Who’s included? The role of the Clinical Research Nurse in enabling research participation for under-represented and under-served groups

Abstract

Background There is a global call for more inclusive clinical research that is representative of all populations, particularly those historically under-represented or under-served. A lack of broad representation results in disproportionate health outcomes and limits the applicability and translation of research findings. Aim Identify and describe barriers to participation across the research lifecycle and consider the role of the Clinical Research Nurse (CRN) in promoting inclusivity, including for Aboriginal and Torres Strait Islander Peoples within Australia. Discussion Review of recent literature and best practice identified barriers to research participation across the research process; at system, participant and practitioner levels. This discussion paper explores the role of the CRN; acting as enablers, facilitators and navigators, to mitigate participation barriers. Conclusion With their comprehensive understanding of the research process, clinical care pathways, reflective practices and participant-centred approaches, CRNs are uniquely positioned to advocate for greater equity in access to clinical research and to motivate stakeholders across the research enterprise to embed inclusive approaches in the design, conduct and dissemination of research. Implications for Practice An in-depth understanding of the research process, self, and cultural norms of the populations they serve is essential for CRNs to effectively advocate for equity in access to research.

Characteristics and duties of clinical research nurses: a scoping review

“…CRNs were also involved in communication within the research team, coordinating research visits by researchers and facilitating the research team’s attention to subjects. In addition, CRNs are required to coordinate barriers, the barriers to clinical trial within the team and those encountered by participants in clinical trial ( 28 ). For investigator visits, CRNs coordinated, received and monitored the visit, coordinating the research physician’s time with the subject’s visit requirements (Liu et al, 2020).…”