Attitudes and perceptions of radiographers applying lead (Pb) protection in general radiography: An ethnographic study

Hayre, Christopher M.; Blackman, Shane; Carlton, Kevin; Eyden, Alison

doi:10.1016/j.radi.2017.07.010

Cited by 24 publications

(15 citation statements)

References 12 publications

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“…A situation was highlighted by Hayre et al in the United Kingdom where radiographers, in some instances, would follow their own beliefs and myths or word of mouth from colleagues while applying radiation safety measures instead of applying evidence-based research. 25 Other factors cited by some participants were difficulties in the use of some of radiation safety materials: in terms of a lead rubber apron, MITs claimed some patients refuse to put it on as they claim it is too heavy; lead rubber gloves are too rigid and heavy, making it impossible to work while wearing them; lead rubber gloves limit touch sensitivity and restrict hand movement, a fact also highlighted by Kayan et al 26 ; lead equivalent eye goggles are found to be uncomfortable for the wearer. A gonadal shield for use on patients was cited as difficult to use due to size and design, an assertion supported by Warlow et al, when they question the design of a gonad shield especially for female patients as it can potentially lead to a repeat exposure.…”

Section: Use Of Radiation Safety Equipment and Techniquesmentioning

confidence: 99%

Investigation of radiation protection and safety measures in Rwandan public hospitals: Readiness for the implementation of the new regulations

Maina

Motto

Hazell

2020

Journal of Medical Imaging and Radiation Sciences

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Background: An essential concept that all radiographers are required to implement is the use of techniques and the provision of protective devices to minimize radiation to patients and staff. Methods to achieve this could include good communication, immobilization, beam limitation, justification for radiation exposure, shielding, appropriate distances and optimum radiographic exposures factors.Purpose: The aim of this study was to assess the availability and utilization of radiation protection and safety measures by medical imaging technologists (MITs) in Rwandan hospitals.Methods: A quantitative, non-experimental descriptive design was used and data collected by means of a self-designed questionnaire. One hundred and sixteen MITs (n ¼ 116) representing 96.67% of the total population participated in the study. Results:The study found radiation safety measures were not adequately implemented in government hospitals. Only 58.62% of MITs had radiation-measuring devices, with 29% receiving dose readings inconsistently. Lead rubber aprons were available at 99.13% of the hospitals; however, 59% of the participants had never checked the integrity of the aprons. Lead rubber aprons and lead equivalent barriers were most prevalent in the facilities.Contributors: First author contributed to the conception of the work, the acquisition, analysis of the data and drafting of the paper. Second and third authors were involved in formulation and commenting on the paper and have approved the final version. Funding: This study did not receive any funding.

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Section: Use Of Radiation Safety Equipment and Techniquesmentioning

confidence: 99%

Investigation of radiation protection and safety measures in Rwandan public hospitals: Readiness for the implementation of the new regulations

Maina

Motto

Hazell

2020

Journal of Medical Imaging and Radiation Sciences

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“…While exploring MRWs' perceptions of RPGs, it was found that their own attitudes influenced their behaviour towards RPG use, where individuals implement their own values resulting in a dichotomy of practice [38]. In addition, another study found that the theory-practice gap in radiation protection was caused by individual and group characteristics, as well as social influences [39].…”

Section: Discussionmentioning

confidence: 99%

Perceptions on radioprotective garment usage and underlying reasons for non-adherence among medical radiation workers from public hospitals in a middle-income Asian setting: A qualitative exploration

Ridzwan

Bhoo-Pathy

Isahak

et al. 2019

Heliyon

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BackgroundRadioprotective garments protect medical radiation workers from exposure to radiation at workplace. However, previous studies have found poor adherence to the use of radioprotective garments.ObjectivesWe explored the perceptions and practices related to the use of radioprotective garments among medical radiation workers in public hospitals, and sought to understand the reasons for non-adherence.Design and settingA qualitative approach was applied by conducting face-to-face in-depth interviews with 18 medical radiation workers from three university hospitals using a semi-structured interview guide.ResultsFive themes emerged with respect to perceptions on the use of radioprotective garments: (i) the dilemmas in practising radiation protection, (ii) indication of workers' credibility, (iii) physical appearance of radioprotective garments, (iv) practicality of radioprotective garment use, and (v) impact on workflow. Actual lack of radioprotective garment use was attributed to inadequate number of thyroid shield and other garments, radioprotective garments' unsightly appearance including being dirty and defective, impracticality of using radioprotective garments for some nuclear medicine procedures, disruption of workflow because of workers’ limited movements, attitudes of workers, and organisational influences.ConclusionMedical radiation workers demonstrated a definitive practice of using radioprotective aprons, but often neglected to use thyroid shields and other garments. Availability and hygiene are reported as the core issues, while unclear guidelines on practical use of radioprotective garments appear to lead to confusion among medical radiation workers. To the best of our knowledge, this is the first qualitative study of its kind from a middle-income Asian setting.

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“…The quality assurance program and regular audits could explore the application of radiation protection measures supported by reflections linked to evidence-based research (Hayre et al, 2018). The exposure of the worker to the 635 different types of workloads, in the case of physical load radiodiagnosis, reflects deficits in the health work processes, whose activities are characterized by close contact with the patient, heavy and labor intensive manipulation of weights and routines, which directly implies the guarantee of service quality (de Lima Santana et al, 2016).…”

Section: Discussion:-mentioning

confidence: 99%

Evaluation of the Management of Hospital Radiological Protection.

Huhn¹,

Pen²

2019

IJAR

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Attitudes and perceptions of radiographers applying lead (Pb) protection in general radiography: An ethnographic study

Cited by 24 publications

References 12 publications

Investigation of radiation protection and safety measures in Rwandan public hospitals: Readiness for the implementation of the new regulations

Investigation of radiation protection and safety measures in Rwandan public hospitals: Readiness for the implementation of the new regulations

Perceptions on radioprotective garment usage and underlying reasons for non-adherence among medical radiation workers from public hospitals in a middle-income Asian setting: A qualitative exploration

Evaluation of the Management of Hospital Radiological Protection.

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