Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-28T16:05:18.769Z Has data issue: false hasContentIssue false
  • English
  • Français

Factors Affecting the Intervention of Health-Care Professionals in Radiological Events: A Systematic Review

Published online by Cambridge University Press:  08 March 2023

Nihal Dağ Open the ORCID record for Nihal Dağ [Opens in a new window] ,
Cüneyt Çalışkan Open the ORCID record for Cüneyt Çalışkan [Opens in a new window] ,
Hüseyin Koçak Open the ORCID record for Hüseyin Koçak [Opens in a new window] ,
Gülcan Demir Open the ORCID record for Gülcan Demir [Opens in a new window]  and
İsmet Çelebi Open the ORCID record for İsmet Çelebi [Opens in a new window]
Nihal Dağ*
Affiliation:
Department of Disaster Medicine, Hamidiye Institute of Health Sciences, University of Health Sciences, Istanbul Turkey
Cüneyt Çalışkan
Affiliation:
Department of Emergency Aid and Disaster Management, Hamidiye Faculty of Health Sciences, University of Health Sciences, Istanbul Turkey
Hüseyin Koçak
Affiliation:
Department of Emergency Aid and Disaster Management, Faculty of Health Sciences, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
Gülcan Demir
Affiliation:
Vocational School of Health Services in Sinop University Sinop, Turkey
İsmet Çelebi
Affiliation:
Paramedic of Department, Gazi University, Ankara, Turkey
*
Corresponding author: Nihal Dağ, Email: nihaldag@icloud.com.
Get access Rights & Permissions [Opens in a new window]

Abstract

This research aims to explore the factors affecting the intervention of health-care professionals regarding a radiological event and to determine what actions they cause. In line with the keywords determined, a search was conducted on Cochrane, Scopus, Web of Science, and PubMed until March 2022. Eighteen peer-reviewed articles that met the inclusion criteria were reviewed. This systematic review was conducted using the PICOS and PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses)guidelines. Of the 18 studies included in the study, 8 were cross-sectional studies, 7 were descriptive studies, 2 were interventional studies, and 1 was a systematic review. As a result of the qualitative analysis, 7 factors affecting the intervention of health-care professionals in a radiological event were identified as follows: rarity of the event; inadequacy of health-care professionals against the radiological event; sensory responses; dilemma and ethical concern; communication, workload; and other factors. The most important factor affecting the intervention of health-care professionals in a radiological event is inadequate education about a radiological event, which influences the formation of other factors. These and other factors cause actions such as delayed treatment, death, and disruption of health services. Further studies are needed on the factors affecting the intervention of health-care professionals.

Keywords

radiological eventhealth-care professionalsmedical interventionemergencycasualty
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e348
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

CDC. Types of radiation emergencies. CDC. Accessed April 7, 2022. https://www.cdc.gov/nceh/radiation/emergencies/typesofemergencies.htm Google Scholar
WHO. Radiation emergencies. Accessed April 7, 2022. https://www.who.int/health-topics/radiation-emergencies#tab=tab_1 Google Scholar
International Atomic Energy Agency. Chernobyl accident 1986. The World Nuclear Association website. Published April 2022. Accessed April 8, 2022. http://www.world-nuclear.org/information-library/safety-and-security/safety-of-plants/chernobyl-accident.aspx Google Scholar
Yanagawa, Y, Miyawaki, H, Shimada, J, et al. Medical evacuation of patients to other hospitals due to the Fukushima I nuclear accidents. Prehosp Disaster Med. 2011;26(5):391-393. doi: 10.1017/S1049023X11006418 Google Scholar
Stallard, E, Gill, V. Nuclear plant: how close was nuclear plant attack to catastrophe? - BBC News. BBC. Published 2022. Accessed April 8, 2022. https://www.bbc.com/news/world-60609633 Google Scholar
Tin, D, Margus, C, Ciottone, GR. Half-a-century of terrorist attacks: weapons selection, casualty outcomes, and ımplications for counter-terrorism medicine. Prehosp Disaster Med. 2021;36(5):526-530. doi: 10.1017/S1049023X21000868 Google ScholarPubMed
Bowen, A, Veenema, TG, Schneider-Firestone, S, et al. Exploring national nursing readiness for a radiological or nuclear ıncident: a cross-sectional study. J Emerg Nurs. 2020;46(5):600-610. doi: 10.1016/j.jen.2020.06.002 Google ScholarPubMed
Veenema, TG, Walden, B, Feinstein, N, et al. Factors affecting hospital-based nurses’ willingness to respond to a radiation emergency. Disaster Med Public Health Prep. 2008;2(4):224-229. doi: 10.1097/DMP.0b013e31818a2b7a CrossRefGoogle ScholarPubMed
Hopmeier, M, Abrahams, J, Carr, Z. Some considerations for mass casualty management in radiation emergencies. Health Phys. 2010;98(6):790-794. doi: 10.1097/HP.0b013e3181c6f380 Google ScholarPubMed
Blumenthal, DJ, Bader, JL, Christensen, D, et al. A sustainable training strategy for ımproving health care following a catastrophic radiological or nuclear ıncident. Prehosp Disaster Med. 2014;29(1):80-86. doi: 10.1017/S1049023X1400003X Google ScholarPubMed
News Türkçe, BBC. Fukuşima felaketi: Nükleer santralde 11 yıl önce neler oldu? Accessed November 21, 2022. https://www.bbc.com/turkce/haberler-dunya-56351140 Google Scholar
Whittemore, R, Knafl, K. The ıntegrative review: updated methodology. J Adv Nurs. 2005;52(5):546-553. doi: 10.1111/j.1365-2648.2005.03621.x Google ScholarPubMed
Liberati, A, Altman, DG, Tetzlaff, J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare ınterventions: explanation and elaboration. BMJ. 2009;339:b2700. doi: 10.1136/bmj.b2700 Google ScholarPubMed
Hong, QN, Pluye, P, Fàbregues, S, et al. Mixed Methods Appraisal Tool (MMAT) version 2018 user guide. 2018. http://mixedmethodsappraisaltoolpublic.pbworks.com/ Google Scholar
Veenema, TG, Moran, TP, Kazzi, Z, et al. Radiation ınjury treatment network medical and nursing workforce radiation: knowledge and attitude assessment. Disaster Med Public Health Prep. 2022;16(1):170-176. doi: 10.1017/dmp.2020.253 Google ScholarPubMed
Murray, BP, Kim, E, Ralston, SA, et al. Radiation emergency readiness among US medical toxicologists: a survey. Disaster Med Public Health Prep. 2021;15(3):292-297. doi: 10.1017/dmp.2019.147 Google ScholarPubMed
Christensen, DM, Jenkins, MS, Sugarman, SL, et al. Management of ıonizing radiation ınjuries and ıllnesses, part 1: physics, radiation protection, and radiation ınstrumentation. J Am Osteopath Assoc. 2014;114(3):189-199. doi: 10.7556/jaoa.2014.037 Google ScholarPubMed
Tominaga, T, Hachiya, M, Tatsuzaki, H, et al. The accident at the Fukushima Daiichi nuclear power plant in 2011. Health Phys. 2014;106(6):630-637. doi: 10.1097/HP.0000000000000093 Google ScholarPubMed
McGann, C, Miaullis, A, Page, N. Radiologists: the unsuspecting subject matter experts. J Am Coll Radiol. 2015;12(7):745-753. doi: 10.1016/j.jacr.2015.01.014 Google ScholarPubMed
Hachiya, M, Akashi, M. Lessons learned from the accident at the Fukushima Dai-Ichi Nuclear Power Plant-more than basic knowledge: education and ıts effects ımprove the preparedness and response to radiation emergency. Radiat Prot Dosimetry. 2016;171(1):27-31. doi: 10.1093/rpd/ncw182 Google ScholarPubMed
Nagata, T, Arishima, T, Yamaguchi, Y, et al. Radiation emergency medical preparedness in Japan: a survey of nuclear emergency core hospitals. Disaster Med Public Health Prep. 2022;17:e78. doi: 10.1017/dmp.2021.348 Google ScholarPubMed
Robert Schleipman, A, Gerbaudo, VH, Castronovo, FP Jr Radiation disaster response: preparation and simulation experience at an academic medical center. J Nucl Med Technol. 2004;32(1):22-27.Google Scholar
Tin, D, Granholm, F, Hart, A, et al. Terrorism-related chemical, biological, radiation, and nuclear attacks: a historical global comparison ınfluencing the emergence of counter-terrorism medicine. Prehosp Disaster Med. 2021;36(4):399-402. doi: 10.1017/S1049023X21000625 Google ScholarPubMed
Shah, NA, Shahzad, N, Sohail, M. Nuclear disaster preparedness level of medical responders in Pakistan. J Nucl Med Technol. 2021;49(1):95-101. doi: 10.2967/jnmt.120.252577 Google ScholarPubMed
Bouillon-Minois, JB, Roux, V, Pereira, B, et al. Stress among emergency health care workers on nuclear or radiation disaster: a preliminary state survey. Int J Environ Res Public Health. 2021;18(16):8384. doi: 10.3390/ijerph18168384 Google ScholarPubMed
Dallas, CE, Klein, KR, Lehman, T, et al. Readiness for radiological and nuclear events among emergency medical personnel. Front Public Health. 2017;5:202. doi: 10.3389/fpubh.2017.00202 CrossRefGoogle ScholarPubMed
McGhee, RK, Praetzel, DC, Medley, CC. Radiation ınjuries, triage, and treatment after a nuclear terrorist attack. Oral Maxillofac Surg Clin North Am. 2005;17(3):289-298. doi: 10.1016/j.coms.2005.04.005 CrossRefGoogle ScholarPubMed
Smith, JM, Ansari, A, Harper, FT. Hospital management of mass radiological casualties: reassessing exposures from contaminated victims of an exploded radiological dispersal device. Health Phys. 2005;89(5):513-520. doi: 10.1097/01.HP.0000175444.30788.75 CrossRefGoogle ScholarPubMed
Matsuoka, Y, Nishi, D, Nakaya, N, et al. Concern over radiation exposure and psychological distress among rescue workers following the Great East Japan Earthquake concern over radiation exposure and distress. BMC Public Health. 2012;12:249. http://www.biomedcentral.com/1471-2458/12/249 Google ScholarPubMed
Goto, A, Rudd, RE, Lai, YA, et al. Health literacy training for public health nurses in Fukushima: a case-study of program adaptation, ımplementation and evaluation. Japan Med Assoc J. 2014;57(3):146-153.Google Scholar
Science Council of Japan. Improving radiation health risk science education, ıncluding making ıt mandatory in medical education. 2014. Accessed December 1, 2022. http://www.scj.go.jp/ja/info/kohyo/pdf/kohyo-22-t197-3.pdf Google Scholar
Park, S, Yang, Y. Factors affecting radiation protection behaviors among emergency room nurses. Int J Environ Res Public Health. 2021;18(12):6238. doi: 10.3390/ijerph18126238 CrossRefGoogle ScholarPubMed
Becker, SM. Emergency communication and ınformation ıssues in terrorist events ınvolving radioactive materials. Biosecur Bioterror. 2004;2(3):195-207.Google ScholarPubMed
Balicer, RD, Catlett, CL, Barnett, DJ, et al. Characterizing hospital workers’ willingness to respond to a radiological event. PLoS One. 2011;6(10):e25327. doi: 10.1371/journal.pone.0025327 CrossRefGoogle ScholarPubMed
Becker, SM, Middleton, SA. Improving hospital preparedness for radiological terrorism: perspectives from emergency department physicians and nurses. Disaster Med Public Health Prep. 2008;2(3):174-184.CrossRefGoogle ScholarPubMed
Anan, H, Otomo, Y, Kondo, H, et al. Development of mass-casualty life support-CBRNE (MCLS-CBRNE) in Japan. Prehosp Disaster Med. 2016;31(5):547-550. doi: 10.1017/S1049023X16000686 Google ScholarPubMed
Rebera, AP, Rafalowski, C. On the spot ethical decision making in CBRN (chemical, biological, radiological or nuclear event) response: approaches to on the spot ethical decision-making for first responders to large-scale chemical incidents. Sci Eng Ethics. 2014;20(3):735-752. doi: 10.1007/s11948-014-9520-5 Google Scholar
Chaffee, M. Willingness of health care personnel to work in a disaster: an ıntegrative review of the literature. Disaster Med Public Health Prep. 2009;3(1):42-56.CrossRefGoogle Scholar
ICRP. ICRP publications. Accessed November 19, 2022. https://www.icrp.org/page.asp?id=5 Google Scholar
World Health Organization, International Labour Organization. Occupational safety and health in public health emergencies : a manual for protecting health workers and responders. Accessed February 16, 2023. https://www.who.int/publications/i/item/9789241514347 Google Scholar
Murray, EJ, Mason, M, Cont, I, et al. Factors ınfluencing health care workers’ willingness to respond to duty during ınfectious disease outbreaks and bioterrorist events: an ıntegrative review. Published online by Cambridge University Press: February 23, 2021. doi: 10.1017/S1049023X21000248 CrossRefGoogle Scholar
Cone, DC, Cummings, BA. Hospital disaster staffing: if you call, will they come? Am J Disaster Med. 2006;1(1):28-36. doi: 10.5055/ajdm.2006.0007 CrossRefGoogle ScholarPubMed
Simon, SL. Organ-specific external dose coefficients and protectıve apron transmission factors for historical dose reconstruction for medical personnel. Health Phys. 2011;101(1):13-27. doi: 10.1097/hp.0b013e318204a60a Google ScholarPubMed
Christodoulou, EG, Goodsitt, MM, Larson, SC, et al. Evaluation of the transmitted exposure through lead equivalent aprons used in a radiology department, ıncluding the contribution from backscatter. Med Phys. 2003;30(6):1033-1038. doi: 10.1118/1.1573207 Google Scholar
Bushberg, JT, Seibert, JA, Leidholdt, EM Jr, et al. The essential physics of medical ımaging. In: Medical Physics. Vol 40. Wiley-Blackwell; 2013:077301. doi: 10.1118/1.4811156 Google Scholar
ASPR TRACIE. Major radiological or nuclear ıncidents: potential health and medical ımplications background ınformation. 2022. Accessed February 16, 2023. https://files.asprtracie.hhs.gov/documents/aspr-tracie-radiological-and-nuclear-health-and-medical-considerations-508.pdf Google Scholar
Coiera, E. Communication systems in healthcare. Clin Biochem Rev. 2006;27(2):89-98.Google ScholarPubMed
World Food Programme. Emergency telecommunications cluster. Accessed November 21, 2022. https://www.wfp.org/emergency-telecommunications-cluster Google Scholar
ITU. ITU disaster response. Accessed November 21, 2022. https://www.itu.int/en/ITU-D/Emergency-Telecommunications/Pages/Response.aspx Google Scholar
ETC Operations. About the ETC | Emergency Telecommunications Cluster (ETC). Accessed November 21, 2022. https://www.etcluster.org/about-etc Google Scholar
Afet Yönetimi. Afet Hazırlık Birimi. Accessed November 21, 2022. https://afetyonetimi.kizilay.org.tr/tr/afet-haberlesme-birimi.html Google Scholar
AFAD. Kesintisiz Ve Güvenli Haberleşme Sistemi. Accessed November 21, 2022. https://www.afad.gov.tr/kesintisiz-ve-guvenli-haberlesme-sistemi Google Scholar
Regis College. What is the ımportance of communication in health care. Accessed November 19, 2022. https://online.regiscollege.edu/blog/importance-communication-health-care/ Google Scholar