|Author:||Chan, Hung-tat Edward|
|Title:||Does the documented standards of practice support the quality of service in the diagnostic radiography department?|
|Subject:||Hong Kong Polytechnic University -- Dissertations|
Radiologists -- China -- Hong Kong -- Evaluation
Job satisfaction -- China -- Hong Kong
Radiography, Medical -- Quality control
|Department:||School of Nursing|
|Pages:||xii, 109 leaves : ill. ; 30 cm.|
|Abstract:||Introduction: Many countries such as Australia, Canada, United Kingdom and the United States of America have in recent times developed a Standards of Practice. Although this profession has more than 40 years of history of development in Hong Kong and it is still striving for the autonomy required to be fully acknowledged as such, the profession have not yet followed its counterparts in developed countries in developing its own Standards of Practice. This project introduced and applied a Standards of Practice (the Practice Standards of American Society of Radiologic Technologists) to a group of Hong Kong radiographers. The aim was to see if a detailed, informative and documented Standards of Practice could improve the service quality of the department and job satisfaction of the radiographers. Method: Before the implementation of the Standards, 500 patients who attended for a general radiographic examination were recruited to complete the self-developed Patient Satisfaction Questionnaire for Radiography (PSQ-20 Rad) and 27 Radiographers at the study site were requested to complete the Job Satisfaction Survey (JSS). The Standards of Practice of the American Society of Radiological Technologists was then introduced to the 27 radiographers. Two months later to assess outcomes of the introduction the Standards another 500 patients were recruited to complete the PSQ-20 Rad and the 27 radiographers retook the the JSS. Result: The response rate of PSQ-20 Rad before and after the implementation of documented Standards was 61.6% and 61% respectively. By independent-sample t-test, 13 out of 20 items scored and 4 out of 7 subscales scored of the PSQ-20 Rad had a statistically significant increment (p<0.05) after the implementation of the Standards of Practice. The average patient satisfaction score with all items of PSQ-20 Rad increased insignificantly (p=0.13). The positive result of patient satisfaction indicated that radiography at the study site was enhanced by the Standards of Practice even though the null hypothesis could not be rejected directly because of the insignificant change of the overall patient satisfaction score. The response rate of JSS before and after the implementation of documented Standards was 84.6% and 88.5% respectively. The means of the all items score, the subscales score, and the total job satisfaction score did not change significantly (p>0.01) after the implementation of the Standards of Practice. The null hypothesis for job satisfaction could not be rejected because no significant change was found after the implementation of the documented Standards of Practice. The neutral result for job satisfaction indicates that the radiographers could accept the use of a Standards of Practice in their professional practice without any strong reaction. Conclusion: The overall results indicate it is worth promoting the Standards of Practice for radiographers in Hong Kong. Although the results from this study cannot be generalized to the overall population of radiographers in Hong Kong, this study does indicate that the Standards should not increase working stress because it covers what is already known but more formally places it into a workplace situation.|
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