Do general radiographic examinations resemble a person-centred environment?

Radiography in Practice : Work and Learning in Medical Imaging

“…Person-centred care in rad iography and ad apting the exam ination in relation to each patient's need s have been put forw ard as im portant (H ayre et al, 2016;H ellm an & Lind gren, 2014). The introd uction of d igital im age prod uction has led to faster patient flow through the im aging d epartm ents w ith a higher grad e of efficiency.…”

“…In su m mary of the previous stud ies reviewed in this section: giving inform ation to the patient in an ind ivid ualized m anner is em phasized to be im portant for provid ing p erson-centred care (H ellm an et al, 2014;Lund en et al, 2012;Munn et al, 2014); likew ise, the ind ivid u alization of how to position the patient in the m achine (Strand et al, 2018). Poor inform ation ahead of the exam ination (Munn et al 2014) and short patient encounters are id entified as factors affecting rad iograph ers' ability to d eliver person-centred care (H ayre et al, 2016;Bleiker et al, 2016;Bold erstone et al, 2010). The review of previous research show s that there are organizational and environm ental factors influencing the caring aspect of rad iographers' professional w ork and responsibilities.…”

“…Im age quality how ever does not reflect the quality of rad iographers' practice w ith provid ing care to the patient (Strud w ick, 2014). Technology d evelopm ent lead s to shorter patient encounters and there are ind ications that this affects the ability to provid e person -centred care in rad iography practice (H ayre et al, 2016;Bleiker et al, 2016). The follow ing section w ill exam ine clinical ad vancem ent for rad iog raphers, includ ing other professional tasks and responsibilities.…”

“…The ongoing w ork w ith professionalization issues for rad iographers can m ainly be seen in term s of the first of these d iscourses. Stud ies on rad iographers' practice show ing a rapid flow of patien ts through m ed ical im aging (Bleiker et al, 2016;H ayre et al, 2016;Munn et al, 2014) ind icate that the second d iscourse can also be seen w ithin practice. Bu t it is not clear w hether it is technical or organizational factors that cause this scenario.…”

“…Rad iographers should w ork in accord ance w ith the principle of ALARA (As Low As Reasonably Achievable) in relation to rad iation d oses (ISRRT, 2004;EFRS, 2018). H ow ever, how rad iographers are to w ork in accord ance w ith ALARA in practice is not clarified , especially in relation to increasing d em and s for a fast flow of patients in m ed ical im aging (H ayre, Blackm an & Eyd en, 2016). Discourses about professional w ork in our time ind icate that the increasing im pact of m anagerial control affects the ability to act as a professional (Malin, 2017).…”