Unseen guidance: Radiographers' challenges and practices in supporting blind and visually impaired patients

Individuals who are blind and visually impaired (VI) face substantial barriers to equitable healthcare; however, radiographers' preparedness to care for this population remains underexplored. This study examined radiographers' knowledge, attitudes, practices, and perceived barriers when caring for blind and VI patients in the UAE.

Using convenience and snowball sampling, an online prevalidated questionnaire was administered to 122 radiographers. Developed in accordance with CHERRIES guidelines, the survey assessed demographics, knowledge, attitudes, practices, and barriers. Test-retest reliability demonstrated strong consistency (r = 0.82). Data were analyzed using descriptive statistics and comparative tests.

Most respondents reported providing verbal explanations (83.6%), verifying understanding (86.9%), and offering additional time (80.3%). Radiographers with 10 or more years of experience demonstrated significantly higher communication competence (77.4% vs. less experienced groups; p = 0.016) and greater adherence to recommended practices. However, critical gaps emerged: 64.8% cited insufficient training, 59.0% reported technology-related communication challenges, 54.1% identified limited resources, and 50.0% noted restrictive organizational policies. PhD holders reported encountering significantly more technological barriers (p = 0.048).

Substantial variation in knowledge and practices underscores the need for targeted educational interventions and institutional support. While clinical experience enhances communication competence, it cannot replace formal training. Integrating VI-specific content into curricula, implementing standardized departmental protocols, and providing continuing professional development are essential to ensure consistent, patient-centered radiographic care.

Strengthening radiographers' preparedness requires structured educational strategies and robust institutional backing. Simulation-based training, clear communication guidelines, and technology-focused support can equip radiographers to confidently meet the needs of blind and VI patients, advancing health equity in diagnostic imaging.