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WOUND CARE
Patient preference is handled on a case by case basis in consultation with the team, if they
do not want the dressing removed during radiotherapy (A. Bolderston, personal communication,
August 22, 2013). The perception of holistic care provided by nurses by integrating the whole
person’s needs versus a focused area of treatment care provided by the radiation therapist was a
perspective gleaned from the consensus-building process. “Nursing practice requires us to focus
on the individual not just problem and whether or not the same or similar approach to practice
is taken up by the Radiation Therapist group” (A. Hughes, personal communication, August
th
29 , 2013).
In summary, in this chapter the research questions were answered by using the findings
from the literature review, national environmental scan survey and qualitative interviews as a
frame of reference for discussion with expert consultants during the consensus-building process.
The PCN framework provides a resourceful and dynamic tool for operationalizing patient-
centred care in the context of wound management in radiation oncology. The framework’s
dimensions of Prerequisites, The care environment and Person-centred processes are mutually
enhancing elements for best patient outcomes.
Limitations and Strengths
Overall limitations followed by the strengths of the study are reported here. I
acknowledge the inherent bias in this study derived from researcher as instrument with a
worldview constructed along improvising practices in the face of limited resources and my own
background as a Radiation Therapy Nurse. The researcher as instrument may be considered as
both a strength and a limitation. Limitations of the literature review are the lack of inclusion of
patient’s opinions, as outlined in Appendix A. Though ideal dressings are suggested, there is a
