Balancing dual roles in end-of-life research

Wanda Martin, Meredith Grey, Terry Webber, Linnea Robinson, Nancy Hartt, Moira Cairns, Kelli I. Stajduhar

Abstract


Ethical and practical issues are sure to arise from the majority of research studies done with palliative populations. Whether it is feeling opportunistic, being emotionally available, or struggling with witnessing a gap in service and needs of the participants receiving care, nurses involved in research find a way to balance both roles to meet the needs of the participants as well as the study (McIlfatrick, Sullivan, & McKenna, 2006). This paper highlights some of the practical and ethical issues that arise when frontline nurses also take on the role of research assistant for studies with palliative populations. Specifically, the authors highlight their personal experiences based on their research assistant work on a study examining family caregiver coping in end-of-life cancer care. The authors discuss the “balancing act” of taking on these dual roles and offer recommendations on how to be with and approach people when doing research at the end of life using a framework based on Swanson’s Theory of Caring (1991).


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References


Addington-Hall, J. (2002). Research sensitivities to palliative care

patients. European Journal of Cancer Care, 11, 220-224.

Asselin, M.E. (2003). Insider research. Issues to consider when doing

qualitative research in your own setting. Journal for Nurses in

Staff Development, 19(2), 99-103.

Beale, B., & Wilkes, L. (2001). Nurse researcher: Always a

researcher, sometimes a nurse. Collegian, 8(4), 33-39.

Canadian Institute for Health Information. (2006). Workforce trends of

registered nurses in Canada, 2005. Retrieved March 5, 2007, from

http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=PG_590_E&

cw_topic=590&cw_rel=AR_20_E

Casarett, D.J., & Karlawish, J.H.T. (2000). Are special ethical

guidelines needed for palliative care research? Journal of Pain

and Symptom Management, 20(2), 130-139.

Clarke, J.M., & Johnson, B. (2003). Collecting sensitive data: The

impact on researchers. Qualitative Health Research,13(3), 421-

Colbourne, L., & Sque, M. (2004). Split personalities: Role conflict

between the nurse and the nurse researcher. Journal of Research

in Nursing, 9(4), 297-304

Daly, B.J., & Rosenfeld, K. (2003). Maximizing benefits and

minimizing risks in health services research near the end of life.

Journal of Pain and Symptom Management, 25(4), S33-S42.

Field, P.A. (1991). Doing fieldwork in your own culture. In J.M.

Morse (Ed.), Qualitative Nursing Research: A Contemporary

Dialogue (Revised). California: Sage Publications.

Head, B., & Ritchie, C. (2004). Researching end-of-life care:

Challenges, strategies and opportunities. Home Healthcare

Nurse, 22(1), 37-44.

Johnson, B., & Clarke, J.M. (2003). Collecting sensitive data: The

impact on researchers. Qualitative Health Research, 13(3), 421-

Kunyk D., & Olson, J.K. (2001). Clarification of conceptualizations

of empathy. Journal of Advanced Nursing, 35(3), 317-325.

Leslie, H., & McAllister, M. (2002). The benefits of being a nurse in

critical social research practice. Qualitative Health Research,

(5), 700-712.

MacIntosh, J. (2003). Reworking professional nursing identity.

Western Journal of Nursing Research, 2(6), 725-741.

McIlfatrick, S., Sullivan, K., & McKenna, H. (2006). Exploring the

ethical issues of the research interview in the cancer context.

European Journal of Oncology Nursing, 10, 39-47.

Mitchell, T., & Jones, S. (2004). Leading and co-ordinating a multinurse

researcher project. Nurse Researcher, 12(2), 42-55.

Polit, D.F., & Hungler, B.P. (1999). Nursing research principles and

methods (6th ed.). Philadelphia: Lippincott Williams & Wilkins.

Swanson, K.M. (1991). Empirical development of a middle range

theory of caring. Nursing Research, 40(3), 161-6.


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