Please note: diagram removed for copyright reasons, please see caption for reference information. Discussion of recruitment Staff Engagement There were a number of factors that impacted on the recruitment for the RCT, the first being the challenge of engaging staff in the research, and building a good working relationship within a team (MDT) at the Royal Derby Hospital. The structure of the gynaecological-oncology department is included in Chapter 1 of this thesis, and this structure had both positive and negative effects on recruitment. The support for this trial within the gynaecological-oncology department came predominantly from the Senior Gynaecological-Oncologist (SGO) within the department, and the CNSs. Although the SGO saw, or was responsible for the care of approximately one third of all gynaecological-oncology patients seen at the Royal Derby Hospital, a high proportion were seen by other consultants, registrars and nurses within the department. The SGO was involved in the trial from the early planning stages and was aware of much of the literature surrounding the efficacy of certain types of CAM with the cancer population, in particular the literature surrounding yoga. This was also similar with regards to the CNSs – they were included early on in the planning phase and were asked for input about the design of the trial. One issue for lack of ‘buy-in’ from the medical staff was their attitude towards . Research in this area has highlighted a number of different perspectives. Milden & Stokols’ (2004) qualitative research into physicians’ attitudes towards CAM highlighted that clinicians in America felt that they did not have enough knowledge about CAM, and that they believed more education was required before
Please note: diagram removed for copyright reasons, please see caption for reference information. Discussion of recruitment Staff Engagement There were a number of factors that impacted on the recruitment for the RCT, the first being the challenge of engaging staff in the research, and building a good working relationship within a team (MDT) at the Royal Derby Hospital. The structure of the gynaecological-oncology department is included in Chapter 1 of this thesis, and this structure had both positive and negative effects on recruitment. The support for this trial within the gynaecological-oncology department came predominantly from the Senior Gynaecological-Oncologist (SGO) within the department, and the CNSs. Although the SGO saw, or was responsible for the care of approximately one third of all gynaecological-oncology patients seen at the Royal Derby Hospital, a high proportion were seen by other consultants, registrars and nurses within the department. The SGO was involved in the trial from the early planning stages and was aware of much of the literature surrounding the efficacy of certain types of CAM with the cancer population, in particular the literature surrounding yoga. This was also similar with regards to the CNSs – they were included early on in the planning phase and were asked for input about the design of the trial. One issue for lack of ‘buy-in’ from the medical staff was their attitude towards . Research in this area has highlighted a number of different perspectives. Milden & Stokols’ (2004) qualitative research into physicians’ attitudes towards CAM highlighted that clinicians in America felt that they did not have enough knowledge about CAM, and that they believed more education was required before
Final+Thesis+for+UDORA.docx