A screening tool for predicting gatekeeping behaviour

Snowden, Austyn; Young, Jenny

Abstract

Aim: To develop a typology and screening tool for gatekeeping behaviours by nurses responsible for recruitment in palliative care research. Design: Concurrent analysis. Method: Two focus groups were conducted in 2015 with nine qualified hospice community nurses involved in recruitment to a trial in palliative care. The literature was searched for research into gatekeeping from 2000–2016. All narrative examples of gatekeeping activity were coded using gerunds. Common codes were then grouped and interpreted as a social process. Results: Gatekeeping is normal and should be expected. A continuum typology emerged, ranging from unintentional to active disengagement. Justification ranged from forgetting to deliberately not mentioning the study for fear of burdening patients. Viewing gatekeeping as a continuum allowed for the creation of a screening tool designed to collaboratively discuss and hence mitigate specific types of gatekeep-ing behaviour before they occur. This is a unique international contribution to this persistent issue. K E Y W O R D S burden, concurrent analysis, gatekeeping, gate-keeping, nurse, palliative care, paternalism, recruitment, research methods, screening tool, vulnerable populations

Citation

Snowden, A., & Young, J. (2017). A screening tool for predicting gatekeeping behaviour. Nursing Open, 4(4), 187-199. https://doi.org/10.1002/nop2.83

• Journal Article Type: Article
• Acceptance Date: Mar 28, 2017
• Online Publication Date: May 7, 2017
• Publication Date: 2017-10
• Deposit Date: May 30, 2017
• Publicly Available Date: May 30, 2017
• Journal: Nursing Open
• Print ISSN: 2054-1058
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 4
• Issue: 4
• Pages: 187-199
• DOI: https://doi.org/10.1002/nop2.83
• Keywords: burden; concurrent analysis; gatekeeping; gate-keeping; nurse; palliative care; paternalism; recruitment; research methods; screening tool; vulnerable populations
• Public URL: http://researchrepository.napier.ac.uk/Output/841573