Stevens B J, White N
Walsall Healthcare NHS Trust, UK.
Birmingham City University, UK.
Radiography (Lond). 2018 Aug;24(3):219-223. doi: 10.1016/j.radi.2018.01.004. Epub 2018 Feb 15.
Abnormality detection system use across National Health Service (NHS) hospitals is widespread with radiographer participation considered as fundamental to the role. The "red dot" system is evolving towards the preliminary clinical evaluation (PCE) system. Newly qualified radiographers will be expected to be able to provide accurate descriptive comments. Confidence and training issues may hinder implementation of the PCE system.
An online quantitative survey approach was used. Participants were sought from 24 major trauma centres (MTC) across England. The sample frame was defined as radiographers who had been qualified less than 2 years. Approval to approach was granted by all local Research & Development departments. Cross-tabulation and correlational statistical analyses were undertaken.
Approval to approach radiographers was granted in 17 of the 24 MTCs yielding 85 participants, 63 females and 22 males. The large majority are confident with their red dot skills. Strong correlation exists between university training and PCE confidence. However, almost a third of participants are not confident in describing abnormalities. Thirty percent of participants thought PCE training at university was not suitable, and 55% thought PCE training on placement was not suitable.
While red dot training at university and placement is considered suitable as it positively affects confidence, participants' views on PCE training are more variable. At university PCE training positively influences confidence in describing abnormalities, but commenting training on placement is recognised as an area for improvement. A larger study is suggested to gain further understanding of any issues hindering widespread PCE implementation.
异常检测系统在英国国家医疗服务体系(NHS)医院中广泛应用,放射技师的参与被视为该工作的基础。“红点”系统正在向初步临床评估(PCE)系统发展。新获得资格的放射技师需要能够提供准确的描述性意见。信心和培训问题可能会阻碍PCE系统的实施。
采用在线定量调查方法。从英格兰的24个主要创伤中心(MTC)招募参与者。样本框架定义为资格年限少于2年的放射技师。所有当地研发部门均批准了此次调查。进行了交叉制表和相关统计分析。
24个MTC中的17个批准了对放射技师的调查,共85名参与者,其中63名女性,22名男性。绝大多数人对他们的红点技能有信心。大学培训与PCE信心之间存在强相关性。然而,近三分之一的参与者对描述异常情况没有信心。30%的参与者认为大学的PCE培训不合适,55%的参与者认为实习期间的PCE培训不合适。
虽然大学和实习期间的红点培训被认为是合适的,因为它对信心有积极影响,但参与者对PCE培训的看法更多样化。在大学,PCE培训对描述异常情况的信心有积极影响,但实习期间的评论培训被认为是一个需要改进的领域。建议进行更大规模的研究,以进一步了解阻碍PCE广泛实施的任何问题。