Nurses', physicians' and radiographers' perceptions of the safety of a nurse prescribing of ionising radiation initiative: A cross-sectional survey

dc.contributor.authorHyde, Abbey
dc.contributor.authorCoughlan, Barbara
dc.contributor.authorNaughton, Corina
dc.contributor.authorHegarty, Josephine
dc.contributor.authorSavage, Eileen
dc.contributor.authorGrehan, Jennifer
dc.contributor.authorKavanagh, Eoin
dc.contributor.authorMoughty, Adrian
dc.contributor.authorDrennan, Jonathan
dc.contributor.funderHealth Service Executive, Ireland
dc.date.accessioned2018-01-16T14:35:56Z
dc.date.available2018-01-16T14:35:56Z
dc.date.issued2016-01-30
dc.date.updated2018-01-12T22:25:06Z
dc.description.abstractBackground: A new initiative was introduced in Ireland following legislative changes that allowed nurses with special training to prescribe ionising radiation (X-ray) for the first time. A small number of studies on nurse prescribing of ionising radiation in other contexts have found it to be broadly as safe as ionising radiation prescribing by physicians. Sociological literature on perceptions of safety indicates that these tend to be shaped by the ideological position of the professional rather than based on objective evidence. Objectives: To describe, compare and analyse perceptions of the safety of a nurse prescribing of ionising radiation initiative across three occupational groups: nursing, radiography and medicine. Design: A cross-sectional survey design. Settings: Participants were drawn from a range of clinical settings in Ireland. Participants: Respondents were 167 health professionals comprised of 49 nurses, 91 radiographers, and 27 physicians out of a total of 300 who were invited to participate. Non-probability sampling was employed and the survey was targeted specifically at health professionals with a specific interest in, or involvement with, the development of the nurse prescribing of ionising radiation initiative in Ireland. Methods: Comparisons of perspectives on the safety of nurse prescribing of ionising radiation across the three occupational groups captured by questionnaire were analysed using the Kruskal–Wallis H test. Pairwise post hoc tests were conducted using the Mann–Whitney U test. Results: While the majority of respondents from all three groups perceived nurse prescribing of ionising radiation to be safe, the extent to which this view was held varied. A higher proportion of nurses was found to display confidence in the safety of nurse prescribing of ionising radiation compared to physicians and radiographers with differences between nurses’ perceptions and those of the other two groups being statistically significant. Conclusion: That an occupational patterning emerged suggests that perceptions about safety and risk of nurse prescribing of ionising radiation are socially constructed according to the vantage point of the professional and may not reflect objective measures of safety. These findings need to be considered more broadly in the context of ideological barriers to expanding the role of nurses.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHyde, A., Coughlan, B., Naughton, C., Hegarty, J., Savage, E., Grehan, J., Kavanagh, E., Moughty, A. and Drennan, J. (2016) 'Nurses’, physicians’ and radiographers’ perceptions of the safety of a nurse prescribing of ionising radiation initiative: A cross-sectional survey', International Journal of Nursing Studies, 58, pp. 21-30. doi: 10.1016/j.ijnurstu.2016.01.004en
dc.identifier.doi10.1016/j.ijnurstu.2016.01.004
dc.identifier.endpage30en
dc.identifier.issn0020-7489
dc.identifier.journaltitleInternational Journal of Nursing Studiesen
dc.identifier.startpage21en
dc.identifier.urihttps://hdl.handle.net/10468/5283
dc.identifier.volume58en
dc.language.isoenen
dc.publisherElsevieren
dc.rights© 2016 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectIonising radiationen
dc.subjectIrelanden
dc.subjectMedicineen
dc.subjectNurse prescribingen
dc.subjectProfessionsen
dc.subjectExpanded roleen
dc.subjectPatient safetyen
dc.titleNurses', physicians' and radiographers' perceptions of the safety of a nurse prescribing of ionising radiation initiative: A cross-sectional surveyen
dc.typeArticle (peer-reviewed)en
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