Yuan Huadi, Lan Meijuan, He Hong, Hong Pinghua, Gao Liyan
Head Nurse, Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Zhejiang, China.
Director, Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Zhejiang, China.
J Res Nurs. 2024 Aug;29(4-5):334-345. doi: 10.1177/17449871241246971. Epub 2024 Aug 12.
Under-recruitment in clinical trials has become a worldwide problem, and has many causes that need to be understood. Clinical Research Nurses (CRNs) provide a new research perspective.
To understand the current situation about the informed consent rate after the participation of CRNs and analyse the possible influencing factors.
This cross-sectional study was conducted at a hospital. A convenience sample was used to study patients with pulmonary nodules who underwent day surgery from March to May 2023. Patients first received information from doctors and a second session by CRNs was provided for those who initially were hesitant about the research. A questionnaire survey was conducted using an online survey platform to collect information.
After education by doctors, 208 patients were hesitant and CRNs conducted a second education session, the CICARE model was used for communication. Following this session a further 161 patients were willing to participate. Finally, 374 patients were willing to participate. Related factors include age, education level and the attitude of self-assessed family members towards their participation in clinical projects.
CRNs' participation can improve patients' willingness to participate. It is crucial to pay attention to the role of CRNs and propose a new model of CRNs involvement in clinical research based on identifying factors.
临床试验入组不足已成为一个全球性问题,且有许多成因需要了解。临床研究护士(CRNs)提供了一个新的研究视角。
了解临床研究护士参与后知情同意率的现状,并分析可能的影响因素。
本横断面研究在一家医院进行。采用便利抽样法对2023年3月至5月接受日间手术的肺结节患者进行研究。患者首先从医生处获取信息,对于那些最初对研究犹豫不决的患者,由临床研究护士提供第二轮信息。使用在线调查平台进行问卷调查以收集信息。
在医生进行教育后,208名患者犹豫不决,临床研究护士进行了第二轮教育,采用CICARE模式进行沟通。在此轮沟通后,又有161名患者愿意参与。最终,374名患者愿意参与。相关因素包括年龄、教育水平以及自我评估的家庭成员对其参与临床项目的态度。
临床研究护士的参与可提高患者的参与意愿。重视临床研究护士的作用,并在识别因素的基础上提出临床研究护士参与的新模式至关重要。