A systematic review of evidence about advanced roles for therapeutic radiographer

Oliveira, Celeste, Barbosa, Bárbara, Couto, Guillermo, Bravo, Isabel, Khine, Ricardo and McNair, Helen (2021) A systematic review of evidence about advanced roles for therapeutic radiographer. In: LTWRAP Online 2021, 18/11/2021 - 21/11/2021, Online.

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Background: Advances in technology linked to specialist techniques and growing cancer care demand a greater level of autonomy, responsibility, and accountability in the Therapeutic Radiographer (TR) clinical practice driving the subsequent development of new roles, including “advanced practice roles”. The evidence is scattered, and the concept has evolved depending on the advances in treatments and increasing workload. This study aims to identify and synthesise the advanced roles in radiotherapy describing the scope of practice of the advanced practitioners. Methods: The systematic PRISMA review of the literature was carried out with PROSPERO registration: CRD42020177103. Articles were deemed eligible for inclusion if they were peer-reviewed and focused on the advanced practice of TR. The literature was scrutinised for advanced roles, tasks, or activities practised by TR. Thematic analysis was used to organise roles into themes (dimensions). Results: A total of 443 articles were screened for relevance of which 87 studies were selected for quality appraisal. Advanced roles were listed into seven different dimensions: patient care and support; treatment planning; treatment imaging and delivery; management and leadership; quality and risk management; research and service development; and education and training. Conclusion: This review highlights the variability of both advanced radiotherapy role implementation and description of the scope of this advanced level. TR has moved beyond the traditional scope of practice with skills-mix initiatives involving the collaboration of multidisciplinary teams. In two decades of advanced practice development in radiotherapy, the roles that become established are those that meet local service needs.

Item Type: Conference or Workshop Item (Paper)
Depositing User: RED Unit Admin
Date Deposited: 17 Jun 2022 14:25
Last Modified: 11 Jul 2022 08:45
URI: https://bnu.repository.guildhe.ac.uk/id/eprint/18540

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