Effect of Structured Training Program on Knowledge Regarding Radiation Safety Practices among Technical and Supporting Staff Handling Portable X-Ray Machines at a Tertiary Care Hospital in Garhwal Region of Uttarakhand
Authors/Creators
- 1. Associate Professor, Department of Radiotherapy & Clinical Oncology, Veer Chandra Singh Garhwali Government Institute of Medical Science & Research, Srinagar, Garhwal, Uttarakhand, India
- 2. Assistant Professor, Department of Medical Oncology, Government ESIC Medical College, Faridabad, Haryana, India
- 3. Senior Resident, Department of Community Medicine, King George's Medical University UP, Ambedkarnagar, Uttar Pradesh
- 4. Assistant Professor, Department of Biochemistry, Government Doon Medical College, Dehradun, Uttarakhand, India
- 5. Professor, Department of Radiation Oncology, Government Doon Medical College, Dehradun, Uttarakhand, India
- 6. Associate Professor, Department of Community and Family Medicine, All India Institute of Medical Sciences (AIIMS), Raebareli, Uttar Pradesh, India
Description
Context: Portable radiography devices are utilized routinely for radiological examinations who are hospitalized, necessitating healthcare workers to possess knowledge and follow radiation safety practices. Aims: The study was conducted to determine the effect of structured training program on knowledge regarding radiation exposure and its preventive measures among technician and supporting staff while working on portable X-ray machines in indoor settings. Subject and Methods: A hospital based cross-sectional study was conducted among radio-technicians, nursing officers and supporting staffs who were directly involved in the process of handling and operation of portable x -ray machine. A pre-tested semi structured questionnaire was administered to all healthcare workers who consented to participate. Radiation safety practices were assessed using observatory checklist. The knowledge and practices were reassessed after three months of structured training program. Statistical analysis used: The difference in pre- and post-training knowledge and practices was assessed using paired t-test, and McNemar’s test was used for paired categorical data analysis. P < 0.05 was considered to be statistically significant. Results: Of 60 subjects enrolled in study, 22 (36.6%) were radio technicians, 20 (33.3 %) nursing officers and 18 (30.0%) were supporting staffs. Baseline knowledge score of radiation hazard and radiation protection was found significantly higher among radio technicians (7.27±2.45) as compared to nursing officer (6.28±2.01) and the supporting staff (5.31±1.20). Post-training knowledge scores were significantly higher among nursing officer and supporting staffs as compared to baseline. Favourable change in practices of supporting staff for use of thyroid shield and lead gloves was observed. Conclusions: Portable radiological examinations did not expose healthcare providers to high doses of ionizing radiation. Nurses’ radiation protection knowledge was limited and hence, they require in-service education programs.
Abstract (English)
Context: Portable radiography devices are utilized routinely for radiological examinations who are hospitalized, necessitating healthcare workers to possess knowledge and follow radiation safety practices. Aims: The study was conducted to determine the effect of structured training program on knowledge regarding radiation exposure and its preventive measures among technician and supporting staff while working on portable X-ray machines in indoor settings. Subject and Methods: A hospital based cross-sectional study was conducted among radio-technicians, nursing officers and supporting staffs who were directly involved in the process of handling and operation of portable x -ray machine. A pre-tested semi structured questionnaire was administered to all healthcare workers who consented to participate. Radiation safety practices were assessed using observatory checklist. The knowledge and practices were reassessed after three months of structured training program. Statistical analysis used: The difference in pre- and post-training knowledge and practices was assessed using paired t-test, and McNemar’s test was used for paired categorical data analysis. P < 0.05 was considered to be statistically significant. Results: Of 60 subjects enrolled in study, 22 (36.6%) were radio technicians, 20 (33.3 %) nursing officers and 18 (30.0%) were supporting staffs. Baseline knowledge score of radiation hazard and radiation protection was found significantly higher among radio technicians (7.27±2.45) as compared to nursing officer (6.28±2.01) and the supporting staff (5.31±1.20). Post-training knowledge scores were significantly higher among nursing officer and supporting staffs as compared to baseline. Favourable change in practices of supporting staff for use of thyroid shield and lead gloves was observed. Conclusions: Portable radiological examinations did not expose healthcare providers to high doses of ionizing radiation. Nurses’ radiation protection knowledge was limited and hence, they require in-service education programs.
Files
IJPCR,Vol16,Issue2,Article248.pdf
Files
(444.4 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:9c7aed949c59e33cea132f363a770346
|
444.4 kB | Preview Download |
Additional details
Dates
- Accepted
-
2024-01-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue2,Article248.pdf
- Development Status
- Active
References
- 1. Nguyen PK, Wu JC. Radiation exposure from imaging tests: is there an increased cancer risk? Expert Rev Cardiovasc Ther. 2011; 9(2):177-83. 2. Dianati M, Zaheri A, Talari HR, Deris F, Rezaei S. Intensive care nurses' knowledge of radiation safety and their behaviors towards portable radiological examinations. Nurs Midwifery Stud. 2014; 3(4):e23354. 3. 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. 4. Vinay T Jadhav, Verendra Kumar Sharma. Knowledge, Attitude and Awareness of Radiation Hazards among Paramedical Staff: A Hospital Based Study. Int J Med Res Prof. 2017; 3(6):446-49. 5. Indukuri S, Easwaramoorthy V. Awareness of Radiation Protection Safety and Hazards among Healthcare Workers and Paramedical Students. International Journal of Science and Research 2021; 10(4):491-515. 6. Rassin M, Granat P, Berger M, and Silner E. Attitude and Knowledge Of Physicians and Nurses About Ionizing Radiation, Journal Of Radiology Nursing 2005; 24: 26-30. 7. Shah AS, Begum N, Nasreen S, Khan A. Assessment of radiation protection awareness levels in medical radiation science technologists-a pilot survey. J Post Med Inst. 2011;21(3):416–22. 8. Alotaibe M, Saeed R. Radiology Nurses Awareness of Radiation, Journal of Radiology Nursing. 2006; l25: 7-12. 9. Mojiri M, Moghimbeigi A.Awareness and attitude of radiographers towards radiation protection, Journal of Paramedical Sciences. 2008; 2: 4-5 10. Alavi SS, Dabbagh ST, Abbasi M, Mehrdad R. Medical radiation workers' knowledge, attitude, and practice to protect themselves against ionizing radiation in Tehran Province, Iran. J Educ Health Promot. 2017; 5;6:58. 11. Kumar V, Kumar Pal A, Ks S, Manikandan R, Dorairajan LN, Kalra S, Kandasamy S, Khan M. Effect of Structured Educational Program on Practices of Radiation Safety Measures Among Health Care Providers in Urology Operation Theater. Cureus. 2021 Jun 20; 13(6):e15765.12. Antunes-Raposo JA, França D, Lima A, Mendonça-Galaio L, Sacadura-Leite EM. Evaluation of personal protective equipment use in healthcare workers exposed to ionizing radiation in a Portuguese university hospital. Rev Bras Med Trab. 2022; 20(2):240-248. 13. Abuzaid MM, Elshami W, Tekin HO (2022) Infection control and radiation safety practices in the radiology department during the COVID-19 outbreak. PLoS ONE 17(12): e0279607. 14. Soye JA, Paterson A. A survey of awareness of radiation dose among health professionals in Northern Ireland. Br J Radiol. 2008; 81:725– 729. 15. Friedman AA, Ghani KR, Peabody JO, Jackson A, Trinh QD, Elder JS. Radiation safety knowledge and practices among urology residents and fellows: results of a nationwide survey. J Surg Educ. 2013; 70:224–231. 16. Quinn AD, Taylor CG, Sabharwal T, Sikdar T.Radiation protection awareness in nonradiologists. Br J Radiol. 1997; 70:102–106. 17. Luntsi G, Ajikolo AB, Flaviuos NB, Nelson L, Nwobi C, et al., (2016) Assessment of Knowledge and Attitude of Nurses towards Ionizing Radiation during Theatre/Ward Radiography. J Nurs Care 5: 342. 18. Vassileva J, Applegate K, Paulo G, Vano E, Holmberg O. Strengthening radiation protection education and training of health professionals: conclusions from an IAEA meeting. J Radiol Prot. 2022 Jan 17; 42(1). 19. Badawy MK, Health M, Deb P (2017) Radiation protection education and training process from classroom to clinics. Conference: 6th International Conference on Education and Training in Radiological Protection at Valencia, Spain. Available from: https://www. researchgate.net/publication/337952300_Radiati on_Protection_Education_And_Training_Proc ess_From_ Classroom_To_Clinics. [Lat accessed on Nov4, 2023]