The Determination of Knowledge, Attitudes and Behaviors of Primary Health Care Assistants About The Evaluation of Chest X-ray: A Cross-Sectional Study
Öz
Objectives:
The effective evaluation of chest X-ray is especially important in the
diagnosis of respiratory system diseases frequently encountered in primary
health care. In this study, we aimed to determine the knowledge, attitudes and
behaviors of family physician assistants providing primary health care services
on the assessment of chest X-ray.
Materials and Methods: The
questionnaire was prepared to determine the knowledge, attitudes and behaviors
of family physicians assistants' assessment of chest X-ray, and they were asked
about the descriptive characteristics of the assistants (age, gender, year of
service, year of assistantship).
Results: 92.00% (n = 126) of the assistants stated
that they received training in X-ray evaluation. 79.60% (n = 109) of the
training received on this subject included pre-graduation training. 93.50% (n =
128) of those who think that practical training on chest X-ray will contribute,
and 98.50% (n = 135) stated that theoretical education would contribute.
Conclusion: The shortcomings and / or improvement of
the experience of family physician assistants with both theoretical and
practical trainings for chest X-ray evaluation will contribute to their
clinical practice.
Anahtar Kelimeler
posteroanterior chest X-ray family medicine assistant interpretation
Kaynakça
- Weiner SN. Radilogy of nonradiologists. Is report documentation adequate? Am J Manag Care 2005;11(12):781-5.
- Corne J, Kumaran M. Chest X-Ray Made Easy e-Book. 4th ed. Elsevier Health Science; 2016 Veldkamp WJ, Kroft LJ, Geleijns J. Dose and perceived image quality in chest radiography. Eur J Radiol 2009;72(2):209-17.
- Potchen EJ, Cooper TG, Sierra AE, et al. Measuring performance in chest radiography. Radiology 2000;217:456–9.
- Cheung T, Harianto H, Spanger M, Young A, Wadhwa V. Low accuracy and confidence in chest radiograph interpretation amongst junior doctors and medical students. Intern Med J 2018;48(7):864-8.
- Jeffrey DR, Goddard PR, Callaway MP, Greenwood R. Chest radiograph interpretation by medical students. Clin Radiol 2003;58(6):478-81.
- Wright C, Reeves P. Image interpretation performance: A longitudinal study from novice to professional. Radiography 2017;23(1):1-7.
- O'Brien KE, Cannarozzi ML, Torre DM, Mechaber AJ, Durning SJ. Training and assessment of CXR/basic radiology interpretation skills: results from the 2005 CDIM Survey. Teach Learn Med 2008;20(2):157-62.
- Taves J, Skitch S, Valani R. Determining the clinical significance of errors in pediatric radiograph interpretation between emergency physicians and radiologists. CJEM 2018;20(3):420-4.
- The European definition of general practice/family medicine. WONCA Europe. WONCA Europe Office: Barcelona, Spain; 2012.
- Nyhsen C, Steinberg L, O’Connell J. Undergraduate radiology teaching from the student’s perspective. Insights Imaging 2013;4(1):103–9.
- Heptonstall NB, Ali T, Mankad K. Integrating radiology and anatomy teaching in medical education in the UL the evidence, current trends, and future scope. Acad Radiol 2016;23(4):521–6.
- European Society of Radiology (ESR). Undergraduate education in radiology. A white paper by the European Society of Radiology. Insights Imaging 2011;2:363–74.
- Jeffrey DR, Goddard PR, Callaway MP, Greenwood R. Chest radiograph interpretation by medical students. Clin Radiol 2003;58(6):478–81.
- Aydoğan S, Pala SÇ, Işıklı B. Mezuniyet öncesi ve sonrasında hekimlik mesleğine yönelik tutum. Ankara Med J 2019;1:10-20.
- TUKMOS, Tıpta Uzmanlık Kurulu Müfredat Oluşturma Ve Standart Belirleme Sistemi, Çekirdek Müfredat Hazırlama Kılavuzu, 2013 http://tip.harran.edu.tr/assets/uploads/other/files/tip/TUKMOS_MHK11.pdf, Erişim tarihi: 05.08.2019.
- Kelly BS, Rainford LA, Darcy SP, Kavanagh EC, Toomey RJ. The development of expertise in radiology: in chest radiograph interpretation, “expert” search pattern may predate “expert” levels of diagnostic accuracy for pneumothorax identification. Radiology 2016;280:252–60.
- Taştan K. Birinci basamakta posteroanterior akciğer grafisi okuma becerilerini arttırma kursu ve etkinliği. Uzmanlık Tezi, Trakya Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim Dalı, Edirne; 2006.
- Naeger DM, Webb EM, Zimmerman L, Elicker BM. Strategies for incorporating radiology into early medical school curricula. J Am Coll Radiol 2014;11(1):74–9.
- Thistlethwaite JE, Davies D, Ekeocha S, et al. The effectiveness of case based learning in health professional education. A BEME systematic review: BEME guide no. 23. Med Teach 2012;34(6):421–44.
- Thurley P, Dennick R. Problem-based learning and radiology. Clin Radiol 2008;63(6):623–8.
- Stephen Bradley, Stephen Bradley, Sarah Abraham, et al. Sensitivity of chest X-ray for lung cancer: systematic review. British Journal of General Practice 2018;68:421-5.
- Moifo B, Pefura-Yone EW, Nguefack-Tsague G, et al. Inter-Observer Variability in the Detection and Interpretation of Chest X-Ray Anomalies in Adults in an Endemic Tuberculosis Area. Journal of Medical Imaging 2015;5:143-9.
- Shaw NJ, Hendry M, Eden OB. Inter-observer variation in interpretation of chest X-rays. Scott Med J 1990;35(5):140-1.
- Gatt ME, Spectre G, Paltiel O, Hiller N, Stalnikowicz R. Chest radiographs in the emergency department: is the radiologist really necessary? Postgrad Med J 2003;79:214–7.
Birinci Basamak Sağlık Hizmeti Veren Aile Hekimliği Asistanlarının Posteroanterior Akciğer Grafisi Değerlendirme Konusundaki Bilgi, Tutum ve Davranışlarının Belirlenmesi: Kesitsel Bir Çalışma
Öz
Amaç: Posteroanterior akciğer grafisinin (PAG) etkin bir şekilde
değerlendirilmesi, özellikle birinci basamak sağlık hizmetinde sık karşılaşılan
solunum sistemi hastalıkları tanısında önemlidir. Çalışmamızda birinci basamak sağlık hizmeti veren Aile Hekimliği
asistanlarının PAG değerlendirme konusundaki bilgi, tutum ve davranışlarının
belirlenmesini amaçladık.
Materyal
ve Metot: Aile hekimliği asistanlarının PAG değerlendirme konusunda bilgi, tutum
ve davranışlarını belirlemeye yönelik hazırlanmış, asistanların tanımlayıcı
özelliklerini (yaş, cinsiyet, hizmet yılı, asistanlıktaki yılı) içeren anket soruları
sorulmuştur.
Bulgular: PAG
değerlendirme konusunda asistanların %92,00’ı (n=126) eğitim aldığını
belirtmiştir. Bu konuda alınan eğitimin %79,60’ı (n=109) mezuniyet öncesi
eğitimi kapsamaktadır. PAG konusunda verilecek pratik eğitimin katkı sağlayacağını
düşünenlerin oranı %93,50 (n=128), teorik eğitimin katkı sağlayacağını
belirtenlerin oranı ise %98,50 (n=135) bulundu.
Sonuç: PAG
değerlendirmesine yönelik aile hekimliği asistanlarının gerek teorik gerekse
pratik eğitimlerle eksikliklerinin giderilmesi ve/veya tecrübelerinin
geliştirilmesi, klinik uygulamalarına katkı sağlayacaktır.
Anahtar Kelimeler
Posteroanterior akciğer grafisi Aile Hekimliği asistanı yorumlama
Kaynakça
- Weiner SN. Radilogy of nonradiologists. Is report documentation adequate? Am J Manag Care 2005;11(12):781-5.
- Corne J, Kumaran M. Chest X-Ray Made Easy e-Book. 4th ed. Elsevier Health Science; 2016 Veldkamp WJ, Kroft LJ, Geleijns J. Dose and perceived image quality in chest radiography. Eur J Radiol 2009;72(2):209-17.
- Potchen EJ, Cooper TG, Sierra AE, et al. Measuring performance in chest radiography. Radiology 2000;217:456–9.
- Cheung T, Harianto H, Spanger M, Young A, Wadhwa V. Low accuracy and confidence in chest radiograph interpretation amongst junior doctors and medical students. Intern Med J 2018;48(7):864-8.
- Jeffrey DR, Goddard PR, Callaway MP, Greenwood R. Chest radiograph interpretation by medical students. Clin Radiol 2003;58(6):478-81.
- Wright C, Reeves P. Image interpretation performance: A longitudinal study from novice to professional. Radiography 2017;23(1):1-7.
- O'Brien KE, Cannarozzi ML, Torre DM, Mechaber AJ, Durning SJ. Training and assessment of CXR/basic radiology interpretation skills: results from the 2005 CDIM Survey. Teach Learn Med 2008;20(2):157-62.
- Taves J, Skitch S, Valani R. Determining the clinical significance of errors in pediatric radiograph interpretation between emergency physicians and radiologists. CJEM 2018;20(3):420-4.
- The European definition of general practice/family medicine. WONCA Europe. WONCA Europe Office: Barcelona, Spain; 2012.
- Nyhsen C, Steinberg L, O’Connell J. Undergraduate radiology teaching from the student’s perspective. Insights Imaging 2013;4(1):103–9.
- Heptonstall NB, Ali T, Mankad K. Integrating radiology and anatomy teaching in medical education in the UL the evidence, current trends, and future scope. Acad Radiol 2016;23(4):521–6.
- European Society of Radiology (ESR). Undergraduate education in radiology. A white paper by the European Society of Radiology. Insights Imaging 2011;2:363–74.
- Jeffrey DR, Goddard PR, Callaway MP, Greenwood R. Chest radiograph interpretation by medical students. Clin Radiol 2003;58(6):478–81.
- Aydoğan S, Pala SÇ, Işıklı B. Mezuniyet öncesi ve sonrasında hekimlik mesleğine yönelik tutum. Ankara Med J 2019;1:10-20.
- TUKMOS, Tıpta Uzmanlık Kurulu Müfredat Oluşturma Ve Standart Belirleme Sistemi, Çekirdek Müfredat Hazırlama Kılavuzu, 2013 http://tip.harran.edu.tr/assets/uploads/other/files/tip/TUKMOS_MHK11.pdf, Erişim tarihi: 05.08.2019.
- Kelly BS, Rainford LA, Darcy SP, Kavanagh EC, Toomey RJ. The development of expertise in radiology: in chest radiograph interpretation, “expert” search pattern may predate “expert” levels of diagnostic accuracy for pneumothorax identification. Radiology 2016;280:252–60.
- Taştan K. Birinci basamakta posteroanterior akciğer grafisi okuma becerilerini arttırma kursu ve etkinliği. Uzmanlık Tezi, Trakya Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim Dalı, Edirne; 2006.
- Naeger DM, Webb EM, Zimmerman L, Elicker BM. Strategies for incorporating radiology into early medical school curricula. J Am Coll Radiol 2014;11(1):74–9.
- Thistlethwaite JE, Davies D, Ekeocha S, et al. The effectiveness of case based learning in health professional education. A BEME systematic review: BEME guide no. 23. Med Teach 2012;34(6):421–44.
- Thurley P, Dennick R. Problem-based learning and radiology. Clin Radiol 2008;63(6):623–8.
- Stephen Bradley, Stephen Bradley, Sarah Abraham, et al. Sensitivity of chest X-ray for lung cancer: systematic review. British Journal of General Practice 2018;68:421-5.
- Moifo B, Pefura-Yone EW, Nguefack-Tsague G, et al. Inter-Observer Variability in the Detection and Interpretation of Chest X-Ray Anomalies in Adults in an Endemic Tuberculosis Area. Journal of Medical Imaging 2015;5:143-9.
- Shaw NJ, Hendry M, Eden OB. Inter-observer variation in interpretation of chest X-rays. Scott Med J 1990;35(5):140-1.
- Gatt ME, Spectre G, Paltiel O, Hiller N, Stalnikowicz R. Chest radiographs in the emergency department: is the radiologist really necessary? Postgrad Med J 2003;79:214–7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Araştırmalar |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 19 Sayı: 3 |
