Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK; Department of Diagnostic and Interventional Imaging, Ministry of Health, Sultanate of Oman.
Radiology, James Cook University Hospital, South Tees NHS Trust, Marton Road, Middlesbrough, TS4 3BW, UK; Teesside University, School of Health & Life Sciences, Centuria Building, Tees Valley, Middlesbrough, TS1 3BX, UK.
Radiography (Lond). 2024 Mar;30(2):538-559. doi: 10.1016/j.radi.2024.01.012. Epub 2024 Jan 29.
Existing literature provides valuable insight into the application of evidence-based practice (EBP) in Radiography; however, it primarily focuses on localised, context-specific scenarios within individual countries or institutions. This review aims to systematically explore the barriers to EBP and research implementation in clinical Radiography practice internationally.
A mixed-method systematic review was implemented to obtain data from primary studies of qualitative, quantitative and mixed-methods designs. Articles were searched between June and July 2023 from the following scientific databases: PubMed, Medline, CINAHL, Science Direct and manual search dating from 2003 to July 2023. The reviewed studies were subjected to data extraction and results-based convergent synthesis.
A total of 376 articles were identified through electronic database search and citation screening after the removal of duplicates. Thirty-one studies met the predetermined inclusion criteria and were included for this review. The challenges to EBP implementation in clinical Radiography are broadly themed around professional and personal obligations, motivation and organisational culture, knowledge and skill gaps, resources and opportunities, and institutional governance.
Globally, clinical radiographers perceived a high level of motivation and interest towards research activities. However, numerous barriers were reported such as insufficient time allocation for research, lack of resources, lack of research culture and inadequate research-related skills and knowledge. A transition towards greater evidence-based practice precipitates the quality of clinical Radiography services, augmenting efficiency in the workflow process and enriching patient experience.
Radiography managers must develop strategies that aim to stimulate radiographers to initiate research projects. Beyond allocation of protected time, managers should inspire staff participation in research activities through implementation of effective departmental level culture and governance for quality service delivery and improved patient care.
现有文献为放射学中循证实践（EBP）的应用提供了有价值的见解；然而，它主要侧重于单个国家或机构内的局部、特定背景的情况。本综述旨在系统地探讨国际临床放射实践中 EBP 和研究实施的障碍。
实施混合方法系统综述，从定性、定量和混合方法设计的原始研究中获取数据。文章于 2023 年 6 月至 7 月从以下科学数据库中搜索：PubMed、Medline、CINAHL、Science Direct 和手动搜索，追溯至 2003 年至 2023 年 7 月。对综述研究进行数据提取和基于结果的综合分析。
通过电子数据库搜索和引文筛选，共识别出 376 篇文章，去除重复后。31 项研究符合预定的纳入标准，并纳入本综述。临床放射学中 EBP 实施的挑战大致围绕专业和个人义务、动机和组织文化、知识和技能差距、资源和机会以及机构治理展开。
在全球范围内，临床放射技师对研究活动表现出高度的动机和兴趣。然而，报告了许多障碍，例如研究时间分配不足、资源缺乏、缺乏研究文化以及研究相关技能和知识不足。向更基于证据的实践转变会提高临床放射学服务的质量，提高工作流程效率并丰富患者体验。
放射学管理者必须制定旨在激励放射技师开展研究项目的策略。除了分配保护时间外，管理者还应通过实施有效的部门级文化和治理策略，激励员工参与研究活动，以提供优质的服务交付和改善患者护理。
