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               WOUND CARE

                                        APPENDIX D: Environmental Scan Survey

               Instructions: There is a lack of consensus and evidence about best practice in relation to
               radiating through wound dressings.  I am gathering a national picture of the current state of
               practice regarding wound care during radiotherapy.  If necessary, please consult with the
               Radiation Therapists or a clinical expert on your site about current practice.  This survey will
               take 10 minutes.  You may leave the survey and come back to it.  (Please click “Save Page”
               before leaving the survey.  The final section requests contact information, if you are willing to
               participate in a confidential telephone interview for 20-30 minutes.  The interview will focus on
               nurses’ roles in clinical decision-making and inter-professional practice in regard to wound
               dressings during radiotherapy.

               Thank-you for your time and participation!


               SECTION ONE:  Demographics

               1.1.    Province

                   a)  Alberta

                   b)  British Columbia


                   c)  Manitoba

                   d)  Nova Scotia


                   e)  New Brunswick

                   f)  Ontario


                   g)  Prince Edward Island

                   h)  Saskatchewan


                   i)  Newfoundland and Labrador

                   j)  Quebec



               1.2.    Role or Position

                          a.  Nurse Educator


                          b.  Nurse Leader

                          c.  Staff Nurse
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