Cape Peninsula University of Technology, South Africa.
Cape Peninsula University of Technology, South Africa.
J Med Imaging Radiat Sci. 2024 Dec;55(4):101725. doi: 10.1016/j.jmir.2024.101725. Epub 2024 Jul 31.
Worldwide there has been a shift in the ideology within healthcare systems that focuses on 'people' rather than the 'patients'. A patient should not only be perceived by their condition but rather viewed holistically as a person. Within a South African (SA) context, the constitution has been amended to state that all South African citizens have the right to healthcare that is caring, free from harm, and effective. Hence, it can be rationalized that patient-centered care (PCC) is a necessary and vital approach in South African healthcare as well. A study conducted by Hyde and Hardy in the United Kingdom (UK) explored measures of PCC from radiography patients, radiographers, radiography managers, radiography educators, and radiography students' perspectives. This study was duplicated to define informed measures of PCC from a South African perspective. Therefore, this study aimed to gain perspectives on PCC measures in diagnostic radiography within a sample of the South African community. This paper focuses on the perspectives of the clinical radiographer and patient respondents.
This study was conducted using a quantitative approach with the use of an online survey. The Qualtrics software was utilized to design the survey. The survey consisted of three PCC themes; use of technology, comfort and emotional support, and control over the environment. Recruitment of the subgroups was via advertisement in social media, email networks, and word of mouth.
There were 28 radiographer responses and 14 patient responses. The data were analyzed using SPSS software version 28. Patient care while explaining the use of technology in radiography, received positive responses from both respondent groups. Patient care measures that explored comfort and emotional support received varied responses from patients and radiographers. Important PCC concepts, such as asking the patient about their care needs and health problems, were lacking. Patients indicated that radiographers do not include their family members in the discussion of the care needs even though family involvement is a PCC element.
The perceptions of PCC measures differed between the two groups which indicated that there are still some gaps in clinical practice. Patient involvement in their care and individualized care should be prioritized. There is a need for family involvement during radiography procedures to be better highlighted within clinical practice. It is also recommended that more importance be placed on PCC during undergraduate training. While service delivery is important, radiographers must not disregard their PCC responsibilities towards the patient.
在全球范围内，医疗保健系统的理念已经从关注“患者”转变为关注“人”。一个人不应该仅仅被他们的病情所影响，而应该被全面地视为一个人。在南非（SA）的背景下，宪法已经修订，规定所有南非公民都有权获得关爱、免受伤害和有效的医疗保健。因此，可以合理地认为，以患者为中心的护理（PCC）也是南非医疗保健的必要和重要方法。海德和哈迪在英国（UK）进行的一项研究从放射学患者、放射技师、放射技师经理、放射技师教育工作者和放射技师学生的角度探讨了 PCC 的衡量标准。这项研究在南非的背景下被复制，以确定从南非的角度来看，PCC 的衡量标准。因此，这项研究旨在从南非社区的样本中获得对诊断放射学中 PCC 措施的看法。本文重点介绍临床放射技师和患者受访者的观点。
本研究采用定量方法，使用在线调查。使用 Qualtrics 软件设计调查。调查包括三个 PCC 主题；使用技术、舒适和情感支持以及对环境的控制。通过在社交媒体、电子邮件网络和口碑中发布广告来招募亚组。
有 28 名放射技师和 14 名患者做出了回应。使用 SPSS 软件版本 28 分析数据。在向患者解释放射学中使用技术时，患者和放射技师两个群体对患者护理都给予了积极的回应。在探索舒适和情感支持的患者护理措施方面，患者和放射技师的反应不一。一些重要的 PCC 概念，如询问患者的护理需求和健康问题，还没有得到重视。尽管患者参与是 PCC 的一个元素，但患者表示放射技师在讨论护理需求时不包括他们的家庭成员。
两个群体对 PCC 措施的看法不同，这表明临床实践中仍然存在一些差距。应优先考虑患者参与他们的护理和个性化护理。需要更好地突出在放射学过程中让家庭成员参与。建议在本科培训中更加重视 PCC。虽然服务提供很重要，但放射技师不能忽视他们对患者的 PCC 责任。
