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               WOUND CARE

                                                 Chapter Five:  Discussion



               Introduction

                       In this chapter, salient findings of the research study are discussed, highlighting the

                relevance of the findings in respect to existing nursing knowledge and practice.  “The combined


                findings suggest richly textured and comprehensive datasets” from the different phases of this

                study (Polit & Beck, 2012, p. 626).  The key pieces of evidence are synthesized, also discussed


                in relation to the guiding research questions, existing knowledge along with expert consultations

                and current knowledge.




               Synthesis of Evidence

                       The mixed methods employed for the study were literature review, national

                environmental scan via an online survey and qualitative telephone interviews, and a final


                consensus – building consultation phase.  The guiding research questions of the study were:

                          1)  What is the existing evidence regarding radiating through dressings?


                          2)  What is the current practice in Canadian Radiation Oncology Cancer Agencies

                              with regards to wound dressings during radiotherapy? and


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

                              professional relationships in this matter?


               In this chapter these questions provide the organizing structure for the synthesis and discussion

               of the study findings.  Synthesized findings from the national environmental scan survey and


               telephone interviews pointed to the importance of a patient-centred approach as core to any

               evidence-informed guidelines regarding wound management.
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