尼日利亚循证医学成像实践:一种范例还是安慰剂?

Anthony Chukwuka Ugwu , E. Udo Benjamin , M. Ifenatuora Jennifer , Erondu Okechukwu Felix
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引用次数: 9

摘要

任何没有基于当前最佳证据的医学影像学实践或教育都是不科学的,缺乏可持续质量和改进的能力。从文献检索来看,没有任何结构化或实证研究来确定尼日利亚放射技师对循证医学成像的知识态度和看法。目的本研究的目的是评估尼日利亚东南部医学成像科学家(放射技师)对使用循证医学成像的知识和态度。方法采用定量研究方法。向在尼日利亚东南部医院工作的所有放射技师发送了一份调查问卷,可以与他们建立联系(n = 60)。调查问卷的问题包括放射技师对EBMI的定义、参加EBMI课程的情况、患者参与EBMI的意愿和能力以及他们认为使用EBMI的障碍。数据分析包括描述性统计和放射技师建议的主题分析。采用SPSS(11.0)统计软件。结果60份问卷中有50份被回收。没有一个受访者参加过EBMI课程,定期阅读或订阅期刊。88%的受访者选择了EBMI的正确定义。62%的放射技师认为EBMI对他们来说是全新的。对EBMI利用障碍的分析表明,无法获得EBMI资源是主要障碍(36%)。15名(30%)放射技师认为10%的病人可以参加EBMI, 4名(8%)放射技师认为100%的病人可以参加。大多数受访者(48%)相信对放射技师进行大众教育,可改善放射技师的循证照护工作。结论:在尼日利亚东南部,大多数放射技师(医学成像科学家)对EBMI的使用缺乏知识和态度。确定了使用循证医学成像的个人和组织障碍。需要大众教育和更好的组织平台来改善尼日利亚的EBMI实践。将EBMI整合到实际临床,教学,管理和研究领域的广泛方法为尼日利亚放射技师进行了调查。
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Evidence based medical imaging practice in Nigeria: A paradigm or a placebo?

Background

Any Medical imaging practice or education which is not based on current best evidence is unscientific and lacks the capability for sustainable quality and improvement. From literature search, there has not been any structured or empirical research to determine the knowledge attitudes and perceptions of radiographers to evidence based medical imaging in Nigeria.

Purpose

The purpose of this study was to assess the knowledge and attitudes towards the use of evidence based medical imaging among medical imaging scientists (radiographers) in south eastern Nigeria.

Methods

Quantitative research methods were employed. A questionnaire was sent to all radiographers working in hospitals in south eastern Nigeria for whom contact could be established (n = 60). The questionnaire included questions seeking information on radiographer’s definition of EBMI, attendance at EBMI courses, beliefs regarding patients’ willingness and capability to participate in EBMI and their perceived barriers to use of EBMI. Data analysis involved descriptive statistics and theme analysis of suggestions made by radiographers. SPSS (11.0) was used.

Results

Fifty out of the sixty questionnaires were returned. None of the respondents have ever attended an EBMI course, reads regularly or subscribes to a journal. 88% of respondents ticked the correct definition of EBMI. 62% of radiographers commented that EBMI is new to them. Analysis of barriers to the use of EBMI showed that no access to EBMI resources was the dominant barrier (36%). 15 (30%) of radiographers believe that 10% of patients can participate in EBMI, while 4 (8%) of radiographers believe that 100% of patients can participate. The majority of respondents (48%) believe that mass education of radiographers will improve the practice of EBMI.

Conclusions

We conclude that there is poor knowledge and attitude towards the use of EBMI by most radiographers (medical imaging scientists) in the south east Nigeria. Individual and organizational barriers to the use of evidence based medical imaging were identified. Mass education and better organizational platforms are needed to improve the practice of EBMI in Nigeria. A broad-based approach that integrates EBMI into practical clinical, teaching, administration and research domains is canvassed for Nigerian radiographers.

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