Radiographers’ responses to quality indicators.

IntroductionPaediatric patients are a vulnerable population that require additional care by healthcare professionals. Quality managing these examinations ensures that effective and quality care is provided to individual patients, whilst encouraging consistency within the medical imaging department. This study explored radiographers’ perspectives on quality management strategies of general radiographic paediatric examinations using a paediatric imaging reflective checklist.MethodsA quantitative descriptive research design with qualitative questions was used through a purposive sampling method from both public and private Australian diagnostic imaging qualified radiographers who had experience in paediatric imaging examinations. The paediatric imaging service reflective tool consisted of 65 items in total. Data analysis entailed Microsoft Excel version 16.16.6 and Jamovi version 2.3.21 for the closed-ended questions and for the open-ended responses a thematic analysis.ResultsThe participation rate was 13.2% and the most significant findings were: lead shielding was still being used at their organisation, despite recent recommendations to suspend its use; access to paediatric patient related information resources is limited; there was no involvement of families and communities regarding policy development or quality improvement measures as advocated in literature; and there was a need for enhanced specialised paediatric education, training and protocols.ConclusionUsing the paediatric patient-centred imaging reflective checklist, radiographers had an opportunity to identify quality improvement indicators as well as issues that could further enhance best practice principles. Further studies could inform on the validity of this reflective tool.

引言
儿科患者属于弱势人群，需要医疗保健专业人员给予额外照护。对这类放射检查实施质量管理，既能为每位患者提供高效优质的诊疗服务，同时也能助力医学影像科实现操作流程的标准化与一致性。本研究借助儿科影像反思核查表（paediatric imaging reflective checklist），探究了放射技师针对普通放射摄影儿科检查的质量管理策略的看法。

研究方法
本研究采用兼具质性问题的定量描述性研究设计，通过目的抽样法，招募了澳大利亚公立与私立诊断影像机构中具备执业资质且拥有儿科影像检查经验的放射技师。本次使用的儿科影像服务反思工具共包含65项条目。数据分析环节，针对封闭式问题采用Microsoft Excel 16.16.6及Jamovi 2.3.21进行处理，针对开放式回复则采用主题分析法。

研究结果
本次研究的参与率为13.2%，核心发现如下：其一，尽管近期有研究建议暂停使用铅屏蔽，但受试机构仍在采用该防护措施；其二，儿科患者相关信息资源的可及性较为有限；其三，未如现有文献所倡导的那样，邀请家属与社区参与政策制定或质量改进工作；其四，亟需完善专业化的儿科教育培训体系与操作规范。

结论
借助以儿科患者为中心的影像反思核查表，放射技师得以明确质量改进指标，同时梳理出可进一步优化最佳实践原则的现存问题。未来可开展相关研究以验证该反思工具的效度。