How do technical improvements change radiographers’ practice: a practice theory perspective
2015 (English)In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 21, no 3, 231-235 p.Article in journal (Refereed) Published
Introduction: Technical improvements in medical imaging have led to the replacement of two-plane imaging techniques by multidimensional imaging. How this affects radiographers’ professional practice has not been investigated.
Aim: To explore how technical development affects the relations between different actors and their actions in the practice of computed tomography.
Method: A qualitative design was used with data collection by open interviews (n=8) and open observations (n=10) of radiographers during their work with computed tomography. Data was first analysed inductively, resulting in seven preliminary codes. The initial analysis was followed by a phase of abduction, in which the preliminary codes were interpreted theoretically through the lens of practice theory. This resulted in four final themes.
Result: First theme: Changed materiality makes practical action easier. The actual image production has become practically easier. Second theme: New machines cause conflict between the structural arrangements of the work and the patient’s needs. The time required for the scanner to carry out image production is easy to foresee, but information about the patient’s individual status and needs is missing and this leads to difficulties in giving individual planned care. Third theme: Changing materiality prefigures learning. The different apparatus in use and the continuously changing methods of image production are coconstitutive of the practitioner’s activities and learning. Fourth theme: How the connections between different practices lead to moments of practical reasoning in the radiography process with CT. The practice of image production with computed tomography takes account of patient safety in relation to radiation doses and medical security risks. The different professions in CT practice are interconnected through common material objects such as computers and machines. However, the radiographers, who meet the patients, have to check the accuracy of the planned examination in relation to the clinical observed information about patient safety risks during the examination.
Place, publisher, year, edition, pages
Elsevier, 2015. Vol. 21, no 3, 231-235 p.
Practice, Radiographer, Radiography, Practice theory
Radiology, Nuclear Medicine and Medical Imaging
IdentifiersURN: urn:nbn:se:liu:diva-111721DOI: 10.1016/j.radi.2014.12.002OAI: oai:DiVA.org:liu-111721DiVA: diva2:759087
When defending the Ph.D. thesis the status of this article was Manuscript.2014-10-292014-10-292016-08-18Bibliographically approved