Abstract
This study explores the organization of medical physicists’, radiologists’, and radiographers’ professional work and the challenges they encounter ensuring quality and safe medical service within medical imaging. A practice theory perspective was used for data collection, which consisted of 14 open interviews, and data analysis. The concept of tension was used for the interpretation of findings. Three tensions are presented in the findings: 1) between diverse general and practical understandings about the activities in practice; 2) between material-economic conditions and activity in practice, and 3) between discursive-culture conditions and activity in practice. This study found that new technology, economical rationality, and the organisation of work processes lead to fewer face-to-face meetings between different professions. Therefore, medical imaging as dispersed practices misses opportunities for learning across practices, which can lead to patient safety risks. To ensure patient safety, new forms for learning across practices are needed.
Highlights
This paper investigates how organisation of work affects professional work and interprofessional collaboration within health care
Medical imaging is continuously developing due to the introduction of new techniques and methods for image production, which makes the diagnosing of diseases more accurate (Bentourkia, 2012; Comaniciu, Engel, Georgesau & Mansi, 2016)
Descriptions of their work and responsibilities in a European context indicate that all three professions are responsible for patient safety in terms of the risks related to image production, but with slightly different focuses in their professional responsibilities
Summary
This paper investigates how organisation of work affects professional work and interprofessional collaboration within health care. Other locations for the reading rooms resulted in more interaction through IT systems (Tillack & Borgstede, 2013) These studies, conducted in an American context, indicate that physical meetings improve collaborative work regarding the complex information provided by medical images (Aripoli et al, 2016; Dickerson et al, 2016; Tillack & Borgstede, 2013) and are in line with recommendations from the World Health Organisation (WHO, 2010) about how changes in the environment can improve collaborative work (WHO, 2010). Meghzifene et al (2010) found that physicists were involved in teamwork and competence descriptions of The European Federation of Organizations for Medical Physics (EFOMP, 1984), describing collaborative work around the use of optimal methods for image production How this was arranged in practice was not explained (EFOMP, 1984; Meghzifene et al 2010;). Recognized tensions can be used for changes and learning within that specific organisation (Engeström & Sannino, 2011; Helle, 2000)
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