Korean J Adult Nurs.  2016 Dec;28(6):680-690. 10.7475/kjan.2016.28.6.680.

Factors Affecting Radiation Protection Behaviors among Operating Room Nurses

• Kim J
• Kim JS
• Kim H

• KMID: 2369085
• DOI: http://doi.org/10.7475/kjan.2016.28.6.680

Abstract

PURPOSE
This study was designed to identify knowledge, attitude, environment, and self-efficacy among perioperative nurses in terms of radiation protection and to describe those factors affecting radiation protection behaviors.
METHODS
The sample was comprised of 128 perioperative nurses who agreed to participate in this descriptive study. Data were collected from a self-administered questionnaire and were analyzed using the t-test, analysis of variance, Mann-whitney U test, Kruskal-Wallis test, Pearson's correlation, and multiple regression analyses.
RESULTS
Radiation protection behaviors were significantly different by participant's gender, length of career as a perioperative nurse, educational level and prior experience with radiation protection education. Radiation protection behaviors were significantly correlated with radiation protection environment and self-efficacy in terms of radiation protection behaviors. In the multiple linear regression models, radiation protection environment and self-efficacy on radiation protection behaviors were statistically significant predictors of radiation protection behaviors, which accounted for 50.3% of variance in dependent variable.
CONCLUSION
This study concluded that radiation protective environment in operating room is important to promote radiation protective behaviors and radiation safety management program to enhance self-efficacy is highly recommended.

MeSH Terms

Education
Linear Models
Operating Rooms*
Radiation Protection*
Safety Management

Reference

1. Heron JL, Padovanib R, Smith I, Czarwinski R. Radiation protection of medical staff. Eur J Radiol. 2010; 76:20–23. DOI: 10.1016/j.ejrad.2010.06.034.

2. Lee W. Current status of medical radiation exposure and regulation efforts. J Korean Med Assoc. 2011; 54(12):1248–1252. DOI: 10.5124/jkma.2011.54.12.1248.

3. Korea Centers for Disease Control and Prevention. Occupational radiation exposure in diagnostic radiology in Korea. 2014 Report. Cheongju: 2015. Author.

4. Association of. AORN] Recommended Practices Committee. Recommended practices for reducing radiological exposure in the perioperative practice setting. AORN J. 2007; 85(5):989–990. 992–1002.

5. Chaffins JA. Radiation protection and procedures in the OR. Radiol Technol. 2008; 79(5):415–428.

6. International Commission on Radiological Protection. 1990 Recommendations of the International Commission on Radiological Protection. ICRP Publication 60. Ann ICRP. 1991; 21(1-3):

7. International Commission on Radiological Protection. Education and training in radiological protection for diagnostic and interventional procedures. ICRP Publication 113. Ann ICRP. 2009; 39(5):

8. Bai SJ, Lee KY. Risk factors and safety measures in the operation room. J Korean Med Assoc. 2011; 54(7):730–736. DOI: 10.5124/jkma.2011.54.7.730.

9. Choi DY, Ko SJ, Kang SS, Kim CS, Kim JH, Kim DH, et al. Analysis of dose reduction of surrounding patients in portable X-ray. J Korean Soc Radiol. 2013; 7(2):113–120. DOI: 10.7742/jksr.2013.7.2.113.

10. Mohapatra A, Greenberg RK, Mastracci TM, Eagleton MJ, Thornsberry B. Radiation exposure to operating room personnel and patients during endovascular procedures. J Vasc Surg. 2013; 58(3):702–709. DOI: 10.1016/j.jvs.2013.02.032.

11. Kim JW, Kim JJ. Radiation exposure to the orthopaedic surgeon during fracture surgery. J Orthop Assoc. 2010; 45:107–113. DOI: 10.4055/jkoa.2010.45.2.107.

12. The Board of Audit and Inspection of Korea. Audit and inspection report of current status of radiation safety management. Seoul: Author;2014.

13. Han EO. A protective behavior model against the harmful effects of radiation for radiological technologists in medical centers. [dissertation]. Seoul: Ewha Womans University;2009. 1–145.

14. Kim JH, Ko SJ, Kang SS, Choi SY, Kim CS. Analysis of radiation/radioactivity-related knowledge, perception and behaviors of radiological technologists. J Radiol Sci Technol. 2011; 34(2):123–129.

15. Yoon JA, Yoon YS. Comparing with self-efficacy and knowledge, attitudes about radiation safety management of dental hygienists and students at department of dental hygiene. J Korean Soc Dent Hyg. 2011; 11(5):729–739.

16. Han EO, Jun SH. Relationship between knowledge, attitude, behavior, and self-efficacy on the radiation safety of dental hygienist. J Radiat Ind. 2008; 2(4):185–192.

17. Dianati M, Zaheri A, Talari HR, Deris F, Rezaei S. Intensive care nurses' knowledge of radiation safety and their behaviors towards potable radiological examinations. Nurs Midwifery Stud. 2014; 3(4):e23354. DOI: 10.17795/nmsjournal23354.

18. Dauer LT, Kelvin JF, Horan CL, St Germain J. Evaluating the effectiveness of a radiation safety training intervention for oncology nurses: a pretest - intervention - posttest study. BMC Med Educ. 2006; 6(1):1–10. DOI: 10.1186/1472-6920-6-32.

19. Flôr RC, Gelbcke FL. Radiation protection and the attitude of nursing staff in a cardiac catherization laboratory. Texto Contexto(Enferm). 2013; (2):416–422. DOI: 10.1590/S0104-07072013000200018.

20. Hong SM, Shin SH. Factors influencing endoscopy nurses' protective behavior against radiation exposure. J Korean Clin Nurs Res. 2014; 20(2):177–188.

21. Kang SG, Lee EN. Knowledge of radiation protection and the recognition and performance of radiation protection behavior among perioperative nurses. J Muscle Joint Health. 2013; 20(3):247–257. DOI: 10.5953/JMJH.2013.20.3.247.

22. Yoon JA, Yoon YS. A survey about the knowledge, attitudes and behavior for radiation safety management of operating room nurse and dental hygienists. J Korean Soc Dent Hyg. 2014; 14(2):230–239.

23. Jeong KW, Jang HJ. Relationship between knowledge and performance of radiation protection among operating room nurses. Int J Biosci Biotechnol. 2016; 8(1):275–284. DOI: 10.14257/astl.2015.116.14.

24. Bandura A. Perceived self-efficacy in cognitive development and functioning. Educ Psychol. 1994; 28(2):117–148.

25. Ha RM, Park CJ, Kim MJ, Ra SJ, Chon HS, Shin HM, et al. Awareness about radiation exposure among operating room nurses. J Korean Assoc Oper Room Nurs. 2012; 20(1):62–78.

26. Riggs ML, Knight PA. The impact of perceived group successfailure on motivational beliefs and attitudes: a casual model. . J Appl Psychol. 1994; 79:755–766.

27. International Commission. Pregnancy and medical radiation. ICRP Publication 84. Ann ICRP. 2000; 30(1):1–43.

28. Sheyn DD, Racadio JM, Ying J, Patel MN, Racadio JM, Johnson ND. Efficacy of a radiation safety education initiative in reducing radiation exposure in the pediatric IR suite. . Pediatr Radiol. 2008; 38:669–674. DOI: 10.1007/s00247-008-0826-9.

29. Heo YJ, Kim KT, Cho CH, Kang SM, Park JK, Kang SS, et al. Measurement of comparison to scattering dose space according to the presence or absence of protective clothing in the Xray room. J Korean Soc Radiol. 2012; 6(4):313–320.

30. Han YY, Park CS, Chu MS. Correlations among meta cognition, critical thinking and self-efficacy of nursing students studying through problem based learning (PBL). J Korean Acad Community Health Nurs. 2007; 18(1):146–155.