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

Adapting to change: exploring perceptions and demands of the coronavirus (COVID-19) workforce changes – an Australian multi-institutional radiation oncology survey

Honor Magon A , Justin Smith https://orcid.org/0000-0002-8870-3282 B C D , Jacqueline Besson B , Eric Hau E F G H , Suzanne Taylor C I , Jeremy Ruben J K , Diana Jones B , Kira Mabb L , Jamie Feldman L , Leily Gholam Rezaei M and Yoo Young Lee https://orcid.org/0000-0003-4325-349X B C *
+ Author Affiliations
- Author Affiliations

A Digital Health and Informatics, Princess Alexandra Hospital, Ipswich Road Campus, Brisbane, Qld 4102, Australia.

B Department of Radiation Oncology, Princess Alexandra Hospital, Ipswich Road Campus, Brisbane, Qld, Australia.

C Faculty of Medicine, University of QLD, Brisbane, Qld, Australia.

D College of Medicine and Dentistry, James Cook University, Townsville, Qld, Australia.

E Crown Princess Mary Cancer Centre, Westmead Hospital, Sydney, NSW, Australia.

F Blacktown Haematology and Oncology Cancer Cente, Blacktown Hospital, Sydney, NSW, Australia.

G Westmead Institute of Medical Research, Sydney, NSW, Australia.

H Westmead Medical School, University of Sydney, Sydney, NSW, Australia.

I Department of Radiation Oncology, Princess Alexandra Hospital Raymond Terrace Campus, Brisbane, Qld, Australia.

J Alfred Health Radiation Oncology ||The Alfred|| Melbourne, Vic., Australia.

K Monash University, Melbourne, Vic., Australia.

L Department of Nutrition and Dietetics, Princess Alexandra Hospital Ipswich Road Campus, Brisbane, Qld, Australia.

M Department of Radiation Oncology, Chris O’Brien Lifehouse, Sydney, NSW, Australia.

* Correspondence to: yooyoung.lee@health.qld.gov.au

Australian Health Review 48(4) 388-395 https://doi.org/10.1071/AH23183
Submitted: 24 August 2023  Accepted: 22 February 2024  Published: 12 March 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Objective

To evaluate the perceptions of the coronavirus disease 2019 (COVID-19) initiated workplace strategies implemented in radiation oncology departments across Australia.

Methods

A multidisciplinary team from Princess Alexandra Hospital developed a survey to address the impact of the pandemic strategies on areas such as patient care, staff education, well-being, flexible working arrangements, and research. The survey was conducted from November 2020 to April 2021.

Results

Out of 210 respondents from seven institutions, 45% reported burnout and 57% experienced work work-related stress. A significant majority of respondents were in favour of continued remote work (86%, 131/153). Radiation oncologists identified administrative or non-clinical work (92%, 34/37), telehealth clinics (32%, 12/37), or radiation therapy planning (22%, 8/37) as suitable for remote work. Additionally, 54% (21/39) of the radiation oncologists plan to use telehealth more frequently, with 67% (26/39) feeling more confident with the technology. The majority (81%, 171/210) of participants favoured continuation of hybrid in-person and virtual meetings. Virtual solutions were adopted for quality assurance activities (72%, 118/165) and 52% (60/116) indicated preference for ongoing utility of virtual platforms. However, 38% (79/210) of the respondents expressed concerns about the negative impact on junior staff training.

Conclusion

These findings reveal a strong inclination towards technological advancements and remote work arrangements to enable flexible working conditions. Our study suggests the need for ongoing reforms, focusing on improving clinical service delivery efficiencies and enhancing job satisfaction among clinicians.

Keywords: burnout, COVID-19, radiation oncology, remote access, telehealth, well-being, work from home, work–life balance.

References

Mayor S. COVID-19: impact on cancer workforce and delivery of care. Lancet Oncol 2020; 21(5): 633.
| Crossref | Google Scholar | PubMed |

Simcock R, Thomas TV, Estes C, et al. COVID-19: Global radiation oncology’s targeted response for pandemic preparedness. Clin Transl Radiat Oncol 2020; 22: 55-68.
| Crossref | Google Scholar | PubMed |

van de Haar J, Hoes LR, Coles CE, et al. Caring for patients with cancer in the COVID-19 era. Nat Med 2020; 26(5): 665-671.
| Crossref | Google Scholar | PubMed |

Ku M, Morgan T, Malbon A, Bartram T, Cavanagh J, Halvorsen B. Provision of a consistent national approach to radiation therapy workforce protection measures in Australia during the COVID-19 pandemic. Aust Health Rev 2020; 44(4): 535-539.
| Crossref | Google Scholar | PubMed |

Milch V, Wang R, Der Vartanian C, et al. Cancer Australia consensus statement on COVID-19 and cancer care: embedding high value changes in practice. Med J Aust 2021; 215(10): 479-484.
| Crossref | Google Scholar |

Ong WL, Weerasinghe C. Radiation oncology training in Australia and New Zealand during and beyond the COVID-19 pandemic – lessons learnt and opportunities for improvement. J Med Imaging Radiat Oncol 2021; 65(6): 826-828.
| Crossref | Google Scholar | PubMed |

Burns KE, Duffett M, Kho ME, et al. A guide for the design and conduct of self-administered surveys of clinicians. CMAJ 2008; 179(3): 245-252.
| Crossref | Google Scholar | PubMed |

Ma TM, Parikh NR, Philipson RG, et al. Experience of Telemedicine Visits in Radiation Oncology During the COVID-19 Pandemic: A US National Survey and Lessons Learned for Incorporating Telemedicine Post-COVID-19. Adv Radiat Oncol 2023; 8(1): 100924.
| Crossref | Google Scholar | PubMed |

Hoffman KE, Garner D, Koong AC, Woodward WA. Understanding the Intersection of Working from Home and Burnout to Optimize Post-COVID19 Work Arrangements in Radiation Oncology. Int J Radiat Oncol Biol Phys 2020; 108(2): 370-373.
| Crossref | Google Scholar | PubMed |

10  Hamilton E, Van Veldhuizen E, Brown A, Brennan S, Sabesan S. Telehealth in radiation oncology at the Townsville Cancer Centre: Service evaluation and patient satisfaction. Clin Transl Radiat Oncol 2019; 15: 20-25.
| Crossref | Google Scholar | PubMed |

11  Slotman BJ, Lievens Y, Poortmans P, et al. Effect of COVID-19 pandemic on practice in European radiation oncology centers. Radiother Oncol 2020; 150: 40-42.
| Crossref | Google Scholar |

12  Patrick HM, Hijal T, Souhami L, et al. A Canadian Response to the Coronavirus Disease 2019 (COVID-19) Pandemic: Is There a Silver Lining for Radiation Oncology Patients? Adv Radiat Oncol 2020; 5: 774-776.
| Crossref | Google Scholar | PubMed |

13  Pilar A, Gravel SB, Croke J, Soliman H, Chung P, Wong RKS. Coronavirus Disease 2019’s (COVID-19’s) Silver Lining-Through the Eyes of Radiation Oncology Fellows. Adv Radiat Oncol 2021; 6(1): 100527.
| Crossref | Google Scholar | PubMed |

14  Wade VA, Eliott JA, Hiller JE. Clinician Acceptance is the Key Factor for Sustainable Telehealth Services. Qual Health Res 2014; 24(5): 682-694.
| Crossref | Google Scholar | PubMed |

15  Gutkin PM, Prionas ND, Minneci MO, et al. Telemedicine in Radiation Oncology: Is It Here to Stay? Impacts on Patient Care and Resident Education. Int J Radiat Oncol Biol Phys 2020; 108(2): 416-420.
| Crossref | Google Scholar | PubMed |

16  Smallwood N, Karimi L, Bismark M, et al. High levels of psychosocial distress among Australian frontline healthcare workers during the COVID-19 pandemic: a cross-sectional survey. Gen Psychiatr 2021; 34(5): e100577.
| Crossref | Google Scholar | PubMed |

17  Darafsheh A, Lavvafi H, Taleei R, Khan R. Mitigating disruptions, and scalability of radiation oncology physics work during the COVID‐19 pandemic. J Appl Clin Med Phys 2020; 21: 187-195.
| Crossref | Google Scholar | PubMed |

18  Pilar A, Gravel SB, Croke J, Soliman H, Chung P, Wong RKS. COVID 19’s Silver lining - through the eyes of radiation oncology fellows. Adv Radiat Oncol 2020; 6: 100527.
| Crossref | Google Scholar | PubMed |

19  Eriksen JG, Boldrini L, Gershkevitsh E, et al. Postgraduate education in radiation oncology during the COVID-19 pandemic - What did we learn? Tech Innov Patient Support Radiat Oncol 2022; 24: 73-77.
| Crossref | Google Scholar | PubMed |