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An evaluation of support of patients with prostate cancer during and beyond radiotherapy treatment. A local perspective on future provision

Published online by Cambridge University Press:  23 July 2015

Alison Mary Ormerod  and
Anne J. Jessop
Alison Mary Ormerod*
Affiliation:
Northamptonshire Centre for Oncology, Northampton General Hospital, Northampton, Northants, UK
Anne J. Jessop
Affiliation:
Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, UK
*
Correspondence to: A. M. Ormerod, Oncology & Haematology Department, Queen Alexandra Hospital, Cosham, Hants PO6 3LY, UK. Tel: +0 239 228 6000, ext 4467. E-mail: alison.ormerod@porthosp.nhs.uk
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Abstract

Purpose

This study was designed to evaluate whether radiographer-led on-treatment review clinics are meeting the wider needs of prostate patients receiving radiotherapy.

Methods

Semi-structured interviews were used to elicit patient and staff perspectives. Interviews are used extensively in qualitative research to produce a breadth and depth of insight into participants’ experiences and opinions. Seven patients and two radiographers participated in individual audio-taped interviews. Thematic analysis of the data identified some key themes and their perceived importance within the review service for both patients and staff.

Results

Semi-structured interviews were used to elicit patient and staff views. Several themes emerged from patient and radiographer perspectives. Radiographers and patients both expressed overall satisfaction with the service. Strengths included staff communication, relaxed environment, individualised support, regular information spread throughout the review pathway and consistency in managing acute side effects. Weaknesses included information and communication gaps at the beginning and end of treatment, information inconsistency between staff groups, gaps in specialist knowledge and a possible gap in skills where staff could train as supplementary prescribers.

Conclusion

Interviews produced an in-depth view of patient and staff experiences. Staff and patients identified both strengths and areas for improvement within the local service. Study findings support review radiographers in sourcing additional specialist training and a closer collaboration with other staff groups, which will further develop the service. As a next step, triangulation of research methods with questionnaires could be used to evaluate whether this small sample of patients is characteristic of prostate patients in general.

Keywords

interviewsliving beyond cancer treatmentpatient informationprostate cancerreview clinic
Type
Original Articles
Information
Journal of Radiotherapy in Practice , Volume 14 , Issue 4 , December 2015 , pp. 370 - 377
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Copyright
© Cambridge University Press 2015 

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References

1.Cancer Research UK. http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/prostate-cancer/survival. Accessed 28th October 2013.Google Scholar
2.National Institute of Clinical Excellence. Prostate cancer: diagnosis and treatment: guideline 58, 2008.Google Scholar
3.Mc Parland, N. Addressing the information needs of patients with prostate cancer. J Radiother Pract 2009; 8: 23–33.CrossRefGoogle Scholar
4.Department of Health. NHS National Cancer Patient Experience Survey Programme. National Survey Report, 2010.Google Scholar
5.Cox, A, Jenkins, V, Catt, S, Langridge, C, Fallowfield, C. Information needs and experiences: an audit of UK patients. Eur J Oncol Nurs 2006; 10: 263–272.CrossRefGoogle Scholar
6.Department of Health. Calman–Hine report: a policy framework for commissioning cancer services. Department of Health, 1995.Google Scholar
7.Royal College of Radiologists. Making Your Radiotherapy Service More Patient Friendly. Royal College of Radiologists, London, 2007.Google Scholar
8.Department of Health. Improving outcomes: a strategy for cancer, 2011.Google Scholar
9.Society of Radiographers. Breaking the Mould: Roles, Responsibilities and Skills Mix in Departments of Clinical Oncology. Society of Radiographers, London, 2002.Google Scholar
10.Society of Radiographers. Positioning Therapeutic Radiographers within Cancer Services: Delivering Patient Centred Care. Society of Radiographers, London, 2006.Google Scholar
11.National Radiotherapy Advisory Group. Radiotherapy: Developing a World Class Service for England, 2007. http://www.axrem.org.uk/radiotherapy_papers/DH_Radiotherapy_developing_first_class_service_NRAG.pdf. Accessed 31st October 2013.Google Scholar
12.Society of Radiographers. Employee Development, Review and Progression (including NHS Knowledge and Skills Framework): Practical Guide for Managers and Practitioners. Society of Radiographers, London, 2009.Google Scholar
13.Society & College of Radiographers. Radiotherapy Moving Forwards: Delivering New Radiography Staffing Models in Response to the Cancer Reform Strategy. Society & College of Radiographers, London, 2009.Google Scholar
14.Halkett, G, Kristjanson, L. Patients perspectives on the role of radiation therapists. Patient Educ Couns 2007; 69: 76–83.CrossRefGoogle ScholarPubMed
15.Hendry, J A. A Qualitative Focus Group study to explore the information, support and communication needs of women receiving adjuvant radiotherapy for primary breast cancer. J Radiother Pract 2011; 10: 103–115.CrossRefGoogle Scholar
16.Douma, K, Koning, C, Zandbelt, L, de Haes, H, Smets, H. Do patients’ information needs decrease over the course of radiotherapy? Support Care Cancer 2010; 20: 2167–2176.CrossRefGoogle Scholar
17.Radiation Therapy Oncology Group. Adverse Event and Safety Information. http://www.rtog.org/ResearchAssociates/AdverseEventReporting/AcuteRadiationMorbidityScoringCriteria.aspx. Accessed 31st October 2013.Google Scholar
18.Donohue, J E. To what extent can response shift theory explain the variation in prostate cancer patients’ reactions to treatment side-effects? Qual Life Res 2010; 20: 161–167.CrossRefGoogle Scholar
19.Jaeger, J, Weibbach, L, Pfaff, H, Ernstmann, N. Localised prostate cancer patients’ information in urology outpatient practice – results of a nationwide prospective study in Germany. J Cancer Ther 2013; 4 (4): 3–10. http://www.scirp.org/journal/jct/. Accessed 21st October 2013.CrossRefGoogle Scholar
20.National Cancer Survivorship Initiative. Living with and Beyond Cancer; Taking Action to Improve Outcomes. London: Macmillan, 2013.Google Scholar
21.Ramlaul, A. (ed). Medical Imaging & Radiotherapy Research: Skills and Strategies. CH1. London: Churchill Livingstone, 2010.Google Scholar
22.Drever, E. Using Semi-Structured Interviews in Small-Scale Research (A Teacher’s Guide). Scotland: University of Glasgow, 2003.Google Scholar
23.Blichem, C, Priyadharshini, E. Patient narratives: the potential for ‘patient-centred inter-professional learning? J Interprof Care 2007; 21 (6): 19–632.Google Scholar
24.French, J. The use of patient satisfaction data to drive quality improvement. Can J Med Radiat Technol 2004; 35 (2): 14–24.CrossRefGoogle Scholar
25.Attride-Stirling, J. Thematic networks: an analytic tool for qualitative research. Qual Res 2001; 1: 385. http://qrj.sagepub.com/content/1/3/385. Accessed 31st October 2013.CrossRefGoogle Scholar
26.Langen, I, Myhren, H, Ekeberg, O, Stokland, O. Patients’ satisfaction and distress compared with expectations of medical staff. Patient Educ Couns 2006; 63: 118–125.CrossRefGoogle ScholarPubMed
27.Owens, J, Kelsey, S, White, A. How was it for you? Men, prostate cancer and radiotherapy. J Radiother Pract 2003; 3: 167–174.CrossRefGoogle Scholar
28.Echelin, K, Rees, C. Information needs and information seeking behaviours of men with prostate cancer and their partners: a review of literature. Can Nurs 2002; 25 (1): 35–41.CrossRefGoogle Scholar
29.Department of Health. Radiotherapy Services in England (NRAG to NRIG). Department of Health, London, 2012.Google Scholar