Becoming the radiation therapist: Exploring the transition to practice experiences of Australian radiation therapist graduates

Introduction

The transition to qualified practice for health practitioner graduates can be a challenging experience. Supportive transition to practice programs for graduates are typical in nursing, however they are less common in allied health. Investigations into the transition to practice experience of radiation therapist (RT) graduates specifically have been limited. This study aimed to examine the transition to practice experiences of RT graduates in Australia during their first ten months of qualified practice, with the intention to inform the development of fit for purpose transition to practice programs.

Methods

A longitudinal qualitative study was undertaken employing a constructivist grounded theory methodology. Data collection included an online focus group with RT graduates within their first three months of practice; recording of longitudinal audio diaries for six months; and an individual online interview at ten months of qualified practice.

Results

Seven RT graduates participated in the study during 2022–2023. Central to the transitional process was ‘Becoming the Radiation Therapist’ where graduates worked towards assimilating their emerging professional identity. This process was influenced by ‘Fitting in’ to the team; ‘Navigating expectations’ of work and the workplace; ‘Being supported by experienced others’; and ‘Building confidence’ through validating experiences.

Conclusion

The transitional experience of the RT graduate was influenced by their internal identity work, and by the social and structural mechanisms within their workplace. A transition to practice program should include supportive mentoring, intentional exposure to a breadth of experiences, and clear expectations to assist the RT graduate in navigating this challenging period.

Implications for practice

The transitional experience can be difficult, and supportive mechanisms throughout the first year of graduate practice would aid the emerging professional identity of the RT graduate and their role within the workplace.