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当评估针对乳腺癌患者的生活方式干预措施时,作为博士生研究员和从业者的双重角色所带来的冲突反思。

A Reflection on the Tensions of Acting in Dual Roles of Doctoral Researcher and Practitioner when Evaluating a Lifestyle Intervention for Breast Cancer Patients.

机构信息

School of Allied Health and Community, University of Worcester, Henwick Grove, Worcester, WR2 6AJ, UK.

School of Psychology, University of Worcester, Henwick Grove, Worcester, WR2 6AJ, UK.

出版信息

J Cancer Educ. 2023 Feb;38(1):383-386. doi: 10.1007/s13187-022-02180-w. Epub 2022 May 23.

DOI:10.1007/s13187-022-02180-w
PMID:35606574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9852099/
Abstract

This reflection was completed as part of a doctoral project to develop and trial a lifestyle intervention for people following the completion of their treatment for breast cancer. In this study the graduate student acted in the dual roles of nutrition practitioner and researcher. This article uses the experience, reflection, action (ERA) cycle of reflection to consider some of the tensions faced due to the divergent priorities and requirements of these two roles. One challenge occurred during study recruitment when a few potential participants did not meet the inclusion criteria for the study but still wished to attend the intervention sessions. It was also a challenge to mitigate the risks of distress of potentially vulnerable participants during group intervention sessions. In both instances there was a potential conflict between the needs of patients and research requirements. This reflection concluded that the obligations of both roles should be adhered to where possible, but if in doubt, the needs of the participants were paramount.

摘要

本反思是完成博士项目的一部分,该项目旨在为完成乳腺癌治疗的患者开发和试验一种生活方式干预措施。在这项研究中,研究生同时担任营养从业者和研究人员的双重角色。本文使用经验、反思、行动(ERA)反思循环来考虑由于这两个角色的不同优先事项和要求而面临的一些紧张局势。在研究招募过程中遇到了一个挑战,即一些潜在的参与者不符合研究的纳入标准,但仍希望参加干预课程。在小组干预课程中减轻潜在弱势参与者的困扰风险也是一个挑战。在这两种情况下,患者的需求和研究要求之间都存在潜在的冲突。本反思得出的结论是,尽可能遵守两个角色的义务,但如果有疑问,参与者的需求是最重要的。

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本文引用的文献

1
Recruitment to the "Breast-Activity and Healthy Eating After Diagnosis" (B-AHEAD) Randomized Controlled Trial.“诊断后乳腺活动与健康饮食”(B - AHEAD)随机对照试验的招募工作。
Integr Cancer Ther. 2018 Mar;17(1):131-137. doi: 10.1177/1534735416687850. Epub 2017 Jan 23.
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Once a clinician, always a clinician: a systematic review to develop a typology of clinician-researcher dual-role experiences in health research with patient-participants.从医一生,医者恒医:一项系统性综述,旨在构建针对涉及患者参与者的健康研究中医者-研究者双重角色体验的类型学。
BMC Med Res Methodol. 2016 Aug 9;16:95. doi: 10.1186/s12874-016-0203-6.
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The challenges of conducting a nurse-led intervention in a randomized controlled trial with vulnerable participants.在一项针对弱势群体参与者的随机对照试验中开展由护士主导的干预措施所面临的挑战。
Nurs Res Pract. 2014;2014:394237. doi: 10.1155/2014/394237. Epub 2014 Apr 30.
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J Nutr. 2007 Jan;137(1 Suppl):243S-248S. doi: 10.1093/jn/137.1.243S.
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Quality of life in breast cancer survivors as identified by focus groups.通过焦点小组确定的乳腺癌幸存者的生活质量。
Psychooncology. 1997 Mar;6(1):13-23. doi: 10.1002/(SICI)1099-1611(199703)6:1<13::AID-PON231>3.0.CO;2-S.