ArticleJournal of medical radiation sciences2026
From Evidence to Practice: Implementation and Evaluation of the Discontinuation of Patient Contact Shielding in Paediatric Radiography.
Article in Journal of medical radiation sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- The Case for Implementation Science in Medical Radiation Practice.Journal of medical radiation sciences · 2026Article
- Paediatric Medical Imaging and Radiation Therapy.Journal of medical radiation sciences · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPatient contact shielding has been used in paediatric radiography as standard practice for decades. Contemporary evidence no longer supports its use in routine clinical practice. The Medical Imaging Department of an Australian quaternary paediatric hospital implemented the discontinuation of all patient contact shielding using the capability, opportunity, motivation and behaviour (COM-B) model and the theoretical domains framework (TDF). This study evaluated the implementation process with particular focus on patient, family and staff responses.
methodsAn implementation study was conducted using a mixed-methods approach, comprising retrospective analysis of imaging records (7 months pre/post implementation) and prospective collection of survey data. Implementation strategies were developed using theory-guided frameworks to address potential barriers to change.
resultsRetrospectively, there were 1614 examinations assessed pre-implementation and 1845 post-implementation. Pre-implementation shielding rates were 45% and 39% for male and female patients respectively. The post-implementation prospective survey component included 7581 patients, 0.4% (n = 31) of whom raised queries about the policy change. Only 11 shielding requests occurred within 5 months post-implementation, declining to zero thereafter.
conclusionTheory-guided implementation was remarkably effective in translating contemporary evidence into practice. The process of removing patient shielding was achieved with minimal concern from patients and their families, contrary to expectations that this change would generate significant resistance.
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