Evaluation of Knowledge, Attitude and Practice of Personnel in Operating Room, ERCP, and ESWL Towards Radiation Hazards and Protection

Abstract

Background: Recently, X-rays radiation hazards rise with the exposure of patients and personnel. Exposure of people to radiation in the operating rooms is an important problem to study the safety of personnel and patients. To date, few studies are accomplished to evaluate knowledge, attitude, and practice (KAP) among personnel in hospitals. The current study aimed at evaluating KAP level of radiation hazards and protection amongst personnel in the operating room. Methods: A questionnaire-based, cross sectional study was conducted in 11 provinces of Iran from 2014 to 2015. Respondents in the current study were 332 personnel of operating room, endoscopic retrograde cholangiopancreatography, and extracorporeal shockwave lithotripsy. Demographic characteristics, as well as knowledge, attitude, and practice levels of operating room personnel were collected. The selected hospitals were 3 types (educational, non-educational, and private clinics) located in 5 different regions of Iran (Tehran, Center, East, North, and West). Data were analyzed using SPSS version 16.0 and statistical analyses were accomplished with the one-way ANOVA. Results: The current study results showed no statistically significant difference in the KAP level of operating room personnel towards radiation protection for both genders (P = 0.1), time since graduation (P = 0.4), and work experience (P = 0.1). According to the analyses, the highest level of KAP concerning radiation protection was observed in the personnel of private clinics (mean score = 53.60) and the lowest value was observed in non-educational hospitals (mean score = 45.61). Besides, the KAP level was significantly higher in the Northern region (P < 0.0001) and the lowest was observed in the hospital personnel of the Central region (mean score = 34.27). Conclusions:The current study findings showed that the level of KAP regarding radiation protection among operating room personnel was inadequate and it is necessary to pay attention to the principles of radiation protection in the operating room. In this regard, holding courses on radiation protection and an elaborate educational program might be useful.

Radiation Protection Capability of Operating Room Personnel: Development and Psychometric Properties of a Questionnaire

“…Also, reliability was evaluated by test-retest method that the Pearson's correlation coefficient was 0.81. This instrument was appropriate for radiology ward but was not sufficient and relevant to measure radiation protection in the operating room field [20][21][22].…”

“…In stage one, the items were extracted through literature review, including the national and international guidelines [7,8,26], books [27,28] and related articles within the past 10 years [1,[9][10][11][12][13][17][18][19][20][21][22][23][24][25]. Then the selected items were evaluated by the panel of experts.…”

“…Also, few studies were about radiation protection capability while considering the patient safety against radiation [13,16]. Moreover, the most of the available questionnaires about radiation protection were designed to be used in radiology wards and they are not appropriate and adequate to be used in the operating room, where the sterility rules and some other principles influence radiation protection acts [17][18][19][20][21][22][23][24][25]. Thus, working situation and professional duties related to the application of radiation in the operating room ward are different from radiology ward, and are not even similar in the type of radiation generating devices, physical environment, and individuals' knowledge about physics of radiation [7,8,26,27].…”

Radiation Protection Literacy and Its Associated Factors Among Healthcare Workers in Negeri Sembilan

“…Open Access: e-Journal among healthcare workers has been studied in several countries in term of knowledge, attitude and practice. There is study which concluded that the level of KAP regarding radiation protection among healthcare worker was inadequate (Moshfegh et al, 2017). Simultaneously, a study by Sharma et al, (2016) concluded that there is 'knowledge-practice gap' on the use of personal protective devices among radiographers.…”

Assessment of Adaptive Response of Gamma Radiation in the Operating Room Personnel Exposed to Anesthetic Gases by Measuring the Relative Gene Expression Changes Ku80, Ligase1 and P53

“…Occupational exposure of individuals to ionizing radiation in the operating rooms is a serious concern for the safety of personnel and patients. The adverse biological effects of ionizing radiation vary based on the duration of exposure, which generally increases the risk of cancer [5]. Invasive cardiologists are the most exposed to ionizing radiation among health professionals and subsequently lead to an increase in the rate of their somatic DNA damage [6].…”