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Leech M, Abdalqader A, Alexander S, Anderson N, Barbosa B, Callens D, Chapman V, Coffey M, Cox M, Curic I, Dean J, Denney E, Kearney M, Leung VW, Mortsiefer M, Nirgianaki E, Povilaitis J, Strikou D, Thompson K, van den Bosch M, Velec M, Woodford K, Buijs M. The Radiation Therapist profession through the lens of new technology: A practice development paper based on the ESTRO Radiation Therapist Workshops. Tech Innov Patient Support Radiat Oncol 2024; 30:100243. [PMID: 38831996 PMCID: PMC11145757 DOI: 10.1016/j.tipsro.2024.100243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Accepted: 03/13/2024] [Indexed: 06/05/2024] Open
Abstract
Technological advances in radiation therapy impact on the role and scope of practice of the radiation therapist. The European Society of Radiotherapy and Oncology (ESTRO) recently held two workshops on this topic and this position paper reflects the outcome of this workshop, which included radiation therapists from all global regions. Workflows, quality assurance, research, IGRT and ART as well as clinical decision making are the areas of radiation therapist practice that will be highly influenced by advancing technology in the near future. This position paper captures the opportunities that this will bring to the radiation therapist profession, to the practice of radiation therapy and ultimately to patient care.
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Affiliation(s)
- Michelle Leech
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College Dublin, Ireland
- Trinity St. James’s Cancer Institute, Dublin, Ireland
| | | | - Sophie Alexander
- The Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, Sutton, United Kingdom
| | - Nigel Anderson
- Department of Radiation Oncology, Olivia Newton-John Cancer Wellness & Research Centre - Austin Health, Heidelberg, Australia
| | - Barbara Barbosa
- Escola Internacional de Doutoramento, Universidad de Vigo, Spain
- Medical Physics, Radiobiology and Radiation Protection Group, IPO Porto Research Center (CI-IPOP), Porto Comprehensive Cancer Center (Porto.CCC) & Rise@CI-IPOP (Health Research Network), Porto, Portugal
| | - Dylan Callens
- University Hospital Leuven, Department of Radiation Oncology, Leuven, Belgium
- KU Leuven, Laboratory of Experimental Radiotherapy, Leuven, Belgium
| | | | - Mary Coffey
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College Dublin, Ireland
| | - Maya Cox
- Auckland City Hospital, Auckland, New Zealand
| | - Ilija Curic
- Radiosurgery and Stereotactic Radiotherapy Department, University Clinical Center of Serbia, Belgrade, Serbia
| | - Jenna Dean
- Department of Radiation Oncology, Olivia Newton-John Cancer Wellness & Research Centre - Austin Health, Heidelberg, Australia
| | | | - Maeve Kearney
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College Dublin, Ireland
- Trinity St. James’s Cancer Institute, Dublin, Ireland
| | - Vincent W.S. Leung
- Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong
| | | | | | - Justas Povilaitis
- The Hospital of Lithuanian University of Health Sciences Kauno klinikos, Kaunas, Lithuania
| | - Dimitra Strikou
- Radiation Oncology Unit, University and General Attikon Hospital, Athens, Greece
| | - Kenton Thompson
- Department of Radiation Therapy Services, Peter MacCallum Cancer Centre, Melbourne, Australia
| | | | - Michael Velec
- Princess Margaret Cancer Centre, University Health Network, Toronto, Canada
- Department of Radiation Oncology, University of Toronto, Toronto, Canada
| | - Katrina Woodford
- Department of Radiation Therapy Services, Peter MacCallum Cancer Centre, Melbourne, Australia
- Department of Medical Imaging and Radiation Sciences, Monash University, Clayton, Australia
| | - Monica Buijs
- InHolland Haarlem, University of Applied Science, Haarlem, the Netherlands
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Paterson A, Devlin L, Mitchell J, Ogg J, Farnan K, Coupland S, Duffton A. Survey of research attitudes of RTTs working in Scotland: A Scottish radiographer research forum collaboration. Tech Innov Patient Support Radiat Oncol 2024; 30:100248. [PMID: 38707714 PMCID: PMC11067355 DOI: 10.1016/j.tipsro.2024.100248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 03/15/2024] [Accepted: 04/02/2024] [Indexed: 05/07/2024] Open
Abstract
Purpose Evidence-based practice (EBP) is associated with improved treatment outcomes and survival in cancer patients. Engagement from therapeutic radiographers/radiation therapists (RTTs) in research, has been identified as a challenge. The aim of this survey was to gain an understanding of RTT attitudes to research in Scotland. Methods This was a prospective study that used a mixed method cross-sectional survey, with an online survey tool (Webropol). The survey was developed with collaborators from all Scottish Radiotherapy Centres (n = 5) and piloted by 6 conveniently sampled RTT and validated by 8 experienced RTTs. The survey comprised 29 items, 7 selection-based demographic questions, and 18 statements with a Likert 5-point metric scale rating (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree). The validity was measured with the content validity index (CVI) and item-CVI by 8 experienced RTTs. Low scoring I-CVI (<0.78) questions were removed.A total of 314 RTTs working in Scottish Radiotherapy Centres were invited to participate. Approvals were given by each Head of department (HoD), who also confirmed number of RTTs. Results A total of 102/314 (32.5 %) RTTs responded. The majority of RTTs agreed they were confident they had sufficient research skills to inform EBP (n = 58/102, 56.9 %), felt confident discussing EBP with colleagues (n = 67, 65.7 %) and felt research was important for role development (n = 89, 87.2 %). Low mean scores and standard deviation (SD) were observed for the following: "I know how to get involved in research" 3.2 (1.2), "I have been given the opportunity to get involved in research" 3.2 (1.1), and "I am well informed about current research projects in my department" 3.2 (1.1). 57.8 % (n = 59) of RTTs disagreed they were confident adequate time would be provided to be involved in research. Conclusion The survey results demonstrated a predominantly positive attitude to research amongst RTTs working in Scottish centres, with most common perceived barriers being access to protected time and staff; training, and support.
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Affiliation(s)
- Alice Paterson
- Beatson West of Scotland Cancer Centre, 1053 Great Western Road, Glasgow G12 0YN, Scotland, United Kingdom
| | - Lynsey Devlin
- Beatson West of Scotland Cancer Centre, 1053 Great Western Road, Glasgow G12 0YN, Scotland, United Kingdom
- Institute of Cancer Sciences and University of Glasgow, Switchback Road, Bearsden, Glasgow G61 1BD, Scotland, United Kingdom
| | - Joanne Mitchell
- Edinburgh Cancer Centre, Fettes College, 2 Carrington Road, Edinburgh EH4 1QJ, Scotland, United Kingdom
| | - Jacqueline Ogg
- Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN, Scotland, United Kingdom
| | - Kirsty Farnan
- Ninewells Radiotherapy Department, James Arrott Drive, Dundee DD2 1UB, Scotland, United Kingdom
| | - Suzanne Coupland
- Raigmore Hospital Inverness, Old Perth Road, Inverness IV2 3UJ, Scotland, United Kingdom
| | - Aileen Duffton
- Beatson West of Scotland Cancer Centre, 1053 Great Western Road, Glasgow G12 0YN, Scotland, United Kingdom
- Institute of Cancer Sciences and University of Glasgow, Switchback Road, Bearsden, Glasgow G61 1BD, Scotland, United Kingdom
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Oliveira M, Hogg P, Di Prospero L, Lacey S, El-Farra S, Johansen S. Research activity among diagnostic and therapeutic radiographers: An international survey. J Med Imaging Radiat Sci 2024; 55:232-243. [PMID: 38403518 DOI: 10.1016/j.jmir.2024.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 01/09/2024] [Accepted: 02/02/2024] [Indexed: 02/27/2024]
Abstract
INTRODUCTION Various national solutions have been considered and implemented to address the factors which limit radiographer engagement in conducting research. Nevertheless, national literature continues to suggest that radiographer engagement in research remains low. The aim of this study was to extend the existing evidence base by conducting an international survey to assess diagnostic radiographers and therapeutic radiographers involvement with, barriers to and support mechanisms for research. METHODS Data collection was obtained via an online questionnaire which was distributed by the International Society of Radiographers and Radiologic Technologists (ISRRT). The study population included an international sample of qualified diagnostic radiographers and therapeutic radiographers across clinical and academic contexts in a variety of different roles such as clinical practice, management, education and research. RESULTS In total, 420 diagnostic radiographers and therapeutic radiographers completed the survey. Multiple reasons were identified that were considered to inhibit respondents from conducting research. 69.3% indicated a combination of reasons for lack of engagement with research, rather than one single issue. Examples of reasons include: lack of time, insufficient research funding, limited research expertise, and lack of a suitable mentorship scheme. CONCLUSION A minor segment of survey respondents indicated involvement in research activity. Lack of dedicated time to research, mentors, and funding were among the main barriers to conduct research. Further research is required to explore what solutions are available to overcoming the barriers.
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Affiliation(s)
- Marcus Oliveira
- Department of Heath Technology and Biology, Federal Institute of Bahia, Salvador, Bahia, Brazil
| | | | - Lisa Di Prospero
- Department of Radiation Oncology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Practice-Based Research and Innovation, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
| | - Stephen Lacey
- The Royal Children's Hospital, Melbourne, Australia; University of Melbourne, Australia; Director of Education International Society for Radiographers and Radiation Technologists (ISRRT)
| | - Samar El-Farra
- Higher Colleges of Technology, Faculty of Health Sciences, United Arab Emirates; Radiographers Society of Emirates, Board - United Arab Emirates
| | - Safora Johansen
- Health Faculty, Oslo Metropolitan University, Oslo, Norway; Cancer Treatment Department, Oslo University Hospital, Oslo, Norway; Singapore Institution of Technology, Health and Social Sciences, Singapore.
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Al Balushi H, Watts H, Akudjedu TN. Research and evidence-based practice in clinical radiography: A systematic review of barriers and recommendations for a new direction. Radiography (Lond) 2024; 30:538-559. [PMID: 38290178 DOI: 10.1016/j.radi.2024.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 12/28/2023] [Accepted: 01/14/2024] [Indexed: 02/01/2024]
Abstract
INTRODUCTION Existing literature provides valuable insight into the application of evidence-based practice (EBP) in Radiography; however, it primarily focuses on localised, context-specific scenarios within individual countries or institutions. This review aims to systematically explore the barriers to EBP and research implementation in clinical Radiography practice internationally. METHODOLOGY A mixed-method systematic review was implemented to obtain data from primary studies of qualitative, quantitative and mixed-methods designs. Articles were searched between June and July 2023 from the following scientific databases: PubMed, Medline, CINAHL, Science Direct and manual search dating from 2003 to July 2023. The reviewed studies were subjected to data extraction and results-based convergent synthesis. RESULTS A total of 376 articles were identified through electronic database search and citation screening after the removal of duplicates. Thirty-one studies met the predetermined inclusion criteria and were included for this review. The challenges to EBP implementation in clinical Radiography are broadly themed around professional and personal obligations, motivation and organisational culture, knowledge and skill gaps, resources and opportunities, and institutional governance. CONCLUSION Globally, clinical radiographers perceived a high level of motivation and interest towards research activities. However, numerous barriers were reported such as insufficient time allocation for research, lack of resources, lack of research culture and inadequate research-related skills and knowledge. A transition towards greater evidence-based practice precipitates the quality of clinical Radiography services, augmenting efficiency in the workflow process and enriching patient experience. IMPLICATIONS FOR PRACTICE Radiography managers must develop strategies that aim to stimulate radiographers to initiate research projects. Beyond allocation of protected time, managers should inspire staff participation in research activities through implementation of effective departmental level culture and governance for quality service delivery and improved patient care.
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Affiliation(s)
- H Al Balushi
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK; Department of Diagnostic and Interventional Imaging, Ministry of Health, Sultanate of Oman
| | - H Watts
- Radiology, James Cook University Hospital, South Tees NHS Trust, Marton Road, Middlesbrough, TS4 3BW, UK; Teesside University, School of Health & Life Sciences, Centuria Building, Tees Valley, Middlesbrough, TS1 3BX, UK
| | - T N Akudjedu
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK.
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Boisbouvier S, Bayart É, Chamois J, Clavère P, Corbin S, De Oliveira A, Geffroy-Hulot C, Hannoun-Lévi JM, Hasbini A, Le Tallec P, Monpetit É, Santini JJ, Bougier C. [Survey by SFRO, SNRO and AFPPE about the evolution of the radiation therapist profession in France]. Cancer Radiother 2023; 27:712-717. [PMID: 37891038 DOI: 10.1016/j.canrad.2023.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 07/09/2023] [Indexed: 10/29/2023]
Abstract
PURPOSE As part of the multidisciplinary team, radiation therapists are in charge of elements of treatment preparation and delivery of radiotherapy to cancer patients. Helping scientific and technological improvements, more and more patients with cancer were treated with radiotherapy including hypofractionnated radiotherapy, that explain the increase of demands on services. The professional impacted by this increase of demands are radiation oncologists and medical physicists. The opportunity to push forward the radiation therapist's competencies appears with the possibility to shift them some tasks. In this context, a first work was performed with objectives to have an overview of the tasks shifted to radiation therapists in France, the tasks that they could perform but also to evaluate some criteria of job satisfaction. MATERIAL AND METHODS The committee of "new status and value of status" including six radiation oncologists (the French society of radiation oncology [SFRO] et national union of radiation oncologists [SNRO]) and six radiation therapists committee members of the French association of radiation therapists (AFPPE), built a questionnaire including three parts: demographic characteristics, tasks shifted and job satisfaction criteria. In total, the questionnaire included 19 questions and 24 items assessed with a four point-Likert scale (ranging from "completely disagree" to "completely agree"). This survey, formatting with google form, was tested by the committee members and the final version was sent to the SFRO, AFPPE and SNRO members, before being disseminated on the social networks. RESULTS From November 18th 2022 to December 31st 2022, 492 responses were received (response rate=18.3%): 55 % of the respondents had at least 11 years of experience in radiotherapy. The respondents worked in different type of health facilities (36 % in specialized cancer centres, 19.5 % in private centers, 17.5% in university and general hospital, 10.2% in general hospital). More than ¼ of the respondents had a teaching lecturer activity, 20% had a management team activity and a research activity for 18%. Less than 10% of the respondents had another degree than that of radiation therapist: university degree (n=27), degree in dosimetry (n=11) and master (n=3). More than 76% would like to be trained and to have access to the advanced practice, more than 50% would like expend competencies with a university degree, 30% with a master and 67% would like to participate in research. Forty-two percent of the respondents were involved in a task shifting (excluding decree relating to acts and activities carried out by radiation therapists) and among the radiation therapists non-involved, 63% would be interested in being. Regarding job satisfaction, 53% of the respondents were satisfied with their job and their salary and 68% believed that their job occupation is in line with their professional aspirations. More than 2/3 of the respondents described a significant workload and mental load, 53% thought to have time for their patient care and 70% felt some organisational difficulties. CONCLUSION This survey shows: (i) A significant involvement of radiation therapists in the task shifting; (ii) A very strong demand for career development, in particular with existing degrees or to be created degree such as advanced practice; and (iii) The need to reinforce a job satisfaction for almost the half of the respondents, linked to a workload, a mental load and some organisational difficulties.
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Affiliation(s)
- S Boisbouvier
- Département de radiothérapie, centre Léon-Bérard, rue Laënnec, 69008 Lyon, France.
| | - É Bayart
- Société française de radiothérapie oncologique, centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France
| | - J Chamois
- Département de radiothérapie, centre hospitalier privé Saint-Grégoire, Saint-Grégoire, France
| | - P Clavère
- Département de radiothérapie, centre hospitalier universitaire de Limoges, Limoges, France
| | - S Corbin
- Département de radiothérapie, institut Gustave-Roussy, Villejuif, France
| | - A De Oliveira
- Département de radiothérapie, institut Curie, Paris, France
| | - C Geffroy-Hulot
- Département de radiothérapie, centre Eugène-Marquis, Rennes, France
| | - J-M Hannoun-Lévi
- Département de radiothérapie, centre Antoine-Lacassagne, Nice, France
| | - A Hasbini
- Département de radiothérapie, clinique Pasteur, Brest, France
| | - P Le Tallec
- Association française du personnel paramédical d'électroradiologie, Montrouge, France
| | - É Monpetit
- Département de radiothérapie, clinique Saint-Yves, Vannes, France
| | - J-J Santini
- Département de radiothérapie, Institut régional du cancer de Montpellier, Montpellier, France
| | - C Bougier
- Département de radiothérapie, Institut régional du cancer de Montpellier, Montpellier, France; Fédération universitaire de radiothérapie oncologie de Méditerranée Occitanie, institut du cancer de Montpellier, université de Montpellier, U1194, Inserm, Montpellier, France
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Beldham-Collins R, Halkett GKB, Knight K, Gebski V, Wright C. Australian radiation therapist's research capacity and culture: investigating the extent of assistance required to build research capacity. J Med Radiat Sci 2023. [PMID: 37727142 DOI: 10.1002/jmrs.723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 08/15/2023] [Indexed: 09/21/2023] Open
Abstract
AbstractIntroductionBuilding research capacity within the radiation therapist workforce/profession is essential to guarantee research is embedded into core practices. Assessment of current capacity levels within organisation, department and individual domains needs to occur to establish a baseline and ensure research capacity building (RCB) strategies will be targeted successfully. This exploratory study aimed to identify the areas within each domain where radiation therapists would benefit from extra research assistance, that being research support and process changes, particularly in relation to the workplace and health sector.MethodsPractising radiation therapists (RTs) within Australia were recruited through professional organisations and invited to complete the online Research Capacity Culture Tool (RCCT). The survey was conducted using Qualtrics with data exported to SPSS.V27 for analysis. Descriptive statistics and the Industry Specific Item Interpretation for Policy and Strategy were used to analyse and report the results.ResultsSurvey participation rate was 121/2640 (4.6%). Within the Organisation and Department domains, the most research assistance was required in infrastructure (n = 92–37) and support (n = 66–45) categories, respectively. Participants from private sector (Organisation: 42.7%, Department: 53.7%) and metropolitan centres (Organisation: 32.6%, Department: 47.5%) required a higher rate of assistance when compared to their counterparts in both categories. The individual domain showed similar levels of assistance required across health sectors and work locations. Workplaces showed similar levels of complexity of research activity; private sector (62.5%) recorded the highest level of no research activity.ConclusionThis study has provided insight into how the research capacity and culture of organisations and departments in which individuals' work will influence their abilities and opportunities to perform research.
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Boisbouvier S, Corbin S, Charpentier M, Billaud P, Dolpierre B, Douir N, De Oliveira A, Sousa F. [The first steps towards advanced practice for radiation therapists]. Cancer Radiother 2023; 27:583-587. [PMID: 37481343 DOI: 10.1016/j.canrad.2023.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 06/09/2023] [Accepted: 06/13/2023] [Indexed: 07/24/2023]
Abstract
The implementation of advanced practice in RT requires evidence regarding the clinical practices of radiation therapists (RTT) in the field. In this context, the goal of this article is to report the roles assigned to RTT in order to meet the demands of patients, RT services, and/or healthcare professionals. As part of the French Society of Oncologic Radiotherapy's congress, the Radiotherapy Committee of the French Association of radiographers presented a scientific program encompassing three main themes: patient follow-up by a RTT, the expertise of an RTT in Image Guided Radiation Therapy (IGRT), Adaptive Radiotherapy (ART), and the involvement of a RTT in research. This article presents an overview of five oral presentations that highlight concrete examples of roles assigned to RTTs in these specific domains. The follow-up of patients has been assigned to RTT. Research and development have been recognized as activities in which RTT play a significant role. The establishment of RTT specializing in IGRT has been reported to facilitate decision-making and is essential in ensuring professional expertise. Lastly, there is a need to enhance RTT skills in adaptive RT to support the implementation of this technique. These roles described as advanced practice meet needs and require a specific organisational framework and appropriate education and training (master type). Activities such as post-RT follow-up, validation of positioning imaging, delineation, writing research protocols, and involvement in the development of technological innovations were identified as essential tasks that can be assigned to RTT.
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Affiliation(s)
- S Boisbouvier
- Département de radiothérapie, centre Léon-Bérard, rue Laënnec, 69008 Lyon, France.
| | - S Corbin
- Département de radiothérapie, institut Gustave-Roussy, Villejuif, France
| | - M Charpentier
- Département de radiothérapie, assistance publique des hôpitaux de Marseille, Marseille, France
| | - P Billaud
- Département de radiothérapie, institut régional du cancer de Montpellier, Montpellier, France
| | - B Dolpierre
- Département de radiothérapie, institut régional du cancer de Montpellier, Montpellier, France
| | - N Douir
- Département de radiothérapie, institut Gustave-Roussy, Villejuif, France
| | - A De Oliveira
- Département de radiothérapie, institut Curie, Paris, France
| | - F Sousa
- Département de radiothérapie, institut Jules-Bordet, université libre de Bruxelles (ULB), hôpital universitaire de Bruxelles (H.U.B), rue Meylemeersch, 90, 1070 Bruxelles, Belgique
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Middleton JM, Bolderston A. Engagement in radiation therapy research: What happens after graduation? J Med Imaging Radiat Sci 2023; 54:328-334. [PMID: 36973118 DOI: 10.1016/j.jmir.2023.03.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 12/09/2022] [Accepted: 03/11/2023] [Indexed: 03/28/2023]
Abstract
BACKGROUND To prepare undergraduate radiation therapy (RT) students for the professional role of Scholarly Practitioner the University of Alberta's Radiation Therapy Program (RADTH) provides research education, and students conduct novel research studies during their final practicum year with the final result being a publishable paper. A curriculum evaluation project was carried out to examine the impact of the RADTH undergraduate research education by examining the final outcomes of these research projects and whether the learners carried out further research after graduation. METHODS Alumni who graduated from 2017 to 2020 were surveyed to seek information on the dissemination of their research projects, whether the projects resulted in a change to practice, policy, or patient care, if subsequent research has been performed by the graduates, and the motivators or barriers to conducting research post-graduation. A subsequent manual search of publication databases was conducted to fill in data gaps pertaining to publications. RESULTS All RADTH research projects have been disseminated by conference presentation and/or publication. One project was reported to have had an impact on practice, with no impact reported for five projects and two respondents not sure about any impact. All respondents reported they have not participated in any new research projects since graduation. Barriers listed included: limited local opportunity, lack of topic ideas, other professional development, no interest in research, COVID impact, and lack of research knowledge. CONCLUSIONS RADTH's research education curriculum successfully enables the RT students to conduct and disseminate research. All RADTH projects have been successfully disseminated by the graduates. However, participation in research post-graduation is not occurring due to a variety of factors. While MRT education programs are required to develop research skills, this education alone may not alter motivation nor ensure research participation post-graduation. Exploring other avenues of professional scholarship may be key to ensuring contribution to evidence-informed practice.
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Chau M, Brown E, Beldham-Collins R, Anderson N. Research demographics of Australian medical radiation practitioners. J Med Imaging Radiat Sci 2022; 53:591-598. [PMID: 35934669 DOI: 10.1016/j.jmir.2022.07.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 07/05/2022] [Accepted: 07/22/2022] [Indexed: 12/24/2022]
Abstract
INTRODUCTION Advancement within the Medical Radiation Profession has seen an increased need for Medical Radiation Practitioners (MRPs) to develop research skills to provide and access relevant and accurate information to maintain best practice. The aim of this study was to ascertain the current research demographics of Australian Medical Radiation Practitioners (MRPs), determine perceived barriers to participating in research and to establish needs-based initiatives to support MRPs in undertaking research. METHODS A quantitative and qualitative cross-sectional survey of Australian MRPs using an electronic survey tool was distributed between November and December 2020. Participants were recruited via an invitation email sent to Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) members. A chain-referral sampling technique was adopted for data collection. RESULTS A total of 431 participants responded to the survey, representing 2.3% of Australian MRPs. The majority of respondents had a bachelor's degree or higher (71.9%) with 8.4% having postgraduate research qualifications (PhD- 3.2%; Professional Doctorate- 0.7%; Masters- 4.5%). Of the respondents, 15.4% plan to undertake postgraduate research in the future, with 68.2% having no plans for postgraduate research. Respondents identified lack of time (47.0%), lack of interest (33.4%), cost (24.2%) and workplace support (23.9%) as contributing factors for not undertaking postgraduate research. CONCLUSION The number of MRPs who have been awarded or will be awarded a postgraduate degree has increased over recent decades. However, many still indicate a lack of interest in being actively involved in research. Targeted support mechanisms should be implemented to address perceived or real barriers to continue to grow research capacity within the profession.
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Affiliation(s)
- Minh Chau
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia; South Australia Medical Imaging, Flinders Medical Centre, Bedford Park, South Australia, Australia; ASMIRT Research Committee, Australian Society of Medical Imaging and Radiation Therapy, Australia.
| | - Elizabeth Brown
- Radiation Oncology Princess Alexandra Hospital, Brisbane, Queensland, Australia; ASMIRT Research Committee, Australian Society of Medical Imaging and Radiation Therapy, Australia
| | - Rachael Beldham-Collins
- Crown Princess Mary Cancer Centre, Westmead, Sydney, New South Wales, Australia; Blacktown Haematology and Cancer Centre, Blacktown, Sydney, New South Wales, Australia; ASMIRT Research Committee, Australian Society of Medical Imaging and Radiation Therapy, Australia
| | - Nigel Anderson
- Department of Radiation Oncology, Austin Health, Victoria, Australia; ASMIRT Research Committee, Australian Society of Medical Imaging and Radiation Therapy, Australia
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Törnroos S, Pasanen M, Leino-Kilpi H, Metsälä E. Identification of research priorities of radiography science: A modified Delphi study in Europe. Nurs Health Sci 2022; 24:423-436. [PMID: 35289482 PMCID: PMC9314951 DOI: 10.1111/nhs.12938] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 03/02/2022] [Accepted: 03/02/2022] [Indexed: 01/01/2023]
Abstract
Radiography science is a new discipline among health sciences. It is a discipline that investigates phenomena in medical imaging, radiation therapy, and nuclear medicine. It has merged from the need to provide research evidence to support these services. The domain of the discipline needs clarification and more research should be focused on its paradigmatic issues. Radiography research priorities have been previously charted on a national level in different countries but the viewpoint has been that of the needs of the profession, not of the discipline. This study aimed to identify the priorities of the discipline. The method chosen was a modified version of the Delphi technique with two rounds. The expert panel consisted of 24 European radiography researchers with long professional experience. This study shows that the research priorities in radiography science are related to the phenomena of radiographers' profession, clinical practices, and the safe and high-quality use of radiation and technology for medical imaging, radiotherapy, and nuclear medicine. Identifying these priorities can help focus research onto most important topics and clarify disciplinary perspective.
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Affiliation(s)
- Sanna Törnroos
- Department of Nursing Science, University of Turku and Metropolia University of Applied Sciences, Turku, Finland
| | - Miko Pasanen
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Helena Leino-Kilpi
- Department of Nursing Science, University of Turku and Turku University Hospital, Turku, Finland
| | - Eija Metsälä
- Department of Nursing Science, University of Turku and Metropolia University of Applied Sciences, Turku, Finland
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Törnroos S, Leino-Kilpi H, Metsälä E. Phenomena of radiography science - A scoping review. Radiography (Lond) 2021; 27:1231-1240. [PMID: 34340876 DOI: 10.1016/j.radi.2021.07.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 06/23/2021] [Accepted: 07/05/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION The purpose of the study is to clarify the domain of radiography science. The main goal of science is building knowledge and developing ideas and theories that explain, predict, understand or interpret the phenomena investigated. Each discipline has its own perspective to view and study the phenomena of interest. The disciplinary perspective enables researchers in radiography science to reason and conceptualize phenomena, but it can also restrict them. The aim of this review was to investigate phenomena that are at the core of the discipline of radiography science. METHODS This study used a scoping review as the method. A systematic search was carried out in the databases: Science Direct, Pubmed, Cinahl, and Scopus. The selection of articles was conducted by predetermined inclusion and exclusion criteria for the title, abstract and full text. After the exclusion process, fourteen articles were selected for a final review. The articles were analyzed with inductive content analysis. RESULTS From the articles, 117 research interests were identified; these were merged into 17 categories and further into six main categories. The main categories represent the phenomena radiography science investigates. The phenomena are: the radiographers' profession, clinical practices in diagnostic and therapeutic patient pathways, safe and high quality use of radiation, radiographic technology, discipline, management and leadership of radiography professionals CONCLUSIONS: Radiography science has a conceptual structure of its own that needs more investigation. Radiography science researches distinctive phenomena and specialized knowledge, common to researchers from different traditions and subspecialties thus justifying its existence. IMPLICATIONS FOR PRACTICE Investigating the core phenomena of interest in radiography science can support researchers in the field to focus their research and to develop the concepts of radiography.
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Affiliation(s)
- S Törnroos
- University of Turku, Department of Nursing Science, Joukahaisenkatu 3-5, FI-20014 Turku, Finland; Metropolia University of Applied Sciences, Myllypurontie 1, FI-00920, Helsinki, Finland.
| | - H Leino-Kilpi
- University of Turku, Department of Nursing Science, Joukahaisenkatu 3-5, FI-20014 Turku, Finland; Turku University Hospital, Finland.
| | - E Metsälä
- University of Turku, Department of Nursing Science, Joukahaisenkatu 3-5, FI-20014 Turku, Finland; Metropolia University of Applied Sciences, Myllypurontie 1, FI-00920, Helsinki, Finland.
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12
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Dennett AM, Cauchi T, Harding KE, Kelly P, Ashby G, Taylor NF. Research interest, experience and confidence of allied health professionals working in medical imaging: a cross-sectional survey. J Med Radiat Sci 2021; 68:121-130. [PMID: 32949482 PMCID: PMC8168060 DOI: 10.1002/jmrs.432] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 07/13/2020] [Accepted: 08/27/2020] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION There is growing interest in developing research culture and opportunities for allied health professionals working in medical imaging. However, little attention has been given to identifying the research interest and needs of this group relative to the other allied health professions. We aimed to measure self-reported research participation, interest, experience and confidence of allied health professionals working in medical imaging and compare the findings to clinicians working in allied health therapies. METHODS A cross-sectional survey of allied health professionals from medical imaging (radiographers, sonographers and nuclear medicine technologists) was conducted. The primary outcome, the Research Spider survey, measures 10 domains of research interest/experience/confidence on a 5-point Likert scale. Results were compared to allied health therapy data. RESULTS Responses were received by 82 medical imaging allied health professionals (65% response rate). Overall, medical imaging professionals rated themselves as having 'some interest' and 'little experience or confidence' in research. There was no difference in interest, experience and confidence among different imaging professions (interest P = 0.099, experience P = 0.380, confidence P = 0.212) or allied health therapists (interest P = 0.137, experience P = 0.363, confidence P = 0.791). Participants reported greatest interest in finding and reviewing literature and lowest interest in applying for funding. CONCLUSION There are strong similarities between medical imaging allied health professionals and allied health therapy professionals. Therefore, strategies used to promote research culture in allied health therapy professions could be leveraged to provide opportunities for medical imaging allied health professionals.
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Affiliation(s)
- Amy M Dennett
- School of Allied HealthHuman Services and SportLa Trobe UniversityMelbourneAustralia
- Allied Health Clinical Research OfficeEastern HealthBox HillAustralia
| | - Travis Cauchi
- Department of Medical ImagingEastern HealthBox HillAustralia
| | - Katherine E Harding
- School of Allied HealthHuman Services and SportLa Trobe UniversityMelbourneAustralia
- Allied Health Clinical Research OfficeEastern HealthBox HillAustralia
| | - Paul Kelly
- Department of Medical ImagingEastern HealthBox HillAustralia
| | - Georgina Ashby
- Department of Medical ImagingEastern HealthBox HillAustralia
| | - Nicholas F Taylor
- School of Allied HealthHuman Services and SportLa Trobe UniversityMelbourneAustralia
- Allied Health Clinical Research OfficeEastern HealthBox HillAustralia
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13
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[The evolving career profile of radiation therapists]. Cancer Radiother 2020; 24:730-735. [PMID: 32807686 DOI: 10.1016/j.canrad.2020.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 05/25/2020] [Accepted: 05/29/2020] [Indexed: 11/21/2022]
Abstract
Over the last few years, the radiation therapist profession has undergone major developments. In radiotherapy, the teams, and their organization as well as the techniques have changed, however always with the goal of improving treatment quality for patients. Throughout interviews, this article offers to show three missions that have been assigned to French radiation therapists, such as the initial consultation, the role of the radiation therapist with the linear accelerator with onboard MRI, and paramedical research. The contribution of new technologies, the modification of the types of participants on the patient journey, as well as the thought process about the use of evidence-based practice and radiation therapist research have initiated changes for the job description, the beginning of more advanced practices, and a perspective of evolution within this profession.
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Alleyne-Mike K, Sylvester P, Henderson-Suite V, Mohoyodeen T. Radiotherapy in the Caribbean: a spotlight on the human resource and equipment challenges among CARICOM nations. HUMAN RESOURCES FOR HEALTH 2020; 18:49. [PMID: 32680524 PMCID: PMC7367401 DOI: 10.1186/s12960-020-00489-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Accepted: 07/07/2020] [Indexed: 05/07/2023]
Abstract
BACKGROUND There is limited data on access to radiotherapy services for CARICOM nations. METHODS This was a descriptive mixed-methods observational study which used data collected via survey from staff working in Radiation Oncology in 14 CARICOM countries. Benchmark recommendations from the International Atomic Energy Agency were compared to existing numbers. The Directory of Radiotherapy Centers, World Bank, and Global Cancer Observatory databases were all accessed to provide information on radiotherapy machines in the region, population statistics, and cancer incidence data respectively. Both population and cancer incidence-based analyses were undertaken to facilitate an exhaustive review. RESULTS Radiotherapy machines were present in only 50% of the countries. Brachytherapy services were performed in only six countries (42.9%). There were a total of 15 external beam machines, 22 radiation oncologists, 22 medical physicists, and 60 radiation therapists across all nations. Utilizing patient-based data, the requirement for machines, radiation oncologists, medical physicists, and radiation therapists was 40, 66, 44, and 106, respectively. Only four (28.6%) countries had sufficient radiation oncologists. Five (35.7%) countries had enough medical physicists and radiation therapists. Utilizing population-based data, the necessary number of machines, radiation oncologists, and medical physicists was 105, 186, and 96 respectively. Only one county (7.1%) had an adequate number of radiation oncologists. The number of medical physicists was sufficient in just three countries (21.4%). There were no International Atomic Energy Agency population guidelines for assessing radiation therapists. A lower economic index was associated with a larger patient/population to machine ratio. Consequentially, Haiti had the most significant challenge with staffing and equipment requirements, when compared to all other countries, regardless of the evaluative criteria. Depending on the mode of assessment, Haiti's individual needs accounted for 37.5% (patient-based) to 59.0% (population-based) of required machines, 40.1% (patient-based) to 59.7% (population-based) of needed radiation oncologists, 38.6% (patient-based) to 58.3% (population-based) of medical physicists, and 42.5% (patient-based) of radiation therapists. CONCLUSION There are severe deficiencies in radiotherapy services among CARICOM nations. Regardless of the method of comparative analysis, the current allocation of equipment and staffing scarcely meets 50% of regional requirements.
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Affiliation(s)
- Kellie Alleyne-Mike
- National Radiotherapy Centre, 112 Western Main Road, St. James, Port of Spain, Trinidad and Tobago.
| | - Pearse Sylvester
- National Radiotherapy Centre, 112 Western Main Road, St. James, Port of Spain, Trinidad and Tobago
| | - Vladimir Henderson-Suite
- National Radiotherapy Centre, 112 Western Main Road, St. James, Port of Spain, Trinidad and Tobago
| | - Thana Mohoyodeen
- Port of Spain General Hospital, 61 Charlotte Street, Port of Spain, Trinidad and Tobago
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Piro D, Boldrini L, Cornacchione P, Votta C, Bianchi M, Balducci M, Gambacorta MA, Valentini V, Pasini D. Radiation therapy technologists' involvement and opinion in research: A national survey in Italy. Tech Innov Patient Support Radiat Oncol 2020; 15:11-14. [PMID: 32613093 PMCID: PMC7322338 DOI: 10.1016/j.tipsro.2020.05.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 05/04/2020] [Accepted: 05/14/2020] [Indexed: 10/26/2022] Open
Abstract
Introduction This survey describes Italian RTTs' involvement and opinions in research activities related to radiation oncology. Primary aim was to assess the degree of involvement of the national RTTs community in research and to describe how RTTs can integrate their skills collaborating with other professionals. Materials and methods A ten-items multiple-choice questionnaire, with 2-8 possible responses, was developed by a steering committee and generated on a survey platform. Links were sent via email to Italian RTTs.The questions were divided in 3 domains: demographic data; scientific research and activity; opinions about RTTs role in scientific research. The survey started on October 1, 2018 and ended on January 31, 2019. Results One hundred thirty-five out of 509 (26.5%) RTTs responded to the questionnaire at its expiring date; 97.73% think to be valid contributors in radiation oncology research, expressing clear interest in "data collection" tasks (52.71%); 38.64% feel unsupported by other professionals in the research team and 59.85% of the respondents are not members in any scientific society. Conclusions The role of Italian RTTs in research is heterogeneous. Mainly RTTs in the age range from 30 to 40 years responded to the survey showing their interest in scientific research. This might be related to different informatics and educational skills as well as to personal attitudes. RTTs particular skills, like data management and technical hypothesis generation abilities, are of benefit to realize research projects. Therefore, engaging RTTs in research activities is strongly suggested.
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Affiliation(s)
- D Piro
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
| | - L Boldrini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.,Istituto di Radiologia, Università Cattolica del Sacro Cuore, Roma, Italy
| | - P Cornacchione
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
| | - C Votta
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
| | - M Bianchi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
| | - M Balducci
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.,Istituto di Radiologia, Università Cattolica del Sacro Cuore, Roma, Italy
| | - M A Gambacorta
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.,Istituto di Radiologia, Università Cattolica del Sacro Cuore, Roma, Italy
| | - V Valentini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.,Istituto di Radiologia, Università Cattolica del Sacro Cuore, Roma, Italy
| | - D Pasini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
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Moran K, Davis CA. Pan-Canadian Survey of Medical Radiation Technologist's Views Toward Evidence-Based Practice, Research, Barriers, and Enablers. J Med Imaging Radiat Sci 2020; 51:29-39. [DOI: 10.1016/j.jmir.2019.11.141] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Revised: 11/26/2019] [Accepted: 11/26/2019] [Indexed: 10/25/2022]
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17
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Jimenez YA, Beldham-Collins R, Lewis SJ. Patient Recruitment in Radiation Therapy Research: An Evaluation of Local Challenges. J Med Imaging Radiat Sci 2019; 50:416-424.e2. [PMID: 31327666 DOI: 10.1016/j.jmir.2019.06.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 06/12/2019] [Accepted: 06/14/2019] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Locally-initiated research studies in radiation therapy (RT) aim to substantiate clinical processes and are an effective approach to gather evidence for advances in patient care, new techniques, and protocols. The aim of this study was to retrospectively quantify recruitment challenges at a radiation oncology network (RON). METHODS Five locally initiated studies were included for analysis through the criteria of being undertaken within 2001-2017, initiated through local research teams, and having recruitment records available. Data extraction from each study included duration, aims, patient activities, recruitment strategy, target number of participants, and number of participants who were recruited/not recruited and who withdrew from the study. Reasons for nonregistration and withdrawal were recorded if available. Two studies are presented as case studies. RESULTS Included studies were diverse in patient population and study aim and included patient immobilization (lung and breast cancer), evaluation of radiation-induced esophagitis, documentation of anatomical and dosimetric changes in patients with head and neck cancer, and education (breast cancer). The exclusion of non-English-speaking patients, which is significant for the RON, which covers a wide cultural and linguistic diversity, was an important limiting factor, along with RT patients' disinterest in participation. DISCUSSION Challenges experienced in the evaluated RON studies are similar to non-RT clinical trials and included difficulties with patients interacting with study protocol, health practitioners' influence, and patient-related inclusion issues. CONCLUSION The resulting database provides a foundation for continued monitoring and documentation of study recruitment practice, which could elicit positive effects on planning and implementation of future patient recruitment strategies in RT locally initiated studies.
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Affiliation(s)
| | - Rachael Beldham-Collins
- The Crown Princess Mary Cancer Centre, Westmead Hospital, Westmead, Australia; Nepean Cancer Care Centre, Nepean Hospital, Kingswood, Australia
| | - Sarah Jayne Lewis
- Faculty of Health Sciences, The University of Sydney, Lidcombe, NSW, Australia
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18
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Hunter D, Wright C, Pearson S. Employing positive psychology to improve radiation therapy workplace culture. J Med Radiat Sci 2019; 66:139-144. [PMID: 30710429 PMCID: PMC6545407 DOI: 10.1002/jmrs.321] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Revised: 12/23/2018] [Accepted: 12/26/2018] [Indexed: 11/06/2022] Open
Abstract
The Australian radiotherapy profession is challenged by job dissatisfaction, stress, burnout and unfavourable attrition. This paper will use psychological models to discuss the confluence of job demands, resources and personal characteristics that contribute to these challenges. Factors contributing to burnout and attrition amongst Australian Radiation Therapists will be explored, and a number of leadership strategies will be introduced to improve workplace culture. These strategies – aligned with positive psychology – seek to address staff engagement, emotional needs, and job stressors.
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Affiliation(s)
- Darren Hunter
- Department of Radiation Oncology, Peter MacCallum Cancer Centre, Victoria, Australia
| | - Caroline Wright
- Department of Medical Imaging and Radiation Sciences, Monash University, Victoria, Australia
| | - Sue Pearson
- School of Medicine, University of Tasmania, Tasmania, Australia
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Halkett GKB, Berg MN, Breen LJ, Cutt D, Davis M, Ebert MA, Hegney D, House M, Kearvell R, Lester L, Maresse S, McKay J. Sustainability of the Australian radiation oncology workforce: A survey of radiation therapists and radiation oncology medical physicists. Eur J Cancer Care (Engl) 2018; 27:e12804. [PMID: 29341295 DOI: 10.1111/ecc.12804] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2017] [Indexed: 12/01/2022]
Abstract
This study aimed to determine and compare Radiation Therapists' (RTs') and Radiation Oncology Medical Physicists' (ROMPs') perspectives about their profession and workplace, satisfaction with career progression opportunities, and leaving the current workplace. RTs and ROMPs who were currently or had previously worked in Australia were invited to complete an online survey. Univariate and multivariate methods were used for analysis. Participants were 342 RTs and 112 ROMPs with estimated response rates of 14% and 26% respectively. Both professions rated workload poorly and identified the need for improvement in: communication between professions' members, support for junior staff/new graduates, staff morale, on-site training and multidisciplinary communication. RTs, more than ROMPs, perceived their profession was recognised and respected, but RTs were less likely to be satisfied with career progression/advancement, job promotion prospects and opportunities to specialise. At least 20% of RTs and ROMPs were thinking about leaving their workplace and 13% of RTs and 8% of ROMPs were thinking about leaving their profession. Different factors contributed to workforce satisfaction and retention within each profession. Staff satisfaction and career progression are critical to retain RTs and ROMPs. Further research is required to explore strategies to address workplace dissatisfaction, recruitment and retention.
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Affiliation(s)
- Georgia K B Halkett
- School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Melissa N Berg
- School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Lauren J Breen
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - David Cutt
- Genesis Cancer Care, Perth, WA, Australia
| | | | - Martin A Ebert
- Department of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
- School of Physics, University of Western Australia, Crawley, WA, Australia
| | - Desley Hegney
- Research Division, Central Queensland University, Brisbane Campus, QLD, Australia
- School of Nursing, The University of Adelaide, Adelaide, SA, Australia
| | - Michael House
- School of Physics, University of Western Australia, Crawley, WA, Australia
| | - Rachel Kearvell
- Department of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
| | - Leanne Lester
- Health Promotion Evaluation Unit, School of Human Science, Exercise and Health, University of Western Australia, Crawley, WA, Australia
| | - Sharon Maresse
- Discipline of Medical Radiation Sciences, Faculty of Science and Engineering, Curtin University, Perth, WA, Australia
| | - Jan McKay
- Discipline of Medical Radiation Sciences, Faculty of Science and Engineering, Curtin University, Perth, WA, Australia
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Halkett GKB, Berg M, Ebert MA, Cutt D, Davis M, Hegney D, House M, Judson M, Kearvell R, Krawiec M, Lester L, Maresse S, McLoone P, McKay J. Radiation therapists' perspectives on participating in research. J Med Radiat Sci 2017; 64:299-309. [PMID: 28731288 PMCID: PMC5715346 DOI: 10.1002/jmrs.237] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Revised: 05/24/2017] [Accepted: 06/23/2017] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION The objectives of this research were to: (1) determine the extent of Australian radiation therapists (RTs) research participation; (2) evaluate the impact of research involvement on career perceptions (3) explore which research topics require investigation and (4) identify benefits and barriers to research participation. METHODS This study used mixed methods to collect qualitative and quantitative data using an online survey from a larger workforce study of RTs and radiation oncology medical physicists. Participants practising in Australia completed questions about their research involvement. Chi-square tests and logistic regression were used to analyse quantitative data and content analysis was used to explore qualitative data. RESULTS Two hundred and ninety-six RTs answered the research questions. Forty-six percent had been involved in research. Of these, 91% had been involved in departmental, 28% in national, 14% in international and 29% in informal or self-directed research studies. Eleven RTs (8%) had received funding as a chief/principal investigator. Involvement in research was associated with a desire to make a career change. However, it also appeared to be associated with greater satisfaction with career progression and staying in the career. Respondents identified a range of potential research topics, benefits of participating in research and barriers which included lack of time, support and cost. CONCLUSION Almost half of the RT participants identified that they were participating in research. Our data suggest that continued involvement in research, and opportunities to participate, improve RT job satisfaction. RTs' research activities are likely to be extended through provision of additional time and support.
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Affiliation(s)
- Georgia K. B. Halkett
- School of Nursing, Midwifery and ParamedicineFaculty of Health SciencesCurtin UniversityPerthWestern AustraliaAustralia
| | - Melissa Berg
- School of Nursing, Midwifery and ParamedicineFaculty of Health SciencesCurtin UniversityPerthWestern AustraliaAustralia
| | - Martin A. Ebert
- Radiation OncologySir Charles Gairdner HospitalNedlandsWestern AustraliaAustralia
- School of PhysicsUniversity of Western AustraliaCrawleyWestern AustraliaAustralia
| | - David Cutt
- Genesis Cancer CarePerthWestern AustraliaAustralia
| | | | - Desley Hegney
- Research DivisionCentral Queensland UniversityRockhamptonQueenslandAustralia
- School of Nursing and MidwiferyThe University of Southern QueenslandToowoombaQueenslandAustralia
- School of NursingThe University of AdelaideAdelaideSouth AustraliaAustralia
| | - Michael House
- School of PhysicsUniversity of Western AustraliaCrawleyWestern AustraliaAustralia
| | - Michelle Judson
- Radiation OncologySir Charles Gairdner HospitalNedlandsWestern AustraliaAustralia
| | - Rachel Kearvell
- Radiation OncologySir Charles Gairdner HospitalNedlandsWestern AustraliaAustralia
| | - Michele Krawiec
- Radiation OncologySir Charles Gairdner HospitalNedlandsWestern AustraliaAustralia
| | - Leanne Lester
- Health Promotion Evaluation UnitSchool of Sport Science, Exercise and HealthUniversity of Western AustraliaCrawleyWestern AustraliaAustralia
| | - Sharon Maresse
- Discipline of Medical Radiation ScienceFaculty of Science and EngineeringCurtin UniversityPerthWestern AustraliaAustralia
| | | | - Jan McKay
- Discipline of Medical Radiation ScienceFaculty of Science and EngineeringCurtin UniversityPerthWestern AustraliaAustralia
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