Radiographers' emotional reactions to suspected child abuse

Introduction: In cases of suspected physical abuse (SPA) in children, a full skeletal survey is performed. Radiographers performing the survey may experience emotional challenges during the examination. The purpose of the study was to explore the emotional aspects of SPA imaging among radiographers and how they respond to potential challenges.

Methods: Data were collected from 8 paediatric radiographers with responsibility for SPA imaging working in three Danish university hospitals using semi-structured in-depth interviews. Interviews were carried out by an experienced radiographer and a social anthropologist. Recordings were transcribed verbatim and thematic analysis applied.

Results: Most radiographers described skeletal surveys as a potential emotional challenge. Four over-arching themes were identified; Interactions with caregivers and child, Fear of making errors, Dealing with the dead, and Coping with challenges. Except 'Dealing with the dead', each theme had several sub-themes.

Conclusion: Emotional challenges in SPA imaging among radiographers form a complex pattern with interactions with caregivers and the child unfolding in an intense atmosphere where staff are required to regulate feelings. In the highly demanding context of SPA, potential emotionally challenging experiences require both organisational and individual attention.

Implications for practice: The results of this study should inspire department managers and paediatric radiographers to establish or maintain space in working patterns for informal collegial debriefing, or more systematic formal debriefing, thereby promoting a culture where emotional impact is recognised and supported.