Crossmark

Knowledge and Awareness of Radiation Protection Among Healthcare Workers: A Cross-Sectional Study

Authors

  • Berliana Devianti Putri Universitas Airlangga
  • Anisa Dewi Setiawati Universitas Airlangga
  • Winda Kusumawardani Universitas Airlangga
  • Cendra Devayana Putra Universitas Negeri Surabaya
  • Gabriel Loi Ministry of Health South Sudan

DOI :

https://doi.org/10.62255/mjhp.v4i1.253
Article Metrics
Research Impact & Engagement
Highlights
01
Objective
Loading…
02
Key Finding
Loading…
03
Implication
Loading…

Abstract

Ionising radiation from diagnostic procedures poses significant occupational risks to healthcare workers (HCWs), yet awareness remains suboptimal in many settings, particularly in low- and middle-income countries. This cross-sectional study assessed radiation protection knowledge and awareness among 140 HCWs from inpatient, intensive care, and emergency units in Indonesia, identifying independent predictors of awareness. Knowledge was evaluated using a validated 15-item instrument (categorized as poor, acceptable, or good), while awareness was measured as a binary outcome. Data were analyzed using Pearson’s chi-square test and multivariable binary logistic regression, adhering to STROBE guidelines. The sample was predominantly female (69.3%) with bachelor’s degrees (57.1%). Overall, 46.4% demonstrated good knowledge, 48.6% acceptable, and 5.0% poor, while 68.6% were classified as aware. Multivariable analysis revealed that knowledge level was the sole independent predictor of awareness: compared to poor knowledge, acceptable knowledge significantly increased awareness odds (aOR = 3.48; 95% CI: 1.12–10.80; p = 0.031), as did good knowledge (aOR = 8.65; 95% CI: 2.10–35.60; p = 0.003). These findings confirm that radiation protection knowledge strongly and independently drives awareness among clinical staff. Consequently, healthcare institutions must prioritize continuous, evidence-based radiation safety education—particularly for personnel in high-exposure units—as the foundational strategy to effectively bridge the knowledge–awareness gap and mitigate occupational radiation risks.

Downloads

Download data is not yet available.

Keywords

References

Alamoudi, D., Alhalwani, A., Ahmed, M. E., Hamidaddin, A. A., Asiri, N., Abuzenada, S. A., Munshi, W., & Al-Saleh, W. (2025). Radiation Protection Knowledge for Nurses at King Abdulaziz Medical City-Jeddah in Saudi Arabia: A Cross-Sectional Study. Journal of Radiation Protection and Research. https://doi.org/10.14407/jrpr.2024.00290

Alharbi, A., Nurfianti, A., Mullen, R., McClure, J., & Miller, W. (2024). The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: a systematic review. BMC Medical Education, 24. https://doi.org/10.1186/s12909-024-06080-z

Allam, S., Algany, M. M. A., & Khider, Y. I. A. (2024). Radiation safety compliance awareness among healthcare workers exposed to ionizing radiation. BMC Nursing, 23. https://doi.org/10.1186/s12912-024-01858-4

Alyousef, K., Assiri, A., Almutairi, S., Aldalham, T., & Felimban, G. (2023). Awareness of Radiation Protection and Common Radiation Dose Levels Among Healthcare Workers. Global Journal on Quality and Safety in Healthcare, 6, 1–5. https://doi.org/10.36401/jqsh-22-14

Andaloussi, L. H., Harrass, H., Aschawa, H., & Hlousse, F. Z. (2021). Medical staff who use ionizing radiation at Ibn Rochd University Hospital Center of Casablanca, Morocco: evaluation of radiation protection knowledge. E3S Web of Conferences. https://doi.org/10.1051/e3sconf/202131901046

Barare, C., & Odongo, J. (2022). Awareness on Ionizing Radiation among Non Radiation Healthcare Workers at Teaching and Referral Hospital in East Africa. Journal of Medical Imaging and Radiation Sciences. https://doi.org/10.1016/j.jmir.2022.10.055

Bartal, G., Vañó, E., & Paulo, G. (2021). Get Protected! Recommendations for Staff in IR. Cardiovascular and Interventional Radiology, 44, 871–876. https://doi.org/10.1007/s00270-021-02828-y

Baudin, C., Vacquier, B., Thin, G., Chenene, L., Guersen, J., Partarrieu, I., Louet, M., Pointe, H. D. Le, Mora, S., Verdun-Esquer, C., Lestavel, P., Rousseau, F., Roy, H., Bensefa-Colas, L., Boyer, L., & Bernier, M.-O. (2024). Radiation protection in a cohort of healthcare workers: knowledge, attitude, practices, feelings and IR-exposure in French hospitals. Journal of Radiological Protection, 44. https://doi.org/10.1088/1361-6498/ad39f7

Behzadmehr, R., Doostkami, M., Sarchahi, Z., Saleh, L. D., & Behzadmehr, R. (2020). Radiation protection among health care workers: knowledge, attitude, practice, and clinical recommendations: a systematic review. Reviews on Environmental Health, 36, 223–234. https://doi.org/10.1515/reveh-2020-0063

Bolowia, N. (2025). Knowledge and Awareness about Radiation Protection and Hazards among Healthcare Workers in Tobruk Medical Centre. AlQalam Journal of Medical and Applied Sciences. https://doi.org/10.54361/ajmas.258118

Cao, L., Wu, J., Jiang, L., Tao, Y., Huang, H., & Xue, X. (2025). Exploring influences on radiation protection compliance: a directed acyclic graph-based cross-sectional study in a non-teaching hospital in western China. PeerJ, 13. https://doi.org/10.7717/peerj.20083

Charmchi, R., Moradimajd, P., Saei, A., Paydar, R., & Abolghasemi, J. (2025). Comparison of the effectiveness of radiation protection principles training through multimedia and instructional booklet on the awareness of operating room staff. Journal of Education and Health Promotion, 14. https://doi.org/10.4103/jehp.jehp_1885_23

De Mello, D. S., & Ribeiro, G. (2024). Annual Training Program in Radiological Protection in a Radiotherapy Service – A Case Study. Brazilian Journal of Radiation Sciences. https://doi.org/10.15392/2319-0612.2024.2507

Elmorabit, N., Marrakchi, A., Chelh, F. Z., Zaizoune, S., Azougagh, M., & Ennibi, O. (2024). Knowledge and practices of interventional radiology staff regarding radiation protection. Multidisciplinary Reviews. https://doi.org/10.31893/multirev.2025062

Emayof, M., & Awath. (2025). Assessment of Knowledge, Awareness, and Practice Towards Radiation Protection among Physicians: A Cross-Sectional Study at Tobruk. Libyan Journal of Medical and Applied Sciences. https://doi.org/10.64943/ljmas.v3i3.104

Fataftah, J., Tayyem, R., Al-Dwairy, S., Manasra, A. R. Al, Ibrahim, A., Ryalat, R. Al, Alwreikat, M., Al-Shraah, H., Alharbi, R., & Alharbi, B. (2024). Awareness of radiation hazards and knowledge of radioprotective measures among radiologists and non-radiology staff: a cross-sectional survey. Egyptian Journal of Radiology and Nuclear Medicine, 55. https://doi.org/10.1186/s43055-024-01300-4

Fujiwara, A., Fujimoto, S., Ishikawa, R., & Tanaka, A. (2024). Virtual reality training for radiation safety in cardiac catheterization laboratories - an integrated study. Radiation Protection Dosimetry, 200, 1462–1469. https://doi.org/10.1093/rpd/ncae187

Gavagan, L., Arnejo, A., Dowling, A., & Maxwell, M. (2024). The application of Lean Six Sigma methodologies to Radiation Safety Training for Ancillary workers at the Regional Hospital in Mullingar. Physica Medica. https://doi.org/10.1016/j.ejmp.2024.103241

Göde, A., Erdem, H., Dadak, A., & Aç?kgöz, G. (2025). Investigation of the role of radiation protection knowledge of health workers on radiation attitude. BMC Health Services Research, 25. https://doi.org/10.1186/s12913-025-13565-0

Horita, S., Sakuda, H., Igarashi, T., Iwanaga, H., Ichida, T., Okuda, Y., Shiraishi, J., Ueno, H., Ota, K., & Kusama, T. (2024). [Questionnaire Survey of Radiation Protection Education in Hospitals]. Nihon Hoshasen Gijutsu Gakkai Zasshi. https://doi.org/10.6009/jjrt.2024-1394

Júnior, J. P. B. (2022). Social desirability bias in qualitative health research. Revista de Saúde Pública, 56. https://doi.org/10.11606/s1518-8787.2022056004164

Kyei, K., Addo, H. B., & Daniels, J. (2025). Radiation safety: knowledge, attitudes, practices and perceived socioeconomic impact in a limited-resource radiotherapy setting. Ecancermedicalscience, 19. https://doi.org/10.3332/ecancer.2025.1855

Massaquoi, I., Abu, A., Kamara, S., & Sesay, M. (2025). Investigate the Radiation Safety Awareness Among Medical Workers at Government Hospital, Bo. International Journal of High Energy Physics. https://doi.org/10.11648/j.ijhep.20251101.11

Nasr, B., Guyomard, B., Visvikis, D., & Bert, J. (2023). Radiation protection training by Monte Carlo Simulation and virtual reality. Annals of Vascular Surgery. https://doi.org/10.1016/j.avsg.2023.07.022

Ninkovic-Hall, G., Chapman, A., Saratzis, A., Lakshminarayan, R., Carradice, D., & Sritharan, K. (2025). A survey of UK standards of radiation protection amongst orthopaedic surgeons. The British Journal of Radiology, 98, 1504–1510. https://doi.org/10.1093/bjr/tqaf162

Popovic, B., Varlot, J., Girard-Bertrand, B., Basile, J. L., Thouvenot, C., Fay, R., Villani, N., Tran, N., & Camenzind, E. (2022). Impact of Simulation-Based Training on Radiation Exposure of Young Interventional Cardiologists. The American Journal of Cardiology. https://doi.org/10.1016/j.amjcard.2022.07.014

Radzi, J. M., & Raj, N. D. A. (2023). Assessment of Knowledge and Practice on Radiation Protection in Radiological Imaging Among Healthcare Professionals at HPUniSZA. Asian Journal of Medicine and Biomedicine. https://doi.org/10.37231/ajmb.2023.1.s.655

Rahimi, A., Nurdin, I., Ismail, S., & Khalil, A. (2021). Malaysian Nurses’ Knowledge of Radiation Protection: A Cross-Sectional Study. Radiology Research and Practice, 2021. https://doi.org/10.1155/2021/5566654

Rodrigues, B., Lopes, P., Mello-Moura, A., Flores-Fraile, J., & Veiga, N. (2024). Literacy in the Scope of Radiation Protection for Healthcare Professionals Exposed to Ionizing Radiation: A Systematic Review. Healthcare, 12. https://doi.org/10.3390/healthcare12202033

Safina, F., Tabassum, S., Satiwan, K., Shahbaz, B., & Naeem, M. (2025). Knowledge of Radiation Hazards and Attitude toward Radioprotection among Radiography Healthcare Professionals. Biological and Clinical Sciences Research Journal. https://doi.org/10.54112/bcsrj.v6i6.1925

Saida, E. K., Nadia, M., Hicham, E. B., Frédéric, D., & Chakib, L. (2024). O-319 KNOWLEDGE, ATTITUDES AND PRACTICES OF HOSPITAL RADIOLOGY STAFF WITH REGARD TO RADIATION PROTECTION. Occupational Medicine. https://doi.org/10.1093/occmed/kqae023.1214

Shubayr, N. (2024a). Evaluation of emergency nurses’ knowledge of medical response in nuclear and radiological emergencies?: a cross-sectional study. BMC Nursing, 23. https://doi.org/10.1186/s12912-024-02451-5

Shubayr, N. (2024b). Operating room radiation safety measures: Awareness, compliance, and perceived risks among nurses and other healthcare workers. International Nursing Review. https://doi.org/10.1111/inr.13071

Song, Y., Zhang, L., & Wang, W. (2022). An Analysis of the Effect of Personal Protective Equipment (PPE) Training Based on the Information–Motivation–Behavior Skills Model in the Practice of COVID-19 PPE Application. Infection and Drug Resistance, 15, 4829–4835. https://doi.org/10.2147/idr.s366049

Su, P., Zhu, Z., He, J., He, R., Feng, H., Du, P., Lönn, L., Konge, L., & Yin, F. (2022). Focus on radiation protection improves both correct behavior and procedural performance during simulation-based training - a randomized comparison. Annals of Vascular Surgery. https://doi.org/10.1016/j.avsg.2022.10.003

Tanming, T., Makmee, P., & Luengalongkot, P. (2024). Guidelines for promoting awareness of radiation protection among professional nurses. International Journal of Healthcare Management, 18, 858–867. https://doi.org/10.1080/20479700.2024.2392429

Vassileva, J., Applegate, K., Paulo, G., Vañó, E., & Holmberg, O. (2021). Strengthening radiation protection education and training of health professionals: conclusions from an IAEA meeting. Journal of Radiological Protection, 42. https://doi.org/10.1088/1361-6498/ac40e9

Wally, S. F., Sabir, S. A., Alharbi, S., Albalawi, I., Alharbi, K., Binsulaiman, N., Albalawi, N., & Alshareef, A. (2024). Radiation Safety Awareness Among Non-radiology Staff at Tabuk Hospitals, Saudi Arabia. Cureus, 16. https://doi.org/10.7759/cureus.70603

Wang, T., Voss, J., & Dolansky, M. (2020). Promote Radiation Safety for Nurses: A Policy Perspective. Journal of Radiology Nursing. https://doi.org/10.1016/j.jradnu.2020.12.003

Xie, Y., Wang, X., Lan, Y.-Y., Xu, X., Shi, S., Yang, Z., Li, H., Han, J., & Liu, Y. (2025). Assessment of radiation knowledge among medical personnel in nuclear emergency preparedness: a cross-sectional study. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1547818

Xu, X., Xie, Y., Li, H., Wang, X., Shi, S., Yang, Z., Lan, Y.-Y., Han, J., & Liu, Y. (2024). Awareness and preparedness level of medical workers for radiation and nuclear emergency response. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1410722

Yadav, P., Verma, D., Gautam, S., Verma, M. K., Barma, D., Chouhan, V., Jain, M., & Hrangkhawl, W. (2025). Knowledge And Practice of Radiation Protection Among Healthcare Professionals in The Operation Theater: A Comprehensive Review. African Journal of Biomedical Research. https://doi.org/10.53555/ajbr.v28i3s.7764

Downloads

How to Cite

Putri, B. D., Setiawati, A. D. ., Kusumawardani, W. ., Putra, C. D. ., & Loi, G. . (2026). Knowledge and Awareness of Radiation Protection Among Healthcare Workers: A Cross-Sectional Study. Health Frontiers: Multidisciplinary Journal for Health Professionals, 4(1). https://doi.org/10.62255/mjhp.v4i1.253

Issue

Section

Research Articles