Abstract：
OBJECTIVE: To explore the nature and extent of peer-reviewed literature related to the use of diagnostic imaging by nurse practitioners (NPs) to inform future practice and research.
BACKGROUND: Nurse practitioners undertake advanced assessment, diagnosis, and management of patients, including requesting and interpretation of diagnostic imaging. It is unclear what evidence exists related to the quality use of radiological investigations by NPs in recent years.
METHODS: A scoping review based on the steps suggested by the Joanna Briggs Institute.
METHODS: A structured review of the databases Medline, CINAHL and Embase was undertaken using the keywords and MESH terms \'nurse practitioner\', \'medical imaging\', \'diagnostic imaging\', \'scan\' and \'radiography\'. Only English language articles were included, and no date limit was applied. Database review was completed on 30 May 2021.
RESULTS: Eight themes were identified-country and clinical context, requesting diagnostic imaging, performing diagnostic imaging, image-guided interventions, interpreting diagnostic imaging, training education and knowledge, impact on resource usage and comparison with medical practitioners. There were more studies across a greater breadth of clinical specialties and imaging modalities in the United States than in other countries. Nurse practitioner practice is frequently benchmarked against that of medical colleagues. There is a paucity of studies focusing on educational preparation and the lack of relevant university curricula for NPs around diagnostic imaging.
CONCLUSIONS: There are significant gaps in the evidence outside of the United States across several of the identified themes. Further studies are needed to explore NP access to and use of diagnostic imaging and to understand the barriers and facilitators to this.
CONCLUSIONS: Studies from four countries were included in this review. The evidence suggests that, where studied, nurse practitioners (NPs) can safely and appropriately request and interpret plain x-rays in the emergency and minor injuries setting. Further research is needed to evaluate the educational needs of NPs in relation to diagnostic imaging and their use of advanced imaging techniques, particularly outside of the United States.
UNASSIGNED: No patient or public contribution.
BACKGROUND: Nurse practitioners undertake advanced assessment, diagnosis, and management of patients, including requesting and interpretation of diagnostic imaging. It is unclear what evidence exists related to the quality use of radiological investigations by NPs in recent years.
METHODS: A scoping review based on the steps suggested by the Joanna Briggs Institute.
METHODS: A structured review of the databases Medline, CINAHL and Embase was undertaken using the keywords and MESH terms \'nurse practitioner\', \'medical imaging\', \'diagnostic imaging\', \'scan\' and \'radiography\'. Only English language articles were included, and no date limit was applied. Database review was completed on 30 May 2021.
RESULTS: Eight themes were identified-country and clinical context, requesting diagnostic imaging, performing diagnostic imaging, image-guided interventions, interpreting diagnostic imaging, training education and knowledge, impact on resource usage and comparison with medical practitioners. There were more studies across a greater breadth of clinical specialties and imaging modalities in the United States than in other countries. Nurse practitioner practice is frequently benchmarked against that of medical colleagues. There is a paucity of studies focusing on educational preparation and the lack of relevant university curricula for NPs around diagnostic imaging.
CONCLUSIONS: There are significant gaps in the evidence outside of the United States across several of the identified themes. Further studies are needed to explore NP access to and use of diagnostic imaging and to understand the barriers and facilitators to this.
CONCLUSIONS: Studies from four countries were included in this review. The evidence suggests that, where studied, nurse practitioners (NPs) can safely and appropriately request and interpret plain x-rays in the emergency and minor injuries setting. Further research is needed to evaluate the educational needs of NPs in relation to diagnostic imaging and their use of advanced imaging techniques, particularly outside of the United States.
UNASSIGNED: No patient or public contribution.
摘要：
目的：探讨与执业护士（NPs）使用诊断成像相关的同行评审文献的性质和范围，以指导未来的实践和研究。
背景：护士从业者进行高级评估，诊断,和病人的管理，包括诊断成像的请求和解释。目前尚不清楚近年来有哪些证据与NP对放射学调查的质量使用有关。
方法：根据JoannaBriggs研究所建议的步骤进行范围审查。
方法：对Medline数据库的结构化审查，CINAHL和Embase使用关键字和MESH术语“护士执业”进行，\'医学成像\',\'诊断成像\',\'scan\'和\'radiography\'。只包括英语文章，并且没有应用日期限制。数据库审查于2021年5月30日完成。
结果：确定了八个主题-国家和临床背景，请求诊断成像，进行诊断成像，图像引导干预，解释诊断成像，培训教育和知识，对资源使用的影响以及与医生的比较。与其他国家相比，美国在更广泛的临床专业和成像方式上进行了更多的研究。护士执业通常以医学同事的执业为基准。关于教育准备的研究很少，并且缺乏有关诊断成像的NPs的相关大学课程。
结论：在美国以外的几个确定的主题中，证据存在显著差距。需要进一步的研究来探索NP对诊断成像的访问和使用，并了解对此的障碍和促进因素。
结论：本综述纳入了来自四个国家的研究。证据表明,在那里学习，护士从业人员（NPs）可以安全，适当地要求和解释在紧急情况和轻伤情况下的普通X射线。需要进一步的研究来评估NPs在诊断成像及其使用先进成像技术方面的教育需求，尤其是在美国以外。
■没有患者或公众捐款。
背景：护士从业者进行高级评估，诊断,和病人的管理，包括诊断成像的请求和解释。目前尚不清楚近年来有哪些证据与NP对放射学调查的质量使用有关。
方法：根据JoannaBriggs研究所建议的步骤进行范围审查。
方法：对Medline数据库的结构化审查，CINAHL和Embase使用关键字和MESH术语“护士执业”进行，\'医学成像\',\'诊断成像\',\'scan\'和\'radiography\'。只包括英语文章，并且没有应用日期限制。数据库审查于2021年5月30日完成。
结果：确定了八个主题-国家和临床背景，请求诊断成像，进行诊断成像，图像引导干预，解释诊断成像，培训教育和知识，对资源使用的影响以及与医生的比较。与其他国家相比，美国在更广泛的临床专业和成像方式上进行了更多的研究。护士执业通常以医学同事的执业为基准。关于教育准备的研究很少，并且缺乏有关诊断成像的NPs的相关大学课程。
结论：在美国以外的几个确定的主题中，证据存在显著差距。需要进一步的研究来探索NP对诊断成像的访问和使用，并了解对此的障碍和促进因素。
结论：本综述纳入了来自四个国家的研究。证据表明,在那里学习，护士从业人员（NPs）可以安全，适当地要求和解释在紧急情况和轻伤情况下的普通X射线。需要进一步的研究来评估NPs在诊断成像及其使用先进成像技术方面的教育需求，尤其是在美国以外。
■没有患者或公众捐款。
