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The assertiveness of final year student radiographers during their clinical practice: A study in Ghana
Affiliation:1. Thayer School of Engineering, Dartmouth College, Hanover NH, 03755, USA;2. Department of Medicine, Radiation Oncology, Norris Cotton Cancer Center, Dartmouth Hitchcock Medical Center, Lebanon, NH 03766, USA;3. DoseOptics, LLC, Lebanon NH 03755 USA;4. Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia PA, 19104 USA;5. Department of Medical Physics, University of Wisconsin-Madison, Wisconsin WI 53705 USA;1. Diagnostic Radiography Technology (DRT) Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia;2. Medical Research Centre, Jazan University, Jazan, Saudi Arabia 45142;3. Department of Diagnostic Radiology, King Khalid Hospital, Najran, Saudi Arabia;4. Department of Diagnostic Radiology, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia;5. Imaging Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Saudi Arabia;1. Department of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN, 37232, USA;2. Department of Radiation Oncology, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, 73104, USA;3. Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, 37232, USA;1. Department of Radiology, Children''s Hospital of Philadelphia, Philadelphia, PA, United States;2. Department of Radiology, Bristol Royal Hospital for Children, University Hospitals Bristol, Bristol, United States;3. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States;1. Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON;2. Department of Radiation Oncology, University of Toronto, Toronto, ON;1. Radiology Department, Sunshine Coast University Hospital, 6 Doherty Street, Birtinya, Sunshine Coast, Queensland 4575, Australia;2. Griffith University, Gold Coast, Queensland, Australia
Abstract:IntroductionSpeaking up by health professionals is essential for patient safety. To ensure that student radiographers are well equipped in professional practice at the time of graduation, their capacity to speak up openly in the clinical setting is very important. This study assessed student radiographers’ ability to speak up in the face of patient safety compromises during their clinical rotation and how it impacts their learning.MethodsTwenty-four (24) final-year radiography students at the University of Ghana, who were then the only final years in the country, were recruited for the study. Questionnaires about assertive communication using a harm index score were given to the students who consented to participate in the study. The data were analysed using Microsoft Excel version 13 and SPSS version 20.ResultsThe study recorded a response rate of 96% of which the majority (66.7%) were males. The majority (75%) of the participants would not speak up about patient safety issues for reasons. Moreover, 95.8% of the participants got confused when they observed a disparity between clinical practice and lessons taught in the lecture room.ConclusionThe ability of students to speak up is dependent on several factors encountered in the clinical area. For students to be able to function well in a clinical team, they need to be competent to speak up to ensure patient safety irrespective of who they work with. This study identified that students preferred to express themselves non-verbally in some situations that deal with patient safety compromises, instead of speaking up. Improving a culture of respect and freedom to speak up in healthcare settings would ensure patient wellbeing.
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