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英国CT头部报告放射技师的执业范围评估。

An evaluation of CT head reporting radiographers' scope of practice within the United Kingdom.

作者信息

Lockwood P

机构信息

Clinical and Medical Sciences Research Hub, School of Allied Health Professions, Canterbury Christ Church University, North Holmes Road, Canterbury, Kent, UK.

出版信息

Radiography (Lond). 2020 May;26(2):102-109. doi: 10.1016/j.radi.2019.09.001. Epub 2019 Sep 21.

DOI:10.1016/j.radi.2019.09.001
PMID:32052789
Abstract

INTRODUCTION

This study investigated the scope of practice of CT head reporting radiographers in the UK, and to compare adherence to professional body standards.

METHODS

An online questionnaire was utilized applying both multiple-choice and response (closed questions), and qualitative open question free-text responses. The 30 questions covered four key areas of demographics, the scope of practice, referrals, and ongoing competence, as described in professional body national guidance standards. The questionnaire was disseminated (convenience sampling) via Twitter and email to the National CT Head Reporting Special Interest Group. Responses were transcribed and coded; the results applied descriptive statistics to summarise observations of the study sample.

RESULTS

The sample of participant response data analysed was n = 54. Most respondents were from England, with a postgraduate certificate award in clinical reporting, and a mean length of 8.3 years of reporting experience. The accepted referral pathway included a wide range of medical and surgical specialities, including both in and outpatients and acute and chronic pathways. Furthermore, 96.2% of the sample had a scope of practice that authorised referral recommendations to a broad and inclusive group of medical and surgical teams, and if required further or repeat diagnostic imaging. To maintain quality and evidence of ongoing competency, all radiographers were involved in audit cycles.

CONCLUSION

The data collected confirmed the reporting practice within this sample group aligns to national recommended guidance. The data provided key information on the range and variation of individuals scope of practice within age restrictions of patients, examination types, referral teams, and ongoing competency practices.

IMPLICATIONS FOR PRACTICE

This paper details the scope of practice of CT head reporting by radiographers and the contribution made to the healthcare sector.

摘要

引言

本研究调查了英国CT头部报告放射技师的执业范围,并比较其对专业机构标准的遵守情况。

方法

采用在线问卷,包含多项选择题和回答(封闭式问题),以及定性开放式问题的自由文本回答。这30个问题涵盖了专业机构国家指导标准中描述的人口统计学、执业范围、转诊和持续能力四个关键领域。问卷通过推特和电子邮件(便利抽样)分发给全国CT头部报告特别兴趣小组。对回答进行转录和编码;结果应用描述性统计来总结研究样本的观察结果。

结果

分析的参与者回答数据样本为n = 54。大多数受访者来自英格兰,拥有临床报告研究生证书,平均报告经验为8.3年。公认的转诊途径包括广泛的医学和外科专业,包括门诊和住院患者以及急性和慢性途径。此外,96.2%的样本的执业范围授权向广泛且包容的医学和外科团队提出转诊建议,并在需要时进行进一步或重复的诊断成像。为了保持质量和持续能力的证据,所有放射技师都参与了审核周期。

结论

收集到的数据证实了该样本组内的报告实践符合国家推荐指南。这些数据提供了关于患者年龄限制、检查类型、转诊团队和持续能力实践范围内个人执业范围的范围和差异的关键信息。

对实践的启示

本文详细介绍了放射技师进行CT头部报告的执业范围以及对医疗保健部门的贡献。

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