Charles Sturt University, Wagga Wagga, New South Wales, Australia.
Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
J Med Radiat Sci. 2023 Sep;70(3):239-246. doi: 10.1002/jmrs.668. Epub 2023 Mar 20.
The need to balance pain management and radiographic image quality is at the forefront of patient care in diagnostic radiography. This study aimed to identify the decision-making that radiographers employ when undertaking planar diagnostic imaging for pain-afflicted adult trauma patients and the factors that influence these decisions.
A virtual focus group interview was undertaken with six experienced Australian radiographers using a realistic scenario and questions based on it. Thematic analysis was employed to explore how radiographers approached planar diagnostic imaging of trauma patients and what influenced decisions regarding patient movement.
Five key factors in radiographers' decision-making were identified: assistance from the multidisciplinary team, understanding the patient, pain reduction methods, the patient being informed and radiographer competence. Radiographers were found to further utilise professional knowledge of image interpretation and anatomy and physiology, in conjunction with interpersonal capabilities, to undertake radiographic examinations.
The decision-making process that informs the movement of pain-afflicted adult trauma patients is multifactorial, aligning with the broad healthcare principles of multidisciplinary teamwork, holistic management of the patient and professional knowledge and practice. Further research is needed to explore correlations with different patient groups to validate this research.
在诊断放射学中，平衡疼痛管理和影像学图像质量的需求是患者护理的首要任务。本研究旨在确定放射技师在为疼痛成年创伤患者进行平面诊断成像时所采用的决策，以及影响这些决策的因素。
使用基于真实场景的问题，对六名有经验的澳大利亚放射技师进行了虚拟焦点小组访谈。采用主题分析来探讨放射技师如何处理创伤患者的平面诊断成像，以及影响患者移动决策的因素。
确定了放射技师决策制定的五个关键因素：多学科团队的协助、了解患者、减轻疼痛的方法、告知患者和放射技师的能力。研究发现，放射技师进一步利用图像解释和解剖生理学方面的专业知识，以及人际交往能力，来进行放射检查。
告知疼痛成年创伤患者移动的决策过程是多因素的，与多学科团队合作、患者整体管理以及专业知识和实践的广泛医疗保健原则相一致。需要进一步研究不同患者群体的相关性，以验证这项研究。
