Exploring radiographers' readiness and perceived barriers to preliminary image evaluation in Ghana

This study investigated the readiness of diagnostic radiographers in Ghana to undertake Preliminary Image Evaluation (PIE) by assessing their interest, willingness, and confidence, and identifying perceived barriers, enablers, and benefits.

An explanatory sequential mixed-methods design was adopted. This paper however focusses on the quantitative phase, which involved a cross-sectional survey of diagnostic radiographers in Ghana. Data on psychological readiness, systemic factors, and current practice were collected and analysed using SPSS v26. Descriptive statistics and exploratory factor analysis were performed.

A total of 195 radiographers participated. Radiographers demonstrated high interest (mean = 4.07, SD = 0.33) in PIE, with 100 % agreeing or strongly agreeing that image interpretation should form part of their role. Confidence was also high (mean = 4.13, SD = 0.36) with 93.8 % feeling confident commenting on trauma-related findings, and 94.9 % confident in identifying abnormalities on routine X-rays. Willingness was highest (mean = 4.19, SD = 0.32), with all the participants (100 %) willing to undergo further training and participate in formal PIE programs. Key barriers included medicolegal concerns (n = 193, 98.9 %), absence of structured training (n = 182, 93.3 %), and lack of policy guidelines (n = 117, 60 %). Enablers included supportive policy frameworks (n = 194, 99.5 %) and radiologist shortages (n = 183, 93.8 %). PIE was perceived to improve clinical decision-making (n = 194, 99.5 %), enhance service delivery (n = 188, 96.4 %), and expand diagnostic access in underserved regions (n = 175, 89.7 %). Most had informal exposure to PIE and preferred formalised, blended training.

Ghanaian radiographers demonstrate strong motivation and readiness to undertake PIE. However, regulatory and institutional constraints must be addressed to support formal role expansion.

Implementing PIE in resource-limited settings requires supportive policy frameworks, formal training, and institutional commitment.