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NR 505 Week 5 Assignment: Research Summary Table Worksheet

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Purpose: This assignment provides the opportunity for the student to continue development of a MSN EBP scholarly project that started with the identification of a nursing issue/problem and PICOT qu estion from Week 2. The focus of this assignment is to review the pertinent literature that supports ...

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  • February 4, 2022
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  • 2021/2022
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NR505NP Research Summary Table Worksheet




PICOT Question:

In children and young adults, is the use of reduced dose of radiation exposure of computed

tomography (CT) decrease the changes of cancer in comparison to higher dose during their

lifetime?




Article 1

Full reference for Armao D., Hartman T., Shea M.C., Sams C., Ivanovic M., Fordham L.,

article (APA Format) Smith J.K. (2016). Developing a Toolkit for Pediatric CT Dose Reduction in

Community Hospitals. US National Library of Medicine National Institute

of Health. 13(11):1337-1342.ell. Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5097688/
Purpose The aim of this article was to help community hospitals to promote

development of a toolkit for implementing CT radiation reduction dose in

children.
Evidence Type Mixed method
Sample, Sample Size, This research study was conducted at a public, academic, level 1 adult and

and Setting pediatric trauma center and included 12 different sites with a variety of CT

scanners and pediatric CT exposure results.
Data Collection CT images, dose reports, and radiology practices were sent to the conducted

center for evaluation during a six month period in 2012. The surveys

, 2


identified 12 sites with CT scanners and pediatric exposure that were higher

than usual, sometimes 2-10 times higher dose than the acceptable age based

protocol.
Study Findings CT radiation dose was an estimate of 2 to 3 times higher. The most frequent

variation occurred in the head CT on children 0-3 age group.
Limitations (State why Patient education did not include risks and benefits of CT scans before

the limitations) ordering the study or before performing the test.
Relevance to the This study aimed to identify issues in community hospitals relation to CT

PICOT and radiation exposure in children and had the goal to create safety measures by

Implications for implementing a toolkit. Therefore, this study shows relevance to my area of

Advanced Nursing interest in relation to my PICOT question and further support practice

Practice change interventions.




Article 2

Full reference for Schears R.M., Farzal Z., Fischer A.C. (2018) The Radiation Footprint on the

article (APA Format) Pediatric Trauma Patient. International Journal of Emergency Medicine.

Retrieved from https://link.springer.com/article/10.1186/s12245-018-0175-

x#citeas
Purpose The objective of this study was to determine radiation dose exposure of

pediatric trauma patients from injury time and compare it to trauma

activation status and then identify groups of patients most at risk and find

strategies to decrease risks.

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