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Factors Affecting the Radiation Protection Behavior of Nurses Using the Educational Diagnostic Stage of the PRECEDE Model

PRECEDE모형의 교육적 진단단계를 활용한 간호사의 방사선 방어행위 수행도 영향요인

  • Received : 2020.10.19
  • Accepted : 2020.12.04
  • Published : 2020.12.31

Abstract

Purpose: This study aimed to identify the influencing factors that affect the radiation protection behavior of nurses, by applying the educational diagnostic stage of the PRECEDE Model. Methods: Participants were 167 nurses working in interventional procedure rooms and operating rooms in general hospitals and university hospitals in Korea. Data were collected from August 30 to September 25, 2019, through self-reporting questionnaires and analyzed with t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using the SPSS/WIN 25.0 program. Results: The influencing factor that affects nurses' radiation protection behavior was the radiation protection environment (β=.41, p<.001), accounting for 59.6% of the radiation protection behavior (F=17.34, p<.001). Conclusion: Administrative and financial efforts to create a safe organizational atmosphere and establish a safe radiation protection environment are needed. Moreover, it is necessary to develop guidelines for nursing work in radiology to improve radiation protection behavior and reduce nurses' radiation exposure.

Keywords

References

  1. Ahn, Y. H. (2015). Health program planning & evaluation. Seoul: Hyun Moon Publishing Co.
  2. Green, L. (1980). Health education planning: A diagnostic approach. Palo Alto, Calif.: Mayfield Pub. Co.
  3. Griffin, M. A., & Neal, A. (2000). Perceptions of safety at work: A framework for linking safety climate to safety performance, knowledge, and motivation. Journal of Occupational Health Psychology, 5(3), 347-358. https://doi.org/10.1037/1076-8998.5.3.347
  4. Hahn, S. E., & Murphy, L. R. (2008). A short scale for measuring safety climate. Safety Science, 46(7), 1047-1066. https://doi.org/10.1016/j.ssci.2007.06.002
  5. Han, E. O. (2007). Relationship between knowledge, attitude, behavior, and self-efficacy on the radiation safety management of radiation workers in medical institutions. Journal of Radiation Protection and Research, 32(2), 89-96.
  6. Han, E. O. (2009). A protective behavior model against the harmful effects of radiation for radiological technologists in medical centers. Unpublished doctoral dissertation. Ewha Womans University, Seoul.
  7. Han, Y. H., Park, H. R., & Kim, E. J. (2017). Knowledge of radiation protection and performance of radiation protection behavior among perioperative nurses. Journal of the Korean Society for Wellness, 12(1), 489-502. https://doi.org/10.21097/ksw.2017.02.12.1.489
  8. Hong, S. M., & Shin, S. H . (2014). Factors influencing endoscopy nurses' protective behavior against radiation exposure. Journal of Korean Clinical Nursing Research, 20(2), 177-188. https://doi.org/10.22650/JKCNR.2014.20.2.177
  9. International Commission on Radiological Protection. (2007). ICRP Publication 103: Preface, Executive summary and glossary. Annals of the ICRP 37(2-4), 9-34. https://doi.org/10.1016/j.icrp.2007.10.003
  10. Jang, M. Y. (2018), Occupational radiation procedures and doses among Korean nurses. Unpublished master's thesis, Korea University, Seoul.
  11. Kang, S. G., & Lee, E. N. (2013). Knowledge of radiation protection and the recognition and performance of radiation protection behavior among perioperative nurses. Journal of Muscle and Joint Health, 20(3), 247-257. https://doi.org/10.5953/JMJH.2013.20.3.247
  12. Kim, B. H., & Kim, H. J. (2017). 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, 18(5), 343-354. https://doi.org/10.5762/KAIS.2017.18.5.343
  13. Kim, J., Kim, J. S., & Kim, H. L. (2016). Factors affecting radiation protection behaviors among operating room nurses. Korean Journal of Adult Nursing, 28(6), 680-690. https://doi.org/10.7475/kjan.2016.28.6.680
  14. Kim, K. S., & Park, Y. S. (2002). The effects of safety climate on safety behavior and accidents. Korean Journal of Industrial and Organizational Psychology, 15(1), 19-39.
  15. Korea Centers for Disease Control and Prevention. (2019). 2018 Report occupational radiation exposure in diagnostic radiology (No. 11-1352159-001004-10). Cheongju: Korea Centers for Disease Control and Prevention.
  16. Korea Food & Drug Administration. (2011). Technical information on performance evaluation of interventional radiotherapy equipment. Cheongwon: Korea Food & Drug Administration.
  17. Lee, Y. J. (2014). Knowledge, attitude and behavior for radiation protection of nurses in university hospital. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  18. Lopez, P. O., Dauer, L. T., Loose, R., Martin, C. J., Miller, D. L., Vano, E., et al. (2018). ICRP Publication 139: Occupational radiological protection in interventional procedures. Annals of the ICRP, 47(2), 1-118. https://doi.org/10.1177/0146645317750356
  19. Ministry of Food and Drug Safety. (2013). Study on the radiation exposure of the workers of the interventional radiology (No. 13171 Radiation 57). Cheongju: National Institute of Food and Drug Safety Evaluation.
  20. Ministry of Food and Drug Safety. (2014). Radiation protection guidelines for patient radiation dose reduction in interventional procedures. Cheongwon: National Institute of Food and Drug Safety Evaluation.
  21. Rozenbojm, M. D., Nichol, K., Spielmann, S., & Holness, D. L. (2015). Hospital unit safety climate: Relationship with nurses' adherence to recommended use of facial protective equipment. American Journal of Infection Control, 43(2), 115-120. https://doi.org/10.1016/j.ajic.2014.10.027
  22. Woo, H. S. (2016). Factors related to behavior for radiation protection of operating room nurses applying a health belief model. Unpublished master's thesis, Gachon University, Gyeonggi.
  23. Yoo, J. S. (2009). Factors influencing health risk behaviors in early adolescents. Journal of Korean Academy of Community Health Nursing, 20(3), 296-306.
  24. Yoon, J. A., & Yoon, Y. S. (2014). A survey about the knowledge, attitudes and behavior for radiation safety management of operating room nurse and dental hygienists. Journal of Dental Hygiene Science, 14(2), 230-239.