The understandings, experiences and attitudes of diagnostic radiographers regarding forensic radiography as part of their daily practice working in South Africa

Abstract

INTRODUCTION : The Health Professions Council of South Africa recognises forensic radiography as an aspect of the diagnostic radiographer's scope of practice. In contrast, the International Association of Forensic Radiographers asserts that forensic imaging should be voluntary and undertaken only by radiographers who have received formal training in the field. This study aimed to explore diagnostic radiographers' understanding, experiences, and attitudes towards forensic radiography as encountered in their daily practice. METHODS : A purposive sampling method was employed to recruit radiographers who were knowledgeable about forensic radiography through their daily practice. Participants were required to have performed forensic radiographic imaging on both living and deceased individuals and to have practised in either the public or private clinical sectors. Semi-structured interviews were conducted with 17 consenting diagnostic radiographers via the online platform Microsoft Teams. Thematic analysis was performed using an inductive approach. RESULTS : Four distinct themes emerged; Learning and understanding forensic radiography; Practicing forensic radiography; Emotional and psychological responses; Attitudes and motivation. CONCLUSION : Findings highlighted the complex and emotionally demanding nature of this domain, which intersects clinical and legal responsibilities. Variability in knowledge and preparedness was evident, influenced by limited undergraduate exposure, informal on-the-job learning, and inconsistent institutional support. While many radiographers valued contributing to justice, others reported apprehension and emotional distress, especially when imaging deceased individuals. IMPLICATIONS FOR PRACTICE : These findings underscore the need for structured education, standardised forensic protocols, and psychological support to prepare radiographers for the complexities of forensic imaging. Formalised postgraduate training and maintaining voluntary participation are critical to building professional competence and resilience in this demanding field.