Radiography最新文献

{"title":"The impact of technical and environmental conditions on the quality assessment in mammography","authors":"S. Papathanasiou ,&nbsp;K. Szczepura ,&nbsp;J.D. Thompson","doi":"10.1016/j.radi.2024.10.013","DOIUrl":"10.1016/j.radi.2024.10.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Mammography requires optimal image quality and that should be ensured during quality assurance. This study investigates the impact of environmental conditions and monitor specifications on quality control procedures within image acquisition rooms in breast imaging departments.</div></div><div><h3>Methods</h3><div>During this study, nine TORMAM test object images acquired under different conditions were evaluated by 16 observers in 12 different environmental conditions (low, medium, and high illumination level, white and grey wall colour and 2 monitors with high and low technical characteristics). Visibility of structures was the key criteria.</div></div><div><h3>Results</h3><div>The number of visible structures per image was dependent on the different environmental conditions, with large variations observed. The wall colour and the illumination level have a statistically significant effect on the number of visible structures. It was statistically proven that the grey wall colour had a positive effect on the visibility of low contrast detail discs.</div></div><div><h3>Conclusion</h3><div>Low ambient light, with a grey wall colour and monitors with high specification allow greatest structure visibility. On the contrary, white wall colour around the monitor and high ambient light had a negative impact on technical evaluation of the images during quality control procedures.</div></div><div><h3>Implications for practice</h3><div>Better standardization of the environmental condition is required in acquisition rooms. Specifically, this research points to the benefit of using a low reflectance wall colour and low illumination level around the monitors.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 131-136"},"PeriodicalIF":2.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the role of experience in shaping sustainability perceptions within radiography","authors":"M. Rawashdeh ,&nbsp;M.A. Ali ,&nbsp;M. McEntee ,&nbsp;M. El-Sayed ,&nbsp;C. Saade ,&nbsp;D. Kashabash ,&nbsp;A. England","doi":"10.1016/j.radi.2024.10.029","DOIUrl":"10.1016/j.radi.2024.10.029","url":null,"abstract":"<div><h3>Introduction</h3><div>Perceptions of environmental sustainability among radiographers can potentially be influenced by individual experiences and educational backgrounds. This study aims to investigate the perceptions and practices of radiographers regarding sustainability initiatives, emphasizing the significance of understanding their diverse experiences and backgrounds.</div></div><div><h3>Methods</h3><div>This was an online survey involving 104 radiographers from various regions worldwide to evaluate their training related to global warming, their perceptions of sustainability, current practices, and the barriers they face in implementing sustainability practices.</div></div><div><h3>Results</h3><div>Participants' knowledge regarding sustainability was significantly influenced by their social networks, including friends and family (χ² = 12.505, p = 0.004). Notable correlations were observed between years' of experience and the belief in pollution's contribution to climate change (χ² = 8.096,p = 0.038), as well as the perception of human activities as the primary cause of climate change (χ² = 22.68,p = 0.011). Furthermore, involvement in environmental protection initiatives (χ² = 19.268, p = 0.033) and the perception of local climate impacts (χ² = 22.478, p = 0.012) were positively correlated with experience. In the field of radiography, the adoption of energy-efficient practices (χ² = 10.482, p = 0.011) and the recycling of imaging waste (χ² = 25.778, p = 0.004) were significantly associated with levels of experience. Lastly, the barrier identified as “Lack of Authority to make change” also exhibited a significant relationship with years of experience (χ² = 9.449, p = 0.022).</div></div><div><h3>Conclusion</h3><div>This study indicates that staff experiences play a significant factor influencing sustainability engagement among radiographers. Barriers identified include financial constraints, insufficient leadership, safety concerns, and inadequate training.</div></div><div><h3>Impact on practice</h3><div>The current study highlights the essential requirement for customized strategies based on radiographers' experiences to improve sustainable practices in radiography. It acknowledges the impact of organizational barriers and suggests that progress toward a more sustainable future can be achieved through individual empowerment and collaboration within the healthcare sector.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 103-111"},"PeriodicalIF":2.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of deep learning-based attenuation correction in 99mTc-GSA SPECT/CT hepatic imaging","authors":"M. Miyai ,&nbsp;R. Fukui ,&nbsp;M. Nakashima ,&nbsp;D. Hasegawa ,&nbsp;S. Goto","doi":"10.1016/j.radi.2024.11.002","DOIUrl":"10.1016/j.radi.2024.11.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Attenuation correction (AC) is necessary for accurate assessment of radioactive distribution in single photon emission computed tomography (SPECT). The method of computed tomography-based AC (CTAC) is widely used because of its accuracy. However, patients are exposed to radiation during CT examination. The purpose of this study was to generate pseudo CT images for AC from non-AC SPECT images using deep learning and evaluate the effect of deep learning-based AC in ^99mTc-labeled galactosyl human serum albumin SPECT/CT imaging.</div></div><div><h3>Methods</h3><div>A cycle-consistent generative network (CycleGAN) was used to generate pseudo CT images. The test cohort consisted of each one patient with normal and abnormal liver function. SPECT images were reconstructed without AC (SPECT_NC), with conventional CTAC (SPECT_CTAC), and with deep learning-based AC (SPECT_GAN). The accuracy of each AC was evaluated using the total liver count and the structural similarity index (SSIM) of SPECT_CTAC and SPECT_GAN. The coefficient of variation (%CV) was used to assess uniformity.</div></div><div><h3>Results</h3><div>The total liver counts in SPECT_GAN were significantly improved over those in SPECT_NC and differed from those of SPECT_CTAC by approximately 7 % in both patients. The %CV in SPECT_CTAC and SPECT_GAN were significantly lower than those in SPECT_NC. The mean SSIM in SPECT_CTAC and SPECT_GAN for patients with normal and abnormal liver functions were 0.985 and 0.977, respectively.</div></div><div><h3>Conclusions</h3><div>The accuracy of AC with a deep learning-based method was similarly performed as the conventional CTAC. Our proposed method used only non-AC SPECT images for AC, which has great potential to reduce patient exposure by eliminating CT examination.</div></div><div><h3>Implications for practice</h3><div>AC of ^99mTc-GSA was achieved using pseudo CT images generated with CycleGAN. Further studies on changing liver morphology and various hepatic diseases are recommended.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 112-117"},"PeriodicalIF":2.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights into radiography students' perspectives on communication skills development in clinical training","authors":"M. Rawashdeh ,&nbsp;M. Zakaria El-Sayed ,&nbsp;P. Kumar ,&nbsp;N. Rooeintan ,&nbsp;A. Afra Shibu ,&nbsp;M. A. Ali","doi":"10.1016/j.radi.2024.11.003","DOIUrl":"10.1016/j.radi.2024.11.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Effective communication is crucial in the healthcare industry. It builds trust, enhances understanding, and improves the quality of care. Radiographers, as the first point of contact for patients, need strong communication skills to ensure safety and facilitate effective interactions. Radiographers play a vital role in patient care and are frequently encountered by a substantial proportion of patients, significantly influencing patient outcomes.</div><div>This study aims to examine the attitudes of radiography students toward communication skills training in clinical education in the United Arab Emirates (UAE).</div></div><div><h3>Methods</h3><div>Ethical approval was obtained from Gulf Medical University for a cross-sectional study involving 91 radiography students from universities in the UAE. The study utilized a structured questionnaire called the Communication Skills Attitudes Scale (CSAS), which was administered via an online survey created using Google Forms. It consisted of 36 closed-ended questions presented in professional language tailored to the target audience. Data analysis was performed using IBM SPSS, and chi-square tests were utilized to assess associations between variables.</div></div><div><h3>Results</h3><div>The results indicate that 51.6 % of students support comprehensive communication skills training in radiography education. The importance of these skills becomes more significant as students’ progress academically (p = 0.001). Furthermore, there is a positive association between higher GPAs and a greater focus on communication skills, with statistically significant correlations (p = 0.008).</div></div><div><h3>Conclusions</h3><div>The findings highlight the significance of integrating comprehensive communication skills training into radiography education. With the progression of students' studies, the importance of these skills becomes more evident.</div></div><div><h3>Impact on practice</h3><div>Integrating comprehensive communication skills courses into radiography education may enhance students' capacity to effectively engage with patients and healthcare teams, thereby leading to improved patient care outcomes. These findings underscore the necessity for curriculum enhancements that better incorporate communication training.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 118-130"},"PeriodicalIF":2.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The difference in image quality assessment between radiographers and radiologists and its relationship with diagnostic accuracy","authors":"R. Decoster,&nbsp;M.-L. Ryan,&nbsp;R. Toomey","doi":"10.1016/j.radi.2024.10.021","DOIUrl":"10.1016/j.radi.2024.10.021","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiographers must ensure that the radiographs they produce are of sufficient quality before reporting by radiologists. However, does radiographers’ perception of image quality relates to the diagnostic accuracy of radiologists?</div></div><div><h3>Methods</h3><div>38 unique postero-anterior (PA) chest radiographs containing either no pathology, well defined or diffuse lesions were presented to four radiologists and 24 radiographers. Image quality was rated using RadLex quality descriptors. Additionally, radiologists rated their confidence of a radiograph being were normal or abnormal on a 5-point scale. Radiographers rated visibility of anatomical structures, satisfaction with positioning, collimation and adequacy of detector dose. Modelling correlation explored relationships between radiologists' detection of pathology and radiographers’ ratings.</div></div><div><h3>Results</h3><div>Radiographers rated image quality of 56 % of radiographs as non-diagnostic or limited, compared to 30.7 % by radiologists. Modelling revealed that chances of a radiograph being classified in lower quality categories by radiographers increased inversely proportionally with perceived dose, and suddenly increased when positioning was considered unacceptable. No correlation (p = 0.10) was found between quality descriptors by radiographers and diagnostic accuracy of radiologists.</div></div><div><h3>Conclusion</h3><div>Findings suggest that perceived “better” image quality, as defined by radiographers, may not necessarily correlate with diagnostic accuracy. This implies that radiographs repeated in clinical practice might not enhance diagnostic value.</div></div><div><h3>Implications for practice</h3><div>These findings raise the question which elements in the radiography or actual content (such as representation of anatomical structures) are key elements used to diagnose, which may have implications for image quality studies. Exploring the evolution of decision-making in radiographers trained to report could provide further valuable insights.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 89-96"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the current situation of challenging clinical interactions for medical radiation undergraduates: An integrative literature review","authors":"J.L. Ago,&nbsp;A. Kilgour,&nbsp;C. Smith","doi":"10.1016/j.radi.2024.10.027","DOIUrl":"10.1016/j.radi.2024.10.027","url":null,"abstract":"<div><h3>Objectives</h3><div>The objectives of this review were to identify the causes, types, and effects of clinical interactions that medical radiation students (MRS) consider as challenging and assess available support and coping strategies during these challenging interactions. The overarching aim is to understand the current situation of challenging clinical interactions (CCIs) for MRS during clinical placement (CP).</div></div><div><h3>Key findings</h3><div>A comprehensive literature search on PubMed, Scopus, Web of Science, Ovid Medline, CINAHL, ERIC, OpenDissertation, and ProQuest Digital databases for studies published from 2005 to 2024 found 133 studies, with 11 meeting the inclusion criteria. Most of the studies (<em>n</em> = 8) recruited medical imaging students with no study found for nuclear medicine undergraduates. The main cause of CCIs identified thematically was inadequate support and preparation, while three themes were identified for the types of CCIs: students’ self-perceived challenges, clinical scenarios and situations, and unacceptable behaviours. Similarly, three themes were identified regarding the effects of CCIs: attitudinal changes, long-lasting effects, and professional identity development. The identified coping and support strategies were support from supervisors, educators, and students.</div></div><div><h3>Conclusion</h3><div>Compared to nursing and medicine, the issue of CCIs has received little research interest in medical radiation education. This could result in increased attrition, while its potential to impede students’ professional capability development cannot be underestimated. These CCIs and their effects need to be studied thoroughly with all stakeholders.</div></div><div><h3>Implication for practice</h3><div>To enable MRS to achieve their clinical learning objectives, a major goal in the future will be to assess the effectiveness of the support and coping strategies available to all MRS during CCIs and to ensure the development of effective support strategies.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 104-113"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using a digital transformation framework to explore the experiences of radiographers in the use of digital radiography in a low-resource setting","authors":"N. Kapapa ,&nbsp;O. Bwanga ,&nbsp;J.M. Sichone ,&nbsp;S. Kafwimbi ,&nbsp;B. Ohene-Botwe","doi":"10.1016/j.radi.2024.10.024","DOIUrl":"10.1016/j.radi.2024.10.024","url":null,"abstract":"<div><h3>Introduction</h3><div>Digital radiography (DR) systems have revolutionised radiographers' experiences, particularly those accustomed to analogue methods. Despite the advantages, DR poses challenges due to its cost and technical requirements, especially in low-resource settings. Zambia, predominantly reliant on analogue systems, is gradually transitioning to DR. Understanding radiographers' experiences with DR is crucial for leveraging its benefits. Therefore, this study aimed to explore the experiences of Zambian radiographers with DR using the digital transformation framework (DTF).</div></div><div><h3>Methods</h3><div>This qualitative method employed a descriptive phenomenological approach to interview 14 radiographers from five governmental hospitals in the Copperbelt province of Zambia. Interviews were conducted face-to-face, digitally audio-recorded, transcribed, and analysed using Colaizzi's (1978) phenomenological framework and Natural Language Processing (NLP).</div></div><div><h3>Results</h3><div>Following data analysis, three main themes were developed: education and training in DR, departmental workflow in DR, and challenges of DR. The findings revealed predominantly positive experiences among radiographers using DR, with improved patient waiting times, image quality, workflow efficiency, and job satisfaction. However, challenges such as technological adaptation and system breakdowns were identified.</div></div><div><h3>Conclusion</h3><div>The study highlighted the positive experiences of radiographers during the initial implementation of DR in Zambian medical facilities. Although challenges exist, the findings suggest that they can be overcome by improving infrastructure and training, thereby maximising the benefits of DR.</div></div><div><h3>Implication of practice</h3><div>The positive experiences demonstrated by radiographers in implementing DR in Zambian medical facilities indicate that targeted training and infrastructure improvements can enhance workflow efficiency, image quality, and overall patient care.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 75-82"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of interpretation of nasogastric tube position on chest radiographs by diagnostic radiographers: A multi-case, multi-reader study","authors":"A. Creeden ,&nbsp;S. McFadden ,&nbsp;C. Rainey ,&nbsp;S. Campbell ,&nbsp;S. Ather ,&nbsp;A. Hajilou ,&nbsp;R. Bond ,&nbsp;P. McAllister ,&nbsp;N. Woznitza","doi":"10.1016/j.radi.2024.10.022","DOIUrl":"10.1016/j.radi.2024.10.022","url":null,"abstract":"<div><h3>Introduction</h3><div>Feeding via a misplaced nasogastric tube (NGT) is a common but preventable cause of patient harm. The aim of this study was to determine the accuracy of diagnostic radiographers’ assessment of NGT position on chest radiographs (CXRs) and safe-to-feed decisions.</div></div><div><h3>Methods</h3><div>A multi-case, multi-reader study was conducted using an online image interpretation platform. A test bank consisting of 15 CXRs with an NGT in-situ was created. Diagnostic radiographers without formal qualifications in CXR interpretation were recruited via two international conferences. Participants placed an electronic marker on each CXR to identify the location of the tip of the NGT and indicated whether or not they believed that the tube was safely positioned.</div></div><div><h3>Results</h3><div>68 participants were recruited. Each participant reviewed 15 CXRs, providing 1020 unique image assessments. 76 % (n = 778/1020) image assessments were completely correct (both the position of the tip of the NGT was accurately located and an appropriate safe-to-use decision made). In 5 % (n = 56/1020) of cases the NGT was safely positioned and the location of the tip was correctly identified by the participant but the tube was erroneously determined to be unsafe for feeding. In a further 6 % (n = 59/1020) of cases the participant correctly located the tip of an NGT in an unsafe position but indicated that the tube was safe to use. Participants failed to correctly identify the tip of the NGT in the remaining 12 % (n = 127/1020) of cases.</div></div><div><h3>Conclusion</h3><div>Consistent with previous studies involving other staff groups, diagnostic radiographers without formal qualification in CXR interpretation can assess NGT positioning on radiographs with moderate accuracy but require further training, including strategies for the identification of poorly-visualised tube tips, to achieve the 100 % accuracy necessary for this safety-critical task.</div></div><div><h3>Implications for practice</h3><div>A bespoke training programme which includes teaching on image quality, tube tip identification and assessment of tube positioning using the National Patient Safety Agency (NPSA) four criteria, should be delivered prior to implementation of a radiographer-led NGT CXR evaluation service.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 83-88"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights into GenAI: Perspectives of radiography and pharmacy students at a leading institution in Zimbabwe","authors":"B. Chinene ,&nbsp;L.-s. Mudadi ,&nbsp;T.A. Choto ,&nbsp;N.D. Soko ,&nbsp;L. Gonde ,&nbsp;E.Y. Mushosho ,&nbsp;L.C. Mutandiro","doi":"10.1016/j.radi.2024.11.004","DOIUrl":"10.1016/j.radi.2024.11.004","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to use a tertiary institution in Zimbabwe as a case study to evaluate radiography and pharmacy students' knowledge, willingness, and concerns regarding GenAI technologies.</div></div><div><h3>Methods</h3><div>A cross-sectional survey, involving 147 participating students, was conducted using a structured questionnaire. Data analysis was performed using STATA 14. Descriptive statistics were presented, and demographic variables were compared using Student <em>t-test</em> and ANOVA.</div></div><div><h3>Results</h3><div>A sizeable proportion of students (74.83 %) believed that knowing GenAI was essential for healthcare students to stay competitive in the evolving academic landscape. A significant proportion of students reported that they were willing to use GenAI technologies in their day-to-day activities. They noted that AI technologies such as ChatGPT can help them save time (77.56 %) with tasks such as assignments. Most students (56.46 %) were worried that the use of GenAI technology can cause people and students alike to lose the human touch in their daily lives. They also noted that the use of AI technologies such as ChatGPT to complete assignments has the potential to undermine the value of university education (44.9 %).</div></div><div><h3>Conclusion</h3><div>Addressing concerns raised by students about the implications of GenAI on human interaction and educational value is essential for a balanced technology integration approach in education. Future research should concentrate on solutions for addressing issues while leveraging the benefits of GenAI in healthcare education.</div></div><div><h3>Implications for practice</h3><div>Understanding students’ knowledge, willingness, and concerns regarding the use of GenAI tools can help educators better integrate these technologies into the learning process, ensuring they complement and enhance traditional teaching methods.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 114-119"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic radiographers’ experiences with paediatric patients during radiography examinations in Malawi – A qualitative study","authors":"P. Manda ,&nbsp;L. Gumede ,&nbsp;C. Kammies ,&nbsp;L. Mokoena","doi":"10.1016/j.radi.2024.10.020","DOIUrl":"10.1016/j.radi.2024.10.020","url":null,"abstract":"<div><h3>Introduction</h3><div>Performing radiography examinations on paediatric patients is challenging and requires expertise from diagnostic radiographers. The patient needs to remain still in radiography to acquire a diagnostic image. In Malawi, diagnostic radiographers continue to experience challenges when imaging paediatric patients. Therefore, this study explored diagnostic radiographers’ experiences with paediatric patients during radiography examinations in Malawi.</div></div><div><h3>Methods</h3><div>The study used a qualitative, exploratory, and descriptive design. Twelve diagnostic radiographers working in five selected health facilities and registered with the Medical Council of Malawi (MCM) participated in this study. Data was collected by the main researcher using face-to-face semi-structured interviews and field notes. Qualitative thematic analysis was used to analyse the transcribed data.</div></div><div><h3>Results</h3><div>Three themes were developed from thematic analysis: 1) to foster an effective patient-practitioner relationship, 2) partnering with guardians during paediatric radiography and 3) application of paediatric-centred imaging techniques.</div></div><div><h3>Conclusion</h3><div>Findings from the study highlight how various approaches can lead to a successful radiography process with paediatric patients during examinations. Making a child cooperate for an examination was crucial for a smooth diagnostic process.</div></div><div><h3>Implication for practice</h3><div>Diagnostic radiographers should build strong patient-practitioner relationships and actively engage guardians to improve paediatric patients' cooperation during radiography examinations. Implementing paediatric-centred imaging techniques can significantly enhance the quality of diagnostic images and the overall efficiency of the radiography process in paediatric patients.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 97-102"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}