Department of Radiography, School of Allied Health Sciences, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, P.O Box 13301 Windhoek, Namibia.
Radiography (Lond). 2024 Jul;30(4):1099-1105. doi: 10.1016/j.radi.2024.05.004. Epub 2024 May 21.
The global shortage of radiologists has led to a growing concern in medical imaging, prompting the exploration of strategies, such as including radiographers in image interpretation, to mitigate this challenge. However, in low-resource settings, progress in adopting similar approaches has been limited. This study aimed to explore radiographers' perceptions regarding the impact of their potential role in image interpretation within a low-resource setting.
The study used a qualitative descriptive design and was conducted at two public referral hospitals. Radiographers with at least one year of experience were purposively sampled and interviewed using a semi-structured interview guide after consenting. Data saturation determined the sample size, and content analysis was applied for data analysis.
Two themes emerged from fourteen interviews conducted with two male and twelve female radiographers. Theme one revealed the potential for enhanced healthcare delivery through improved diagnostic support, bridging radiologist shortages, career development and fulfilment as positive outcomes of role extension. Theme two revealed possible implementation hurdles including radiographer resistance and reluctance, limited training, lack of professional trust, and legal and ethical challenges.
Radiographers perceived their potential participation positively, envisioning enhanced healthcare delivery, however, possible challenges like resistance and reluctance of radiographers, limited training, and legal/ethical issues pose hurdles. Addressing these challenges through tailored interventions, including formal education could facilitate successful implementation. Further studies are recommended to explore radiographers' competencies, providing empirical evidence for sustaining and expanding this role extension.
The study further supports the integration of radiographers into image interpretation with the potential to enhance healthcare delivery, however, implementation challenges in low-resource settings require careful consideration.
全球范围内放射科医生短缺,这在医学成像领域引起了人们越来越多的关注,促使人们探索策略,例如让放射技师参与图像解读,以缓解这一挑战。然而,在资源匮乏的环境中,类似方法的采用进展有限。本研究旨在探讨放射技师在资源匮乏的环境中对其在图像解读中潜在作用的影响的看法。
该研究采用定性描述性设计,在两家公立转诊医院进行。对至少有一年工作经验的放射技师进行了有针对性的抽样,并在征得同意后使用半结构化访谈指南进行了访谈。数据饱和确定了样本量,并应用内容分析法进行数据分析。
从 2 名男性和 12 名女性放射技师的 14 次访谈中得出了两个主题。主题一揭示了通过改善诊断支持、缓解放射科医生短缺、职业发展和满足感,为扩展角色提供潜在的增强医疗服务的可能性,这是积极的结果。主题二揭示了可能的实施障碍,包括放射技师的抵制和不情愿、有限的培训、缺乏专业信任以及法律和伦理挑战。
放射技师对他们潜在的参与持积极态度,设想通过扩展角色来增强医疗服务,但像放射技师的抵制和不情愿、有限的培训、法律/伦理问题等可能存在的挑战则构成了障碍。通过量身定制的干预措施,包括正规教育,来解决这些挑战,可以促进成功实施。建议进一步开展研究,探索放射技师的能力,为维持和扩大这种角色扩展提供实证依据。
该研究进一步支持将放射技师整合到图像解读中,从而有可能增强医疗服务,但在资源匮乏的环境中,实施挑战需要仔细考虑。