2013
DOI: 10.1177/1744987113499338
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Reflections on access: too vulnerable to research?

Abstract: This paper seeks to highlight the challenges facing researchers when recruiting vulnerable patients to a research study. We explore the difficulties experienced in gatekeeping for a project involving people with dementia, intellectual disabilities and mental health problems who are also having treatment for cancer. It is argued that the challenges in identifying and recruiting vulnerable participants extend beyond ethics committees and governance to the perceptions and judgements of health care professionals i… Show more

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Cited by 34 publications
(43 citation statements)
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“…Nevertheless, descriptions of gatekeeping and how protective power could be used by healthcare staff to restrict rather than safeguard patients’ opportunities to obtain improved services (Witham, Beddow, & Haigh, 2015) are not evident in the findings. Hence, it is noteworthy that in nine of the 15 studies recruitment was performed by the healthcare staff or clinicians (Barut et al, 2016; Bjørkedal et al, 2016; Jones et al, 2016; Kidd et al, 2016; Landon et al, 2016; Paul, 2016; Rhodes et al, 2016; Singh et al, 2016; van Langen et al, 2016).…”
Section: Discussionmentioning
confidence: 93%
“…Nevertheless, descriptions of gatekeeping and how protective power could be used by healthcare staff to restrict rather than safeguard patients’ opportunities to obtain improved services (Witham, Beddow, & Haigh, 2015) are not evident in the findings. Hence, it is noteworthy that in nine of the 15 studies recruitment was performed by the healthcare staff or clinicians (Barut et al, 2016; Bjørkedal et al, 2016; Jones et al, 2016; Kidd et al, 2016; Landon et al, 2016; Paul, 2016; Rhodes et al, 2016; Singh et al, 2016; van Langen et al, 2016).…”
Section: Discussionmentioning
confidence: 93%
“…1 In particular, end of life care researchers have deliberated whether it is 'fair' to ask dying people to take part in research (Barnett, 2001) -including children and young people (Downing, 2016) -considering the potential for this to be burdensome (Milne & Lloyd, 2007). In doing so, they have also problematised how participants are defined by those outside of 'the field' -for example, ethics committees pre-asserting that end-of-life care or bereavement research is 'sensitive' and that participants are 'particularly vulnerable' (Addington-Hall, 2002;Witham, Beddow, & Haigh, 2013).…”
Section: Methodology Reflexivity and Death Studies: A Brief Outlinementioning
confidence: 99%
“…Communication barriers can lead researchers to underestimate a person's cognitive capacity and sense of self (Witham, Beddow, and Haigh 2015). Having dementia presents challenges to a person's selfhood because it limits the ability to express individuality (Buller 2015b;Oneill 2013).…”
Section: Respect For Holistic Personhoodmentioning
confidence: 99%