An investigation of advanced practice carried out by radiographers in New South Wales

Hardy, Ann W.; Poulos, Ann; Emanuel, Natalia; Reed, Warren

doi:10.1002/j.2051-3909.2010.tb00134.x

Cited by 6 publications

(15 citation statements)

References 18 publications

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“…In the same vein other authors also noted that it is a core competency that will increase the ability of rural radiographers to further provide quality imaging service. 35 , 36 , 37 …”

Section: Discussionmentioning

confidence: 99%

Core competencies of radiographers working in rural hospitals of KwaZulu-Natal, South Africa

Mung'omba

Botha

2017

Afr. j. prim. health care fam. med.

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IntroductionRural radiographers require, over and above traditional radiographic expertise, additional competencies which to a certain degree are unique however not limited to rural practice. Previous studies, however, have focused more attention primarily on other rural health professionals such as doctors and nurses leaving a research need in this field. This article focuses on the additional competencies that may be required for rural radiographers.AimTo investigate and identify additional core competencies required by radiographers working in rural hospitals of KwaZulu-Natal in order to propose a continuous professional development strategy aimed at rural radiographers.MethodsAn exploratory sequential design was utilised with qualitative (Phase I) and quantitative (Phase II) strands involving seven participants and 109 respondents, respectively. Only radiographers working in rural KwaZulu-Natal hospitals were included in the study. The four major themes and categories identified in Phase I were used to develop data collection instrument for Phase II of the study.ResultsCollectively, the results revealed that there were a number of additional core competencies such as, but not limited to, teamwork, ability to do basic obstetric ultrasound scans, leadership, management and reporting on plain radiographs, all of which are required by rural radiographers. In 2014 when these competencies were checked against a single curriculum, it was found that majority of them were either partially covered or not at all covered.ConclusionThe study provides additional information on context specific core competencies and, therefore, may act as a catalyst to influence the future of radiographers working in rural areas of South Africa.

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“…In the same vein other authors also noted that it is a core competency that will increase the ability of rural radiographers to further provide quality imaging service. 35 , 36 , 37 …”

Section: Discussionmentioning

confidence: 99%

Core competencies of radiographers working in rural hospitals of KwaZulu-Natal, South Africa

Mung'omba

Botha

2017

Afr. j. prim. health care fam. med.

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“…36,37 This study recognizes the qualities of interventional radiographers as expert observers and skilled clinicians who assist the interventional radiologist during procedures, especially for complex interventions including embolizations of gastrointestinal bleeds, gynecological hemorrhages, and malignancy complications. [38][39][40][41] This study had certain limitations. The Interventional Radiology Department was limited by the number of observers who were able to participate in the VGC-ratings task.…”

Section: Discussionmentioning

confidence: 99%

“…This study recognizes the qualities of interventional radiographers as expert observers and skilled clinicians who assist the interventional radiologist during procedures, especially for complex interventions including embolizations of gastrointestinal bleeds, gynecological hemorrhages, and malignancy complications 38 – 41 …”

Section: Discussionmentioning

confidence: 99%

Comparison of image quality assessments between interventional radiographers and interventional radiologists using digital subtraction angiography

et al. 2023

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.PurposeThe aim of our study was to compare the image quality assessments of vascular anatomy between interventional radiographers and interventional radiologists using digital subtraction angiography (DSA) runs acquired during an interventional radiology procedure.ApproachVisual grading characteristics (VGC) analysis was used to assess image quality by comparing two groups of images, where one group consisted of procedures in which radiation dose was optimized (group A, n = 10) and one group where dose optimization was not performed (group B, n = 10). The radiation dose parameters were optimized based on theoretical and empirical evidence to achieve radiation dose reductions during uterine artery embolization procedures. The two observer groups comprised of interventional radiologists (n = 4) and interventional radiographers (n = 4). Each observer rated the image quality of 20 DSA runs using a five-point rating scale.ResultsThe VGC analysis produced an area under the VGC curve (AUCVGC) of 0.55 for interventional radiographers (P = 0.61) and AUCVGC of 0.52 for interventional radiologists (P = 0.83). The optimization of radiation dose parameters demonstrated a reduction in kerma-area product by 35% (P = 0.026, d = 0.5) and reference air kerma (Ka, r) by 43% (P = 0.042, d = 0.5) between group A and group B.ConclusionsVGC analysis indicated that the image quality assessments of interventional radiographers were comparable with interventional radiologists, where a reduction in radiation dose revealed no effect on both observer groups regarding their image quality assessment of vascular anatomy.

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“…1,2 Despite this communication falling legally within radiographic scope of practice, the form it should take is debated 1,3 and it is implemented informally or inconsistently between Australian imaging departments. 4 Historically, input has been in the form of highlighting or 'red-dotting'. 5 However, the ambiguity in this system has led to support for 'radiographer commenting', which is recording a preliminary image evaluation (PIE) in written format.…”

Section: Introductionmentioning

confidence: 99%

Formalising written preliminary image evaluation by Australian radiographers: a review of practice value

Tonks,

Varcoe,

Maurici

2023

J of Medical Radiation Sci

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The Medical Radiation Practice Board of Australia (MRPBA) minimum competency framework requires all Australian radiographers to identify significant pathology in radiological images and take appropriate action to alert these urgent findings and ensure patient safety. Despite professional bodies endorsing the provision of preliminary image evaluations (PIE) in written format, radiographer image interpretation often remains inconsistent, informal, or undocumented. The purpose of this narrative review was to assess the literature to determine if PIE in the form of written radiographer comments is of value to the Australian healthcare system. A structured search was completed using four health research databases: CINAHL, Medline, Scopus and Web of Science. Studies have suggested that there is a contextual need for commenting due to increased imaging service pressures, radiologist shortages and subsequent reporting delays. Radiographers appear well placed and willing to provide accurate initial input with evidence that this would be valued and appreciated within the multidisciplinary team. Radiographer commenting has also been shown to reduce diagnostic and communicative errors with the potential to improve patient management. Finally, it was shown that participation in image interpretation practices can enhance recruitment, retention and job satisfaction among radiographers. Therefore, the current literature supports implementation of radiographer commenting within the Australian healthcare system.

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An investigation of advanced practice carried out by radiographers in New South Wales

Cited by 6 publications

References 18 publications

Core competencies of radiographers working in rural hospitals of KwaZulu-Natal, South Africa

Core competencies of radiographers working in rural hospitals of KwaZulu-Natal, South Africa

Comparison of image quality assessments between interventional radiographers and interventional radiologists using digital subtraction angiography

Formalising written preliminary image evaluation by Australian radiographers: a review of practice value

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