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               WOUND CARE

                                             Chapter Two: Literature Review



               Introduction

                       The primary purpose of the literature review (Phase 1) is to answer the research question,

               recognize gaps in the literature relating to the problem, suggest how the gaps might be filled and


               identify appropriate methods of data collection (Burns & Grove, 1997; Coughlan, Cronin, &

               Ryan, 2007).  The literature review for this project primarily examined the existing evidence


               regarding radiating through dressings.  The study design, methodology, measurable outcomes,

               data collection instruments, and data analysis plans for each of the studies were critically


               examined in order to inform this research project.  However, due to limited research in the area

               of interest, additional materials were included in order to contextualize the subject.  It is

               noteworthy that there continues to be a paucity of well-designed studies evaluating the


               effectiveness of interventions for the prevention and management of radiodermatitis


               (McQuestion, 2011).



               Search and Retrieval Strategy for Review of Published and Grey Literature

                         Scholarly articles and grey literature were retrieved through computer assisted advanced


               searches of Cumulative Index of Nursing and Allied Health Literature (CINAHL), eBook

               Academic collection, MEDLINE, E-Journals, Cochrane library, PUBMED, Advanced Google


               search (domain .au &.ca), Google, Cancer literature, Biomedical Reference Collection and ERIC

               databases.  The scoping literature review focused primarily on studies dealing with wound


               dressings during radiotherapy.  However, due to the nature of the clinical question, some work in

               the area of skin care investigations and protocols were also considered.  Further, review of the

               bibliographies of relevant studies led to the acquisition of a few more applicable studies.
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