Makanjee Chandra R, Zhang Julie, Bergh Anne-Marie
Department of Medical Radiation Sciences (MI), University of Canberra, Bruce, Australian Capital Territory, Australia.
Division of Diagnostic Radiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
J Multidiscip Healthc. 2023 Aug 28;16:2471-2483. doi: 10.2147/JMDH.S416510. eCollection 2023.
Medical imaging features along the entire healthcare continuum and is known for its fast-paced technological evolution which enables it to keep up with the demands of the healthcare system to provide safe, quality services. The overall efficacy and efficiency of the system depends on practitioners' clinical competence, achieved through professional education and continuous professional development. Recent studies have revealed concerns regarding newly graduated healthcare professionals' preparedness and readiness to handle actual practice.
We conducted qualitative face-to-face and telephonic interviews with a convenient and purposive sample of 23 participants consisting of recently graduated radiographers (n=14), radiography students (n=5) and supervising radiographers (n=4) in Australia. Verbatim transcriptions were analyzed inductively to identify themes pertaining to perspectives and experiences of the work readiness of novice radiographers.
The findings of our study suggest that the workplace immersion and transitioning of recently graduated radiographers into their professional roles requires a process of experiential learning and honing of knowledge and skills if they are to function efficiently and independently in a team-oriented workplace. Radiographic services are spread across various levels of care and are an integral part of the organizational structure of a healthcare system. Maladaptive transitions to the workplace may be the result of low self-confidence, a lack of support, uncertainty in inter-collegial interactions, or unrealistic performance expectations. The overarching themes of communication and interaction emerged clearly as recently graduated radiographers navigated the four roles of coordinator, collaborator, mediator, and advocate.
The application of radiographic skills is embedded in a workplace culture of communication and safety. Transitioning to independent practice takes place in a complex, multifaceted environment and is accompanied by internal and external expectations. Because each workplace has a unique context, system and culture, no novice radiographic professional can ever be fully prepared through pre-service training and workplace induction.
医学影像贯穿整个医疗保健连续过程，以其快速的技术发展而闻名，这使其能够满足医疗保健系统提供安全、优质服务的需求。该系统的整体效能和效率取决于从业者的临床能力，而这种能力是通过专业教育和持续专业发展来实现的。最近的研究揭示了人们对刚毕业的医疗保健专业人员处理实际工作的准备情况和就绪程度的担忧。
我们对澳大利亚23名参与者进行了定性的面对面和电话访谈，这些参与者包括刚毕业的放射技师（n = 14）、放射技术专业学生（n = 5）和放射技师主管（n = 4），样本选取方便且有针对性。对逐字记录进行归纳分析，以确定与新手放射技师工作就绪度的观点和经历相关的主题。
我们的研究结果表明，如果刚毕业的放射技师要在以团队为导向的工作场所高效且独立地工作，他们融入工作场所并向专业角色转变需要一个经验学习以及知识和技能磨练的过程。放射影像服务分布在各个护理层面，是医疗保健系统组织结构的一个组成部分。向工作场所的适应不良转变可能是由于自信心不足、缺乏支持、跨学院互动中的不确定性或不切实际的绩效期望所致。随着刚毕业的放射技师履行协调员、合作者、调解人和倡导者这四个角色，沟通和互动这两个首要主题清晰地显现出来。
放射影像技能的应用融入了沟通和安全的工作场所文化之中。向独立执业的转变发生在一个复杂、多层面的环境中，并伴随着内部和外部的期望。由于每个工作场所都有其独特的背景、系统和文化，没有哪个新手放射影像专业人员能通过岗前培训和工作场所入职培训而完全做好准备。
