Page 12 - APPENDIX B: Trials Investigating the Management of Acute Radiation-Induced Skin Reactions Reading Qualitative Research
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               WOUND CARE

               explore the meaning of nursing “actions that profoundly impact wound healing and the patient’s

               quality of life” (Kohr, 2007, p.14).  The nurse is at the point of care, following through after


               daily radiotherapy with appropriate skin care and dressings.  Therefore, in order to understand

               the context of nursing clinical practice, the project focuses on current evidence and practice and


               how nurses perceive their role in clinical decision-making and inter-professional relationships in

               the area of radiation oncology wound care.


                       Project purpose. The purpose of the thesis is to describe the current evidence and

               practice in relation to wound dressings during cancer radiotherapy with the aim of developing the


               foundation for best practice and further research.  Research questions giving specific direction to

               the project are:


                          1)  What is the existing evidence regarding radiating through dressings?

                          2)  What is the current practice in Cancer Agencies with regards to wound dressing

                              during radiotherapy across Canada?


                          3)  How do nurses perceive their role in clinical decision-making and inter-

                              professional relationships in this matter?


                      Project method. A mixed method design was implemented for the thesis.  It comprised

               of a sequential design beginning with a literature review (Phase I) and a national environmental


               scan conducted via an online survey (Phase II), followed by semi-structured qualitative

               telephone interviews (Phase III) with four nurses to understand the phenomena of clinical


               decision-making and inter-professional relationships in more depth.  The target population was

               the 42 Radiation Oncology Centres in Canada.  One Radiation Therapy Nurse (RTN) per centre


               was invited to participate in the online survey.
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