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Patient and therapeutic radiographer experiences of comfort during the radiotherapy pathway: A qualitative study

Goldsworthy, Simon; Latour, Jos M.; Palmer, Shea; McNair, Helen A.; Cramp, Mary

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Authors

Simon Goldsworthy

Jos M. Latour

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Shea Palmer Shea.Palmer@uwe.ac.uk
Occasional Associate Lecturer - CHSS - HSW

Helen A. McNair

Mary Cramp Mary.Cramp@uwe.ac.uk
School Director of Research and Enterprise



Abstract

Introduction There is little research regarding the experiences of patient comfort and how it is best managed in radiotherapy. The aim of this study was to explore the experiences of patient and therapeutic radiographer views of comfort during radiotherapy. Methods This qualitative study involved semi-structured interviews, with cancer patients (n=25) and therapeutic radiographers (n=25), conducted between January–July 2019. Patients were recruited from one radiotherapy clinic and therapeutic radiographers were recruited from across the United Kingdom via specialist interest groups and social media. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was used to analyse the data separately between both groups and shared themes were identified. Results Four themes were identified of which two themes were shared among both the patients and therapeutic radiographer. Emotional Health was a shared theme highlighting experiences such as stress, vulnerability and privacy. The second shared theme, Positioning and Immobilisation Experiences, concerned how patients’ experience being physically positioned and using immobilisation for accurate radiotherapy. The theme Information and Communication Experience was derived from patients highlighting concerns over sharing and provision of information and ways of communication. The last theme, Environmental Experience, emerged from the patient interviews and related to the first impressions of the radiotherapy environment such as reception or treatment rooms and how this effects the overall feelings of comfort. Conclusion This qualitative study has provided the shared voice of patients and therapeutic radiographers and their experiences of comfort during radiotherapy. These shared experiences emphasise the importance of considering comfort holistically and not just from a physical context. This information can be used by therapeutic radiographers to better understand their patients experiences and needs to provide better comfort during radiotherapy to improve patients’ outcomes. Implications for practice The clinical implications of our study can encourage Therapeutic Radiographers to provide holistic care for their patients throughout the pathway and specifically to comfort patients while they are having treatment. In the short term this could be via simple adaptions to practice while in the long term, research is needed to develop comfort interventions for patients receiving radiotherapy.

Citation

Goldsworthy, S., Latour, J. M., Palmer, S., McNair, H. A., & Cramp, M. (2023). Patient and therapeutic radiographer experiences of comfort during the radiotherapy pathway: A qualitative study. Radiography, 29(Supplement 1), S24-S31. https://doi.org/10.1016/j.radi.2023.02.011

Journal Article Type Article
Acceptance Date Feb 9, 2023
Online Publication Date Feb 23, 2023
Publication Date May 1, 2023
Deposit Date Feb 23, 2023
Publicly Available Date Mar 24, 2023
Journal Radiography
Print ISSN 1078-8174
Electronic ISSN 1532-2831
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 29
Issue Supplement 1
Pages S24-S31
DOI https://doi.org/10.1016/j.radi.2023.02.011
Keywords Comfort, patient experiences, radiotherapy, qualitative, interviews
Public URL https://uwe-repository.worktribe.com/output/10475727

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Patient and therapeutic radiographer experiences of comfort during the radiotherapy pathway: A qualitative study (612 Kb)
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Licence
http://creativecommons.org/licenses/by-nc-nd/4.0/

Publisher Licence URL
http://creativecommons.org/licenses/by-nc-nd/4.0/

Copyright Statement
This is the author’s accepted manuscript of the article 'Goldsworthy, S., Latour, J. M., Palmer, S., McNair, H. A., & Cramp, M. (2023). Patient and therapeutic radiographer experiences of comfort during the radiotherapy pathway: A qualitative study. Radiography, 29(Supplement 1), S24-S31'.

DOI:https://doi.org/10.1016/j.radi.2023.02.011

The final published version is available here: https://www.sciencedirect.com/science/article/pii/S1078817423000391?via%3Dihub







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