Page 113 - APPENDIX B: Trials Investigating the Management of Acute Radiation-Induced Skin Reactions Reading Qualitative Research

113
WOUND CARE

electronic documentation. The involvement of Radiation Therapy Nurses in the treatment

planning team will assist in individualized wound care management and practices for patients

receiving radiotherapy.

Implications for leadership. Adoption of the Person-Centred Nursing Framework

(McCormack & McCance, 2010) may strengthen inter-professional relationships in the clinical

setting and lead to decisions that are more responsive to the specifics of an individual patient’s

situation. Collaborative team dynamics from the study findings imply that “more effort needs to

be taken in ensuring appropriate, evidence-based care is provided to patients across the

continuum of care, in a collaborative approach to wound care” management (RNAO, 2007).

Implementing the Patient-Centred Nursing Framework to guide the resource allocation process

has the potential to transform the health care delivery system. Here nurses need to view

themselves as leaders. Instead of letting others make decisions for us, every RTN must stand up

for the cause, bridge a gap, continue to learn, network with others, and do what needs to be done

to advance the our professional role toward the preferred future we want (Grossman & Valiga,

2009). The three domains of influence for nursing: Prerequisites; The care environment and

Person-centred processes will be supportive in achieving best patient outcomes in the

management of a chronic disease such as cancer.

Implications for research. The directions for future endeavors of this study was a debate

among the expert consultants in regards to clinical guidelines based on existing evidence versus

further research. Among the five experts consulted, general consensus was achieved for future

research and evidence based practice. One of the five experts suggested the drafting of clinical

guidelines to determine best practice; additionally two experts recommended building provincial

or national consensus for what criteria will be used for evaluating the evidence. (S. Chadwick,