Recruiting participants for palliative care research: A reflective discussion paper.

Background: This discussion paper provides a reflection on ethical aspects of participant recruitment experiences during one research (PhD) project in the Republic of Ireland (ROI). Using Gibbs' framework for reflection, this paper examines these experiences. The research (PhD) project that informed...

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Published in:Nursing Ethics Vol. 32; no. 7; pp. 2091 - 2100
Main Authors: McCarthy, Bríd, Connolly, Michael, Timmins, Fiona, O'Connell, Neil
Format: tables/charts Journal Article
Published: Sage Publications Inc. Nov2025
Online Access:View this record in EBSCOhost
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      dt: Nov2025
      vid: 32
      iid: 7
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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      tig:
        atl: Recruiting participants for palliative care research: A reflective discussion paper.
      aug:
        au:
          McCarthy, Bríd
          Connolly, Michael
          Timmins, Fiona
          O'Connell, Neil
        affil: University College Dublin
      sug:
        subj:
          Caregivers Psychosocial Factors
          Caregiver Attitudes
          Terminally Ill Patients
          Research Subject Recruitment Ethical Issues
          Palliative Care
          Research, Medical Ethical Issues
          Research Ethics Ireland
          Reflection
          Discussion
          Ireland
          Conceptual Framework
          Interviews
          Home Environment
          Workload
          Gatekeeping
          Patient Attitudes
      ab: Background: This discussion paper provides a reflection on ethical aspects of participant recruitment experiences during one research (PhD) project in the Republic of Ireland (ROI). Using Gibbs' framework for reflection, this paper examines these experiences. The research (PhD) project that informed this reflection aimed to understand the experiences of family caregivers when caring for family members at the end of their life, through recorded interviews in the home, within the context of palliative care provision. Ethical approval had been granted for the main study; however, this paper does not draw on empirical data from the study. Aim: This discussion paper aims to provide a reflection on some challenges faced when   recruiting family caregivers at end of life during the research (PhD) project. Methods: Gibbs' framework for reflection was used to reflect on experiences of recruitment of 10 family caregivers, whose relatives were receiving palliative care, and who were interviewed in their home environments. Findings: Our reflections revealed that the recruitment process was protracted and challenging. When attempting to recruit family caregivers for the stud y, recruitment extended over a longer period than originally planned. Our reflections suggest that while gatekeeper workload was an influencing factor, a concern arose that they may have applied their own additional and persona l ethical measures to determine participant suitability. Conclusion: More education and supportive collaboration with gatekeepers may be required to ensure that they develop a more comprehensive understanding of the gatekeeper role and are assured and informed of the ethical benchmarks that precede d their involvement. Enhanced understanding may highlight the benefits of families taking part in healthcare research.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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