Development and Implementation of an Electronic Learning Module for Volumetric Image-Guided Radiation Therapy

Li, Winnie; Cashell, Angela; Jaffray, David A.; Moseley, D

doi:10.1016/j.jmir.2015.12.001

Cited by 17 publications

(18 citation statements)

References 23 publications

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“…[4] This was supported by the findings of Li et al . [21] They reported the effectiveness of electronic learning module for volumetric image-guided radiation therapy (IGRT). They also reported that the module ensures the delivery of consistent information as a component of yearly continuing education for radiation therapists.…”

Section: Discussionmentioning

confidence: 99%

The effect of self-learning module on nursing students' clinical competency: A pilot study

Tohidi

Karimi-Moonaghi

Shayan

et al. 2019

Iranian J Nursing Midwifery Res

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Background: Self-learning module (SLM) is designed for independent learning. In this study, the hypothesis that SLM is effective to some extent in improving clinical competence in nursing students was tested. Materials and Methods: The study employed a randomized controlled design. In this study, 46 nursing students were randomized into the control or intervention group. Study tools included a demographic information form and nursing skills checklist. Unlike the control group, the intervention group received clinical SLM. Nursing students' clinical competency was measured at the end of the intervention through objective structured clinical examination. Statistical analysis was performed in SPSS software. A p value < 0.050 was considered statistically significant. Results: In total, 46 students participated in this study. The Mean (SD) age of the study participants was 18.80 (1.06) years. There was a significant difference in students' clinical competency between the control and intervention groups (Mann–Whitney U -test: p = 0.010). Mean (SD) of clinical competency in the control and SLM groups was 58.19 (6.41) and 62.83 (6.05), respectively. Results of the group equivalency test indicated that all demographic variables were equivalent between the groups. Moreover, there was no significant difference between women and men in terms of clinical competency. Conclusions: According to the results, the use of SLM could help the students enhance the quality of nursing clinical competency.

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Section: Discussionmentioning

confidence: 99%

The effect of self-learning module on nursing students' clinical competency: A pilot study

Tohidi

Karimi-Moonaghi

Shayan

et al. 2019

Iranian J Nursing Midwifery Res

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“…Daily, online CBCT-guidance was standard care for most patients. Mature IGRT processes include standardized RTT training [11][12][13] and well-defined CBCT workflows [14], consistent with best-practice guidelines [17,18]. RTTs independently performed image assessment and correction with a 0 mm action level, except for some stereotactic techniques requiring physician presence.…”

Section: Clinical Environment and Practicesmentioning

confidence: 99%

“…IGRT often relies on CBCT assessment by radiation therapists (RTT) as an essential competency aided by in-house training [11][12][13], and standardized protocols [14,15]. Without systematic adaptation strategies in place, RTTs may be required to identify and report IGRT-related variances (e.g.…”

Section: Introductionmentioning

confidence: 99%

Patterns of practice of adaptive re-planning for anatomic variances during cone-beam CT guided radiotherapy

Stankiewicz

Rosewall

et al. 2019

Technical Innovations & Patient Support in Radiation Oncolo

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Purpose: Substantial, unanticipated anatomic variances during cone-beam CT (CBCT)-guided radiotherapy can potentially impact treatment accuracy and clinical outcomes. This study assessed patterns of practice of CBCT variances reported by RTTs and subsequent interventions for multiple-disease sites. Methods: A chart review was conducted at a large cancer centre for patients treated with daily online CBCT-guided radiotherapy. Patients selected for review were identified via RTT-reported variances that then triggered offline multidisciplinary assessment. Cases were categorized by the type of anatomic variance observed on CBCT and any further interventions recorded such as unscheduled adaptive replanning. Results: Over a 1-year period, 287 variances from 261 patients were identified (6.2% of the 4207 patients treated with daily CBCT-guided radiotherapy), most often occurring within the first 5 fractions of the treatment course. Of these variances, 21% (59/287) were re-planned and 3.5% (10/287) discontinued treatment altogether. Lung was the most frequent disease-site (27% of 287 variances) reported with IGRT-related variances although head and neck and sarcoma were most frequently re-planned (19% of 59 re-plans for each site). Technical or clinical rationales for re-planning were not routinely documented in patient medical records. All disease-sites had numerous categories of variances. Three of the four most frequent categories were for tumor-related changes on CBCT, and the re-planning rate was highest for tumor progression at 25%. Normal tissue variances were the second most frequency category, and replanned in 14% of those cases. Conclusion: RTTs identified a wide range of anatomic variances during CBCT-guided radiotherapy. In a minority of cases, these substantially altered the care plan including ad hoc adaptive re-planning or treatment discontinuation. Improved understanding of the clinical decisions in these cases would aid in developing more routine, systematic adaptive strategies.

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“…There is support in the wider evidence base for addressing competency using methods similar to Li, Cashell, Jaffray and Moseley (2016) and Hutton, Leadbetter, Jain and Baker (2013). Both simulation and e-learning has been widely used in nursing and medicine to enable clinicians to increasingly accept that they need to periodically demonstrate competency (Butler-O'Hara, Marasco and Dadiz, 2015).…”

Section: Department Structurementioning

confidence: 99%

“…This would work well in situations such as the implementation of stereotactic ablative radiotherapy (SABR), where it is common for TRs, medics and physicists to be present during each treatment. What is more achievable however, would be to learn from the experiences of radiotherapy centres that have implemented e-learning and simulation using retrospective patient images to create workbooks (Li, Cashell, Jaffray, & Moseley 2016;Hutton, Leadbetter, Jain, & Baker 2013) and update them regularly to ensure staff can be assessed against new cases each time.…”

Section: Department Structurementioning

confidence: 99%

Clinical reasoning in image guided radiotherapy: A multimethod study

Collins¹

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Cone Beam Computer Tomography CT Computer Tomography CTV Clinical Target Volume Relevance Include Exclude Studies that specifically investigated the processes used during clinical decision-making. These can be carried out in the natural or simulated environment. Studies that specifically investigated image interpretation during diagnostic review and reporting. Seminal texts related to general decision-making theory to be read to inform the wider discussion. Decision-making studies unrelated to the clinical setting. Ethics Include Exclude Studies where ethical approval has been sought and granted where relevant. Studies where consideration of ethical approval is not evident. The search process is shown in Figure 2.0 using a PRISMA flow diagram (Moher, Liberati, Tetzlaff, & Altman, 2009). The search identified 82 articles that met the search criteria. The majority of articles were discussion papers and non-systematic literature reviews (n=58). These articles were used to form some of the underpinning theoretical descriptions in the chapter, but did not meet the minimum requirements of the relevant SIGN quality checklist. The remaining 24 articles were case studies that typically investigated clinical reasoning in a specific setting and these underwent full review. Despite being outside of the inclusion criteria on the basis of date, Fonteyn and Grobe (1992) was identified as a seminal article during the review process and so was included for full review. An overview of the articles that underwent full review are shown in Appendix 1.

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Development and Implementation of an Electronic Learning Module for Volumetric Image-Guided Radiation Therapy

Cited by 17 publications

References 23 publications

The effect of self-learning module on nursing students' clinical competency: A pilot study

The effect of self-learning module on nursing students' clinical competency: A pilot study

Patterns of practice of adaptive re-planning for anatomic variances during cone-beam CT guided radiotherapy

Clinical reasoning in image guided radiotherapy: A multimethod study

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