Role Extension to Film Reporting: How Compliant Are Radiographers in the South Eastern Nigeria?

Background: Role extension in radiography, particularly participation in image interpretation and film reporting, has been adopted in several healthcare systems to improve service delivery and address workforce shortages. In Nigeria, radiographers increasingly undertake extended roles, yet the level of compliance with film reporting practices and the contexts in which these roles are performed remain insufficiently documented. Objective: This study aimed to evaluate the extent of radiographers’ involvement in X-ray film reporting as part of role extension and to assess patterns of compliance among practicing radiographers in South-Eastern Nigeria. Methods: A cross-sectional survey design was employed. Data were collected using a structured, self-administered questionnaire distributed electronically to practicing radiographers who met predefined inclusion criteria. The questionnaire assessed demographic characteristics, training in image interpretation, involvement in film reporting, practice setting, and perceptions of role extension. Data were analyzed using the Statistical Package for Social Sciences (SPSS), and results were summarized using descriptive statistics. Results: Findings revealed that a proportion of radiographers were actively involved in X-ray film reporting, with higher participation observed in private healthcare facilities compared to public institutions. Involvement was more common among radiographers who had received formal or informal training in image interpretation. However, variability in compliance with structured reporting practices and institutional support was identified. Conclusion: Radiographers in South-Eastern Nigeria demonstrate growing involvement in film reporting as part of role extension, particularly in private practice. Structured training, professional recognition, and policy support are recommended to strengthen compliance and ensure safe, standardized implementation of extended reporting roles.