A screening tool for predicting gatekeeping behaviour
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1Edinburgh Napier University Edinburgh EH11 4BN UK.
Aim:
To develop a typology and screening tool for gatekeeping behaviours by nurses responsible for recruitment in palliative care research.
Design:
Concurrent analysis.
Method:
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.
Results:
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.
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