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

BJR|Open ◽  
2021 ◽  
Vol 3 (1) ◽  
pp. 20210003
Author(s):  
Nick Woznitza ◽  
Lisa Pittock ◽  
James Elliott ◽  
Bev Snaith
Keyword(s):  
United Kingdom ◽  
Clinical Practice ◽  
Breast Imaging ◽  
Advanced Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Advanced Level ◽  
The United Kingdom ◽  
Computed Tomography Fluoroscopy ◽  
The Uk

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.

The experience of burnout across different surgical specialties in the United Kingdom: A cross-sectional survey

Surgery ◽  
2012 ◽  
Vol 151 (4) ◽  
pp. 493-501 ◽  
Author(s):  
Dominic Upton ◽  
Victoria Mason ◽  
Bethany Doran ◽  
Kazia Solowiej ◽  
Uttam Shiralkar ◽  
...  
Keyword(s):  
United Kingdom ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The United Kingdom

scholarly journals Reactions to Standardized Cigarette Packs With Varying Structural Designs, and the Association With Smoking Susceptibility: A Postimplementation Cross-Sectional Survey With Never-Smoking Adolescents in Scotland

2020 ◽  
Vol 22 (11) ◽  
pp. 2041-2050 ◽  
Author(s):  
Danielle Mitchell ◽  
Nathan Critchlow ◽  
Crawford Moodie ◽  
Linda Bauld
Keyword(s):  
United Kingdom ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The United Kingdom ◽  
Cigarette Pack ◽  
The Mean ◽  
Never Smokers ◽  
Smoking Susceptibility ◽  
Similar Legislation ◽  
Cigarette Packs

Abstract Introduction From May 20, 2017, cigarettes in the United Kingdom must be sold in standardized (plain) packaging. We explore postimplementation reactions to standardized cigarette packaging among never-smokers in Scotland, whether reactions vary in relation to permitted variations in pack structure, and whether reactions are associated with susceptibility. Aims and Methods A cross-sectional survey with 12–17-year-old never-smokers (n = 507) in Scotland, conducted November 2017–November 2018. Participants were shown one “regular” standardized cigarette pack (flip-top lid and straight-edged pack, similar to designs in Australia) and three standardized packs with varied pack structures (beveled-edges, slim pack, and shoulder box), which are permitted postimplementation in the United Kingdom. Participants rated each pack on eight five-point reaction measures (eg, attractiveness). Participants also indicated which pack, if any, they would choose. Smoking susceptibility was the outcome. Results The mean reaction scores for all four packs were mostly negative, however the shoulder box was consistently rated less negatively than the regular, slim, or beveled-edge packs. Most participants (87%) said they would not select any of the four packs, although susceptible participants were more likely to select one than nonsusceptible participants (25% vs. 7%; χ 2 = 29.70; p < .001). For all four packs, not finding them off-putting was associated with susceptibility (Adjusted Odds Ratio range: 2.73–3.69), albeit only a minority of adolescents did not find each pack off-putting. Conclusions Adolescents have negative reactions to the standardized cigarette packs implemented in the United Kingdom, albeit permitted variations in structure can reduce the extent of negativity. Most reactions to standardized packaging had no association with susceptibility. Implications We provide the first empirical evidence that adolescents find the standardized cigarette packs implemented in the United Kingdom unappealing and that most pack reactions have no association with susceptibility among never-smokers, with the exception of the minority who did not think that they would put them off smoking. This suggests that the legislation is achieving one of its primary aims, to reduce the appeal of packaging. That permitted variations in pack structure (eg, shoulder boxes) somewhat reduce negative reactions suggests that the United Kingdom, and other countries introducing similar legislation, should ensure that all aspects of pack design are fully standardized.

scholarly journals Adenine phosphoribosyltransferase deficiency in the United Kingdom: two novel mutations and a cross-sectional survey

2016 ◽  
Vol 9 (6) ◽  
pp. 800-806
Author(s):  
Gowrie S. Balasubramaniam ◽  
Monica Arenas-Hernandez ◽  
Emilia Escuredo ◽  
Lynette Fairbanks ◽  
Tony Marinaki ◽  
...  
Keyword(s):  
United Kingdom ◽  
Adenine Phosphoribosyltransferase ◽  
Novel Mutations ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The United Kingdom ◽  
Adenine Phosphoribosyltransferase Deficiency

scholarly journals How Do Physical Therapists in the United Kingdom Manage Patients With Hip Osteoarthritis? Results of a Cross-Sectional Survey

2018 ◽  
Vol 98 (6) ◽  
pp. 461-470 ◽  
Author(s):  
Melanie A Holden ◽  
Kim L Bennell ◽  
Rebecca Whittle ◽  
Linda Chesterton ◽  
Nadine E Foster ◽  
...  
Keyword(s):  
United Kingdom ◽  
Physical Therapists ◽  
Hip Osteoarthritis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The United Kingdom

scholarly journals Implementing medical revalidation in the United Kingdom: Findings about organisational changes and impacts from a survey of Responsible Officers

2017 ◽  
Vol 110 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Kieran Walshe ◽  
Alan Boyd ◽  
Marie Bryce ◽  
Kayleigh Luscombe ◽  
Abigail Tazzyman ◽  
...  
Keyword(s):  
Quality Assurance ◽  
United Kingdom ◽  
Clinical Practice ◽  
Online Survey ◽  
Poor Performance ◽  
Cross Sectional ◽  
The United Kingdom ◽  
Professional Contexts

Objective To describe the implementation of medical revalidation in healthcare organisations in the United Kingdom and to examine reported changes and impacts on the quality of care. Design A cross-sectional online survey gathering both quantitative and qualitative data about structures and processes for medical revalidation and wider quality management in the organisations which employ or contract with doctors (termed ‘designated bodies’) from the senior doctor in each organisation with statutory responsibility for medical revalidation (termed the ‘Responsible Officer’). Setting United Kingdom Participants Responsible Officers in designated bodies in the United Kingdom. Five hundred and ninety-five survey invitations were sent and 374 completed surveys were returned (63%). Main outcome measures The role of Responsible Officers, the development of organisational mechanisms for quality assurance or improvement, decision-making on revalidation recommendations, impact of revalidation and mechanisms for quality assurance or improvement on clinical practice and suggested improvements to revalidation arrangements. Results Responsible Officers report that revalidation has had some impacts on the way medical performance is assured and improved, particularly strengthening appraisal and oversight of quality within organisations and having some impact on clinical practice. They suggest changes to make revalidation less ‘one size fits all’ and more responsive to individual, organisational and professional contexts. Conclusions Revalidation appears primarily to have improved systems for quality improvement and the management of poor performance to date. There is more to be done to ensure it produces wider benefits, particularly in relation to doctors who already perform well.

scholarly journals The impact of COVID-19 upon the delivery of exercise services within cystic fibrosis clinics in the United Kingdom

2021 ◽  
Author(s):  
Owen W Tomlinson ◽  
Zoe L Saynor ◽  
Daniel Stevens ◽  
Don Urquhart ◽  
Craig A Williams
Keyword(s):  
Cystic Fibrosis ◽  
United Kingdom ◽  
Clinical Practice ◽  
Exercise Training ◽  
National Survey ◽  
Exercise Testing ◽  
The United Kingdom ◽  
The Uk ◽  
The Impact ◽  
Future Practice

The COVID-19 pandemic has resulted in unprecedent change to clinical practice. As the impact upon delivery of exercise services for people with cystic fibrosis (CF) in the UK was unknown, this was characterised via a national survey. In total, 31 CF centres participated. Principal findings included a significant reduction in exercise testing, and widespread adaptation to deliver exercise training using telehealth methods. Promisingly, 71% stated that they would continue to use virtual methods of engaging patients in future practice. This does, however, highlight a need to develop sustainable and more standardised telehealth services further to manage patients moving forwards.

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