一项随机对照试验中家庭护士在招募和筛选服务不足人群中的双重作用

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-07-01 DOI:10.1016/j.chiabu.2025.107579

Joakim Finne, Kjersti Stabell Wiggen, Maria Ekre, Eirin Pedersen, Anne Grete Tøge

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引用次数: 0

摘要

招募问题是终止临床试验最常见的原因。护士通常在招聘过程中发挥着不可或缺的作用，但与雇用护士进行招聘和资格筛选相关的优势和挑战尚未得到很好的审查。本研究探讨了在挪威护士-家庭伙伴关系（NFP）试验中，委托家庭护士承担筛选、招募和随访参与者的双重责任的经验、优势和挑战。方法我们利用调查数据（n = 28）和定性访谈数据，这些数据来自结构化焦点小组访谈（n = 29），访谈对象是挪威五个不同试验区的家庭护士。结果结果表明，在NFP试验中，让家庭护士进行招募和筛选的主要优势之一是他们的临床专业知识和在筛选过程中照顾服务不足的参与者的能力。然而，家庭护士发现护士和研究人员的双重身份是复杂的，有时是具有挑战性的，主要是由于他们对干预和参与者的随机化的强烈信念。对于护士来说，助手和研究者的双重角色通常是具有挑战性的，但他们的参与可以显著影响试验的成功。本研究强调了在服务不足人群中进行随机对照试验的一些固有挑战，并强调了未来研究探索在临床试验中雇用护士的促进因素的必要性。

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The dual role of family nurses in recruiting and screening of underserved populations for a randomized controlled trial

Introduction

Recruitment issues are the most common reason for the discontinuation of clinical trials. Nurses often play an integral role in the recruitment process, yet the advantages and challenges associated with employing nurses for recruitment and eligibility screening have not been well examined. This study explores the experiences, advantages, and challenges of entrusting family nurses with the dual responsibilities of screening, recruiting, and following up with participants in the Norwegian Nurse-Family Partnership (NFP) trial.

Methods

We draw on survey data (n = 28) and qualitative interview data from structured focus group interviews (n = 29) with family nurses operating in five distinct Norwegian trial regions.

Results

The results suggest that one of the primary advantages of having family nurses conduct recruitment and screening in the NFP trial is their clinical expertise and ability to attend to underserved participants during the screening process. However, family nurses found the duality of being both nurses and researchers complex and, at times, challenging, primarily due to their strong belief in the intervention and the randomization of participants.

Discussion

The dual role of helper and researcher can often be challenging for nurses, yet their engagement can significantly impact the success of a trial. This study highlights some inherent challenges of conducting randomized-controlled trials in underserved populations and underscores the need for future research to explore facilitating factors for employing nurses in clinical trials.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.