Perceptions and understanding of advanced practice radiation therapy in Victoria: defining our professional future

Objective: To explore the understanding and perceptions of radiation oncology health professionals (oncologists, therapists, physicists, engineers and nurses) with respect to advanced practice radiation therapy roles, in order to define the challenges and benefits of introducing this model of care at a large tertiary cancer hospital.

Methods: A two-part mixed methods study design was employed in early 2022. The quantitative arm used a published validated survey to collect data from all radiation medicine disciplines across the service. This was followed by qualitative focus group data collection from the same cohort. Analysis utilised descriptive statistics and thematic analysis.

Results: 100 complete responses were received for the online survey. Eight focus groups and two interviews were conducted with 51 participants. Data indicated broad multi-disciplinary support for advanced practice radiation therapy (89%), and 87% believed that patients would benefit from the establishment of advanced practice radiation therapy. Concerns were identified regarding professional boundaries, understanding of the roles, and educational requirements to fulfil the role.

Discussion: Advanced practice radiation therapy roles are well established internationally and have been shown to improve the quality of, and access to, care. However, implementation locally is inconsistent. Local multi-disciplinary support for this alternative model of care is strong, yet there continues to be profession-specific concerns which may inhibit broader implementation. Engaging the various professions to explore these concerns while showing sustainable improvements to care will strengthen the outcomes of these roles.