South African radiography leadership co-constructing radiation protection change ideas

Background: This article presents the findings of phase three of a mixed-method study. Phases one and two explored South African radiographers' radiation protection intention and practices and found that even though radiographers reported a high intention to perform radiation protection, varying practices were observed. Phase three of the study explored optimising radiation protection among radiographers in South Africa. Objective: The research objective guiding phase three of the study was to explore co-constructed change ideas to facilitate optimal radiation protection. Methods: A qualitative research approach using focus group interviews collected data from eight purposively selected radiography managers. The collected data was analysed using thematic analysis. Results: Two themes and related categories were identified. Radiographer managers defined radiation protection correctly and concurred that they observed suboptimal radiation protection practices. They attributed suboptimal practice with diminished stature of the radiographer within the healthcare team, ionising radiation being an unseen harm and radiographers' attitude. Radiography managers envisioned their ideal radiation protection environment and suggested ways to attain it. Among the suggestions was a strong collaboration between stakeholders, continuous education, research, national standardised policies, and radiography organisational structures. Conclusion: To rectify suboptimal radiation protection, radiography managers co-constructed ideas to optimise radiation protection practices. Fundamental to change was healthcare organisations embedding radiation protection within their safety culture; thereby, all stakeholders would be invested in upholding the organisation-wide impetus. However, ultimately compliance and accountability is an individual choice.