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To explore the experience of research nurses who obtain consent from adults in emergency settings to participate in clinical trials, either prospectively or post enrolment

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  • Pauline Brown
  • Roger Newham
  • Alistair Hewison

Abstract

Aim To explore the understanding and experiences of research nurses who obtain informed consent from adult patients participating in emergency care research. Design Qualitative phenomenographic descriptive study. Methods Ten research nurses from six hospitals in England were recruited. Data were collected using semi‐structured face‐to‐face and telephone interviews between January 2019 and March 2019. Interviews were transcribed verbatim and analysed thematically, informed by phenomenography. COREQ was followed. Results Three main themes were identified: (a) emergency research is different, (b) protecting the patient, and (c) experience and confidence with recruitment. It was found that obtaining patient consent in emergency care research was challenging and timing of the process was crucial. Nurses with more experience of emergency care were more confident in approaching patients and their families. There was variability in out‐of‐hours recruitment which was a consequence of the range of informed consent processes used and the different levels of engagement of clinical teams. Conclusion There is a variety of organisational cultures, processes and procedures which affect the way consent is obtained in emergency care research. A team approach was evident in the hospitals where consent rates were high and was more successful than those reliant solely on the presence of a research nurse. Organisations were able to recruit successfully to emergency care research studies irrespective of size and configuration. Further investigation of their models of working and strategies for engagement is needed. Experienced research nurses made a positive difference to recruitment and were more likely to approach patients to obtain consent. Relevance to clinical practice The understanding and experiences of recruitment to clinical trials in emergency care research by research nurses can help identify barriers to recruitment. This study provides useful insights for healthcare practitioners, clinical trials coordinators and sponsors about how best to develop protocols and policies to increase recruitment to emergency care research.

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  • Pauline Brown & Roger Newham & Alistair Hewison, 2020. "To explore the experience of research nurses who obtain consent from adults in emergency settings to participate in clinical trials, either prospectively or post enrolment," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 3054-3063, August.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:15-16:p:3054-3063
    DOI: 10.1111/jocn.15339
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    References listed on IDEAS

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    1. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
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