James M. Sichone , Michael Chigunta , Aubrey Kalungia , Phanny Nankonde , Patrick Kaonga , Gershom Chongwe , Sekelani Banda
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Two focus groups with a total of 17 radiography supervisors purposefully selected from teaching hospitals and training institutions across Zambia were held to solicit their views on technical image evaluation capability of the newly graduated radiographers. A descriptive cross-sectional survey involving 31 newly recruited radiographers from five Zambian teaching hospitals was conducted to assess self-perceived competence in plain film x-ray evaluation. We used thematic analysis to analyse qualitative data, whilst analysis for quantitative data, STATA version 13 and Graph pad prism 5 was used.</p></div><div><h3>Results</h3><p>Among the 17 radiography supervisors, 11 rated the technical competence of entry-level radiography graduates as low. Reasons advanced included insufficient clinical training, uncoordinated clinical training, lack of focus on core radiography training, and lack of attention and commitment to work. In the cross-sectional study, the mean score for self-evaluated competence was 76%. The frequency of performing chest X-rays predicted self-rated competence score (p<0.001).</p></div><div><h3>Conclusions</h3><p>There was variation between self-perceived and supervisor-rating of technical competence of entry-level radiography graduates in Zambia. A need exists to perform an actual workplace-based assessment to establish actual competence of the new graduates to inform curriculum development and review in Zambia.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 386-393"},"PeriodicalIF":0.0000,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.04.007","citationCount":"2","resultStr":"{\"title\":\"Self-perceived Versus Supervisor-rated Technical Competence in Plain Film X-ray Evaluation by Newly Graduated radiographers: Implications for Curriculum Development and Practice in Zambia\",\"authors\":\"James M. 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A descriptive cross-sectional survey involving 31 newly recruited radiographers from five Zambian teaching hospitals was conducted to assess self-perceived competence in plain film x-ray evaluation. We used thematic analysis to analyse qualitative data, whilst analysis for quantitative data, STATA version 13 and Graph pad prism 5 was used.</p></div><div><h3>Results</h3><p>Among the 17 radiography supervisors, 11 rated the technical competence of entry-level radiography graduates as low. Reasons advanced included insufficient clinical training, uncoordinated clinical training, lack of focus on core radiography training, and lack of attention and commitment to work. In the cross-sectional study, the mean score for self-evaluated competence was 76%. 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引用次数: 2
摘要
目的本研究的目的是确定和比较赞比亚三级教学医院新入职放射技师在使用7个标准参数评价平片x射线图像方面的自我感知和主管评定的技术能力。这样做是为了评估测量技术能力作为对课程开发和审查的反馈的价值。方法采用平行收敛混合方法进行研究。有目的地从赞比亚的教学医院和培训机构中挑选了17名放射技师参加了两个焦点小组，以征求他们对刚毕业的放射技师的技术图像评价能力的意见。对来自赞比亚五所教学医院的31名新招募的放射技师进行了描述性横断面调查，以评估在平片x射线评价方面的自我认知能力。我们使用专题分析来分析定性数据，同时使用STATA version 13和Graph pad prism 5进行定量数据分析。结果17名放射学主管中，有11名认为初级放射学毕业生技术能力较低。提出的原因包括临床培训不足，临床培训不协调，对核心放射学培训缺乏重视，对工作缺乏关注和投入。在横断面研究中，自我评估能力的平均得分为76%。进行胸部x光检查的频率可以预测自评能力得分(p<0.001)。结论赞比亚初级放射学毕业生的技术能力自我认知与导师评价存在差异。有必要进行实际的基于工作场所的评估，以确定新毕业生的实际能力，为赞比亚的课程开发和审查提供信息。
Self-perceived Versus Supervisor-rated Technical Competence in Plain Film X-ray Evaluation by Newly Graduated radiographers: Implications for Curriculum Development and Practice in Zambia
Purpose
The purpose of the study was to determine and compare the self-perceived versus supervisor-rated technical competence in plain film X-ray image evaluation using seven standard parameters among newly recruited radiographers working in tertiary teaching hospitals in Zambia. This was done to evaluate the value of measuring technical competence as a feedback to curriculum development and review.
Methods
A parallel convergent mixed-methods study was conducted. Two focus groups with a total of 17 radiography supervisors purposefully selected from teaching hospitals and training institutions across Zambia were held to solicit their views on technical image evaluation capability of the newly graduated radiographers. A descriptive cross-sectional survey involving 31 newly recruited radiographers from five Zambian teaching hospitals was conducted to assess self-perceived competence in plain film x-ray evaluation. We used thematic analysis to analyse qualitative data, whilst analysis for quantitative data, STATA version 13 and Graph pad prism 5 was used.
Results
Among the 17 radiography supervisors, 11 rated the technical competence of entry-level radiography graduates as low. Reasons advanced included insufficient clinical training, uncoordinated clinical training, lack of focus on core radiography training, and lack of attention and commitment to work. In the cross-sectional study, the mean score for self-evaluated competence was 76%. The frequency of performing chest X-rays predicted self-rated competence score (p<0.001).
Conclusions
There was variation between self-perceived and supervisor-rating of technical competence of entry-level radiography graduates in Zambia. A need exists to perform an actual workplace-based assessment to establish actual competence of the new graduates to inform curriculum development and review in Zambia.
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