An account of silence in diagnostic radiography : a cultural quilt

O'Regan, TJ

Abstract

Scholarly studies have resulted in literature that lists numerous different types, functions and motives for silence. The intention of this study was to produce an account of the silences that present in general and accident and emergency radiography (X-ray); collectively referred to as projection imaging. Because silence is multi-faceted and often ambiguous, requisite methods of collages and follow-up conversations were used in the study providing the flexibility to explore a fluid concept.

Projection imaging staff consisting of assistant practitioners, radiographers and student radiographers were invited to take part in collage workshops that were supplemented by observations in clinical practice. Sixteen participants agreed to observations of their clinical practice. An additional twelve participants volunteered to join in collage workshops. The workshop participants chose images that represented silence in clinical practice and each produced a collage. Each workshop participant then attended an individual follow-up conversation to discuss individual collage. The methods allow the production of a series of collage images conceived to be a metaphorical cultural quilt: representing an account of silence and silent practices.

Thematic analysis indicates that silence strategies are used to facilitate the smooth every day running of X-ray departments focused around five themes: emotional labour and social defence; workload; conflict; hierarchy and; dilemma. Silence is used to reflect and enact empathy for patients and colleagues; to facilitate staff and patient wellbeing; also to keep patient waiting times to a minimum. Additionally participants considered that silence reduces the threat of legal action, decreases emotional anxiety, lessens the demands of emotional labour and promote harmonious teamwork.

The study has resulted in an increase in knowledge of silence and silencing strategies in relation to a focused area of projection imaging radiography culture. Set against a background of contemporary health care strategy that encourage the voice of staff and patients, this knowledge will be used to inform future service development, possibilities for change and innovation in the culture of practice. The study concludes that silence is both a help and hindrance to services in a clinical setting.

Citation

O'Regan, T. (in press). An account of silence in diagnostic radiography : a cultural quilt. (Thesis). University of Salford

• Thesis Type: Thesis
• Acceptance Date: Jan 31, 2019
• Deposit Date: Feb 11, 2019
• Publicly Available Date: Feb 11, 2019