Snowden Austyn, Young Jenny
Edinburgh Napier University Edinburgh EH11 4BN UK.
Nurs Open. 2017 May 7;4(4):187-199. doi: 10.1002/nop2.83. eCollection 2017 Oct.
To develop a typology and screening tool for gatekeeping behaviours by nurses responsible for recruitment in palliative care research.
Concurrent analysis.
Two focus groups were conducted in 2015 with nine qualified hospice community nurses involved in recruitment to a trial in palliative care. The literature was searched for research into gatekeeping from 2000-2016. All narrative examples of gatekeeping activity were coded using gerunds. Common codes were then grouped and interpreted as a social process.
Gatekeeping is normal and should be expected. A continuum typology emerged, ranging from unintentional to active disengagement. Justification ranged from forgetting to deliberately not mentioning the study for fear of burdening patients. Viewing gatekeeping as a continuum allowed for the creation of a screening tool designed to collaboratively discuss and hence mitigate specific types of gatekeeping behaviour before they occur. This is a unique international contribution to this persistent issue.
为姑息治疗研究中负责招募工作的护士的把关行为制定一种类型划分方法和筛选工具。
同步分析。
2015年对九名参与姑息治疗试验招募工作的合格临终关怀社区护士进行了两个焦点小组访谈。检索了2000年至2016年有关把关研究的文献。所有把关活动的叙述性例子都用动名词进行编码。然后将常见编码进行分组并解释为一个社会过程。
把关是正常的，应该被预料到。出现了一种连续体类型划分，范围从不自觉到主动脱离。理由从忘记到故意不提该项研究以免给患者造成负担。将把关视为一个连续体有助于创建一种筛选工具，旨在进行协作讨论，从而在特定类型的把关行为发生之前加以缓解。这是对这一长期问题的独特国际贡献。
