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Article Title:
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A Career Alternative

Article Description:
====================

With the increasing demands in nursing today, many nurse
practitioners are seeking alternative careers to utilize and
compliment their current degrees. Numerous nurses are pursuing
career alternatives as Clinical Research Coordinators;
individuals who aid in the coordination, management and conduct
of clinical research under the supervision of a designated
physician/investigator.


Additional Article Information:
===============================

843 Words; formatted to 65 Characters per Line
Distribution Date and Time: 2008-02-07 10:48:00

Written By:     Lisa Mazurka
Copyright:      2008
Contact Email:  mailto:[EMAIL PROTECTED]



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A Career Alternative
Copyright (c) 2008 Lisa Mazurka
Clinical Research Consulting, Inc.
http://www.eclinicalresearchconsulting.com



The clinical research industry is a rapidly growing field. One
can't turn on the television or read the newspaper without
hearing about the latest and greatest drug approved by the FDA.
With this growth, come new and exciting job opportunities for the
healthcare industry.

The clinical research industry has been responsible for bringing
numerous careers to the forefront for healthcare professionals.
One profession in particular, has been greatly impacted by this
new growing enterprise; nurses.

Particularly, nurses involved in direct patient care are taking
the opportunity to transition from standard clinical care to
roles within the clinical research industry, especially given the
demands on nurses have become greater due to nursing shortages
and numerous healthcare policy changes.

The clinical research coordinator role has become a popular and
sought after career alternative for nurses. Clinical research
coordinators serve to aid in the coordination, management and
conduct of clinical research under the supervision of a
designated physician/investigator. Despite the interest and
eagerness of nurses to leap into this alternative career, it is
not always an easy transition. At least two major obstacles are
often hurdled by nurses; 1) lack of a clear, defined job position
of the clinical research coordinator and 2) lack of education and
training to perform the responsibilities in this new occupation.

A concrete, defined role for the clinical research coordinator is
not well defined in the industry literature. In fact, the ICH GCP
guidelines do not even include a definition for clinical research
coordinator in the definitions section (although you will find
the role of the investigator defined). In a study conducted by
Spilsbury, et. al., 1 the roles, responsibilities and
contributions of clinical research nurses were evaluated.
Findings reported that the clinical research nurse's role can
influence the quality of the research; however the scope of this
role was poorly defined. Further, they analyzed the transition
process from a clinical care nurse to a clinical research
nurse's role through a nursing focus group, and found that the
clinical research nurses reported lack of confidence, role
conflict, challenges in gaining the cooperation of the global
nursing staff, and difficulties maintaining motivation within
their newly defined role.

The second hurdle facing nurses in this new role is lack of
clear, defined responsibilities which can lead to confusion and
misinterpretation. Further, nurses are often not familiar with or
have not been exposed to the specific knowledge or background
required to perform within the function of this position.

To help ease this career transition process and avoid many of the
issues cited by Spilsbury and his colleagues, education and
training is a key factor for a successful career transition.
Without the proper training and education prior to and during
this transition, nurses (and often the physicians supervising the
research and their designated role) are unaware that among
specific job requirements and responsibilities, there are also
federal regulations which they must abide by in the conduct of
clinical research. Further, they are often unaware that there are
specific guidelines (Good Clinical Practice guidelines) which
should be followed. Often, this inexperience results in a naïve
but true noncompliance with the law. Often times, federal
violations resulting from lack of education and training are
found during FDA audits through the FDA's Bioresearch Monitoring
Program.

Despite the importance and growing interest in the clinical
research coordinator role we continue to face challenges and
resistance in supporting education and training for clinical
research coordinators. Bakker, et. al., 2 evaluated a group of
oncology nurses and their perception of research. The study
concluded that the respondents valued research and perceived a
role for nurses in the clinical research industry, however they
did not perceive that there is a strong administrative and
collegial support for their involvement. Many nurses who
transition into this role attempt to seek training and education
from supervisors and senior management but are declined for
various reasons.

Despite the importance to train and educate new clinical research
coordinators, there is no standard requirement for training and
education within the clinical research industry. As nurses
undergo education, training and licensure to practice clinically,
there is no standard requirement when they transition into the
clinical research arena. Until the industry considers education
and training a priority or it becomes a standard job
prerequisite, coordinators will continue to struggle in their
roles and unfortunately not have the ability to function to their
full capacity.

In conclusion, the clinical research industry offers a unique and
stimulating career transitions for nurses. Nurses considering
this transition should first research the roles of the clinical
research coordinator and seek education and training to fulfill
this new occupation. In addition, other suggestions for support
include: membership and involvement in professional clinical
research organizations, peer focus groups and a mentoring
system.

References:

Bakker DA, Trottier T, McChesney C, "Clinical Oncology Nurses'
Perception of Research", Canadian Oncology Nursing Journal, 7
(3): 150-161 (1997)

Spilsbury K, Petherick E, Cullum N, Nelson A, Nixon J, Mason S,
"The Role and Potential Contribution of Clinical Research Nurses
of Clinical Research Nurses to Clinical Trials", Journal of
Clinical Nursing, April 5 (2007




---------------------------------------------------------------------
Lisa Mazurka is Founder and President of Clinical Research 
Consulting, Inc. http://www.eclinicalresearchconsulting.com, 
a full service clinical monitoring, project management, training, 
and educational service organization committed to raising 
standards within the pharmaceutical and biotechnology industries.  Lisa is an 
avid clinical educator and has delivered hundreds of educational programs for 
hospitals, academia and biotech 
start-ups to leading pharmaceutical companies.  She has also 
taught for the Boston University School of Medicine and 
The Massachusetts Biotechnology Council.


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