Reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trials

Introduction: Clinical research professionals (i.e., clinical research assistants, clinical research nurses, clinical research coordinators, etc.), as outlined by the Joint Task Force (JTF) Core Competency Framework, are highly trained to support the breadth of clinical trial operations and manage p...

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Main Authors: Jamie M. Besel, Elizabeth A. Johnson, Jiahui Ma, Becky Kiesow
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1309073/full
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author Jamie M. Besel
Jamie M. Besel
Elizabeth A. Johnson
Elizabeth A. Johnson
Jiahui Ma
Jiahui Ma
Becky Kiesow
author_facet Jamie M. Besel
Jamie M. Besel
Elizabeth A. Johnson
Elizabeth A. Johnson
Jiahui Ma
Jiahui Ma
Becky Kiesow
author_sort Jamie M. Besel
collection DOAJ
description Introduction: Clinical research professionals (i.e., clinical research assistants, clinical research nurses, clinical research coordinators, etc.), as outlined by the Joint Task Force (JTF) Core Competency Framework, are highly trained to support the breadth of clinical trial operations and manage participant care. Clinical research professionals are uniquely equipped with a scope of practice that permits product administration, participant assessments, and data management. As clinical trials grow in complexity and their management expands beyond traditional, site-based operations models to decentralized and/or hybrid models, the need becomes great to ensure adequate staffing. However, rural hospitals frequently lack the research staff or patient recruiters that would allow them to support decentralized clinical trials across a sizeable rural geographic demographic.Methods: This paper examines the contributory factors of the clinical research professional workforce contraction and response efforts at professional and organizational levels within a large, Magnet-designated healthcare system in the rural northwestern United States. Perspectives are shared on adapting the Core Competency Framework to reflect the unique strengths and opportunities towards decentralized trials in rural regions of the United States and areas of priority for workforce cultivation and retention. A descriptive survey was used to gather initial data identifying the current research perspectives of healthcare workers working across a rural community. Participants were asked to complete questions about the JTF Competency domains and behavior-based questions.Analysis: Both competency and behavior-based questions were asked and related to roles. These were then cross-referenced using a Rasmussen Ladder system. Descriptive statistics were conducted for sample characteristics, self-reported competency domain questions, and behavior questions.Results and discussion: Survey findings suggest that although healthcare workers and clinical research teams interact, they are unlikely to ask their patients to participate in research. Based on the limited response rate, results suggest that better education throughout the rural community could benefit from decentralized research efforts. Increased use of technology was also highlighted as an area of interest.
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spelling doaj.art-deda445021364efdb505af56e6c8bff32023-12-21T04:16:50ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-12-011410.3389/fphar.2023.13090731309073Reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trialsJamie M. Besel0Jamie M. Besel1Elizabeth A. Johnson2Elizabeth A. Johnson3Jiahui Ma4Jiahui Ma5Becky Kiesow6Billings Clinic, Collaborative Science and Innovation, Billings, MT, United StatesMark and Robyn Jones College of Nursing, Montana State University, Bozeman, MT, United StatesMark and Robyn Jones College of Nursing, Montana State University, Bozeman, MT, United StatesBiomedical Innovation for Research and Development Hub, Montana State University, Bozeman, MT, United StatesBiomedical Innovation for Research and Development Hub, Montana State University, Bozeman, MT, United StatesNorm Asbjornson College of Engineering, Montana State University, Bozeman, MT, United StatesBillings Clinic, Diabetes Research, Billings, MT, United StatesIntroduction: Clinical research professionals (i.e., clinical research assistants, clinical research nurses, clinical research coordinators, etc.), as outlined by the Joint Task Force (JTF) Core Competency Framework, are highly trained to support the breadth of clinical trial operations and manage participant care. Clinical research professionals are uniquely equipped with a scope of practice that permits product administration, participant assessments, and data management. As clinical trials grow in complexity and their management expands beyond traditional, site-based operations models to decentralized and/or hybrid models, the need becomes great to ensure adequate staffing. However, rural hospitals frequently lack the research staff or patient recruiters that would allow them to support decentralized clinical trials across a sizeable rural geographic demographic.Methods: This paper examines the contributory factors of the clinical research professional workforce contraction and response efforts at professional and organizational levels within a large, Magnet-designated healthcare system in the rural northwestern United States. Perspectives are shared on adapting the Core Competency Framework to reflect the unique strengths and opportunities towards decentralized trials in rural regions of the United States and areas of priority for workforce cultivation and retention. A descriptive survey was used to gather initial data identifying the current research perspectives of healthcare workers working across a rural community. Participants were asked to complete questions about the JTF Competency domains and behavior-based questions.Analysis: Both competency and behavior-based questions were asked and related to roles. These were then cross-referenced using a Rasmussen Ladder system. Descriptive statistics were conducted for sample characteristics, self-reported competency domain questions, and behavior questions.Results and discussion: Survey findings suggest that although healthcare workers and clinical research teams interact, they are unlikely to ask their patients to participate in research. Based on the limited response rate, results suggest that better education throughout the rural community could benefit from decentralized research efforts. Increased use of technology was also highlighted as an area of interest.https://www.frontiersin.org/articles/10.3389/fphar.2023.1309073/fullclinical trial enrollmentruralfrontierdecentralized trialsclinical research professionaljoint task force competency framework
spellingShingle Jamie M. Besel
Jamie M. Besel
Elizabeth A. Johnson
Elizabeth A. Johnson
Jiahui Ma
Jiahui Ma
Becky Kiesow
Reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trials
Frontiers in Pharmacology
clinical trial enrollment
rural
frontier
decentralized trials
clinical research professional
joint task force competency framework
title Reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trials
title_full Reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trials
title_fullStr Reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trials
title_full_unstemmed Reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trials
title_short Reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trials
title_sort reimagining the joint task force core competency framework for rural and frontier clinical research professionals conducting hybrid and decentralized trials
topic clinical trial enrollment
rural
frontier
decentralized trials
clinical research professional
joint task force competency framework
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1309073/full
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