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Jacquet L, Paucsik M, Guy JB, Eve K, Ben-Taarit I, Lantheaume S. Self-compassion and psychological well-being of radiographers at work. Int J Qual Stud Health Well-being 2024; 19:2287621. [PMID: 38055785 DOI: 10.1080/17482631.2023.2287621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 11/21/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVES The aim of this study was to assess how self-compassion affects the psychological well-being of radiographers at work. METHODS An online survey was sent to radiology and radiotherapy departments in Rhône-Alpes, a region of France (from October 2021 to February 2022). The study is mixed: quantitative data, with closed questions and two validated scales, and qualitative data, with open questions aimed at assessing perceptions among radiologists as regards self-compassion. RESULTS A total of 253 radiographers (mean age 32.9 years), took part in this survey. Radiographers reported a poor level of well-being and a moderate level of self-compassion. We found a link between well-being at work and self-compassion. Gender, age, number of years of experience and the desire to receive training on well-being appear to have an impact on the level of self-compassion. The perception of self-compassion by radiologists is essentially positive. CONCLUSION Particular attention should be paid to radiologists who are female, young, and with only a few years of experience. Self-compassion is a protective factor for radiologists and may help them take care of themselves to continue caring for others. Training related to self-compassion should be promoted in medical imaging departments.
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Affiliation(s)
- Leïla Jacquet
- Institut Supérieur Technologique Montplaisir, Valence (Drôme), France
| | - Marine Paucsik
- Univ. Grenoble Alpes, Univ. Savoie Mont Blance, Grenoble (Isère), France
| | | | - Karine Eve
- Institut Supérieur Technologique Montplaisir, Valence (Drôme), France
| | - Isabelle Ben-Taarit
- Ramsay Santé Hôpital Privé Drôme Ardèche, Guilherand-Granges (Ardèche), France
| | - Sophie Lantheaume
- Institut Supérieur Technologique Montplaisir, Valence (Drôme), France
- Univ. Grenoble Alpes, Univ. Savoie Mont Blance, Grenoble (Isère), France
- Ramsay Santé Hôpital Privé Drôme Ardèche, Guilherand-Granges (Ardèche), France
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Hunter D, Anderson N, Oates R, Kok D, Sapkaroski D, Treffry N, Wright C. Piloting a language translation device for Mandarin-speaking patients presenting for radiotherapy treatment-assessing patient and radiation therapist perspectives. Support Care Cancer 2024; 32:234. [PMID: 38502353 PMCID: PMC10951040 DOI: 10.1007/s00520-024-08438-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 03/13/2024] [Indexed: 03/21/2024]
Abstract
PURPOSE Culturally and linguistically diverse (CALD) cancer patients report unmet informational and emotional needs when receiving radiotherapy (RT). This feasibility study aimed to evaluate the clinical use of an instant translation device (ITD) to facilitate communication between Mandarin-speaking patients and radiation therapists (RTTs) within the Australian public RT setting. The primary aim was to assess the ability to convey information relating to daily patient care and build rapport using the device. METHODS A single-arm prospective interventional trial was employed with patient and RTT participants. Eligible patient participants were aged 18 years or older, diagnosed with cancer, referred for RT with self-reported Mandarin as the primary language spoken at home. Patients who had previously received RT were excluded. Consenting patient participants completed a baseline assessment of health literacy (REALM-SF) and English proficiency (LexTALE). Surveys were administered to patients and consenting RTTs at the cessation of treatment, forming two distinct participant groups. Descriptive statistics were used to compare participant groups. RESULTS Eleven patients and 36 RTTs were recruited to the study. Descriptive statistics demonstrated participant group agreement in conveying treatment instructions, though differing experiences were reported against general conversation. Although the reporting of technical difficulties was inconsistent, both groups recommended the application of the ITD within the RT domain. CONCLUSION This feasibility study demonstrated encouraging accounts of patients and RTTs with regard to ITD use in the context of RT treatment. Expanded, multi-institutional recruitment is required to yield statistical significance, inform the impact of the device, and determine requisite training requirements. TRIAL REGISTRATION HREC reference number: LNR/18/PMCC/115 (18/100L). HREC approval date: 10 July 2018.
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Affiliation(s)
- Darren Hunter
- Department of Medical Imaging and Radiation Sciences, School of Primary and Allied Health Care, Monash University, Clayton, VIC, Australia.
| | - Nigel Anderson
- Radiation Oncology, Olivia Newton-John Cancer Wellness & Research Centre, Austin Health, Heidelberg, VIC, Australia
| | - Richard Oates
- Radiation Therapy Services, Peter MacCallum Cancer Centre, Bendigo, VIC, Australia
| | - David Kok
- Department of Radiation Oncology, Peter MacCallum Cancer Centre, Moorabbin, VIC, Australia
| | - Daniel Sapkaroski
- Radiation Therapy Services, Peter MacCallum Cancer Centre, Parkville, VIC, Australia
| | - Nicola Treffry
- Radiation Therapy Services, Peter MacCallum Cancer Centre, Parkville, VIC, Australia
| | - Caroline Wright
- Department of Medical Imaging and Radiation Sciences, School of Primary and Allied Health Care, Monash University, Clayton, VIC, Australia
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Shubayr N. Investigation of the Radiographic Imaging Volume and Occupational Dose of Radiologic Technologists before and during the COVID-19 Pandemic. Health Phys 2023; 125:362-368. [PMID: 37548570 DOI: 10.1097/hp.0000000000001728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/08/2023]
Abstract
ABSTRACT This study aimed to assess occupational radiation doses for radiologic technologists (RTs) in Saudi Arabia shortly before and during the COVID-19 pandemic, considering changes in imaging volume during that time. This retrospective study included the imaging volume data and the RTs' occupational dose records from a central hospital for 2019 and 2020. The occupational dose-in terms of annual and quarterly mean effective doses (AMEDs and QMEDs)-was estimated for 115 RTs using thermoluminescent dosimeter records. There was a 22% increase in the AMED in 2020 compared with 2019, though the overall imaging volume decreased by 9% in 2020. The percentage changes in AMEDs between 2019 and 2020 for general radiography (GR), computed tomography (CT), interventional radiology (IR), nuclear medicine (NM), and mammography (MG) were 45%, 56%, 9%, 18% and -2%, respectively. The highest contribution to AMEDs in 2020 for modalities was due to GR and CT procedures, accounting for 0.50 mSv and 0.58 mSv, respectively. The percentage change in imaging volumes between 2019 and 2020 depicted a slight decrease in Q2 (-1%) and a substantial decrease in Q1 (-10%), Q3 (-12%), and Q4 (-11%) for 2020. The overall percentage changes in imaging volumes in 2020 for GR (conventional and mobile), CT, IR, NM, and MG were -7% (-19% and 48%), -11%, 13%, -26%, and -46%, respectively. Investigating the changes in 2020 by comparing Q1 of 2020 (before the pandemic restrictions) with Q2 (during the pandemic restrictions and changes in workflow) revealed that the QMED during Q2 increased by 5% with a 17.4% decrease in the imaging volume. However, CT procedures were increased by 11.1% during the pandemic restrictions in Q2 of 2020, with an increase in the corresponding QMED of 66%. Moreover, mobile GR procedures increased by 21% in Q2 of 2020 compared to Q1. This study indicated the impact of the COVID-19 pandemic on imaging volume and occupational dose. Overall, the study observed a decrease in the imaging volume and an increase in RTs' effective doses by 2020. However, there was an increase in mobile GR and CT examinations during the COVID-19 pandemic restrictions in 2020. This study suggested that the increased mobile GR and CT examinations contributed to greater effective doses for RTs in 2020.
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Affiliation(s)
- Nasser Shubayr
- Department of Diagnostic Radiography Technology, College of Applied Medical Sciences, Jazan University, Jazan 45142, Saudi Arabia
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Lemon M, Almutairi A, O'Connor M, Amin Y, Makanjee CR, Davidson R, Hayre CM, Lewis S. Radiographers' organisational commitment and occupational stress: First Covid-19 wave. Radiography (Lond) 2023; 29:1115-1120. [PMID: 37774578 DOI: 10.1016/j.radi.2023.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 09/06/2023] [Accepted: 09/13/2023] [Indexed: 10/01/2023]
Abstract
INTRODUCTION Radiographers, like many health professionals, are in a high-risk group for succumbing to workplace demands beyond their ability to cope, particularly in the context of the COVID-19 pandemic resulting in occupational stress. Occupational stress has been linked to poor organisational commitment. Therefore, the purpose of this research was to evaluate radiographers' organisational commitment and occupational stress after the first wave of the COVID-19 pandemic. METHODS A mixed method approach entailed data collected from purposively sampled Australian radiographers working during the first COVID-19 wave. The quantitative phase used an online commitment questionnaire, and 21 semi-structured individual virtual interviews were conducted in the qualitative phase. Data interpretation and analysis used statistical and thematic approaches. RESULTS The quantitative data revealed a higher level of continuance than affective and normative commitment. Whereas the qualitative findings showed participants high levels of affective commitment to their occupation and, together with leadership support, working collectively towards a positive outcome. CONCLUSION Despite the variety of occupational stressors that arose during the COVID-19 crisis, Australian radiographers enjoy a high level of occupational and organisational commitment. IMPLICATIONS FOR PRACTICE Radiographers' organisational commitment represents their emotional and psychological attachment to their workplace, and radiographers experiencing occupational stress represent high levels of psychosomatic distress and burnout. Therefore, considering radiographers' organisational commitment and occupational stress is essential in the delivery of services, quality of patient care and radiographers well-being.
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Affiliation(s)
- M Lemon
- Department of Medical Radiation Science, University of Canberra; University Drive, Bruce, ACT 2617, Australia.
| | - A Almutairi
- Department of Medical Radiation Science, University of Canberra; University Drive, Bruce, ACT 2617, Australia.
| | - M O'Connor
- Department of Medical Radiation Science, University of Canberra; University Drive, Bruce, ACT 2617, Australia.
| | - Y Amin
- Department of Medical Radiation Science, University of Canberra; University Drive, Bruce, ACT 2617, Australia.
| | - C R Makanjee
- Department of Medical Radiation Science, University of Canberra; University Drive, Bruce, ACT 2617, Australia.
| | - R Davidson
- Department of Medical Radiation Science, University of Canberra; University Drive, Bruce, ACT 2617, Australia.
| | - C M Hayre
- Department of Health and Care Professions, University of Exeter, England, UK; College of Medicine and Health, Room 1.32, South Cloisters, UK.
| | - S Lewis
- Department of Medical Imaging and Radiation Sciences, Faculty of Health Sciences University of Johannesburg, DFC Campus, JOB 6306a, Doornfontein, Johannesburg, South Africa.
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Abu Awwad D, Hill S, Lewis S, Jimenez Y. Knowledge, attitudes and practice of infection prevention and control in the CT suite. BMC Health Serv Res 2023; 23:741. [PMID: 37422620 DOI: 10.1186/s12913-023-09779-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 07/03/2023] [Indexed: 07/10/2023] Open
Abstract
BACKGROUND Infection, prevention, and control (IPC) practices are essential to protect patients and staff within healthcare facilities. Radiology departments cater to both inpatients and outpatients, and breaches of IPC practice have led to outbreaks of disease within healthcare facilities. This study aims to examine the knowledge, attitudes and practice (KAP) of computed tomography (CT) radiographers and nurses in their infection, prevention, and control (IPC) practice. The KAP components focuses on the CT environment, contrast injector use, and workplace factors that impact IPC practice. METHODS A cross-sectional KAP survey was distributed online to Australian CT radiographers and radiology nurses across different institutions. The survey covered demographics, each KAP component, and workplace culture. Spearman's correlation was used to compare KAP scores. Kruskal-Wallis test was used to compare the KAP scores between demographic categories, and Chi Square was used to compare demographic data with workplace culture. RESULTS There were 147 respondents, 127 of which were radiographers and 20 were nurses. There was a moderate positive correlation between knowledge and attitude for radiographers (rho = 0.394, p < 0.001). Radiographers also had a moderate positive relationship between attitudes and practice (rho = 0.466, p < 0.001). Both radiographers and nurses scored high in the knowledge section of the survey, but nurses had statistically significant higher practice scores than radiographers (p = 0.014). CT radiographers who had an IPC team in their workplace or worked in public hospitals, had statistically significant higher attitudes and practice scores. Age, education, and years of experience did not impact on KAP scores. CONCLUSION The study found that radiographers and nurses had a good baseline knowledge of standard precautions. IPC teams and continued training is important to positively influence knowledge and attitudes of health professionals towards IPC practice. The KAP survey was a useful tool to assess the knowledge, attitudes, and practice on IPC of CT radiographers and nurses and identified areas for education, interventions, and leadership.
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Affiliation(s)
- Dania Abu Awwad
- Discipline of Medical Imaging Science, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia.
| | - Suzanne Hill
- Discipline of Medical Imaging Science, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
| | - Sarah Lewis
- Discipline of Medical Imaging Science, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
| | - Yobelli Jimenez
- Discipline of Medical Imaging Science, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
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Kandeepan K, Robinson J, Reed W. Pandemic preparedness of diagnostic radiographers during COVID-19: A scoping review. Radiography (Lond) 2023; 29:729-737. [PMID: 37207374 DOI: 10.1016/j.radi.2023.04.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 04/20/2023] [Accepted: 04/29/2023] [Indexed: 05/21/2023]
Abstract
INTRODUCTION As chest imaging is a tool for detecting coronavirus disease 2019 (COVID-19), diagnostic radiographers are a key component of the frontline workforce. Due to its unforeseen nature, COVID-19 has challenged radiographers' preparedness in combating its effects. Despite its importance, literature specifically investigating radiographers' readiness is limited. However, the documented experiences are prognostic of pandemic preparedness. Hence, this study aimed to map this literature by addressing the question: 'what does the existing literature reveal about the pandemic preparedness of diagnostic radiographers during COVID-19?'. METHODS Using Arksey and O'Malley's framework, this scoping review searched for empirical studies in MEDLINE, Embase, Scopus, and CINAHL. Consequently, 970 studies were yielded and underwent processes of deduplication, title and abstract screening, full-text screening, and backward citation searching. Forty-four articles were deemed eligible for data extraction and analysis. RESULTS Four themes that reflected pandemic preparedness were extrapolated: infection control and prevention, knowledge and education, clinical workflow, and mental health. Notably, the findings highlighted pronounced trends in adaptation of infection protocols, adequate infection knowledge, and pandemic-related fears. However, inconsistencies in the provision of personal protective equipment, training, and psychological support were revealed. CONCLUSION Literature suggests that radiographers are equipped with infection knowledge, but the changing work arrangements and varied availability of training and protective equipment weakens their preparedness. The disparate access to resources facilitated uncertainty, affecting radiographers' mental health. IMPLICATIONS FOR PRACTICE By reiterating the current strengths and weaknesses in pandemic preparedness, the findings can guide clinical practice and future research to correct inadequacies in infrastructure, education, and mental health support for radiographers in the current and future disease outbreaks.
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Affiliation(s)
- K Kandeepan
- Medical Imaging Sciences, University of Sydney, Camperdown, NSW 2050, Australia.
| | - J Robinson
- Medical Imaging Sciences, University of Sydney, Camperdown, NSW 2050, Australia
| | - W Reed
- Medical Imaging Sciences, University of Sydney, Camperdown, NSW 2050, Australia
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Sireci F, Bellei E, Torre G, Ferrari F, Minardi V, Ghirotto L, Valzania F. Being a technician during COVID-19: a qualitative cross-sectional survey on the experiences of clinical neurophysiology technicians. Neurol Sci 2023; 44:429-436. [PMID: 36510090 PMCID: PMC9744665 DOI: 10.1007/s10072-022-06551-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 12/06/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND During the Sars-CoV-2 virus pandemic, Italy faced an unrivaled health emergency. Its impact has been significant on the hospital system and personnel. Clinical neurophysiology technicians played a central role (but less visibly so compared to other healthcare workers) in managing the COVID-19 pandemic. This research aims to explore the experiences of clinical neurophysiology technicians during the pandemic and contribute to the debate on the well-being of healthcare workers on the front line. METHODS We implemented a cross-sectional survey across Italy. It contained questions that were open-ended for participants to develop their answers and acquire a fuller perspective. The responses were analyzed according to the framework method. RESULTS One hundred and thirty-one responses were valid, and the following themes were generated: technicians' experiences in their relationship with patients, technicians' relationship with their workgroup and directors, and technicians' relationship with the context outside of their work. The first theme included sub-themes: fear of infection, empathy, difficulty, a sense of obligation and responsibility, anger, and sadness. The second theme contained selfishness/solidarity in the workgroup, lack of protection/collaboration from superiors, stress, and distrust. The last theme included fear, stress/tiredness, serenity, sadness, and anger. CONCLUSION This study contributes to building a humanized perspective for personnel management, bringing attention to the technical work of healthcare professionals in an emergency and the emotional and relational dimensions. These are the starting points to define proper, contextually adequate support.
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Affiliation(s)
- Francesca Sireci
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
| | - Elena Bellei
- Interactionist Cognitive Psychotherapy School, Padua, Italy
| | - Gabriella Torre
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
| | - Francesca Ferrari
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
| | - Valentina Minardi
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
| | - Luca Ghirotto
- Qualitative Research Unit, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy.
| | - Franco Valzania
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
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Jimenez YA, Hill S, Lewis SJ. Infection prevention and control in medical imaging surveys: The need to map to guidelines to address systemic issues? Infect Dis Health 2023; 28:102-114. [PMID: 36707351 DOI: 10.1016/j.idh.2023.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 01/07/2023] [Accepted: 01/08/2023] [Indexed: 01/26/2023]
Abstract
BACKGROUND Infection prevention and control (IPC) in the medical imaging (MI) setting is recognised as an important factor in providing high-quality patient care and safe working conditions. Surveys are commonly used and have advantages for IPC research. The aim of this study was to identify the core concepts in surveys published in the literature that examined IPC in MI environments. METHODS A literature review was conducted to identify studies that employed a survey relating to IPC in the MI setting. For each included study, descriptive study information and survey information were extracted. For IPC-specific survey items, directed content analysis was undertaken, using eleven pre-determined codes based on the 'Australian Guidelines for the Prevention and Control of Infection in Healthcare'. Content that related to 'Knowledge', 'Attitudes' and 'Practice' were also identified. RESULTS A total of 23 studies and 21 unique surveys were included in this review. IPC-specific survey items assessed diverse dimensions of IPC, most commonly relating to 'transmission-based precautions' and 'applying standard and transmission-based precautions during procedures'. 'Practice' and 'Knowledge' related survey items were most frequent, compared to 'Attitudes'. CONCLUSION MI research using survey methods have focused on the 'entry' points of IPC, rather than systemic IPC matters around policy, education, and stewardship. The concepts of 'Knowledge', 'Attitudes' and 'Practice' are integrated in IPC surveys in the MI context, with a greater focus evident on staff knowledge and practice. Existing topics within IPC surveys in MI are tailored to individual studies and locales, with lack of consistency to national frameworks.
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Affiliation(s)
- Yobelli A Jimenez
- Susan Wakil Health Building (D18), Western Avenue, University of Sydney, NSW 2006 Australia.
| | - Suzanne Hill
- Susan Wakil Health Building (D18), Western Avenue, University of Sydney, NSW 2006 Australia
| | - Sarah J Lewis
- Susan Wakil Health Building (D18), Western Avenue, University of Sydney, NSW 2006 Australia
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O'Connor M, Rainford L. The impact of 3D virtual reality radiography practice on student performance in clinical practice. Radiography (Lond) 2023; 29:159-164. [PMID: 36379142 DOI: 10.1016/j.radi.2022.10.033] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 10/26/2022] [Accepted: 10/31/2022] [Indexed: 11/13/2022]
Abstract
INTRODUCTION Simulation-based learning plays an integral role in preparing students for clinical practice. This study investigated the impact of immersive three-dimensional (3D) virtual reality (VR) simulation-based learning on first-year radiography students' performance in the clinical setting. METHODS A retrospective analysis of first-year radiography clinical assessments was carried out to compare performance pre-and post-introduction of VR. The stage one cohort with no VR education was considered the control group (n = 93). The VR group (n = 98) had seven hours of practice in the immersive VR suite (Virtual Medical Coaching). Experienced clinical tutors assessed first-year students performing an extremity radiographic examination in the clinical setting. Assessment criteria were ranked on a 5-point Likert scale from poor to excellent. Mann Whitney U Tests were applied to compare performance across cohorts. RESULTS Students trained with VR performed better across 20 of the 22 assessment criteria. VR-trained students performed significantly better (more ranked as 'very good' or 'excellent') than the control group in the following criteria; positioning patients for X-rays (19% difference) (U = 3525, z = -2.66, p < 0.05), selecting exposure factors (12% difference) (U = 3680, z = -3.13, p < 0.05), image appraisal of patient positioning (27% difference) (U = 3448, z = -2.9, p < 0.05) and image appraisal of image quality (18% difference) (U = 3514, z = -2.6, p < 0.05). Their comprehension of clinical indications, equipment set up and explanation of the procedure was also significantly better (p < 0.05). CONCLUSION This is the first study to investigate the translation of VR learning into radiography clinical practice. VR learning had a positive impact on the performance of first-year students in their clinical assessment, especially with respect to patient positioning, exposure parameter selection and image appraisal. IMPLICATIONS FOR PRACTICE VR is a valuable educational tool in preparing novice radiography students for clinical practice. It is particularly useful to enhance student knowledge in the areas of patient positioning, exposure factor selection and radiographic image appraisal.
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Affiliation(s)
- M O'Connor
- Radiography and Diagnostic Imaging, University College Dublin, Ireland.
| | - L Rainford
- Radiography and Diagnostic Imaging, University College Dublin, Ireland
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Shantel Lewis. TWO YEARS ON AND FOUR WAVES LATER- JOHANNESBURG DIAGNOSTIC RADIOGRAPHERS’ EXPERIENCES OF COVID-19. J Med Imaging Radiat Sci 2022. [ DOI: 10.1016/j.jmir.2022.11.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 11/17/2022] [Accepted: 11/25/2022] [Indexed: 12/12/2022]
Abstract
Introduction At the onset of COVID-19 diagnostic radiographers from Gauteng, South Africa, shared their experiences of the new workflow and operations, their well-being and their resilience during this time. They experienced emotional, physical and financial fatigue. It is now over two years later, and South Africa has experienced four waves of COVID-19. Therefore, this study explored diagnostic radiographers' experience of COVID-19 after two years and four waves. Methods A qualitative explorative, descriptive and contextual study was conducted collecting data through nine virtual individual in-depth interviews. Responses from the diagnostic radiographers in Johannesburg, Gauteng South Africa, underwent thematic analysis. Results Thematic analysis revealed two themes and related categories. Theme one: participants shared synchronistic experiences with the four COVID-19 waves, the heterogeneous vaccination ideologies and their support and coping skills. Theme two: lessons learnt and the way forward. Conclusion Participants shared feeling overwhelmed at the onset of COVID-19 and feared infecting their family, friends and colleagues. However, their anxiety and fear decreased with time. They experienced the Delta variant as the worst and felt supported by their colleagues more than by management. They recounted observations of vaccine hesitancy but acknowledged that vaccination had alleviated some of the fear and anxiety. Participants' coping skills varied, and reflecting on their experience, they shared the lessons learnt and the way forward.
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Tay YX, Wei Y. It takes one to tango: Hybrid leader. J Med Imaging Radiat Sci 2022. [DOI: 10.1016/j.jmir.2022.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 08/11/2022] [Accepted: 08/23/2022] [Indexed: 11/23/2022]
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Lock HS, Teng XL, Low ZX, Ooi J. Success criteria and challenges of mobile radiography in the era of COVID-19 pandemic: A Singapore perspective. J Med Imaging Radiat Sci 2022; 53:404-411. [PMID: 35872003 PMCID: PMC9242935 DOI: 10.1016/j.jmir.2022.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/20/2022] [Accepted: 06/22/2022] [Indexed: 10/24/2022]
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Salih S, Alkatheeri A, Almarri B, Shamsi NA, Jaafari O, Alshammari M. The Impact of COVID-19 Crisis on the Control and Management of Radiography Practice in the United Arab Emirates. Healthcare (Basel) 2022; 10:healthcare10081546. [PMID: 36011203 PMCID: PMC9408335 DOI: 10.3390/healthcare10081546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 08/09/2022] [Accepted: 08/12/2022] [Indexed: 11/16/2022] Open
Abstract
The present study aimed to assess the impact of the COVID-19 crisis on radiology practices in Abu Dhabi, UAE. An electronic survey (Google form) was distributed among Abu Dhabi government and private hospitals. The survey included general X–ray services, which were only provided in the radiology departments. The diagnostic radiographers who reported changes in the number and type of radiology procedures (37%) reported that the changes reached 61–80% compared to the number of procedures being conducted prior to the outbreak of COVID-19. While infection control was challenging due to the shortage of personal protective equipment (PPE), 51.2% of the participants were affected. The healthcare workers in the radiology departments in Abu Dhabi are exposed to a high number of COVID-19–infection patients, which increases their chances of contracting the disease. A total of 90% of employees were infected with COVID-19 during the crisis. COVID-19 has resulted in changes in clinical working patterns, such as the type and number of procedures performed daily. Additionally, PPE shortages, staff infection during the pandemic, an increase in workplace–related difficulties, and staff well–being are common consequences of the pandemic. It is vital to enhance coping strategies in order to support staff well–being. However, the psychological effects caused as a result of the pandemic should not be ignored, and providing professional support to workers is recommended.
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Affiliation(s)
- Suliman Salih
- Department of Radiography and Medical Imaging, Fatima College of Health Sciences, Al Ain 33003, United Arab Emirates
- National Cancer Institute, University of Gezira, Wad Madani 2667, Sudan
| | - Ajnas Alkatheeri
- Department of Radiography and Medical Imaging, Fatima College of Health Sciences, Al Ain 33003, United Arab Emirates
- Correspondence: ; Tel.: +971-503738033
| | - Bashayer Almarri
- Department of Radiography and Medical Imaging, Fatima College of Health Sciences, Al Ain 33003, United Arab Emirates
| | - Nouf Al Shamsi
- Department of Radiography and Medical Imaging, Fatima College of Health Sciences, Al Ain 33003, United Arab Emirates
| | - Osama Jaafari
- Royal Commission Medical Center, Yanbu 46451, Saudi Arabia
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14
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Elshami W, Abuzaid MM, McConnell J, Stewart S, Floyd M, Hughes D, McClintick C, Eckloff K, Leishman L, McFadden S. The Radiography students’ perspective of the impact of COVID-19 on education and training internationally: a across sectional survey of the UK Devolved Nations (UKDN) and the United Arab Emirates (UAE). Radiography (Lond) 2022; 28 Suppl 1:S50-S58. [PMID: 35989145 PMCID: PMC9293787 DOI: 10.1016/j.radi.2022.07.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 06/15/2022] [Accepted: 07/12/2022] [Indexed: 10/28/2022]
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15
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Dann C, Sun Z. The impact of COVID-19 on Western Australian medical imaging clinical practice and workplace. J Med Radiat Sci 2022; 69:299-308. [PMID: 35555866 PMCID: PMC9348032 DOI: 10.1002/jmrs.594] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 04/21/2022] [Indexed: 01/13/2023] Open
Abstract
Introduction Medical imaging plays a key role in the management of patients with coronavirus disease‐2019 (COVID‐19). This field is at risk from the impacts of the pandemic on the practice and workplace of medical imaging professionals (MIPs). Recent research has explored this impact internationally and in various states of Australia; however, the impact of the pandemic on Western Australian (WA) MIPs is yet to be examined. Methods This cross‐sectional study aimed to address this issue by surveying clinically practicing WA MIPs on their experience of the impact of COVID‐19. The survey was conducted online between the 1st and the 31st of May 2021 and encompassed 101 clinical sites. Results Fifty‐one valid (17.1%) responses were recorded, and a majority (66.7%) of the participants were employed in public hospitals. The results showed that most participants (94.1%) perceived an impact on their clinical practice, with expressions of insufficient access to personal protective equipment (PPE). The use of all the appropriate PPE items were dependent on whether the participants were employed in a public hospital, private hospital, or a private practice (P = 0.001). Perceived imaging volume decrease across modalities did not differ significantly among the workplaces, except for interventional radiology (P = 0.006). The participants also expressed concerns about inadequate psychological support. Conclusions COVID‐19 has enhanced infection control procedures and modified the routine imaging patterns. Specifically, WA medical imaging centres have altered their PPE and cleaning procedures based on updated health advice. Efforts should be taken to strengthen the support provided to the staff members and to ensure adequate access to PPE supplies.
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Affiliation(s)
- Chloe Dann
- Discipline of Medical Radiation Science, Curtin Medical School, Curtin University, Perth, Western Australia, Australia
| | - Zhonghua Sun
- Discipline of Medical Radiation Science, Curtin Medical School, Curtin University, Perth, Western Australia, Australia
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16
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Moore MN, Leamy MB, England DA, O'Connor DOJ, McEntee MF. An Evaluation of the impact of the Coronavirus (COVID 19) pandemic on Interventional Radiographers well-being. J Med Imaging Radiat Sci 2022; 53:384-395. [PMID: 35660274 PMCID: PMC9114273 DOI: 10.1016/j.jmir.2022.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 05/05/2022] [Accepted: 05/11/2022] [Indexed: 10/25/2022]
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17
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Mc Fadden S, Flood T, Shepherd P, Gilleece T. Impact of COVID-19 on service delivery in radiology and radiotherapy. Radiography (Lond) 2022. [PMID: 35422396 PMCID: PMC8960154 DOI: 10.1016/j.radi.2022.03.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 03/18/2022] [Accepted: 03/21/2022] [Indexed: 11/24/2022]
Abstract
Introduction The COVID-19 pandemic has had a profound impact on radiography services globally. The reshaping of service delivery continues to impact patient management and the experience of the radiography workforce should be evaluated to determine how effective service delivery can be maintained in the ongoing and post-pandemic world. Methods A mixed methods approach was adopted. Questionnaires, designed using Qualtrics (Qualtrics, Provo, UT) online survey software, were used to survey radiographers throughout Northern Ireland (NI). Semi-structured interviews were conducted with radiography service managers in the NHS and private sector in NI. All interviews were digitally recorded, transcribed and coded independently by 2 researchers. Results A total of 106 Radiographers completed the online survey i.e. 82 Diagnostic and 24 Therapeutic. Variations were reported regarding staff concern for contracting COVID-19 and passing it on. Clinical workload was reported to fluctuate during the early period of the pandemic, however, both diagnostic and therapeutic radiographers reported workloads which were higher than normal at the time of the data collection. Nine service managers participated in the interviews plus two band 8 superintendent radiographers. Staff faced many challenges whilst delivering services due to COVID-19. The two most frequently cited challenges included issues related to (i) Implementation of PPE and (ii) Changes to work practices. Conclusion A pre-prepared pandemic plan should be established and stress tested for the future. The plan should be devised in consultation with both the public and private sector to determine the very best use of resources. Implications for practice The radiography workforce has worked continuously throughout the pandemic and needs to be supported to deal with the potential increase in demand for services in the post-pandemic world.
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18
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Yeung P, Pinson JA, Lawson M, Leong C, Badawy MK. COVID-19 pandemic and the effect of increased utilisation of mobile X-ray examinations on radiation dose to radiographers. J Med Radiat Sci 2022; 69:147-155. [PMID: 35180810 PMCID: PMC9088417 DOI: 10.1002/jmrs.570] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 01/10/2022] [Accepted: 01/18/2022] [Indexed: 12/13/2022] Open
Abstract
Introduction The use of ionising radiation results in occupational exposure to medical imaging professionals, requiring routine monitoring. This study aims to assess the effect of increased utilisation of mobile X‐ray units, mobile imaging of non‐routine body regions and radiographer work practice changes for impact on staff radiation dose during the early stages of the COVID‐19 pandemic. Methods A retrospective analysis of general radiology departments across two metropolitan hospitals was performed. Personal radiation monitor exposure reports between January 2019 and December 2020 were analysed. Statistical analysis was conducted using a Mann–Whitney U test when comparing each quarter, from 2019 to 2020. Categorical data were compared using a Chi‐squared test. Results Mobile X‐ray use during the pandemic increased approximately 1.7‐fold, with the peak usage observed in September 2020. The mobile imaging rate per month of non‐routine body regions increased from approximately 6.0–7.8%. Reported doses marginally increased during Q2, Q3 and Q4 of 2020 (in comparison to 2019 data), though was not statistically significant (Q2: P = 0.13; Q3: P = 0.31 and Q4 P = 0.32). In Q1, doses marginally decreased and were not statistically significant (P = 0.22). Conclusion Increased utilisation and work practice changes had no significant effect on reported staff radiation dose. The average reported dose remained significantly lower than the occupational dose limits for radiation workers of 20 mSv.
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Affiliation(s)
- Phoebe Yeung
- Monash Health Imaging, Monash Health, Clayton, Victoria, Australia
| | - Jo-Anne Pinson
- Monash Health Imaging, Monash Health, Clayton, Victoria, Australia.,Department of Medical Imaging, Peninsula Health, Frankston, Victoria, Australia.,Department of Medical Imaging and Radiation Sciences, School of Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia
| | - Michael Lawson
- Monash Health Imaging, Monash Health, Clayton, Victoria, Australia.,Faculty of Engineering, Centre of Medical and Radiation Physics, School of Physics, University of Wollongong, Keiraville, New South Wales, Australia
| | | | - Mohamed Khaldoun Badawy
- Monash Health Imaging, Monash Health, Clayton, Victoria, Australia.,Department of Medical Imaging and Radiation Sciences, School of Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia
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19
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Morassaei S, Di Prospero L, Ringdalen E, Olsen SS, Korsell A, Erler D, Ying C, Ho Choi S, Bolderston A, Middleton J, Johansen S. A survey to explore the psychological impact of the COVID-19 pandemic on radiation therapists in Norway and Canada: A tale of two countries. J Med Radiat Sci 2021; 68:407-417. [PMID: 34716675 PMCID: PMC8656195 DOI: 10.1002/jmrs.557] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 09/18/2021] [Accepted: 10/18/2021] [Indexed: 12/18/2022] Open
Abstract
INTRODUCTION Several studies have demonstrated the psychological impact of the COVID-19 pandemic on health care providers. However, there is little known about how the COVID-19 pandemic has impacted radiation therapists (RTs) in Norway or Canada. The aim of this investigation was to study the psychological impact of working during the COVID-19 pandemic among RTs in Canada and Norway. METHODS Online surveys were administered to a convenience sample of RTs and RT department managers. Approximately 2000 and 300 RTs were invited to participate from Canada and Norway, respectively. The RT survey collected information on demographics, work-related stressors, psychological impact, quality of life, and workplace support programmes. The RT manager survey collected information on departmental changes, patient volumes, staff shortages and redeployment, personal protective equipment, and infection control measures. Descriptive analysis, group comparisons and logistic regression were used to examine the impact of COVID-19 on RTs in the two countries, while open-ended questions were examined through thematic analysis. RESULTS Work-related stress and anxiety were prevalent among Canadian (n = 155) and Norwegian RTs (n = 124), with Canadian RTs reporting higher levels. Fear of transmission, changes in PPE usage, and changes in staffing were reported as the most frequent work-related stressors. Themes related to working during the pandemic included: generalised anxiety; physical, emotional and cognitive symptoms of stress; and loneliness, as well as negative impact on health and quality of relationships. Survey findings from RT department managers in Canada (n = 12) and Norway (n = 13) suggest that the pandemic had an organisational impact on RT departments due to implemented infection control measures and changes in staffing. CONCLUSION The COVID-19 pandemic has led to similar stressors amongst Canadian and Norwegian RTs but relatively higher levels of psychological impact among Canadian RTs. Findings demonstrate the importance of mental health support programmes in the workplace to mitigate the psychological impact of the COVID-19 pandemic on RTs.
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Affiliation(s)
- Sara Morassaei
- Practice‐Based Research and InnovationSunnybrook Health Sciences CentreTorontoOntarioCanada
- School of Rehabilitation TherapyQueen’s UniversityKingstonOntarioCanada
| | - Lisa Di Prospero
- Practice‐Based Research and InnovationSunnybrook Health Sciences CentreTorontoOntarioCanada
- Department of Radiation Oncology, Temerty Faculty of MedicineUniversity of TorontoTorontoOntarioCanada
| | | | | | | | - Darby Erler
- Odette Cancer CentreSunnybrook Health Sciences CentreTorontoOntarioCanada
| | - Carmen Ying
- Radiation Therapy Program, Department of OncologyUniversity of AlbertaEdmontonAlbertaCanada
| | - Sang Ho Choi
- Radiation Therapy Program, Department of OncologyUniversity of AlbertaEdmontonAlbertaCanada
| | - Amanda Bolderston
- Radiation Therapy Program, Department of OncologyUniversity of AlbertaEdmontonAlbertaCanada
| | - Jacqueline Middleton
- Radiation Therapy Program, Department of OncologyUniversity of AlbertaEdmontonAlbertaCanada
| | - Safora Johansen
- Health FacultyOslo Metropolitan UniversityOsloNorway
- Cancer Treatment DepartmentOslo University HospitalOsloNorway
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20
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Majumder MAA, Gaur U, Singh K, Kandamaran L, Gupta S, Haque M, Rahman S, Sa B, Rahman M, Rampersad F. Impact of COVID-19 pandemic on radiology education, training, and practice: A narrative review. World J Radiol 2021; 13:354-370. [PMID: 34904050 PMCID: PMC8637607 DOI: 10.4329/wjr.v13.i11.354] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 08/26/2021] [Accepted: 10/27/2021] [Indexed: 02/06/2023] Open
Abstract
Radiology education and training is of paramount clinical importance given the prominence of medical imaging utilization in effective clinical practice. The incorporation of basic radiology in the medical curriculum has continued to evolve, focusing on teaching image interpretation skills, the appropriate ordering of radiological investigations, judicious use of ionizing radiation, and providing exposure to interventional radiology. Advancements in radiology have been driven by the digital revolution, which has, in turn, had a positive impact on radiology education and training. Upon the advent of the corona virus disease 2019 (COVID-19) pandemic, many training institutions and hospitals adhered to directives which advised rescheduling of non-urgent outpatient appointments. This inevitably impacted the workflow of the radiology department, which resulted in the reduction of clinical in-person case reviews and consultations, as well as in-person teaching sessions. Several medical schools and research centers completely suspended face-to-face academic activity. This led to challenges for medical teachers to complete the radiology syllabus while ensuring that teaching activities continued safely and effectively. As a result, online teaching platforms have virtually replaced didactic face-to-face lectures. Radiology educators also sought other strategies to incorporate interactive teaching sessions while adopting the e-learning approach, as they were cognizant of the limitations that this may have on students’ clinical expertise. Migration to online methods to review live cases, journal clubs, simulation-based training, clinical interaction, and radiology examination protocolling are a few examples of successfully addressing the limitations in reduced clinical exposure. In this review paper, we discuss (1) The impact of the COVID-19 pandemic on radiology education, training, and practice; (2) Challenges and strategies involved in delivering online radiology education for undergraduates and postgraduates during the COVID-19 pandemic; and (3) Difference between the implementation of radiology education during the COVID-19 pandemic and pre-COVID-19 era.
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Affiliation(s)
- Md Anwarul Azim Majumder
- Faculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Cave Hill BB23034, Barbados
| | - Uma Gaur
- Faculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Cave Hill BB23034, Barbados
| | - Keerti Singh
- Faculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Cave Hill BB23034, Barbados
| | - Latha Kandamaran
- Faculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Cave Hill BB23034, Barbados
| | - Subir Gupta
- Faculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Cave Hill BB23034, Barbados
| | - Mainul Haque
- Unit of Pharmacology, Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kem Perdana Sugai Besi, Kuala Lumpur 57000, Malaysia
| | - Sayeeda Rahman
- School of Medicine, American University of Integrative Sciences (AUIS), Bridgetown BB11318, Barbados
| | - Bidyadhar Sa
- Faculty of Medical Sciences, The University of the West Indies, St Augustine Campus, St Augustine 33178, Trinidad and Tobago
| | - Mizanur Rahman
- Principal's Office, International Medical College, Dhaka 1207, Bangladesh
| | - Fidel Rampersad
- Faculty of Medical Sciences, The University of the West Indies, St Augustine Campus, St Augustine 33178, Trinidad and Tobago
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21
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Akudjedu T, Mishio N, Elshami W, Culp M, Lawal O, Botwe B, Wuni AR, Julka-Anderson N, Shanahan M, Totman J, Franklin J. The global impact of the COVID-19 pandemic on clinical radiography practice: A systematic literature review and recommendations for future services planning. Radiography (Lond) 2021; 27:1219-1226. [PMID: 34303601 PMCID: PMC8272968 DOI: 10.1016/j.radi.2021.07.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Revised: 06/29/2021] [Accepted: 07/03/2021] [Indexed: 12/12/2022]
Abstract
INTRODUCTION Worldwide, reports and experiences indicate that there has been extensive re-organisation within diagnostic imaging and radiotherapy departments in response to the COVID-19 pandemic. This was necessary due to changes in workload and working practice guidelines that have evolved during the pandemic. This review provides a comprehensive summary of the global impact of the COVID-19 pandemic on radiography practice, service delivery and workforce wellbeing. METHODS A systematic review methodology was adopted to obtain data from primary studies of qualitative, quantitative, and mixed methods designs from databases (PubMed, Science Direct, Cumulative Index of Nursing and Allied Health Literature [CINAHL], and SCOPUS: all 2020 to present). The included articles were subjected to information extraction and results-based convergent synthesis. RESULTS The electronic database search yielded 10,420 articles after removal of duplicates. Of these, 31 articles met the final inclusion criteria with some (n = 8) fully focussed on radiotherapy workforce and service delivery. The pandemic impact on radiography practice is broadly themed around: training, communication, and information dissemination; infrastructure, technology, and clinical workflow; and workforce mental health and well-being. CONCLUSION Globally, most radiographers received inadequate training for managing COVID-19 patients during the initial acute phase of the pandemic. Additionally, there were significant changes to clinical practice, working patterns and perceived increase in workload due to surges in COVID-19 patients and the consequent strict adherence to new infection protocols. These changes, coupled with fear emanating from the increased risk of the workforce to contracting the infection, contributed to anxiety and workplace-related stress during the pandemic. IMPLICATIONS FOR PRACTICE Local pandemic response strategies must be appropriately developed from standard protocols in readiness for safe clinical practice and well-being management training of practitioners.
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Affiliation(s)
- T.N. Akudjedu
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK,Corresponding author. Institute of Medical Imaging & Visualisation, Bournemouth University, Bournemouth Gateway Building, St Paul's Lane, Bournemouth, BH8 8GP, UK
| | - N.A. Mishio
- Department of Psychology, University of Ghana, Ghana
| | - W. Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - M.P. Culp
- Department of Radiology, School of Medicine, The University of North Carolina at Chapel Hill, USA
| | - O. Lawal
- Department of Allied Health Professions, Midwifery and Social Work, School of Health and Social Work, University of Hertfordshire, UK
| | - B.O. Botwe
- Department of Radiography, School of Biomedical & Allied Health Sciences, College of Health Sciences, University of Ghana, Ghana
| | - A.-R. Wuni
- Department of Imaging Technology & Sonography, University of Cape Coast, Ghana
| | | | - M. Shanahan
- Faculty of Health, University of Canberra, Bruce, ACT, Australia
| | - J.J. Totman
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - J.M. Franklin
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
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22
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Botwe BO, Antwi WK, Adusei JA, Mayeden RN, Akudjedu TN, Sule SD. COVID-19 vaccine hesitancy concerns: Findings from a Ghana clinical radiography workforce survey. Radiography (Lond) 2021:S1078-8174(21)00149-8. [PMID: 34654631 DOI: 10.1016/j.radi.2021.09.015] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 09/14/2021] [Accepted: 09/29/2021] [Indexed: 12/23/2022]
Abstract
Introduction Vaccination is a key global strategy to mitigate the clinical impact of the COVID-19 virus. As part of local efforts to manage the outbreak, the government of Ghana announced its intention to vaccinate its population starting with essential and high-risk workers including radiographers. However, there were reports of hesitance to receiving the vaccine among the radiography workforce. This study was undertaken prior to the intended vaccination exercise to assess the willingness and concerns of radiographers to undergo the COVID-19 vaccination and to suggest recommendations to improve the vaccine uptake. Methods An ethically-approved online survey strategy was employed for this cross-sectional study conducted between 24th–28th February 2021. The survey employed quantitative questions and open text response options. Quantitative and open text responses were analysed using statistical and thematic analyses, respectively. Results There were 108 responses (response rate of 46.3%). The majority (n = 64, 59.3%) were willing to have the vaccine, however, some (n = 44, 40.7%) were not. The main reason behind their willingness to have the vaccine was its ability to reduce the spread of infections and lower mortality (n = 35, 54.7%). However, doubts about the vaccine's efficacy and side effects (n = 26, 56.8%), conspiracy theory concerns about its effects on the Ghanaian race (n = 4, 9.1%), and fertility concerns (n = 2, 4.5%) were some reasons for their hesitance to receive the vaccine. The open text commentary further revealed that the vaccine was thought of as a lifesaving medication, however, clinical safety concerns, lack of education/information and religious beliefs were affecting peoples' willingness to be vaccinated. Conclusion Our findings demonstrate the need for an urgent public health educational intervention to address the COVID-19 vaccine hesitancy concerns raised by radiographers to help increase the vaccine uptake. Implication for practice The study provides pertinent information to improve COVID-19 vaccine uptake among radiographers to limit the spread of infections.
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