Rose André, Uebel Kerry E, Rae William I
Department of Community Health, University of the Free State, South Africa.
Department of Internal Medicine, University of the Free State, South Africa.
SA J Radiol. 2018 Mar 19;22(1):1285. doi: 10.4102/sajr.v22i1.1285. eCollection 2018.
Occupational exposure to ionising radiation poses potential health risks to radiation workers unless adequate protection is in place. The catheterisation laboratory is a highly contextualised workplace with a distinctive organisational and workplace culture.
This study was conducted to understand the culture of radiation protection (CRP).
This study was a qualitative study and data were collected through 30 in-depth and 6 group interviews with 54 purposively selected South African interventionalists (interventional radiologists and cardiologists). The participants included a diversity of interventionalists who varied in sex, geographic location and years of experience with fluoroscopy. The transcribed data were analysed thematically using a deductive and inductive approach.
'Culture of radiation protection' emerged as a complex theme that intersected with other themes: 'knowledge and awareness of radiation', 'radiation safety practice', 'personal protective equipment (PPE) utilisation' and 'education and training'.
Establishing and sustaining a CRP provides an opportunity to mitigate the potentially detrimental health effects of occupational radiation exposure. Education and training are pivotal to establishing a CRP. The time to establish a culture of radiation in the catheterisation laboratory is now.
除非有充分的防护措施，职业性接触电离辐射会给放射工作人员带来潜在的健康风险。导管插入实验室是一个具有独特组织和工作场所文化的高度情境化的工作场所。
开展本研究以了解辐射防护文化（CRP）。
本研究为定性研究，通过对54名经过有目的选择的南非介入专家（介入放射科医生和心脏病专家）进行30次深度访谈和6次小组访谈收集数据。参与者包括不同性别、地理位置和荧光透视经验年限的各类介入专家。对转录的数据采用演绎和归纳方法进行主题分析。
“辐射防护文化”成为一个与其他主题相互交叉的复杂主题：“辐射知识与意识”、“辐射安全实践”、“个人防护装备（PPE）的使用”以及“教育与培训”。
建立并维持辐射防护文化为减轻职业性辐射暴露可能产生的有害健康影响提供了契机。教育与培训对于建立辐射防护文化至关重要。现在是在导管插入实验室建立辐射文化的时候了。
