Management of skin reactions during radiotherapy in Flanders (Belgium): a study of nursing practice before and after the introduction of a skin care protocol

Autor: Trees Bate, Paul Bijdekerke, Vincent Vinh-Hung, Sven D'haese, Marleen Van Roy
Přispěvatelé: Medical Imaging and Physical Sciences, Translational Radiation Oncology and Physics
Rok vydání: 2009
Předmět:
Questionnaires
Male
Health Knowledge
Attitudes
Practice
Erythema
medicine.medical_treatment
Nursing Staff
Hospital
Belgium
Clinical Protocols
Surveys and Questionnaires
Cancer
Practice Patterns
Nurses'
integumentary system
Oncology (nursing)
Oncology Nursing
General Medicine
Skin Care/methods/nursing/standards
Skin Care
Occlusive dressing
Radiodermatitis/etiology/*nursing/prevention & control
Evidence-Based Practice
Practice Guidelines as Topic
Female
Guideline Adherence
medicine.symptom
Radiodermatitis
Guideline Adherence/organization & administration
Adult
medicine.medical_specialty
Evidence-based practice
MEDLINE
ddc:616.0757
Desquamation
Nursing
Patient Education as Topic
medicine
Humans
Patient Education as Topic/*organization & administration
Evidence-Based Practice/organization & administration
Clinical Protocols/standards
Protocol (science)
Nurse's Practice Patterns/*organization & administration
Chi-Square Distribution
Radiotherapy
business.industry
Nursing Staff
Hospital/education/organization & administration/psychology
Radiotherapy/adverse effects
Radiation therapy
Oncologic Nursing/*organization & administration
Self Care
Moist desquamation
Nursing Evaluation Research
Family medicine
business
Zdroj: European Journal of Oncology Nursing, Vol. 14, No 5 (2010) pp. 367-372
Vrije Universiteit Brussel
ISSN: 1532-2122
1462-3889
Popis: PURPOSE OF THE RESEARCH: To evaluate nursing practice in Flanders (Belgium) regarding skin care during radiotherapy and the effect of the introduction of an evidence based protocol on daily nursing practice. METHODS AND SAMPLE: Nurses working at radiotherapy departments in Flanders were invited to complete a 58-item questionnaire. The survey was undertaken in 2001 (n=67) and end of 2006 (n=89). Following the survey in 2001 an evidence based skin care protocol was made available for radiotherapy nurses and presented at their respective radiotherapy services. The questionnaire asked to what extend they advised their patients about skin care topics grouped in four sections: prevention, erythema, dry desquamation, moist desquamation. KEY RESULTS: The surveys revealed large varieties in the management of skin reactions although there seems to be less variety and more consensus in the 2006 survey. Regarding preventive advice and the advice in case of erythema, dry desquamation and/or moist desquamation a major improvement was observed in the adoption of key principles such as washing and hydrating the irradiated site and the use of occlusive dressings and the omission of outdated techniques such as talcum powder, Eosin 2% and Gentian violet. CONCLUSIONS: The management of skin reactions does not always correspond with current scientific knowledge. However, the results of this study show that the dissemination and implementation of a skin care protocol enhanced standardization in Flanders, improved adheration to evidence based guidelines and lead to the disappearance of outdated ritualistic practices.
Databáze: OpenAIRE
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