Advanced practice among diagnostic radiographers - An international survey

Introduction: As the global healthcare system evolves, diagnostic radiographers (DRs) are taking on advanced roles, constituting advanced radiography practice. This study explored the definition of ARP tasks among DRs, radiology department managers (RDMs), and National Society Officers (NSOs) on a global scale. Methods: Data collection was obtained via a self-developed online survey administered via email and social media to DRs, RDMs, and NSOs. The survey sought to collect demographic data, insights into definition of ARP tasks, and perceptions regarding global practice. Results: 206 respondents from 25 countries participated, predominantly from Norway (n = 77), Australia (n = 34), and Portugal (n = 20). 71.7% of DR respondents defined teaching as ARP task, while RDMs (74.2) and NSOs (88.8 %) identified approving image quality independently as ARP. 53.4% of DRs perceived their practice as ARP-aligned, with awareness reported by 44.8 % of DRs, 66.7 % of RDMs, and 77.8 % of NSOs. Conclusion: This study provides a clearer understanding of the task respondents consider ARP and the extent to which it is practiced, whereas DRs are increasingly performing advanced tasks globally. Clarifying ARP tasks in the workplace will promote a common understanding of the role and foster support for its establishment in diagnostic radiography. Further research is required to gather a more comprehensive international perspective on ARP tasks, especially given the limitations of this study, as well as the limited responses from the Americas and African regions. Implications for practice: Clear definitions of ARP tasks are necessary for seamless integration of ARP into current practices. Additionally, advocating for official recognition, and global acknowledgement by the profession and key stakeholders are imperative for DRs to fully develop in these areas. (c) 2024 The Authors. Published by Elsevier Ltd on behalf of The College of Radiographers. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).