Iweka Edozie, Baker Leticia, Palma Federica
Research/Clinical Trials, Radiology, University Hospitals of Derby and Burton NHS Foundation Trust, UK.
Research and Development Imaging Support Unit, Nottingham University Hospitals NHS Trust, Nottingham, England.
J Med Imaging Radiat Sci. 2024 Mar;55(1):52-60. doi: 10.1016/j.jmir.2023.11.006. Epub 2023 Dec 7.
Journal clubs (JC) have emerged as a popular tool within medical and health professions to deliver outcomes such as promotion of evidence-based practice (EBP), improvement of critical appraisal skills, as well as stimulation of research interest among participating professionals. However, the delivery of these outcomes within the diagnostic radiography profession has not been evidenced and this is the aim of this service evaluation.
This evaluation adopted a pre- and post-evaluation survey design to explore the impact of a novel JC introduced among diagnostic radiographers in a UK NHS Trust. Impact was assessed based on four pre-determined outcomes such as Knowledge of EBP, Attitude to EBP, Critical Appraisal Skill and Research interest. Open ended questions in the post evaluation survey were also used to obtain participants feedback on JC activities attended.
Evaluation of the four pre-determined outcomes indicated that JC activities participated by diagnostic radiographers resulted in positive changes across all evaluated categories. Attitude to EBP was the only outcome to show a statistically significant positive change across all participants, highlighting that the JC affected EBP attitudes positively for those that attended. Furthermore, thematic analysis of open-ended questions indicated that the collaboration experienced among JC members during critical appraisal of articles was a motivation for continued participation while factors such as high clinical workload and absence of management in meetings were identified as mitigating barriers.
Participation in the JC showed positive improvements in all pre-determined categories. The collaborative nature of JC was motivating for staff, however barriers such as management absence in meetings, and high clinical workload did cause some challenges. Research is recommended to look at the longer-term impact of JC activities amongst diagnostic radiographers.
期刊俱乐部(JC)已成为医学和健康专业领域中一种流行的工具,用于实现促进循证实践(EBP)、提高批判性评估技能以及激发参与专业人员的研究兴趣等成果。然而,在放射诊断专业中这些成果的实现尚未得到证实,这就是本服务评估的目的。
本评估采用前后评估调查设计,以探究在英国国民健康服务信托基金中向放射诊断技师引入新型期刊俱乐部的影响。基于四个预先确定的成果,如循证实践知识、对循证实践的态度、批判性评估技能和研究兴趣,对影响进行评估。后评估调查中的开放式问题也用于获取参与者对所参加的期刊俱乐部活动的反馈。
对四个预先确定成果的评估表明,放射诊断技师参与的期刊俱乐部活动在所有评估类别中都产生了积极变化。对循证实践的态度是唯一在所有参与者中显示出具有统计学意义的积极变化的成果,突出表明期刊俱乐部对参加者的循证实践态度产生了积极影响。此外,对开放式问题的主题分析表明,期刊俱乐部成员在文章批判性评估过程中所经历的合作是持续参与的动力,而诸如临床工作量大以及会议中缺乏管理等因素被确定为缓解障碍。
参与期刊俱乐部在所有预先确定的类别中都显示出积极的改善。期刊俱乐部的协作性质对工作人员有激励作用,然而会议中缺乏管理以及临床工作量大等障碍确实带来了一些挑战。建议开展研究以探讨期刊俱乐部活动对放射诊断技师的长期影响。