Digital proficiency and educational needs of Portuguese radiation therapists

Introduction As radiotherapy (RT) becomes increasingly digitised, the digital skills (DS) proficiency of Therapeutic Radiographers/Radiation Therapists (RTTs) is essential for ensuring patient safety and quality care. This study is part of larger sequential multi-phase mixed-methods research; previous research by the same research team has shown that DS proficiency varies among European RTTs. The current study aimed to assess stakeholders' perceptions of proficiency, influencing factors, challenges, and strategies to bridge the digital gap in Portugal. Methods A qualitative, hybrid (inductive and deductive), descriptive, cross-sectional, prospective design was used. Online focus group and individual interviews were performed with 16 Portuguese stakeholders (RTTs, managers, industry representatives, students, and educators), using an interview guide based on previous research. Interview transcripts were thematically analysed. Results Seven themes were identified: proficiency levels, influencing factors, challenging areas, essential DS for practice, strategies for integration into education, concerns about technological evolution, and impact on RTTs' roles. Conclusion The study underscores the critical need for DS proficiency among RTTs, emphasising gaps in specialised areas and multifaceted influencing factors. It stresses the urgency of improving RTTs' digital training across all educational stages. Adaptation and constant learning are imperative in radiotherapy's dynamic landscape, ensuring optimal patient care. Implications for practice Addressing DS gaps is imperative for RTTs to ensure quality and safety of RT treatments. Essential strategies include DS integration and education adaptation and CPD. Recognizing concerns, such as job losses, highlights the need for a balanced technological approach. Patient-centred care remains paramount in guiding RTTs through evolving roles in the dynamic field of radiotherapy.