessional communication facilitated IPECP, numerous barriers impeded its implementation on a wider scale.

Implications for practice

Implications for practice, policy and research include the need to prioritise funding for IPECP initiatives and to establish regulatory frameworks that support interprofessional collaboration.
简介:越来越多的证据表明,跨专业教育和合作实践(ippe)在医疗保健中的优势。尽管如此,全球采用仍处于起步阶段。虽然人们已经认识到合作实践在医疗保健中的重要性,但ippe项目的实施在许多国家仍然有限。方法:该范围综述旨在综合全球证据,证明在执业放射技师中实施ippe的有效性,并进一步确定在放射学中实施ippe的推动因素和障碍。遵循了JBI进行范围审查的准则和PRISMA报告范围审查的准则。检索的数据库包括Medline、CINAHL、Scopus、Embase、Cochrane library和JBI。灰色文献通过谷歌、谷歌Scholar和ProQuest dissertation and Theses Global检索。结果:经过全文筛选,21篇文章被纳入综述,数据被提取到定制开发的模板中。在纳入的研究中确定的IPECP能力根据加拿大专业间卫生协作(CIHC)能力框架进行了映射。结论:研究结果表明,虽然同伴支持和专业间沟通等因素促进了IPECP的实施,但其在更大范围内的实施存在诸多障碍。对实践的影响:对实践、政策和研究的影响包括需要优先资助IPECP计划,并建立支持跨专业合作的监管框架。
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引用次数: 0
Fabrication and evaluation of breast tissue equivalent phantoms for image quality assessment in ultrasound imaging 制作和评估用于超声成像图像质量评估的乳腺组织等效模型。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.radi.2024.11.023
A.P. Hariyanto , F.F. Mugni , L. Khumaira , A.D. Sensusiati , A.L. Nursela , Suprijanto , K.H. Ng , F. Haryanto , Endarko

Introduction

Phantom materials with tissue-equivalent physical properties that require regular evaluation using patented phantoms are essential for medical device quality assurance programs. This study evaluated phantom materials for tissue equivalence and their use in image quality assessment for breast ultrasound scanner performance testing using two custom-made phantoms.

Methods

Two types of phantoms were developed: phantoms A and B. Phantom A was made from a base material consisting of polyvinyl chloride-plastisol with the addition of glycerol, whereas phantom B consisted of polyvinyl chloride-plastisol with the addition of graphite. Each phantom had a stiff and soft lesion shaped like a sphere, with a diameter of 1.4 cm. The phantoms were cuboids with dimensions of 10 × 10 cm2 and a thickness of 5 cm. A series of phantom evaluations was performed, consisting of density, elasticity, acoustic properties, B-mode ultrasound images, and strain ratio.

Results

The characterisation results show that background A closely resembles fibroglandular tissue in terms of density and acoustic properties (<5% variation); background B only resembles fibroglandular tissue in terms of density (−1.8% variation). In terms of elasticity, both backgrounds were close to the minimum value of fibroglandular tissue elasticity. The soft lesion on the phantom had a slightly lower density and elasticity than the carcinoma, whereas its acoustic properties (speed of sound and attenuation coefficient) were slightly higher than those of the reference carcinoma. Both phantoms were consistent with the literature in terms of strain ratio, geometric accuracy, lesion detection, and mean pixel value and showed good potential stability over one year.

Conclusion

This study successfully described the fabrication and evaluation sequence of a phantom equivalent to breast fibroglandular tissue and its evaluation via ultrasound imaging.

Implications for practice

This study offers proprietary information essential for the fabrication of phantoms that can be used for quality assurance and control in ultrasound imaging.
简介:具有组织等效物理特性的幻影材料需要使用专利幻影进行定期评估,这对于医疗器械质量保证计划至关重要。本研究使用两个定制的假体,评估假体材料在乳腺超声扫描仪性能测试中的组织等效性及其在图像质量评估中的应用。方法:制备了两种类型的幻影:幻影A和幻影B。幻影A是由添加甘油的聚氯乙烯-塑料溶胶组成的基材,而幻影B是由添加石墨的聚氯乙烯-塑料溶胶组成的基材。每个幻肢都有一个坚硬和柔软的病变,形状像一个球体,直径为1.4厘米。这些幻影是长方体,尺寸为10 × 10平方厘米,厚度为5厘米。我们对假体进行了一系列的评估,包括密度、弹性、声学性能、b超图像和应变比。结果:表征结果显示背景A在密度和声学特性上与纤维腺组织非常相似(结论:本研究成功地描述了乳腺纤维腺组织等效假体的制作和评估顺序,并通过超声成像对其进行了评估。实践意义:本研究为超声成像中用于质量保证和控制的幻像的制造提供了必要的专有信息。
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引用次数: 0
Lessons learned from the experiences of newly qualified therapeutic radiography students who transitioned to work during the Covid-19 pandemic 从Covid-19大流行期间转岗的新合格放射治疗学学生的经验中吸取的教训。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.radi.2024.12.006
N. Courtier, E. Chivers, E. Pope, L. Mundy

Introduction

The Covid-19 pandemic raised profound questions regarding healthcare values and responsibility for managing collective and individual needs. This context presents a unique opportunity to explore the experiences of newly qualified therapeutic radiographers transitioning to work.

Method

An interpretivist qualitative design used one-to-one, semi-structured interviews. Questions based on previous findings and person–environment congruence theory focussed on how the reality of transition compared to expectations and the feelings and attitudes this transition generated. Data analysis used a thematic framework approach.

Results

Eleven participants had worked as new Band 5 therapeutic radiographers for at least 12 months in English and Welsh departments. Three related themes were: the transitional state (the psychological nature of transition); professional socialisation (integration was co-constructed by the individual and department, with some conflict evident between the needs of the two parties); motivation (data described a u-shaped arc in level of motivation towards learning, encompassing early aspiration, turning to apathy and then anticipation of new beginnings.)

Conclusion

Whilst a person's motivation relates to the extent that their expectations are met regarding the pace of professional development, preceptorship packages should support the psychological aspect of transition as much as external indicators such as competencies. Recognition of new registrants' individual skills and aptitudes at an organisational level is key to supporting integration.

Implications for practice

The pandemic could be seen as an extreme way to reduce a complex multifactorial transitional event to its constituent parts. Personalised one-to-one mentorship is likely to be the optimal way to support psychological aspects of transition for all preceptees. Senior teams can foster compassionate leadership that enables the sense of having a contributing role within the organisation, which recognises individual skills and aptitudes.
导言:2019冠状病毒病大流行对医疗保健价值观和管理集体和个人需求的责任提出了深刻的问题。这个背景提出了一个独特的机会,探索新合格的放射治疗技师过渡到工作的经验。方法:采用一对一、半结构化访谈的解释主义定性设计。基于先前的研究结果和人-环境一致性理论的问题集中在如何将转变的现实与期望相比较,以及这种转变产生的感受和态度。数据分析采用主题框架方法。结果:11名参与者在英语和威尔士科室担任新5波段放射治疗技师至少12个月。三个相关的主题是:过渡状态(过渡的心理本质);专业社会化(整合是由个人和部门共同构建的,双方的需求之间存在一些明显的冲突);动机(数据描述了学习动机水平的u形弧线,包括早期的渴望,转向冷漠,然后期待新的开始。)结论:虽然一个人的动机与他们对专业发展速度的期望得到满足的程度有关,但培训计划应该支持过渡的心理方面,就像支持能力等外部指标一样。在组织层面认可新注册者的个人技能和能力是支持整合的关键。对实践的影响:大流行可被视为将复杂的多因素过渡事件简化为其组成部分的一种极端方式。个性化的一对一指导可能是支持所有受训者心理转变的最佳方式。高级团队可以培养富有同情心的领导,让员工觉得自己在组织中扮演着有贡献的角色,从而认可个人的技能和才能。
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引用次数: 0
Enriching surgical theatre competence through computer-based simulation 通过计算机模拟丰富手术室能力。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.radi.2024.12.020
E. Arruzza , A. Chau , Y. Gomes , M. Philpot

Introduction

Radiographers support the multidisciplinary team by facilitating medical imaging within the operating theatre environment. This project aimed to enhance student readiness for clinical competency in operative theatre imaging by implementing an authentic C-arm simulator for students to use prior to attending clinical placement.

Methods

This study followed a pre-post, quantitative study design. Medspace.VR© CA is a computer simulation software which allows users to produce radiographic images using a virtual ‘C-arm’ imaging scanner, within a 3D operating theatre environment. Educational workshops were followed by Likert-scale surveys to ascertain perspectives relating to student satisfaction, engagement, knowledge and skill enhancement, and reflections on behavioral changes following engagement with the simulator.

Results

The post-simulator survey demonstrated favourable scores were favourable in terms of student enjoyment (94 % agreed or strongly agreed), skill development (94 %), anatomical knowledge (63 %), operation of the machine (94 %) and its relevance to the radiographer's role (100 %) and professional capabilities (87 %). Most students found the program's instructions to be straightforward (81 %). Questions relating to confidence also demonstrated favourable results, with students highlighting perceived greater confidence in their abilities (87 %) and the theatre environment (61 %). When asked whether the C-Arm simulator is just as effective as hands-on placement experiences, 50 % of participants disagreed or strongly disagreed with this statement.

Conclusion

The C-arm simulator enabled our students to engage in authentic, scenario-based cases within simulated settings, mirroring conditions encountered in clinical practice. Overall, the findings highlight positive levels of perceived development and satisfaction. Future studies should evaluate objective knowledge and skill development within the clinical setting.

Implications for practice

Simulator use in this context prior to clinical placements, has the potential to reduce anxiety, increase satisfaction and expedite skill acquisition.
导言:放射技师通过在手术室环境中促进医学成像来支持多学科团队。本项目旨在通过实施一个真实的c臂模拟器,让学生在参加临床实习之前使用,以提高学生在手术室成像方面的临床能力。方法:本研究采用前后定量研究设计。Medspace。VR©CA是一种计算机模拟软件,允许用户在3D手术室环境中使用虚拟“c臂”成像扫描仪生成射线图像。在教育研讨会之后进行李克特量表调查,以确定与学生满意度、参与度、知识和技能提高有关的观点,以及参与模拟器后行为变化的反思。结果:模拟器后调查显示,在学生享受(94%同意或非常同意),技能发展(94%),解剖知识(63%),机器操作(94%)及其与放射技师角色的相关性(100%)和专业能力(87%)方面,良好的分数是有利的。大多数学生(81%)认为该程序的说明很简单。与信心有关的问题也显示出良好的结果,学生们强调对自己的能力(87%)和剧院环境(61%)有更大的信心。当被问及C-Arm模拟器是否与实际实习经验一样有效时,50%的参与者不同意或强烈不同意这一说法。结论:c型臂模拟器使我们的学生能够在模拟的环境中参与真实的、基于场景的病例,反映临床实践中遇到的情况。总的来说,研究结果强调了积极的发展水平和满意度。未来的研究应该评估临床环境中的客观知识和技能发展。对实践的启示:在临床实习之前,在这种情况下使用模拟器,有可能减少焦虑,增加满意度和加快技能习得。
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引用次数: 0
The role, scope and utilisation of the imaging support workforce in England: A qualitative framework analysis 角色,范围和利用成像支持劳动力在英格兰:定性框架分析。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.radi.2024.11.021
J. Nightingale , T. Sevens , S. Etty , S. Fowler-Davis , S. Kelly , R. Appleyard , B. Snaith

Introduction

Effective utilisation of the unregistered support workforce is essential to counter a well-documented imaging workforce crisis, yet it is unclear how imaging departments deploy their support staff. As part of a wider explanatory mixed methods study, this research explored models of support workforce deployment across England, identifying the factors which may encourage or inhibit implementation of these models.

Methods

Imaging support workforce deployment at regional and place (NHS Trust) level was investigated using Framework Analysis to combine interviews with Imaging Network representatives and Radiology Service Managers (RSMs) alongside workforce establishment data. Purposefully selected imaging services represented varying regions, sizes and support workforce proportions.

Results

Forty-two interviews represented 18 (81.8 %) Imaging Networks, and 24 imaging services (17.5 % eligible NHS Trusts). Additional workforce data was supplied by 18 RSMs. Three themes (Deployment Rationale and Decision-Making, Innovations in Support Workforce Activities, Stability and Sustainability of the Support Workforce) demonstrated the pivotal role enacted by the imaging support workforce. Extensive variations in role utilisation, deployment, scope of practice and pay rates were recognised, alongside inconsistently implemented Assistant Practitioner roles with a limited scope of deployment.

Conclusion

This is the first research to explore support workforce deployment at regional and place levels. The imaging support workforce in England is operationally managed rather than strategically planned, exposing services to local variation with deployment models developing in isolation. This pivotal workforce can support greater service capacity development but requires a more consistent approach to utilisation and deployment.

Implications for practice

National alignment of roles and competencies is urgently required. At regional and place levels, deployment models should be interrogated as a first step towards longer term workforce planning for this essential, yet under-utilised, workforce.
引言:有效利用未注册的支持人员对于应对记录良好的成像劳动力危机至关重要,但目前尚不清楚成像部门如何部署他们的支持人员。作为更广泛的解释性混合方法研究的一部分,本研究探索了英格兰各地支持劳动力部署的模型,确定了可能鼓励或抑制这些模型实施的因素。方法:采用框架分析,结合对成像网络代表和放射学服务经理(RSMs)的访谈以及劳动力建立数据,对区域和地方(NHS信托)水平的成像支持劳动力部署进行调查。有目的地选择成像服务代表不同的地区,规模和支持劳动力比例。结果:42个访谈代表了18个(81.8%)成像网络和24个成像服务(17.5%符合条件的NHS信托)。额外的劳动力数据由18个rsm提供。三个主题(部署原理和决策,支持劳动力活动的创新,支持劳动力的稳定性和可持续性)展示了成像支持劳动力所发挥的关键作用。在角色利用、部署、实践范围和薪酬率方面存在广泛差异,同时在有限的部署范围内不一致地实施助理执业医师角色。结论:这是第一个在区域和地方层面探索支持劳动力部署的研究。英格兰的成像支持人员是运营管理的,而不是战略规划的,这使得服务因部署模型的孤立发展而受到当地变化的影响。这一关键劳动力可以支持更大的服务能力开发,但需要更一致的利用和部署方法。对实践的影响:迫切需要国家角色和能力的统一。在区域和地方层面,部署模式应该作为对这一重要但未充分利用的劳动力进行长期劳动力规划的第一步进行审查。
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引用次数: 0
High workload and under-appreciation lead to burnout and low job satisfaction among radiographers 高工作量和不被赏识导致放射技师职业倦怠和低工作满意度
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-03 DOI: 10.1016/j.radi.2024.11.019
E. Kennedy , M. Ryan , A. England , B. Sarkodie , R. Khine , M.F. McEntee

Introduction

Burnout and low job satisfaction in healthcare can impact patient safety and staff retention. This study aims to gain information on the factors influencing burnout and job satisfaction among radiographers in the UK, Ireland and internationally. This can inform strategies for improving the workforce supply and demand imbalance.

Methods

An online questionnaire was developed, which included demographic questions and two validated instruments, the Maslach Burnout Inventory (MBI) and the Job Satisfaction Survey (JSS). The questionnaire was distributed to diagnostic radiographers through the EFRS Research Hub at the European Congress of Radiology, Vienna, in early March 2023. It was disseminated online through Twitter, Facebook, and email over six weeks.

Results

245 radiographers completed the questionnaire, with the majority (n = 207, 84.5 %) female. Not all respondents responded to all questions. The numbers of respondents for each section were: Pay n = 205, Promotion = 206, supervision = 212, fringe benefits = 211, CR = 212, OC = 214, Co-workers = 213, NoW = 211, Communication = 213 and overall JS = 205. The questionnaire had participants from twenty-one countries, with 66.5 % from Ireland. The mean values for emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA) indicate moderate levels of burnout among responding radiographers. 44.2 % of radiographers were dissatisfied, 43.7 % were ambivalent, and 12.1 % were satisfied overall. Workload, under-appreciated work, and time pressures were ranked as the top three factors contributing to burnout. Staff numbers, workload and poor management were the top three factors reducing job satisfaction.

Conclusion

Burnout levels were moderate, and overall job satisfaction was very low among radiographers. Workload and under-appreciation were key factors impacting low job satisfaction and high burnout.

Implications for practice

Healthcare policies that address radiographer burnout through wage structure adjustments, targeted human capital investment, and management practices aligned with staff needs are needed. Implementing these strategies is essential for improving healthcare efficiency, staff wellbeing, and patient care outcomes.
医疗保健行业的职业倦怠和低工作满意度会影响患者安全和员工留任。本研究旨在了解影响英国、爱尔兰和国际放射技师职业倦怠和工作满意度的因素。这可以为改善劳动力供需不平衡的策略提供信息。方法编制一份在线问卷,包括人口学问题和两种经验证的工具:Maslach职业倦怠量表(MBI)和工作满意度调查量表(JSS)。该问卷于2023年3月初通过维也纳欧洲放射学大会EFRS研究中心分发给诊断放射技师。它通过推特、脸书和电子邮件在网上传播了六周。结果共245名放射技师完成问卷调查,其中女性居多(n = 207, 84.5%)。并非所有受访者都回答了所有问题。每个部分的受访者人数为:薪酬= 205,晋升= 206,监督= 212,福利= 211,CR = 212, OC = 214,同事= 213,NoW = 211,沟通= 213,整体JS = 205。调查问卷的参与者来自21个国家,其中66.5%来自爱尔兰。情绪耗竭(EE)、人格解体(DP)和个人成就(PA)的平均值表明放射技师的倦怠程度中等。44.2%的放射技师不满意,43.7%表示矛盾,12.1%整体满意。工作量、未被充分赏识的工作和时间压力被列为导致职业倦怠的三大因素。员工数量、工作量和管理不善是降低工作满意度的三大因素。结论放射技师职业倦怠程度中等,整体工作满意度较低。工作负荷和被低估是影响低工作满意度和高工作倦怠的主要因素。对实践的影响需要制定医疗保健政策,通过调整工资结构、有针对性的人力资本投资和符合员工需求的管理实践来解决放射技师的职业倦怠问题。实施这些战略对于提高医疗保健效率、员工福利和患者护理结果至关重要。
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引用次数: 0
Evaluation of the induction programme for newly qualified radiographers: A survey study 新合资格放射技师入职计划的评估:调查研究
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 DOI: 10.1016/j.radi.2024.11.016
L. Bombelli , A. Roletto , G.R. Bonfitto , E. Scaramelli , S.V. Fasulo , D. Catania

Introduction

The role of radiographers is continuously expanding and holds a key position in the healthcare system due to the increasing complexity in patient care and support. Therefore, with a rise of demand for increasingly specialized and advanced skills, it is important to provide newly hired professionals with structured induction programs. This study proposes to explore the perceptions of newly qualified radiographers who have already experienced transition into practice.

Methods

A survey was distributed to newly qualified radiographers hired in a large university hospital in Italy. The questionnaire includes demographic data, sentences on patient management, decision-making, work organisation, development of self-confidence and relationships with other team members.

Results

The survey was completed by 22 newly qualified radiographers. Among the participants, 32 % graduated within the last year, and 46 % indicated that they had their first experience in a healthcare setting. Using a 5-point Linkert scale, only 10 out of 29 sentences received a score of 4 or higher, indicating agreement. Sentences on the perception of self-confidence in they work skills after the induction programme show higher scores among participants with more than one work experience, while sentences about support by management show discrepancy favouring participants with no work experience.

Conclusion

Radiographers included in the study believe they are adequately ready and well prepared for clinical practice after the induction programme, despite some differences between radiographers with different levels of experiences.

Implication for practice

A successful induction programme for newly qualified radiographers is crucial for developing a proactive approach, appropriate working methods, positive attitudes and a good work ethic, but also plays a role in reducing stress and worker turnover, ensuring a high quality of patient care.
由于患者护理和支持的复杂性日益增加,放射技师的作用不断扩大,在医疗保健系统中占据关键地位。因此,随着对越来越专业和高级技能的需求的增加,为新雇佣的专业人员提供结构化的入职培训非常重要。本研究旨在探讨已经历过渡至执业阶段的新合格放射技师的看法。方法对意大利某大型大学医院新聘用的放射技师进行调查。问卷包括人口统计数据、病人管理、决策、工作组织、自信心的发展以及与其他团队成员的关系。结果是次统计调查由22名新获认可的放射技师完成。在参与者中,32%的人在去年毕业,46%的人表示他们第一次在医疗机构工作。使用5分的Linkert量表,29个句子中只有10个得到4分或更高的分数,表明同意。在入职培训后,有一次以上工作经验的参与者在工作技能自信感知方面得分较高,而没有工作经验的参与者在管理支持方面得分差异较大。结论尽管不同经验水平的放射技师之间存在一些差异,但参与研究的放射技师认为他们在入职培训后已经为临床实践做好了充分的准备。对实践的启示一个成功的入职培训计划对于培养新合格的放射技师的积极态度,适当的工作方法,积极的态度和良好的职业道德至关重要,而且在减少压力和人员流失,确保高质量的病人护理方面也起着重要作用。
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引用次数: 0
Simulation-based education at level 4: The role of multidisciplinary team input in the design and facilitation of a simulated radiographic placement 4级模拟教育:多学科团队在设计和促进模拟放射摄影安置中的作用。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 DOI: 10.1016/j.radi.2024.11.017
R. Scott, E. Monaghan, D. Chebsey, S. Meighan-Davies, C. Gebbett

Introduction

Simulation based education (SBE) and creatively designed placements are becoming increasingly well established in radiography pedagogy and allow a more efficient use of clinical resources in the training of new radiographers to meet workforce demands. Student radiographers have expressed concern about striking a balance between providing patient centered care and developing their radiographic competency. A co-designed simulated placement was developed with a focus on these two aspects of radiography education aiming to increase the competence and confidence of level 4 students while incorporating patient centred care (PCC) into their practice.

Methods

A multidisciplinary approach was used to develop a nine-day simulation where activities were scaffolded to help student radiographers to learn, develop and revisit critical skills. The students completed a reflective journal during this placement, the contents of which were thematically analysed.

Results

Students reported a statistically significant improvement in perceived confidence levels related to both radiographic and broad-based skills after simulation sessions. Several additional themes emerged from the reflective data related to communication skills, preparation for practice, perceptions of simulation and an empowered identity as a student radiographer. The students’ reflective diaries also explored students’ perceptions of their roles in the promotion patient centred care and they reported that the addition of realistic stressors inspired by the clinical environment, allowed them to practice dealing with these situations in a safe space.

Conclusion

: SBE effects students’ perceptions of their competence and confidence in the clinical environment. By providing a safe space, SBE empowers students to respond to some stressors that might be encountered in clinical practice. A carefully scaffolded, multidisciplinary approach to simulated placement is good for confidence and competence building.

Implications for practice

The multi-professional dynamic partnership enabled effective collaboration to deliver a positively evaluated simulation package. Students were motivated to deliver enhanced PCC and had a strong desire to drive change, to guarantee patient safety and high-quality care.
简介:基于模拟的教育(SBE)和创造性设计的实习在放射学教学中越来越成熟,并且可以更有效地利用临床资源来培训新的放射技师,以满足劳动力需求。学生放射技师对在提供以病人为中心的护理和发展他们的放射能力之间取得平衡表示关注。我们设计了一个模拟实习,重点关注放射学教育的这两个方面,旨在提高4级学生的能力和信心,同时将以病人为中心的护理(PCC)纳入他们的实践。方法:采用多学科方法开发为期九天的模拟,其中活动是脚手架,以帮助学生放射技师学习,发展和重新审视关键技能。学生们在实习期间完成了一份反思日志,并对其内容进行了主题分析。结果:在模拟课程后,学生报告了与放射学和基础技能相关的感知信心水平的统计显着改善。从与沟通技巧、实践准备、模拟感知和作为学生放射技师的授权身份相关的反思数据中出现了几个其他主题。学生们的反思日记还探讨了学生们对他们在促进以病人为中心的护理中的角色的看法,他们报告说,临床环境启发的现实压力源的增加,使他们能够在一个安全的空间里练习处理这些情况。结论:SBE影响学生对自己在临床环境中的能力和信心的认知。通过提供一个安全的空间,SBE使学生能够对临床实践中可能遇到的一些压力源做出反应。一个精心搭建的、多学科的模拟实习方法有利于自信和能力的建立。实践意义:多专业动态伙伴关系使有效协作能够提供积极评估的模拟包。学生们有动力提供更好的PCC,并有强烈的愿望推动变革,以确保患者安全和高质量的护理。
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引用次数: 0
期刊
Radiography
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