The nurse working in a radiation oncology department wants to reduce the incidence of skin breakdown in patients who receive beam radiation. Which question should the nurse use to guide a literature search about this topic?
a. How often do patients with beam radiation experience skin breakdown?
b. Why do patients who get radiation beam therapy have skin breakdown?
c. What nursing interventions minimize the occurrence of skin breakdown in patients receiving beam radiation?
d. How does our rate of skin breakdown in patients receiving beam radiation compare to other institutions in the city?
ANS: C
Asking a burning clinical question is the first step in the evidence-based practice (EBP) process. It is important to include related factors in the question and to focus on nursing interventions and care. In this situation, the nurse should focus on nursing care that may reduce the occurrence of skin breakdown for the specific patient population of interest. A. B. The frequency of skin breakdown and why patients develop skin breakdown does not help identify ways to prevent skin breakdown. D. Information on statistics from other organizations will not help the nurse identify ways to prevent skin breakdown.
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