The philosophy of governance, existing since medieval times, has come a long way. Far from being perfect, practices have evolved from a simplistic stewardship theoretical approach to a more complex dynamic model and may continue to develop in parallel with globalization [1]. Despite its popularity in the corporate, business, and economic sectors in certain fields, the application of governance may not be well-known or is unrecognized. However, previous studies have shown that governance plays an integral part in numerous organizational managements and is considered the main foundation for organizational sustainability.

One particular area where governance is gaining popularity is within working sectors that use certain materials that are known to be hazardous to health and have the potential to cause disasters if not managed properly. For example, in the medical fraternity, the concept of governance has led to the development of a documented manual by the World Health Organization, entitled “Rapid Risk Assessment of Acute Public Health Events,” which serves as a guide for a systematic process of rapid and defensible decision-making to deal with hazardous events of a biological or chemical nature and re-emerging diseases [2]. This manual also addresses multidisciplinary players and stakeholders in prevention and control, including effective communication to improve national preparedness. Similarly, this concept was adopted by Schmidt et al [3] for better and more effective management to combat challenges in vector-borne diseases. It has been observed that when governments or organizations develop new services in combatting disasters, other uncertainties such as financial risks, time risks, or psychological risks may arise and should be considered. Conscious management of the transparent process can promote a more successful service-related outcome [4].

In the context of health and safety, the concept of risk management involves valued judgments that reflect the probability and consequences of the occurrence of an event [5], which is a common misnomer to risk governance. Under these circumstances, risk management does not equate to risk governance as it may have relatively minimal focus on other areas such as financial and legal sectors and interaction of the Internet of Things, which rely on a clear and robust code of practice for the entire management [6]. Therefore, the term “risk governance” has been explicitly described by the International Risk Governance Council as a nonprofit organization that facilitates a better understanding of risks and their scientific, political, social, and economic contexts and translates the core principles of governance to the context of risk and risk-related decision-making of an organization [7,8].

To establish a system in radiological emergency preparedness and response (EPR), the International Atomic Energy Agency (IAEA) has developed a few documents that recommend what forms the basis of and the requirements for an adequate level of preparedness and response for a nuclear or radiological emergency. In addition, these documents have also described the necessary implementation of specific safety requirements; for example, guidelines on a coordinating mechanism and communicating with the public in emergency preparedness and response considering certain circumstances. All these can be seen as the gold-standard guide for any of the IAEA member states to develop its own radiological governances that encompass all the requirements. However, local studies have mainly focused on the characteristics of EPR itself from an operational perspective, but few studies have implemented a governance perspective.

It is currently speculated that the available local radiological framework focuses on the legislative and organizational components with minimum information on risk practices and community involvement. It was also revealed that under the Radiological Emergency Preparedness and Response Training and Capability Development in Southeast Asia, certain countries still had issues related to radiological EPR, where recommendations were made to improve the integration of radiological responses into an all-hazards approach and related interagency interoperability [3].

Thus, having a proper framework encompassing relevant factors, areas, and people is key to success especially in radiological EPR, and it is speculated that such studies have been deemed necessary to evaluate local governance practices that are in place for radiological EPR management. Here we describe a protocol used to determine relations among sociodemographic, occupational, cultural, social, ethical values, decision-making, and trust factors that influence emergency responders’ perceptions toward radiological risk practices. Additionally, this protocol would help researchers develop a more customized radiological risk governance framework.

Two major components that constitute governance are system and people; accordingly, this study adopted 2 types of theoretical models. The first model is the Social Action Theory mooted by one of the pioneer sociologists Max Weber in the early 1900s, which examines the actions of people in the context of meanings assigned to them and their relationship with the actions of others. This is important in determining one’s perception of risk as it is based on subjective assessment of an individual’s frame of reference developed over time, with respect to risk management. This influences the evaluation of the probability of a specified type of accident occurring and how concerned a person is with the consequences.

The second theory is based on the risk governance framework developed by the International Risk Governance Council—a Switzerland-based private, independent, nonprofit foundation established in 2003—and represents a system that uses the following 5 elements [9]:

The use of these 2 theories provided insight into the research conceptual framework.

This paper describes a protocol that was used to address governance concepts and practices, particularly in the field of radiological EPR. Through this convergent research design, this study aimed to understand and evaluate the current governance, with quantitative methods, using statistical analysis that includes relationship testing. The hypothesized significant relationship between the studied factors and emergency responder perception on radiological governance potentially revealed significant factors such as risk perception, risk management proficiency, organization, and government involvement, and analysis was depicted in a model that represented the hypothesized causal/predictive relations. Through in-depth interviews, the qualitative approach possibly reveals explanatory and textual emerging themes that may not have been discovered before, and this can be viewed as a part of an ongoing process that helps improve performances for current and future management to achieve desired outcomes.

It is known that risk governance plays a pertinent role in the technological use of radioactive material in various fields because of its potential for global impact. The Atomic Energy Licensing Act was passed in 1984 [16] owing to the rapid development of the applications of radioactive material and activities in Malaysia, which require effective control, enforcement, and ensuring of safe and peaceful use. Furthermore, National Security Council directive 20 emphasizes the policy and mechanism of an integrated management system for disaster and relief management on land, which includes radiological emergencies before, during, and after disaster stages as well as determining roles and responsibilities of various agencies involved in disaster management [17]. Similarly, several international documents from the IAEA have explained the safety standards in terms of fundamentals and requirements that are necessary for preparedness and response for a nuclear or radiological emergency [18,19] right until the termination of the emergency response [20]. Simultaneously, a reference manual on the generic procedures for the initial response toward a radiological accident by each organization and different phase responses is also available from among the IAEA technical documents [21]. Regarding communication, this component should also concur with international recommendations for a transparent and accurate provision of official information as well as having a practicable coordinated response [22].

The involvement of multiple stakeholders from several organizations that are currently involved in radiological EPR, such as enforcement agencies, the police, armed forces, firefighters, medical teams, and university and research centers, while potentially adding more data value, took a long time and required plenty of resources and support. Another challenge was related to data integration and the finalization of interpretive findings as there are still limited resources that can support an overall comprehensive governance framework.

Important emerging themes and significant factors related to emergency responders’ perceptions on radiological governance practices were determined through the convergent design. This potentially facilitated the development of a plausible radiological risk governance framework to strengthen the existing process as this is in tandem with good governance practice that promotes continuous improvement for prevention and control in radiological emergency, preparedness, and response.