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Войти в исследования Journal of medical imaging and radiation sciences · 2026
Who is getting on the bus? Post implementation survey analysis of a radiographer comment and alert model of care for emergency departments.
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Klobasa Ingrid, Baird Marilyn, Sim Jenny, Petrie Dennis
Аннотация
INTRODUCTION: A Radiographer Comment and Alert (RCA) Model of Care (MoC) was piloted across five Australian hospitals for timely communication of abnormal general X-ray appearances to Emergency Department (ED) referrers. Participating stakeholders were surveyed to identify patient benefits, challenges/risks and to determine the model's continuity and sustainability.
METHODS: Surveys were designed using a Qualtrics XM survey tool using binary, 4-point Likert Scales and open-ended questions. Surveys were distributed to participating radiographers, ED physicians and radiologists at pilot sites in 2023 and analysed with SPSS v29.0.
RESULTS: Thirty-four survey responses were received. The radiographer response rate was 27.5 % (19/69) and ED physicians 11.2 % (13/116). Two radiologist responses were excluded due to insufficient sample size. Radiographers identified "patient advocacy" as the greatest benefit (89.5 %; 17/19) and "time constraints" as the main challenge (57.9 %; 11/19). ED physicians ranked "increased interprofessional teamwork with radiographers" the highest (78 %,7/9), followed by "case prioritization" (67 %; 6/9). Six of nine (66.6 %) ED physicians had no concerns about the model's risks. Overall, 96.2 % (25/26) of combined respondents supported the model's sustainability, and continuity was similarly endorsed; 96.2 % (24/26).
DISCUSSION: Both radiographers and ED physicians supported continuity and sustainability of the RCA MoC. We believe this was driven by a paradigm shift in radiographer confidence and their desire for improved inter and intra-professional teamwork and patient advocacy. ED respondents supported the model for improved collaborative teamwork and workflow efficiencies. The key radiographer barrier of "time constraints" needs to be addressed locally by exploring intrinsic motivators such as highlighting patient benefits amongst radiographers.
CONCLUSIONS: Positive results supporting the continuity and sustainability of this practice will help strengthen its ongoing implementation and potential benefits for patients. Allied health practitioners, such as radiographers, can work confidently at their full scope of practice by providing a written comment on detected general X-ray abnormalities for EDs.
METHODS: Surveys were designed using a Qualtrics XM survey tool using binary, 4-point Likert Scales and open-ended questions. Surveys were distributed to participating radiographers, ED physicians and radiologists at pilot sites in 2023 and analysed with SPSS v29.0.
RESULTS: Thirty-four survey responses were received. The radiographer response rate was 27.5 % (19/69) and ED physicians 11.2 % (13/116). Two radiologist responses were excluded due to insufficient sample size. Radiographers identified "patient advocacy" as the greatest benefit (89.5 %; 17/19) and "time constraints" as the main challenge (57.9 %; 11/19). ED physicians ranked "increased interprofessional teamwork with radiographers" the highest (78 %,7/9), followed by "case prioritization" (67 %; 6/9). Six of nine (66.6 %) ED physicians had no concerns about the model's risks. Overall, 96.2 % (25/26) of combined respondents supported the model's sustainability, and continuity was similarly endorsed; 96.2 % (24/26).
DISCUSSION: Both radiographers and ED physicians supported continuity and sustainability of the RCA MoC. We believe this was driven by a paradigm shift in radiographer confidence and their desire for improved inter and intra-professional teamwork and patient advocacy. ED respondents supported the model for improved collaborative teamwork and workflow efficiencies. The key radiographer barrier of "time constraints" needs to be addressed locally by exploring intrinsic motivators such as highlighting patient benefits amongst radiographers.
CONCLUSIONS: Positive results supporting the continuity and sustainability of this practice will help strengthen its ongoing implementation and potential benefits for patients. Allied health practitioners, such as radiographers, can work confidently at their full scope of practice by providing a written comment on detected general X-ray abnormalities for EDs.