Clinician and therapist perceptions on radiation therapist-led treatment reviews in radiation oncology practice

Shi, Joanna; Cox, Jennifer; Atyeo, John; Loh, Y. C.; Choung, Wong Lea; Back, Michael

doi:10.1016/j.radonc.2008.05.005

Cited by 26 publications

(59 citation statements)

References 16 publications

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“…This reasoning fails to acknowledge the role of the treatment review as not only a medical assessment and a source for advice on treatment reactions for the patient, but also as an opportunity for the patient and their carers to discuss and address their informational, psychological and social needs. 1,8,[11][12][13][14][15] Considering this, the role of the reviewer is broad including, but not limited to, information provider, medical specialist, counsellor, patient advocate and friend. 13 The reviewer needs to be skilled to competently address all areas encouraging open communication and providing appropriate resources to support the patient.…”

Section: Benefits To the Patientmentioning

confidence: 99%

Section: Benefits To the Patientmentioning

confidence: 99%

“…2,11,18 There is a tendency for RTs' perception of their ability in this role to be higher than the ROs' perception of RT reviewer ability. 11 It is important to note that perception of capability does not necessarily equate to competency. 11 The reviewer needs to possess the ability to determine where their own capabilities are sufficient to care for the patient or when specialist intervention is required.…”

Section: Benefits To the Patientmentioning

confidence: 99%

“…11 It is important to note that perception of capability does not necessarily equate to competency. 11 The reviewer needs to possess the ability to determine where their own capabilities are sufficient to care for the patient or when specialist intervention is required. 2 ROs may be hesitant in handing over the treatment review role if they are not confident that RTs can recognise their limitations and refer the patient when necessary.…”

Section: Benefits To the Patientmentioning

confidence: 99%

“…The implementation of safeguards ensures a high standard of patient care and are a solution to the ROs' hesitations about this role development. 2,11,18 In one study, a policy was employed where the RO was required to assess the patient at least once during their treatment, to maintain some control over the review process. 2 At the Beatson West of Scotland Cancer Care Centre, the Radiation Therapy Oncology Group scoring tool was used by the specialised nurse or RT reviewers, to assess skin reactions and their appropriate management.…”

Section: Benefits To the Patientmentioning

confidence: 99%

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Radiation therapist‐led weekly patient treatment reviews

et al. 2009

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The purpose of this discussion article is to explore the implementation of radiation therapist‐led treatment reviews as a form of advanced practice for radiation therapists in Australia. The feasibility of such a role, the impact on cancer care services and implementation requirements to enable the position to be implemented effectively in an Australian environment are explored. Current practice involving weekly patient treatment reviews and cases where health professionals other than radiation oncologists have undertaken this role will be evaluated. Recommendations on its implementation in an Australian environment are also given. An extensive literature review was conducted through the databases ScienceDirect, Medline and CINAHL. Searches were carried out using the following keywords; “radi*” and “prescribing”, “radi*” and “patient review” and “radi*” and “role development”. Abstracts of the yielded results were appraised and those that matched criteria for analysis underwent critical review for inclusion in the discussion. Although steps have been taken to implement the advanced practice role of a treatment review radiation therapist in Australia, little has been done to formalise the role. It is evident from the international literature that the radiation therapist‐led reviewer role has resulted in benefits to patients, medical specialists and therapists. This advanced practice role has the potential to increase radiation therapist retention and recruitment. Implementation of this role in the Australian environment would be advantageous; however criteria outlining the scope of practice and remuneration packages need to be established to facilitate the synthesis of this role in a clinical environment.

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Section: Benefits To the Patientmentioning

confidence: 99%

Section: Benefits To the Patientmentioning

confidence: 99%

Section: Benefits To the Patientmentioning

confidence: 99%

Section: Benefits To the Patientmentioning

confidence: 99%

Section: Benefits To the Patientmentioning

confidence: 99%

See 3 more Smart Citations

Radiation therapist‐led weekly patient treatment reviews

et al. 2009

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Systematic review — role expansion in radiation therapy: from an international perspective to an Australian context

Acharya

Vatsavayi

et al. 2009

Radiographer

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This systematic review aims to explore the current state of role expansion in radiation therapy internationally and gain an informed understanding of the possibilities of such practices in an Australian context. A comprehensive search from 1990 to 2008 was undertaken to extract publications from electronic databases, individual journals and professional bodies. A thorough title and abstract audit was conducted. Fifteen articles were selected for critical analysis after content examination. The results indicated that expanded roles for radiation therapists (RTs) have been implemented internationally, but few are reported in the Australian environment. The two most prominent roles identified were the patient treatment reviewer and the image reviewer. Additionally, roles such as the breast planning RT, research RT and information and support RT have also been described. The data offered a substantial amount of evidence that developed countries are progressing rapidly towards role expansion. Expanded practice has conferred greater accountability; autonomy and responsibility on RTs. Positive outcomes such as improved patient care and increased job satisfaction for RTs have been observed despite barriers such as medical dominance and legal issues. It therefore appears that role expansion in RT is viable in Australia, but further research and evaluation should be conducted before role expansion is applied.

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Australian radiation therapy: an overview — Part one

2011

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Introduction: Over the last century radiation therapy has developed and improved in many facets of treatment delivery. Radiation therapy is now recognised as an important treatment modality for malignant disease. Continued research and development has gradually changed the general medical opinion of radiation therapy. It is now recommended that more than 50% of all cancer patients receive radiation therapy. Background: The development of radiation therapy personnel in Australia started with doctors' assistants arising from a practical need in the application of treatment. This assistant role gradually extended to a more technical role and saw the birth of the radiation therapist [originally known as radiotherapy technician; therapy radiographer]. The historical progress of this profession in Australia is important to understand for further role development and enhancement of radiation therapists. It is also significant if the profession is to embrace the changes in medical approaches, particularly in oncology, where a bio‐psychosocial model of health is rapidly becoming the preferred approach. Part one outlines the history and development of Australian radiation therapy from the discovery of radiation until today. Part two is a subsequent paper providing discussion of Australian radiation therapists' perspectives on the radiation therapy workplace and work‐practices from 1960 until today.

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Clinician and therapist perceptions on radiation therapist-led treatment reviews in radiation oncology practice

Cited by 26 publications

References 16 publications

Radiation therapist‐led weekly patient treatment reviews

Radiation therapist‐led weekly patient treatment reviews

Systematic review — role expansion in radiation therapy: from an international perspective to an Australian context

Australian radiation therapy: an overview — Part one

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