Research Nursing, my experience

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Hello all,

Research nursing is a hidden gem that I don't feel like many nurses know about in general, or what we actually do. I see a lot of the same questions that get asked. I am going to try the best I can to help shed some light as I was in the same shoes just a few short months ago researching (pun intended) about research nursing and I am so glad I listened to my gut, applied, and got the position!

Quick background of me: 6 years nursing: 3.5 years general step-down bedside nursing, 2.5 years OR circulating nursing mixed in with some travel nursing while I was doing bedside. I left bedside because I was feeling the burn out and needed change. I wanted something completely new and went to OR. From there, I was not happy with the environment I would frequently find myself in (stress, negativity, surgeon/ and co-worker hostility and "strong personalities", favoritism, call, etc.). I was feeling the burn out AGAIN and needed a change to find my niche.

Fast forward on the job search for something new and I came across a position for research nursing in a teaching facility associated with a university. I researched as best I could, but I could only find generic broad answers about research nursing. I applied because what the heck, got an interview, followed by an offer, and acceptance.

Here's the good stuff you're wanting to know. I am still learning my position and much like anywhere else in nursing, your type of job (for example, my focus is on specific cancers in the oncology department), and where you work (what support teams/departments they have determine what type of duties/responsibilities you will have) will determine your day to day.

This is just an example of how things could be based on my own experience.

We do clinical trials for targeted cancers. I am one of many nurse coordinators in my department and we each have a specific cancer focus. Each focus has X amount of clinical trial studies being done and we are each responsible for our own. So will see our patients in clinic with the Oncologist, we will schedule the patients next appointments/labs/scans per protocol of the study, work with other departments to get pertinent information from the patient to pass on (think of it like this: the Oncologist and the nurse coordinator are the "face" of the study that the patient sees and we get the initial information. Then we forward the appropriate information to the other departments of the study such as regulatory, data, finance, etc etc.).

We screen patients to see if they are eligible for a study based off the protocol eligibility criteria. Our recruitment is primarily through the MD's and referrals from other MD's, so we are not responsible for recruitment of studies. I have read about other people mention they are also responsible for recruiting new patients, but that is not the case for me. We will also build the treatment plan based off the protocol and forward it to the next step for review. Essentially we build the initial skeleton of the treatment plan that gets passed on to get more in depth with each review until it finally gets to the PI (Principle Investigator which is the MD) for final review before implementation.

As you can see, there's not just one big main task we do. It's more frequent, smaller tasks we are responsible for, but for MANY patients. Keeping up with follow up appointments, paperwork, where each patient is in their treatment cycle and day of that cycle that determines what labs or scans or meds they are due for can get overwhelming if you don't stay on top of everything. Imagine this as a realistic example: you have 10 studies, and give or take 3-15 patients per study. That's A LOT of information, due dates, requirements, paperwork to keep track of. The key is staying extremely organized and planning ahead. So if that's something your good at and enjoy, this is probably right up your alley.

As far as the environment and all that fun stuff.

For my job, it's an office job. Business casual, M-F normal clinic hours (sometimes hours vary depending on your doctors clinic hours), no weekends, no holidays. If you stay late or come in early one day, you usually can leave or come in later at sometime later in the week that works with your schedule. The only stress I get, if any, is mostly just related to keeping everything straight and staying on top of everything. But even that, in the grand scheme of nursing stress, it's like a 2/10 tops at its worst. If I compare it to my OR days, it's like a -20/10.

Our MD's are extremely, EXTREMELY receptive to what we have to say and respect us as colleagues instead of lesser than. That is still taking me sometime to get used to; maybe I have PTSD from places I have worked in the past (LOL). My co-workers are extremely helpful, team orientated, and I think I have been told at least a billion times to not hesitate if I have any questions or need help because even if they don't know the answer, they will help me find out where to get it.

So to summarize, I am SO happy and thankful I took the plunge and made the switch. Is it for everyone? Nah, especially if you're in that "I NEED TO SAVE LIVES; I'LL PUSH THE EPI AND GIVE CPR ALL DAY' type of vibe. I was like that back in the day and if I tried to get into something like research nursing when I was wanting to do the life saving, adrenaline pumping hands on stuff, I probably wouldn't have been happy doing this. But being where I am today where I was very unhappy bordering on depression, burnt out and tired of the stress and feeling constantly like I was being pulled in 20 different directions every shift, I was mentally ready and excited for this transition.

So was it worth it for me? Heck yeah! Will the change be worth it for you? That's something you need to think about and what type of nursing you are looking for.

Good luck and I hope I was some help providing some knowledge into the world or research nursing!

Hey! Thank you so much for sharing your experience. I've been a nurse for 2 years and I haaaate it. I'm trying so hard to find something else but I just haven't had luck. I'm tired of the stress, always being sad, depressed, feeling like I'm doing nothing with my life. I'm so stressed and burnt out IDK what to do. Seems like nursing is just horrible over all but you have me some hope. I'm definitely looking for less stress, no or very little anxiety and just being comfortable and happy working. This stress is gonna kill me?. I thought research was like the bedside but It doesn't seem so.  Thank you for sharing..

Specializes in ED & Critical Care CEN, TCRN, CCRN.

Research Nursing is VERY different. I work PRN as a Clinical Research Coordinator/ Research Nurse for M3 Wake Research here in Raleigh, NC. I work mainly Phase 1. There CAN be a "bedside" component. We recently had a versed study via autoinjector. Once injected, I monitored their 02 sats, vitals, performed scheduled lab draws spaced from q2 to q1hr from an IV I placed, cardiac monitoring with a 1:2 ratio, & RASS scoring. (ALOT different from the Sedation Narrator in the ED LOL ). Other times, I'm handing controlled tobacco IP (during a tobacco study)  and collecting 24 hr urine samples on a 30 day patient confinement. Look for Phase 1 studies if you want MORE hands-on vs late phase (2 or 3). My late phase work is generally scheduled appts, vitals, monitoring for AEs, screening new participants, etc. It's a pace change from the ER for me. 

Specializes in retired from healthcare.
22 hours ago, Medic2RN72 said:

Research Nursing is VERY different.  There CAN be a "bedside" component. I monitored their 02 sats, vitals, performed scheduled lab draws spaced from q2 to q1hr from an IV I placed, cardiac monitoring with a 1:2 ratio, & RASS scoring.  

 

Thank you so much for sharing. I really appreciate the info because with this, I realize research nursing is not for me. I don't want really anything to do with direct patient care anymore 

Specializes in ED & Critical Care CEN, TCRN, CCRN.
12 hours ago, JustGetIt said:

Thank you so much for sharing. I really appreciate the info because with this, I realize research nursing is not for me. I don't want really anything to do with direct patient care anymore 

It depends on your role. If you function as a CRC (Clinical Research Coordinator), you are not doing pt care. Some nurses function as CRCs and not research nurses.  Assessments are done by PIs & Sub PIs (Primary Investigators or Sub-Investigators)  I.e. Physicians or PA/NP. Your role would be to coordinate the study (responding to querries & deviations, poc for the participants, follow-up appts, screening for inclusion/exclusion criteria on MULTIPLE CASES.....you would be waaaaayyyyyyyy to busy for patient care. It all depends on who you work for. Is it hospital based research organization? Is it a research company? Does it have phase 1 studies? I function as both in my role. I'm listed as a Research Nurse, but function as both CRN & CRC. 

I'd also like to chime in and thank @Medic2RN72 for this info! Am I right in thinking that research nurse roles typically follow 8hr/day 5 days a week schedule--no weekends/holidays unlike a hospital schedule (3 12's or 4 10s's etc) and the pay is usually less than floor nursing?

Specializes in ED & Critical Care CEN, TCRN, CCRN.
On 11/16/2021 at 2:39 PM, mal92 said:

I'd also like to chime in and thank @Medic2RN72 for this info! Am I right in thinking that research nurse roles typically follow 8hr/day 5 days a week schedule--no weekends/holidays unlike a hospital schedule (3 12's or 4 10s's etc) and the pay is usually less than floor nursing?

Depends on the Phase. Phase 1 study may have a 7 day confinement (Mon - Mon) with lab draws q3 hrs, EKG q6hrs, and vitals q2hrs (all depends on your source or instructions for your study). Of that's the case, you may have shifts! Late phase work like (Phase 2 or 3) is usually 8hr/5days (mon-fri). As for pay, depends as well. If your are working as a CRN/CRC, its typically lower than inpatient (floor nursing), but if you work as a CRA or higher up in research (like traveling for the sponsor, giving presentations to sights) its typically 6 figures! Sorry I responded late!

Hi, current CRN here. I do a balance between the bedside and administrative. At our site we do as much for the PI/Sub-I as the protocol will allow. I administer meds, do physical assessments, consent the subjects, etc. We have research associates (non-RNs) that assist with the administrative part. We still do screening, management, coordination, etc. It really just depends on your state's laws on what a CRN can do and what your institution is set up to do. We require a BSN with 2 years of (preferred) acute care experience. This is to ensure our clinical skills are well developed. I am never bored. I am currently managing 9 studies as a lead and I'm backup on many other studies. CRNs, if you didn't know, IACRN (International Association of Clinical Research Nurses) offers a certification for nurses specifically. It's a great way to network around the world, too. 

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