Factors Affecting Radiographers in the Clinical Supervision of Radiography Students in a Limited Resource Setting: A Survey in Zambia

Background and Purpose: Clinical teaching and learning are an important aspect of radiography programmes. It enables radiography students to acquire knowledge, attitudes, skills, and competence under the clinical supervision of designated radiographers. However, there is a paucity of research on radiography clinical training and the factors that impact on it. This study aimed to evaluate factors that affect supervising radiographers in the clinical supervision of radiography students in Zambia. Methods: A cross-sectional design was utilised in this study. A self-administered questionnaire was used to collect data from supervising radiographers (N=120) working in public hospitals affiliated with the schools of radiography and located in the Lusaka and Copperbelt provinces of Zambia. Data were analysed using descriptive and inferential statistical methods. Results: The response rate was 75% (N=120/160). Supervising radiographers rated the current system of clinical supervision as being unsatisfactory. Factors that facilitated the clinical supervision process were an adequate supply of X-ray films, students sharing their learning problems and radiology department management support. On the other hand, factors that inhibited the clinical supervision process were a lack of guidelines, lack of theory amongst students, combined supervision of diploma and degree students, student overcrowding, lack of educational audits, unjustified imaging requests, insufficient clinical teaching knowledge, and inadequate faculty and hospital management supports. Conclusion: Supervising radiographers encounter both facilitating and inhibiting factors in the facilitation of practice-based learning for radiography students. More collaboration amongst key stakeholders and supports are necessary to overcome the challenges identified in this study.