Oxford University Hospitals NHS Foundation Trust, Radiotherapy Department, Level 0, Churchill Hospital, Oxford Cancer Centre, Old Road, Headington, Oxford, OX3 7LE, UK.
Radiography (Lond). 2021 Aug;27(3):950-955. doi: 10.1016/j.radi.2021.01.002. Epub 2021 Feb 1.
This review seeks to explore the perceived impact, challenges and barriers of advanced and consultant radiographer roles on staff, patients and healthcare. A systematic approach was used to search for and identify suitable literature for review. All appropriate literature was critically appraised and analysed qualitatively by thematic analysis. The results were integrated to give an overall evaluation of the impact of advanced and consultant practice within Therapeutic Radiography.
The literature found eleven studies that met the inclusion criteria and after critical appraisal, all were included in the analysis. Five key themes emerged from the analysis which is in keeping with the literature: education, quality of working life, patient care, benefit to healthcare and implementation obstacles.
Most advanced and consultant radiographers felt unprepared for these roles and the education requirements were varied and misunderstood. It was well documented that the advanced and consultant radiographer found great satisfaction from these roles and felt that it benefitted the patients as well as themselves and their career. Advanced and consultant roles benefitted patients by streamlining pathways and increasing satisfaction and there was a clear benefit to healthcare due to time and cost savings. The implementation obstacles focused around a lack of understanding and support from colleagues. There is a positive impact from advanced and consultant roles in therapeutic radiography to patients, staff and the healthcare system.
There are challenges with respect to educational requirements, implementation obstacles and understanding of these roles which need to be addressed. There needs to be more education about the benefits of these roles so that they are encouraged and the staff are supported.
本综述旨在探讨高级放射技师和顾问放射技师角色对员工、患者和医疗保健的感知影响、挑战和障碍。采用系统方法搜索和确定适合综述的文献。对所有合适的文献进行批判性评价，并通过主题分析进行定性分析。将结果整合起来，对治疗放射学中高级和顾问实践的影响进行全面评估。
文献中发现了 11 项符合纳入标准的研究，经过批判性评价，所有研究都被纳入分析。分析中出现了五个关键主题，与文献一致：教育、工作生活质量、患者护理、对医疗保健的益处和实施障碍。
大多数高级和顾问放射技师觉得自己对这些角色没有准备，而且教育要求各不相同，也被误解了。有大量文献记录表明，高级和顾问放射技师从这些角色中获得了极大的满足感，并认为这些角色不仅对患者有益，对自己和他们的职业也有益。高级和顾问角色通过简化流程、提高患者满意度，为患者和医疗保健系统带来了明显的益处。实施障碍主要集中在同事缺乏理解和支持上。治疗放射学中的高级和顾问角色对患者、员工和医疗保健系统都有积极的影响。
在教育要求、实施障碍和对这些角色的理解方面存在挑战，需要解决这些问题。需要更多关于这些角色益处的教育，以鼓励这些角色的实施，并为员工提供支持。
