An implementation facilitation intervention to improve the musculoskeletal X‑ray reporting by radiographers across London

Journal article

Lockwood, P., Burton, C., Shaw, T., Woznitza, N., Compton, E., Groombridge, H., Hayes, N., Mane, U., O'Brien, A. and Patterson, S. 2025. An implementation facilitation intervention to improve the musculoskeletal X‑ray reporting by radiographers across London. BMC Health Services Research. 25 (248), p. 1. https://doi.org/10.1186/s12913-025-12356-x
AuthorsLockwood, P., Burton, C., Shaw, T., Woznitza, N., Compton, E., Groombridge, H., Hayes, N., Mane, U., O'Brien, A. and Patterson, S.
Abstract

Background
The National Healthcare Service (NHS) radiology service delivery in London is representative of the current pressures and challenges faced in England of Musculoskeletal (MSK) X-ray reporting workforce shortages, and national turnaround time (TATs) targets. The implementation project evaluated facilitation as a strategy to achieve the NHS England 50% target for all MSK X-rays to be reported by radiographers.

Methods
The project was an eight-month multi-centre (n = 5 London NHS Trusts) study applying the Promoting Action on Research Implementation in Health Services (PARIHS) framework with embedded mixed-methods evaluation. Initial observational data using the Context Assessment Index (CAI) tool and the Workplace Culture Critical Analysis Tool (WCCAT) set the implementation interventions which comprised external facilitation, to support internal facilitators action learning activities. Evaluation data comprised monthly reporting performance, systems mapping, interviews.

Results
System mapping allowed a perspective beyond the characteristics of the NHS Trusts involved (small single site hospitals to large multi-sites hospitals) of mixed clinical duties, scope of practice, reporting session allocation, and equipment used. CAI scores for workplace culture demonstrated
= 73.7% (SD 6.8; 95%CI 8.49), leadership scored
= 69.3% (SD 7.3; 95% CI 9.17), and evaluation scored
= 75.5% (SD 6.9; 95% CI 98.63). WCCAT observations provided themes for facilitation focusing on remote reporting, insourcing backlogs, prioritising worklists to reduce breaching TATs, reporting metrics, and reducing auto reporting. The combined reporting of MSK X-rays by London radiographers during this study achieved
= 53.7%.

Conclusion
This study had an innovative approach using an implementation facilitation framework to improve service delivery. The clinical workplace context in which MSK X-ray reporting by radiographers occurs was key to implementing change. The complexities of sustaining and upscaling MSK X-ray reporting by radiographers to meet the NHS England target of 50% are varied and require local champions to facilitate and drive change at organisational levels. It is recommended that there are dedicated ‘resources’ to sustain implementations with a community of practice for support. Workplace leadership and stakeholder networks are needed to sustain improved working practices and embrace regular evaluation and monitoring of service delivery performance.

KeywordsReporting radiographers; Musculoskeletal; X-rays; Implementation facilitation
Year2025
JournalBMC Health Services Research
Journal citation25 (248), p. 1
PublisherSpringer Nature
ISSN1472-6963
Digital Object Identifier (DOI)https://doi.org/10.1186/s12913-025-12356-x
Official URLhttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-12356-x
FunderHealth Education England, NHS Employers
Publication dates
Online14 Feb 2025
Publication process dates
Accepted29 Jan 2025
Deposited19 Feb 2025
Accepted author manuscript
File Access Level
Restricted
Publisher's version
License
File Access Level
Open
Supplemental file
File Access Level
Restricted
Output statusPublished
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Fitzgerald, A and Lockwood, P. 2025. The effect to dose and diagnostic quality of limiting source-to-image distance on anterior-posterior semi-erect adult chest X-rays. Journal of Medical Imaging and Radiation Sciences. 56 (5), p. 101986. https://doi.org/10.1016/j.jmir.2025.101986
Data and data privacy impact assessments in the context of AI research and practice in the UK
Gilbert, Fiona J., Palmer, Jo, Woznitza, N., Nash, Jonathan, Brackstone, Carla, Faria, Lisa, Dunbar, J. Kevin, Hogg, Henry David Jeffry, Liu, Xiaoxuan and Denniston, Alastair K. 2025. Data and data privacy impact assessments in the context of AI research and practice in the UK. Frontiers in Health Services. 5, p. 1525955. https://doi.org/10.3389/frhs.2025.1525955
Challenges for responsible AI design and workflow integration in healthcare: A case study of automatic feeding tube qualification in radiology
Thieme, A., Rajamohan, A., Cooper, B., Groombridge, H., Simister, R., Wong, Barney, Woznitza, N., Pinnock, M., Wetscherek, M., Morrison, C., Richardson, H., Pérez-García, F., Hyland, S., Bannur, S., Castro, D., Bouzid, K., Schwaighofer, A., Ranjit, M., Sharma, H., Lungren, M., Oktay, O., Alvarez-Valle, J., Nori, A., Harris, S. and Jacob, J. 2025. Challenges for responsible AI design and workflow integration in healthcare: A case study of automatic feeding tube qualification in radiology. ACM Transactions on Computer-Human Interaction. https://doi.org/10.1145/3716500
Knowledge translation in Anglo-American paramedicine: a scoping review.
Hanson, A. and Burton, Christopher 2025. Knowledge translation in Anglo-American paramedicine: a scoping review. BMJ Open. 15 (1), p. e087836. https://doi.org/10.1136/bmjopen-2024-087836
Accuracy of interpretation of nasogastric tube position on chest radiographs by diagnostic radiographers: A multi-case, multi-reader study
Creeden, A., McFadden, S., Ather, S. and Woznitza, N. 2025. Accuracy of interpretation of nasogastric tube position on chest radiographs by diagnostic radiographers: A multi-case, multi-reader study. Radiography. 31 (1), pp. 83-88. https://doi.org/10.1016/j.radi.2024.10.022
Achieving earlier diagnosis of symptomatic lung cancer
Bradley, S., Baldwin, D., Bhartia, B., Black, G., Callister, Matthew Ej, Clayton, Karen, Eccles, Sinan R, Evison, Matthew, Fox, Jesme, Hamilton, W., Konya, J., Lee, Richard W, Bradley, S., Navani, Neal, Noble, Ben, Quaife, Samantha L, Randle, Amelia, Rawlinson, Janette, Richards, Michael, Woznitza, Nick and O'Dowd, Emma 2024. Achieving earlier diagnosis of symptomatic lung cancer. The British Journal of General Practice : The Journal of the Royal College of General Practitioners. 75 (750), pp. 40-43. https://doi.org/10.3399/bjgp25X740493
From the ‘what, so what, now what’ to the ‘what works, for who and why?’
Lockwood, P. 2024. From the ‘what, so what, now what’ to the ‘what works, for who and why?’ . Radiography Open. 10 (1), pp. i-Vii. https://doi.org/10.7577/radopen.6136
Artificial intelligence (AI) for paediatric fracture detection: a multireader multicase (MRMC) study protocol.
Shelmerdine, S., Pauling, Cato, Allan, Emma, Langan, Dean, Ashworth, Emily, Yung, Ka-Wai, Barber, Joy, Haque, Saira, Rosewarne, David, Woznitza, N., Ather, S., Novak, A., Theivendran, Kanthan and Arthurs, O. 2024. Artificial intelligence (AI) for paediatric fracture detection: a multireader multicase (MRMC) study protocol. BMJ Open. 14 (12), p. e084448. https://doi.org/10.1136/bmjopen-2024-084448
Evaluating the impact of artificial intelligence-assisted image analysis on the diagnostic accuracy of front-line clinicians in detecting fractures on plain X-rays (FRACT-AI): protocol for a prospective observational study.
Novak, A., Hollowday, Max, Espinosa Morgado, A., Oke, Jason, Shelmerdine, S., Woznitza, N., Metcalfe, David, Costa, Matthew L, Wilson, S., Kiam, Jian Shen, Vaz, J., Limphaibool, N., Ventre, Jeanne, Jones, Daniel, Greenhalgh, Lois, Gleeson, Fergus, Welch, Nick, Mistry, Alpesh, Devic, Natasa, Teh, James and Ather, S. 2024. Evaluating the impact of artificial intelligence-assisted image analysis on the diagnostic accuracy of front-line clinicians in detecting fractures on plain X-rays (FRACT-AI): protocol for a prospective observational study. BMJ Open. 14 (9), p. e086061. https://doi.org/10.1136/bmjopen-2024-086061
Systematic screening for active tuberculosis amongst refugees and asylum seekers in Western Europe: Is universal chest radiography justified? A literature review.
Dooley, N and Lockwood, P. 2024. Systematic screening for active tuberculosis amongst refugees and asylum seekers in Western Europe: Is universal chest radiography justified? A literature review. Radiography. 31 (1), pp. 194-200. https://doi.org/10.1016/j.radi.2024.11.011
The effect of two speech and language approaches on speech problems in people with Parkinson’s disease: the PD COMM RCT
Sackley, C., Rick, C., Brady, M., Burton, C., Jowett, S., Patel, S., Woolley, R., Masterson-Algar, P., Nicoll, A., Smith, C., Abdali, Z., Ives, N., Beaton, G., Dickson, S., Ottridge, R., Nankervis, H. and Clarke, C. 2024. The effect of two speech and language approaches on speech problems in people with Parkinson’s disease: the PD COMM RCT. Health Technology Assessment. 28 (58), pp. 1-141. https://doi.org/10.3310/adwp8001
Emergency admission predictive risk stratification models: assessment of implementation consequences (PRISMATIC 2): protocol for a mixed methods study.
Kingston, M., Snooks, Helen, Watkins, Alan, Burton, Christopher, Dale, Jeremy, Davies, Jan, Dearden, Alex, Evans, Bridie, Santos Gomes, B., Jones, Jenna, Kumar, Rashmi, Porter, Alison, Sewell, Bernadette and Wallace, E. 2024. Emergency admission predictive risk stratification models: assessment of implementation consequences (PRISMATIC 2): protocol for a mixed methods study. British Journal of General Practice Open (BJGP Open). https://doi.org/10.3399/BJGPO.2024.0182
Student radiographers’ knowledge and experience of lateral hip X-ray positioning: A survey
Clarke, L. and Lockwood, P. 2024. Student radiographers’ knowledge and experience of lateral hip X-ray positioning: A survey. Radiography. 30 (6). https://doi.org/10.1016/j.radi.2024.08.011
The role of imaging in the diagnosis of potential air pollution related illness: a narrative review
Abigail Taylor and Paul Lockwood 2024. The role of imaging in the diagnosis of potential air pollution related illness: a narrative review. Radiography. 30 (5), pp. 1326-1331. https://doi.org/10.1016/j.radi.2024.07.014
Lee Silverman voice treatment versus NHS speech and language therapy versus control for dysarthria in people with Parkinson's disease (PD COMM): pragmatic, UK based, multicentre, three arm, parallel group, unblinded, randomised controlled trial.
Sackley, Catherine M, Rick, C., Brady, Marian C, Woolley, Rebecca, Burton, Christopher, Patel, Smitaa, Masterson-Algar, Patricia, Nicoll, Avril, Smith, Christina H, Jowett, Sue, Ives, Natalie, Beaton, Gillian, Dickson, Sylvia, Ottridge, Ryan, Sharp, Leslie, Nankervis, Helen, Clarke, Carl E and PD COMM collaborative group 2024. Lee Silverman voice treatment versus NHS speech and language therapy versus control for dysarthria in people with Parkinson's disease (PD COMM): pragmatic, UK based, multicentre, three arm, parallel group, unblinded, randomised controlled trial. BMJ (Clinical research ed.). 386, p. e078341. https://doi.org/10.1136/bmj-2023-078341
CSP2023: 322 Allied health professional (AHP) practice placement sustainability: Co-creation of a self-evaluation and improvement framework
Elliott, S. and Burton, C. 2024. CSP2023: 322 Allied health professional (AHP) practice placement sustainability: Co-creation of a self-evaluation and improvement framework. Physiotherapy. 123 (S1), p. e178. https://doi.org/10.1016/j.physio.2024.04.222
A survey of the NHS reporting radiographer workforce in England
Lockwood, P., Burton, C., Shaw, T. and Woznitza, N. 2024. A survey of the NHS reporting radiographer workforce in England. Radiography Open. 10 (1), pp. 1-18. https://doi.org/10.7577/radopen.5635
Reporting radiographers within the European Federation of Radiographer Society (EFRS) member countries - motivation for becoming a reporting radiographer.
Jensen, J, Blackburn, P A, Gale, N, Senior, C, Woznitza, N, Heales, C J and Pedersen, M R V 2024. Reporting radiographers within the European Federation of Radiographer Society (EFRS) member countries - motivation for becoming a reporting radiographer. Radiography. 30 (3), pp. 731-736. https://doi.org/S1078-8174(24)00055-5
Did the evidence-based intervention (EBI) programme reduce inappropriate procedures, lessen unwarranted variation or lead to spill-over effects in the National Health Service?
Joel Glynn, Timothy Jones, Mike Bell, Jane Blazeby, Christopher Burton, Carmel Conefrey, Jenny L. Donovan, Nicola Farrar, Josie Morley, Angus McNair, Amanda Owen-Smith, Ellen Rule, Gail Thornton, Victoria Tucker, Iestyn Williams, Leila Rooshenas and William Hollingworth 2024. Did the evidence-based intervention (EBI) programme reduce inappropriate procedures, lessen unwarranted variation or lead to spill-over effects in the National Health Service? PLoS ONE. https://doi.org/10.1371/journal.pone.0290996
AI assisted reader evaluation in acute CT head interpretation (AI-REACT): protocol for a multireader multicase study
Howell Fu, Alex Novak, Dennis Robert, Shamie Kumar, Swetha Tanamala, Jason Oke, Kanika Bhatia, Ruchir Shah, Andrea Romsauerova, Tilak Das, Abdalá Espinosa, Mariusz Tadeusz Grzeda, Mariapaola Narbone, Rahul Dharmadhikari, Mark Harrison, Kavitha Vimalesvaran, Jane Gooch, Nicholas Woznitza, Nabeeha Salik, Alan Campbell, Farhaan Khan, David J Lowe, Haris Shuaib and Sarim Ather 2024. AI assisted reader evaluation in acute CT head interpretation (AI-REACT): protocol for a multireader multicase study. BMJ Open. 14 (2), p. e079824. https://doi.org/10.1136/bmjopen-2023-079824
Comparing the standard knee X-ray exposure factor, 10 kV rule, and modified 10 kV rule techniques in digital radiography to reduce patient radiation dose without loss of image quality
Lockwood, P. and Wenman, A. 2024. Comparing the standard knee X-ray exposure factor, 10 kV rule, and modified 10 kV rule techniques in digital radiography to reduce patient radiation dose without loss of image quality. Radiography. 30 (2), pp. 574-581. https://doi.org/10.1016/j.radi.2024.01.013
Reporting radiographers in Europe survey: An overview of the role within the European Federation of Radiographer Society (EFRS) member countries
Pedersen, M.R. V., Jensen, J., Senior, C., Gale, N., Heales, C. J. and Woznitza, N. 2023. Reporting radiographers in Europe survey: An overview of the role within the European Federation of Radiographer Society (EFRS) member countries. Radiography. 29 (6), pp. 1100-1107. https://doi.org/10.1016/j.radi.2023.09.005
Obesity bias in diagnostic radiography students: A survey of attitudes, perceptions and technical confidence
Tamburrini, N. and Lockwood, P. 2023. Obesity bias in diagnostic radiography students: A survey of attitudes, perceptions and technical confidence. Radiography. 30 (1), pp. 202-208. https://doi.org/10.1016/j.radi.2023.11.006
Care of transgender patients by diagnostic radiographers: What can be learnt from the literature
Hammond, C and Lockwood, P. 2023. Care of transgender patients by diagnostic radiographers: What can be learnt from the literature. Radiography. 30 (1), pp. 145-150. https://doi.org/10.1016/j.radi.2023.10.020
Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X‑ray reporting service within the NHS in England: a systematic literature review
Lockwood, P., Burton, C., Woznitza, N. and Shaw, T. 2023. Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X‑ray reporting service within the NHS in England: a systematic literature review. BMC Health Services Research. 23 (1270), pp. 1-41. https://doi.org/10.1186/s12913-023-10161-y
Reporting radiographers in Europe survey: Support, role satisfaction, and advanced clinical practice within the European federation of radiographer society (EFRS) member countries.
Pedersen, M. R. V., Jensen, J., Gale, N., Senior, C., Woznitza, N. and Heales, C. J. 2023. Reporting radiographers in Europe survey: Support, role satisfaction, and advanced clinical practice within the European federation of radiographer society (EFRS) member countries. Radiography. 30 (1), pp. 87-94. https://doi.org/10.1016/j.radi.2023.10.008
Impostor phenomenon traits in radiography students: findings from a UK pilot survey
Gibson, C. and Lockwood, P. 2023. Impostor phenomenon traits in radiography students: findings from a UK pilot survey . Radiography. 30 (1), pp. 61-65. https://doi.org/10.1016/j.radi.2023.10.005
Evolving power dynamics in global health: From biomedical hegemony to market dynamics in global health financing; A response to the recent commentaries
Lassa, S., Saddiq, Muhammed, Owen, Jenny, Burton, Christopher and Balen, J. 2023. Evolving power dynamics in global health: From biomedical hegemony to market dynamics in global health financing; A response to the recent commentaries. International Journal of Health Policy and Management. 12, p. 8264. https://doi.org/10.34172/ijhpm.2023.8264
"It's not just about the numbers": Inside the black box of nurses' professional judgement in nurse staffing systems in England and Wales: Insights from a qualitative cross-case comparative study
Allen, Davina, Jacob, Nina, Strange, Heather, Jones, Aled, Burton, Chris and Rafferty, Anne Marie 2023. "It's not just about the numbers": Inside the black box of nurses' professional judgement in nurse staffing systems in England and Wales: Insights from a qualitative cross-case comparative study. International Journal of Nursing Studies. 147, p. 104586. https://doi.org/10.1016/j.ijnurstu.2023.104586
Investigating the adjacent patient radiation dose received during a simulated ward chest X-ray examination
Langfield, H and Lockwood, P. 2023. Investigating the adjacent patient radiation dose received during a simulated ward chest X-ray examination. Radiography Open. 9 (1), pp. 1-14. https://doi.org/10.7577/radopen.5354
The Implementation in CONtext (ICON) framework: A meta-framework of context domains, attributes, and features in healthcare
Squires, J.E., Graham, I.D., Santos, W.J., Hutchinson, A.M., Backman, C., Bergström, A., Brehaut, J., Brouwers, M., Burton, C., Candido, L.K., Cassidy, C., Chalmers, C., Chapman, A., Colquhoun, H., Curran, J., Demery Varin, M., Doering, P., Elliott Rose, A., Fairclough, L., Francis, J., Godfrey, C., Greenough, M., Grimshaw, J.M., Grinspun, D., Harvey, G., Hillmer, M., Ivers, N., Lavis, J., Li, S., Michie, S., Miller, W., Noseworthy, T., Rader, T., Robson, M., Rycroft-Malone, J., Stacey, D., Straus, S., Tricco, A.C., Wallin, L. and Watkins, V. 2023. The Implementation in CONtext (ICON) framework: A meta-framework of context domains, attributes, and features in healthcare. Health Research Policy and Systems. https://doi.org/10.1186/s12961-023-01028-z
Research ethics applications: Back to basics: What you ought to know about research ethics applications
Lockwood, P. 2023. Research ethics applications: Back to basics: What you ought to know about research ethics applications. Insights into Imaging. Spring (7), pp. 39-45.
An investigation into the clinical scope of practice of MRI reporting radiographers within the United Kingdom
Mitchell, M. and Lockwood, P. 2023. An investigation into the clinical scope of practice of MRI reporting radiographers within the United Kingdom. Radiography. 29 (3), pp. 489-495. https://doi.org/10.1016/j.radi.2023.02.015
Concordance between a gastrointestinal consultant radiologist, a consultant radiologist and qualified reporting radiographers interpreting abdominal radiographs
Moth, A., Benning, J., Glover, J, Brown, V., Pittock, L., Woznitza, N. and Piper, K. 2023. Concordance between a gastrointestinal consultant radiologist, a consultant radiologist and qualified reporting radiographers interpreting abdominal radiographs. Radiography. 29 (2), pp. 408-415. https://doi.org/10.1016/j.radi.2022.12.008
Artificial intelligence education for radiographers, an evaluation of a UK postgraduate educational intervention using participatory action research: a pilot study.
van de Venter, Riaan, Skelton, Emily, Matthew, Jacqueline, Woznitza, N., Tarroni, Giacomo, Hirani, Shashivadan P, Kumar, Amrita, Malik, Rizwan and Malamateniou, Christina 2023. Artificial intelligence education for radiographers, an evaluation of a UK postgraduate educational intervention using participatory action research: a pilot study. Insights into Imaging. 14 (1), p. 25. https://doi.org/10.1186/s13244-023-01372-2
A pilot study to assess radiographer preliminary clinical evaluation (PCE) introduced for emergency department adult appendicular X-ray examinations: Comparison of trained and untrained radiographers.
Lidgett, T, Pittock, L, Piper, K and Woznitza, N 2023. A pilot study to assess radiographer preliminary clinical evaluation (PCE) introduced for emergency department adult appendicular X-ray examinations: Comparison of trained and untrained radiographers. Radiography. 29 (2), pp. 307-312. https://doi.org/10.1016/j.radi.2023.01.003
Assessing the barriers and enablers to the diagnostic radiographer X-ray reporting service within the NHS in England: A systematic literature review
Lockwood, P. 2022. Assessing the barriers and enablers to the diagnostic radiographer X-ray reporting service within the NHS in England: A systematic literature review. York University.
Optimising the Conceptualisation of Context Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis".
Rycroft-Malone, J., Rogers, L. and Burton, C. 2022. Optimising the Conceptualisation of Context Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis". International Journal of Health Policy and Management. 11 (10), pp. 2365-2367. https://doi.org/10.34172/ijhpm.2022.6900
Lead-rubber shielding effect on radiation dose to the gonads from a bilateral hand X-ray examination
Welborn, D. and Lockwood, P. 2022. Lead-rubber shielding effect on radiation dose to the gonads from a bilateral hand X-ray examination. Radiography. 28 (2), pp. 360-365. https://doi.org/10.1016/j.radi.2021.12.013
Could posterior-anterior projection cervical spine radiographs improve image quality and dose reduction
Faulkner, R. and Lockwood, P. 2022. Could posterior-anterior projection cervical spine radiographs improve image quality and dose reduction . Radiography Open. 8 (1). https://doi.org/10.7577/radopen.5004
Diagnostic radiography students' perceptions towards communication with service users who are deaf or hearing impaired.
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
A cross-sectional student survey of the impact of the Covid-19 lockdowns on clinical placement in England
Hinds, Z. and Lockwood, P. 2022. A cross-sectional student survey of the impact of the Covid-19 lockdowns on clinical placement in England. Radiography. 29 (1), pp. 190-199. https://doi.org/10.1016/j.radi.2022.11.006
EMPOWERing older people and their communities to manage their own CARE (EMPOWERCARE): Evaluation study of a social innovation initiative across four European countries
Hatzidimitriadou, E., Wright, T., Stirrup, V., Kuzbit, P., Thompson, T., DeBraal, P, Burton, C., Price, A., Stein, M., Wells, G., Manship, S., Martin, A. and Chung, P. 2022. EMPOWERing older people and their communities to manage their own CARE (EMPOWERCARE): Evaluation study of a social innovation initiative across four European countries. International Journal of Integrated Care. https://doi.org/10.5334/ijic.ICIC22333
Using arts-based research in applied health care: An example from an evaluation of NHS dental contract reform in Wales
Overs, E., Woods, Chris, Jones, L., Williams, Lynne, Williams, Sion, Burton, Chris and Brocklehurst, Paul R 2022. Using arts-based research in applied health care: An example from an evaluation of NHS dental contract reform in Wales. Journal of Health Services Research and Policy. 28 (3), pp. 190-196. https://doi.org/10.1177/13558196221137202
Impact of radiographer immediate reporting of X-rays of the chest from general practice on the lung cancer pathway (radioX): a randomised controlled trial
Woznitza, N., Ghimire, B., Devaraj, A., Janes, S., Piper, K., Rowe, S., Bhowmik, A., Hayes, N., Togher, D., Arumalla, N., Skyllberg, E., Au-Yong, I., Geary, S., George, B., Sheard, S., Ellis, S., Shah, Z., Maughn, S., Duffy, S. and Baldwin, D. 2022. Impact of radiographer immediate reporting of X-rays of the chest from general practice on the lung cancer pathway (radioX): a randomised controlled trial. Thorax. https://doi.org/10.1136/thorax-2022-219210
UK reporting radiographers' perceptions of AI in radiographic image interpretation - Current perspectives and future developments.
Rainey, C., O'Regan, T., Matthew, J., Skelton, E., Woznitza, N., Chu, K.-Y., Goodman, S., McConnell, J., Hughes, C., Bond, R., Malamateniou, C. and McFadden, S. 2022. UK reporting radiographers' perceptions of AI in radiographic image interpretation - Current perspectives and future developments. Radiography. 28 (4), pp. 881-888. https://doi.org/S1078-8174(22)00075-X
An insight into the current perceptions of UK radiographers on the future impact of AI on the profession: A cross-sectional survey.
Rainey, Clare, O'Regan, Tracy, Matthew, Jacqueline, Skelton, Emily, Woznitza, Nick, Chu, Kwun-Ye, Goodman, Spencer, McConnell, Jonathan, Hughes, Ciara, Bond, Raymond, Malamateniou, Christina and McFadden, Sonyia 2022. An insight into the current perceptions of UK radiographers on the future impact of AI on the profession: A cross-sectional survey. Journal of Medical Imaging and Radiation Sciences. https://doi.org/S1939-8654(22)00282-X
Five years of #MedRadJClub: An impact evaluation of an established twitter journal club
Bolderston, A., Meeking, Kim, Sniath, B., Watson, Julia, Westerink, Adam and Woznitza, N. 2022. Five years of #MedRadJClub: An impact evaluation of an established twitter journal club. Journal of Medical Radiation Sciences. 69 (2), pp. 165-173. https://doi.org/10.1002/jmrs.569
The role of computer-assisted radiographer reporting in lung cancer screening programmes
Hall, H., Ruparel, M., Quaife, S., Dickson, J. L., Horst, C., Tisi, S., Batty, J., Woznitza, N., Ahmed, A, Burke, S., Shaw, P., Soo, M. J., Taylor, M., Navani, N., Bhowmik, A, Baldwin, D. R., Duffy, S. W, Devaraj, A., Nair, A. and Janes, S. M. 2022. The role of computer-assisted radiographer reporting in lung cancer screening programmes. European Radiology. https://doi.org/10.1007/s00330-022-08824-1
Pre-registration UK diagnostic radiography student ability and confidence in interpretation of chest X-rays
Lockwood, P. and Khan, A. 2021. Pre-registration UK diagnostic radiography student ability and confidence in interpretation of chest X-rays. Radiography Open. 7 (1), pp. 1-13. https://doi.org/10.7577/radopen.4529
Beauty is in the AI of the beholder: Are we ready for the clinical integration of Artificial Intelligence in radiography? An exploratory analysis of perceived AI knowledge, skills, confidence, and education perspectives of UK radiographers
Rainey, Clare, O'Regan, Tracy, Matthew, Jacqueline, Skelton, Emily, Woznitza, Nick, Chu, Kwun-Ye, Goodman, Spencer, McConnell, Jonathan, Hughes, Ciara, Bond, Raymond, McFadden, Sonyia and Malamateniou, Christina 2021. Beauty is in the AI of the beholder: Are we ready for the clinical integration of Artificial Intelligence in radiography? An exploratory analysis of perceived AI knowledge, skills, confidence, and education perspectives of UK radiographers. Frontiers in Digital Health. 3, p. 739327. https://doi.org/10.3389/fdgth.2021.739327
Efficacy, utility, and validity in Computed Tomography head reporting by radiographers
Lockwood, P. 2021. Efficacy, utility, and validity in Computed Tomography head reporting by radiographers. PhD Thesis Canterbury Christ Church University School of Allied and Public Health Professions
Promoting physical activity and physical function in people with long-term conditions in primary care: the Function First realist synthesis with co-design
Law, R., Langley, J., Hall, B., Burton, C., Hiscock, J., Williams, L., Morrison, V., Lemmey, A., Lovell-Smith, Candida, Gallanders, John, Cooney, J. and Williams, N. 2021. Promoting physical activity and physical function in people with long-term conditions in primary care: the Function First realist synthesis with co-design. Health Services and Delivery Research. 9 (16), pp. 1-104. https://doi.org/10.3310/hsdr09160
COVID-19: A literature review of the impact on diagnostic radiography students
Astirbadi, D. and Lockwood, P. 2021. COVID-19: A literature review of the impact on diagnostic radiography students. Radiography. https://doi.org/10.1016/j.radi.2021.09.009
‘Function First’: how to promote physical activity and physical function in people with long-term conditions managed in primary care? A study combining realist and co-design methods
Law, Rebecca Jane, Langley, Joseph, Hall, Beth, Burton, Christopher, Hiscock, Julia, Williams, Lynne, Morrison, Val, Lemmey, Andrew, Lovell-Smith, Candida, Gallanders, John, Cooney, Jennifer Kate and Williams, Nefyn 2021. ‘Function First’: how to promote physical activity and physical function in people with long-term conditions managed in primary care? A study combining realist and co-design methods. BMJ Open. 11 (7). https://doi.org/10.1136/bmjopen-2020-046751
Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey
Woznitza, N., Pittock, Lisa, Elliott, James and Snaith, Bev 2021. Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey. BJR Open. 3 (1), p. 20210003. https://doi.org/10.1259/bjro.20210003
Artificial Intelligence in radiography: Where are we now and what does the future hold?
Malamateniou, C., Knapp, K. M., Pergola, M., Woznitza, N. and Hardy, M. 2021. Artificial Intelligence in radiography: Where are we now and what does the future hold? Radiography. 27 (Supplement 1), pp. S58-S62. https://doi.org/10.1016/j.radi.2021.07.015
Artificial Intelligence: Guidance for clinical imaging and therapeutic radiography professionals, a summary by the Society of Radiographers AI working group
Malamateniou, C., McFadden, S., McQuinlan, Y., England, A., Woznitza, N., Goldsworthy, S, Currie, C., Skelton, E., Chu, K-Y., Alware, N., Matthews, P., Hawkesford, R., Tucker, R., Town, W., Matthew, J., Kalinka, C. and O'Regan, T. 2021. Artificial Intelligence: Guidance for clinical imaging and therapeutic radiography professionals, a summary by the Society of Radiographers AI working group. Radiography. 27 (4), pp. 1192-1202. https://doi.org/10.1016/j.radi.2021.07.028
Pro-judge study: Nurses’ professional judgement in nurse staffing systems
Jacob, Nina, Burton, Chris, Hale, Rachel, Jones, Aled, Lloyd, Amy, Rafferty, Anne-Marie and Allen, Davina 2021. Pro-judge study: Nurses’ professional judgement in nurse staffing systems. Journal of Advanced Nursing. 7 (10), pp. 4226-4233. https://doi.org/10.1111/jan.14921
Digital mammographic interpretation by UK radiographer mammographers: A JAFROC analysis of observer performance
Williams, S., Aksoy, U., Reed, W., Cielecki, L. and Woznitza, N. 2021. Digital mammographic interpretation by UK radiographer mammographers: A JAFROC analysis of observer performance. Radiography. https://doi.org/10.1016/j.radi.2021.02.015
Theory and practical guidance for effective de-implementation of practices across health and care services: a realist synthesis
Christopher R. Burton, Lynne Williams, Tracey Bucknall, Denise Fisher, Beth Hall, Gill Harris, Peter Jones, Matthew Makin, Anne Mcbride, Rachel Meacock, John Parkinson, Jo Rycroft-Malone and Justin Waring 2021. Theory and practical guidance for effective de-implementation of practices across health and care services: a realist synthesis. Health Services and Delivery Research. 9 (2), pp. 1-102. https://doi.org/10.3310/hsdr09020
Dental therapists compared with general dental practitioners for undertaking check-ups in low-risk patients: pilot RCT with realist evaluation
Brocklehurst, P., Hoare, Z., Woods, C., Williams, L., Brand, A., Shen, J., Breckons, M., Ashley, J., Jenkins, A, Gough, Lesley, Preshaw, P., Burton, C., Shepherd, Karen and Bhattarai, N. 2021. Dental therapists compared with general dental practitioners for undertaking check-ups in low-risk patients: pilot RCT with realist evaluation. Health Services and Delivery Research. 9 (3), pp. 1-118. https://doi.org/10.3310/hsdr09030
Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study
Piper, K., Mitchell, M., Griffin, K., Morgan,T., Roy, A., Thomas, A., Pittock, L., Woznitza, N., Faruqui, R. and Sakel, M. 2020. Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study. Radiography. https://doi.org/10.1016/j.radi.2020.10.016
An analysis of advanced and specialist posts in diagnostic radiography: Do job descriptions describe advanced practice?
Harris, M. A., Snaith, B., Adamson, H. K., Foster, B. and Woznitza, N. 2020. An analysis of advanced and specialist posts in diagnostic radiography: Do job descriptions describe advanced practice? Radiography. https://doi.org/10.1016/j.radi.2020.10.008
COVID-19 and pneumothorax: a multicentre retrospective case series
Martinelli, A. W., Ingle, T, Newman, J., Nadeem, I., Jackson, K., Lane, N. D., Melhorn, J., Davies, H. E., Rostron, A. J., Adeni, A., Conroy, K., Woznitza, N., Matson, M., Brill, S. E., Murray, J., Shah, A., Naran, R., Hare, S. S., Collas, O., Bigham, S., Spiro, M., Huang, M. M., Iqbal, B., Trenfield, S., Ledot, S., Desai, S., Standing, L., Babar, J., Mahroof, R., Smith, I., Lee, K., Tchrakian, N., Uys, S., Ricketts, W., Patel, A. R. C., Aujayeb, A., Kokosi, M., Wilkinson, A. J. K. and Marciniak, S. J. 2020. COVID-19 and pneumothorax: a multicentre retrospective case series. European Respiratory Journal. 56 (3). https://doi.org/10.1183/13993003.02697-2020
Clinical reporting of radiographs by radiographers: Policy and practice guidance for regional imaging networks
Woznitza, N., Steele, R., Groombridge, H., Compton, E., Gower, S., Hussain, A., Norman, H., O'Brien, A. and Robertson, K. 2020. Clinical reporting of radiographs by radiographers: Policy and practice guidance for regional imaging networks. Radiography. https://doi.org/10.1016/j.radi.2020.08.004
Reporting radiographer peer review systems: a cross-sectional survey of London NHS Trusts
Woznitza, N., Steele, R, Hussain, A., Gower, S., Groombridge, H., Lofton, L., Lainchbury, J., Compton, E., Rowe, S. and Robertson, K. 2020. Reporting radiographer peer review systems: a cross-sectional survey of London NHS Trusts. Radiography. https://doi.org/10.1016/j.radi.2020.07.014
Making authentic: exploring boundary objects and bricolage in knowledge mobilisation through National Health Service-university partnerships
Melville-Richards, Lucy, Rycroft-Malone, Joanne, Burton, Christopher and Wilkinson, Joyce 2020. Making authentic: exploring boundary objects and bricolage in knowledge mobilisation through National Health Service-university partnerships. Evidence & Policy: A Journal of Research, Debate and Practice. 16 (4), pp. 517-539. https://doi.org/10.1332/174426419x15623134271106
Coronavirus disease 2019 (COVID-19) in the radiology department: what radiographers need to know
Stogiannos, N., Fotopoulos, D., Woznitza, N. and Malamateniou, C. 2020. Coronavirus disease 2019 (COVID-19) in the radiology department: what radiographers need to know. Radiography. https://doi.org/10.1016/j.radi.2020.05.012
A multicentre, randomised controlled trial to compare the clinical and cost-effectiveness of Lee Silverman Voice Treatment versus standard NHS Speech and Language Therapy versus control in Parkinson’s disease: a study protocol for a randomised controlled trial
Sackley, C. M., Rick, C., Au, P., Brady, M. C., Beaton, G., Burton, C., Caulfield, M., Dickson, S., Dowling, F., Hughes, M., Ives, N., Jowett, S., Masterton-Algar, P., Nicoll, A., Patel, S., Smith, C. H., Woolley, R. and Clarke, C. E. 2020. A multicentre, randomised controlled trial to compare the clinical and cost-effectiveness of Lee Silverman Voice Treatment versus standard NHS Speech and Language Therapy versus control in Parkinson’s disease: a study protocol for a randomised controlled trial. Trials. 21 (436). https://doi.org/10.1186/s13063-020-04354-7
'Function first—be active, stay independent’—Promoting physical activity and physical function in people with long-term conditions by primary care: a protocol for a realist synthesis with embedded co-production and co-design
Law, R-J, Williams, L., Langley, J., Burton, C., Hall, B., Hiscock, J., Morrison, V., Lemmey, A., Partridge, R., Lovell-Smith, C., Gallanders, J. and Williams, N. 2020. 'Function first—be active, stay independent’—Promoting physical activity and physical function in people with long-term conditions by primary care: a protocol for a realist synthesis with embedded co-production and co-design. BMJ Open. 10 (2). https://doi.org/10.1136/bmjopen-2019-035686
COVID-19: A case series to support radiographer preliminary clinical evaluation
Woznitza, N., Nair, A. and Hare, S. S. 2020. COVID-19: A case series to support radiographer preliminary clinical evaluation. Radiography. https://doi.org/10.1016/j.radi.2020.04.002
Delivery of a preliminary clinical evaluation web based short course in Finland
Pittock, L. and Woznitza, N. 2019. Delivery of a preliminary clinical evaluation web based short course in Finland.
Multi-professional image interpretation: performance in preliminary clinical evaluation of appendicular radiographs
Lockwood, P. and Pittock, L. 2019. Multi-professional image interpretation: performance in preliminary clinical evaluation of appendicular radiographs. Radiography. https://doi.org/10.1016/j.radi.2019.04.013
Impact of radiographer immediate reporting of chest x-rays from general practice on the lung cancer pathway (radioX)
Woznitza, N., Devaraj, A., Janes, S., Duffy, S., Rowe, S., Bhowmik, A., Maughn, S., Piper, K. and Baldwin, D. 2019. Impact of radiographer immediate reporting of chest x-rays from general practice on the lung cancer pathway (radioX).
Implementation, impact and costs of policies for safe staffing in acute NHS trusts
Ball, J., Barker, H., Burton, C., Crouch, R., Griffith, P., Jones, J. and Rycroft Malone, J. 2019. Implementation, impact and costs of policies for safe staffing in acute NHS trusts. University of Southampton. https://doi.org/10.5258/SOTON/P0012
Greater than the sum of the parts: Impact of radiographer clinical image interpretation
Rowe, Susan, O'Riordan, Paul and Woznitza, Nick 2019. Greater than the sum of the parts: Impact of radiographer clinical image interpretation. Journal of Medical Radiation Sciences. 66 (3), pp. 149-151. https://doi.org/10.1002/jmrs.342
Sleep hygiene education and children with developmental disabilities: Findings from a co-design study
Sutton, J.E., Huws, J.C. and Burton, C. 2019. Sleep hygiene education and children with developmental disabilities: Findings from a co-design study. Journal of Intellectual Disabilities. https://doi.org/10.1177/1744629518818950
Towards safe nurse staffing in England’s National Health Service: progress and pitfalls of policy evolution
Lawless, J., Couch, R., Griffiths, P., Burton, C. and Ball, J. 2019. Towards safe nurse staffing in England’s National Health Service: progress and pitfalls of policy evolution. Health Policy. 123 (6), pp. 590-594. https://doi.org/10.1016/j.healthpol.2019.03.011
Brief smoking cessation in acute Welsh hospitals: A realist approach
Davies, S., Burton, C., Williams, L. and Tinkler, A. 2019. Brief smoking cessation in acute Welsh hospitals: A realist approach. Health Promotion International. 35 (2), pp. 244-254. https://doi.org/10.1093/heapro/daz020
Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence
Burton, C., Williams, L., Bucknall, T., Edwards, S., Fisher, D., Hall, B., Harris, G., Jones, P., Makin, M., McBride, A., Meacock, R., Parkinson, J., Rycroft-Malone, J. and Waring, J. 2019. Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence. Systematic Reviews. 8 (194). https://doi.org/doi.org10.1186/s13643-019-1111-8
Computed tomography head and facial bones review of a 2,700 year old Egyptian mummy
Lockwood, P., Elliott, J., Nelson, A. and Harris, S. 2019. Computed tomography head and facial bones review of a 2,700 year old Egyptian mummy . BJR Case Reports. https://doi.org/10.1259/bjrcr.20190076
Visual function assessment of diagnostic radiography students
Lockwood, P. and Blackman, A. 2019. Visual function assessment of diagnostic radiography students. Radiography. https://doi.org/10.1016/j.radi.2019.10.012
Targeted active screening for tuberculosis in Zimbabwe: are field digital chest X-ray ratings reliable?
Timire, C, Sandy, C., Ngwenya, M., Woznitza, N., Kumar, A. M. V., Takarinda, K. C., Sengai, T. and Harries, A. D. 2019. Targeted active screening for tuberculosis in Zimbabwe: are field digital chest X-ray ratings reliable? Public Health Action. 9 (3), pp. 96-101. https://doi.org/10.5588/pha.19.0003
An evaluation of CT head reporting radiographers' scope of practice within the United Kingdom
Lockwood, P. 2019. An evaluation of CT head reporting radiographers' scope of practice within the United Kingdom. Radiography. 26 (2), pp. 102-109. https://doi.org/10.1016/j.radi.2019.09.001
Radiographer reporting of neurological magnetic resonance imaging examinations of the head and cervical spine: findings of an accredited postgraduate programme
Piper, K., Pittock, L. and Woznitza, N. 2018. Radiographer reporting of neurological magnetic resonance imaging examinations of the head and cervical spine: findings of an accredited postgraduate programme. Radiography. https://doi.org/10.1016/j.radi.2018.05.006
Image Interpretation by radiographers in brain, spine and knee MRI examinations: Findings from an accredited postgraduate module
Lockwood, P. and Dolbear, G. 2018. Image Interpretation by radiographers in brain, spine and knee MRI examinations: Findings from an accredited postgraduate module. Radiography. https://doi.org/10.1016/j.radi.2018.05.009
Evaluation of an equilibrium phase free-breathing dynamic contrast-enhanced MRI prototype sequence compared to traditional breath-held MRI acquisition in liver oncology patients
Hopkinson, G., Lockwood, P. and Dolbear, G. 2018. Evaluation of an equilibrium phase free-breathing dynamic contrast-enhanced MRI prototype sequence compared to traditional breath-held MRI acquisition in liver oncology patients. Radiography. https://doi.org/10.1016/j.radi.2018.01.001
NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis
Burton, C., Rycroft-Malone, J., Williams, L., Davies, S., McBride, A., Hall, B., Rowlands, A., Jones, A., Fisher, D., Jones, M. and Caulfield, M. 2018. NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis. Health Services and Delivery Research. 6 (36). https://doi.org/10.3310/hsdr06360
The generation of consensus guidelines for carrying out process evaluations in rehabilitation research
Masterson-Algar, P., Burton, C. and Rycroft-Malone, J. 2018. The generation of consensus guidelines for carrying out process evaluations in rehabilitation research. BMC Medical Research Methodology. 18 (1), pp. 1-11. https://doi.org/10.1186/s12874-018-0647-y
Getting back to life after stroke: co-designing a peer-led coaching intervention to enable stroke survivors to rebuild a meaningful life after stroke
Masterson-Algar, P., Williams, S., Burton, C., Arthur, C., Hoare, Z., Morrison, V., Radford, K., Seddon, D. and Elghenzai, S. 2018. Getting back to life after stroke: co-designing a peer-led coaching intervention to enable stroke survivors to rebuild a meaningful life after stroke. Disability and Rehabilitation. 42 (10), pp. 1359-1372.
Arts-based palliative care training, education and staff development: A scoping review
Turton, B.M., Williams, S., Burton, C.R. and Williams, L. 2018. Arts-based palliative care training, education and staff development: A scoping review. Palliative Medicine. 32 (2). https://doi.org/10.1177/0269216317712189
Increasing radiology capacity within the lung cancer pathway: centralised work‐based support for trainee chest X‐ray reporting radiographers
Woznitza, N., Steele, R., Piper, K., Burke, S., Rowe, S., Bhowmik, A., Maughn, S. and Springett, K. 2018. Increasing radiology capacity within the lung cancer pathway: centralised work‐based support for trainee chest X‐ray reporting radiographers. Journal of Medical Radiation Sciences. 65 (3), pp. 200-208. https://doi.org/10.1002/jmrs.285
Nuclear medicine image interpretation by radiographers: findings of an accredited postgraduate module
Lockwood, P. and Dolbear, G. 2018. Nuclear medicine image interpretation by radiographers: findings of an accredited postgraduate module. Radiography. https://doi.org/10.1016/j.radi.2018.11.007
Is a nurse consultant impact toolkit relevant and transferable to the radiography profession? An evaluation project
Snaith, B., Williams, S., Taylor, K., Tsang, Y., Kelly, J. and Woznitza, N. 2018. Is a nurse consultant impact toolkit relevant and transferable to the radiography profession? An evaluation project. Radiography. https://doi.org/10.1016/j.radi.2018.05.001
Chest X-ray interpretation by Radiographers is not inferior to Radiologists: a multireader, multicase comparison using JAFROC (Jack-knife alternative free-response receiver operating characteristics) analysis
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2018. Chest X-ray interpretation by Radiographers is not inferior to Radiologists: a multireader, multicase comparison using JAFROC (Jack-knife alternative free-response receiver operating characteristics) analysis. Academic Radiology.
Agreement between expert thoracic radiologists and the chest radiograph reports provided by consultant radiologists and reporting radiographers in clinical practice: review of a single clinical site
Woznitza, N., Piper, K., Burke, S., Ellis, S. and Bothamley, G. 2018. Agreement between expert thoracic radiologists and the chest radiograph reports provided by consultant radiologists and reporting radiographers in clinical practice: review of a single clinical site. Radiography. https://doi.org/10.1016/j.radi.2018.01.009
Digital training platform for interpreting radiographic images of the chest
McLauchlin, L., Woznitza, N., Cairns, A., McFadden, S., Bond, R., Hughes, C., Elsayed, A., Finlay, D. and McConnell, J. 2018. Digital training platform for interpreting radiographic images of the chest. Radiography. 24 (2), pp. 159-164. https://doi.org/10.1016/j.radi.2017.12.010
Immediate reporting of chest X-rays referred from general practice by reporting radiographers: a single centre feasibility study
Woznitza, N., Piper, K., Rowe, S. and Bhowmik, A. 2017. Immediate reporting of chest X-rays referred from general practice by reporting radiographers: a single centre feasibility study. Clinical Radiology. https://doi.org/10.1016/j.crad.2017.11.016
Twitter journal clubs and continuing professional development: An analysis of a #MedRadJClub tweet chat
Bolderston, A., Watson, J., Woznitza, N., Westerink, A., Di Prospero, L., Currie, G., Beardmore, C. and Hewis, J. 2017. Twitter journal clubs and continuing professional development: An analysis of a #MedRadJClub tweet chat. Radiography. 24 (1), pp. 3-8. https://doi.org/10.1016/j.radi.2017.09.005
Becoming a clinical radiographer: role, role development and specialisation
Woznitza, N. 2017. Becoming a clinical radiographer: role, role development and specialisation.
Radiographer reporting of magnetic resonance imaging breast examinations: findings of an accredited postgraduate programme
Pittock, L., Piper, K. and Woznitza, N. 2017. Radiographer reporting of magnetic resonance imaging breast examinations: findings of an accredited postgraduate programme.
The PD COMM trial: a protocol for the process evaluation of a randomised trial assessing the effectiveness of two types of SLT for people with Parkinson's disease.
Masterson-Algar, P, Burton, C., Brady, M.C., Nicoll, A., Clarke, C.E., Rick, C., Hughes, M., Au, P., Smith, C.H. and Sackley, C.M. 2017. The PD COMM trial: a protocol for the process evaluation of a randomised trial assessing the effectiveness of two types of SLT for people with Parkinson's disease. Trials. 18 (397), p. 2017. https://doi.org/10.1186/s13063-017-2130-1
Managing diabetes in people with dementia: a realist review
Bunn, F., Goodman, C., Jones, P.R., Russell, B., Trivedi, D., Sinclair, A., Bayer, A., Rait, G., Rycroft-Malone, J. and Burton, C. 2017. Managing diabetes in people with dementia: a realist review. Perth, Scotland NIHR Journals Library. https://doi.org/10.3310/hta21750
Implementation and trial evidence: a plea for fore-thought
Brocklehurst, P.R., Williams, L., Burton, C., Goodwin, T. and Rycroft-Malone, J. 2017. Implementation and trial evidence: a plea for fore-thought. British Dental Journal. 222 (5), pp. 331-335. https://doi.org/10.1038/sj.bdj.2017.213
What works for whom in the management of diabetes in people living with dementia: a realist review
Bunn, F., Goodman, C., Jones, P. R., Russell, B., Trivedi, D., Sinclair, A., Bayer, A., Rait, G., Rycroft-Malone, J. and Burton, C. 2017. What works for whom in the management of diabetes in people living with dementia: a realist review. BMC Medicine. 15 (141). https://doi.org/10.1186/s12916-017-0909-2
Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial
Woznitza, N., Devaraj, A., Janes, S., Duffy, S., Bhowmik, A., Rowe, S., Piper, K., Maughn, S. and Baldwin, D. 2017. Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial. Trials. 18 (521). https://doi.org/10.1186/s13063-017-2268-x
Expanding the role of radiographers in reporting suspected lung cancer: a cost-effectiveness analysis using a decision tree model
Bajre, M., Pennington, M., Woznitza, N., Beardmore, C., Radhakrishnan, M., Harris, R. and Mccrone, P. 2017. Expanding the role of radiographers in reporting suspected lung cancer: a cost-effectiveness analysis using a decision tree model. Radiography. 23 (4), pp. 273-278. https://doi.org/10.1016/j.radi.2017.07.011
CT Sinus and facial bones reporting by radiographers: findings of an accredited postgraduate programme
Lockwood, P. 2017. CT Sinus and facial bones reporting by radiographers: findings of an accredited postgraduate programme. Dentomaxillofacial Radiology. 46 (4). https://doi.org/10.1259/dmfr.20160440
Exploring variation and trends in adherence to national occupational standards for reporting radiographers
Lockwood, P. 2017. Exploring variation and trends in adherence to national occupational standards for reporting radiographers. Journal of Social Science & Allied Health Professions. 1 (1), pp. 20-27.
Twitter journal club in medical radiation science
Currie, G., Woznitza, N., Bolderston, A., Weserink, A., Watson, J., Beardmore, C., Di Prospero, L., McCuig, C. and Nightingale, J. 2017. Twitter journal club in medical radiation science. Journal of Medical Imaging and Radiation Sciences. 48 (1), pp. 83-89. https://doi.org/10.1016/j.jmir.2016.09.001
Observer performance in Computed Tomography head reporting
Lockwood, P. 2017. Observer performance in Computed Tomography head reporting. Journal of Medical Imaging and Radiation Sciences. 48 (1), pp. 22-29. https://doi.org/10.1016/j.jmir.2016.08.001
Optimisation de la prise en charge en Rafiologie: Approts des manipulateurs experts interprétant des examens: Cas pratique au Royaume Uni
Woznitza, N., Piper, K., West, C. and Rowe, S. 2014. Optimisation de la prise en charge en Rafiologie: Approts des manipulateurs experts interprétant des examens: Cas pratique au Royaume Uni.
Team working in radiology: optimising care
Woznitza, N. 2016. Team working in radiology: optimising care.
Advanced practice in diagnostic imaging
Woznitza, N. 2016. Advanced practice in diagnostic imaging.
Team working in radiology: what is possible?
Woznitza, N., Piper, K., Ratcliff, C., McGuinness, N. and Rowe, S. 2016. Team working in radiology: what is possible?
The Twitter Journal Club for Medical Radiation Professionals (#medradjclub): CPD/CE for the 21st century
Currie, G., Woznitza, N., Bolderston, A., Westerink, A., Waton, J., Beardmore, C., Di Prospero, L., McCuaig, C. and Nightingale, J. 2016. The Twitter Journal Club for Medical Radiation Professionals (#medradjclub): CPD/CE for the 21st century.
Bloom’s taxonomy of Twitter: higher order thinking and the Twitter Journal Club
Currie, G., Woznitza, N., Bolderston, A., Westerink, A., Watson, J., Beardmore, C., Di Prospero, L., McCuaig, C. and Nightingale, J. 2016. Bloom’s taxonomy of Twitter: higher order thinking and the Twitter Journal Club. Society of Nuclear Medicine and Molecular Imaging.
Chest x-ray interpretation by radiographers: diagnostic accuracy and influence on diagnostic reasoning
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2016. Chest x-ray interpretation by radiographers: diagnostic accuracy and influence on diagnostic reasoning.
Diagnostic accuracy of radiographer chest x-ray reporting
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2016. Diagnostic accuracy of radiographer chest x-ray reporting.
Exploring the benefits of magnetic resonance imaging reporting by radiographers: A UK perspective
Lockwood, P. 2016. Exploring the benefits of magnetic resonance imaging reporting by radiographers: A UK perspective. Journal of Medical Imaging and Radiation Sciences. 47 (2). https://doi.org/10.1016/j.jmir.2015.12.083
Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions
Rycroft-Malone, J., Burton, C., Williams, L., Edwards, S., Fisher, D., Hall, B., McCormack, B., Nutley, S., Seddon, D. and Williams, R. 2016. Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions. National Institute of Health Research. https://doi.org/10.3310/hsdr04120
Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke
French, B., Thomas, L.H., Harrison, J., Burton, C., Forshaw, D., Booth, J., Britt, D., Cheater, F.M., Roe, B. and Watkins, C.L. 2016. Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke. Qualitative Health Research. 26 (10). https://doi.org/10.1177/1049732316630975
Implementing best practice in infection prevention and control. A realist evaluation of the role of intermediaries
Williams, L., Rycroft-Malone, J. and Burton, C. 2016. Implementing best practice in infection prevention and control. A realist evaluation of the role of intermediaries. International Journal of Nursing Studies. 60, pp. 156-167. https://doi.org/10.1016/j.ijnurstu.2016.04.012
Bringing critical realism to nursing practice: Roy Bhaskar's contribution
Williams, L., Rycroft-Malone, J. and Burton, C. 2016. Bringing critical realism to nursing practice: Roy Bhaskar's contribution. nursing philosophy: an international journal for healthcare professionals. 18 (2). https://doi.org/10.1111/nup.12130
Managers' use of nursing workforce planning and deployment technologies: protocol for a realist synthesis of implementation and impact
Burton, C., Rycroft-Malone, J., Williams, L., Davies, S., McBride, A., Hall, B., Rowlands, A.M. and Jones, A. 2016. Managers' use of nursing workforce planning and deployment technologies: protocol for a realist synthesis of implementation and impact. BMJ Open. 6 (8). https://doi.org/10.1136/bmjopen-2016-013645
Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions
Williams, L., Rycroft-Malone, J., Burton, C., Edwards,S., Fisher, D., Hall, B., McCormack, B., Nutley, S.M., Seddon, D. and Williams, R. 2016. Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions. BMJ Open. 6 (8). https://doi.org/10.1136/bmjopen-2016-011964
Strategies to prevent oral disease in dependent older people
Brocklehurst, P., Williams, L., Hoare, Z., Goodwin, T., McKenna, G., Tsakos, G., Chestnutt, I.G., Pretty, I., Wassall, R., Jerkovic-Cosic, K., Hayes, M., Watt, R.G. and Burton, C. 2016. Strategies to prevent oral disease in dependent older people. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD012402
Process evaluations in neurological rehabilitation: a mixed-evidence systematic review and recommendations for future research
Masterson-Algar, P., Burton, C. and Rycroft-Malone, J. 2016. Process evaluations in neurological rehabilitation: a mixed-evidence systematic review and recommendations for future research. BMJ Open. 6 (11). https://doi.org/10.1136/bmjopen-2016-013002
Managing diabetes in people with dementia: protocol for a realist review
Bunn, F., Goodman, C., Rycroft Malone, J., Reece Jones, P., Burton, C., Rait, G., Trivedi, D., Bayer, A. and Sinclair, A. 2016. Managing diabetes in people with dementia: protocol for a realist review. Systematic Reviews. 5 (5). https://doi.org/10.1186/s13643-015-0182-4
Collaboration and co-production knowledge in healthcare: opportunities and challenges
Rycroft-Malone, J., Burton, C.R., Bucknall , T., Graham, I.D., Hutchinson, A. and Stacey, D. 2016. Collaboration and co-production knowledge in healthcare: opportunities and challenges. International Journal of Health Policy and Management. 5 (4), pp. 221-223. https://doi.org/10.15171/IJHPM.2016.08
Collective action for implementation: a realist evaluation of organisational collaboration in healthcare
Rycroft-Malone, J., Burton, C.R., Wilkinson, J., Harvey, G., McCormack, B., Baker, R., Dopson, S., Graham, I.D., Staniszewska, S., Thompson, C., Ariss, S., Melville-Richards, L. and Williams , L. 2016. Collective action for implementation: a realist evaluation of organisational collaboration in healthcare. Implementation Science : IS. 11 (17). https://doi.org/10.1186/s13012-016-0380-z
An occupational therapy intervention for residents with stroke-related disabilities in UK care homes (OTCH): cluster randomised controlled trial with economic evaluation
Sackley, C.M., Walker, M.F., Burton, C.R., Watkins,C.L, Mant, J., Roalfe, A.K., Wheatley, K., Sheehan, B., Sharp, L., Stant, K.E., Fletcher-Smith, J., Steel, K., Barton, G.R., Irvine, L. and Peryer, G. 2016. An occupational therapy intervention for residents with stroke-related disabilities in UK care homes (OTCH): cluster randomised controlled trial with economic evaluation. Health Technology Assessment. 20 (15). https://doi.org/10.3310/hta20150
The diagnostic accuracy of reporting radiographer chest x-ray interpretations and their influence on clinicians’ diagnostic decision-making: a comparison with consultant radiologists
Woznitza, N. 2016. The diagnostic accuracy of reporting radiographer chest x-ray interpretations and their influence on clinicians’ diagnostic decision-making: a comparison with consultant radiologists. PhD Thesis Canterbury Christ Church University School of Allied Health Professions
The radiography workforce: current challenges and changing needs
Beardmore, C., Woznitza, N., Goodman, S. and Society & College of Radiographers 2016. The radiography workforce: current challenges and changing needs. College of Radiographers.
An economic evaluation of introducing a skills mix approach to CT head reporting in clinical practice.
Lockwood, P. 2016. An economic evaluation of introducing a skills mix approach to CT head reporting in clinical practice. Radiography. https://doi.org/10.1016/j.radi.2015.09.004
Intraorbital foreign body detection and localisation by radiographers: a preliminary JAFROC observer performance study
Lockwood, P., Pittock, L., Lockwood, C., Jeffery, C. and Piper, K. 2015. Intraorbital foreign body detection and localisation by radiographers: a preliminary JAFROC observer performance study. Radiography. 2015, pp. 1-5. https://doi.org/10.1016/j.radi.2015.06.005
Out of the comfort zone (Part 2)
Lockwood, P. 2013. Out of the comfort zone (Part 2).
AFROC analysis of reporting radiographer’s performance in CT head interpretation
Lockwood, P. and Piper, K. 2015. AFROC analysis of reporting radiographer’s performance in CT head interpretation. Radiography. 21 (3), pp. e90-e95. https://doi.org/10.1016/j.radi.2015.04.001
Out of the comfort zone (Part 1)
Lockwood, P. 2013. Out of the comfort zone (Part 1).
Origins of the Reporting Radiographer
Lockwood, P. 2013. Origins of the Reporting Radiographer.
Patient safety and quality improvement: Iatrogenic venous air embolism in diagnostic imaging
Lockwood, P. and Breen, W. 2013. Patient safety and quality improvement: Iatrogenic venous air embolism in diagnostic imaging.
CT head reporting by radiographers: Findings of an accredited postgraduate programme
Lockwood, P. and Piper, K. 2013. CT head reporting by radiographers: Findings of an accredited postgraduate programme.
CT skull base & calvarium normal variant pitfalls
Lockwood, P. 2013. CT skull base & calvarium normal variant pitfalls.
Chest reporting by radiographers: Findings of an accredited postgraduate programme.
Piper, K., Cox, S., Paterson, A., Thomas, A., Thomas, N., Jeyagopal, N. and Woznitza, N. 2014. Chest reporting by radiographers: Findings of an accredited postgraduate programme. Radiography. 20 (2), pp. 94-99. https://doi.org/10.1016/j.radi.2014.01.003
Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S., Grayson, K. and Bothamley, G. 2014. Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme. Radiography. 20 (3), pp. 223-229. https://doi.org/10.1016/j.radi.2014.03.002
Optimizing patient care in radiology through team-working: A case study
Woznitza, N., Piper, K., Rowe, S. and West, C. 2014. Optimizing patient care in radiology through team-working: A case study. Radiography. 20 (3), pp. 258-263. https://doi.org/10.1016/j.radi.2014.02.007
Identifying Continence OptioNs after Stroke (ICONS): an evidence synthesis, case study and exploratory cluster randomised controlled trial of the introduction of a systematic voiding programme for patients with urinary incontinence after stroke in secondary care
Thomas, L. H., French, B., Sutton, C. J., Forshaw, D., Leathley, M. J., Burton, C., Roe, B., Cheater, F. M., Booth, J., McColl, E., Carter, B., Walker, A., Brittain, K., Whiteley, G., Rodgers, H., Barrett, J. and Watkins, C. L. 2015. Identifying Continence OptioNs after Stroke (ICONS): an evidence synthesis, case study and exploratory cluster randomised controlled trial of the introduction of a systematic voiding programme for patients with urinary incontinence after stroke in secondary care. NIHR Journals Library.
Collective action for knowledge mobilisation: a realist evaluation of the collaborations for leadership in applied health research and care
Rycroft-Malone, J., Burton, C., Wilkinson, J., Harvey, G., McCormack, B., Baker, R., Dopson, S., Graham, I., Staniszewska, S., Thompson, C., Ariss, S., Melville-Richards, L. and Williams, L. 2015. Collective action for knowledge mobilisation: a realist evaluation of the collaborations for leadership in applied health research and care. UK NIHR Journals Library. https://doi.org/10.3310/hsdr03440
An untapped resource: patient and public involvement in implementation comment on "Knowledge mobilization in healthcare organizations": a view from the resource-based view of the firm
Burton, C. and Rycroft-Malone, J. 2015. An untapped resource: patient and public involvement in implementation comment on "Knowledge mobilization in healthcare organizations": a view from the resource-based view of the firm. International Journal of Health Policy and Management. 4 (12), pp. 845-847. https://doi.org/10.15171/ijhpm.2015.150
Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists
Woznitza, N., Piper, K., Burke, S., Ellis, S. and Bothamley, G. 2015. Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists.
Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession
Smith, Tony, Harris, J., Woznitza, N., Marese, S. and Sale, C. 2015. Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession. Journal of Medical Radiation Sciences. 62 (3), pp. 204-211. https://doi.org/10.1002/jmrs.115
CT head reporting by radiographers: results of an accredited postgraduate programme
Lockwood, P., Piper, K. and Pittock, L. 2015. CT head reporting by radiographers: results of an accredited postgraduate programme. Radiography. 21 (3), pp. e85-e89. https://doi.org/10.1016/j.radi.2014.12.001
e-Learning for Healthcare – Image Interpretation Project
Woznitza, N., e-Learning for Healthcare and College of Radiographers 2012. e-Learning for Healthcare – Image Interpretation Project. e-Learning for Healthcare.
An unusual cause of respiratory distress
Woznitza, N., Datsopolous, S., Shukla, R. and Aladangady, N. 2012. An unusual cause of respiratory distress. Archives of Disease in Childhood. 97, pp. A12-A13. https://doi.org/10.1136/archdischild-2012-301885.30
Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S. and Grayson, K. 2013. Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom.
Radiographer clinical reporting
Woznitza, N. 2014. Radiographer clinical reporting.
Commentary: radiographer reporting
Woznitza, N. 2014. Commentary: radiographer reporting. Journal of Medical Radiation Sciences. 61 (2), pp. 66-68. https://doi.org/10.1002/jmrs.51
Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations
Woznitza, N., Piper, K., Bothamley, G. and Burke, S. 2014. Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations.
Optimizing patient care in radiology through team-working: audit data
Woznitza, N. 2014. Optimizing patient care in radiology through team-working: audit data.
Optimizing neonatal X-ray quality: results of an audit
Woznitza, N., Hayes, N., Malshava, N. and McGuinness, D. 2014. Optimizing neonatal X-ray quality: results of an audit.
Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer
Woznitza, N., Piper, K., Aladangady, N., Iliadis, K., Prakash, R. and Santos, R. 2014. Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer.
Advanced radiographic practice in adult chest imaging
Woznitza, N. 2014. Advanced radiographic practice in adult chest imaging.
Investigating preferences for support with life after stroke: a discrete choice experiment
Burton, C., Fargher, E., Plumpton, C., Roberts, G.W, Owen, H. and Roberts, E. 2014. Investigating preferences for support with life after stroke: a discrete choice experiment. BMC Health Services Research. 14 (63). https://doi.org/10.1186/1472-6963-14-63
Evaluating a systematic voiding programme for patients with urinary incontinence after stroke in secondary care using soft systems analysis and Normalisation Process Theory: findings from the ICONS case study phase.International journal of nursing studies
Thomas, L.H, French, B., Burton, C., Sutton, C., Forshaw, D., Dickinson, H., Leathley, M.J., Britt, D., Roe, B., Cheater, F.M, Booth, J., Watkins, C.L, ICONS Project Team, ICONS Patient and Public and Carer Involvement Groups 2014. Evaluating a systematic voiding programme for patients with urinary incontinence after stroke in secondary care using soft systems analysis and Normalisation Process Theory: findings from the ICONS case study phase.International journal of nursing studies. International Journal of Nursing Studies. 51 (10), pp. 1308-1320. https://doi.org/10.1016/j.ijnurstu.2014.02.009
Improving skills and care standards in the support workforce for older people: a realist review
Rycroft-Malone, J., Burton, C., Hall, B., McCormack, B., Nutley, S., Seddon, D. and Williams, L. 2014. Improving skills and care standards in the support workforce for older people: a realist review. BMJ Open. 4 (5). https://doi.org/10.1136/bmjopen-2014-005356
Does self-efficacy influence recovery and well-being in osteoarthritis patients undergoing joint replacement? A systematic review
Magklara, E., Burton, C. and Morrison, V. 2014. Does self-efficacy influence recovery and well-being in osteoarthritis patients undergoing joint replacement? A systematic review. Clinical Rehabilitation. 28 (9). https://doi.org/10.1177/0269215514527843
Towards a programme theory for fidelity in the evaluation of complex interventions.
Masterson-Algar, P., Burton, C., Rycroft-Malone, J., Sackley, C.M. and Walker, M.F. 2014. Towards a programme theory for fidelity in the evaluation of complex interventions. Journal of Evaluation in Clinical Practice . 20 (4), pp. 445 - 452. https://doi.org/10.1111/jep.12174
Investigating the organisational impacts of quality improvement: a protocol for a realist evaluation of improvement approaches drawing on the Resource Based View of the Firm.
Burton, C., Rycroft Malone, J., Robert, G., Willson, A. and Hopkins, A. 2014. Investigating the organisational impacts of quality improvement: a protocol for a realist evaluation of improvement approaches drawing on the Resource Based View of the Firm. BMJ Open. 4:e005650. https://doi.org/10.1136/bmjopen-2014-005650
Resource based view of the firm as a theoretical lens on the organisational consequences of quality improvement.
Burton, C. and Rycroft-Malone, J. 2014. Resource based view of the firm as a theoretical lens on the organisational consequences of quality improvement. International Journal of Health Policy and Management. 3 (3), pp. 113 - 115. https://doi.org/10.15171/ijhpm.2014.74
The study protocol of: 'Initiating end of life care in stroke: clinical decision-making around prognosis'.
Burton, C., Payne, S., Turner, M., Bucknall, T., Rycroft-Malone, J., Tyrell, P., Horne, M., Ntambwe, L.I., Tyson, S., Mitchell, H., Williams, S. and Elghenzai, S. 2014. The study protocol of: 'Initiating end of life care in stroke: clinical decision-making around prognosis'. BMC Palliative Care. 13 (55). https://doi.org/10.1186/1472-684X-13-55
Identifying continence options after stroke (ICONS): a cluster randomised controlled feasibility trial.
Thomas, L.H., Watkins, C.L., Sutton, C.J., Forshaw, D., Leathley, M.J., French, B., Burton, C., Cheater, F., Roe, B., Britt, D., Booth, J., McColl, E., The ICONS Project Team and The ICONS Patient, Public and Carer Involvement Groups 2014. Identifying continence options after stroke (ICONS): a cluster randomised controlled feasibility trial. Trials. 15 (509). https://doi.org/10.1186/1745-6215-15-509
What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services
Burton, C.R., Horne, M., Woodward-Nutt, K., Bowen, A. and Tyrrell, P. 2014. What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services. Disability and Rehabilitation. 37 (21), pp. 1955-1960. https://doi.org/10.3109/09638288.2014.991454
Can reporting radiographers produce clinically relevant reports?
Woznitza, N. and Piper, K. 2011. Can reporting radiographers produce clinically relevant reports?