Radiation Oncology Princess Alexandra Ipswich Road' (ROPAIR), 199 Ipswich Rd, Woolloongabba QLD 4102, Australia.
Radiation Oncology Princess Alexandra Raymond Terrace' (ROPART), 31 Raymond Terrace, South Brisbane, QLD 4101, Australia.
J Med Imaging Radiat Sci. 2024 Dec;55(4):101735. doi: 10.1016/j.jmir.2024.101735. Epub 2024 Aug 27.
Radiation Therapists (RT) must balance highly technical procedures and psychosocial patient care during their daily work practices. While RTs are in a unique position to form rapport with patients and provide support and information, many RTs lack confidence in the psychosocial care of patients, and struggle to identify and address emotional cues. This study aimed to assess the confidence, competence, and training needs of RTs regarding psychosocial patient care.
All RTs at the Radiation Oncology Princess Alexandra Hospital Deparmtents were invited to participate in an electronic survey in May 2021, and May 2023 via email. The survey was distributed using SurveyMonkey and utilised a series of Likert-scale and open-ended questions.
Staff reported high confidence in addressing technical treatment issues (98 % of respondents) and communicating with anxious (78 %) and distressed (78 %) patients. However, lower confidence was indicated with managing patient conflict (58 %) and communicating with patients who were depressed (53 %) or suffering mental health conditions (74 %). Staff were concerned about saying the wrong thing and experienced stress when they couldn't adequately communicate with patients requiring psychosocial support. The most significant barriers to providing adequate psychosocial care included time, staff numbers, and workload. Staff requested training in emotional cues, communication, anxiety and depression, and understanding psychosocial and mental health conditions.
While staff perceptions and motivations of psychosocial care were overwhelmingly positive, further training is required to improve patient psychosocial care. Future steps include implementing psychosocial training resources in the departments, and reassessing staff confidence post training.
放射治疗师(RT)在日常工作实践中必须平衡高度技术化的程序和患者的社会心理护理。虽然 RT 处于与患者建立融洽关系、提供支持和信息的独特位置,但许多 RT 对患者的社会心理护理缺乏信心,并且难以识别和处理情绪线索。本研究旨在评估 RT 对患者社会心理护理的信心、能力和培训需求。
2021 年 5 月和 2023 年 5 月,通过电子邮件向亚历山德拉公主癌症中心放射肿瘤学部门的所有 RT 发出了参与电子调查的邀请。该调查使用 SurveyMonkey 进行分发,并利用一系列李克特量表和开放式问题。
工作人员报告说,他们有很高的信心解决技术治疗问题(98%的受访者)和与焦虑(78%)和痛苦(78%)的患者沟通。然而,在处理患者冲突(58%)和与抑郁(53%)或患有精神健康状况(74%)的患者沟通时,信心较低。工作人员担心说错话,并在无法充分与需要社会心理支持的患者沟通时感到压力。提供足够社会心理护理的最大障碍包括时间、员工人数和工作量。工作人员要求接受情绪线索、沟通、焦虑和抑郁以及理解社会心理和精神健康状况方面的培训。
尽管工作人员对社会心理护理的看法和动机是压倒性的积极,但需要进一步的培训来改善患者的社会心理护理。未来的步骤包括在部门中实施社会心理培训资源,并在培训后重新评估员工的信心。