Occupational Stress, Burnout, and Quality of Life in Radiographers: A Scoping Review of Workforce Well-Being
Pedro Ramalho1,2, António Nunes1,3, Fernanda M Silva4,5,6
1Department of Management and Economics, University of Beira Interior (UBI), 6201-001 Covilhã, Portugal.
Abstract:
Background/Objectives: We conducted a scoping review to map peer-reviewed evidence on occupational stress, burnout, and quality of life among radiographers and radiologic technologists and to identify measurement tools and reported consequences. Methods: Searches were conducted in Web of Science, Scopus, and PubMed. Eligible studies enrolled radiographers/radiologic technologists who were healthy adults; assessed at least one target construct (occupational stress, burnout, or quality of life) using validated instruments; and used cross-sectional, experimental, quasi-experimental, longitudinal, or mixed-methods designs. Articles published from 1995 onward in English, French, Spanish, or Portuguese were considered. Two reviewers independently screened, extracted data, and appraised methodological quality using Quality Assessment with Diverse Studies (QuADS). The synthesis was narrative only. Results: Of 2701 records, 10 studies from nine countries met inclusion. Most were cross-sectional, and two used mixed methods. Sample sizes ranged from 38 to 864. Frequently used instruments included MBI-HSS, OSI-R, HSE Indicator Tool, and SOC-13. Across studies, radiographers reported high stress and burnout-particularly emotional exhaustion and depersonalization-alongside reduced quality of life in multiple domains. Recurrent stressors involved workload and staffing pressures, role demands, anxiety about radiation exposure, and limited recognition. These factors were associated with intention to leave and a lower sense of coherence. Conclusions: The evidence base is largely cross-sectional, uses heterogeneous measures, and often relies on modest samples, with overall methodological quality mostly moderate. Findings indicate a persistent psychosocial risk profile in radiography and underscore the need for organizational and managerial actions-such as workplace physical activity programs-to reduce stress and burnout and protect the quality of life in this workforce.
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