South African radiographers' radiation protection practices, a qualitative study

Area of Science:

• Radiological Sciences
• Medical Imaging
• Healthcare Professions

Background:

• Radiation protection is crucial in medical imaging.
• Practices vary among radiographers, necessitating further investigation.
• Previous quantitative research indicated high intention for radiation protection among South African radiographers.

Purpose of the Study:

• To explore the underlying reasons for South African radiographers' radiation protection practices.
• To identify factors influencing compliance with radiation protection guidelines.
• To inform the development of strategies for enhancing radiation protection compliance.

Main Methods:

• Exploratory and descriptive qualitative approach.
• 13 in-depth semi-structured telephone interviews.
• Thematic analysis to identify key phenomena and themes.

Main Results:

• Participants demonstrated adequate radiation protection knowledge, but compliance was a personal choice.
• Key impediments included feeling rushed, challenging patients, patient knowledge gaps, resource limitations, and inadequate training during digital transition.
• Managerial support and a change in mindset were identified as crucial.

Conclusions:

• Despite knowledge alignment with guidelines, limited internalization led to compliance being a personal choice.
• Patient and work-related factors significantly impact radiation protection compliance.
• Further education, research, and a cultural shift are vital for improving compliance.