Abstract Background Radiation exposure poses health risks for medical professionals in imaging departments. Purpose This study aimed to assess the knowledge, attitudes, and practices (KAP) of diagnostic radiographers regarding radiation exposure and protection. Methods A cross‐sectional study was conducted between June and July 2024 among diagnostic radiographers in Shanghai using convenience sampling knowledge (14 items; score range, 0–28), attitudes (9 items; 9–45), and practices (7 items; 9–45).Correlation analysis and structural equation modeling (SEM) explored relationships between KAP domains. Results A total of 207 valid questionnaires were collected from diagnostic radiographers. The mean scores were: knowledge 19.05 ± 6.61 (possible range: 0–28), attitude 29.97 ± 5.79 (9–45), and practice 30.51 ± 5.47 (9–45). Correlation analysis revealed significant positive correlations between knowledge‐practice ( r = 0.390, p < 0.001) and attitude‐practice ( r = 0.143, p = 0.039). SEM analysis confirmed knowledge directly affected practice ( β = 0.446, p = 0.006), while attitude did not significantly mediate this relationship. Conclusions Radiographers demonstrated insufficient knowledge but moderate attitudes and practices. Based on these findings, tailored education for early‐career radiographers, standardized radiation safety protocols (including clear guidance on protective equipment use), and regular departmental audits may help strengthen radiation safety culture and reduce occupational risks.
Zheng et al. (2026) studied this question.