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Liu X, Liu Y, Xiong P, Guo S, Zhang L, Liao L. The radiation protection behavior of medical workers: A scoping review protocol. PLoS One 2024; 19:e0308479. [PMID: 39106296 DOI: 10.1371/journal.pone.0308479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2024] [Accepted: 07/25/2024] [Indexed: 08/09/2024] Open
Abstract
INTRODUCTION Radiation exposure in medical settings stands as the primary source of artificial radiation, compounded by the yearly rise in healthcare worker numbers. Ensuring radiation protection is crucial for safeguarding their occupational health. Nevertheless, existing studies on radiation protection behavior exhibit considerable heterogeneity due to various factors. OBJECTIVE This scoping review aims to explore the current status of research on radiation protection behavior and identify research gaps, intending to guide future research directions. METHODS AND ANALYSIS The scoping review will follow the Arksey and O'Malley framework and the Joanna Briggs Institute methodology. A systematic search will be conducted across English databases including PubMed, Web of Science, Embase, and Medline, as well as Chinese databases such as CNKI, Wanfang, VIP, and China Biomedical Literature Database. Two independent reviewers will screen the studies based on predefined eligibility criteria and extract the data. Any disagreements will be resolved through discussion by a third reviewer. The review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. STRENGTHS AND LIMITATIONS OF THIS STUDY A stakeholder consultation will provide an opportunity to validate the findings and address any potential gaps in the article. In this scoping review, all types of studies will be considered. The effectiveness of the methodological quality of the included studies will not be reported, which may lead to some studies of poor quality being included. Only studies published in English or Chinese after 2010 will be considered in this review, potentially leading to the omission of relevant papers.
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Affiliation(s)
- Xun Liu
- School of Nursing, University of South China, Hengyang, Hunan Province, China
| | - Yaqing Liu
- School of Nursing, University of South China, Hengyang, Hunan Province, China
| | - Pengyan Xiong
- School of Nursing, University of South China, Hengyang, Hunan Province, China
| | - Sixuan Guo
- School of Nursing, University of South China, Hengyang, Hunan Province, China
| | - Lei Zhang
- School of Nursing, University of South China, Hengyang, Hunan Province, China
- The First Affiliated Hospital of the University of South China, Hengyang, Hunan Province, China
| | - Li Liao
- School of Nursing, University of South China, Hengyang, Hunan Province, China
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Videira S, Rodrigues MA, Silva MVD. Worker's exposure to radiation in fluoroscopy, assessing and instruments: A systematic literature review. Prev Med 2024; 182:107913. [PMID: 38452944 DOI: 10.1016/j.ypmed.2024.107913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Revised: 02/20/2024] [Accepted: 02/20/2024] [Indexed: 03/09/2024]
Abstract
This review aims to identify and analyze the instruments employed for assessing the overall performance of workers exposed to fluoroscopy during surgical procedures and/or interventional procedures, using the PRISMA methodology. The studies were located through searches conducted on PubMed, Web of Science, Lilacs, ScienceDirect, B-ON, EBSCOhost, and EBSCO Discovery Service on March 27, 2023. Additional studies were identified using backward and forward citation techniques. The PEO strategic model was followed. The search spanned studies published between 2012 and 2022. The quality of the studies underwent assessment using the Joanna Briggs Institute checklist for analytical cross-sectional studies. Out of the 23 studies identified, encompassing 3604 individuals, 12 (52%) addressed the reliability and/or validity of the instruments, while 3 (13%) focused on the development and psychometric testing of the instruments. Only 5 instruments (23%), validated and reliable, exclusively evaluated occupational radiological protection. The predominant dimension covered was knowledge (82%, n = 19). The population was assessed in 18 studies, pre- and post-intervention in 2 studies, and 21 studies provided recommendations or tools for improvement. Individuals in the studies utilized passive dosimeters (ranging from 5% to 98%), thyroid shields (15% to 98%), and aprons or lead skirts/coats (28% to 99%). The evidence quality was moderate (6/8). This study underscores the imperative to enhance compliance with protective and monitoring equipment. Furthermore, additional information is warranted concerning the validity and reliability of the instruments used, as well as the development of instruments that are both valid and reliable.
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Affiliation(s)
- Sara Videira
- Environmental Health Department/ESS, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, Portugal; Department of Radiology, Hospital de Santo António, Centro Hospitalar Universitário de Santo António (CHUdSA), Porto, Portugal
| | - Matilde A Rodrigues
- Environmental Health Department/ESS, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, Portugal; TBIO, ESS, Polytechnic of Porto, Portugal
| | - Manuela V da Silva
- Environmental Health Department/ESS, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, Portugal; REQUIMTE/LAQV, ESS, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, Portugal; LAB ITR/EPIUnit, ISPUP, Universidade do Porto, Porto, Portugal.
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Baudin C, Vacquier B, Thin G, Chenene L, Guersen J, Partarrieu I, Louet M, Ducou le Pointe H, Mora S, Verdun-Esquer C, Lestavel P, Rousseau F, Roy H, Bensefa-Colas L, Boyer L, Bernier MO. Radiation protection in a cohort of healthcare workers: knowledge, attitude, practices, feelings and IR-exposure in French hospitals. JOURNAL OF RADIOLOGICAL PROTECTION : OFFICIAL JOURNAL OF THE SOCIETY FOR RADIOLOGICAL PROTECTION 2024; 44:021507. [PMID: 38569480 DOI: 10.1088/1361-6498/ad39f7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 04/03/2024] [Indexed: 04/05/2024]
Abstract
The number of healthcare workers occupationally exposed to ionizing radiation (IR) is increasing every year. As health effects from exposure to low doses IR have been reported, radiation protection (RP) in the context of occupational activities is a major concern. This study aims to assess the compliance of healthcare workers with RP policies, according to their registered cumulative dose, profession, and perception of radiation self-exposure and associated risk. Every healthcare worker from one of the participating hospitals in France with at least one dosimetric record for each year 2009, 2014, and 2019 in the SISERI registry was included and invited to complete an online questionnaire including information on the worker's occupational exposure, perception of IR-exposure risk and RP general knowledge. Hp(10) doses were provided by the SISERI system. Multivariate logistic regressions were used. Dosimeter wearing and RP practices compliance were strongly associated with 'feeling of being IR-exposed' (OR = 3.69, CI95% 2.04-6.66; OR = 4.60, CI95% 2.28-9.30, respectively). However, none of these factors was associated with RP training courses attendance. The main reason given for non-compliance is unsuitability or insufficient numbers of RP devices. This study provided useful information for RP policies. Making exposed workers aware of their own IR-exposure seems to be a key element to address in RP training courses. This type of questionnaire should be introduced into larger epidemiological studies. Dosimeter wearing and RP practices compliance are associated to feeling being IR-exposed. RP training courses should reinforce workers' awareness of their exposure to IR.
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Affiliation(s)
- Clémence Baudin
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-SANTE/SESANE/LEPID, BP 17, F-92260 Fontenay-aux-Roses, France
| | | | - Guillemette Thin
- Service de médecine du travail, Hôpital Cochin, AP-HP, Paris, France
| | - Lamine Chenene
- Service central de santé au travail, AP-HP, Paris, France
| | - Joël Guersen
- CHU de Clermont-Ferrand, Clermont-Ferrand, France
| | | | - Martine Louet
- Service de médecine du travail, Hôpital Pitié Salpêtrière, AP-HP, Paris, France
| | | | - Stéphanie Mora
- Service de médecine du travail, CHU de Bordeaux, Bordeaux, France
| | | | - Philippe Lestavel
- Bureau d'Analyse et de Suivi des Expositions Professionnelles, Institut de radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, France
| | - Frédéric Rousseau
- Bureau d'Analyse et de Suivi des Expositions Professionnelles, Institut de radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, France
| | - Hervé Roy
- Bureau d'Analyse et de Suivi des Expositions Professionnelles, Institut de radioprotection et de Sûreté Nucléaire, Fontenay-aux-Roses, France
| | | | - Louis Boyer
- CHU de Clermont-Ferrand, Clermont-Ferrand, France
| | - Marie-Odile Bernier
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-SANTE/SESANE/LEPID, BP 17, F-92260 Fontenay-aux-Roses, France
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Jang SY, Kim HS, Jeong SH, Kim YM. [Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis]. J Korean Acad Nurs 2023; 53:222-235. [PMID: 37164349 DOI: 10.4040/jkan.22099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 02/27/2023] [Accepted: 03/30/2023] [Indexed: 05/12/2023]
Abstract
PURPOSE The aim of this study was to identify the factors explaining protective behaviors against radiation exposure in perioperative nurses based on the theory of planned behavior. METHODS This was a cross-sectional study. A total of 229 perioperative nurses participated between October 3 and October 20, 2021. Data were analyzed using SPSS/WIN 23.0 and AMOS 23.0 software. The three exogenous variables (attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control) and two endogenous variables (radiation protective intention and radiation protective behaviors) were surveyed. RESULTS The hypothetical model fit the data (χ²/df = 1.18, SRMR = .02, TLI = .98, CFI = .99, RMSEA = .03). Radiation protective intention (β = .24, p = .001) and attitude toward radiation protective behaviors (β = .32, p = .002) had direct effects on radiation protective behaviors. Subjective norm (β = .43, p = .002) and perceived behavior control (β = .24, p = .003) had direct effects on radiation protective intention, which explained 38.0% of the variance. Subjective norm (β = .10, p = .001) and perceived behavior control (β = .06, p = .002) had indirect effects via radiation protective intention on radiation protective behaviors. Attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control were the significant factors explaining 49.0% of the variance in radiation protective behaviors. CONCLUSION This study shows that the theory of planned behavior can be used to effectively predict radiation protective behaviors in perioperative nurses. Radiation safety guidelines or education programs to enhance perioperative nurses' protective behaviors should focus on radiation protective intention, attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control.
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Affiliation(s)
- Se Young Jang
- Department of Nursing, Jeonbuk National University Hospital, Jeonju, Korea
| | - Hee Sun Kim
- College of Nursing·Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea.
| | - Seok Hee Jeong
- College of Nursing·Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea
| | - Young Man Kim
- College of Nursing·Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea
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Kawooya MG, Kisembo HN, Malumba R, Nsereko E. Effectiveness of clinical imaging guidelines to reduce inappropriate head computed tomography imaging: a case of Uganda. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2022. [DOI: 10.1186/s43055-022-00833-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Clinical imaging guidelines (CIGs) have been demonstrated to reduce inappropriate diagnostic imaging. There is insufficient evidence for CIG effectiveness to reduce inappropriate imaging in Africa. We assessed the effectiveness of CIGs training and implementation to reduce inappropriate diagnostic imaging at Mengo Hospital, Uganda.
Methods
A clinical audit of head CT examinations was conducted at Mengo Hospital. A baseline review of 262 requisitions was done to determine the level of appropriateness for imaging requisitions. We also determined the baseline knowledge level on radiation protection (RP) and CIG use among 15 referrers. We trained these referrers on RP, awareness and use of CIGs and uploaded the iGUIDE onto their smart phones and computer work stations for use. This was followed by a post-intervention assessment where we reviewed 154 requisitions to determine the level of appropriateness. We also assessed the post-intervention knowledge level on radiation protection (RP) and CIG use among the referring clinicians.
Results
We found 53% and 47% levels of inappropriate head CT requisitions for pre- and post-intervention, respectively. At pre-intervention, we found a 73% level of knowledge on radiation protection and CIGs use while we found a 93% at post-intervention assessment among referrers.
Conclusions
Implementation and training referring clinicians on CIGs are effective in reducing inappropriateness of head CT requisitions.
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Chaudhary N, Turner J. Response to: Occupational radiation exposure to the lens of the eye in interventional radiology. J Med Imaging Radiat Oncol 2022; 66:641-642. [PMID: 35765170 DOI: 10.1111/1754-9485.13453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Bárdyová Z, Horváthová M, Pinčáková K, Budošová D. The importance of public health in radiology and radiation protection. J Public Health Res 2021; 10:2141. [PMID: 33709644 PMCID: PMC8239619 DOI: 10.4081/jphr.2021.2141] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Accepted: 02/24/2021] [Indexed: 11/23/2022] Open
Abstract
The ionizing radiation belongs to the basic physical factors that can be measured. We forget often about its risks and the possible damage to our health. The imaging methods which use the ionizing radiation increase the diagnostics quality and they have become a certainty for many medical workers. Therefore, they are being used without rational thinking many times. With this is related to increasing the cumulative dose of patients. Next problem can be radiation safety knowledge of medical workers. The enormous increase in the use of sources ionizing radiation in medicine and rapid development, there may be a disproportionate acquisition of radiation safety knowledge of healthcare workers. At the same time, constant attention must be paid to the biological effects of radiation and realize epidemiology studies. In all the areas mentioned the public health has space. However, it is sad that presently, the radiation safety is not considered important enough in Public Health. Based on many sources, it is safe to say that this is a major problem, because the public health itself can play an important role in radiation safety. It is important to point out, that safety and effectivity of using the source of ionizing radiation is one of the main components of Good Medical Practice.
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Affiliation(s)
- Zuzana Bárdyová
- Faculty of Health and Social Care, Trnava University in Trnava.
| | | | | | - Darina Budošová
- Faculty of Health and Social Care, Trnava University in Trnava.
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