MSc Leila Ukkola
Faculty and research unit
University of Oulu Graduate School, Faculty of Medicine, Research Unit of Nursing Science and Health Management
Field of study
Date and time of the thesis defence
Place of the thesis defence
Faculty of Medicine, Auditorium F202 (Aapistie 5 B). Remote access: https://oulu.zoom.us/j/6633901368
Topic of the dissertation
Informing the patient in connection with radiological examinations exposing to ionizing radiation
Professor Eija Paavilainen, Tampere University
Professor Helvi Kyngäs, Oulu University
Informing the patient in connection with radiological examinations exposing to radiation
The use of ionizing radiation in radiological examinations and information about it to patients are based on international and national laws, directives and recommendations. Both referrers and radiological practitioners share the responsibility for justiﬁcation. The practical aspects of justification can be delegated to another entitled individual who is, in most cases, a radiographer. Justification is the process of weighing up the beneﬁt of the exposure against the possible detriment that the radiation might cause. The patient and the guardian should also be involved in the shared decision-making process; they should be provided with sufﬁcient information to allow them to provide informed consent.
This study describes the information obtained by adult patients and parents of children in connection with radiological examinations exposing to ionizing radiation and their wishes concerning it. In addition, radiographers’ actions when informing about radiation doses and risks as well as possible barriers related to informing was studied.
Adult patients and parents did not receive sufficient information. In particular, they were insufficiently informed about the dose and risks of radiation and alternative examinations. They received more information about the purpose of the examination. They wished to receive diverse information about the examination, particularly from the referring practitioner and radiographer, as well as written information. Specifically, information on the purpose of the examination and dose and risks of radiation was expected. Radiographers had informed patients infrequently about dose and risks of radiation. They thought they might cause unnecessary fear or that informing was not necessary. They also assumed that the referrer had already informed the patient.
The findings of the study may be utilized to develop informing patients in connection with radiological examinations exposing to ionizing radiation. Furthermore, the aim is to develop a mode of operation for informing patients at Oulu University Hospital as required by legislation and recommendations.Dissertation
Last updated: 7.4.2021