Introduction: Radiological engineers play a key role in identifying injuries through imaging examinations, which allows for timely intervention. It is important that they are trained to recognize injuries, understand the legislation, and know how to respond. Their decision-making is hindered by insufficient education on the subject of child physical abuse, fear, and misconceptions about the responsibility of other professionals. Therefore, they need access to education, support, and clear protocols. Objective: This master’s thesis aimed to explore the awareness, challenges, and experiences of radiological engineers with physically abused children. We encouraged professional education and conducted surveys before and after the intervention, a pilot interview, interviews with Erasmus radiological technology students from European universities, two lecturers from Dublin and London, and a police officer from Ljubljana. Based on the collected literature, we aimed to prepare a draft protocol for imaging in cases of physical abuse. Methods: The theoretical part is based on an analysis of legislation and existing literature. The empirical part includes qualitative interviews with experts from abroad and Slovenia, an educational intervention, and surveys. To provide a more comprehensive insight, methodological triangulation was used, ensuring the ethical conduct of the study. Results: We found that in clinical practice, radiological engineers lack additional education on recognizing injuries in cases of child physical abuse and imaging protocols. The pilot interview indicated the need for multidisciplinary collaboration and education. International students reported limited experience with children suspected of physical abuse and differences in protocols in cases of suspected such events. Professional education for radiological engineers within the Slovenian Radiological Engineers Association improved their knowledge and confidence. The interview with a criminal investigator emphasized the legal obligation to report and the importance of collaboration. Radiological engineers highlighted the significance of documentation, injury assessment, and their active role. Discussion and Conclusion: The study confirms the need for standardized protocols, additional education, and enhanced collaboration among professionals. Effective intervention requires systemic support, legal changes, and a culture that prioritizes child protection.
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