Nutritional support in cancer patients : radiographers’ perceptions

Abstract

Purpose: This study aimed to explore the perceptions of radiographers working in a local Oncology Centre in regard to their ability to identify patients needing nutritional advice and to provide patients with the appropriate dietary support. Compatible body of literature is limited with no similar studies previously conducted in the local setting. Methodology: A cross-sectional, prospective, non-experimental method, using a quantitative approach was employed. An existing questionnaire was modified, using published guidelines to suit the aim of this study, and distributed to all radiographers working in the Radiotherapy Department of the selected Oncology Centre. The data was analysed using descriptive statistics. Results: With a response rate of 85% (22 completed questionnaires), 86% (n = 19) of respondents indicated that patients asked for advice on nutrition-related issues. 36% (n=8) of the participants did not have previous training on nutritional interventions whilst all participants expressed interest in receiving additional information or training to provide support in the nutritional management of side effects and to identify cases needing referral to a dietitian. 82% (n=18) of participants stated that a protocol for referrals to dietitians was available at their clinical site, however, only two respondents indicated that they referred patients to a dietitian. All radiographers self-rated as knowledgeable in identifying patients in need of dietary interventions and delivering the appropriate nutritional support. This was supported by the high level of agreement between literature recommendations and radiographers’ responses to the questionnaire. Conclusions: Findings suggest that radiographers perceive themselves as knowledgeable and provide patients with the appropriate nutritional support in accordance with literature. However, only two radiographers referred patients to dietitians and all radiographers indicated that they would like additional support. The researcher, therefore, proposed additional training, implementation of scripted nutritional advice and further studies into the lack of referrals to the dietetic team.