This research was performed to obtain consensus of opinion on the new radiographers’ challenges in early practice in order to ascertain their level of proficiency, improve alignment between education curriculum and workplace requirements, and to improve condition of practice.
Method: sixty-one respondents were surveyed (18 new and 43 old radiographers ). The questionnaire assessed the new radiographers’ challenges against a number of items derived from published radiography standards by the Australian Institute of Radiography (AIR), pertaining to knowledge, skills and values radiographers should acquire on graduation. Statistical analysis examined differences in opinions of the new and old radiographers.
Results: difference in opinion between new and old radiographers on the new radiographers’ challenges was insignificant. Positive feedback was given to the university curriculum, and there was less effective administration and management in the hospital departments.
Conclusion: Both new and old radiographers perceived the new radiographers as not being challenged to take up clinical practice; being proficient. Their areas of challenges emanated from poor administration and management on the side of the hospital/departments.
LIST OF TABLES AND FIGURES
List of Tables
Tables 1a: Responses to survey question related to professional challenges
Tables 1b: Comparison of responses relating to professional challenges by new and old radiographers
Tables 2a: Responses to survey question related to communication challenges
Tables 2b: Comparison of responses relating to communication challenges by new and old radiographers
Tables 3a: Responses to survey question related to patient-care challenges
Tables 3b: Comparison of responses relating to patient-care challenges by new and old radiographers
Tables 4a: Responses to survey question related to clinical challenges
Tables 4b: Comparison of responses relating to clinical challenges by new and old radiographers
Tables 5a: Responses to survey question related to technical challenges
Tables 5b: Comparison of responses relating to technical challenges by new and old radiographers
Tables 6a: Responses to survey question related to workload challenges
Tables 6b: Comparison of responses relating to workload challenges by new and old radiographers
List of Figures
Figure i: Age and Gender distribution
Figure ii: Hospital and Status distribution
TABLE OF CONTENT
Application for Approval of Topic
List of Tables and Figures
1.1 Background of Study
1.2 Statement of Problem
1.3 Objectives of Study
1.4 Significance of Study
1.5 Scope of Study
2.0 LITERATURE REVIEW
3.0 RESEARCH METHODOLOGY
3.1 Study Design
3.2 Target Population
3.3 Sample Size
3.4 Method of Data Collection
3.5 Description of Questionnaire
3.6 Method of Data Analysis
3.7 Decision Rule
3.8 Validity of Instrument
3.9 Reliability of Instrument
4.0 DATA PRESENTATION AND ANALYSIS
4.1 Age and Gender
4.2 Hospital and Status
4.3 Result for Professional Challenges
4.4 Result for Communication Challenges
4.5 Result for Patient-care Challenges
4.6 Result for Clinical Challenges
4.7 Result for Technical Challenges
4.8 Result for Workload Challenges
4.9 Analysis of Open-ended Question
5.0 DISCUSSION, SUMMARY OF FINDINGS, RECOMMENDATIONS, AREAS OF FURTHER STUDY, LIMITATIONS OF STUDY AND CONCLUSION
5.2 Summary of Findings
5.4 Areas of Further Study
5.5 Limitations of Study
Diagnostic radiography students in training are deemed qualified healthcare practitioners in the field after satisfying the requirements of the course as set by the universities, and Radiographers Registration Board of Nigeria. Fulfilling these requirements provides qualification for a graduate to practice. However, formal qualification does not rule out the challenges a radiographer may face by virtue of being new in the clinical practice, and does not necessarily mean acquisition of the needed competency to practice. This is an important area to study; to find out factors that tend to militate against good practice by new clinical radiography practitioners.
Studies have been performed that support positive curriculum outcomes on other health care disciplines such as nursing, in terms of challenges and proficiency for their clinical practice1, 2. However, no previous studies were found in the field of radiography in this locality, particularly tertiary hospitals in Enugu and Ebonyi States. The expected areas of challenges in clinical radiography as they concern the new practitioners may include: communication skills, patient care skills, clinical skills, inter-professional skill and team work, professional scope of practice, evidence based practice, equipment manipulation, logical, systematic and innovative thinking 3.
Indeed, studies have revealed the need for educators to make a paradigm shift towards the need to close the gap between the seemingly stable world of the academics -shaped as it is, by objectives and scientific theories- and somewhat dynamic world of clinical practice, in which knowledge due to experience is accorded a privilege.
Analysis of the result of Delphi study revealed a further discrepancy between clinical curriculum and workplace requirement. A comparison was drawn between a model adapted from Remmen which investigates the overlap between the intended curriculum and the curriculum in action.
Problem-based learning has been suggested as an essential means to deliver higher education. It is an appealing concept in radiography targeted at such benefits as deep, rather than superficial learning. Every radiographer requires an unusual combination of intellectual and technical skill especially as a member of a fast-expanding profession.
There are very few radiographers that graduate each year. There is thus increasing demand for radiographers for jobs and new advances in technology. As no curriculum remains static, and new graduates entering the workforce are required to work as autonomous and accountable clinicians, the assessment and evaluation of current curriculum based on empirical evidence on problem identification and measure of challenges/proficiency are necessary to validate the outcome.
Evaluation Of Challenges Encountered By Newly Qualified Radiographers In Their Early Clinical Practice
ABSTRACT The purpose of the study was to investigate the challenges in the induction of newly appointed teachers in public Junior High Schools in the Manso Nkwanta Circuit of the Amansie West District of the Ashanti Ghana. The objectives of the study were to find out the extent to which induction programmes are organised for teachers, determine... Continue Reading
ABSTRACT This research project was designed to assess perception of radiographers on compliance to safety hygiene practice in the radiology department. It also aim to evaluate the cases of nosocomial infection in the department and assess the standard of hygiene condition obtained from the department. Seven hospital were selected UNTH,NOHE... Continue Reading
ABSTRACT The aim of this study was to assess ethical practice among radiographers practicing in UNTH Enugu, NAUTH Nnewi and FMC Owerri. The study was carried out using a non-experimental prospective design, using a sample size of 40 radiographers from the three hospitals. The data collection instrument was a questionnaire containing 23 items. The... Continue Reading
This research was done to ascertain how aware radiographers are about the ethical code of patient rights and to access the reasons; if any for the abuse of ethical code of patient right by practicing radiographers. Result shows that there is good ethical conduct among practicing radiographers and all the practicing radiographers are aware of... Continue Reading
ABSTRACT Background: Pediatric x-ray examination involves medical imaging of infants, children, adolescents. It comes with many challenges to the Radiographer whose obligation is to produce quality images for correct informed diagnosis irrespective of the challenges. Aim: To assess the challenges to Radiographers on pediatric x-ray examination in... Continue Reading
ABSTRACT The study was carried out to assess the knowledge, attitude and perception of radiographers towards research. Data was collected from radiographers between the months of March and June 2012 at 10 different hospitals within the FCT Abuja and 4 institutions in Enugu Metropolis including university of Nigeria Enugu campus. Subjects... Continue Reading
ABSTRACT The study was undertaken to assess radiographers’ knowledge of management of unconscious patients and their response to unconscious patients in teaching hospitals as well as National Orthopeadic hospital Enugu. A population size of forty radiographers was studied. The sampling techniques used was convenience sampling. That was collected... Continue Reading