Peng, Lee Geik
(2016)
Malaysian radiographers administering intraveneous contrast media injection : radiographers' and other healthcare practitioners' perspectives.
Masters thesis, Universiti Sains Malaysia.
Abstract
Administration of intravenous contrast media (IVCM) injections by radiographers is one of the aspects that could be achieved to enhance patient care. However, Malaysian radiographers cannot perform IVCM injections. The examination requiring IVCM injections are delayed until authorized healthcare practitioners fulfil the task. Consequently, this results in the increment of waiting time and may incite distraction for those practitioners who were concentrating on the other procedures at the same time. Ultimately, it will negatively impact on patient care and service delivery. Therefore, this study was aimed to develop and validate questionnaires concerning obstacles, consequences and possibilities of Malaysian radiographers performing IVCM injections. Also. It was aimed to identify the perceived hindrances and consequences may result from Malaysian radiographers performing IVCM injections, to determine the associated factors of practicing hospital, gender and designation on perceived obstacles and consequences of participants, to determine participants‟ agreement on the inclusion of IVCM administration into radiographers‟ syllabus and provision of IVCM administration and role extension for radiographers by MOH, to examine correlation between participants‟ agreement on the inclusion of IVCM administration into radiographers‟ syllabus and provision of IVCM administration and role extension for radiographers by MOH and yet to determine any significant difference exist between means score for radiographers group andother healthcare practitioners group on inclusion of IVCM administration into radiographers‟ syllabus and provision of IVCM administration and role extension for radiographers by MOH. Cross sectional and qualitative study was conducted using newly designed questionnaires involving seven hundred sixteen (716) participants for which constitute of five hundred twenty five (525) radiographers (R), eighty (80) radiologists (S), fifty eight (58) medical officers (MO) and fifty three (53) state registered nurses (SRN). They were drawn from diagnostic imaging department of thirteen (13) principal government hospitals in the Malaysia, with strategy of convenience sampling and were surveyed using questionnaires. The content validity index (CVI) for two (2) sets of developed tools for R and S, MO, SRN was 0.968 and 0.970 respectively. The reliability test (Cronbach‟s alpha) for internal consistency ranges from 0.735 to 0.824. Descriptive statistics and inferential statistics were used to analyse data. From the total number of participants, 62.3% agreed IVCM administration is not in the syllabus of radiographers training program. 84.8% of participants viewed improvement of radiographers‟ knowledge and skills whilst 69.0% conceded time reducing as the consequences. Overall, 84.4% were in favour of radiographers undertaking IVCM injections. T-test indicated significant difference between means score for radiographers group and other healthcare practitioners group on inclusion of IVCM administration into radiographers‟ syllabus and provision of IVCM administration and role extension for radiographers by Malaysian Ministry of Health (MOH), p<0.001. In conclusion, most of the participants were in favour for radiographers to undertake this role. The major obstacle was IVCM administration is not in syllabus of radiographers training program. An appropriate training concomitant with recognition through regulation for Malaysianradiographers to undertake IVCM injections role therefore is imperative to support their extended role in this field.
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