Challenges of recruiting emergency department patients to a qualitative study: a thematic analysis of researchers’ experiences

Price, Delyth, Edwards, Michelle, Carson-Stevens, Andrew , Cooper, Alison, Davies, Freya, Evans, Bridie, Hibbert, Peter, Hughes, Thomas, Rainer, Tim, Siriwardena, A. Niroshan and Edwards, Adrian (2020) Challenges of recruiting emergency department patients to a qualitative study: a thematic analysis of researchers’ experiences. BMC Medical Research Methodology, 20 (1). ISSN 1471-2288

Full content URL: https://doi.org/10.1186/s12874-020-01039-2

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Challenges of recruiting emergency department patients to a qualitative study: a thematic analysis of researchers’ experiences
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Abstract

Background
At times of increasing pressure on emergency departments, and the need for research into different models of service delivery, little is known about how to recruit patients for qualitative research in emergency departments. We report from one study which aimed to collect evidence on patients’ experiences of attending emergency departments with different models of using general practitioners, but faced challenges in recruiting patients. This paper aims to identify and reflect on the challenges faced at all stages of patient recruitment, from identifying and inviting eligible patients, consenting them for participation and finally to engaging them in interviews, and make recommendations based on our learning.

Methods
A thematic analysis was carried out on field-notes taken during research visits and meeting minutes of discussions to review and improve patient recruitment throughout the study.

Results
The following factors influenced the success of patient recruitment in the emergency department setting: complicated or time-consuming electronic health record systems for identifying patients; narrow participant eligibility criteria; limited research nurse support; and lack of face-to-face communication between researchers and eligible patients.

Conclusions
This paper adds to the methodological evidence for improving patient recruitment in different settings, with a focus on qualitative research in emergency departments. Our findings have implications for future studies attempting to recruit patients in similar settings.

Keywords:Emergency Department, service delivery, qualitative research, thematic analysis, patient recruitment
Subjects:A Medicine and Dentistry > A300 Clinical Medicine
Divisions:College of Social Science > School of Health & Social Care
ID Code:41113
Deposited On:18 Jun 2020 14:24

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