Higgins Jane, Davey Caroline, Li Winnie, Chan Kitty, Wenz Julie, Rosewall Tara
Radiation Medicine Program, Princess Margaret Hospital, Toronto, ON, Canada; Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
Radiation Medicine Program, Princess Margaret Hospital, Toronto, ON, Canada.
J Med Imaging Radiat Sci. 2011 Sep;42(3):106-112. doi: 10.1016/j.jmir.2011.04.004. Epub 2011 Jul 27.
Over the past 10 years, various programmatic changes have been implemented in our radiotherapy department to increase radiation therapist (RT) research activities. The aim of this qualitative study was to investigate the attitudes of RTs who have been working in a research-rich environment concerning current research activities and the presence of enablers and inhibiters.
After obtaining research ethics approval, 5 focus groups and 6 interviews were conducted with a group of 30 RTs with varying levels of clinical experience, who were currently employed in our department. Data were audiotaped, transcribed, then analyzed independently by two investigators using a thematic approach. Emerging themes and categories were captured and evaluated.
RTs most frequently engaged in research activities from a desire for patient service improvement and professional development. The main enablers identified were a system of process support and mentorship, and access to useful research tools and databases (e.g., patient imaging databases). The most commonly noted inhibitor to research activities was securing protected research time.
After 10 years of developing a research-rich environment, this study found that the majority of RTs were directly involved in some form of research, although the definition of research varied significantly. Enablers were identified as factors that support the practical aspects of RT research, rather than the gaining of theoretical knowledge. Although some of the inhibitors noted are similar to those working in research-naive departments, they also add the practical considerations of balancing research and clinical practice. The practical nature of both the enablers and inhibitors found in this study support the hypothesis that generating a research-rich environment for RTs has shifted their priorities from "thinking about research" to "doing research."
在过去十年中,我们放疗科实施了各种计划性变革,以增加放射治疗师(RT)的研究活动。这项定性研究的目的是调查在研究氛围浓厚的环境中工作的放射治疗师对当前研究活动以及促进因素和阻碍因素的态度。
在获得研究伦理批准后,我们对本部门30名具有不同临床经验水平的放射治疗师进行了5次焦点小组讨论和6次访谈。数据进行了录音、转录,然后由两名研究人员采用主题分析法独立分析。捕捉并评估了新出现的主题和类别。
放射治疗师参与研究活动最常见的原因是希望改善患者服务和实现职业发展。确定的主要促进因素是流程支持和指导体系,以及能够使用有用的研究工具和数据库(如患者影像数据库)。研究活动最常提到的阻碍因素是获得受保护的研究时间。
在营造了十年研究氛围浓厚的环境后,本研究发现,尽管研究的定义差异很大,但大多数放射治疗师都直接参与了某种形式的研究。促进因素被确定为支持放射治疗师研究实际操作方面的因素,而非获取理论知识的因素。虽然提到的一些阻碍因素与在缺乏研究氛围的科室工作的情况类似,但它们也增加了平衡研究与临床实践的实际考量。本研究中发现的促进因素和阻碍因素的实际性质支持了这样一种假设,即营造一个研究氛围浓厚的环境已经将放射治疗师的优先事项从“思考研究”转变为“进行研究”。