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进阶实践之旅:苏格兰报告放射技师的目的地及更远的阐释现象学分析。

The journey to advanced practice: An Interpretative Phenomenological Analysis of reaching destination and beyond for reporting radiographers in Scotland.

机构信息

School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow, G4 0BA, UK.

School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow, G4 0BA, UK.

出版信息

Radiography (Lond). 2020 Aug;26(3):214-219. doi: 10.1016/j.radi.2019.11.093. Epub 2019 Dec 13.

DOI:10.1016/j.radi.2019.11.093
PMID:32052764
Abstract

INTRODUCTION

Optimising radiographer and radiologist skill-mix is essential to increase efficiency and ensure quality patient care and safety in radiology services. Radiographer reporting, well established within the UK, has been legally and legitimately identified within the scope of radiographer practice for many years. Little research however has focused on perceptions and experiences of practitioners as they journey towards advanced practice in skeletal trauma reporting.

METHODS

A two-phase qualitative approach, utilising Interpretative Phenomenological Analysis (IPA), included a homogenous group of radiographer practitioners (n = 12). Phase 1 thematically analysed personal reflective diaries. Phase 2 included one-one, semi-structured interviews which were recorded, transcribed verbatim and reviewed using the IPA six stage thematic analysis.

RESULTS

Three super-ordinate themes emerged. This paper reflects the IPA generated from Super-ordinate Theme 3; Review upon and action for the role. Participants had reached destination and beyond with a focus on development of role, self and others. As reporting became firmly embedded, there was increased acceptance, educational development and positive impact on service. Reflections indicated motivation, drive, commitment, increased confidence and self-esteem CONCLUSION: This study provides an insight in to the participant journey towards advanced practice and skeletal trauma reporting in Scotland as participants reached destination and beyond.

IMPLICATIONS FOR PRACTICE

Developments within the NHS continue to rapidly evolve and diagnostic imaging, with advancing technology, practice and changing policies, continues to remain in a constant state of change. Continued support and investment for role development, framed within a culture of effective teamworking, positive engagement and professional respect is essential.

摘要

简介

优化放射技师和放射科医生的技能组合对于提高放射科服务的效率、确保患者护理质量和安全至关重要。放射技师报告在英国已经得到广泛应用,多年来一直被合法地确定为放射技师实践的范围之内。然而,几乎没有研究关注从业者在迈向骨骼创伤报告高级实践时的看法和经验。

方法

采用解释现象学分析(IPA)的两阶段定性方法,包括一组同质的放射技师从业者(n=12)。第 1 阶段对个人反思日记进行主题分析。第 2 阶段包括一对一、半结构化访谈,对访谈进行记录、逐字转录,并使用 IPA 的六个阶段主题分析进行审查。

结果

出现了三个超主题。本文反映了 IPA 从超主题 3 中生成的内容;对角色的审查和行动。参与者已经到达目的地并超越了目的地,重点是发展角色、自我和他人。随着报告的牢固确立,接受度、教育发展和对服务的积极影响有所增加。反思表明了动力、驱动力、承诺、信心和自尊心的增强。

结论

本研究深入了解了苏格兰参与者在高级实践和骨骼创伤报告方面的旅程,参与者已经到达并超越了目的地。

对实践的启示

NHS 的发展继续迅速演变,随着技术的进步、实践和政策的变化,诊断成像也在不断变化。为了发展角色,需要继续提供支持和投资,并将其框架构建在有效的团队合作、积极参与和专业尊重的文化中。

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