Factors Affecting Compliance towards Radiation Protection Equipment among Radiographers: A Cross Sectional Study
DOI:
https://doi.org/10.30564/jhp.v1i2.1505Abstract
Background: Radiographers were at risk of x-ray radiation. Ministry of Heath of Indonesia made a regulation act no. 33 year 2007 to secure radiographers on ionizing radiations by using radiation protection equipment (RPE). Objective: This study identified the factors affecting compliance towards RPE among radiographers and determined the correlation between influencing factors and compliance towards RPEs. Methods: The study conducted a quantitative descriptive-correlational design in a cross sectional approach. A total of 103 radiographers answered the online self administered questionnaires from 9 government hospitals at Jakarta, Indonesia. Results: It was identified that personal factors were the knowledge and motivations while the availability of RPEs and standard operating procedures were environmental factors. The knowledge (p=0.001, r=0.321) and motivations (p=0.018, r=0.232), and availability of RPE (p=0.138, r=0.146) and standard operating procedures (p=0.023, r=0.224) were factors affecting a compliance to RPEs. It was however determined that gender (p=0.251, r=0.113), and place of work (p=0.479, r=0.070) were not correlated to both personal and environmental factors. On the contrary, age (p=0.031, r=0.212), highest educational attainment (p=0.039, r=0.203), years of experience (p=0.001, r=0.336), and training (p=0.001, r=0.341) influenced both personal and environmental factors affecting compliance of radiographers towards RPEs. Findings: It was found that Dr. Cipto Mangunkusumo (p=0.271), Persahabatan (p=0.133), Fatmawati (p=0.357), Otak Nasional (p=0.238), Pasar Rebo (p=0.356), Tarakan (0.255), and Koja (p=0.199) hospitals were not probable to comply towards RPEs. Only Infeksi Sulianti Suroso (p=0.21), and Budhi Asih (p=0.0002) hospitals were most probable to comply towards RPEs.
Keywords:
Compliance; Cross-sectional; Healthcare; Radiographers; Radiation protection equipmentReferences
[1] Moehadi AST. Tingkat Kepatuhan Mahasiswa Profesi dalam Proteksi Diri terhadap Paparan Radiasi (di bagian Radiologi Dental Rumah Sakit Gigi dan Mulut Pendidikan Universitas Hasanuddin) SKRIPSI, 2015. http://repositoryunhasacid/Handle/123456789/14235
[2] Mayerni, Ahmad A, Abidin Z. Dampak Radiasi Terhadap Kesehatan Pekerja Radiasi Di Rsud Arifin Achmad, Rs Santa Maria Dan Rs Awal Bros Pekanbaru. J Ilmu Lingkung, 2013, 7: 114–27.
[3] Faniah AM. Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Penggunaan Apd Earplug Dan Sarung Tangan Pada Pekerja Unit Perbaikan DI PT. Kai Daop VI Yogyakarta Dipo Solo Balapan. http://EprintsUmsAcId 2016
[4] Karami V, Zabihzadeh M, Gilavand A. Survey of the use of X-ray beam collimator and shielding tools during infant chest radiography. Int J. 2016.
[5] Wirjosentono B. Kepatuhan Radiofrafer Pada Pelaksanaan Peraturan Keselamatan Dan Kesehatan Kerja Unit Radiologi Dan Pengaruhnya Terhadap Gangguan, 2008.
[6] Hendra Y, Utomo M, Salawati T. Beberapa Faktor Yang Berhubungan Dengan Praktik Pemakaian Alat Pelindung Diri (APD) Pada Radiografer DI INSTALASI Radiologi 4 Rumah Sakit DI Kota Semarang. J Kesehat Masy Indones 2017;7.
[7] Rahmawati N, Martiana T. Analisis Safe Behacior Dengan Pendekatan Behavior-Based Safety Pada Radiografer DI Rumah Sakit Dr. Soetomo Surabaya, 2014.
[8] Rostamzadeh A, Farzizadeh M, Fatehi D. Evaluation of the Level of Protection in Radiology Departments of Kermanshah, Iran, 2015, 12: 200–8. DOI:https://doi.org/10.22038/ijmp.2015.6221
[9] Yusri H, Situmorang J. Sikap Terhadap Keselama Tan Dari Pekerja Radiasi Rumahsakit Dan Industri Indonesia. Bul Keselam Statut 2000, 1: 8–14.
[10] Magbojos CR, Flores N, Manalo JC, Hernandez EG. Quality assurance practices among radiologic and x-ray technologists at Oriental Mindoro, Philippines. THE STETH, 2011, 5.
[11] Khoiri M. Upaya Peningkatan Budaya Keselamatan Pekerja Radiasi Rumah Sakit di Indonesia. Semin Nas VI SDM Teknol Nukl, 2010.
[12] Hakim L. Penggunaan Alat Pelindung Diri (APD) Oleh Pekerja Radiasi Pada Instalasi Radiologi Rumah Sakit Di Wilayah Kota Palembang Tahun 2004, 2004.
[13] Andersson B, Fridlund B, Elgán C. Radiographers’ areas of professional competence related to good nursing care. J Caring, 2008.
[14] Reagan JT, Slechta AM. Factors related to radiation safety practices in California. Radiol Technol. 2010, 81: 538–47.
[15] Adejumo S, Irurhe N, Olowoyeye O. Evaluation of compliance to radiation safety standard amongst radiographers in radiodiagnostic centers in South West, Nigeria. World J Med 2012.
[16] Kasim Y, Mulyadi N, Kallo V. Hubungan Motivasi & amp; Supervisi Dengan Kepatuhan Perawat Dalam Penggunaan Alat Pelindung Diri (Apd) Pada Penanganan Pasiem Gangguan Muskuloskeletal DI Igd Rsup Prof DR. R. D. Kandou Manado. J Keperawatan, 2017, 5.
[17] Bapeten. Peraturan Pemerintah Nomor 33 Tahun 2007 tentang Keselamatan Radiasi Pengion dan Keamanan Sumber Radioaktif - JDIH-BAPETEN. Peratur Pemerintah, 2007, 40. https://jdih.bapeten.go.id/index.php/site/dokview/id/21 (accessed October 10, 2017)
[18] Bapeten. Peraturan Kepala Badan Pengawas Tenaga Nuklir Nomor 4 Tahun 2013 tentang Proteksi dan Keselamatan Radiasi Dalam Pemanfaatan Tenaga Nuklir - Jdih-Bapeten. Perka Bapeten, 2013, 3. https://jdih.bapeten.go.id/index.php/site/dokview/id/322 (accessed October 10, 2017)
[19] Notoatmodjo S. Metodologi Penelitian Kesehatan Jakarta: Rineka Cipta..(2007). Promosi Kesehat Teor Dan Ilmu Perilaku Jakarta, 2002.
[20] Nursalam P. Pendekatan praktis metodologi riset keperawatan. Jakarta CV Sagung Setyo, 2001.
[21] Dwiastuti T. Hubungan Antara Pengetahuan Tentang Risiko Potensi Bahaya Radiasi Dan Kepatuhanenggunan Alat Pelindung Diri Padapekerja RadiasiDI Bagian Radiologi Rs Umum Tangerang. Univeritas Esa Unggul, 2013, 0.
[22] Putri K, AW Y. Analisis Faktor Yang Berhubungan Dengan Kepatuhan Menggunakan Alat Pelindung Diri. J [Serial Online] http//Journal Unair Ac, 2014
[23] Sugiyono. Metode Penelitian Administratif 2013. http://zeilaputri.blogspot.co.id/2015/06/perspektif-metode-penelitian.html (accessed January 3, 2018).
[24] Ghozali I. Aplikasi analisis multivariate dengan program SPSS. Badan Penerbit Universitas Diponegoro, 2006.
[25] Kim SY, Park JE, Lee YJ, Seo H-J, Sheen S-S, Hahn S, et al. Testing a tool for assessing the risk of bias for nonrandomized studies showed moderate reliability and promising validity. J Clin Epidemiol, 2013, 66: 408-414. DOI:https://doi.org/10.1016/j.jclinepi.2012.09.016
[26] Allen, Unwin. Surveys In Social Research - David De Vaus - Sixth Edition. Google B, 2014. https://books.google.co.id/bookshl=id&lr=&id=rnxiAgAAQBAJ&oi=fnd&pg=PP1&dq=Survey+in+Social+Research+5th+Edition,+Allen+and+Unwin&ots=6dPIDdquLL&sig=fHfRzqu5fxAmP5IqX8wdaewdELs&redir_esc=y#v=onepage&q&f=false (accessed January 4, 2018).
[27] Hastuti, Sri. Perilaku Etis Mahasiswa dan Dosen Ditinjau Dari Faktor Individual Gender dan Locus ff Control (Studi Empiris Pada Fakultas Ekonomi Universitas X di Jatim). J Ris Ekon Bisnis, 2012, 7: 58–73. DOI:https://doi.org/10.1234/JREBIS.V7I1.66
[28] Fakih M. Analisis gender & transformasi sosial. Pustaka Pelajar, 1996.
[29] Siagian S. Manajemen sumber daya manusia, 2014.
[30] Notoatmodjo S. Promosi kesehatan dan ilmu perilaku, 2007.
[31] Helliyanti P. Berhubungan Dengan Perilaku Tidak Aman di Dept. Utility and Operation PT Indofood Sukses Makmur Tbk Divisi Bogasari Flour Mills tahun 2009. Skripsi Depok FKM UI, 2009.
[32] Sari L, Asyik B, Miswar D. Karakteristik Sosial Ekonomi Kepala Keluarga Yang Bertempat Tinggal DI Kelurahan Kaliawi. JPG, Jurnal Penelit Geogr 2014.
[33] Hasibuan A. Urgensi Pendidikan Pemakai Dalam Upaya Peningkatan Kualitas Layanan di Perpustakaan. Dalam J Iqra, 2008.
[34] Ridley R. The relationship between nurse education level and patient safety: An integrative review. J Nurs Educ, 2008.
[35] Reynaldo A, Darmastuti I. Analisis Kualitas Sistem Informasimanajemen Dan Lingkungan Kerjaterhadap Kinerja Karyawan Asuransijiwa Bumiputera 1912 Cabang Pandanaransemarang 2015.
[36] Aslam A, Riani AL, Widodo GP. Pengaruh Perilaku Kerja, Lingkungan Kerja, Dan Interaksi Sosial Terhadap Kepuasan Kerja. J Manag Pharm Pract. 2013, 3: 167–74. DOI:https://doi.org/10.22146/JMPF.189
[37] Geller E. The psychology of safety handbook, 2016.
[38] Green L, Kreuter M, Deeds S, Partridge K. Health education planning: a diagnostic approach, 1980.
[39] Cahyani D. Faktor-Faktor yang Berhubungan dengan Perilaku Tidak Aman pada Pekerja Pabrik Billet Baja PT Krakatau Stell, Cilegon, Jawa Barat Tahun 2004. Skripsi Depok FKM UI, 2004.
[40] Ismanto, Che Hassan H. Factors Affecting Radiographers’ Compliance with Radiation Protection on All Areas of Hospital Settings Worldwide - A Meta-Analysis. IJIRST –International J Innov Res Sci Technol. 2016, 3: 433–8.
[41] Maslow A. Motivation and personality (; revised by R. frager, J. fadiman, C. McReynolds, & R. cox). NY Harper Row 1987.
[42] Ishak A, Hendri T. Manajemen Motivasi. Book 2003. https://www.bukupedia.com/id/book/id-38-25518/pengembangan-diri-motivasi/manajemen-motivasi.html (accessed January 3, 2018)
[43] Munandar A. Psikologi Industri dan Organisasi. Teori Motivasi dan Aplikasinya, 2001.
[44] Roughton J, Mercurio J. Developing an effective safety culture: A leadership approach, 2002.
[45] Prabowo OS. Analisis Pengaruh Human Relation, Kondisi Fisik Lingkungan Kerja, Dan Leadership Terhadap Etos Kerja Karyawantor Pendapatan Daerah DI Pati, 2009.
[46] Suma’mur P. Higiene Perusahaan Kesehatan dan Keselamatan Kerja, 1996.
[47] Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int J Health Care Qual Assur. 2007, 20: 620–32. DOI:https://doi.org/10.1108/09526860710822752
Downloads
Issue
Article Type
License
Copyright © 2019 Ismanto S., Hafizah Che Hassan, Regidor III Dioso
This is an open access article under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) License.
Copyright and Licensing
The authors shall retain the copyright of their work but allow the Publisher to publish, copy, distribute, and convey the work.
Journal of Human Physiology publishes accepted manuscripts under Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). Authors who submit their papers for publication by Journal of Human Physiology agree to have the CC BY-NC 4.0 license applied to their work, and that anyone is allowed to reuse the article or part of it free of charge for non-commercial use. As long as you follow the license terms and original source is properly cited, anyone may copy, redistribute the material in any medium or format, remix, transform, and build upon the material.
License Policy for Reuse of Third-Party Materials
If a manuscript submitted to the journal contains the materials which are held in copyright by a third-party, authors are responsible for obtaining permissions from the copyright holder to reuse or republish any previously published figures, illustrations, charts, tables, photographs, and text excerpts, etc. When submitting a manuscript, official written proof of permission must be provided and clearly stated in the cover letter.
The editorial office of the journal has the right to reject/retract articles that reuse third-party materials without permission.
Journal Policies on Data Sharing
We encourage authors to share articles published in our journal to other data platforms, but only if it is noted that it has been published in this journal.