Attitudes of radiographers to radiographer-led discharge: A survey

• 101 questionnaires were completed (an estimated 30% response rate).
• 95% of participants supported radiographer involvement in abnormality detection.
• Participants felt confident in their image interpretation abilities.
• Participants expressed some concern for the legal consequences of discharge.
• Financial remuneration for the role and responsibility requires further discussion.

BackgroundThe traditional role of the Diagnostic Radiographer in image acquisition has gradually been extended through skill-mix, particularly to include abnormality detection.AimsThis research focused on the attitudes of Radiographers to Radiographer-led Discharge (RLD), where Radiographers discharge patients with minor injuries and perform tasks previously undertaken by Accident and Emergency staff. The effects of job role, hospital type, experience and whether RLD was used in the participant's trust were examined.MethodA multiple-indicator online questionnaire assessed attitudes to RLD. Snowball sampling was used with advertisement via emails, posters and cards, containing Quick Response (QR) codes. Statement responses were coded, with reverse coding for negative statements and total scores were calculated. A higher score represented a more positive attitude.Results101 questionnaires were completed (an estimated 30% response rate) and the mean total score was 84/115. 95% of participants supported radiographer involvement in abnormality detection, with 46.5% selecting RLD as the preferred system for minor injuries patients vs 48.5% preferring commenting alone.DiscussionParticipants were positive about extending their role through RLD and felt confident in their image interpretation abilities, though expressed concern for the legal consequences of the role and adequate pay. Generalization of the results is limited due to the possible low response rate.ConclusionOverall, participants demonstrated positive attitudes towards RLD but they also indicate the need for appropriate payment for any additional responsibility. These findings are promising for successful implementation of RLD, though larger-scale research including radiologists, business managers, A&E staff and patients would be beneficial.