Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Paper Operration room nurses Experience in Using Radiation Suegery: Phenomenological Research

수술실 간호사의 방사선 노출 경험: 현상학적 연구

  • 윤재현 (부산가톨릭대학교 간호학과)
  • Received : 2019.10.21
  • Accepted : 2020.01.03
  • Published : 2020.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to identify the components of the nurses' exposure experiences and clarify the semantic structure of nurses by analyzing the participants' experiences of exposure to radiation. The participants in this study were nine nurses who worked for at least six months in the operating room of a City General Hospital. The data were collected using in-depth interviews and analyzed using the phenomenological method by Giorgi's (2004). As a result, six components were derived: "worrying about the disease by repeated radiation exposures", "exhausting physically and mentally," "trying to protect themselves against radiation exposure", "feeling of internal confusion and conflict", "demanding improvement of work environment", and "accepting and adapting to reality". In conclusion, nurses participating in radiation exposure surgery are concerned about the possibility of disease, experience physical and mental fatigue, and then consider changing their occupation. On the other hand, they try to accept and adapt to reality by considering the possibility of a job change or trying to protect themselves from the harsh environment. To develop a radiologically safe environment, systematic and effective resolutions must be secured at the organizational level.

본 연구의 목적은 방사선 노출 경험을 참여자의 관점에서 확인함으로써 수술실 간호사의 방사선 노출 경험에 대한 구성요소를 확인하고 의미구조를 밝히는 데 있다. 연구의 참여자는 일 광역시 종합병원 수술실에서 근무하는 간호사로 수술실 경력이 6개월 이상인 자 9명을 대상으로 하였다. 심층면담으로 자료를 수집하였고, Giorgi(2004)의 현상학적 분석 방법으로 분석하였다. 연구 결과 수술실 간호사의 방사선 노출 경험은 "반복되는 방사선 노출로 질환 발생을 걱정함", "육체적, 정신적으로 소진됨", "방사선 방어를 통해 자기보호를 하고자 노력함", "내적 혼란과 갈등을 느낌", "근무환경 개선을 요구함", "현실을 받아들이고 적응함"의 6개 구성요소로 도출 되었다. 결론으로 이들의 경험은 방사선 노출 수술에 참여하면서 질환 발생을 걱정하고 방사선 피폭과 관련된 신체적, 정신적 소진을 경험하고 갈등을 느끼면서 이직을 고려하기도 하지만 자기보호를 하고자 노력하고 현실을 받아들이고 적응하는 과정을 보였다. 본 연구결과의 바탕으로 방사선 안전 환경조성을 위해서는 조직적 차원에서 체계적으로 구체적인 해결 방법을 모색하는 것이 바람직하다고 볼 수 있다.

Keywords

References

  1. Ministry of food and dryg safety, Personal Exposure Dose Yearbooks for Radiation Workers in 2011, Radiation Safety Management Series, 33, 2012.
  2. P. Auguste, P. Baton, C. Hyde, T. E. Robert, "An economic evaluation An economic evaluation of positron emission tomography(PET) and positron emission tomography/ computed tomography(PET/CT) for the diagnosis of breast cancer recurrence", Health technology assessment, Vol.15, No.18, pp.1-54, 2011. DOI: https://doi.org/10.3310/hta15180
  3. J. G. Lee, Current Issues and Future-oriented Development of Korean Radiation Protection. 5th Radiation Safety Symposium, pp.41-49, 2006.
  4. M. Tufail, "Radium equivalent activity in the light of UNSCEAR report". Springer natur, pp.663-5667, 2012. DOI: https://doi.org/10.1007/s10661-011-2370-6
  5. E. M. Nelson, S. M. Monazzam, K. D. Kim, J. A. Siebert, E. O. Klineberg, "Intraoperativ fluoroscopy, portable X-ray, and computed tomography:Patient and operating room personnel radiation exposure in spinal surgery", The Spine Journal, Vol.15, No.4, pp.799-800, 2014. DOI: https://doi.org/10.1016/j.spinee.2014.12.022
  6. M. wegner, C. Duwenkamp, Ludwig, W. Dresing, K, O. J. Bott, "An approach to simulate and visualize intraoperative cattered radiation exposure to improve radiation protection training", Studies in Health Technology and Informatics. Vol.160, No.1, pp.625-628, 2010. DOI: https://europepmc.org/abstract/med/20841762
  7. J. W. Kim, J. J. Kim, "Radiation Exposure to the Orthopaedic Surgeon during Fracture Surgery", J Korean Orthop Assoc, Vol.45, No2, pp.107-113, 2010. DOI: http://doi.org/10.3310/hta15180
  8. D. Y. Choe, S. G. Go, S. S. Kang, C. S. Kim, J. H. Kim, "Analysis of dose reduction of surrounding patients in Portable X-ray", Journal of the Korean Society of Radiology, Vol.7, No.2, pp.113-120, 2013. DOI: https://doi.org/10.7742/jksr.2013.7.2.113
  9. J. A. Chaffins," Radiation protection and procedures in the OR", Radiologic Technology, Vol.79, No.5, pp.415-428, 2008.
  10. A. Mohapatra, R. K. Greenberg, T. M. Mastracci, M. J. Eagleton, B. Thornsberry, .Radiation exposure to operating room personnel and patientsduring endovascular procedures", Joutnal of Vascular Surgery, Vol.58, No.3, pp.702-709, 2013. DOI: https://doi.org/10.1016/j.jvs.2013.02.032
  11. J. A. Chaffins, "Radiation protection and procedures in the OR". Radiologic Technology. Vol.79, No.5, pp.415-428, 2008.
  12. J. Kim, J. S. Kim, H. L. Kim, "Factors Affecting Radiation Protection Behaviors among Operating Room Nurses"Korean Journal of Adult Nursing, Korean J Adult Nurs, Vol.28 No.6, pp.680-690, 2016. DOI: http://dx.doi.org/10.7475/kjan.2016.28.6.680
  13. Association of peri-Operative Registered Nurses, "Recommended practices for reducing radiological exposure in the perioperative practice setting", Association of peri-Operative Registered Nurses Journal, Vol.85, No.5, pp.989-990, 992-1002, 2007. DOI: https://doi.org/10.1016/j.aorn.2007.04.016
  14. International Commission on Radiological Protection. "Education and training in radiological protection for diagnostic and interventional procedures". ICRP Publication 113. Annals of the ICRP. Vol.39, No.5, pp.7-69, 2009. DOI : https://doi.org/10.1016/j.icrp.2011.01.002
  15. Association of peri-Operative Registered Nurses, "Recommended practices for reducing radiological exposure in the perioperative practice setting", Association of peri-Operative Registered Nurses Journal, Vol. 85, No.5, pp.989-990, 992-1002, 2007. DOI: https://doi.org/10.1016/j.aorn.2007.04.016
  16. R. M. Ha, C. A. Bak, M. J. Kim, S. J. Ra, H. S. Jeon, "Recognition of radiation exposure by operating room nurses", Korean Association of Operating Room Nurses, Vol.20, No.1, pp.62-78, 2012.
  17. K. W. Jeong, H. J. Jang, "Correlation between knowledge and performance of radiation protection among operating room nurses", International Journal of Bio-Science and Bio-Technology, Vol.8, No.1, pp. 275-284, 2016. DOI: https://doi.org/10.14257/ijbsbt.2016.8.1.24
  18. S. G. Kang, E. N. Lee. "Knowledge of Radiation Protection and the Recognition and Performance of Radiation Protection Behavior among Perioperative Nurses", Korean society of muscle and joint health, Vol.20, No.3, pp.47-257, 2013. DOI: https://doi.org/10.5953/JMJH.2013.20.3.247
  19. J. Kim, J. S. Kim, H. L. Kim, "Factors Affecting Radiation Protection Behaviors among Operating Room Nurses", Korean Journal of Adult Nursing, Vol.28, No.6, pp.80-690, 2016. DOI: http://dx.doi.org/10.7475/kjan.2016.28.6.680
  20. B. H. Kim, H. J. Kim. "A Study on knowledge, perception, self-efficacy, and performance on radiation protection among perioperative workers in terms of radiation protection", Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.5, pp.343-354, 2017. https://doi.org/10.5762/KAIS.2017.18.5.343
  21. A. Giorgi, "Qualitative Research Methodology", Advanced Workshop on the Descriptive Phenomenological Method. Conducted at Korean center for Qualitative Methodology, Ewha Womans University, Seoul: Korean. 2004.
  22. J. W. Park, J. H. Kim, H. S. Kim, J. H. Park, S. H. Bee, J. U. Song, S. U. Jung, Nursing Research, Generating and Assessing Evidence for Nursing Practice. p.500, Soomoomsa, 2015.
  23. F. Michael, M. Herbert, S. Alois, M. S. Klaus, "Protection against radiation exposure in the operating room". Operative Orthopaedics and Traumatology, Vol.7, No.4, pp.306-311, 1999.
  24. O. J. Bott, M. Wagner, C. Duwenkamp, N. Hellrung, K. Dresing. "Improving education on C-arm operation and radiation protection with a computer-based training and simulation system", nternational Journal of Computer Assisted Radiology and Surgery, Vol.4, No.4, pp.399-407, 2009. DOI: http://doi.org/10.1007/s11548-009-0322-1
  25. A. Mesbahi, A. Rouhani, "A study on the radiation dose of the orthopaedic surgeon and staff from a mini C-arm fluoroscopy unit". Radiation Protection Dosimetry, Vol.132, No.1, 98-110, 2008. DOI: http://doi.org/10.1093/rpd/ncn227
  26. International Commission on Radiological Protection. Pregnancyand medical radiation. ICRP Publication 84. Annals of the ICRP. Vol.30, No.1, pp.1-43, 2000. DOI: http://doi.org/10.5392/JKCA2013.13.12291
  27. C. H. Chung, H. Y. Kang, "Job Stress and Fatigue of the Nurses in the Operating Room", International Journal of contents, Vol.13, No.12, pp.291-298, 2013. DOI: http://doi.org/10.5392/JKCA2013.13.12291
  28. E. O. Han, M. D, Kwon, K. R. Dong, S. M. Han, "A Model for Protective Behavior against the Harmful Effects of Radiation based on Medical Institution Classifications", Journal of Radiation Protection, Vol.35, No.4, pp.157-162, 2010.
  29. S. M. Hong, H. S. Sung, "Factors Influencing Endoscopy Nurses' Protective Behavior against Radiation Exposure", Clinical nursing research, Vol.20, No.2, pp.177-188, 2014. DOI: https://doi.org/10.22650/JKCNR.2014.20.2.177
  30. Y. H. Han, H. R. Park, E. J. Kim, "Knowledge of Radiation Protection and Performance of Radiation Protection Behavior among Perioperative Nurses", The Journal of Korea Society for Wellness, Vol.12, No.1, pp.489-502, 2017. DOI: https://doi.org/10.5953/JMJH.2013.20.3.247
  31. B. H. Kim, H. J. Kim, "A Study on knowledge, perception, self-efficacy, and performance on radiation protection among perioperative workers in terms of radiation protection", Journal of the Korea Academia-Industrial cooperation Society. Vol.18, No.5, pp.343-354, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.5.343
  32. A. Duran, S. Hian, D. Miller, H. Le, R. Padovani, E. Vano, "Recommendations for occupational radiation protection in interventional cardiology", Catheterization and Cardiovascular Interventions, Vol.82, No.1, pp.29-42, 2013. DOI: https://doi.org/10.1002/ccd.24694
  33. B. A. Schueler, "Operator shielding: How and why", Techniques in Vascular and Interventional Radiology, Vol.13, No.3, pp.167-171, 2010. DOI: https://doi.org/10.1053/j.tvir.2010.03.005
  34. E. Lazo, "Evolution of the radiological protection system and its implementation". Health Physics, Vol.110, No.2, pp.147-50, 2016. DOI: https://doi.org/10.1097/HP.0000000000000409
  35. M. J. Kim, Perception of healthcare accreditation, job stress and factors affecting on turnover intention of hospital nurse, Unpublished master dissertation, Gachon University, Seongnam, 2014.
  36. H. M. Yoon, J. S. Kim, An analysis of the factors affecting turnover intention of new nurses, Unpublished master dissertation, Pusan National University, Pusan, 2012.
  37. W. J. Lee. S. H. Woo, S. H. Seol, D. H. Kim, J. H. Wee, "Physician and nurse knowledge about patient radiation exposure in the emergency department". Nigerian Journal of Clinical Practice, Vol.19, No.4, pp.502-507, 2016. DOI: http://dx.doi.org/10.4103/1119-3077.183298
  38. S. H. Hwang, Level of Practice for Health Promotion Lifestyle of some university hospital worker and its Related Elements Department of Occupational and Community Health Nursing, Graduate School of Public Health, The Catholic University of Korea, Seoul, Korea, 2007.
  39. A. S. Jung, A Study on the Relations Between a Health Promoting Behaviors and Self-efficacy in General Hospital nurse, Major in Nursing Administration The Graduate School of Public Administration Hanyang University, 2007.
  40. H. J. Nam, Factors Influencing the Stagesof Exercise Behavior Change in Shift Work Nurses, Department of Nursing The Graduate School,A Jou University, 2013
  41. International Commission on Radiological Protection, 1990 Recommendations of the International Commission on Radiological Protection. ICRP Publication 60, Annals of the ICRP. Vol.21, No.1-3, 1991.
  42. Association of peri-Operative Registered Nurses, Recommended Practices Committee. Recommended practices for reducing radiological exposure in the perioperative practice setting. AORN Journal. Vol.85, No.5, pp.989-90, 992-1002, 2007. DOI: https://doi.org/10.1016/j.aorn.2007.04.016
  43. International Commission on Radiological Protection. Education and training in radiological protection for diagnostic and interventional procedures. ICRP Publication 113, Annals of the ICRP. Vol.39, No.5, 2009.
  44. J. M. Dumonceau, F. J. Garcia-Fernandez, F. R. Verdun, E. Carinou, L. Donadille, "Radiation protection in digestive endoscopy: European society of digestive endoscopy guideline" Endoscopy. Vol.44, No.4, pp.408-424, 2012. DOI: http://dx.doi.org/10.1055/s-0031-1291791
  45. H. C. Cho," Study on perception and behavior about radiation safety management and Measurement of radiation dose for workers who work in the angiography room, Korea University, 2004.
  46. Y. H. Han, H. R. Park, E. J. Kim, "Knowledge of Radiation protection and performance of radiation protection behavior amang perioperative nurses", Korean society for Wellness, Vol.12, No.1, pp.489-502, 2017. DOI: http://dx.doi.org/10.21097/ksw.2017.02.12.1.489
  47. L. T. Dauer, J. F. Kelvin, C .L. Horan, J, Germain. "Evaluating the effectiveness of a radiation safety training intervention for oncology nurses: a pretest - intervention - posttest study". BMC Medical Education. Vol.6, No.1, pp.1-10, 2006. DOI: http://dx.doi.org/10.1186/1472-6920-6-32