Effective communication and information provision in radiotherapy—the role of radiation therapists

Abstract

Introduction: Health professionals have a duty of care to radiotherapy patients in providing them with adequate information before treatment. There is a lack of research that describes the roles of radiation therapists and radiation oncology nurses in providing information to patients. This study aimed to:(1) explore how radiation therapists communicate with breast cancer patients during a radiotherapy planning appointment;(2) determine what information is provided during this appointment and (3) explore radiation therapists' perspectives on their role in providing patient information and support.Methods: The following methodologies were used: self-report questionnaires; simulated radiotherapy planning sessions and joint interpretive forums. Statistical analysis was used to analyse the questionnaires and the simulated planning sessions and forums were analysed qualitatively.Results: A total of 110 radiation therapists participated in the survey. We simulated two radiotherapy planning appointments and held two forums. Four themes emerged: role definitions, reducing patient anxiety and distress, barriers and strategies for effective communication and confidence in patient communication.Conclusion: Radiation therapists play an important role in communicating with patients and providing information, particularly if patients exhibit anxiety and distress. Further research is required to determine whether patients' information needs can be met with additional information provided by radiation therapists.

Radiation oncology outpatient perceptions of patient-centred care: a cross-sectional survey

“…This finding suggests that there is a need to identify these patients in clinical practice and reduce their perceived room for improvement in well-being by alleviating their anxiety and improving their perceptions of care 50. There have been some partially successful intervention studies conducted in radiotherapy settings 51 52 and more generally3 that have aimed to improve patient-centredness of care.…”

Understanding and Addressing the Informational Needs of Radiation Therapists Concerning the Management of Anxiety and Depression in Patients Receiving Radiation Therapy Treatment

“…In a study by Halkett et al, RTs indicated that they feel uncomfortable screening for and managing the symptoms of anxiety and depression [10]. In order to fulfil the requirements of the CCO practice guidelines, it is imperative that RTs are routinely screening for symptoms of emotional distress: anxiety and depression.…”

Protocol for the RT Prepare Trial: a multiple-baseline study of radiation therapists delivering education and support to women with breast cancer who are referred for radiotherapy

“…During our observations of usual care we found that information provided does not comply with the literature on preparing patients for threatening procedures, very little sensory or procedural information is given (if at all) and radiation therapists do not spend time eliciting or addressing patients’ fears and concerns 32. Furthermore, radiation therapists often do not have the opportunity to follow patients up when they start treatment or provide continuity of care.…”