National HIV Nurses Association
Specialist HIV Nursing Competencies:
Clinical Trial
For all nurses providing care to patients within a clinical trial setting or providing specialist care for patients on a clinical trial
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Relevant KSF dimensions
HWB8: Biomedical investigation and intervention
IK2: Information collection and analysis
G2: Development and innovation
| Level 3 | Level 4 | |
| Plans, undertakes, evaluates and reports biomedical investigations and/or interventions | Plans, undertakes, evaluates and reports complex/unusual biomedical investigations and/or interventions | |
| Reporting and management of clinical trial investigations | Identifies and reports on an abnormality and have an understanding on the protocol and department requirements to manage toxicities Reports on any missing tests not undertaken in accordance with the protocol Checks and confirms appropriate kits are available to undertake study visits. Ensures all tests are carried out in accordance with the protocol Identifies when tests need repeating in accordance with the protocol Plans a patient’s follow up in accordance with protocol and treatment guidelines Collates and interprets the results and reports them to the doctor stating actions to be taken in accordance with the protocol Plans and implements individual patient follow-up to ensure appropriate management Evaluates and reports >grade 4 toxicities as per protocol and implements serious adverse event (SAEs) reporting in accordance with guidelines |
Evaluates the effectiveness of tools to ensure that clinical trial investigations are reported in line with the study protocol Undertake and monitor teaching to ensure study team aware of reporting requirements Reviews policies and procedures in line with departmental and study requirements |
| Taking and processing of clinical trial samples and other investigations | Plans the patient’s visits to ensure that the samples are taken in a timely manner Ensures all samples are obtained and processed in accordance with protocol, local policy and laboratory manuals Undertakes the processing of blood samples in accordance with the protocol and laboratory manual Follows the specific protocol requirements regarding the timing, sequence and processing of samples Documents all results in accordance with protocol and in line with sponsor-specific requirements Undertakes and delivers training to ensure all staff members are aware of guidelines Ensures equipment used is calibrated and monitored in accordance with local and sponsor requirements |
Designs standard operating procedures to ensure samples are taken and processed in accordance with protocol and laboratory manuals Undertakes health and safety assessments to ensure all staff are trained and safe to handle and process of samples Designs and evaluates training programmes in clinical trial guidelines Undertakes a risk assessment on laboratory area Evaluates the outcomes of individual procedures and investigations/interventions as a whole to determine the success of the approaches adopted and any further action required Designs and evaluates quality control systems to monitor the collection, processing and storage of samples |
| Level 3 | Level 4 | |
| Gathers, analyses, interprets and presents extensive and/or complex data and information | Plans, develops and evaluates methods and processes for gathering, analysing, interpreting and presenting data and information | |
| Information collection and analysis | Demonstrates an understanding of the importance of accurate data collection in relation to Good Clinical Practice (GCP) guidelines [1] Uses appropriate tools and techniques to collect data Understands the principles of the Data Protection Act [2] Identifies and understands what constitutes a source document Collects data accurately and systematically in a patient’s notes in accordance with the protocol Identifies different types of data, data collection processes and verification issues during studies Demonstrates an understanding of the role of the clinical research associate Identifies appropriate tools to assist in the identifying of patients for clinical trials Develops and implements tools to assist in data collection Demonstrates an understanding of the importance of auditing within clinical trials |
Demonstrates a comprehensive understanding of the data collection process and the consequences on practice Identifies areas of concern in regard to misconduct and fraud and acts appropriately within GCP guidelines and the Research Governance framework [3] Applies quality assurance methods to ensure data integrity Designs methods for data capture Designs and maintains databases to capture activity data Complies with ICH GCP in the archiving and storage for study related documentation [4] Designs training programmes to train and support staff to in relation to audits and inspections |
| Level 3 | Level 4 | |
| Coordinates and contributes to the planning and implementation of the conduct of clinical trials | Plans, implements, monitors and reviews the allocation and management of clinical trials | |
| Development and innovations | Has a full knowledge of study set-up related documentation Demonstrates effective management in the of the co-ordination of a programme of studies Identifies key resources that are required in order to conduct a study Demonstrates the effective reporting for adverse and serious adverse events Maintains databases of study activity Takes appropriate action in the event of: protocol deviation; serious adverse events; participant withdrawal Demonstrates an understanding of the process to obtain research ethics approval Fully understands the regulatory aspects of clinical research Demonstrates an understanding of the elements of informed consent Assess the patient’s suitability to enter a clinical trial in liaison with the research team |
Designs tools for the assessment of resource requirements and implications of all clinical research projects Initiates and implements risk assessments in accordance with local policies and study protocol Produces detailed costings and resource utilisation information. Leads in the implementation of the national, European and ICH guidelines for the management of research studies Advises, supervises and manages others in the co-ordination of studies Implements the documentation for research ethics approval Reviews and implements the regulatory approval documents and required R&D approvals Undertakes feasibility assessments in accordance with sponsor requirements Designs and evaluates training packages and audit tools for all elements of informed consent |
References
1. See: Good Clinical Practice at the Medicines and Healthcare products Regulatory Agency (MHRA)
website: http://www.mhra.gov.uk
In particular, see: Directive 2001/20/EC of the European Parliament and of the Council of 4 April 2001 and also: EU Directive 2005/28/EC.
2. Data Protection Act 1998: Elizabeth II. Chapter 29. London, The Stationery Office. See also:
http://www.opsi.gov.uk
3. Department of Health. Research Governance Framework for Health and Social Care. 2nd edn. London, Department of Health, 2005.
4. International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. ICH Harmonised Tripartite Guideline: Guideline for Good Clinical Practice EG6(R1). See:
http://www.ich.org
and also:
http://www.instituteofclinicalresearch.org
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