Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH FRONT (Open Access)

Provision of a consistent national approach to radiation therapy workforce protection measures in Australia during the COVID-19 pandemic

Min Ku A B C , Tanya Morgan A , Alan Malbon A , Timothy Bartram B , Jillian Cavanagh B and Beni Halvorsen B
+ Author Affiliations
- Author Affiliations

A Australian Society of Medical Imaging and Radiation Therapy, 1 Queens Road, Melbourne, Vic. 3004, Australia.

B Royal Melbourne Institute of Technology, 124 La Trobe Street, Melbourne, Vic. 3000, Australia. Email: timothy.bartram@rmit.edu.au; jillian.cavanagh@rmit.edu.au; beni.halvorsen@rmit.edu.au

C Corresponding author. Email: min.ku@rmit.edu.au

Australian Health Review 44(4) 535-539 https://doi.org/10.1071/AH20094
Submitted: 3 May 2020  Accepted: 15 June 2020   Published: 23 July 2020

Journal Compilation © AHHA 2020 Open Access CC BY

Abstract

Healthcare workers are at the frontline managing COVID-19 patients with transmission of the COVID-19 virus to healthcare workers evident in many Australian states. Minimisation of this spread is vital to protecting the healthcare workforce with individual organisations detailing best practice for infection and control. However, interpretation and implementation of infection control guidelines is varied across Australian Radiation Therapy Departments, highlighting inconsistencies. Strong leadership, quality communication and clear direction is required during this crisis to ensure that radiation therapists receive all necessary support and resources required to maintain safety and well-being during the COVID-19 pandemic.


References

[1]  Tableau Public. COVID-19 occupation risk assessment – by major occupational group. 2020. Available at: https://public.tableau.com/profile/occupation.and.industry.analysis#!/vizhome/COVID19_occupation_risk_assessment/Dashboard6-digitanalysiscolANZSCO1 [verified 17 June 2020].

[2]  Cunningham M. Dozens of Alfred staff return to cancer clinic after COVID-19 outbreak. The Sydney Morning Herald, 7 April 2020. Available at: https://www.smh.com.au/national/dozens-of-alfred-staff-return-to-cancer-clinic-after-covid-19-outbreak-20200407-p54hy8.html [verified 17 June 2020].

[3]  Aubusson K. Westmead Hospital radiation therapists positive for COVID-19. The Sydney Morning Herald, 2 April 2020. Available at: https://www.smh.com.au/national/westmead-hospital-radiation-therapists-positive-for-covid-19-20200402-p54gk1.html [verified 17 June 2020].

[4]  Doherty B, Graham-McLay C. ‘Illegal dinner party’ not the cause of Tasmania COVID-19 cluster, chief medical officer clarifies. The Guardian, 14 April 2020. Available at: https://www.theguardian.com/world/2020/apr/14/tasmanian-premier-and-chief-medical-officer-at-odds-over-illegal-dinner-party-source-of-covid-19-cluster [verified 17 June 2020].

[5]  Cunningham M. ‘Very concerning’: number of health workers with coronavirus doubles. The Sydney Morning Herald, 10 April 2020. Available at: https://www.smh.com.au/national/very-concerning-number-of-health-workers-with-coronavirus-doubles-20200410-p54iv8.html [verified 17 June 2020].

[6]  Medical Radiation Practice Board of Australia. Table 1.3 By area of division. In: Medical Radiation Practice Board of Australia registrant data. Reporting period: 01 January 2020 to 31 March 2020. 2020. Available at: https://www.medicalradiationpracticeboard.gov.au/About/Statistics.aspx [verified 24 June 2020].

[7]  Taylor T. Younger adults shouldn’t be complacent about the risk from coronavirus. ABC news, 18 March 2020. Available at: https://www.abc.net.au/news/health/2020-03-18/coronavirus-covid-younger-people-also-risk-serious-illness-death/12059326 [verified 17 June 2020].

[8]  Wu S, Zheng D, Liu Y, Hu D, Wei W, Han G. Radiation therapy care during a major outbreak of COVID-19 in Wuhan. Adv Radiat Oncol 2020;
Radiation therapy care during a major outbreak of COVID-19 in Wuhan.Crossref | GoogleScholarGoogle Scholar |

[9]  Krengli M, Ferrara E, Mastroleo F, Brambilla M, Ricardi U. Running a radiation oncology department at the time of coronavirus: an Italian experience. Adv Radiat Oncol 2020;
Running a radiation oncology department at the time of coronavirus: an Italian experience.Crossref | GoogleScholarGoogle Scholar | 32292837PubMed |

[10]  Chen YL, Hsu FM, Tsai CJ, Cheng JCH. Efforts to reduce the impact of Coronavirus diseases 2019 outbreak on radiation oncology in Taiwan. Adv Radiat Oncol 2020;
Efforts to reduce the impact of Coronavirus diseases 2019 outbreak on radiation oncology in Taiwan.Crossref | GoogleScholarGoogle Scholar | 32363245PubMed |

[11]  Australian Commission on Safety and Quality in Health Care. Infection prevention and control COVID-19 – personal protective equipment (PPE). 2020. Available at: https://www.safetyandquality.gov.au/sites/default/files/2020-04/infection_prevention_and_control_covid-19_personal_protective_equipment.pdf [verified 17 June 2020].

[12]  Wong JW, Sharpe MB, Jaffray DA, Kini VR, Robertson JM, Stromberg JS, Martinez AA. The use of active breathing control (ABC) to reduce margin for breathing motion. Int J Radiat Oncol Biol Phys 1999; 44 911–19.
The use of active breathing control (ABC) to reduce margin for breathing motion.Crossref | GoogleScholarGoogle Scholar | 10386650PubMed |

[13]  NSW Government, Clinical Excellence Commission. Infection prevention and control: management of COVID-19 in healthcare settings. Version 3.2. 2020. Available at: http://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0006/567987/Infection-control-nCoV-2019-Hospital-Setting-V2-.pdf [verified 17 June 2020].

[14]  Akroyd D, Caison A, Adams RD. Burnout in radiation therapists: the predictive value of selected stressors. Int J Radiat Oncol Biol Phys 2002; 52 816–21.
Burnout in radiation therapists: the predictive value of selected stressors.Crossref | GoogleScholarGoogle Scholar | 11849806PubMed |

[15]  Sarra A, Feuz C. Examining the prevalence of compassion fatigue and burnout in radiation therapists caring for palliative cancer patients. J Med Imaging Radiat Sci 2018; 49 49–55.
Examining the prevalence of compassion fatigue and burnout in radiation therapists caring for palliative cancer patients.Crossref | GoogleScholarGoogle Scholar | 30479288PubMed |

[16]  Hunter D, Wright C, Pearson S. Employing positive psychology to improve radiation therapy workplace culture. J Med Radiat Sci 2019; 66 139–44. [Published erratum appears in J Med Radiat Sci 2019; 66: 219]
Employing positive psychology to improve radiation therapy workplace culture.Crossref | GoogleScholarGoogle Scholar | 30710429PubMed |

[17]  Jasperse M, Herst P, Dungey G. Evaluating stress, burnout and job satisfaction in New Zealand radiation oncology departments. Eur J Cancer Care (Engl) 2014; 23 82–8.
Evaluating stress, burnout and job satisfaction in New Zealand radiation oncology departments.Crossref | GoogleScholarGoogle Scholar |

[18]  World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak. 2020. Available at: https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf [verified 17 June 2020].

[19]  Australian Government, Department of Health. Fact sheet Coronavirus (COVID-19): national health plan. 2020. Available at: https://www.health.gov.au/sites/default/files/documents/2020/03/covid-19-national-health-plan-supporting-the-mental-health-of-australians-through-the-coronavirus-pandemic.pdf [verified 17 June 2020].

[20]  Rhoades L, Eisenberger R. Perceived organizational support: a review of the literature. J Appl Psychol 2002; 87 698–714.
Perceived organizational support: a review of the literature.Crossref | GoogleScholarGoogle Scholar | 12184574PubMed |

[21]  Simpson MR. Engagement at work: a review of the literature. Int J Nurs Stud 2009; 46 1012–24.
Engagement at work: a review of the literature.Crossref | GoogleScholarGoogle Scholar | 18701104PubMed |

[22]  Bakker AB, Demerouti E, Euwema MC. Job resources buffer the impact of job demands on burnout. J Occup Health Psychol 2005; 10 170–80.
Job resources buffer the impact of job demands on burnout.Crossref | GoogleScholarGoogle Scholar | 15826226PubMed |

[23]  Australian Society of Medical Imaging and Radiation Therapy (ASMIRT). ASMIRT position statement. Personal protective equipment for medical radiation practitioners during the COVID-19 pandemic. Medical imaging and radiation therapy access to PPE. 2020. Available at: https://www.asmirt.org/media/2205/2205.pdf [verified 17 June 2020].

[24]  International Society of Radiographers and Radiologic Technologists (ISRRT). Full guideline for protective measures. COVID-19–ISRRT response document – appropriate and safe use of medical imaging and radiation therapy with infection control measures considered in addition to standard radiation protection procedures. 2020. Available at: https://www.isrrt.org/full-guideline-protective-measures [verified 17 June 2020].

[25]  Gold I. Opinion: Why are we choosing who is protected? Healthing.ca, 29 April 2020. Available at: https://www.healthing.ca/diseases-and-conditions/coronavirus/opinion-why-are-we-choosing-which-frontline-workers-get-ppe [verified 17 June 2020].

[26]  The Society of Radiographers. COVID-19: personal protective equipment (PPE). 2020. Available at: https://www.sor.org/news/covid-19-personal-protective-equipment-ppe [verified 17 June 2020].

[27]  Vietnam Association of Radiology Technologist (VART). High impact role and safety of RT in COVID-19 pandemic webinar. VART – International COVID-19 Forum, 16 May 2020. Available at: https://www.youtube.com/watch?v=pDWu7TdV6wI&t=2600s [verified 24 June 2020].

[28]  Australian Government, Department of Health. COVID-19 primary care and allied health webinar. Live stream, 14 May 2020. Available at: https://publish.viostream.com/app/s-n47rwwp [verified 17 June 2020].

[29]  Australian Government. 3 step framework for a COVIDsafe Australia. 2020. Available at: https://www.health.gov.au/sites/default/files/documents/2020/06/3-step-framework-for-a-covidsafe-australia-3-step-framework-for-a-covidsafe-australia_1.pdf [verified 24 June 2020].

[30]  National Health Service (NHS) Staff Council. NHS Staff Council statement on COVID-19. 2020. Available at: https://www.nhsemployers.org/-/media/Employers/Documents/Pay-and-reward/NHS-Staff-Council---Guidance-for-Covid-19-Feb-20.pdf?la=en&hash=70C909DA995280B9FAE4BF6AF291F4340890445C [verified 17 June 2020].