Browsing by Person "Hill, Gordon"

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Duality of practice in clinical research nursing
(SAGE, 2022-04-01) Hill, Gordon; Ellis, Mairghread JH; Irvine, Lindesay
Background: International evidence suggests that Clinical Research Nurses (CRN) can have a dual role incorporating both clinical care and research responsibilities. This duality of role often assists in meeting the clinical care and research needs of the participants and can contribute to the credibility of the CRN role. Conversely, it can also lead to feelings of confusion and role conflict as CRN’s time is divided. Aim: To identify and explore experiences of clinical and research roles among CRNs. This emerged as a theme in a wider research project exploring CRNs’ experiences of working with clinical nurses. Methods: Following an Interpretative Phenomenological Analysis approach, 10 CRNs participated in face-to-face semi-structured interviews. Transcribed data were analysed and a number of themes emerged. Duality of role was one of these. Findings: Findings indicated that if CRNs fulfil a dual role, this can assist in care provision, research delivery and in building positive relationships with clinical nurses. However, there were also instances when a dual role led to clinical nurses questioning the value of research and to issues with competing demands of clinical care and research. These experiences had an important impact on some of the CRNs and led to reflection on the value of their role. Conclusions: This study identifies new understandings of a dual role of the CRN. The findings will inform the preparation and practice of this group of nurses, whilst also leading to a deeper understanding of the CRN’s role in care and research delivery. It will also contribute to a wider appreciation of organisational factors and social interactions that impact on health care research.
Exploring clinical research nurses’ experiences of working with clinical nurses
(Queen Margaret University, Edinburgh, 2018) Hill, Gordon
Introduction Over the last 10-15 years the role of the clinical research nurse (CRN) has evolved, with many CRNs now participating in the design, planning, analysis and dissemination of research. However, from the literature it is evidenced that despite this, CRNs have difficulties in developing a positive working relationship with clinical (ward-based) nurses. Additionally, previous literature identified that liminality, isolation, perceptions of CRNs and issues related to the transition from a clinical nurse to a CRN appeared to be important. However, the experiences of CRN’s have never been fully explored in this context. Research Question How do CRNs make sense of their relationship with clinical nurses? Methodology A qualitative approach, using interpretative phenomenological analysis, was utilised for this research. This approach allowed an exploration of the lived experience of the CRNs interactions with clinical nurses and generated real-life information on their relationships. Methods Semi-structured interviews were conducted with ten CRNs. The rich data gathered from these informed a deeper understanding of the relationships between CRNs and clinical nurses. Analysis The interviews were transcribed by the researcher and analysed individually. Once this process was completed, the findings were combined to develop over-arching super-ordinate themes. This followed the process suggested by Smith, Flowers and Larkin (2009). Findings New understanding emerged from this study, including perceptions of harm, particular issues relating to CRNs from clinical research facilities, negative impacts of poor relationships with clinical nurse specialists and how relationships with doctors can impact on how CRNs are perceived. Additionally, theoretical constructs including duality, dramaturgy and injurious misconception were also identified and explored. Conclusion The study indicated that CRNs value their relationship with clinical nurses. This relationship assists in conducting successful clinical research and confirming the importance of the CRN role. However, there appear to be some difficulties that should be addressed, to further enhance this relationship for the benefit of patients, CRNs and the clinical nurses.