关键词: Communication Deaf Diagnostic radiography Hearing impaired Students

Mesh : Humans State Medicine Students Communication Surveys and Questionnaires Radiography Hearing

来  源:   DOI:10.1016/j.radi.2022.11.008

Abstract:
Communication issues can arise when deaf or hearing impaired individuals access National Health Service (NHS) radiology services if reasonable adjustments and inclusive services are not facilitated. This study aims to assess student diagnostic radiographers\' attitudes and communication experience with service users who are deaf or hearing impaired.
An anonymous online survey was conducted on UK undergraduate diagnostic radiography students from a single university. The sample size of students invited to participate in the study was n = 156. The measurement scales and questions included quantitative attitudinal 5-point Likert and qualitative free-response questions. Statistical analysis included the Kruskal-Wallis H test, Mann-Whitney U test, pairwise comparisons of variables and thematic coding of qualitative data.
n=48 students responded. The student\'s perceptions of communication experiences with deaf or hearing-impaired patients were positive (72.9%) but depended on the amount of experience whilst on clinical placement (first-year students had less clinical placement experience than years two and three). Overall confidence in communicating was 47.9% with no difference by gender (p = 0.87) but variance by age category (p = 0.03), with the 18-29 group less confident and first-year students having less experience to draw upon for responses (p = 0.04). Confidence in gaining consent (56.3%) demonstrated no variation by gender (p = 0.75) or cohort (p = 0.54), but variance by age category (p = 0.03) due to difference in unmatched sample sizes. Participants elaborated on positive service adaptations that can be facilitated for service users who are deaf or hearing impaired and issues that caused negative communication experiences.
The study has produced data on the experience of student radiographers interacting with an understudied service user group who are deaf or hearing impaired. Qualitative responses discussed a range of resources to assist clinical practice communication and recommendations for further improvements and training opportunities.
The findings of this study can help to inform future research, policy, practice, and educational training.
摘要:
背景:如果不促进合理的调整和包容性服务,当聋哑或听力受损的个人获得国家卫生服务(NHS)放射学服务时,可能会出现沟通问题。这项研究旨在评估学生诊断放射技师的态度和与聋哑或听力受损的服务用户的沟通经验。
方法:对来自一所大学的英国本科放射诊断学学生进行了一项匿名在线调查。被邀请参加研究的学生的样本量为n=156。测量量表和问题包括定量态度5点Likert和定性自由回答问题。统计分析包括Kruskal-WallisH检验,Mann-WhitneyU测试,变量的成对比较和定性数据的主题编码。
结果:n=48名学生回答。学生对与聋哑或听力受损患者的交流经验的看法是积极的(72.9%),但取决于临床安置时的经验量(一年级学生的临床安置经验少于二年级和三年级)。沟通的总体置信度为47.9%,性别无差异(p=0.87),但年龄类别差异(p=0.03)。18-29组的信心不足,一年级学生的经验较少(p=0.04)。获得同意的信心(56.3%)显示性别(p=0.75)或队列(p=0.54)没有差异,但由于不匹配的样本量差异,各年龄类别的差异(p=0.03)。与会者详细阐述了积极的服务适应性,可以为聋人或听力受损的服务用户提供便利,以及导致负面沟通体验的问题。
结论:该研究产生了有关学生放射技师与聋哑或听力受损的未充分研究的服务用户群互动的经验的数据。定性回答讨论了一系列资源,以协助临床实践沟通和建议,以进一步改进和培训机会。
结论:这项研究的发现有助于为未来的研究提供信息,政策,实践,和教育培训。
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