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dc.contributor.authorMcNair, HA
dc.contributor.authorJoyce, E
dc.contributor.authorO'Gara, G
dc.contributor.authorJackson, M
dc.contributor.authorPeet, B
dc.contributor.authorHuddart, RA
dc.contributor.authorWiseman, T
dc.coverage.spatialEngland
dc.date.accessioned2021-08-05T11:00:10Z
dc.date.available2021-08-05T11:00:10Z
dc.date.issued2021-05-15
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/34006442
dc.identifierS1078-8174(21)00051-1
dc.identifier.citationRadiography (Lond), 2021
dc.identifier.urihttps://repository.icr.ac.uk/handle/internal/4726
dc.identifier.eissn1532-2831
dc.identifier.eissn1532-2831en_US
dc.identifier.doi10.1016/j.radi.2021.04.012
dc.identifier.doi10.1016/j.radi.2021.04.012en_US
dc.description.abstractINTRODUCTION: Online MRI guided adaptive radiotherapy (MRIgRT) is resource intensive. To maintain and increase uptake traditional roles and responsibilities may need refining. This novel study aims to provide an in-depth understanding and subsequent impact of the roles required to deliver on-line adaptive MRIgRT by exploring the current skills and knowledge of radiographers. METHOD: A purposive sampling approach was used to invite radiographers, clinicians and physicists from centres with experience of MRIgRT to participate. Focus Group Interviews were conducted with two facilitators using a semi-structure interview guide (Appendix 1). Four researchers independently familiarised themselves and coded the data using framework analysis. A consensus thematic framework of ptive Radiotherapy codes and categories was agreed and systematically applied. RESULTS: Thirty participants took part (Radiographers: N = 18, Physicists: N = 9 and Clinicians: N = 3). Three key themes were identified: 'Current MRIgRT', 'Training' and 'Future Practice'. Current MRIgRT identified a variation in radiographers' roles and responsibilities with pathways ranging from radiographer-led, clinician-light-led and MDT-led. The consensus was to move towards radiographer-led with the need to have a robust on-call service heavily emphasised. Training highlighted the breadth of knowledge required by radiographers including MRI, contouring, planning and dosimetry, and treatment experience. Debate was presented over timing and length of training required. Future Practice identified the need to have radiographers solely deliver MRIgRT, to reduce staff present which was seen as a main driver, and time and resources to train radiographers seen as the main barriers. CONCLUSION: Radiographer-led MRIgRT is an exciting development because of the potential radiographer role development. A national training framework created collaboratively with all stakeholders and professions involved would ensure consistency in skills and knowledge. IMPLICATIONS FOR PRACTICE: Role development and changes in education for therapeutic radiographers.
dc.languageeng
dc.language.isoeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAdaptive radiotherapy
dc.subjectAdvanced practice
dc.subjectProfessional roles
dc.subjectWorkflow
dc.titleRadiographer-led online image guided adaptive radiotherapy: A qualitative investigation of the therapeutic radiographer role.
dc.typeJournal Article
dcterms.dateAccepted2021-04-25
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1016/j.radi.2021.04.012
rioxxterms.licenseref.startdate2021-05-15
rioxxterms.licenseref.startdate2021-05-15en_US
dc.relation.isPartOfRadiography (Lond)
pubs.notesNot known
pubs.organisational-group/ICR
pubs.organisational-group/ICR/Primary Group
pubs.organisational-group/ICR/Primary Group/ICR Divisions
pubs.organisational-group/ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging
pubs.organisational-group/ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging/Clinical Academic Radiotherapy (Huddart)
pubs.organisational-group/ICR
pubs.organisational-group/ICR/Primary Group
pubs.organisational-group/ICR/Primary Group/ICR Divisions
pubs.organisational-group/ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging
pubs.organisational-group/ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging/Clinical Academic Radiotherapy (Huddart)
pubs.publication-statusPublished online
pubs.embargo.termsNot known
icr.researchteamClinical Academic Radiotherapy (Huddart)
icr.researchteamClinical Academic Radiotherapy (Huddart)en_US
dc.contributor.icrauthorHuddart, Roberten


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