Professional identity and the Clinical Research Nurse: A qualitative study exploring issues having an impact on participant recruitment in research

Tinkler, Linda; Smith, Victoria; Yiannakou, Yan; Robinson, Lisa J.

doi:10.1111/jan.13409

Cited by 55 publications

(79 citation statements)

References 41 publications

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“…In the early days of their new role, research nurses experienced a new identity, felt like “ a fish out of water ” (Tinkler, Smith, Yiannakou, & Robinson, , p.322) and felt a need for additional training and support (Höglund et al, ; p.246; Kampelman, ; Kunhunny & Salmon, ; Tinkler et al, ). While initial training focused on study protocols, research nurses were expected to carry out study procedures without training (Kampelman, ; Kyte, Ives, Draper, Keeley, & Calvert, ).…”

Section: Resultsmentioning

confidence: 99%

“…“I do remember one nurse at x and, erm, someone off another ward, said I don't know what you doing here, you know cos I’d just changed jobs and I said oh I’m the research nurse, they said oh right, right and that nurse said “that's not a proper job” (Tinkler et al, ; p. 324)…”

Section: Aims and Methodsmentioning

confidence: 99%

“…“See you have people telling you and you know yourself that it should be informed consent, the patient should go into it willingly and then you have other people saying but then on the other hand you've gotta get x amount of patients in” (Tinkler et al, ; p. 323)…”

Section: Aims and Methodsmentioning

confidence: 99%

“…“I’ve actually come away from being with a coinvestigator or PI or whatever and said to the person you do realise that it's your choice, that it's your choice to go into this study and you don't have to because of exactly what you've just said there, because I think they do sometimes feel a little bit under pressure, the doctor knows best type of thing” (Tinkler et al, ; p. 323)…”

Section: Aims and Methodsmentioning

confidence: 99%

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Clinical research nurses’ expectations and realities of their role: A qualitative evidence synthesis

Hernon

Dalton

Dowling

2019

Journal of Clinical Nursing

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Aims To synthesise the available body of qualitative studies relating to clinical research nurses’ experiences of their role. Methods A systematic search of the literature in five databases was undertaken: CINAHL, MEDLINE, EMBASE, PubMed and ProQuest. Thomas and Harden's three‐stage approach to thematic analysis was followed using the ENTREQ statement for reporting. Results Nineteen studies reported in 20 papers (with a total of 232 nurses) were included in the synthesis. Three analytical themes with six subthemes were identified as follows: “identity”; “meeting targets”; and “patient advocate.” Conclusions Clinical research nurses experience isolation, and contributing to this is their perception of nonresearch nurses’ lack of understanding for their role. This can result in difficulties when recruiting study participants. Clinical research nurses can experience internal conflict between being a patient advocate and adhering to a trial protocol. Relevance to clinical practice Training is needed to help research nurses develop skills to face challenges in order to ensure safe and ethical care is provided to research participants while also ensuring high‐quality data collected for the study.

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Section: Resultsmentioning

confidence: 99%

Section: Aims and Methodsmentioning

confidence: 99%

Section: Aims and Methodsmentioning

confidence: 99%

Section: Aims and Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Clinical research nurses’ expectations and realities of their role: A qualitative evidence synthesis

Hernon

Dalton

Dowling

2019

Journal of Clinical Nursing

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“…Yet, significant organisational barriers remain including lack of proximity of research nurses to the clinical environment, league tables and pay for performance (Adams et al, p.4; Donovan et al, ). This when combined with inexperienced researchers in emergency care and clinical staff prioritising “care over research” seems to contribute to delays in recruitment (Adams et al, ; Tinkler, Smith, Yiannakou, & Robinson, ).…”

Section: Discussionmentioning

confidence: 99%

What are research nurses' experiences of obtaining consent from or for patients participating in emergency care research? A qualitative review

Brown

Hewison

Newham

2019

Journal of Clinical Nursing

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Introduction If studies are to be valid, recruitment of representative samples is essential. In 2012, 28% of UK emergency departments met the 80% standard for recruitment to trials set by the National Institute for Health Research. Research nurses play a vital role in the conduct of high‐quality research, and it has been argued that dedicated research nurses are needed if clinical trials are to recruit successfully to target. Review question What are research nurses' experiences of obtaining consent from or for patients participating in emergency care research? A qualitative evidence review. Methods A qualitative integrative literature review with a narrative synthesis of the evidence. PRISMA guidelines for reporting systematic qualitative reviews (Appendix S1) were followed. A search of five electronic databases was performed in December 2018 along with a hand search which yielded 125 citations: 10 papers and one PhD thesis met the review eligibility criteria. Methodological quality of the selected studies was evaluated, and data were extracted and synthesised. Results Three themes were identified: Access, Organisation and Timing. Research nurses encountered both general and specific barriers when seeking to obtain consent for participation in research. In particular, it was found there was lack of experience among staff of working in emergency research and with securing deferred consent. The distinction between nurse researchers with a clinical role and those dedicated to solely to research only is often not clear and warrants further investigation. Conclusion Nurse researchers with and without a clinical role can make a positive difference in recruitment to trials in emergency care. The involvement of dedicated research nurses in the consent process can increase recruitment to emergency care research. Experience of recruiting to clinical trials in nonemergency settings does not seem to help when recruiting for trials in emergency care. Relevance to clinical practice There is a need for greater understanding of the experiences of dedicated research nurses in emergency care settings and in particular with regard to deferred consent.

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Clarifying the role of clinical research nurses working in Sweden, using the Clinical Trial Nursing Questionnaire – Swedish version

et al. 2022

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A registered nurse (RN) can be involved in clinical research by working as a clinical research nurse (CRN). Globally, they are important in clinical research along with various experts from the multidiscipline research team. However, new competence and skills are required for the RNs who become CRNs, whose professional role is positioned between the care of patients and the requirements of the study protocol (Bevans et al., 2011;McCabe et al., 2019).International reports on the working tasks of CRNs are diverse, ranging from conducting simple study-related tasks to being involved in study planning and development of study protocols, data collection, coordination and evaluation of studies, as well as presenting results at conferences and writing articles together with

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Professional identity and the Clinical Research Nurse: A qualitative study exploring issues having an impact on participant recruitment in research

Abstract: Professional-identity and self-concept appear to have an impact on practice in a research delivery role. Further research should explore these issues further, to enlighten the basis on which such feelings are positioned and to work towards practical solutions.

Cited by 55 publications

References 41 publications

Clinical research nurses’ expectations and realities of their role: A qualitative evidence synthesis

Clinical research nurses’ expectations and realities of their role: A qualitative evidence synthesis

What are research nurses' experiences of obtaining consent from or for patients participating in emergency care research? A qualitative review

Clarifying the role of clinical research nurses working in Sweden, using the Clinical Trial Nursing Questionnaire – Swedish version

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