Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan

Satsuki Shiratori; Fumiko Oishi; Yuka Hayama

doi:doi:10.11648/j.ajns.20231203.11

| Peer-Reviewed

Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan

Satsuki Shiratori, Fumiko Oishi, Yuka Hayama

Published in American Journal of Nursing Science (Volume 12, Issue 3)

Received: 7 May 2023 Accepted: 29 May 2023 Published: 9 June 2023

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Purpose: This study aimed to clarify nurses’ knowledge, awareness, and safe behavioral practices regarding occupational exposure. Methods: A mail-based questionnaire survey was conducted for 2,820 nurses engaged in radiation medicine and working in randomly selected hospitals in Japan. Results: Overall, 1,385 questionnaire responses were obtained (1284 females and 87 males; average clinical experience of 19.12±8.7 years, and 49.1% collection rate), and 1,370 were included in the analyses (98.9% valid response rate). It was found that 40% the content of basic nursing education on radiation treatment, which was “insufficient” in terms of quantity and quality. Occupational exposure protection measures were different depending on the organization size and position, with significantly higher rates of protective equipment use and manual maintenance in organizations with >400 beds and considerably higher rates of use of “partitioning screen,” “neck guard,” and “protective goggles” by nurse administration than by nurses during emergency interventional radiology. Additionally, only 46% of the general wards correctly answered that “a distance of >2 m” was required when using mobile X-ray equipment. These results indicate that nurse administrators and nurses involved in radiation therapy have insufficient professional knowledge and skills and that nurses in general wards lack knowledge about radiation therapy. Therefore, a systematic risk management program is necessary.

Published in	American Journal of Nursing Science (Volume 12, Issue 3)
DOI	10.11648/j.ajns.20231203.11
Page(s)	56-63
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Occupational Radiation, Radiation Nursing, Nurse Administrator, Nurse, Safe Behavior Practices

References

[1]	Ogawa S. (2005). “The importance of occupational safety and health and the history of guideline development.” Nursing, vol. 57, no. 14, pp. 4-7. Journal of the Japanese Nursing Association.
[2]	(2012) Current status of nurses’ knowledge of radiation and the importance of radiation education.” Japanese Journal of Radiological Technology, vol. 68, no. 10, pp. 1373-78. doi: 10.6009/jjrt.2012_JSRT_68.10.1373.
[3]	ICRP. Publication 85: Avoidance of Radiation Hazards in IVR. Japan Radioisotope Association Tokyo. 2003, pp. 7-15.
[4]	Keyita H. (2008). Survey of nursing students’ knowledge and anxiety about radiation. Journal of Occupational and Environmental Health, vol. 30, no. 4, pp. 421-29. doi: 10.7888/juoeh.30.421.
[5]	Nishi S, et al. (2007). Current status and educational background of nurses’ knowledge about radiation. Mie Nursing Journal, vol. 9, pp. 63-72. http://hdl.handle.net/10076/3497.
[6]	Konishi E. (2003). Radiation safety education for nurses. FB News, no. 314, pp. 1-5.
[7]	Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul K. D & Weinstein ND. (2007). Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. behavior: the example of vaccination. Health Psychology: Official. Journal of the Division of Health Psychology, American Psychological Association, vol. 26, no. 2, pp. 136-145. doi: 10.1037/0278-6133.26.2.136.
[8]	Takanami, R., et al. (2006). Actual status of nurses’ knowledge and awareness of radiation treatment and protection from radiation exposure. Nursing Education, vol. 47, no. 6, pp. 528-33.
[9]	Shiratori, S., et al. (2012). Knowledge and preventive behaviors of occupational safety and health of nursing professionals working in medical facilities in Nagano Prefecture. Bulletin of Nagano Prefectural College of Nursing, vol. 14, pp. 73-85.
[10]	Kojina, R., et al. (2006). Behavior in clinical practice of nurses who received education on radiation protection in a basic nursing education course.” INNERVISION, vol. 21, no. 6, pp. 84-6.
[11]	Inoue M & Yuka S. (2011). Analysis of educational content about radiotherapy in baccalaureate nursing curriculum. Bulletin of the Faculty of Nursing and Nutrition, Yamaguchi Prefectural University, no. 4, pp. 9-11.
[12]	Ministry of Education, Culture, Sports, Science and Technology. Model Core Curriculum. http://www.mext.go.jp/b_menu/shingi/chousa/koutou/078/gaiyou/1397885.htm
[13]	Shafiee M, Rashidfar R, Abdolmohammadi J, Borzoueisileh S, Salehi Z, & Dashtian K. (2020). A study to assess the knowledge and practice of medical professionals on radiation protection in interventional radiology. Indian Journal of Radiology and Imaging, vol. 30, no. 1, pp. 64-9. doi: 10.4103/ijri.IJRI_333_19.
[14]	Hayashi S, Takenaka M, Kogure H, Yakushijin T, Maruyama H…& Matsunaga KA. (2021). A questionnaire survey on radiation protection among 282 medical staff from 26 endoscopy-fluoroscopy departments in Japan. DEN Open, vol. 1, no. 1, p. e5. doi: 10.1002/deo2.5.
[15]	Wilson-Stewart K, Hartel G & Fontanarosa D. (2019). Occupational radiation exposure to the head is higher for scrub nurses than cardiologists during cardiac angiography. Journal of Advanced Nursing, vol. 75, no. 11, pp. 2692-700. doi: 10.1111/jan.14085.
[16]	Yamada, A., et al. (2021). Lens exposure of nurses engaged in cardiac cardiovascular IVR: dose differences by dosimeter position. Japanese Journal of Radiation Safety Management, vol. 20, no. 2, pp. 52-60. doi: org/10.11269/jjrsm.20.52.
[17]	Nagamoto K, Moritake T, Nakagami K, Morota K, Matsuzaki S & Kunugita NA. (2021). A multicenter study of radiation doses to the eye lenses of clinical physicians performing radiology procedures in Japan. Journal of Occupational Health, vol. 63, no. 1, p. e12305. doi: 10.1002/1348-9585.12305.
[18]	Watanabe H, Satou T, Senzui N, Kimura F, Sano M… & Sagawa R. (2009). National survey of radiation protection for workers in positron emission tomography facilities in Japan—1st report: occupational role assignment, radiation exposure to medical workers. Japanese Journal of Radiological Technology, vol. 65, no. 3, pp. 2895-289. doi: 10.6009/jjrt.65.285.
[19]	Ministry of Health, Labour, and Welfare. Interim Summary of the Study Group on Novel Ways of Nursing. https://www.mhlw.go.jp/shingi/2002/09/s0906-7a.html. Accessed 30 January 2022.
[20]	Kawabata Y, Kikuta D & Anzai T. (2005). PET radiation exposure control for nurses. Radioisotopes, vol. 54, no. 5, pp. 145-152. doi: 10.3769/radioisotopes.54.145.
[21]	Hori, Y., et al. (2015). Nursing practice of intravenous injection in nuclear medicine examinations: Literature review for the practice regulation related to IVS in PET, RI examinations. The Journal of the Radiological Nursing Society of Japan, vol. 3, no. 1, pp. 65-71. doi: 10.24680/rnsj.3.1_65.
[22]	Japan Ministry of Health, Labour and Welfare. Hospital Discharge Criteria for Patients Receiving Radiopharmaceuticals, 3rd Study Group on the Appropriate Management of Medical Radiation, 2017. https://www.mhlw.go.jp/shingi/2002/09/s0906-7a.html. Accessed 16 February 2022.
[23]	Watanabe A, Terasaki A, Kamada M, Takeda S & Kayumi M. (2015). The relevance of nurses’ current state of knowledge and anxiety concerning radiation. The Journal of the Radiological Nursing Society of Japan, vol. 3, no. 1, pp. 54-64. doi: 10.24680/rnsj.3.1_1.
[24]	Oishi, F., et al. (2018). Anxiety in radiology nurses about occupational exposure: a qualitative analysis. The Journal of the Radiological Nursing Society of Japan, vol. 6, no. 1, pp. 22-32. doi: 10.24680/rnsj.6.1_22.
[25]	Japanese Nursing Association, editor. (2004). Guidelines for the Socioeconomic Welfare of the Nursing Profession, Guidelines for Occupational Safety and Health in the Nursing Workplace. Japanese Nursing Association Publishing Co., pp. 1-80.

Cite This Article

Plain Text BibTeX RIS

APA Style

Satsuki Shiratori, Fumiko Oishi, Yuka Hayama. (2023). Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan. American Journal of Nursing Science, 12(3), 56-63. https://doi.org/10.11648/j.ajns.20231203.11

Copy | Download

ACS Style

Satsuki Shiratori; Fumiko Oishi; Yuka Hayama. Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan. Am. J. Nurs. Sci. 2023, 12(3), 56-63. doi: 10.11648/j.ajns.20231203.11

Copy | Download

AMA Style

Satsuki Shiratori, Fumiko Oishi, Yuka Hayama. Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan. Am J Nurs Sci. 2023;12(3):56-63. doi: 10.11648/j.ajns.20231203.11

Copy | Download

@article{10.11648/j.ajns.20231203.11,
  author = {Satsuki Shiratori and Fumiko Oishi and Yuka Hayama},
  title = {Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan},
  journal = {American Journal of Nursing Science},
  volume = {12},
  number = {3},
  pages = {56-63},
  doi = {10.11648/j.ajns.20231203.11},
  url = {https://doi.org/10.11648/j.ajns.20231203.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231203.11},
  abstract = {Purpose: This study aimed to clarify nurses’ knowledge, awareness, and safe behavioral practices regarding occupational exposure. Methods: A mail-based questionnaire survey was conducted for 2,820 nurses engaged in radiation medicine and working in randomly selected hospitals in Japan. Results: Overall, 1,385 questionnaire responses were obtained (1284 females and 87 males; average clinical experience of 19.12±8.7 years, and 49.1% collection rate), and 1,370 were included in the analyses (98.9% valid response rate). It was found that 40% the content of basic nursing education on radiation treatment, which was “insufficient” in terms of quantity and quality. Occupational exposure protection measures were different depending on the organization size and position, with significantly higher rates of protective equipment use and manual maintenance in organizations with >400 beds and considerably higher rates of use of “partitioning screen,” “neck guard,” and “protective goggles” by nurse administration than by nurses during emergency interventional radiology. Additionally, only 46% of the general wards correctly answered that “a distance of >2 m” was required when using mobile X-ray equipment. These results indicate that nurse administrators and nurses involved in radiation therapy have insufficient professional knowledge and skills and that nurses in general wards lack knowledge about radiation therapy. Therefore, a systematic risk management program is necessary.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan
AU  - Satsuki Shiratori
AU  - Fumiko Oishi
AU  - Yuka Hayama
Y1  - 2023/06/09
PY  - 2023
N1  - https://doi.org/10.11648/j.ajns.20231203.11
DO  - 10.11648/j.ajns.20231203.11
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 56
EP  - 63
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20231203.11
AB  - Purpose: This study aimed to clarify nurses’ knowledge, awareness, and safe behavioral practices regarding occupational exposure. Methods: A mail-based questionnaire survey was conducted for 2,820 nurses engaged in radiation medicine and working in randomly selected hospitals in Japan. Results: Overall, 1,385 questionnaire responses were obtained (1284 females and 87 males; average clinical experience of 19.12±8.7 years, and 49.1% collection rate), and 1,370 were included in the analyses (98.9% valid response rate). It was found that 40% the content of basic nursing education on radiation treatment, which was “insufficient” in terms of quantity and quality. Occupational exposure protection measures were different depending on the organization size and position, with significantly higher rates of protective equipment use and manual maintenance in organizations with >400 beds and considerably higher rates of use of “partitioning screen,” “neck guard,” and “protective goggles” by nurse administration than by nurses during emergency interventional radiology. Additionally, only 46% of the general wards correctly answered that “a distance of >2 m” was required when using mobile X-ray equipment. These results indicate that nurse administrators and nurses involved in radiation therapy have insufficient professional knowledge and skills and that nurses in general wards lack knowledge about radiation therapy. Therefore, a systematic risk management program is necessary.
VL  - 12
IS  - 3
ER  -

Copy | Download

Author Information

Satsuki Shiratori

Department of Nursing, Nagoya University of Arts and Sciences, Nagoya, Japan
Fumiko Oishi

School of Nursing, Seirei Christopher University, Shizuoka, Japan
Yuka Hayama

Department of Nursing, Faculty of Nursing, Doshisha Women's College of Liberal Arts, Kyoto, Japan

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Satsuki Shiratori, Fumiko Oishi, Yuka Hayama. (2023). Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan. American Journal of Nursing Science, 12(3), 56-63. https://doi.org/10.11648/j.ajns.20231203.11

Copy | Download

ACS Style

Satsuki Shiratori; Fumiko Oishi; Yuka Hayama. Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan. Am. J. Nurs. Sci. 2023, 12(3), 56-63. doi: 10.11648/j.ajns.20231203.11

Copy | Download

AMA Style

Satsuki Shiratori, Fumiko Oishi, Yuka Hayama. Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan. Am J Nurs Sci. 2023;12(3):56-63. doi: 10.11648/j.ajns.20231203.11

Copy | Download

@article{10.11648/j.ajns.20231203.11,
  author = {Satsuki Shiratori and Fumiko Oishi and Yuka Hayama},
  title = {Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan},
  journal = {American Journal of Nursing Science},
  volume = {12},
  number = {3},
  pages = {56-63},
  doi = {10.11648/j.ajns.20231203.11},
  url = {https://doi.org/10.11648/j.ajns.20231203.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231203.11},
  abstract = {Purpose: This study aimed to clarify nurses’ knowledge, awareness, and safe behavioral practices regarding occupational exposure. Methods: A mail-based questionnaire survey was conducted for 2,820 nurses engaged in radiation medicine and working in randomly selected hospitals in Japan. Results: Overall, 1,385 questionnaire responses were obtained (1284 females and 87 males; average clinical experience of 19.12±8.7 years, and 49.1% collection rate), and 1,370 were included in the analyses (98.9% valid response rate). It was found that 40% the content of basic nursing education on radiation treatment, which was “insufficient” in terms of quantity and quality. Occupational exposure protection measures were different depending on the organization size and position, with significantly higher rates of protective equipment use and manual maintenance in organizations with >400 beds and considerably higher rates of use of “partitioning screen,” “neck guard,” and “protective goggles” by nurse administration than by nurses during emergency interventional radiology. Additionally, only 46% of the general wards correctly answered that “a distance of >2 m” was required when using mobile X-ray equipment. These results indicate that nurse administrators and nurses involved in radiation therapy have insufficient professional knowledge and skills and that nurses in general wards lack knowledge about radiation therapy. Therefore, a systematic risk management program is necessary.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan
AU  - Satsuki Shiratori
AU  - Fumiko Oishi
AU  - Yuka Hayama
Y1  - 2023/06/09
PY  - 2023
N1  - https://doi.org/10.11648/j.ajns.20231203.11
DO  - 10.11648/j.ajns.20231203.11
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 56
EP  - 63
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20231203.11
AB  - Purpose: This study aimed to clarify nurses’ knowledge, awareness, and safe behavioral practices regarding occupational exposure. Methods: A mail-based questionnaire survey was conducted for 2,820 nurses engaged in radiation medicine and working in randomly selected hospitals in Japan. Results: Overall, 1,385 questionnaire responses were obtained (1284 females and 87 males; average clinical experience of 19.12±8.7 years, and 49.1% collection rate), and 1,370 were included in the analyses (98.9% valid response rate). It was found that 40% the content of basic nursing education on radiation treatment, which was “insufficient” in terms of quantity and quality. Occupational exposure protection measures were different depending on the organization size and position, with significantly higher rates of protective equipment use and manual maintenance in organizations with >400 beds and considerably higher rates of use of “partitioning screen,” “neck guard,” and “protective goggles” by nurse administration than by nurses during emergency interventional radiology. Additionally, only 46% of the general wards correctly answered that “a distance of >2 m” was required when using mobile X-ray equipment. These results indicate that nurse administrators and nurses involved in radiation therapy have insufficient professional knowledge and skills and that nurses in general wards lack knowledge about radiation therapy. Therefore, a systematic risk management program is necessary.
VL  - 12
IS  - 3
ER  -

Copy | Download