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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
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