Workplace experience of radiographers: impact of structural and interpersonal interventions

Ra, Kubik-Huch; Klaghofer, Richard; Römpler, M; Weber, Anthony; Buddeberg-Fischer, Barbara

doi:10.1007/s00330-009-1565-5

Cited by 8 publications

(1 citation statement)

References 9 publications

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“…This study's conclusion that power hierarchy within healthcare interactions is a factor in the display of DBs chimes with literature. Workers within hospitals often perceive that powerful, revenue-generating doctors are tolerated for DB due to the apparent consequences of confronting them (14,22,23). A study conducted by The American College of Physician Executives on doctors' behaviour found that 38.9 percent of the participants agreed that "physicians in my organization who generate high amounts of revenue are treated more leniently when it comes to behaviour problems than those who bring in less revenue (24).…”

Section: Discussionmentioning

confidence: 99%

Factors Leading to Disruptive Behaviours Involving Radiographers: A Qualitative Study

Chinene

Nkosi

Sibiya

2022

Preprint

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Background The negative consequences of disruptive behaviours involving healthcare workers threatens the institution’s image, staff morale, finances, and patient safety. While all kinds of health organisations or settings are potentially exposed to disruptive behaviours, some are at higher risk than others because of both environmental and cultural factors. Such risk should be assessed having regard to the specific situation and conditions in which each healthcare organization operates. International regulatory best-practice standards now require healthcare institutions to develop policies and plans at specific workplaces to combat DBs and establish the required monitoring mechanisms and a range of sanctions. The purpose of this study was to explore the environmental and cultural factors leading to DBs involving radiographers at central hospitals in Harare Metropolitan Province so that tailor-made strategies for addressing these behaviours can be formulated. Methods An exploratory qualitative study employing face to face, one-on-one in-depth interviews was carried out between March and April 2021. Eleven radiography managers at central hospitals in Harare Metropolitan Province (HMP) were selected by criterion purposive sampling. The interview data were analysed using Tesch's method of qualitative analysis. The data was first manually coded and then entered into Nvivo (QSR International Version 11) for further analysis. This study was assessed using the four criteria for developing the trustworthiness of qualitative research as suggested by Lincoln and Guba, namely credibility, dependability, conformability and transferability. Results The key environmental and cultural factors identified included three themes: power hierarchy, work environment and reporting framework. Power hierarchy comprised categories, superiority, professional boundaries and representation. The work environment incorporated categories, trust in leadership, burnout and fatigue and remuneration. Lastly, reporting framework included categories, lack of protocol and reporting culture. Conclusions This study highlights that environmental factors play a bigger role in provoking disruptive behaviours involving radiographers at central hospitals in HMP. This underscores the need for hospital and radiography managers to pay particular emphasis on these when formulating policies and procedures to address these behaviours. Addressing DBs ensures that healthy work environments are promoted which in turn ensures that patients receive optimum and safe care.

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Section: Discussionmentioning

confidence: 99%

Factors Leading to Disruptive Behaviours Involving Radiographers: A Qualitative Study

Chinene

Nkosi

Sibiya

2022

Preprint

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Workflow Lexicons in Healthcare: Validation of the SWIM Lexicon

et al. 2017

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For clinical departments seeking to successfully navigate the challenges of modern health reform, obtaining access to operational and clinical data to establish and sustain goals for improving quality is essential. More broadly, health delivery organizations are also seeking to understand performance across multiple facilities and often across multiple electronic medical record (EMR) systems. Interpreting operational data across multiple vendor systems can be challenging, as various manufacturers may describe different departmental workflow steps in different ways and sometimes even within a single vendor's installed customer base. In 2012, The Society for Imaging Informatics in Medicine (SIIM) recognized the need for better quality and performance data standards and formed SIIM's Workflow Initiative for Medicine (SWIM), an initiative designed to consistently describe workflow steps in radiology departments as well as defining operational quality metrics. The SWIM lexicon was published as a working model to describe operational workflow steps and quality measures. We measured the prevalence of the SWIM lexicon workflow steps in both academic and community radiology environments using real-world patient observations and correlated that information with automatically captured workflow steps from our clinical information systems. Our goal was to measure frequency of occurrence of workflow steps identified by the SWIM lexicon in a real-world clinical setting, as well as to correlate how accurately departmental information systems captured patient flow through our health facility.

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Factors leading to disruptive behaviours at central hospitals in Harare Metropolitan Province: Radiography managers perspectives

Chinene¹,

Sibiya²,

Nkosi³

2022

Journal of Medical Imaging and Radiation Sciences

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Workplace experience of radiographers: impact of structural and interpersonal interventions

Cited by 8 publications

References 9 publications

Factors Leading to Disruptive Behaviours Involving Radiographers: A Qualitative Study

Factors Leading to Disruptive Behaviours Involving Radiographers: A Qualitative Study

Workflow Lexicons in Healthcare: Validation of the SWIM Lexicon

Factors leading to disruptive behaviours at central hospitals in Harare Metropolitan Province: Radiography managers perspectives

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