Milner R C, Snaith B
Mid Yorkshire Hospitals NHS Trust, Aberford Road, Wakefield, West Yorkshire, WF1 4DG, UK.
Mid Yorkshire Hospitals NHS Trust, Aberford Road, Wakefield, West Yorkshire, WF1 4DG, UK; Faculty of Health Studies - Horton A, University of Bradford, Richmond Road, Bradford, West Yorkshire, BD7 1DP, UK.
Radiography (Lond). 2017 Feb;23(1):48-54. doi: 10.1016/j.radi.2016.09.001. Epub 2016 Sep 28.
Advanced practice roles are emerging in all disciplines at a rapid pace and reporting radiographers are ideally placed to work at such level. Advanced practitioners should demonstrate expert practice and show progression into three other areas of higher level practice. Most existing literature has focussed on the image interpretation aspect of the role, however there is little evidence that plain film reporting radiographers are undertaking activities beyond image interpretation and fulfilling the role of advanced practitioner.
Letters were posted to every acute NHS trust in the UK, inviting reporting radiographers to complete an online survey. Both quantitative and qualitative information was sought regarding demographics and roles supplementary to reporting.
A total of 205 responses were analysed; 83.3% of reporting radiographers describe themselves as advanced practitioner, however significantly less are showing progression into the four core functions of higher level practice. A total of 97.0% undertake expert practice, 54.7% have a leadership role, 19.8% provide expert lectures and 71.1% have roles encompassing service development or research, though most of these fall into the service development category. 34.5% felt that they were aware of the differences between extended and advanced practice though much less (9.3%) could correctly articulate the difference.
Few individuals are aware of the difference between extended and advanced practice. Though the majority of plain film reporting radiographers identify themselves as advanced practitioners, significantly less evidence all four core functions of higher level practice. The number of individuals undertaking research and providing expert-level education is low.
高级实践角色正在各学科迅速涌现，而负责报告的放射技师处于理想位置，能够胜任这一水平的工作。高级从业者应展现出专家级实践，并在其他三个更高水平的实践领域取得进展。现有大多数文献都聚焦于该角色的影像解读方面，然而，几乎没有证据表明普通X线片报告放射技师除了影像解读之外还开展其他活动，履行高级从业者的职责。
向英国国民健康服务体系（NHS）的每一家急症信托机构发送信件，邀请负责报告的放射技师完成一项在线调查。调查寻求有关人口统计学以及报告之外补充角色的定量和定性信息。
共分析了205份回复；83.3%的负责报告的放射技师将自己描述为高级从业者，然而，只有少得多的人在向更高水平实践的四项核心职能发展。共有97.0%的人进行专家级实践，54.7%的人担任领导角色，19.8%的人提供专家讲座，71.1%的人承担包括服务发展或研究在内的职责，不过其中大多数属于服务发展类别。34.5%的人认为他们了解扩展实践和高级实践之间的差异，然而能够正确阐述这种差异的人要少得多（9.3%）。
很少有人了解扩展实践和高级实践之间的差异。尽管大多数普通X线片报告放射技师将自己认定为高级从业者，但能充分体现更高水平实践全部四项核心职能的证据要少得多。从事研究和提供专家级教育的人数较少。
