The journey to advanced practice: An Interpretative Phenomenological Analysis of reaching destination and beyond for reporting radiographers in Scotland

Cuthbertson, Lynn; Robb, Yvonne; Blair, S.

doi:10.1016/j.radi.2019.11.093

Cited by 5 publications

(11 citation statements)

References 14 publications

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“…The importance of rigorous assessment of new technology has been identified 12 and to enable this, MRIgRT efficiency must be improved. 13 , 14 Additional training and education will be required for the radiographer role to adapt to the changes in working practice. Requirements include contouring of targets and organs and risk, complex planning, dosimetry knowledge and experience, MRI applications, image recognition and registration skills, recognising individual patient requirements, and comprehensive general radiotherapy experience.…”

Section: Discussionmentioning

confidence: 99%

“… 20 , 21 There was concern regarding de-skilling of other professionals by radiographers taking on these roles, as identified in diagnostic practice. 14 However, the need for radiographers to undertake this extended role was identified as a priority. There is also an opportunity for radiographers to be a source of continuity for other professionals’ training in the future as shown with advanced nursing, diagnostic radiographer practice and physician associate training.…”

Section: Discussionmentioning

confidence: 99%

“…Being the sole profession delivering radiotherapy is common practice and returning to this from the wider MDT delivery will not be a radical change, especially knowing that confidence and validation from others is present, and key to multi-professional working. 22 A radiographer-led pathway in radiology was demonstrated as an effective use of resources, 14 , 17 , 23 with focus on alleviating other professionals’ time and increasing patient throughput as well as increasing job satisfaction and developing professional standing, an important factor for recruitment/retention. 3 , 14 , 24 …”

Section: Discussionmentioning

confidence: 99%

“…22 A radiographer-led pathway in radiology was demonstrated as an effective use of resources, 14 , 17 , 23 with focus on alleviating other professionals’ time and increasing patient throughput as well as increasing job satisfaction and developing professional standing, an important factor for recruitment/retention. 3 , 14 , 24 …”

Section: Discussionmentioning

confidence: 99%

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Radiographer-led online image guided adaptive radiotherapy: A qualitative investigation of the therapeutic radiographer role

et al. 2021

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Introduction 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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Radiographer-led online image guided adaptive radiotherapy: A qualitative investigation of the therapeutic radiographer role

et al. 2021

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“…This study was grounded within the interpretivist paradigm, focussing upon contextual factors and the mutual interdependence between causes and effects. The ontological assumptions which underpinned the study were relativist, recognizing that the reality of human experience is subjective; the epistemological position was founded upon the construction of knowledge through human interaction between the researcher and participants (Cuthbertson et al, 2019 ). IPA is well suited to understanding health behaviours and recognizes interconnectedness between the individual and the world (Smith, 2018a ).…”

Section: Methodsmentioning

confidence: 99%

Users’ experience of community-based power assisted exercise: a transition from NHS to third sector services

Young

Broom

O’Brien

et al. 2021

International Journal of Qualitative Studies on Health and Well

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Purpose: Seated Power Assisted Exercise (PAE) equipment is an accessible exercise mode for people with limited mobility following stroke and is available at a small number of community-based venues. The purpose of this qualitative study was to understand the lived experience of using PAE amongst PwS in a community venue and identify recommendations for the development and advancement of PAE equipment. Method: Semi-structured interviews were conducted with 8 participants (PwS) attending a community stroke venue where PAE equipment was available. Transcribed data were analysed using interpretative phenomenological analysis. Results: Three overarching themes emerged from the analysis; 1) Don't tell me I've plateaued; 2) PAE facilitates the transition into long-term recovery; 3) Reframing the experience of stroke. Participants associated the uptake of PAE alongside venue membership as a turning point in their adjustment to life following stroke. In addition, recommendations for future development of the equipment were identified. Conclusion:These findings indicate that membership of a stroke venue alongside engagement with PAE facilitated transition from early stroke rehabilitation into longer term recovery. The results of this study have informed the need for future product design and highlighted PAE is an effective mode for continued rehabilitation in third-sector services.

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Learning from the research process: An advanced practitioner reporting radiographer reflective narrative

Verrier¹

2022

Journal of Medical Imaging and Radiation Sciences

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The journey to advanced practice: An Interpretative Phenomenological Analysis of reaching destination and beyond for reporting radiographers in Scotland

Cited by 5 publications

References 14 publications

Radiographer-led online image guided adaptive radiotherapy: A qualitative investigation of the therapeutic radiographer role

Radiographer-led online image guided adaptive radiotherapy: A qualitative investigation of the therapeutic radiographer role

Users’ experience of community-based power assisted exercise: a transition from NHS to third sector services

Learning from the research process: An advanced practitioner reporting radiographer reflective narrative

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