Preliminary clinical evaluation (PCE): Perceptions and barriers to implementation

DOONA, Daniel, WRIGHT, Chris and HARCUS, James (2016). Preliminary clinical evaluation (PCE): Perceptions and barriers to implementation. In: United Kingdom Radiological Congress (UKRC)2016, Liverpool, June 6-8 2016.

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The College of Radiographers (CoR) 2013 policy and practice guidance identifies the ability to write Preliminary Clinical Evaluations (PCE) should be a core competency for radiographers. This research used a mixed methods approach to investigate the perceptions and potential barriers to the implementation of abnormality signalling systems (ASS) and in particular PCE in clinical practice. A purposive sample of qualified radiographers from two NHS Trusts was identified (n = 62). Response rate was 90% (n=56). 20% (n=11) had been qualified <2years, 53% (n=30) 2-4 years, 27% (n=15) >5years. Only 30% (n=17) felt that their university training prepared them well for PCE upon graduation however responses differed by group. 72% of those qualified <2 years felt prepared versus only 20% of the remainder.80% (n=45) in total participated in CPD to develop their image interpretation skills which has a positive impact on confidence. The >5 years qualified group are more likely to engage with CPD than the other groups. Only 23% (n=13) felt that PCE would improve service delivery stating lack of skill, guidance, 'too busy imaging', too much responsibility, and 'no pay increase', as common reasons. 70% (n=39) felt that PCE should not be implemented in practice. The evidence suggests that the CoR 2013 policy is having an impact on undergraduate training in that the <2years qualified group are more responsive to delivering PCE but less likely to participate in CPD. Further work is required to measure graduate image interpretation competence and subsequent development.

Item Type: Conference or Workshop Item (Poster)
Research Institute, Centre or Group: Centre for Health and Social Care Research
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Depositing User: James Harcus
Date Deposited: 12 Aug 2016 10:29
Last Modified: 20 Oct 2016 21:15

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