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An investigation of radiographers’ and radiologists’ perceptions and attitudes towards extending the radiographers’ role in mammography

Muhanna, Altaf M. 2021. An investigation of radiographers’ and radiologists’ perceptions and attitudes towards extending the radiographers’ role in mammography. PhD Thesis, Cardiff University.
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Abstract

Kuwait is faced with a shortage of radiologists, and particularly specialised mammography radiologists, resulting in increased workload which negatively affects the quality of the service, leading to longer waiting times for women in receiving full diagnostic investigations. This study was conducted to understand how radiographers and radiologists in Kuwait perceive radiographers’ role extension (RE) in mammography, and whether this could be one strategy toward reducing radiologist workload and patient waiting times. Perceptions were examined under the lens of a theoretical framework; Abbotts’ systems of profession theory and the concept of professional identity were adopted to underpin the results. A single case study design was undertaken with multiple units: radiographers and radiologists, and multiple sites: government hospitals, screening clinics and specialist centres. Data included individual semi-structured interviews, documentary analysis and field notes. Participants were purposively selected to maximise variation and enhance the transferability of the results, covering all regions of the country. The findings highlighted two main themes, firstly radiographers’ RE in Kuwait, and activities of the extended role - this highlighted insufficient knowledge of the concept of RE, explored the current role of radiographers in mammography and areas of interest in extending their role. The second focused on an in-depth understanding of drivers and barriers to RE in mammography. Evidence shows poor knowledge of the concept of extending radiographers’ roles in Kuwait. Participants in both groups opposed radiographers performing extended tasks without radiologist supervision. Arguably, radiologists and radiographers’ attitudes were influenced by the concept of professional identity and professional identity formation. Additionally, radiographers’ insufficient knowledge negatively affected their readiness to be able to undertake RE in mammography. Moreover, radiologists seemed to refuse a blurring of boundaries in order to maintain and control the jurisdiction of their profession; as discussed in Abbott’s theory, thus limiting any impact on workload or waiting times.

Item Type: Thesis (PhD)
Date Type: Completion
Status: Unpublished
Schools: Healthcare Sciences
Date of First Compliant Deposit: 7 February 2022
Last Modified: 11 Mar 2023 02:29
URI: https://orca.cardiff.ac.uk/id/eprint/147136

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