Metsälä Eija, Richli Meystre Nicole, Pires Jorge José, Henner Anja, Kukkes Tiina, Sá Dos Reis Cláudia
Metropolia University of Applied Sciences, Mannerheimintie 172, PO BOX 4033, 00079, Metropolia, Finland.
Haute Ecole de Santé Vaud, Av. de Beaumont 21, 1011, Lausanne, Switzerland.
Insights Imaging. 2017 Jun;8(3):329-343. doi: 10.1007/s13244-016-0542-1. Epub 2017 Mar 16.
This study aims to identify European radiographers' challenges in clinical performance in mammography and the main areas of mammography that require more and better training.
An extensive search was performed to identify relevant studies focused on clinical practice, education and training in mammography published between January 2010 and December 2015 in the English language. The data were analysed by using deductive thematic analysis.
A total of 27 full text articles were read, evaluating their quality. Sixteen articles out of 27 were finally selected for this integrative review. The main challenges of radiographers' mammography education/training can be divided into three groups: training needs, challenges related to radiographers, and challenges related to the organization of education. The most common challenges of clinical performance in mammography among European radiographers involved technical performance, the quality of practices, and patient-centeredness.
The introduction of harmonized mammography guidelines across Europe may serve as an evidence-based tool to be implemented in practice and education. However, the variability in human and material resources as well as the different cultural contexts should be considered during this process.
• Radiographers' awareness of their professional identity and enhancing multiprofessional cooperation in mammography. • Radiographers' responsibilities regarding image quality (IQ) and optimal breast imaging performance. • Patient-centred mammography services focusing on the psychosocial needs of the patient. • Challenges: positioning, QC-testing, IQ-assessment, optimization of breast compression, communication, teamwork, and patient-centred care. • Introduction of evidence-based guidelines in Europe to harmonize mammography practice and education.
本研究旨在确定欧洲放射技师在乳腺摄影临床操作中面临的挑战，以及乳腺摄影中需要更多更好培训的主要领域。
进行了广泛的检索，以确定2010年1月至2015年12月期间以英文发表的、聚焦于乳腺摄影临床实践、教育和培训的相关研究。采用演绎主题分析法对数据进行分析。
共阅读了27篇全文文章并评估其质量。最终从27篇文章中选出16篇用于本综合综述。放射技师乳腺摄影教育/培训的主要挑战可分为三组：培训需求、与放射技师相关的挑战以及与教育组织相关的挑战。欧洲放射技师在乳腺摄影临床操作中最常见的挑战涉及技术操作、实践质量和以患者为中心。
在欧洲引入统一的乳腺摄影指南可作为一种基于证据的工具，用于实践和教育。然而，在此过程中应考虑人力和物力资源的差异以及不同的文化背景。
• 放射技师对其职业身份的认识以及加强乳腺摄影中的多专业合作。• 放射技师在图像质量（IQ）和最佳乳腺成像性能方面的责任。• 以患者为中心的乳腺摄影服务，关注患者的心理社会需求。• 挑战：定位、质量控制测试、IQ评估、乳腺压迫优化、沟通、团队合作和以患者为中心的护理。• 在欧洲引入基于证据的指南，以统一乳腺摄影实践和教育。
