Abstract

Objective

The aim of this study is to evaluate the effectiveness of radiation safety training developed for nurses working in intensive care units (ICUs).

Materials and Methods

This study was carried out on a total of 144 nurses working in the neonatal and pediatric ICUs of two different hospitals. The radiation safety training developed for the nurses of the ICU for the nurses in the training group (n=62) was given face-to-face in 7 sessions in groups of 8-10 people. The data were collected through the descriptive information form and the radiation safety information form, as well as the observations made by the researcher.

Results

As a result of the observations, the development of protective behaviors against ionized radiation of the nurses in the training group increased significantly both compared to the control group and pre-training case (p<0.05). It was determined that score averages of radiation safety knowledge levels of intensive care nurses in training group increased significantly. In the last observations, it was determined that there was a significant decrease in the use of some personal protective equipment by the nurses in the training group (p<0.05). Over time, a limited decrease was observed in the radiation safety knowledge levels of the nurses in the training group.

Conclusion

It has been concluded that the radiation safety training applied within the scope of the research is an effective method in ensuring the radiation safety of the nurses working in the ICUs. Correct safety practices of employees in ICU units are expected to have a positive impact on patient and employee safety.

Keywords: Nursing, radiation, intensive care unit, training, protection

References

  1. World Health Organization. Communicating radiation risks in paediatric imaging: Information to support health care discussions about benefit and risk. World Health Organization; 2016. p. 11-2. Available from:URL:https://www.who.int/publications/i/item/978924151034
  2. Tang FR, Loganovsky K. Low dose or low dose rate ionizing radiation-induced health effect in the human. J Environ Radioact. 2018;192:32-47.
  3. Vano E, Sanchez RM, Fernandez JM. Strategies to optimise occupational radiation protection in interventional cardiology using simultaneous registration of patient and staff doses. J Radiol Prot. 2018;38:1077-88.
  4. Chang DS, Lasley FD, Das IJ, Mendonca MS, Dynlacht JR. Stochastic, Deterministic, and Heritable Effects (and Some Radiation Protection Basics). Basic Radiotherapy Physics and Biology. 2021:337-48.
  5. Preston DL., Kitahara CM, Freedman DM, Sigurdson AJ, Simon SL, Little MP, et al. Breast cancer risk and protracted low-to-moderate dose occupational radiation exposure in the US Radiologic Technologists Cohort, 1983-2008. Br J Cancer. 2016;115:1105-12.
  6. Azizova TV, Bragin EV, Hamada N, Bannikova MV. Risk of Cataract Incidence in a Cohort of Mayak PA Workers following Chronic Occupational Radiation Exposure. PLoS One. 2016;11:e0164357.
  7. Baselet B, Rombouts C, Benotmane AM, Baatout S, Aerts A. Cardiovascular diseases related to ionizing radiation: The risk of low-dose exposure (Review). Int J Mol Med. 2016;38:1623-41.
  8. Shabani F, Hasanzadeh H, Emadi A, Mirmohammadkhani M, Bitarafan-AR, Abedelahi A, et al. Radiation Protection Knowledge, Attitude, and Practice (KAP) in Interventional Radiology. Oman Med J. 2018;33:141-7.
  9. Ditkofsky N, Shekhani HN, Cloutier M, Chen ZN, Zhang C, Hanna TN. Ionizing Radiation Knowledge Among Emergency Department Providers. J Am Coll Radiol. 2016;13:1044-9.
  10. Carpeggiani C, Kraft G, Caramella D, Semelka R, Picano E. Radioprotection (un)awareness in cardiologists, and how to improve it. Int J Cardiovasc Imaging. 2012;28:1369-74.
  11. Jindal T. The Knowledge of Radiation and the Attitude Towards Radio-Protection among Urology Residents in India. J Clin Diagn Res. 2015;9:JC08-11.
  12. Balsak H, Güneş G, Ulutaşdemir N. Knowledge, Attitude and Behavior of Radiology Professionals about the Harmful Effects of Radiation Which is Used for Diagnosis. 2016;2:31-51.
  13. Jacob K, Vivian G, Steel JR. X-ray dose training: are we exposed to enough? Clin Radiol. 2004;59:928-34.
  14. Alotaibi M, Saeed R. Radiology nurses’ awareness of radiation. Elsevier. 2006;25:7-12.
  15. 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;6:32.
  16. Xie Z, Liao X, Kang Y, Zhang J, Jia L. Radiation Exposure to Staff in Intensive Care Unit with Portable CT Scanner. Biomed Res Int. 2016;2016:5656480.
  17. Divatia JV, Bhowmick K. Complications of endotracheal intubation and other airway management procedures. Indian J Anaesth. 2005;49:308-18.
  18. Ohno K, Kaori T. Effective education in radiation safety for nurses. Radiat Prot Dosimetry. 2011;147:343-5.
  19. Kim O, Kim MS, Jang HJ, Lee H, Kang Y, Pang Y, et al. Radiation safety education and compliance with safety procedures-The Korea Nurses’ Health Study. J Clin Nurs. 2018;27:2650-60.
  20. Morishima Y, Chida K, Katahira Y, Seto H, Chiba H, Tabayashi K. Need for radiation safety education for interventional cardiology staff, especially nurses. Acta Cardiol. 2016;71:151-5.
  21. Needham G, Grimshaw J. Guidelines for healthcare professionals who prescribe imaging investigations involving ionising radiation. European Commission, 2008. p.383-98. Available from: URL:https://www.sergas.es/docs/profesional/boapraticaclinica/rp118.pdf
  22. Valentin J. The 2007 recommendations of the International Commission on Radiological Protection. Ann ICRP. 2007. p.103. Available from: URL:https://icrp.org/docs/ICRP_Publication_103-Annals_of_the_ICRP_37(2-4)-Free_extract.pdf
  23. Bennett GF. International basic safety standards for protection against ionizing radiation of and for the safety of radiation sources. Journal of Hazardous Materials. 1996;45:282.
  24. McGovern PM, Vesley D, Kochevar L, Gershon RRM, Rhame FS, Anderson E. Factors affecting universal precautions compliance. J Bus Psychol. 2000;15:149-61.
  25. Menzel HG, Harrison J. Effective dose: a radiation protection quantity. Ann ICRP. 2012;41:117-23.
  26. Friis RH. Occupational Health and Safety for the 21st Century. Burlington: Jones & Bartlett Publishers; 2014.
  27. Kang J, O’Donnell JM, Colaianne B, Bircher N, Ren D, Smith KJ. Use of personal protective equipment among health care personnel: results of clinical observations and simulations. Am J Infect Control. 2017;45:17-23.
  28. Levin PF. Test of the Fishbein and Ajzen models as predictors of health care workers’ glove use. ResNurs Health. 1999;22:295-307.
  29. Flôr R de C, Gelbcke FL. Radiation protection and the attitude of nursing staff in a cardiac catherization laboratory. Texto & Contexto-Enfermagem. 2013;22:416-22.
  30. Tanrıverdi H, Akova O, Latifoğlu NT. Yenidoğan Yoğun Bakım Ünitelerinde İş Kazaları Riskleri Ve Nedenlerine Yönelik Bir Araştırma. Business & Management Studies: An International Journal. 2015;3:234-60.
  31. Ayatollahi J, Ayatollahi F, Ardekani AM. Occupational hazards to dental staff. Dent Res J (Isfahan). 2012;9:2.
  32. Ünal ES, Geliş K, Baykan P. Investigation of awareness levels about the radiation safety of personnel working in the imaging units of the hospitals in Agri, Turkey. J Radiat Res Appl Sci. 2018;11:111-5.
  33. Azimi H, Majd Teimouri Z, Mousavi S, Kazem Nezhad Leyli E, Jafaraghaee F. Individual protection adopted by ICU nurses against radiation and its related factors. J Holist Nurs. 2018;28:18-25.
  34. Huda W. Radiation doses and risks in chest computed tomography examinations. Proc Am Thorac Soc. 2007;4:316-20.

Copyright and license

Copyright © 2024 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite?

1.
Balsak H, Beşer A. Radiation Safety Practices and Improvement of Knowledge Level in Intensive Care Unit Working Conditions: An Experimental Study on Nurses. Turk J Intensive Care. 2024;22(3):170-179. https://doi.org/10.4274/tybd.galenos.2023.04909