Diagnostic radiography students' perceptions towards communication with service users who are deaf or hearing impaired.

Journal article

Nolan-Bryant, A. and Lockwood, P. 2022. Diagnostic radiography students' perceptions towards communication with service users who are deaf or hearing impaired. Radiography. 29 (1), pp. 207-214. https://doi.org/10.1016/j.radi.2022.11.008

Publication dates
Authors	Nolan-Bryant, A. and Lockwood, P.
Abstract	Communication issues can arise when deaf or hearing impaired individuals access National Health Service (NHS) radiology services if reasonable adjustments and inclusive services are not facilitated. This study aims to assess student diagnostic radiographers' attitudes and communication experience with service users who are deaf or hearing impaired. An anonymous online survey was conducted on UK undergraduate diagnostic radiography students from a single university. The sample size of students invited to participate in the study was n = 156. The measurement scales and questions included quantitative attitudinal 5-point Likert and qualitative free-response questions. Statistical analysis included the Kruskal-Wallis H test, Mann-Whitney U test, pairwise comparisons of variables and thematic coding of qualitative data. n=48 students responded. The student's perceptions of communication experiences with deaf or hearing-impaired patients were positive (72.9%) but depended on the amount of experience whilst on clinical placement (first-year students had less clinical placement experience than years two and three). Overall confidence in communicating was 47.9% with no difference by gender (p = 0.87) but variance by age category (p = 0.03), with the 18-29 group less confident and first-year students having less experience to draw upon for responses (p = 0.04). Confidence in gaining consent (56.3%) demonstrated no variation by gender (p = 0.75) or cohort (p = 0.54), but variance by age category (p = 0.03) due to difference in unmatched sample sizes. Participants elaborated on positive service adaptations that can be facilitated for service users who are deaf or hearing impaired and issues that caused negative communication experiences. The study has produced data on the experience of student radiographers interacting with an understudied service user group who are deaf or hearing impaired. Qualitative responses discussed a range of resources to assist clinical practice communication and recommendations for further improvements and training opportunities. The findings of this study can help to inform future research, policy, practice, and educational training. [Abstract copyright: Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.]
Keywords	Deaf; Communication; Hearing impaired; Students; Diagnostic radiography
Year	2022
Journal	Radiography
Journal citation	29 (1), pp. 207-214
Publisher	Elsevier
ISSN	1532-2831
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.radi.2022.11.008
	https://doi.org/S1078-8174(22)00202-4
Official URL	https://www.radiographyonline.com/article/S1078-8174(22)00202-4/fulltext
Print	21 Nov 2022
Online	06 Dec 2022
Publication process dates
Accepted	21 Nov 2022
Deposited	04 Jan 2023
Publisher's version	PIIS1078817422002024.pdf License CC BY 4.0 File Access Level Open
Output status	Published
References	1. World Health Organisation. Deafness and hearing loss. Deafness and Hearing Loss Fact Sheet. 2. Central digital and data office. Research and analysis Saleem: profoundly deaf user, London; 2017. 3. Grote H., Izagaren F. Covid-19: The communication needs of D/deaf healthcare workers and patients are being forgotten. BMJ Opinion 2020. 4. UK Government. The Ionising Radiation (Medical Exposure) Regulations 2017, London: UK Statutory Instruments; 2017. 5. Koubel G and BH. The Challenge of Person-centred Care, An Interprofessional Perspective, Palgrave Macmillan; 2008. 6. HCPC standards of proficenecy n.d. 7. UK Government. Equality Act 2010: Public Sector Equality Duty, What DO I need to know? A quick start guide for pubic sector organisations, England: https://assets.publishing.service.gov.uk/government/uploads/system/u... 2010, p. 3–3. 8. Chodosh J., Weinstein BE., Blustein J. Face masks can be devastating for people with hearing loss. BMJ 2020:m2683. Doi: 10.1136/bmj.m2683. 9. Davies MC., Channon BT. Deaf patients in the medical imaging department – a qualitative study. Journal of Diagnostic Radiography and Imaging 2004;5(2):99–106. Doi: 10.1017/S1460472804000069. 10. Barber S. Are We Hard of Hearing When It Comes to Caring for Deaf Patients? Nurses' Attitudes Toward Deafness. Journal of PeriAnesthesia Nursing 2013;28(3):e17. Doi: 10.1016/j.jopan.2013.04.051. 11. Yuksel C., Unver V. Use of Simulated Patient Method to Teach Communication With Deaf Patients in the Emergency Department. Clin Simul Nurs 2016;12(7):281–9. Doi: 10.1016/j.ecns.2016.03.007. 12. National Institute for Health and Care Excellence. Patient experience in adult NHS services: improving the experience of care for people using adult NHS services Clinical guideline 138, London; 2012. 13. UK Government. The Data Protection Act 2018: Chapter 2 The GDPR. , England: UK Government; 2018. 14. Seeram ED, E, MM. Research for Medical Imaging and Radiation Sciences, 1st ed., Springer International Publishing AG; 2021. 15. Braun V and C v. Using thematic analysis in psychology. Qualitative Research in Psychology 2006;3(2):77–101. 16. NHS England. Accessible Information Standard: Making health and social care information accessible, London; 2017. 17. Safety & Health Practitioner. Text app aids communication between hospital staff and patients with hearing difficulties. Safety & Health Practitioner. 18. Penney S. Improving deaf awareness in the workplace. NHS Employers. 19. Grote H. Read my lips: the downside of PPE for people with hearing loss, and what we can all do to help. Imperial College Healthcare NHS Trust. 20. The Leeds Teaching Hospitals NHS Trust. Deaf Awareness During Covid-19. Patient Experience Team. 21. Boor D, FN, LJ, HB. E-Health and mobile apps in the NHS, 2020. 22. NHS England. Digital Technology Assessment Criteria (DTAC). Digital Technology Assessment Criteria (DTAC). 23. HM Government. Government delivers 250,000 clear face masks to support people with hearing loss, London; 2020. 24. National Deaf Children's Society. Face masks and communication - coronavirus info for families of deaf children. Face Masks and Communication - Coronavirus Info for Families of Deaf Children. 25. The Society of Radiographers. Obtaining consent: a clinical guideline for the diagnostic imaging and radiotherapy workforce, London; 2018. 26. Department of Health and Social Care. NHS Constitution, London; 2012.

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Diagnostic radiography students' perceptions towards communication with service users who are deaf or hearing impaired.

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