OJRad  Vol.5 No.4 , December 2015
Assessment of Physicians’ Knowledge, Attitude and Practices of Radiation Safety at Suez Canal University Hospital, Egypt
ABSTRACT
Doctors who request imaging must be well trained in deciding whether diagnostic imaging is indicated and have an accurate knowledge of the associated risks. Although radiological doses are low and the chance of late effect is minimal, it should be kept as low as reasonably achievable. This cannot be achieved without a proper knowledge and adherence to safe practices. This cross-sectional study investigates the level of physicians’ knowledge about radiation safety and their attitude towards radiation protection. A self-administered questionnaire, for radiation safety was sent to a purposive sample of 120 physicians at Suez Canal University Hospital. Eighty questionnaires were filled by participants (response rate; 66.7%). The sample included 22 radiologists, 15 oncologists, 25 surgeons and 18 orthopedists. Most participants did not receive any radiation safety-related training (88.8%). Radiologists and oncologists were exposed to ionizing radiation more frequently; however, their knowledge was as low as that of other physicians. The overall knowledge score ranged from 40% - 60% (mean; 56.5 ± 15.2), with a low score among surgeons and orthopedics. The most deficient knowledge was in the dose of background radiation and the radiation dose received by patients in each type of radiation procedure. Adherence to safe radiation practices was violated by most of participants, especially surgeons and orthopedics, but they attributed it to the poor applicability of the protective measures during performing the procedures. This study concluded that physicians at the Suez Canal University Hospital had deficient knowledge, unsafe practices and negative attitude towards radiation safety policies & precautions.

Cite this paper
Abdellah, R. , Attia, S. , Fouad, A. and Abdel-Halim, A. (2015) Assessment of Physicians’ Knowledge, Attitude and Practices of Radiation Safety at Suez Canal University Hospital, Egypt. Open Journal of Radiology, 5, 250-258. doi: 10.4236/ojrad.2015.54034.
References
[1]   Sani, K., Jafari, M., Mohammadi, M., Mojiri, M. and Rahimi, A. (2009) Iranian Physicians’ Knowledge about Radiation Dose, Received by Patients in Diagnostic Radiology. Iranian Journal of Radiation Research, 6, 207-212.

[2]   O’Sullivan, J., O’Connor, J., O’Regan, K., Clarke, B., Burgoyne, L., Ryan, M. and Maher, M. (2010) An Assessment of Medical Students’ Awareness of Radiation Exposures Associated with Diagnostic Imaging Investigations. Insights into Imaging, 1, 86-92.
http://dx.doi.org/10.1007/s13244-010-0009-8

[3]   Yurt, A., Çavusoglu, B. and Günay, T. (2014) Evaluation of Awareness on Radiation Protection and Knowledge about Radiological Examinations in Healthcare Professionals Who Use Ionized Radiation at Work. Molecular Imaging and Radionuclidetherapy, 23, 48-53.
http://dx.doi.org/10.4274/mirt.00719

[4]   Arslanoglu, A., Bilgin, S., Kubal, Z., Ceyhan, M.N., Ilhan, M.N. and Maral, I. (2007) Doctors’ and Intern Doctors’ Knowledge about Patients’ Ionizing Radiation Exposure Doses during Common Radiological Examinations. Diagnostic and Interventional Radiology, 13, 53-55.

[5]   Wong, C.S., Huang, B., Sin, H., Wong, W., Yiu, K. and Chu, Y. (2012) A Questionnaire Study Assessing Local Physicians, Radiologists and Interns’ Knowledge and Practice Pertaining to Radiation Exposure Related to Radiological Imaging. European Journal of Radiology, 81, 264-268.
http://dx.doi.org/10.1016/j.ejrad.2011.02.022

[6]   Keijzers, G.B. and Britton, C.J. (2010) Doctors’ Knowledge of Patient Radiation Exposure from Diagnostic Imaging Requested in the Emergency Department. Medical Journal of Australia, 193, 450-453.

[7]   Moifo, B., Edzimbi, A., Tebere, H., Tambe, J., Samba, R. and Fotsin, J. (2014) Referring Physicians’ Knowledge on Justification of Medical Exposure in Diagnostic Imaging in a Sub-Saharan African Country, Cameroon. Open Journal of Radiology, 4, 60-68.
http://dx.doi.org/10.4236/ojrad.2014.41008

[8]   Dauer, L.T., Kelvin, J.F., Horan, C.L. and St Germain, J. (2006) Evaluating the Effectiveness of a Radiation Safety Training Intervention for Oncology Nurses: A Pretest-Intervention-Posttest Study. BMC Medical Education, 6, 32.
http://dx.doi.org/10.1186/1472-6920-6-32

[9]   Hamarsheh, A. and Ahmead, M. (2012) Assessment of Physicians’ Knowledge and Awareness about the Hazards of Radiological Examinations on the Health of Their Patients. EMHJ, 18, 875-881.

[10]   Prabhat, M., Sudhakar, S., Kumar, B. and Ramaraju, P. (2011) Knowledge, Attitude and Perception (KAP) of Dental Undergraduates Interns on Radiographic Protection—A Questionnaire Based Cross-Sectional Study. Journal of Advanced Oral Research, 2, 45-50.

[11]   Marks, L.B., Jackson, M., Xie, L., Chang, S.X., Burkhardt, K.D., Mazur, L., Jones, E.L., Saponaro, P., LaChapelle, D., Baynes, D.C. and Adams, R.D. (2011) The Challenge of Maximizing Safety in Radiation Oncology. Practical Radiation Oncology, 1, 2-14.
http://dx.doi.org/10.1016/j.prro.2010.10.001

[12]   Yurt, A., Çavusoglu, B. and Günay, T. (2014) Evaluation of Awareness on Radiation Protection and Knowledge about Radiological Examinations in Healthcare Professionals Who Use Ionized Radiation at Work. Molecular Imaging and Radionuclide Therapy, 23, 48-53.
http://dx.doi.org/10.4274/mirt.00719

[13]   Söylemez, H., Sancaktutar, A.A., Silay, M.S., Penbegül, N., Bozkurt, Y., Atar, M., Altunoluk, B., Bodakci, M.N. and Hatipoglu, N.K. (2013) Knowledge and Attitude of European Urology Residents about Ionizing Radiation. Urology, 81, 30-35.
http://dx.doi.org/10.1016/j.urology.2012.07.097

[14]   Friedman, A.A., Ghani, K.R., Peabody, J.O., Jackson, A., Trinh, Q.D. and Elder, J.S. (2013) Radiation Safety Knowledge and Practices among Urology Residents and Fellows: Results of a Nationwide Survey. Journal of Surgical Education, 70, 224-231.
http://dx.doi.org/10.1016/j.jsurg.2012.10.002

[15]   Soye, J.A. and Paterson, A. (2008) A Survey of Awareness of Radiation Dose among Health Professionals in Northern Ireland. The British Journal of Radiology, 81, 725-729.
http://dx.doi.org/10.1259/bjr/94101717

[16]   Shiralkar, S., Rennie, A., Snow, M., Galland, R.B., Lewis, M.H. and Gower-Thomas, K. (2003) Doctors’ Knowledge of Radiation Exposure: Questionnaire Study. BMJ, 327, 371-372.
http://dx.doi.org/10.1136/bmj.327.7411.371

[17]   Heyer, C.M., Hansmann, J., Peters, S.A. and Lemburg, S.P. (2010) Paediatrician Awareness of Radiation Dose and Inherent Risks in Chest Imaging Studies—A Questionnaire Study. European Journal of Radiology, 76, 288-293.
http://dx.doi.org/10.1016/j.ejrad.2009.06.014

[18]   Günalp, M., Gülünay, B., Polat, O., Demirkan, A., Gürler, S., Akkas, M. and Aksu, N.M. (2014) Ionising Radiation Awareness among Resident Doctors, Interns, and Radiographers in a University Hospital Emergency Department. La Radiologia Medica, 119, 40-47.
http://dx.doi.org/10.1007/s11547-013-0374-8

[19]   Lee, R.K., Chu, W.C., Graham, A., Rainer, T.H. and Ahuja, A.T. (2012) Knowledge of Radiation Exposure in Common Radiological Investigations: A Comparison between Radiologists and Non-Radiologists. Emergency Medicine Journal, 29, 306-308.
http://dx.doi.org/10.1136/emermed-2011-200481

[20]   Keijzers, G.B. and Britton, C.J. (2010) Doctors’ Knowledge of Patient Radiation Exposure from Diagnostic Imaging Requested in the Emergency Department. Medical Journal of Australia, 193, 450-453.

[21]   Rahman, N., Dhakam, S., Shafqut, A., Qadir, S. and Tipoo, F. (2008) Knowledge and Practice of Radiation Safety among Invasive Cardiologists. Journal of Pakistan Medical Association, 58, 119-122.

[22]   Ahidjo, A., Garba, I., Mustapha, Z., Abubakar, A.M. and Usman, U.A. (2012) Referring Doctors Knowledge about Radiation Doses in Patients Undergoing Common Radiological Examinations. Journal of Medicine and Medical Science, 3, 222-225.

[23]   Moifo, B., Edzimbi, A., Tebere, H., Tambe, J., Samba, R. and Fotsin, J. (2014) Referring Physicians’ Knowledge on Justification of Medical Exposure in Diagnostic Imaging in a Sub-Saharan African Country, Cameroon. Open Journal of Radiology, 4, 60-68.
http://dx.doi.org/10.4236/ojrad.2014.41008

[24]   Zewdneh, D., Dellie, S. and Ayele, T. (2012) Study of Knowledge & Awareness of Medical Doctors towards Radiation Exposure Risk at Tikur Anbessa Specialized Referral and Teaching Hospital, Addis Ababa, Ethiopia. IOSR Journal of Pharmacy and Biological Sciences, 2, 1-5.
http://dx.doi.org/10.9790/3008-0240105

 
 
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