Evidence based practice, research and the diagnostic radiographer role. An exploration of engagement, expectations and attitudes at a single centre.

ABSTRACT

INTRODUCTION: The benefits of evidence-based practice (EBP) and research in healthcare are widely accepted for the patient, professional and organisation. However, allied health professional and radiographer activity remains lacking; this study aimed to explore this at a local level. METHODS: This single centre study utilised mixed methods research methodology to triangulate findings from three parallel data collections. Document analysis of radiographer job descriptions (JDs) and appraisal frameworks, retrospective review of completed research activities, and a survey of radiographer perspectives were undertaken. Data analysis included content analysis, thematic analysis and descriptive statistics. RESULTS: In three years (2018-2020), 290 EBP activities were completed; 287 were audit and three were service evaluations. There were no documented research projects and no entry level radiographer involvement. The survey response rate was 65.3% (n = 77/118). All JDs describe research engagement, but 50.6% of survey respondents did not realise this. There were inconsistencies and lack of clear progression in these expectations and no direct reference to research in the standard appraisal documentation. Radiographers demonstrated a positive attitude towards research and EBP but felt there were barriers preventing activity. Generally, they did not perceive a strong research culture in their department. CONCLUSION: As part of EBP, research is a requirement for diagnostic radiographers of all levels. There is widespread enthusiasm and a positive attitude from radiographers to engage, yet activity remains low. IMPLICATIONS FOR PRACTICE A strong evidence-based culture needs to be prioritised, to embrace the current enthusiasm from radiographers to engage, and accordingly bridge the gap between aspirations of their professional body and actual clinical practice.