{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T05:48:15Z","timestamp":1777355295945,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Medical Radiation Sci"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Patient contact shielding has been used in paediatric radiography as standard practice for decades. Contemporary evidence no longer supports its use in routine clinical practice. The Medical Imaging Department of an Australian quaternary paediatric hospital implemented the discontinuation of all patient contact shielding using the capability, opportunity, motivation and behaviour (COM\u2010B) model and the theoretical domains framework (TDF). This study evaluated the implementation process with particular focus on patient, family and staff responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An implementation study was conducted using a mixed\u2010methods approach, comprising retrospective analysis of imaging records (7\u2009months pre\/post implementation) and prospective collection of survey data. Implementation strategies were developed using theory\u2010guided frameworks to address potential barriers to change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Retrospectively, there were 1614 examinations assessed pre\u2010implementation and 1845 post\u2010implementation. Pre\u2010implementation shielding rates were 45% and 39% for male and female patients respectively. The post\u2010implementation prospective survey component included 7581 patients, 0.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931) of whom raised queries about the policy change. Only 11 shielding requests occurred within 5\u2009months post\u2010implementation, declining to zero thereafter.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Theory\u2010guided implementation was remarkably effective in translating contemporary evidence into practice. The process of removing patient shielding was achieved with minimal concern from patients and their families, contrary to expectations that this change would generate significant resistance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jmrs.70053","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T06:55:24Z","timestamp":1766559324000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["From Evidence to Practice: Implementation and Evaluation of the Discontinuation of Patient Contact Shielding in Paediatric Radiography"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2763-7322","authenticated-orcid":false,"given":"Elaine","family":"Ryan","sequence":"first","affiliation":[{"name":"Biomedical Technology Services Queensland Health  Queensland Australia"},{"name":"Department of Medical Imaging and Nuclear Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1531-596X","authenticated-orcid":false,"given":"Kerrie","family":"Norynberg","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Nuclear Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Connor","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Nuclear Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"i\u2010Med Radiology Clinics  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Sinclair","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Nuclear Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1843-1602","authenticated-orcid":false,"given":"Tristan","family":"Reddan","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Nuclear Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"School of Clinical Sciences, Faculty of Health Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-004-1264-y"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmp.jmp_127_21"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1201\/9781003047278-4"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2011.12.003"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmrs.56"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13244-019-0828-1"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/09553002.2024.2306328"},{"key":"e_1_2_11_9_1","unstructured":"Canadian Organization of Medical Physicists \u201cCOMP Endorses AAPM Position on Patient Gonadal and Fetal Shielding \u201d(2019)."},{"key":"e_1_2_11_10_1","unstructured":"National Council on Radiation Protection 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