Carrie Hipple, EdD, R.T.(R), is a lecturer for Northern Kentucky University in Highland Heights.
Olawunmi Obisesan, PhD, DHEd, is contributing faculty for A.T. Still University in Kirksville, Missouri.
Radiol Technol. 2022 Jul-Aug;93(6):517-531.
To understand the challenges faced by radiologic technologists working in a pediatric setting when addressing patients' and caregivers' concerns about ionizing radiation exposure during imaging examinations and to determine how technologists' can increase their confidence when providing this information.
Qualitative data were collected from 7 pediatric radiologic technologists working at a large pediatric teaching hospital. Semistructured interviews were recorded, transcribed, and analyzed using MAXQDA software (VERBI Software).
Radiologic technologists' confidence declined when patients and caregivers requested detailed and specific radiation dose information. The most common concerns expressed by patients and caregivers were shielding, radiation dose, and the long-term effects of radiation exposure. In addition, the radiologic technologists reported that continuing education and patient education pamphlets could help improve their confidence when discussing radiation doses and risks with patients.
The pediatric radiologic technologists in this study reported challenges of providing radiation dose and risk information to patients and caregivers, especially when detailed or complex information was requested. Radiologic technologists might be apprehensive to provide detailed information to caregivers and patients because pediatric patients vary in size and the dose given. Furthermore, radiologic technologists might be concerned that patients will worry unnecessarily and potentially refuse imaging examinations. Patient and caregiver concerns identified in this study might be elevated because the patients are children.
There is a critical need to equip radiologic technologists with the tools necessary to enhance their self-efficacy in addressing pediatric patients' and their caregivers' concerns related to the use of ionizing radiation for medical imaging procedures.
了解在儿科环境中工作的放射技师在应对患者和照护者对影像学检查中电离辐射暴露的担忧时所面临的挑战,并确定技师如何增强提供此类信息时的信心。
从一家大型儿科教学医院的 7 名儿科放射技师收集定性数据。使用 MAXQDA 软件(VERBI Software)对半结构化访谈进行记录、转录和分析。
当患者和照护者要求详细和具体的辐射剂量信息时,放射技师的信心会下降。患者和照护者最常表达的担忧是屏蔽、辐射剂量和辐射暴露的长期影响。此外,放射技师报告说,继续教育和患者教育手册可以帮助他们在与患者讨论辐射剂量和风险时增强信心。
本研究中的儿科放射技师报告了向患者和照护者提供辐射剂量和风险信息的挑战,特别是当要求详细或复杂的信息时。放射技师可能会因为儿科患者的体型和给予的剂量不同而对向照护者和患者提供详细信息感到不安。此外,放射技师可能担心患者会不必要地担心并可能拒绝影像学检查。本研究中确定的患者和照护者的担忧可能会增加,因为患者是儿童。
迫切需要为放射技师配备必要的工具,以增强他们在解决与儿科患者及其照护者对用于医学成像程序的电离辐射的使用相关的问题时的自我效能感。