Ethics in Diagnostic Radiography in South Africa: A Complex Temporary Encounter Mediated Through Text and Technology

Makanjee, Chandra Rekha; Engel‐Hills, Penelope

doi:10.1007/978-3-319-93230-9_15

Cited by 6 publications

(14 citation statements)

References 10 publications

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“…You know, like your lead aprons, your gonad strips" P13 Literature supports participants' view that resource distribution in South Africa contributes to suboptimal radiation protection practices. 54 Radiographers in South Africa may be employed in the public or private sector or work in both sectors concurrently. Financial resource allocations between the sectors are not equitable; 50% of the total health expenditure finances 16% of the population in the private sector, and the remaining 50% finances 83.5% of the population in the public sector.…”

Section: Category 1: Patient-related Factors Contributed To Not Practising Radiation Protectionmentioning

confidence: 99%

“…68e70 Radiographers' involvement in research activities will contribute to developing their knowledge, skills and competencies in daily clinical practice. 54,71 Limitations Interviews were conducted telephonically. Therefore, nonverbal communication could not be assessed.…”

Section: Category 1: Patient-related Factors Contributed To Not Practising Radiation Protectionmentioning

confidence: 99%

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South African radiographers’ radiation protection practices, a qualitative study

Lewis¹,

Downing

Hayre

2022

Radiography

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Introduction: Radiation protection is multifarious, and consequently, a radiographers' application of radiation protection is multifaceted. Studies have shown varying radiation protection practices among radiographers. The first quantitative phase of this explanatory, sequential mixed-method study used the theory of planned behaviour to explore South African radiographers' radiation protection behaviour. Overall, South African radiographers' attitudes to radiation protection, subjective norm, perceived behavioural control, and radiation protection intention was high. This second phase of the study aimed to explore the reasons for South African radiographers' radiation protection practices. Methods: This study used an exploratory and descriptive qualitative approach. Data was collected through 13 in-depth semi-structured telephone interviews. Thematic analysis was used in order to uncover original phenomena. Data saturation was achieved and the study adhered to trustworthiness and ethical measures. Results: Thematic analysis identified two themes. The participants had the appropriate radiation protection knowledge, but radiation protection compliance remained a personal choice. Impediments such as feeling rushed during imaging of trauma and challenging patients, patients knowledge of radiation protection, resources, imaging referrals, inadequate training when transitioning from analogue to digital radiography and managerial support contributed to radiation protection compliance. Strategies such as further education, research and a change in mindset were suggested to further foster radiation protection compliance. Conclusion: Even though participants' knowledge of radiation protection aligned with the legislated guidelines, limited internalising of the knowledge resulted in compliance being a personal choice. Participants reflected on their insouciant attitude and observed a similar attitude in their radiographer colleagues. Patient and work-related impediments were identified to contribute to radiation protection compliance. Strategies to further foster compliance were suggested. Implications for practice: Understanding the reasons for radiographers' choice in radiation protection will allow the development of strategies that foster optimum application of radiation protection practises. Developing a radiation protection culture that enhances personal compliance supported by education and evidence should be considered.

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Section: Category 1: Patient-related Factors Contributed To Not Practising Radiation Protectionmentioning

confidence: 99%

Section: Category 1: Patient-related Factors Contributed To Not Practising Radiation Protectionmentioning

confidence: 99%

South African radiographers’ radiation protection practices, a qualitative study

Lewis¹,

Downing

Hayre

2022

Radiography

View full text Add to dashboard Cite

show abstract

“…One way of potentially solving language discordance problems and reducing disparities in care is to provide language interpreters [55] for the patient to understand what is going on and could engage effectively [56] to bridge this gap by use of comprehensive language and modify some of the terminology through metaphors [57]. In communicating the events frequently, little or no mention is made of radiation risk [6,58]. The argument is the complex and specialized nature of the units used to quantify radiation exposure, which is not conducive to effective communication with the public and even with health professionals.…”

Section: Patient Autonomymentioning

confidence: 99%

“…The biomedical and psychosocial worlds cannot be treated as isolated components [58]. These authors refer to the different languages and cultures of these worlds-different ways of knowing-that both contribute to the establishment of overall care of the patients, inter alia about efficient use of resources, the quality of services, and provider and patient satisfaction.…”

Section: The Professional Confined Spaces Yet Inherently Multiprofessmentioning

confidence: 99%

“…This is in contrast with the greater unpredictability and complexity inherent in the psychosocial nature where cognition, emotion, and behavior function more at a normative level needed for adaptability and flexibility. Figure 1 represents an attempt to interpret the biopsychosocial interactions within "a bigger picture" [58] that portray the nonstatic nature of health-care provision with ever-changing and emerging ways of treatment and health management interaction with recent technological evidence [51].…”

Section: The Professional Confined Spaces Yet Inherently Multiprofessmentioning

confidence: 99%

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Diagnostic Imaging Safety and Protection: A Collective Interaction and Decision-Making Processes and Procedures toward an Effective Health Outcome

Makanjee¹

2020

Ionizing and Non-Ionizing Radiation

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This chapter will focus on the safety and protection in utilization of radiation and nonradiation imaging modalities within a medical encounter in health institutional context. The challenges of ease of access on the one hand regarding a referral versus accessing of these imaging services. The roles and responsibilities of the diverse range of professionals in the medical encounter are in ensuring that an effective decision-making is made at each point in time. The importance of communication, coordination, collaboration, and alignment is in ensuring that the care and safety of the patient is not compromised. Thus, the chore essence of provider is patient-centered care, that is, from the point of the initiation of the referral to the outcomes of an effective medical treatment and management plan. The role of the imaging investigation and its value is outweighing the risks versus harm through these chains of events and beyond.

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Using the theory of planned behaviour to determine radiation protection among South African diagnostic radiographers: a cross‐sectional survey

Lewis

Downing

Hayre

2021

J of Medical Radiation Sci

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Introduction The use of ionising radiation in medicine accounts for the majority of radiation exposure from artificial sources. Therefore, all measures to safeguard against unnecessary radiation exposure must be taken. As radiographers are central to radiation protection, this study aimed to determine South African radiographers’ attitude towards radiation protection, subjective norm and perceived behavioural control concerning radiation protection. Methods This quantitative cross‐sectional study used an online theory of a planned behaviour radiation protection questionnaire shared through social media platforms from August 2019 to February 2020. Diagnostic radiographers registered with the Health Professions Council of South Africa and employed at radiology departments in South Africa were invited to participate in the study. Results Four hundred and seventeen radiographers in South Africa responded to the questionnaire. The majority of respondents (90%, n = 376) plan to use radiation protection; however, only 16% continuously used radiation protection in the past. Respondents felt that using radiation protection was extremely good (72.2%), pleasant (47%), beneficial (74.1%), rewarding (55.2%) and worth the time (52.5%); 57% of respondents indicated that using radiation protection takes longer to complete the examination. Respondents report that approval from patients (43.5%), patients’ family (32%), radiographer coworkers (31%), radiology managers (47%) and radiologists (43.9%) is very much important to them. Conclusion The study shows that even though fewer respondents use radiation protection at present, most respondents plan and intend to use radiation protection measures. Respondents felt that radiation protection was good and beneficial, with some respondents feeling that radiation protection is not worth the time, which coincide with lengthening the examination. Overall, South African radiographers’ attitudes towards radiation protection, subjective norm, perceived behavioural control and radiation protection intention were high.

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Ethics in Diagnostic Radiography in South Africa: A Complex Temporary Encounter Mediated Through Text and Technology

Cited by 6 publications

References 10 publications

South African radiographers’ radiation protection practices, a qualitative study

South African radiographers’ radiation protection practices, a qualitative study

Diagnostic Imaging Safety and Protection: A Collective Interaction and Decision-Making Processes and Procedures toward an Effective Health Outcome

Using the theory of planned behaviour to determine radiation protection among South African diagnostic radiographers: a cross‐sectional survey

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