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               WOUND CARE

                             Chapter Three:  Research Design, Methodology and Procedures

                       In this chapter, the research question, conceptual framework, methodology, sampling and


               recruitment strategy, data collection procedures and instruments along with the ethical

               considerations of the study are presented.  The scientific quality (i.e., validity and reliability) and


               limitations are also discussed.  Based on the literature review and inconsistencies in current

               practice at the local Radiation Oncology Centre where I am working, it is meaningful to gather a


               national picture regarding wound management during cancer radiotherapy.



                Purpose and Research Questions

                       The purpose of the thesis is to describe 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.  This purpose was achieved through a mixed method approach that


               incorporated a literature review, along with a national environmental scan involving a short

               online survey followed by semi-structured interviews with nurses and consensus-building with


               key stakeholders.

                       In mixed methods studies, the research questions are the motivating force behind the


               scope of the inquiry (Polit & Beck, 2012).  The overarching goal of each of the following two

               mixed methods research questions requires a different type of data and approach.  The research


               questions giving specific direction to Phase II: Environmental scan survey and Phase III:

               Qualitative telephone interviews of the project are:


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

                              during radiotherapy across Canada?


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

                              professional relationships in this matter?
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