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Person-centred care - radiographers' perceptions of the framework and its performance in radiography. A
1Department of Translational Medicine, Lund University, Malmö, Sweden; Diagnostic Radiology, Department of Medical Imaging and Physiology, Skåne University Hospital, Malmö, Sweden.
Introduction:
Person-centred care is being implemented in healthcare to facilitate co-created care and patients' participation in their own care. This is a new practice, also among radiographers. The aim of the study was to explore radiographers' perceptions of the framework of person-centred care and its performance in radiography.
Methods:
Phenomenography was the study design. Focus group discussions and interviews were performed within a period of three months with a group of five radiographers in clinical practice. The discussions were part of a training programme on the theory and practice of person-centred care. The programme included three modules, and after each, an interview was performed, also when the programme finished.
Results:
Person-centred care in radiography was perceived as a complex "skewed balancing act" requiring responsible and knowledgeable decision-making throughout the radiographic examination. Two descriptive categories emerged: "Awareness of one's professional responsibility for the performance of the radiographic examination" and "Awareness of one's professional responsibility for establishing the relationship with the patient". The quality of radiographic images was a priority. Radiographers were aware of the importance of including the patient in shared decision-making in the performance of care. Still, the patient-radiographer relationship was secondary in the outcome of the examination. The shift to person-centred radiography was an endeavour to attach equal value to the quality of the radiographic examination and the partnership with the patient during the examination.
Conclusions:
The radiographers perceived an unequal power distribution between the patient and the radiographer. The norm of person-centred radiography requires a re-evaluation of professional values, individually and in the workforce; in addition, person-centred leadership is needed.
Implications For Practice:
The findings are expected to guide the development of person-centred practice in radiography.
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