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.
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.
