Henderson I, Mathers S A, McConnell J
School of Health Sciences, Robert Gordon University, Garthdee Road, Aberdeen AB10 7QG, UK.
School of Health Sciences, Robert Gordon University, Garthdee Road, Aberdeen AB10 7QG, UK; NHS Grampian Health Board, Aberdeen AB24 2ZN, UK.
Radiography (Lond). 2017 Aug;23(3):181-186. doi: 10.1016/j.radi.2017.02.009. Epub 2017 Mar 22.
The development of diagnostic imaging services manifests features specific to the Scottish environment, in particular development of the radiographic workforce through implementing skills mix and role developments to enhance outcomes for patients. A component of a College of Radiographers Industry Partnership Scheme (CoRIPS) supported study, this research investigates perspectives of strategic service managers with Health Board responsibility for service delivery.
A questionnaire survey was administered to strategic service managers across Scotland (N = 14), followed up with telephone interviews. There was a return rate of 57% (n = 8) for the questionnaires and n = 4 agreed to be interviewed. Data collected related to radiographer roles across their Board area; awareness and understanding of service development issues and features as well as perspective on opportunities and barriers in the context of Scottish Government policy, workforce logistics, attitudes and inter-professional relationships.
The results indicate evidence of financial, logistical and political barriers to service evolution, offset by a sense of optimism that scope for beneficial change may be approaching. There are a range of significant initiatives in place and an appetite exists to pursue the development of radiographer roles and skill mix for the benefit of service users more generally.
The difficulties in achieving change are well understood and there are basic issues related to finance and industrial relations. There are also however, cultural elements to contend with in the form of attitudes demonstrated by some radiographers and significantly, the radiological community whose influence on the practice of independently regulated radiographers seems incongruent.
诊断成像服务的发展呈现出苏格兰环境特有的特征，特别是通过实施技能组合和角色发展来培养放射技师队伍，以改善患者的治疗效果。作为放射技师学院行业合作计划（CoRIPS）支持的一项研究的一部分，本研究调查了负责服务提供的卫生委员会战略服务经理的观点。
对苏格兰各地的战略服务经理进行了问卷调查（N = 14），随后进行了电话访谈。问卷的回复率为57%（n = 8），有4人同意接受访谈。收集的数据涉及他们所在委员会区域内放射技师的角色；对服务发展问题和特征的认识与理解，以及在苏格兰政府政策、劳动力后勤、态度和跨专业关系背景下对机会和障碍的看法。
结果表明存在服务发展的财务、后勤和政治障碍，但同时也有一种乐观情绪，认为有益变革的空间可能正在到来。目前有一系列重大举措，并且普遍有意愿为更广泛的服务用户发展放射技师的角色和技能组合。
人们充分理解实现变革的困难，并且存在与财务和劳资关系相关的基本问题。然而，还存在一些文化因素需要应对，比如一些放射技师表现出的态度，以及尤为重要的是，放射学界对独立执业放射技师实践的影响似乎不协调。
