Diagnostic Imaging, College of Health, Psychology & Social Care, University of Derby, Kedleston Road, Derby, DE22 1GB, UK.
Radiography & Imaging Practice Research, Faculty of Health Studies, University of Bradford, Richmond Road, Bradford, BD7 1DP, UK.
Radiography (Lond). 2021 Aug;27(3):803-810. doi: 10.1016/j.radi.2020.12.013. Epub 2021 Jan 28.
Awareness is growing of the importance of patient centered care (PCC) in diagnostic radiography. PCC is embedded within professional body publications and guidance documents, but there is limited research evidence exploring the perceptions of student radiographers and radiography academics.
This paper reports Stage 1 and Stage 2 of the project from the perspective of radiography academic and student radiographer participants, and compares these to the perspectives of service users, clinical radiographers and radiography managers reported previously. Stage 1 used an online survey tool to gauge participant agreement with a series of attitudinal statements. Stage 2 used situational vignettes to promote discussion and debate about PCC approaches.
Response rates to the Stage 1 survey were above the minimum threshold, with 50 responses from student radiographers and 38 responses from radiography academics. Stage 1 participants were asked to participate in Stage 2 on a voluntary basis. As with service users and service deliverers, care communication, event interactions and control over environment were the key influences on PCC. However, students highlighted differences between reported and observed levels of PCC.
There is some way to go to embed PCC in diagnostic radiography practice. As impartial observers of radiography practice, student radiographers highlight the difference between service users and service deliverer's perceptions of PCC. Whilst the focus of clinical radiographers remains on efficiency, it is difficult for student radiographers to challenge the accepted norm. Role models are required to promote PCC behaviours and a holistic approach in radiography practice.
A package of educational support and audit tools will be made available to support both service deliverers and student radiographers to deliver PCC.
人们越来越意识到以患者为中心的护理（PCC）在诊断放射学中的重要性。PCC 嵌入在专业机构的出版物和指导文件中，但对于学生放射技师和放射科学术人员的看法，研究证据有限。
本文从放射科学术人员和学生放射技师参与者的角度报告了该项目的第 1 阶段和第 2 阶段，并将这些与之前报告的服务使用者、临床放射技师和放射科管理人员的观点进行了比较。第 1 阶段使用在线调查工具来衡量参与者对一系列态度陈述的认同程度。第 2 阶段使用情境事例来促进关于 PCC 方法的讨论和辩论。
第 1 阶段调查的回复率高于最低门槛，学生放射技师有 50 人回复，放射科学术人员有 38 人回复。第 1 阶段的参与者被要求自愿参加第 2 阶段。与服务使用者和服务提供者一样，护理沟通、事件互动和对环境的控制是对 PCC 的主要影响。然而，学生强调了报告的 PCC 水平与观察到的水平之间的差异。
在诊断放射学实践中嵌入 PCC 还有很长的路要走。作为放射学实践的公正观察者，学生放射技师强调了服务使用者和服务提供者对 PCC 的看法之间的差异。虽然临床放射技师的重点仍然是效率，但学生放射技师很难挑战公认的规范。需要榜样来促进 PCC 行为和放射学实践的整体方法。
将提供一整套教育支持和审计工具，以支持服务提供者和学生放射技师提供 PCC。
