How do consultant radiographers contribute to imaging service delivery and leadership?

Snaith, Beverly; Clarke, Ruth; Coates, Amanda; Field, Lisa; McGuinness, Alison; Yunis, Saminah

doi:10.12968/bjhc.2019.25.1.41

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…Exploring the enabler data by theme ( gure 3) demonstrated twelve themes with promoting advanced practice 6,13,26,38-41,45-47,49,51- 195,197,[199][200][201][202][205][206][207][208][209]211,213,214,[216][217][218][219][220][221][222][223][224][225][226][227][228][229][231][232][233][234][235][237][238][239][240]242,244,[246][247][248][249][252][253][254][255][256][257][258][259][260][262][263]…”

Section: Resultsmentioning

confidence: 99%

Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X-ray reporting service within the NHS in England: A Systematic literature review

Lockwood

Burton

Woznitza

et al. 2023

Preprint

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Introduction: The United Kingdom (UK) government's healthcare policy in the early 1990s paved the way for healthcare professionals to adopt wider clinical practice roles, resulting in the skills mix development and implementation of diagnostic radiographers' X-ray reporting service in clinical practice. Current clinical practice within the public UK healthcare system reflects the same pressures of increased demand in patient imaging and limited capacity of the reporting workforce (radiographers and radiologists) as in the 1990s. This study aimed to identify, define and assess the implementation of the diagnostic radiographer X-ray reporting service in the National Healthcare System (NHS) in England, which have impacted the implementation and expansion of this advanced practice. Methods: Multiple independent databases were searched, including PubMed, Ovid MEDLINE; Embase; CINAHL, and Google Scholar, as well as journal databases (Scopus, Wiley), healthcare databases (NHS Evidence Database; Cochrane Library) and grey literature databases (OpenGrey, GreyNet International, and the British Library EthOS depository). A combination of keywords, Boolean logic, truncation, parentheses and wildcards with inclusion/exclusion criteria and a time frame of 1995-2022 was applied. The resulting literature was assessed against Joanna Briggs Institute's critical appraisal checklists. The results were displayed in a PRISMA flow chart and a thematic matrix. Results: The wide and diverse range of data (n=241 papers) identified barriers and enablers of implementation, which were categorised into measures of macro, meso, and micro levels, and thematic categories of context, culture, environment, and leadership. Conclusion: The literature since 1995 has reframed the debates on implementation of the radiographer reporting role and has been instrumental in shaping clinical practice and behaviours. There has been clear influence upon both meso (professional body organisations) and macro-level (governmental/health service) policies and guidance, that have shaped change at micro-level NHS Trust organisational levels. There is clear evidence of a shift in culturally intrenched legacy perspectives within and between different meso-level professional bodies around skills mix acceptance and role boundaries. This has helped shape capacity building of the reporting workforce and radiographer technical skills development. All of which have contributed to conceptual understandings of the skills mix workforce within modern radiology services and helped improve downstream patient diagnosis, treatment and management outcomes. Implications for practice: The findings of this study can help to inform and support implementation strategies and facilitation of the diagnostic radiographer X-ray reporting service in NHS clinical practice.

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Section: Resultsmentioning

confidence: 99%

Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X-ray reporting service within the NHS in England: A Systematic literature review

Lockwood

Burton

Woznitza

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Despite all advanced health care practitioners being included in the search criteria, only studies involving nurses working in advanced practice roles were identified. This may be reflective of the nursing focus on advanced practice (Thoun, 2011) but may also reflect a difficulty in broadening the scope of practice of other health care roles to advanced practice level (Snaith et al., 2019), which has resulted in a lack of clinical leadership research among non‐nursing disciplines.…”

Section: Discussionmentioning

confidence: 99%

Impact of clinical leadership in advanced practice roles on outcomes in health care: A scoping review

2020

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Aim To undertake a scoping review of the literature exploring the impact of clinical leadership in advanced practice roles in relation to patient, staff and organisational outcomes. Background An increasing number of publications as well as job specifications have identified clinical leadership as a cornerstone of advanced practice roles. However, it is unclear whether embedding clinical leadership in such roles has led to improvements in patient, staff or organisational outcomes. Therefore, identifying the extent to which clinical leadership in advanced practice roles relates to patient, staff and organisational outcomes is needed. Method A scoping review examining the relationship between clinical leadership in advanced practice roles and health care outcomes. Searching in SCOPUS, PubMed, Psychinfo and CINAHL Plus and Web of Science identified 765 potential articles. Independent selection, data extraction tabulation of findings and analysis were completed. Results Seven studies were identified that met the inclusion criteria. Only studies reporting on nurses in advanced practice roles were included; no studies were identified that reported on the advanced practice roles of allied health professionals. The results indicate that there is no objective evidence of the impact of advanced practitioners’ clinical leadership on patient, staff or organisational outcomes. Conclusion There is a paucity of objective evidence to identify the extent to which clinical leadership is enacted in advanced practice roles. The review indicates a need for closer alignment of AP clinical leadership policy aspirations and formal operational leadership opportunities for APs. Implications for Nursing Management Nurse managers have a key role in supporting and equipping APs with leadership competencies and opportunities to enable both capability and capacity building of such roles. Nurse managers should involve APs in health care leadership at an organisational level to maximize their contribution to health, quality practice environments and health care reform. Additionally, a distinct involvement in staff development, change, operational strategic decisions and policy development should be part of the AP role, which is facilitated by management.

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The extended and advanced clinical practices of radiographers worldwide: A scoping review

Carlier,

Fernandes Mendes,

Pedreira Lago

et al. 2025

Journal of Medical Imaging and Radiation Sciences

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How do consultant radiographers contribute to imaging service delivery and leadership?

Cited by 5 publications

References 29 publications

Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X-ray reporting service within the NHS in England: A Systematic literature review

Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X-ray reporting service within the NHS in England: A Systematic literature review

Impact of clinical leadership in advanced practice roles on outcomes in health care: A scoping review

The extended and advanced clinical practices of radiographers worldwide: A scoping review

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