Sonographers’ experiences of work-related musculoskeletal disorder: the everyday consequences of physiological stress and injury in contemporary ultrasound

Bolton, Gareth, Booth, Lisa and Miller, Paul K. (2018) Sonographers’ experiences of work-related musculoskeletal disorder: the everyday consequences of physiological stress and injury in contemporary ultrasound. In: Ultrasound 2018: The 50th Annual Scientific Meeting of the British Medical Ultrasound Society (BMUS), 4-6 December 2018, Old Trafford, Manchester, UK. (Unpublished)

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Abstract

Background: By 2013, the UK government’s Migration Advisory Committee had listed sonography as an official ‘shortage specialty’ (Migration Advisory Committee, 2013; Parker & Harrison, 2015). As a consequence of the working stresses allied to this shortage, British sonographers have increasingly been reducing hours or leaving clinical practice entirely (Society and College of Radiographers, 2014). Moreover, among those who remain, incidences of reported chronic pain and active injury are also on the increase within a profession that was already synonymous with high rates of work-related musculoskeletal disorder (WRSMD; Harrison & Harris, 2015). While contemporary research has described the rates of WRMSD among ultrasound practitioners (Bolton & Cox, 2015), none has to date extensively explored its personal and professional impacts.

Methods: Using a model of Interpretative Phenomenological Analysis with proven facility in medical imaging research (Miller et al., 2017), extended semi-structured interviews with N=10 experienced sonographers were analysed.

Results: Participants routinely reported a sensation of guilt and depleted self-efficacy that not only permeated any working absence resultant of their own WRMSD, but also to taking legitimate leave when colleagues were suffering from WRMSD. An upshot of this was to recurrently “take one for the team” and work through excessive pain, even when this would likely result in greater prospective physical damage. While the basic shortage of sonographers was the core attribution for such behaviours, participants also cited (1) increasingly obese patients, (2) increasingly unhelpful (i.e. profiteering) equipment manufacturers, and (3) their own paternalism regarding healthcare.

Conclusions: The present situation in ultrasound mirrors a culture of potentially dangerous pain acceptance that been noted in the psychology of sport for some time (Weinberg et al., 2013) albeit for altruistic, rather than egotistic, reasons. There is a clear body of evidence to suggest that sonographers are in crisis point both in terms of staffing levels and in terms of inter-related issues of WRMSD. The issue of WRMSD remains complex and under-researched and few studies are able to establish a definitive cause of the condition, because the causes are multifactorial. However, the majority of the literature seems to agree that poor posture, repetitive movements and insufficient strength seem to be the main physical causes, but little has been explored in terms of how the philosophy of being a sonographer, their behaviours and cultures might also be contributing to this issue. This study contributes to a new body of knowledge, looking at the unique experiences of (n=9) individual sonographers and the ideological dilemmas they are facing. It is acknowledged that extensive deeper levels of analysis and interpretation need to take place around the data collected for this study in order to draw more comprehensive conclusions.

References:
Bolton, G.C. & Cox, D.L. (2015) 'Survey of UK sonographers on the prevention of work related muscular‐skeletal disorder (WRMSD)', Journal of Clinical Ultrasound, 43 (3), pp.145-152.
Harrison, G. & Harris, A. (2015) 'Work-related musculoskeletal disorders in ultrasound: Can you reduce risk?', Ultrasound, 23 (4), pp.224-230.
Loaring, J.M., Larkin, M., Shaw, R. and Flowers, P. (2015) 'Renegotiating Sexual Intimacy in the Context of Altered Embodiment: The Experiences of Women With Breast Cancer and Their Male Partners Following Mastectomy and Reconstruction', Health Psychology, 34(4), pp. 436.
Migration Advisory Committee. (2013) Skilled Shortage Sensible: Full review of the recommended shortage occupation lists for the UK and Scotland, a sunset clause and the creative occupations. London: Migration Advisory Committee.
Miller, P.K., Waring, L., Bolton, G.C. and Sloane, C. (2018) 'Personnel flux and workplace anxiety: Personal and interpersonal consequences of understaffing in UK ultrasound departments', Radiography; Radiography, . doi: 10.1016/j.radi.2018.07.005.
Miller, P.K., Woods, A.L., Sloane, C. & Booth, L. (2017) 'Obesity, heuristic reasoning and the organisation of communicative embarrassment in diagnostic radiography', Radiography, 23 (2), pp.130-134.
Parker, P.C. & Harrison, G. (2015) 'Educating the future sonographic workforce: membership survey report from the British Medical Ultrasound Society', Ultrasound, 23 (4), pp.231-241.
Smith, J.A., Flowers, P. and Larkin, M. (2009) Interpretive Phenomenological Analysis; Theory, Method and Research. SAGE; London.
Weinberg, R., Vernau, D. & Horn, T. (2013) 'Playing Through Pain and Injury: Psychosocial Considerations', Journal of Clinical Sport Psychology, 7 (1), pp.41-59.

Item Type: Conference or Workshop Item (Poster)
Departments: Health and Medical Sciences
Depositing User: Gareth Bolton
Date Deposited: 08 Nov 2018 09:54
Last Modified: 08 Nov 2018 12:38
URI: http://insight.cumbria.ac.uk/id/eprint/4175

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