Online Exclusive Article

Delineating the Role of a Cohort of Clinical Research Nurses in a Pediatric Cooperative Clinical Trials Group

Kim Nagel

Jamie Gender

Ann Bonner

pediatric oncology, clinical practice, clinical trials
ONF 2010, 37(3), E180-E185. DOI: 10.1188/10.ONF.E180-E185

Purpose/Objectives: To describe the roles and responsibilities of the clinical research nurse (CRN).

Design: A descriptive design was used to reveal the roles of pediatric oncology CRNs.

Setting: The Children's Oncology Group (COG) passwordprotected Web site.

Sample: 85 nurses who performed clinical research associate work within COG.

Methods: The Clinical Trials Nursing Questionnaire was used to investigate the roles and responsibilities of CRNs.

Main Research Variables: Protocol assessment, protocol planning, subject recruitment, informed consent process, investigational product, implementation and evaluation, data management, and professional nursing role.

Findings: The study found that 55% of respondents (n = 47) were employed in a hospital setting, the majority (81%) had more than five years of oncology experience, and the average age of respondents was 45.56 years (range = 24-65 years). CRNs rated all role components as very important, with the consent process being of greatest importance. Eighty-nine percent reported experiencing autonomy and independence in the role.

Conclusions: Clinical specialization of RNs has increased significantly in the past several decades. Acknowledging that nurses are responsible for performing many different roles that are critical to the successful completion of clinical trials is crucial.

Implications for Nursing: Evaluation of this dual role is still in its infancy, but articulating the role of CRNs in the conduct and context of clinical research is an important first step.

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    References

    Bleyer, A. (2002). Cancer in older adolescents and young adults: Epidemiology, diagnosis, treatment, survival and importance of clinical trials. Medical and Pediatric Oncology, 38, 1-10. doi: 10.1002/mpo.1257
    Canadian Nurses Association. (2002). Discussion guide for the unique contribution of the registered nurse. Ottawa, Canada: Author.
    Canadian Nurses Association. (2008). Framework for the practice of registered nurses in Canada. Retrieved from http://www.cna-aiic.ca
    Chadwick, L. (1992). Professional nursing with a new focus: Staff nurse to research coordinator. Journal of Neuroscience Nursing, 24, 170-172.
    CureSearch. (2010). Collaboration, compassion, research … life. Retrieved from http://curesearch.org
    Devine, S., Nagel, K., Benson, L., & Krailo, M. (2005). CRA discipline time and effort study: Children's Oncology Group. Applied Clinical Trials, 14(4), 12-17. Retrieved from http://appliedclinicaltrialsonline.findpharma.com/appliedclinicaltrials… http://appliedclinicaltrialsonline.findpharma.com/appliedclinicaltrials/Site+Issues/CRA-Discipline-Time-and-Effort-Study-Childrens-Onc/ArticleStandard/Article/detail/154234
    Doran, D. I., Sidani, S., Keatings, M., & Doidge, D. (2002). An empirical test of the Nursing Role Effectiveness Model. Journal of Advanced Nursing, 38, 29-39. doi: 10.1046/j.1365-2648.2002.02143.x
    Ehrenberger, H., & Lillington, L. (2004). Development of a measure to delineate the clinical trials nursing role [Online exclusive]. Oncology Nursing Forum, 31, E64-E68. doi: 10.1188/04.ONF. E64-E68
    Engberg, J., & Bliss, D. (2005). Writing a grant proposal—Part 1: Research methods. Journal of Wound, Ostomy and Continence Nursing, 32, 157-162. Retrieved from http://www.nursingcenter.com/Library/JournalArticle.asp?Article_ID=5869… http://www.nursingcenter.com/Library/JournalArticle.asp?Article_ID=586992
    Fishwick, K., Berridge, J., Coffey, M., Colussi, A., DiGiulio, P., Marinus, A., … Peters, M. (2002). The EORTC clinical research coordinators group. European Journal of Cancer, 38, 54-59. doi: 10.1016/S0959-8049(01)00467-1
    Gwede, C., Johnson, D., & Trotti, A. (2000). Tools to study workload issues. Applied Clinical Trials, 9, 40-44. Retrieved from http://connection.ebscohost.com/content/article/1017907270.html;jsessio… http://connection.ebscohost.com/content/article/1017907270.html;jsessionid=ADA74297F59F7A90F0E83D8A812F8FCB.ehctc1
    Loiselle, C., & Profetto-McGrath, J. (2004). Canadian essentials in nursing research. Philadelphia, PA: Lippincott Williams and Wilkins.
    Martin, K. (1994). Coordinating multidisciplinary, collaborative research: A formula for success. Clinical Nurse Specialist, 8, 18-22. doi: 10.1097/00002800-199401000-00008
    Mueller, M., & Mamo, L. (2002). The nurse clinical trial coordinator: Benefits and drawbacks of the role. Research and Theory for Nursing Practice: An International Journal, 16, 33-42. doi: 10.1891/rtnp.16.1.33.52992
    Ocker, B., & Plank, D. M. (2000). The research nurse role in a clinic-based oncology research setting. Cancer Nursing, 23, 286-294. doi: 10.1097/00002820-200008000-00005
    Rice, J., & Cheak, T. (2000). Hospital extra. The role of nursing in hospital-based clinical research. American Journal of Nursing, 100, 24E, 24G-24H. doi: 10.2307/3521829
    Rico-Villademoros, F., Hernando, T., Lopez-Alonso, A., Salamanca, O., Camps, C., & Rosell, R. (2004). The role of the clinical research coordinator/data manager in oncology clinical trials. BMC: Medical Research Methodology, 4(6), 1-11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC406503/?tool=pubmed http://www.ncbi.nlm.nih.gov/pmc/articles/PMC406503/?tool=pubmed
    Ritchie, D., & Tanasichuk, H. (1983). Nursing in clinical research: An extended role for the staff nurse. Canadian Nurse, 79(2), 40-41.
    Roche, K., Paul, N., Smuck, B., Whitehead, M., Zee, B., Pater, J., … Walker, H. (2002). Factors affecting workload of cancer clinical trials: Results of a multicenter study of the National Cancer Institute of Canada clinical trials group. Journal of Clinical Oncology, 20, 545-556. doi: 10.1200/JCO.20.2.545
    Ruccione, K., & Kelly, K. P. (2000). Pediatric oncology nursing in cooperative group clinical trials comes of age. Seminars in Oncology Nursing, 16, 253-260. doi: 10.1053/sonu.2000.16576
    Stephens-Lloyd, A. (2004). The extended role of the clinical research nurse: Building an evidence base for practice. Journal of Research in Nursing, 9, 18-27. doi: 10.1177/136140960400900104