An analysis of advanced and specialist posts in diagnostic radiography: Do job descriptions describe advanced practice?

Harris, Martine A.; Snaith, Beverly; Adamson, H.K.; Foster, Bryan R.; Woznitza, N.

doi:10.1016/j.radi.2020.10.008

Cited by 15 publications

(6 citation statements)

References 21 publications

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“…Variation in expectations of practitioners to fulfil each of the four pillars was found, maybe pointing to a lack of understanding at an employer as well as individual practitioner level. The current results mirror the recent work of Harris et al 30 who found that many job descriptions for advanced radiographer roles met professional body standards but differed from the HEE ACP framework. 10 This would confirm that there are many radiographers with ACP-level expert clinical practice but who are working at an enhanced level when the wider advanced clinical practitioner capabilities are considered.…”

Section: Discussionsupporting

confidence: 88%

Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey

et al. 2021

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Objectives: To survey the diagnostic radiography workforce in the United Kingdom (UK) at an organisational level to ascertain the scope of advanced practice and compliance with Health Education England standards for multiprofessional advanced clinical practice (ACP). Methods: 174 diagnostic imaging departments were invited to participate in a cross-sectional electronic survey focused upon advanced level practice and their educational and accreditation expectations (October–December 2019). Breast imaging, computed tomography, fluoroscopy, interventional radiology, lithotripsy, magnetic resonance imaging and projectional radiography were included. Results: A total of 97 responses were received, of which 79 were eligible for inclusion (45%). Respondents reported advanced-level practice roles across all imaging modalities, which included clinical reporting, procedural-based and combined roles. Radiograph and mammogram reporting were most prevalent (95 and 67% of Trusts), with fluoroscopy the most frequent procedure-only role (25%). Only 39% of trusts required adherence to the four pillars of ACP within job descriptions, and only 12% requiring a full Masters qualification. Conclusions: Diagnostic radiographer reporting and procedure-based roles in the NHS are varied and widespread. However, inconsistencies in fulfilment against the expected standards for advanced practice exist. Realignment of advanced-level roles to delineate enhanced and advanced clinical practice may ensure consistency between roles and professions. A requirement for accreditation as an advanced (clinical) practitioner with adherence to advanced practice requirements could therefore provide value to accreditation for both individual practitioners and Trusts. Advances in knowledge: Within the UK, diagnostic radiographer roles previously self-identified as advanced-level practice may be termed enhanced practice when not adhering to expected ACP standards.

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Section: Discussionsupporting

confidence: 88%

Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey

et al. 2021

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“…NM therapies were used as a blanket term to encompass all activities involving the management of radionuclide therapies by NMP staff, such as Iodine-131 [40,42,44,47] or Radium–223 services [41]. One study did not specify the nature of the therapy being used [48]. Areas of ECP that were represented to a lesser degree included protocolling or authorising of scans [36,47], physical examination of patients (thyroid) [30] and invasive procedures (vulva sentinel node administration of radiopharmaceutical) [39].…”

Section: Resultsmentioning

confidence: 99%

“…A total of 36 studies were identified for inclusion within this scoping review [13–48]. Figure 1 outlines the results of the literature search and selection process using the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 format [49].…”

Section: Resultsmentioning

confidence: 99%

“…There were eight surveys of the workforce, with seven reporting ECP from the UK [13,23,25,33,36,43,48] and one from the USA [47]. The article by Harris et al involved analysis of radiographer job descriptions involving advanced practice [48]. Although not strictly a survey of the workforce (with a questionnaire or interview), the authors present a cross-section of potential ECP activities (including NM).…”

Section: Description Of Literaturementioning

confidence: 99%

“…Examples of single-centre studies included personal accounts of cardiac stressing procedures (nurse) [44], audit of image interpretation (radiographer) [17] and delegation of NM therapy procedures (technologist) [42]. There were eight surveys of the workforce, with seven reporting ECP from the UK [13,23,25,33,36,43,48] and one from the USA [47]. The article by Harris et al involved analysis of radiographer job descriptions involving advanced practice [48].…”

Section: Description Of Literaturementioning

confidence: 99%

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Evidence of expert clinical practice among nuclear medicine non-medical staff: a scoping review

Elliott

Pereira

Bell

et al. 2022

Nuclear Medicine Communications

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Objective This scoping review concerns expertclinical practice (ECP) by nuclear medicine practitioners (NMP), encompassing radiographers, technologists and nurses. ECP is typically demonstrated by clinical skills with higher levels of autonomy and responsibility traditionally fulfilled by physicians. The Advanced Clinical Practice (ACP) framework by Health Education England (2017) specifies ECP as one aspect of advanced role progression. This scoping review aims to identify and categorise the extent and type of the existing NMP ECP evidence to support the establishment of Nuclear Medicine ACP.Methods PubMed, Cumulative Index to Nursing and Allied Health Literature, and Ovid Medline were searched for peer-reviewed literature published between 2001 and 2021 using extended and advanced practice as key terms alongside nuclear medicine and each NMP profession. Due to the sparsity of results, conference abstracts from prominent international societies were also searched. Studies were independently reviewed and graded for inclusion by four NMP. ResultsOf the 36 studies that met the inclusion criteria, 80.6% were conference abstracts and 66.7% were single-centres studies. Commonly reported NM ECP activities included image interpretation, cardiac stressing and therapies. Less reported activities include ordering complementary diagnostic procedures, invasive procedures and physical examinations. The United Kingdom presented itself at the forefront of NMP ECP publications. ConclusionThis study demonstrates evidence of NMP ECP across a variety of clinical roles. The dominance of conference abstracts highlights NMP ECP as an emerging area of role extension and a potential preference for information dissemination by NMP. Greater research into specific NMP ECP activities is required particularly studies of greater sample size and robusticity. Nucl Med Commun

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Job Analysis Impact in Satisfaction and Performance of Employee Within Digitalization Context Challenges

Čizmić

Šašić

Hadžiselimović³

et al. 2023

Lecture Notes in Networks and Systems

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An analysis of advanced and specialist posts in diagnostic radiography: Do job descriptions describe advanced practice?

Cited by 15 publications

References 21 publications

Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey

Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey

Evidence of expert clinical practice among nuclear medicine non-medical staff: a scoping review

Job Analysis Impact in Satisfaction and Performance of Employee Within Digitalization Context Challenges

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