Department of Nursing Science, School of Health Sciences, Jönköping University, Box 1026, SE-551 11, Jönköping, Sweden,
Insights Imaging. 2012 Dec;3(6):635-45. doi: 10.1007/s13244-012-0194-8. Epub 2012 Oct 19.
To describe radiographers' self-assessed level and use of competencies as well as how sociodemographic and situational factors are associated with these competencies, particularly related to work experience.
A cross-sectional design was employed. Radiographers (n = 406) completed the self-administered 28-item questionnaire encompassing two dimensions: 'Nurse-initiated care' and 'Technical and radiographic processes'. The level of competencies was rated on a 10-point scale and the frequency of use on a 6-point scale.
Most competencies received high ratings both in terms of level and frequency of use. In 'Nurse-initiated care' the competency 'Adequately informing the patient' was rated the highest, while 'Identifying and encountering the patient in a state of shock' and 'Participating in quality improvement regarding patient safety and care' received the lowest ratings. In 'Technical and radiographic processes' the highest rated competencies were 'Adapting the examination to the patient's prerequisites and needs' and 'Producing accurate and correct images'. The lowest frequency of use was 'Preliminary assessment of images'.
The main findings underline the radiographers' high competency in both 'Nurse-initiated care' and 'Technical and radiographic processes'. The lower rated competencies emphasise the importance of continuous professional education and quality improvement.
• Assessing radiographers' clinical competencies is fundamental for ensuring professional standards. • Most competencies received high ratings both in the nursing and in the radiographic dimensions. • The highest rated competencies focussed on information and adaptability to the patients needs. • The lowest rated competencies focussed on encountering the patient in shock and image assessments. • Age, years in present position and work place only explained a relatively small part of competency.
描述放射技师自我评估的能力水平和使用情况，以及社会人口学和情境因素如何与这些能力相关，特别是与工作经验相关。
采用横断面设计。放射技师（n=406）完成了包含两个维度的 28 项自我管理问卷：“护士主导的护理”和“技术和放射学流程”。能力水平的评分基于 10 分制，使用频率的评分基于 6 分制。
大多数能力在水平和使用频率方面都得到了较高的评分。在“护士主导的护理”中，“充分告知患者”的能力评分最高，而“识别和遇到休克状态的患者”和“参与关于患者安全和护理的质量改进”的能力评分最低。在“技术和放射学流程”中，评分最高的能力是“根据患者的先决条件和需求调整检查”和“制作准确和正确的图像”。使用频率最低的是“初步评估图像”。
主要发现强调了放射技师在“护士主导的护理”和“技术和放射学流程”方面的高能力。评分较低的能力强调了持续专业教育和质量改进的重要性。
评估放射技师的临床能力对于确保专业标准至关重要。
大多数能力在护理和放射学维度上都得到了较高的评分。
评分最高的能力侧重于向患者提供信息和适应患者的需求。
评分最低的能力侧重于遇到休克的患者和图像评估。
年龄、现职年限和工作地点仅能解释能力的一小部分。
