TY - JOUR T1 - Determination of Cognitive, Affective, and Behavioral Attitudes of Healthcare Professionals Towards Radiation TT - Sağlık Çalışanlarının Radyasyona Karşı Bilişsel, Duyuşsal ve Davranışsal Tutumlarının Belirlenmesi AU - Yalçın, Paşa AU - Yurt, Merve AU - Altun Yalçın, Sema PY - 2024 DA - December Y2 - 2024 JF - Sağlık Bilimlerinde Eğitim Dergisi JO - SBED PB - Hüseyin SELVİ WT - DergiPark SN - 2687-4393 SP - 34 EP - 56 VL - 7 IS - 1 LA - en AB - In this study, it was aimed to determine the attitudes of health personnel working in health institutions in Turkey towards radiation. In the study, it was investigated whether there was a significant difference in the cognitive, affective and behavioural attitudes of healthcare professionals towards radiation and its effects in terms of occupation, gender, years of service, institution and department variables. ‘Radiation Attitude Scale for Healthcare Workers’ and “Semi-structured Qualitative Data Collection Tool” were used as data collection tools.From the information provided by healthcare professionals and the statistical results, the interpretation that 52% of the radiation-related retests performed in hospitals are unnecessary revealed how important a risk it is for patient health. It is thought that the development of affective and behavioural attitudes of healthcare professionals together with their cognitive attitudes towards radiation will be possible with a good radiation education. When the results of the study are compared with the literature, it is seen that more similar results are obtained. KW - Radiation education KW - attitude towards radiation KW - effects of radiation KW - healthcare professionals N2 - Bu çalışmada, Türkiye’de sağlık kuruluşlarında çalışan sağlık personellerinin radyasyona yönelik tutumlarını belirlemek amaçlandı. Çalışmada, sağlık çalışanlarının radyasyona ve radyasyonun etkilerine yönelik bilişsel, duyuşsal ve davranışsal tutumlarında meslek, cinsiyet, hizmet yılı, çalıştığı kurum, çalıştığı bölüm değişkenlerine yönelik anlamlı farlılık olup olmadığı araştırıldı. Veri toplama aracı olarak “Sağlık Çalışanlarına Yönelik Radyasyon Tutum Ölçeği” ve “Yarı Yapılandırılmış Nitel Veri Toplama Aracı” kullanıldı.Sağlık çalışanlarının verdiği bilgilerden ve yapılan istatistik sonuçlarından, hastanelerde yapılan radyasyon ile ilgili tekrar testlerin %52 oranında gereksiz yapıldığı yorumu, hasta sağlığı için ne kadar önemli bir risk olduğunu ortaya çıkardı. Sağlık çalışanlarının radyasyona yönelik bilişsel tutumu ile beraber duyuşsal ve davranışsal tutumlarının geliştirilmesi iyi bir radyasyon eğitimi ile mümkün olacağı düşünülmektedir. Yapılan çalışmanın sonuçları literatürle karşılaştırıldığında daha çok benzer sonuçlar elde edildiği görülmektedir. CR - Akın, A. & Demirel, S. (2003). Effect of gender course on gender perceptıon. Cumhuriyet Medical Journal. 25 (4), 73-82. CR - Alkhayal, A. M., Alothman, A. S., Alathel, A. H., AlMaslamani, A., Alfehaid, O. N., Alhassan, I. A., & Ghazwani, Y. G. (2023). Knowledge and attitude of radiation safety and the use of protective measures among healthcare workers in a tertiary center. Eur Rev Med Pharmacol Sci, 27(5), 2047-2051.DOI: 10.26355/eurrev_202303_31575 CR - Alotaibi M., Al-Abdulsalam A., Bakir YY., & Mohammed AM. (2015). Radiation awareness among nurses in nuclear medicine departments. Australian Journal of Advanced Nursing, 32(3), 25-33. https://www.ajan.com.au/archive/Vol32/Issue3/3Alotaibi.pdf CR - Alzubaidi, M. A., Mutairi, H. H. A., Alakel, S. M., Al Abdullah, H. A. S., Albakri, I. A., & Alqahtani, S. F. A. (2017). Assessment of knowledge and attitude of nurses towards ionizing radiation during radiography in Jeddah City, The Egyptian Journal of Hospital Medicine, 69(7), 2906-2909. DOI: 10.12816/0042590 CR - Batista, V. M. D., Bernardo, M. O., Morgado, F., & Almeida, F. A. D. (2019). Radiological protection in the perspective of health professionals exposed to radiation. Revista Brasileira de Enfermagem, 72, 9-16.https://doi.org/10.1590/0034-7167-2017-0545 CR - Baysal, C. & Tekarslan, E. (1996) İşletmeciler için Davranış Bilimleri, Avcıyol Basın Yayın, İstanbul. CR - Bell, J.N.B., & Shaw, G. (2005). Ecological lessons from the Chernobyl accident. Environmental International. 31(6), 771-777. DOI:10.1016/j.envint.2005.05.026 CR - Büyüköztürk, Ş. (2012). Bilimsel araştırma yöntemleri (11. Baskı), Pegem Akademi, Ankara. Chandrarathne, D.K.S.J., Kalaventhan, P., Dishanth, S., Irshad, M.N., Vimalarajan, R., Jayarathne, A.S.N., & CR - Bopitiya D.M.C.L.B. (2023). The knowledge, attitude and practice about ionizing radiation among nurses working in Orthopaedic theatres in a tertiary care centre in Sri Lanka. African Journal of Medical and Health Sciences. 23(3), 43-46. DOI:10.5897/AJMHS2022.0202 CR - Cohen, B.L. & Lee, S.I. (1979). A catalog of risks. Health Physician, 36(6), 707-722.https://journals.lww.com/health-physics/toc/1979/06000 CR - Coşkun Ö. (2011). Biological effects of ionizing radiation, SDU Journal of Technıcals Cıences, 1(2), 13-17. CR - Cresswell, J. W. & Plano Clark, V. L. (2011). Designing and conducting mixed method research (2nd ed.). Thousand Oaks, CA: Sage. CR - Creswell, J. W. (2003). Effect of service quality and marketing stimuli on customer satisfaction: the mediating role of purchasing decisions Journal of Business and Management Sciences. 4 (4), 76-81. DOI: 10.12691/jbms-4-4-1 CR - Dusek, G. A., Yurova, Y. V., & Ruppel, C. P. (2015). Using social media and targeted snowball sampling to survey a hard-to-reach population: A case study. International Journal of Doctoral Studies, 10, 279-299. Retrieved from http://ijds.org/Volume10/IJDSv10p279-299Dusek0717.pdf CR - Eisenbud, M. (1984). Sources of ionizing radiation exposure. Environment: Science and Policy for Sustainable Development, 26(10), 6-33.https://doi.org/10.1080/00139157.1984.9931267 CR - Ekici, Z., Buğra, E., & Kocadağ, D. (2017). The effect of health workers ‘working safety system on business effects. Health Care Acad J, 4(2), 115-125. https://doi.org/10.5455/sad.13-1490969429 CR - Emara, A. E. (1996). Natural occurring radioactive substances. Proceedings, Sixth Conference of Nuclear Sciences and Applications, Vol. 1. 15-20 March 1996, Cairo.https://inis.iaea.org/collection/NCLCollectionStore/_Public/28/030/28030016.pdf?r=1 CR - Erkan, I., Yarenoglu, A., Yukseloglu, E. H., & Ulutin, H. C. (2019). The investigation of radiation safety awareness among healthcare workers in an education and research hospital. International Journal of Radiation Research, 17(3), 447-453.https://ijrr.com/article-1-2602-en.pdf CR - Eryılmaz, S. (2020). Toplumsal Cinsiyet Rolü ve Kadın Sağlığı. Kırşehir Ahi Evran University Journal of Health Sciences, 1(1), 5-13.https://dergipark.org.tr/tr/download/article-file/2017219 CR - Gold, S., Barkhau, H.W., Shleien, B., & Kahn, B. (1964). Measurement of naturally occurring radiomuchdes in air. In "The Natural Radiation Environment I" (J.A.S. Adams and W. M. Lowder, eds.), p. 369- 382. Univ. of Chicago Press. Chicago. Illinois. CR - Goula, A., Chatzis, A., Stamouli, MA., Kelesi, M., Kaba, E., & Brilakis, E. (2021). Assessment of Health Professionals’ Attitudes on Radiation Protection Measures. Int. J. Environ. Res. Public Health, 18, (13380), 1-16. https://doi.org/10.3390/ijerph182413380 CR - Göksel S. (1973) Radyasyonun Biyolojik Etkileri ve Korunma, İ.T.Ü. Matbaası, İstanbul. CR - Güden, E., Öksüzkaya, A., Balcı, E., Tuna, R., Borlu, A., & Çetinkara, K. (2012). Radyoloji çalışanlarının radyasyon güvenliğine ilişkin bilgi, tutum ve davranışı. Sağlıkta Performans ve Kalite Dergisi, 3(1), 29-45.https://dergipark.org.tr/tr/pub/spkd/issue/29278/313457 CR - Güdük, Ö., Kılıç, C.H. & Güdük Ö., (2018). Evaluation of knowledge level of patients about hazardous effects of radiatıon: A hospital example. Health Sciences Journal of Adıyaman University, 4(2), 874-889. https://doi.org/10.30569/adiyamansaglik.430175 CR - Guimond, R.J. & Windham, S.T. (1980). Radiological evaluation of structures constructed on phosphate-related land. In "Natural Radiation Environment III" (T.F. Gesell and W.M. Lowder, eds.). CONF-78042, Vol. 2, p. 1457-1475. USDOE, Washington, D.C. CR - Jain, S. (2021). Radiation in medical practice & health effects of radiation: rationale, risks, and rewards. Journal of family medicine and primary care, 10(4), 1520-1524. DOI: 10.4103/jfmpc.jfmpc_2292_20 CR - Jonassen, D., Schmidt, M., Easter, M., Marra, R., & Miller, W. (2007, June). Designing An Activity Based Curriculum For Radiation Protection Personnel. In 2007 Annual Conference & Exposition (pp. 12-471).https://peer.asee.org/designing-an-activity-based-curriculum-for-radiation-protection-personnel CR - Kam. A. (2005). Survey on doctors' awareness and attitude of radiation dose of imaging examination in Hong Kong. The University of Hong Kong, Postgraduate Thesis http://hdl.handle.net/10722/51939 CR - Kaya İ. S. (2012) Nükleer Enerji Dünyasında Çevre ve İnsan. Bolu Abant İzzet Baysal University Journal of Graduate School of Social SciencesJournal. 1(24): 72- 90.https://doi.org/10.11616/AbantSbe.286 CR - Lockhart, L.B. (1964). Radioactivity of the radon-222 and radon-220 series in the air at ground level. "In The Natural Radiation Environment I" (J. A. S. Adams and W. M Lowder, eds.). p. 331-344. Univ. of Chicago Press. Chicago. Illinois. CR - Maag, Urs, V., & Dicaire, G. (1971). On Kolmogorov-Smirnov type one sample statistics. Biometrica, 58(3), 653-656.https://doi.org/10.1093/biomet/58.3.653 CR - McGuinness, G., Beacher, J.R., & Harkin, T.J. (1994). Hemoptysis: Prospective high resolution CT/bronchoscopic correlation. Chest, 105(4), 1155-1162. DOI: 10.1378/chest.105.4.1155 CR - Menezes, R.J. & Michalek, A.M. (2002). Chernobyl-related ionising radiation exposure and cancer risk: an epidemiological review. The Lancet Oncology. 3(5), 269–279. DOI: https://doi.org/10.1016/S1470-2045(02)00727-1 CR - Mervat, El Dahshan, Nagwan El Hussein, Haneen S. Sahrah, Mohammed A. Almehmadi, Abdulrahman K. Alzahrani, Ahmad M. Baqasi, & Meshari T. Al hazmi (2017). Assessment of Radıology Health Workers' knowledge, Attıtudes And Practıces of Radıatıon Protectıon Precautıons In Makkah Cıty, Saudı Arabıa. International Journal of Advanced Research (IJAR), 5(2), 1815-1822.http://dx.doi.org/10.21474/IJAR01/3346 CR - Miller R.W. (1968). Effects of ionizing radiation from the atomic bomb on Japanese children. American Academy of Pediatrics, 41(1), 257-263.https://doi.org/10.1542/peds.41.1.257 CR - Miller, A.B., Boothroyd, A.E., & Edwards, D. (1992). The role of computed tomography (CT) in the investigation of unexplained haemoptysis. Respiratory Medicine, 86(1), 39-44. https://doi.org/10.1016/S0954-6111(06)80146-0 CR - Miller, M.E., Davis, M.L., Mc Clean, C.R., Davis, J.G., Smith, B.L., & Humphries, JR. (1983). Radiation exposure and associated risks to operating-room personnel during use of flouroscopic guidance for selected orthopedic surgical procedures. Journal of Bone and Joint Surgery, 65-A: 1-4.https://journals.lww.com/jbjsjournal/abstract/1983/65010/radiation_exposure_and_associated_risks_to.1.aspx CR - Naidich, D.P., & Garay, S.M. (1991). Radiographic evaluation of focal lung disease. Clinical Chest Medicine, 12(1), 77-95. https://doi.org/10.1016/S0272-5231(21)00727-9 CR - Palacı, H., Günay, O., & Yarar, O. (2018) Evaluation of radiation safety and protection training in Turkey. European Journal of Scienceand Technology, 14, 249-259.https://doi.org/10.31590/ejosat.479367 CR - Parlar, S. (2008). A Problem that is not considering in health workers: Healthy working environment. TAF Prev Med Bull 7(6), 547-554. DOI: 10.4236/sm.2013.34043 CR - Partap, A., Raghunanan, R., White, K., & Seepaul, T. (2019). Knowledge and practice of radiation safety among health professionals in Trinidad. SAGE open medicine, 7, https://doi.org/10.1177/2050312119848240. CR - Patton M. Q. (2001a) Qualitative Research & Evaluation Methods. SAGE Publications. CR - Patton, M. Q. (2002b). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage. https://people.ucsc.edu/~ktellez/Patton2003.pdf CR - Powell, G.N. & Greenhaus, J.H. (2010). Sex, gender, and decisions at the family - work ınterface. Journal of management. 36 (4),1011-1039. https://doi.org/10.1177/0149206309350774 CR - Prabhat M., Sudhakar S., Kumar B.P., & Ramaraju. (2011) “Knowledge, attitude and perception (KAP) of dental under graduates and interns on radiographic protection- A question naire based cross-sectional study”, Journal of Advanced Oral Research, 2(3), 45-49. https://doi.org/10.1177/2229411220110321 CR - Prăvălie R. (2014). Nuclear weapons tests and environmental consequences: a global perspective. Royal Swedish Academy of Sciences AMBIO 43, 729–744, DOI 10.1007/s13280-014-0491-1 CR - Rassin, M., Granat, P., Berger, M., & Silner, D. (2005). Attitude and knowledge of physicians and nurses about ionizing radiation. Journal of Radiology Nursing, 24(2), 26-30.https://doi.org/10.1016/j.jradnu.2005.04.001 CR - Reagan, J. T. & Slechta, A. M. (2010). Factors related to radiation safety practices in California. Radiologic technology, 81(6), 538-547. https://pubmed.ncbi.nlm.nih.gov/20606048/ CR - Saroki, A. J., Wijdicks, C., Philippon, M. J., & Bedi, A. (2016). Orthopaedic surgeons’ use and knowledge of ionizing radiation during surgical treatment for femoroacetabular impingement. Knee Surgery, Sports Traumatology, Arthroscopy, 24, 3962-3970. DOI 10.1007/s00167-015-3734-1 CR - Slechta, A.M. & Reagen, S.T. (2008). An Examinatian of Factors Realated to Radiatian Protection Practices. Rad.Tech, 79 (4), 297-305.https://www.radiologictechnology.org/content/79/4/297.long CR - Son, K.B., Lee, T.K., Kim, J.S., & Lee, S.O. (2011). Lack of radiation protection for endoscopists performing endoscopic retrograde cholangiopancreatography. Korean J. Gastroenterol. 58, 93–99. DOI: https://doi.org/10.4166/kjg.2011.58.2.93 CR - Şeker, S. & Çerezci, O. (1997). Çevremizdeki Radyasyon ve Korunma Yöntemleri. Boğaziçi Üniversitesi Yayınları, İstanbul.https://www.simurgkitabevi.com/cevremizdeki-radyasyon-ve-korunma-yontemleri CR - TAEK (2009). Endüstride Radyasyondan Korunma. Türkiye Atom Enerjisi̇ Kurumu ANAEM/TAEK, Ankara.https://kurumsalarsiv.tenmak.gov.tr/server/api/core/bitstreams/6b6df257-0a64-4cbe-b53c-6f66a02eaa26/content CR - Tarhan Ö. (2015). Social studies teacher candidates' views on political literacy. The Journal of Academic Social Sciences, 3(9), 649-669. https://gcris.pau.edu.tr/bitstream/11499/26914/1/867278777_538%20%C3%96zge%20TARHAN.pdf CR - Tok, A., Akbas, A., Aytan, N., Aliskan, T., Cicekbilek, I., Kaba, M., & Tepeler, A. (2015). Are the urology operating room personnel aware about the ionizing radiation?. International braz j urol, 41, 982-989.DOI: 10.1590/S1677-5538.IBJU.2014.0351 CR - Ulutaşdemir, N., Balsak, H., Berhuni, Ö., Özdemir, E., & Ataşalan, E. (2015). The impacts of occupational risks and their effects on work stress levels of health professional (The sample from the Southeast region of Turkey). Environmental Health and Preventive Medicine, 20(6), 410-421. DOI: 10.1007/s12199-015-0481-3 CR - Vural, F., Fil, Ş., Çiftçi, S., Dura, A. A., Yıldırım, F., & Patan, R. (2012). Radiation safety in operating units; knowledge, attitude and behaviors of operating room staffs. Balıkesir Health Science Journal, 1(3), 131-136. DOI: 10.5505/bsbd.2012.22931 CR - Yalçın, P., Ekinci, M., & Altun Yalçın, S. (2020). Radiation Attitudes Scale for Healthcare Staff. European J of Physics Education, 11 (3), 17-37. ISSN 1309-7202.https://files.eric.ed.gov/fulltext/EJ1299684.pdf UR - https://dergipark.org.tr/en/pub/jedihes/issue//1569162 L1 - https://dergipark.org.tr/en/download/article-file/4295854 ER -