Radiation Oncology Nursing: Highlights of the first multi-disciplinary pan-Canadian workforce survey.
Abstract
This study examines the Canadian radiation oncology nursing workforce through a Pan-Canadian Radiation Oncology Health Human Resources survey conducted by CANO/AICO, CARO, COMP and CAMRT. The survey aimed to gather data on workforce capacity, workload, and scopes of practice, providing critical insights for predictive workforce modelling and policy development. The survey revealed significant variability in nursing full-time equivalents (FTEs) across radiation oncology centres, with large centres averaging more nursing staff per linear accelerator than small ones. The study also highlighted challenges in recruitment and retention, influenced by high workloads, prescriptive work schedules, and the need for specialized education. Despite these challenges, the shift toward team-based care models presents an opportunity to optimize nursing roles within radiation oncology, emphasizing the importance of specialized education and workforce planning. The findings underscore the necessity for a standardized approach to workforce modelling, considering patient acuity and other factors to ensure balanced resource allocation and improve care quality in radiation oncology settings.
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Abdel-Wahab, M., Gondhowiardjo, S. S., Rosa, A. A., Lievens, Y., El-Haj, N., Polo Rubio, J. A., Prajogi, G. B., Helgadottir, H., Zubizarreta, E., Meghzifene, A., Ashraf, V., Hahn, S., Williams, T., & Gospodarowicz, M. (2021). Global Radiotherapy: Current Status and Future Directions—White Paper. JCO Global Oncology, 7, 827–842. https://doi.org/10.1200/GO.21.00029
Bakker, D., Fitch, M. I., Green, E., Butler, L., & Olson, K. (2006). Oncology nursing: Finding the balance in a changing health care system. Canadian Oncology Nursing Journal, 16(2), 79–87. https://doi.org/10.5737/1181912x1627987
Blay, N., Cairns, J., Chisholm, J., & O’Baugh, J. (2002). Research into the workload and roles of oncology nurses within an outpatient oncology unit. European Journal of Oncology Nursing, 6(1), 6–12. https://doi.org/10.1054/ejon.2001.0163
Bosch, B., & Mansell, H. (2015). Interprofessional collaboration in health care. Canadian Pharmacists Journal : CPJ, 148(4), 176–179. https://doi.org/10.1177/1715163515588106
Canadian Cancer Statistics Advisory Committee in collaboration with the Canadian Cancer Society, Statistics Canada, and the Public Health Agency of Canada. (2023). Canadian Cancer Statistics 2023. Canadian Cancer Society. http://cancer.ca/Canadian-Cancer-Statistics-2023-EN
Canadian Partnership Against Cancer and Canadian Association of Provincial Cancer Agencies. (2010, March 1). Cancer workforce scoping study: Report from the front lines of Canada’s cancer control workforce. Canadian Partnership Against Cancer. https://s22457.pcdn.co/wp-content/uploads/2019/10/Cancer-workforce-study-technical-report-EN.pdf
Challinor, J. M., Alqudimat, M. R., Teixeira, T. O. A., & Oldenmenger, W. H. (2020). Oncology nursing workforce: Challenges, solutions, and future strategies. The Lancet Oncology, 21(12), e564–e574. https://doi.org/10.1016/S1470-2045(20)30605-7
Delaney, G. P., & Barton, M. B. (2015). Evidence-based Estimates of the Demand for Radiotherapy. Clinical Oncology, 27(2), 70–76. https://doi.org/10.1016/j.clon.2014.10.005
Health Canada. (2024, January 3). Nursing retention toolkit: Improving the working lives of nurses in Canada. Government of Canada. https://www.canada.ca/en/health-canada/services/health-care-system/health-human-resources/nursing-retention-toolkit-improving-working-lives-nurses.html
Key, M. (2019). Bridging the Oncology Practice Gap. Oncology Issues, 34(1), 52–59. https://doi.org/10.1080/10463356.2018.1553423
Koo, K., Di Prospero, L., Barker, R., Sinclair, L., McGuffin, M., Ng, A., & Szumacher, E. (2014). Exploring attitudes of Canadian radiation oncologists, radiation therapists, physicists, and oncology nurses regarding interprofessional teaching and learning. Journal of Cancer Education: The Official Journal of the American Association for Cancer Education, 29(2), 350–357. https://doi.org/10.1007/s13187-014-0614-1
Lam, J., Ng, B., Shen, S., & Wong, C. (2015). How is Interprofessional Collaboration Applied by Radiation Therapists in the Radiation Therapy Department in British Columbia? Journal of Medical Imaging and Radiation Sciences, 46(3S), S43-S51.e2. https://doi.org/10.1016/j.jmir.2015.04.016
Leung, J., Forstner, D., Chee, R., James, M., Que, E., & Begum, S. (2019). Faculty of Radiation Oncology 2018 workforce census. Journal of Medical Imaging and Radiation Oncology, 63(6), 852–861. https://doi.org/10.1111/1754-9485.12939
Loewen, S. K., Doll, C. M., Halperin, R., Delouya, G., Archambault, J., Stuckless, T., & Brundage, M. (2019). Taking Stock: The Canadian Association of Radiation Oncology 2017 Radiation Oncologist Workforce Study. International Journal of Radiation Oncology, Biology, Physics, 105(1), 42–51. https://doi.org/10.1016/j.ijrobp.2019.04.035
Longyear, R., & Mills, M. (2024). The Case for Alternative Payment Models for Nursing Care. AJN, American Journal of Nursing, 124(8), 8–8. https://doi.org/10.1097/01.NAJ.0001027632.21498.c5
Malkoske, K. E., Sixel, K. E., Hunter, R., & Battista, J. J. (2021). COMP Report: An updated algorithm to estimate medical physics staffing levels for radiation oncology. Journal of Applied Clinical Medical Physics, 22(8), 6–15. https://doi.org/10.1002/acm2.13364
Park, S. H., Blegen, M. A., Spetz, J., Chapman, S. A., & De Groot, H. A. (2015). Comparison of Nurse Staffing Measurements in Staffing-Outcomes Research. Medical Care, 53(1), e1–e8. https://doi.org/10.1097/MLR.0b013e318277eb50
Pickard, T., Hylton, H., & Mitchell, S. A. (2023). Science of Teams and Provision of Team-Based Care in Oncology: An Advanced Practice Provider Perspective. JCO Oncology Practice, 19(1), 16–18. https://doi.org/10.1200/OP.22.00633
Pirschel, C. (2018, May 18). The Intersection of Radiation and Medical Oncology Nursing | ONS Voice. ONS Voice. https://voice.ons.org/news-and-views/06-2018/the-intersection-of-radiation-and-medical-oncology-nursing
Schofield, D., Callander, E., Kimman, M., Scuteri, J., & Fodero, L. (2012). Projecting the Radiation Oncology Workforce in Australia. Asian Pacific Journal of Cancer Prevention, 13(4), 1159–1166. https://doi.org/10.7314/APJCP.2012.13.4.1159
Scuteri, J., Fodero, L. R., O’Mahony, A., & Schofield, D. (2009). Radiation Oncology Workforce Planning: Final Report. HealthConsult.
Seixas, B. V., Dionne, F., & Mitton, C. (2021). Practices of decision making in priority setting and resource allocation: A scoping review and narrative synthesis of existing frameworks. Health Economics Review, 11(1), 2. https://doi.org/10.1186/s13561-020-00300-0
Shepard, N., & Kelvin, J. F. (1999). The nursing role in radiation oncology. Seminars in Oncology Nursing, 15(4), 237–249. https://doi.org/10.1016/S0749-2081(99)80053-9
Smoke, M., & Ho, P.-H. E. (2015). Staffing Model for Radiation Therapists in Ontario. Journal of Medical Imaging and Radiation Sciences, 46(4), 388–395. https://doi.org/10.1016/j.jmir.2015.08.004
Stuckless, T., Milosevic, M., de Metz, C., Parliament, M., Tompkins, B., & Brundage, M. (2012). Managing a national radiation oncologist workforce: A workforce planning model. Radiotherapy and Oncology, 103(1), 123–129. https://doi.org/10.1016/j.radonc.2011.12.025
Van Dyk, J., Clark, B., Patterson, M., Beaulieu, L., Sharpe, M., Schreiner, L., MacPherson, M., & Battista, J. (2010). Medical Physics Staffing for Radiation Treatment: A Robust Algorithm with Trans-Canada Validation: TU-C-BRB-07. Medical Physics, 38(6Part28), 3754–3754. https://doi.org/10.1118/1.3613127
Vichare, A., Washington, R., Patton, C., Arnone, A., Olsen, C.,
Fung, C. Y., Hopkins, S., & Pohar, S. (2013). An Assessment of the Current US Radiation Oncology Workforce: Methodology and Global Results of the American Society for Radiation Oncology 2012 Workforce Study. International Journal of Radiation Oncology*Biology*Physics, 87(5), 1129–1134. https://doi.org/10.1016/j.ijrobp.2013.08.050
Weber, B. W. (2023). Empowering the Radiation Oncology Triage Nurse Role: A Single-Center Analysis. Number 6 / December 2023, 27(6), 637–643. https://doi.org/10.1188/23.CJON.637-643
Welton, J. M., & Longyear, R. (2024). Emerging Nurse Billing and Reimbursement Models. JONA: The Journal of Nursing Administration, 54(9), 465–472. https://doi.org/10.1097/NNA.0000000000001456
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