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Team perception of the radiation safety climate in the hybrid angiography suite : a cross-sectional study

Bart Doyen (UGent) , Peter Vlerick (UGent) , Gilles Soenens (UGent) , Frank Vermassen (UGent) and Isabelle Van Herzeele (UGent)
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Abstract
Background: Good radiation safety practice in the angiosuite is essential to protect patients and healthcare workers. Most strategies aim to advance radiation safety through technological upgrades and educational initiatives. However, safety literature suggests that additional ways to improve radiation safety in the angiosuite do exist. The safety climate reflects the way team members perceive various key characteristics of their work environment and is closely related to relevant safety outcomes. A specific ‘radiation safety climate’ has not been described nor studied in the hybrid angiosuite. This study explores the radiation safety climate in the hybrid angiosuite and its relation to team members' radiation safety behavior, knowledge and motivation. Materials and Methods: Vascular surgeons, fellows/trainees and operating room nurses active in the angiosuite at five hospitals were invited to complete an online self-report questionnaire assessing the radiation safety climate (28 items); radiation safety behavior; radiation safety knowledge and radiation safety motivation. Relations between climate scores and behavior were investigated using Pearson correlations. Mediation was analyzed using the Baron and Kenny analysis. P-Values < 0.05 were considered statistically significant. Results: No major differences were identified in total radiation safety climate scores between centers or team member functions. Scale reliability for radiation safety climate was good to excellent (α > 0.663). Total radiation safety climate scores were positively related to the radiation safety behavior score (r=0.403; p=0.015). This relation was partially mediated by radiation safety knowledge (β=0.1730; 95% CI: [0.0475; 0.3512]), while radiation safety motivation did not act as a mediator: (β=0.010; 95% CI: [-0.0561; 0.0998]). Conclusion: A well-developed radiation safety climate in the hybrid angiosuite fosters positive radiation safety behaviors, which may partially be explained through improved radiation safety knowledge transfer. Further research on (radiation) safety climate and its impact on radiation safety-related outcome measures for patients is recommended.

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MLA
Doyen, Bart, et al. “Team Perception of the Radiation Safety Climate in the Hybrid Angiography Suite : A Cross-Sectional Study.” INTERNATIONAL JOURNAL OF SURGERY, 2020.
APA
Doyen, B., Vlerick, P., Soenens, G., Vermassen, F., & Van Herzeele, I. (2020). Team perception of the radiation safety climate in the hybrid angiography suite : a cross-sectional study. INTERNATIONAL JOURNAL OF SURGERY.
Chicago author-date
Doyen, Bart, Peter Vlerick, Gilles Soenens, Frank Vermassen, and Isabelle Van Herzeele. 2020. “Team Perception of the Radiation Safety Climate in the Hybrid Angiography Suite : A Cross-Sectional Study.” INTERNATIONAL JOURNAL OF SURGERY.
Chicago author-date (all authors)
Doyen, Bart, Peter Vlerick, Gilles Soenens, Frank Vermassen, and Isabelle Van Herzeele. 2020. “Team Perception of the Radiation Safety Climate in the Hybrid Angiography Suite : A Cross-Sectional Study.” INTERNATIONAL JOURNAL OF SURGERY.
Vancouver
1.
Doyen B, Vlerick P, Soenens G, Vermassen F, Van Herzeele I. Team perception of the radiation safety climate in the hybrid angiography suite : a cross-sectional study. INTERNATIONAL JOURNAL OF SURGERY. 2020;
IEEE
[1]
B. Doyen, P. Vlerick, G. Soenens, F. Vermassen, and I. Van Herzeele, “Team perception of the radiation safety climate in the hybrid angiography suite : a cross-sectional study,” INTERNATIONAL JOURNAL OF SURGERY, 2020.
@article{8654260,
  abstract     = {Background: Good radiation safety practice in the angiosuite is essential to protect patients and healthcare workers. Most strategies aim to advance radiation safety through technological upgrades and educational initiatives. However, safety literature suggests that additional ways to improve radiation safety in the angiosuite do exist. The safety climate reflects the way team members perceive various key characteristics of their work environment and is closely related to relevant safety outcomes. A specific ‘radiation safety climate’ has not been described nor studied in the hybrid angiosuite. This study explores the radiation safety climate in the hybrid angiosuite and its relation to team members' radiation safety behavior, knowledge and motivation.
Materials and Methods: Vascular surgeons, fellows/trainees and operating room nurses active in the angiosuite at five hospitals were invited to complete an online self-report questionnaire assessing the radiation safety climate (28 items); radiation safety behavior; radiation safety knowledge and radiation safety motivation. Relations between climate scores and behavior were investigated using Pearson correlations. Mediation was analyzed using the Baron and Kenny analysis. P-Values < 0.05 were considered statistically significant.
Results: No major differences were identified in total radiation safety climate scores between centers or team member functions. Scale reliability for radiation safety climate was good to excellent (α > 0.663). Total radiation safety climate scores were positively related to the radiation safety behavior score (r=0.403; p=0.015). This relation was partially mediated by radiation safety knowledge (β=0.1730; 95% CI: [0.0475; 0.3512]), while radiation safety motivation did not act as a mediator: (β=0.010; 95% CI: [-0.0561; 0.0998]).
Conclusion: A well-developed radiation safety climate in the hybrid angiosuite fosters positive radiation safety behaviors, which may partially be explained through improved radiation safety knowledge transfer. Further research on (radiation) safety climate and its impact on radiation safety-related outcome measures for patients is recommended.},
  author       = {Doyen, Bart and Vlerick, Peter and Soenens, Gilles and Vermassen, Frank and Van Herzeele, Isabelle},
  issn         = {1743-9191},
  journal      = {INTERNATIONAL JOURNAL OF SURGERY},
  language     = {eng},
  title        = {Team perception of the radiation safety climate in the hybrid angiography suite : a cross-sectional study},
  url          = {http://dx.doi.org/10.1016/j.ijsu.2020.03.027},
  year         = {2020},
}

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