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WOUND CARE
consulted to review study findings and results to obtain feedback and consensus
for recommendations.
Phase II: Environmental Scan.
The national environmental scan of Radiation Oncology Centres may be defined as the
procurement and analysis of self-report data regarding the individual centres practice in relation
to wound management during cancer radiotherapy to understand national trends that serve to
inform the research project’s current and future plans (Aguilar, 1967).
The steps of the national environmental scan survey were as follows:
1) Development of a clinical practice survey;
2) Pilot the clinical practice survey;
3) Research Ethics Boards (REBs) approvals;
4) Introduce the electronic national environmental scan survey;
5) Weekly email reminder.
Each step will be described in detail in the subsequent sections.
1) Development of a clinical practice survey (See Appendix D for environmental scan
survey). The survey was developed based on the preliminary literature review and the project’s
conceptual framework presented in schematic model: Figure 3.1. Two primary objectives of the
tailored survey design were (a) to reduce nonresponse and (b) to reduce or avoid measurement
error (Dillman, 2007). The average response rates in web-based survey are less than 50% (Polit
& Beck, 2012, p. 305). The weekly friendly reminders were intended to increase response to the
environmental scan survey. A minimum number of 15 nurse respondents were expected for the
environmental scan. Dillman describes measurement error as, “The result of poor question
wording or questions being presented in such a way that inaccurate or uninterpretable answers

