背景:使用技能组合或任务转移优化资源,通过劳动力创新来适应放射治疗服务,支持当前和未来的需求。高级从业者(AP)在四个支柱中从事不同级别的实践(超出初始注册):临床实践,领导和管理,教育,和研究。对先进的放射治疗技师/放射治疗师(TR/RTT)的跨国研究有限,尤其是在欧洲。本研究旨在调查欧洲放射治疗利益相关者对当前和未来先进实践(AP)的看法。
方法:从2022年6月至9月,以英语进行了一对一的在线半结构化访谈,录制了音频和视频。完整的逐字音频文件由采访者和受访者独立转录和检查。布劳恩和克拉克的七个步骤指导了主题分析(使用NVivo)。
结果:在16个欧洲国家工作或学习的33名受访者代表从业者(n=14),经理(n=6),教育者(n=4),专业机构(n=4),学生(n=3),和调节器(n=2)。出现了四个总体主题:“AP驱动因素和结果”,“AP挑战与启用者”,\"当前与未来AP\",“成为并成为高级从业者”。由于缺乏保护时间,参与者将研究确定为被忽视的AP支柱,有限的员工技能,没有研究文化,没有资金,工作量,和临床优先事项。受访者强调了职称一致性的重要性,教育模式和课程的协调,AP要求的定义,并通过工作计划和劳动力计划支持所有AP支柱。
结论:TR/RTT的职业和教育在整个欧洲都没有统一,这在高级实践中得到了高度体现。高级TR/RTT应该跨所有支柱工作,包括研究,这些应该嵌入在硕士的程序中,包括领导力。
结论:本研究强调了在放射治疗中AP的教育和实践方面的政策差距。
BACKGROUND: Adapting radiotherapy services with workforce innovation using skills-mix or task-shifting optimises resources, supporting current and future demands. Advanced practitioners (APs) work at a different level of practice (beyond initial registration) across four pillars: clinical practice, leadership and management, education, and research. There is limited cross-country research on the advanced therapeutic radiographers/radiation therapists (TR/RTTs), particularly in Europe. This study aimed to investigate European radiotherapy stakeholders\' perceptions regarding current and future advanced practice (AP).
METHODS: From June to September 2022, one-to-one online semi-structured interviews were conducted in English, and audio and video were recorded. Full verbatim audio files were independently transcribed and checked by interviewer and interviewees. Braun and Clarke\'s seven steps guided the thematic analysis (using NVivo).
RESULTS: Thirty-three interviewees working or studying in 16 European countries represented practitioners (n=14), managers (n=6), educators (n=4), professional bodies (n=4), students (n=3), and regulators (n=2). Four overarching themes emerged: \"AP drivers and outcomes\", \"AP challenges vs enablers\", \"Current vs future AP\", \"Becoming and being advanced practitioner\". Participants identified research as the neglected AP pillar due to a lack of protected time, limited staff skills, no research culture, no funding, workload, and clinical priorities. Interviewees highlighted the importance of consistency in job titles, harmonisation of education models and curricula, definition of AP requirements, and support for all AP pillars through job plans and workforce planning.
CONCLUSIONS: Neither the profession nor education of TR/RTTs are harmonised across Europe, which is highly reflected in advanced-level practice. Advanced TR/RTTs should work across all pillars, including research, and these should be embedded in master\'s programmes, including leadership.
CONCLUSIONS: This study highlights a policy gap in the education and practice of APs in radiotherapy.