Beyond clinical trials: Extending the role of the clinical research nurse into social care and homeless research.
caring-recruiting dichotomy
clinical research nurse
hard to reach
homelessness
social care research
study recruitment
workforce development
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
24 Jun 2021
24 Jun 2021
Historique:
revised:
14
04
2021
received:
28
09
2020
accepted:
10
05
2021
entrez:
25
6
2021
pubmed:
26
6
2021
medline:
26
6
2021
Statut:
aheadofprint
Résumé
Clinical research nurses work at the fulcrum of clinical trials with clearly defined roles and responsibilities. In England, the National Institute for Health Research (the main funder of health research) has broadened its scope to encompass social care research. The expectation is that clinical research nurses will expand their skill set to support these new studies, many of which will employ qualitative and mixed methods. This discussion paper explores the challenges of facilitating this clinical academic workforce development through a case study of a homeless health and social care research project. This was one of the first studies to engage clinical research nurses in this new and expanded role. Much of what is known about the research nurse workforce has been generated through studies of clinical trials in oncology. The 'caring-recruiting' dichotomy has been used as a heuristic device for identifying workforce issues that can impact on study delivery such as how intense pressure to recruit study participants leads to low job satisfaction. This case study reflects on the authors' experiences of employing a clinical research nurse in a social care research project concerned with the discharge of homeless people from hospital. The 'caring-recruiting' dichotomy is used to generate new information about the relationship between workforce development and the successful delivery of social care research. The case study illuminates how social care research can generate different pressures and ethical challenges for research nurses. The time and skill it took to recruit study participants identified as 'hard to reach' was suggestive of the need to move beyond performance measures that prioritise recruitment metrics. The need for different types of staff supervision and training was also warranted as supporting study participants who were homeless was often distressing, leading to professional boundary issues. This study highlights that performance management, training and supervisory arrangements must be tailored to the characteristics of each new study coming onto the portfolio to ensure research nurses are fully supported in this new and expanded role.
Sections du résumé
AIM
OBJECTIVE
Clinical research nurses work at the fulcrum of clinical trials with clearly defined roles and responsibilities. In England, the National Institute for Health Research (the main funder of health research) has broadened its scope to encompass social care research. The expectation is that clinical research nurses will expand their skill set to support these new studies, many of which will employ qualitative and mixed methods. This discussion paper explores the challenges of facilitating this clinical academic workforce development through a case study of a homeless health and social care research project. This was one of the first studies to engage clinical research nurses in this new and expanded role.
BACKGROUND
BACKGROUND
Much of what is known about the research nurse workforce has been generated through studies of clinical trials in oncology. The 'caring-recruiting' dichotomy has been used as a heuristic device for identifying workforce issues that can impact on study delivery such as how intense pressure to recruit study participants leads to low job satisfaction.
DESIGN
METHODS
This case study reflects on the authors' experiences of employing a clinical research nurse in a social care research project concerned with the discharge of homeless people from hospital. The 'caring-recruiting' dichotomy is used to generate new information about the relationship between workforce development and the successful delivery of social care research.
CONCLUSION
CONCLUSIONS
The case study illuminates how social care research can generate different pressures and ethical challenges for research nurses. The time and skill it took to recruit study participants identified as 'hard to reach' was suggestive of the need to move beyond performance measures that prioritise recruitment metrics. The need for different types of staff supervision and training was also warranted as supporting study participants who were homeless was often distressing, leading to professional boundary issues.
RELEVANCE TO WORKFORCE DEVELOPMENT
UNASSIGNED
This study highlights that performance management, training and supervisory arrangements must be tailored to the characteristics of each new study coming onto the portfolio to ensure research nurses are fully supported in this new and expanded role.
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : Health Services and Delivery Research Programme
ID : 13/156/10
Informations de copyright
© 2021 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
Références
Bevans, M., Hastings, C., Wehrlen, L., Cusack, G., Matlock, A. M., Miller-Davis, C., Tondreau, L., Walsh, D., & Wallen, G. R. (2011). Defining clinical research nursing practice: Results of a role delineation study. Clinical and Translational Science, 4(6), 421-427. https://doi.org/10.1111/j.1752-8062.2011.00365.x
Bonevski, B., Randell, M., Paul, C., Chapman, K., Twyman, L., Bryant, J., Brozek, I., & Hughes, C. (2014). Reaching the hard-to-reach: A systematic review of strategies for improving health and medical research with socially disadvantaged groups. BMC Medical Research Methodology, 14, 42. https://doi.org/10.1186/1471-2288-14-42
British Medical Association (2019). Streets of shame. BMA.
Brown, M., Tran, A.-D., Cummings, C., Fay, L., Malone, D., Fyall, R., & Tsemberis, S. (2020). Attempting randomized housing first research in a community context: Reflections on failure. American Journal of Community Psychology, 66(1-2), 201-213. https://doi.org/10.1002/ajcp.12421
Camsooksai, J., Barnes, H., & Reschreiter, H. (2013). Critical care research in a district general hospital: The first year. Practice Development, 18(5), 229-235. https://doi.org/10.1111/nicc.12000
Cornes, M., Aldridge, R., Biswell, E., Byng, R., Clark, M., Foster, G., Fuller, J., Hayward, H., Kilmister, N., Manthorpe, J. A., Neale, J., Tinelli, M., & Whiteford, M. (forthcoming) Improving hospital discharge for patients who are homeless: A realist evaluation. Southampton: NIHR Journal Report.
Cornes, M., Aldridge, R., Tinelli, M., Whiteford, M., Hewett, N., Clark, M. P., Neale, J., Hayward, A., Bing, R., Manthorpe, J., Foster, G., Biswell, E., Menezes, D., Blackburn, R., Lewer, D., Harris, J., Fuller, J., Kilmister, A., Coombes, J., & O'Shea, D. (2019). Transforming out-of-hospital care for patients who are homeless. Support tool & briefing notes: Complementing the high impact change model for transfers between hospital and home. : King's College London. https://kclpure.kcl.ac.uk/portal/en/publications/transforming-outofhospital-care-for-people-who-are-homeless-support-tool-briefing-notes(fca232e9-1d6c-44f7-a477-c69963393807).html
Crises (2018). The homeless monitor: England 2018. : Crises.
de Schout, G., Jong, G., & Zeelen, J. (2009). Establishing contact and gaining trust: An exploratory study of care avoidance. Journal of Advances Nursing, 66(2), 324-333. https://doi.org/10.1111/j.1365-2648.2009.05171.x
Department of Health (2013). Homeless hospital discharge fund 2013-2014: Eligibility criteria. : Department of Health. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/198037/Eligibility_Document_FINAL.pdf
Gibbs, C. L., & Lowton, K. (2012). The role of the clinical research nurse. Nursing Standard, 26(27), 37-40. https://doi.org/10.7748/ns2012.03.26.27.37.c8986
International Association of Clinical Research Nurses (2016). Enhancing clinical research quality and safety through specialized nursing practice. Scope and Standards of Practice Committee Report. https://iacrn.org/aboutus/
Kunhunny, S., & Salmon, D. (2017). The evolving professional identity of the clinical research nurse: A qualitative exploration. Journal of Clinical Nursing, 26(23-24), 5121-5132. https://doi.org/10.1111/jocn.14055
National Institute for Health Research (2017). Developing our clinical research nursing strategy 2017-2020. https://www.nihr.ac.uk/documents/nihr-clinical-research-nurse-strategy-2017-2020/11501
National Institute for Health Research (2020). Social care. https://www.nihr.ac.uk/explore-nihr/specialties/social-care.htm
National Institute for Health Research: Health Services and Delivery Programme (2014). Commissioning Brief: Effectiveness and Cost-effectiveness of Integrated Homeless Health and Care Services, Southampton: NIHR.
Pick, A., Liu, A., Drew, V. L., & McCaul, J. (2010). Getting started in clinical research: The role of the research nurse. Nursing Times; 107: online edition, 26 April. https://www.nursingtimes.net/roles/nurse-educators/the-role-of-the-research-nurse-26-04-2011/
Sydor, A. (2013). Conducting research into hidden or hard-to-reach populations. Nurse Researcher., 20(3), 33-37. https://doi.org/10.7748/nr2013.01.20.3.33.c9495
Tinkler, L., Smith, V., Yiannakou, Y., & Robinson, L. (2018). Professional identity and the Clinical Research Nurse: A qualitative study exploring issues impacting on participant recruitment in research. Journal of Advance Nursing, 74, 318-328. https://doi.org/10.1111/jan.13409