Challenges, Adaptability, and Confidence of Radiologic Technology Interns in PACS Utilization in Clinical Practice

Abstract

The increasing complexity of diagnostic imaging in healthcare delivery has driven the adoption of advanced technologies, such as the Picture Archiving and Communication System (PACS). While PACS enhances image management and clinical workflow, it also presents technical, usability, instructional, and psychological challenges for student interns. Adaptability plays a key role in enabling students to manage these demands, influencing their confidence and overall performance in clinical practice. This study employed a descriptive-correlational design to examine radiologic technology interns’ perceived challenges, levels of adaptability, and confidence in PACS utilization, as well as the relationships among these variables. Findings revealed that interns experience notable challenges in using PACS, accompanied by low levels of adaptability and confidence. A strong negative relationship was identified between perceived challenges and both adaptability and confidence, indicating that increased challenges are associated with lower adaptability and confidence. Conversely, adaptability and confidence were found to have a strong positive relationship. The study concludes that training-related and psychological challenges significantly affect interns’ adaptability and confidence in PACS use. Addressing these issues through structured training, hands-on practice, and consistent support systems is essential to enhancing students’ competence and confidence. Strengthening these areas can improve clinical performance and better prepare interns to use PACS effectively in professional practice.