Influence of Hospital Bed Count on the Positioning of Cardiovascular Interventional Radiology (IR) Nurses: Online Questionnaire Survey of Japanese IR-Specialized Radiological Technologists.

IF 2 Q1 NURSING Nursing Reports Pub Date : 2025-01-04 DOI:10.3390/nursrep15010011
Tomoko Kuriyama, Takashi Moritake, Go Hitomi, Koichi Nakagami, Koichi Morota, Satoru Matsuzaki, Hajime Sakamoto, Kazuma Matsumoto, Mamoru Kato, Hiroko Kitamura
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Abstract

Background/objectives: Interventional radiology (IR) utilizing X-rays can lead to occupational radiation exposure, posing health risks for medical personnel in the field. We previously conducted a survey on the occupational radiation exposure of IR nurses in three designated emergency hospitals in Japan. Our findings indicated that a hospital with 214 beds showed a higher lens-equivalent dose than hospitals with 678 and 1182 beds because the distance between the X-ray irradiation field and the IR nurse's position of the hospital with 214 beds was shorter than those of 678 and 1182 beds. Based on these observations, we hypothesized that the number of hospital beds affects the distance between the X-ray irradiation field and the IR nurse's position.

Methods: To verify this hypothesis, we conducted a more extensive online questionnaire survey, focusing exclusively on hospitals that perform cardiovascular IR.

Results: We analyzed data from 78 facilities. The results of this study confirmed our earlier findings, showing that both the number of physicians performing IR procedures and the distance from the X-ray irradiation field to the IR nurse's position are influenced by the number of hospital beds. Additionally, factors such as the type of hospital, emergency medical system, annual number of IR sessions, location of medical equipment, and the positioning of IR nurses appear to be associated with the number of hospital beds.

Conclusions: Understanding these relationships could enable the development of individualized and prioritized radiation exposure reduction measures for IR nurses in high-risk settings, provided that comprehensive occupational radiation risk assessments for cardiovascular IR consider the number of hospital beds and related factors. This study was not registered.

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医院床位数对心血管介入放射护士定位的影响:对日本心血管介入放射专科医师的在线问卷调查。
背景/目的:利用x射线的介入放射学(IR)可导致职业性辐射暴露,对现场医务人员构成健康风险。我们之前对日本三家指定急救医院IR护士的职业辐射暴露进行了调查。我们的研究结果表明,214张床位的医院比678和1182张床位的医院透镜等效剂量更高,这是因为214张床位的医院x射线照射场与IR护士位置之间的距离比678和1182张床位的医院短。基于这些观察,我们假设医院床位的数量会影响x射线照射场与IR护士位置之间的距离。方法:为了验证这一假设,我们进行了一项更广泛的在线问卷调查,专门针对进行心血管IR的医院。结果:我们分析了78家机构的数据。本研究的结果证实了我们早期的发现,即执行红外手术的医生数量和x射线照射场到红外护士位置的距离都受到医院病床数量的影响。此外,诸如医院类型、急诊医疗系统、年度IR次数、医疗设备的位置和IR护士的定位等因素似乎与医院床位数量有关。结论:了解这些关系可以为高危环境中的IR护士制定个性化和优先级的辐射暴露减少措施,前提是心血管IR的综合职业辐射风险评估应考虑医院床位数量和相关因素。本研究未注册。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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