Using the theory of planned behaviour to determine radiation protection among South African diagnostic radiographers: a cross‐sectional survey

Lewis, Shantel; Downing, Charlené; Hayre, Christopher M.

doi:10.1002/jmrs.537

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…Within medical imaging, the TPB has been used to explain variation in the number of intra-oral radiographs acquired in different settings, 11 understand physicians’ use of contrast-enhanced ultrasound imaging, 12 explain variation in imaging referral patterns 12 and explore radiation protection practices. 13 The TPB is therefore an appropriate model to explain actions and behaviours in response to patient safety concerns in ultrasound practice.…”

Section: Methodsmentioning

confidence: 99%

Australian sonographers’ perceptions of patient safety in ultrasound imaging: Part two – translation into practice

et al. 2022

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Introduction: A lack of patient safety research hampers capacity to improve safety in healthcare. Ultrasound is often considered ‘safe’ as it does not use ionising radiation, a simplistic view of patient safety. Understanding sonographers’ actions towards patient safety is crucial; however, self-reported measures cannot always predict behaviour. This study is part of a PhD exploring patient safety in medical diagnostic ultrasound. The aim of this paper is to explore sonographers’ responses to the patient safety concerns identified in Part one of this study. The ultimate aim of the study is to inform the final phase of the doctoral study which will consider the next steps in improving the quality and safety of healthcare experienced by patients. Methods: A qualitative study using semi-structured, one-on-one interviews. The Theory of Planned Behaviour (TPB) explained how sonographers respond to perceived patient safety risks in practice. Results: Thirty-one sonographers were interviewed. Based on the seven themes identified in Part one of the study, results showed that incongruences exist between identifying patient safety risks and the actions taken in practice to manage these risks. Conclusion: The TPB showed that behavioural, normative and control beliefs impact sonographers’ responses to perceived patient safety risks in practice and can lead to risk avoidance. Lack of regulation in ultrasound creates a challenge in dealing with Fitness to Practice issues. Collective actions are required to support sonographers in taking appropriate actions to enhance patient safety from multiple stakeholders including accreditation bodies, regulatory authorities, educational institutions and employers.

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Section: Methodsmentioning

confidence: 99%

Australian sonographers’ perceptions of patient safety in ultrasound imaging: Part two – translation into practice

et al. 2022

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“…However, the first two phases of an explanatory, sequential, mixed-method study reported sub-optimal radiation protection in South Africa, prompting further inquiry [3 , 4] . The study's first quantitative phase [3] found that radiographers showed high intention towards radiation protection, but participants in the second qualitative phase [4] obser ved var ying radiation protection compliance in practice. The deterrents to optimal radiation protection included feeling rushed to complete exams, trauma patients and challenging patients, patients' knowledge of the effect of ionising radiation, imaging referrals, inadequate training and lack of resources and managerial support.…”

Section: Introductionmentioning

confidence: 97%

South African radiography leadership co-constructing radiation protection change ideas

Lewis

Downing

Hayre

2022

Journal of Medical Imaging and Radiation Sciences

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“…5,6 This article forms part of an explanatory, sequential, mixedmethod study 7 that previously added to the existing evidence base. 8 The first quantitative phase used the theory of planned behaviour to explore South African radiographers' radiation protection behaviour. The findings revealed that even though a few respondents use radiation protection, most respondents plan and intend to use radiation protection measures.…”

Section: Introductionmentioning

confidence: 99%

“…The second phase of the study explored the reasons for these results obtained in the first phase of the study. 8…”

Section: Introductionmentioning

confidence: 99%

South African radiographers’ radiation protection practices, a qualitative study

Lewis¹,

Downing

Hayre

2022

Radiography

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Introduction: Radiation protection is multifarious, and consequently, a radiographers' application of radiation protection is multifaceted. Studies have shown varying radiation protection practices among radiographers. The first quantitative phase of this explanatory, sequential mixed-method study used the theory of planned behaviour to explore South African radiographers' radiation protection behaviour. Overall, South African radiographers' attitudes to radiation protection, subjective norm, perceived behavioural control, and radiation protection intention was high. This second phase of the study aimed to explore the reasons for South African radiographers' radiation protection practices. Methods: This study used an exploratory and descriptive qualitative approach. Data was collected through 13 in-depth semi-structured telephone interviews. Thematic analysis was used in order to uncover original phenomena. Data saturation was achieved and the study adhered to trustworthiness and ethical measures. Results: Thematic analysis identified two themes. The participants had the appropriate radiation protection knowledge, but radiation protection compliance remained a personal choice. Impediments such as feeling rushed during imaging of trauma and challenging patients, patients knowledge of radiation protection, resources, imaging referrals, inadequate training when transitioning from analogue to digital radiography and managerial support contributed to radiation protection compliance. Strategies such as further education, research and a change in mindset were suggested to further foster radiation protection compliance. Conclusion: Even though participants' knowledge of radiation protection aligned with the legislated guidelines, limited internalising of the knowledge resulted in compliance being a personal choice. Participants reflected on their insouciant attitude and observed a similar attitude in their radiographer colleagues. Patient and work-related impediments were identified to contribute to radiation protection compliance. Strategies to further foster compliance were suggested. Implications for practice: Understanding the reasons for radiographers' choice in radiation protection will allow the development of strategies that foster optimum application of radiation protection practises. Developing a radiation protection culture that enhances personal compliance supported by education and evidence should be considered.

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Using the theory of planned behaviour to determine radiation protection among South African diagnostic radiographers: a cross‐sectional survey

Cited by 6 publications

References 28 publications

Australian sonographers’ perceptions of patient safety in ultrasound imaging: Part two – translation into practice

Australian sonographers’ perceptions of patient safety in ultrasound imaging: Part two – translation into practice

South African radiography leadership co-constructing radiation protection change ideas

South African radiographers’ radiation protection practices, a qualitative study

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