Advancing Practice, Improving Care the Integration of Advanced Practice Radiation Therapy Roles into a Radiotherapy Department: A Single Institution Experience

D’Alimonte, Laura; Holden, Lori; Turner, Angela; Erler, D.; Sinclair, Emily; Harnett, Nicole; Prospero, Lisa Di

doi:10.1016/j.jmir.2017.02.073

Cited by 19 publications

(52 citation statements)

References 9 publications

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“…This has been shown in Canada, in an advanced practice SBRT role, where the clinical specialist RT reviewed the day 1 CBCT and treatment reviewed SBRT patients, in place of the RO. This resulted in time saving for the RO …”

Section: Discussionmentioning

confidence: 99%

An evaluation of an advanced practice role in palliative radiation therapy

Job

Holt

Bernard

2019

J of Medical Radiation Sci

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Introduction The purpose of the study was to evaluate the palliative advanced practice radiation therapy (APRT) role with respect to the impact on waiting times for patients from referral to radiation treatment delivery, the ability of the APRT to define palliative radiation therapy fields and patient satisfaction. The evaluation of the impact of the APRT role and referral pathway on patient waiting times has been previously published. Methods Patients were allocated to two different pathways; APRT and standard. Patients in the APRT pathway had their radiotherapy treatment managed by the APRT including defining their palliative fields blinded to the radiation oncologist (RO). Results Of the 150 palliative patients, 94 had their radiation therapy managed by the APRT and 56 were managed through the standard pathway. 82/92 APRT defined fields were accepted by the RO. Conclusions Inter‐observer variability between the APRT and the RO in defining palliative radiation therapy fields is similar to that reported in the literature between clinicians. With previously published reduced wait times from referral to treatment for palliative patients, the establishment of the APRT role is justified.

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Section: Discussionmentioning

confidence: 99%

An evaluation of an advanced practice role in palliative radiation therapy

Job

Holt

Bernard

2019

J of Medical Radiation Sci

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“…Where staffing resources are an issue, RTTs can deliver many services efficiently and successfully, whilst potentially reducing cost. Examples of improved service has been described by D'Alimonte et al (2017) [15] which mentioned outcome measures and success indicators used to evidence the benefit of roles. This included a reduced time from referral to consultant in the case of a skin Canadian specialist radiation therapist (CSRT) [16].…”

Section: Estro Rttc Definitionmentioning

confidence: 99%

“…A growing evidence base illustrates how AP roles have improved access to care, reduced waiting times and enhanced the patient pathway [15]. Robust evaluation provides evidence of their effectiveness and assists in establishing future RTT roles and workforce planning.…”

Section: Scope Of Practicementioning

confidence: 99%

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Advanced practice: An ESTRO RTTC position paper

Duffton

Devlin

Tsang

et al. 2019

Technical Innovations & Patient Support in Radiation Oncolo

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European Society for radiotherapy and oncology (ESTRO) committee The ESTRO Radiation Therapist committee (RTTC) is made up of 14 representatives (including 2 elected members of the RTT alliance) working as radiation therapists (RTTs) in clinical departments and academic institutes. The role of the RTT in Europe has been described in previous ESTRO documents, with clear guidelines and definitions as to the educational standards required of an undergraduate practitioner (level 6) [1] and advanced/specialist practitioner (7&8) [2]. From here on, this paper will refer to our profession as RTT.

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“…Many occupy roles as Advanced Practitioner RTs in countries such as Australia, the United Kingdom, Canada, New Zealand, and Ireland 14,15 and have taken on tasks once traditionally completed by radiation oncologists or medical physicists. 16 In job advertisements, titles such as Clinical Leads, Specialist or Consultant Practitioners and Charge RTs are now common. In such roles, practitioners are expected to perform beyond core clinical duties, making advanced decisions in their areas of specialisation.…”

Section: Changes In the Radiation Therapy Workforce Profilementioning

confidence: 99%

Leadership in the radiation therapy profession: The importance of understanding the potential benefits and theoretical perspectives

Chamunyonga

Edwards

Caldwell

et al. 2020

Journal of Medical Imaging and Radiation Sciences

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The incorporation of leadership concepts is at the forefront of agendas to advance the quality of patient care and innovation in many healthcare professions. In this Commentary, the authors draw upon evidence from the literature to discuss the theoretical perspectives of leadership and potential value in radiation therapy practice. For the patients to be provided with safe and high-quality treatment, continuous change and improvement are necessary. Leadership has the potential to influence behaviour change for practitioners and core organisational culture. Several leadership styles such as the transformational leadership can be applied to achieve a higher level of patient care and improve the likelihood of enhancing quality and efficiency in healthcare. These are also paramount to the success of radiation therapy practice. Hence, a higher priority should be placed on developing leadership in the Radiation Therapist (RT) workforce and educating new graduates of the potential benefits.R ESUM E L'int egration des notions de leadership est a l'avant-plan des programmes visant a faire progresser la qualit e des soins aux patients et l'innovation dans plusieurs professions du domaine de la sant e. Dans cet article, les auteurs s'appuient sur les donn ees probantes de la litt erature scientifique pour discuter des perspectives th eoriques du leadership et de sa valeur potentielle dans la pratique de la radioth erapie. Pour que les patients reçoivent des traitements sûrs et de grande qualit e, des changements et une am elioration continus sont n ecessaires. Le leadership a le potentiel d'influencer les changements de comportement chez les praticiens ainsi que la culture organisationnelle fondamentale. Plusieurs styles de leadership, comme le leadership transformationnel, peuventêtre appliqu es pour atteindre un niveau plus elev e de soins aux patients et am eliorer la probabilit e d'am elioration de la qualit e et de l'efficience des soins de sant e. Ces el ements sont aussi primordiaux pour le succ es de la pratique de la radioth erapie. Par cons equent, une plus grande priorit e devraitêtre accord ee au d eveloppement du leadership au sein de l'effectif de radioth erapeutes et a l'enseignement des avantages potentiels aux nouveaux diplôm es.

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Advancing Practice, Improving Care the Integration of Advanced Practice Radiation Therapy Roles into a Radiotherapy Department: A Single Institution Experience

Cited by 19 publications

References 9 publications

An evaluation of an advanced practice role in palliative radiation therapy

An evaluation of an advanced practice role in palliative radiation therapy

Advanced practice: An ESTRO RTTC position paper

Leadership in the radiation therapy profession: The importance of understanding the potential benefits and theoretical perspectives

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