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WOUND CARE
APPENDIX C: Informed Consent Form
Wound Dressings during Cancer Radiotherapy: A Survey of Canadian Practice.
Principal Investigator: Siby Elizabeth J Thomas, RN, BSN, MSN (C)
Radiation Therapy, Fraser Valley Cancer Center,
Personal phone # 6044965829
Email address: sthomas4@bccancer.bc.ca.
Supervisor: Sheryl Reimer-Kirkham, PhD, RN
Director | Master of Science in Nursing Program
Trinity Western University | t: 604.513.2121 (3239)
Email address: Sheryl.kirkham@twu.ca
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 getting a national picture of the
current state of practice regarding wound care during radiotherapy.
Procedures: One nurse participant from the 42 Radiation Oncology Centers in Canada is invited
to participate in the environmental scan survey. A list of the Education Resource Nurses and
Nurse Leaders was procured from a recently updated national list to send out invitations to
participate in the environmental scan survey. The survey will take up to 10 minutes to complete.
Participants who consent for a follow-up interview may be contacted for a confidential telephone
interview for 20-30 minutes. The interview will focus on nurse’s roles in clinical decision-
making and inter-professional practice in regard to wound dressing during radiotherapy. The
research findings are planned to be presented at professional conferences and published in an
academic journal.
Potential Risks and Discomforts: There are no known or anticipated risks associated with the
survey.
Potential Benefits to Participants and/or to Society: The study aims at benefits such as
improved patient care and more efficient use of resources. Benefits to participants may include
enhanced professional involvement in clinical decision-making.
Voluntary Participation: Your participation in this research must be completely voluntary. If
you do decide to participate, you may withdraw at any time without any consequences or any
explanation. If you do withdraw from the study, your data will only be used if you permit us to
do so.

