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    Editorial: Building the clinical research workforce: challenges, capacities and competencies
    (Frontiers Media SA, 2024-07) Jones, Carolynn T.; Johnson, Elizabeth; Bierer, Barbara E.; Snyder, Denise C.; Smith, Hazel Ann; Akuffo, Emma; Sonstein, Stephen
    In this editorial, we summarize the identified headwinds evident in the clinical research professional workforce, ranging from capacity constraints to aligning competencies with the complexity of modern clinical research. This editorial is part of the Research Topic: “Building the Clinical Research Workforce: Challenges, Capacities and Competencies”. To move beyond common challenges, we outline opportunities for innovation in medical and pharmacological advancements from this Research Topic.
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    A global pilot comparative, cross-sectional study of clinical research nurses/research midwives: Definition, knowledge base, and communication skills related to the conduct of decentralized clinical trials
    (Cambridge University Press, 2024-01) Johnson, Elizabeth A.; Hill, Gordon; Smith, Hazel Ann; Marsh, Lisa; Beer, Kelly
    Background: A gap in the literature exists pertaining to a global research nurse/research midwife resources and communication skill set necessary to engage with participants of diverse populations and geographic regions in the community or home-based conduct of decentralized clinical trials. Aims: An embedded mixed methods study was conducted to examine research nurse/research midwife knowledge base, experiences, and communication skill sets pertaining to decentralized trials across global regions engaged in remote research: the USA, Republic of Ireland, United Kingdom, and Australia. Methods: An online survey was deployed across international research nurse/research midwife stakeholder groups, collecting demographics, decentralized trial experience, barriers and facilitators to optimal trial conduct, and the self-perceived communication competence (SPCC) and interpersonal communication competence (IPCC) instruments. Results: 86 research nurses and research midwives completed the survey across all countries: The SPCC and IPCC results indicated increased clinical research experience significantly correlated with increased SPCC score (p < 0.05). Qualitative content analysis revealed five themes: (1) Implications for Role, (2) Safety and Wellbeing, (3) Training and Education, (4) Implications for Participants, and (5) Barriers and Facilitators. Conclusions: Common trends and observations across the global sample can inform decentralized trial resource allocation and policy pertaining to the research nurse/research midwife workforce. This study demonstrates shared cultural norms of research nursing and midwifery across varied regional clinical trial ecosystems.
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