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A screening tool for predicting gatekeeping behaviour.

Austyn Snowden1, Jenny Young1

  • 1Edinburgh Napier University Edinburgh EH11 4BN UK.

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|November 1, 2017
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Summary
This summary is machine-generated.

Nurse gatekeeping in palliative care research is common and ranges from unintentional to active avoidance. A new screening tool helps identify and mitigate these behaviors before they impact patient recruitment.

Keywords:
burdenconcurrent analysisgatekeepinggate‐keepingnursepalliative carepaternalismrecruitmentresearch methodsscreening toolvulnerable populations

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Area of Science:

  • Palliative Care Research
  • Nursing Practice
  • Health Services Research

Background:

  • Gatekeeping behaviors by nurses can hinder patient recruitment in palliative care research.
  • Understanding these behaviors is crucial for improving research participation.

Purpose of the Study:

  • To develop a typology of nurse gatekeeping behaviors.
  • To create a screening tool to identify and mitigate gatekeeping in palliative care research recruitment.

Main Methods:

  • Conducted two focus groups with nine hospice community nurses involved in palliative care research recruitment.
  • Performed a literature search (2000-2016) for gatekeeping research.
  • Coded and grouped narrative examples of gatekeeping as a social process.

Main Results:

  • Identified a continuum typology of gatekeeping behaviors, from unintentional to active disengagement.
  • Justifications for gatekeeping included forgetting or deliberately withholding study information to avoid patient burden.
  • Developed a screening tool based on the gatekeeping continuum to proactively address behaviors.

Conclusions:

  • Gatekeeping is an expected phenomenon in research recruitment.
  • The developed screening tool offers a novel approach to mitigate gatekeeping in palliative care research.
  • This work provides a unique international contribution to addressing persistent recruitment challenges.