Work experiences and practices of radiographers during the coronavirus disease 2019 pandemic: Future pandemic preparation

Background: During the peak of the coronavirus disease 2019 (COVID-19) pandemic, radiographers in Zambia faced heavy workloads as chest X-ray referrals outpaced staffing and the capacity of X-ray imaging equipment, and protective gear was limited. The pandemic disrupted the daily work routines of radiographers, yet little is known about how radiographers in Zambia experienced and thrived through this public health crisis. Aim: This study aimed to determine the work experiences and practices of radiographers during the COVID-19 pandemic for future reference. Setting: Two tertiary hospitals are designated as COVID-19 treatment centres in the Eastern province of Zambia. Methods: A qualitative approach with exploratory and descriptive designs was employed. A purposive sample of 11 radiographers was used for interviews to reach data saturation. The time frame for data collection was from 01 November 2023 to 30 November 2023. Data were collected through semi-structured face-to-face interviews and were analysed thematically using Braun and Clarke’s method. Results: Four themes were developed, namely: (1) personal and work-related challenges, (2) adapting to abrupt changes, (3) wellness and information support and (4) preparation for future pandemics. Conclusion: Radiographers adapted and demonstrated resilience to the high occupational pressures of patient referrals for chest X-ray imaging during the pandemic, although they were fearful of contracting the COVID-19 infection. Contribution: This article adds strategies to improve emergency X-ray imaging response and strengthen preparedness for future health emergencies, informed by radiographers’ COVID-19 experiences.