scholarly journals Effective communication and information provision in radiotherapy—the role of radiation therapists

2010 ◽  
Vol 9 (1) ◽  
pp. 3-16 ◽  
Author(s):  
Georgia K.B. Halkett ◽  
Susan Merchant ◽  
Moyez Jiwa ◽  
Michala Short ◽  
Hayley Arnet ◽  
...  

AbstractIntroduction: Health professionals have a duty of care to radiotherapy patients in providing them with adequate information before treatment. There is a lack of research that describes the roles of radiation therapists and radiation oncology nurses in providing information to patients. This study aimed to: (1) explore how radiation therapists communicate with breast cancer patients during a radiotherapy planning appointment; (2) determine what information is provided during this appointment and (3) explore radiation therapists’ perspectives on their role in providing patient information and support.Methods: The following methodologies were used: self-report questionnaires; simulated radiotherapy planning sessions and joint interpretive forums. Statistical analysis was used to analyse the questionnaires and the simulated planning sessions and forums were analysed qualitatively.Results: A total of 110 radiation therapists participated in the survey. We simulated two radiotherapy planning appointments and held two forums. Four themes emerged: role definitions, reducing patient anxiety and distress, barriers and strategies for effective communication and confidence in patient communication.Conclusion: Radiation therapists play an important role in communicating with patients and providing information, particularly if patients exhibit anxiety and distress. Further research is required to determine whether patients’ information needs can be met with additional information provided by radiation therapists.

2018 ◽  
Vol 17 (3) ◽  
pp. 874-884 ◽  
Author(s):  
Leanna J. Standish ◽  
Fred Dowd ◽  
Erin Sweet ◽  
Linda Dale ◽  
M. Robyn Andersen

Purpose: To determine if women with breast cancer who choose adjunctive naturopathic oncology (NO) specialty care receive different standard oncologic treatment when compared with breast cancer patients who receive only standard care. Participants: Women with breast cancer stages 0 to 4, aged 18+ who spoke English and sought care from outpatient naturopathic doctor clinics were enrolled in an observational study of clinical and quality of life outcomes. Women who sought NO care 2 or more times within the first 2 years postdiagnosis were identified as NO cases. A matched comparison group of breast cancer patients were identified using the Western Washington Cancer Surveillance System(CSS). Methods: A longitudinal cohort design. In addition to self-report data, the CSS provided data on demographics, stage at the time of diagnosis, and initial treatment. Oncology medical records were abstracted in order to provide additional information on standard oncologic treatment for all participants. Results: Cohorts were well matched with regard to demographic, histologic, and prognostic indicators at the time of diagnosis. Approximately 70% of women in both cohorts received standard oncologic care that met the National Comprehensive Cancer Network guidelines. There were no statistically significant differences between the cohorts in treatment received. Fewer women in the NO cohort with estrogen receptor–positive breast cancer appear to have received antiestrogen therapy. Conclusions: Women in both cohorts appear to receive guideline-concordant care. However, women who receive adjunctive NO care may be less likely to receive antiestrogen therapy.


2010 ◽  
Vol 38 (1) ◽  
Author(s):  
Sanne Schinkel ◽  
Barbara Schouten ◽  
Julia van Weert

Communication with Dutch and Turkish general practitioner patients: an exploratory study on differences in information and participation preferences Communication with Dutch and Turkish general practitioner patients: an exploratory study on differences in information and participation preferences Intercultural doctor-patient communication is often less adequate than intracultural communication. In order to explore this problem, differences were studied between Dutch and Turkish patients in their information and participation preferences. Six general practitioners and 62 patients participated in the study (35 Dutch, 27 Turkish). Two surveys were used: one directly before and one after the consultation. Results show that both groups report high information preferences, but the groups differ in sort of preferred information. Additionally, the discrepancies between information preferences and the actual information provision during the consultation were found to be larger in the Dutch group than in the Turkish group. However, Turkish patients report lower comprehensibility of the information and higher additional information needs after the consultation. Participation preferences are almost similarly low in both groups. These results stress the importance of further research on information and participation preferences of ethnic minority patients and of enhancing doctors’ intercultural competencies.


2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.


HortScience ◽  
1998 ◽  
Vol 33 (3) ◽  
pp. 552e-552
Author(s):  
James L. Green

In 1997, the ASHS Board of Directors established ASHS HortBase as a Standing Committee of the Society. The ASHS HortBase Committee, a six-member Standing Committee and Chair, is charged to implement and maintain ASHS HortBase. The members of the ASHS HortBase Committee will be chair and chair-elect of the three HortBase Task Forces: 1) Finance and Marketing; 2) Standards—authoring, reviewing, and publishing; and 3) Technology. ASHS HortBase is a dispersed, dynamic horticultural information system (network) on the WWW comprised of peer—reviewed, concise, interlinked information modules to meet the information needs of instructors and students, gardeners and growers. A strong advantage and distinguishing characteristic of ASHS HortBase is our dynamic pool of potential authors, reviewers, and users (ASHS Extension, Industry, and Teaching membership) to continually evolve and update the peer-reviewed information in HortBase. We have the scholastic international standing to provide peer review and validation of the information and to recognition to the authors, coupled with the marketing to stimulate wide use of their information modules. ASHS HortBase is a dispersed system (dispersed development and server costs). The “dispersed cost” for information file development and updating and delivery on the respective authors' dispersed servers disperses the major costs of the HortBase information system. Additional information on ASHS HortBase and the papers presented at the 4-h Colloquium on HortBase at ASHS-97 can be found at http://[email protected] or contact me ([email protected], phone 541.737.5452, fax 541.737.3479).


Author(s):  
Ozlem Demircioglu ◽  
Huseyin Tepetam ◽  
Ayfer Ay Eren ◽  
Zerrin Ozgen ◽  
Fatih Demircioglu ◽  
...  

Background: Accurate localization of the lumpectomy cavity is important for breast cancer radiotherapy after breast-conserving surgery (BCS), but the LC localization based on CT is often difficult to delineate accurately. The study aimed to compare CT-defined LC planning to MRI-defined findings in the supine position for higher soft-tissue resolution of MRI. Methods: Fifty-nine breast cancer patients underwent radiotherapy CT planning in supine position followed by MR imaging on the same day. LC was contoured by the radiologist and radiation oncologist together by CT and MRI separately. T2 weighted MR images and tomography findings were combined and the LC volume, mean diameter and the longest axis length were measured after contouring. Subsequently, patients were divided into two groups according to seroma in LC and the above-mentioned parameters were compared. Results: We did not find any statistically significant difference in the LC volume, mean diameter and length at the longest axis between CT and MRI but based on the presence or absence of seroma, statistically significant differences were found in the LC volumes and the length at the longest axis of LC volumes. Conclusion: We believe that the supine MRI in the same position with CT will be more effective for radiotherapy planning, particularly in patients without a seroma in the surgical cavity.


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