Page 83 - APPENDIX B: Trials Investigating the Management of Acute Radiation-Induced Skin Reactions Reading Qualitative Research
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               WOUND CARE

               Association of Nurses in Oncology-Radiation Therapy Special Interest Group (CANO-RT SIG),

               was common to two participants as they disclosed, “It’s quite interesting to hear other opinions,


               research that’s just happening... it’s a great access to education, access to another resource”

               (P#2).


                       Networking helped to share information and perspectives, motivate one another and

               forums such as CANO-RT SIG served as a specialized professional body to build the evolving


               role of RTN in radiation oncology.  A participant explained:

                       I’ve spoken to some colleagues in different centers within … Canada, try to compare
                       what is their skincare protocol, what are they doing, how, what studies are they doing
                       and sharing information… being part of the CANO special interest group has also helped
                       because we are networking across Canada. (P#1)

                       In summary, Theme Two: Nurse’ perceived role in clinical decision-making is presented

               with three sub-themes including Nursing autonomy, Sources of evidence and Networking.


               Although clinical judgment and decision-making are integral to the RTN role, complexity is also

               evident from the sub-themes.  A key element informing clinical decision-making was keeping


               the patient at the centre of the process.  Yet, while trust in nursing competence and wound care

               based on patient needs was evident, there was variability in how evidence is actually

               implemented in practice.  As reflected in the next theme regarding inter-professional


               relationships, there are constraints on nurses that account for some of this variability.


                      Theme Three:  Nurses’ perceived role in inter-professional relationships. This theme


               related to nurse participants’ descriptions regarding their role in inter-professional relationships,

               and has already been referenced in the preceding two themes.  Participants were invited to


               describe how inter-professional relationships may affect collaborative practice.  All participants

               articulated the sub-theme of “Teamwork” as implemented through team meetings,
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