The lived experiences of final-year undergraduate diagnostic radiography students applying radiation protection measures during clinical practice

Campbell, Sydney Samuel

Title: The lived experiences of final-year undergraduate diagnostic radiography students applying radiation protection measures during clinical practice
Creator: Campbell, Sydney Samuel
Subject: Radiographers
Subject: College students -- South Africa
Subject: Experiential learning
Date Issued: 2024-12
Date: 2024-12
Type: Doctoral theses
Type: text
Identifier: http://hdl.handle.net/10948/68311
Identifier: vital:76973
Description: Radiographers use ionising radiation to produce radiographic images and the use of ionising radiation in healthcare has both benefits and risks for patients and healthcare professionals. It is therefore important that radiographers mitigate the risks associated with ionising radiation. It is for this reason that radiation protection measures are applied to ensure the safety of patients, staff, and the public. Furthermore, radiographers are also responsible for mentoring radiography students and inculcate the use of radiation protection measures when students undergo their workplace learning. This mentoring takes place in the clinical setting with its characteristics that may or may not advance the application of radiation protection measures. The aim of this study was to investigate the lived experiences of final-year undergraduate radiography students applying radiation protection measures in the clinical setting and to propose strategies to foster the integration of radiation protection theory into clinical practice. This study was located in the interpretivist paradigm using phenomenology as a research method and theoretical framework to achieve the stated aim. The target population for this qualitative study included all registered final-year undergraduate radiography students at the local university who perform their WPL at the accredited training hospitals in the Eastern Cape Province as this cohort of students have more clinical experience than the first-, second- and third-year students. The target population comprised 28 students. Purposive sampling was employed to select the group of radiography students to interview. The study used phenomenological interviews as a data collection tool and the collected data was explicated using a self-developed method. The trustworthiness of the study was ensured by applying Guba’s model of trustworthiness that includes credibility, transferability, confirmability, dependability and authenticity and was further enhanced by reflecting on the balanced integration, openness, concreteness, and resonance of the study. This study employed an ethical framework referred to as principlism that includes the notions of autonomy, beneficence, non-maleficence and justice.Data explication was conducted using three cycles of explication. Cycle one produced interpretive profiles for each participant. The interpretive profiles revealed the life histories of each participant as well as the utterances of participants related to the three sub-questions. Cycle two produced four themes. Theme one described participants’ being with others such as radiographers, clinical supervisors, medical doctors, and patients and revealed the tension between participants’ belonging and being unwanted. Theme two characterised the clinical setting as a place where several factors flow together to provide participants with their individualised experiences. Theme two revealed the emotional distress; the learning through trial-and-error; the independent learning; learning that is coupled with humiliation as experienced by participants. The clinical space was also characterised as a place to be survived, a place where students have to be inconspicuous and understand the acceptable levels of engagement with others. It is also a place where theory and practice at times is in alignment at other times not in alignment. The clinical setting could also be a place of self-doubt and insecurity, a place of personal growth, and a place where historical events are significant. Theme three disclosed the unspoken lessons that were conveyed through the actions and behaviours of individuals in the clinical environment. Unintended lesson one is that radiation protection measures are not important. Lesson two suggest that classroom teaching about radiation protection is not valid in the clinical setting, and finally that incivility towards radiography students is acceptable. Theme four revealed the difficulties experienced by radiography students when navigating ethical dilemmas. The theme revealed radiographers’ and radiologists’ indifference towards radiation protection, the non-application of radiation protection measures, and the inconsistency and apathy towards radiation protection measures. Cycle three viewed the experiences of participants through the lens of Dasein’s disclosedness. This revealed the exclusive language used by participants, the largely negative mood and participants’ disconnection from the imaging department.Finally, the study presented new and important insights by probing the topic of radiation protection in a novel way by using phenomenology to focus on the lived experiences of final-year undergraduate students applying radiation protection measures in the clinical setting. The findings of the study also allowed for the development of Enhancement strategies that could be used by institutions of higher education to promote the integration of the theory and practice of radiation protection measures in the clinical setting. It is recommended, though, that a study that includes all South African institutions of higher learning offering radiography be conducted using phenomenology. Furthermore, the views of South African radiographers and clinical supervisors should also be elicited to corroborate the views of participants in this study.
Description: Thesis (PhD) -- Faculty of Education, School of Secondary Education, 2024
Format: computer
Format: online resource
Format: application/pdf
Format: 1 online resource (305 pages)
Format: pdf
Publisher: Nelson Mandela University
Publisher: Faculty of Education
Language: English
Rights: Nelson Mandela University
Rights: All Rights Reserved
Rights: Open Access

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