Trent Research & Development Support Unit (RDSU), University of Nottingham, Nottingham, NG7 2RD, UK.
Health Soc Care Community. 2009 May;17(3):244-53. doi: 10.1111/j.1365-2524.2008.00821.x.
Research Capacity Development (RCD) in the National Health Service supports the production of evidence for decision-making in policy and practice. This study aimed to establish a level of consensus on a range of indicators to measure research capacity in primary care organizations. Indicators were developed in a two-stage process using workshops and modified nominal group technique. In 2005, workshops were used to generate possible indicators from a wide range of research active and research-interested people. A theoretical framework of six principles of RCD was used to explore and identify indicators. Data were thematically coded, and a 129-item, 9-point Likert scale questionnaire was developed. A purposive sample of nine experts in developing research capacity in primary care agreed to take part in a nominal group in April 2006. The questionnaire was circulated prior to the meeting, and analysis of the responses formed the basis for structured discussion. Participants were then asked to rescore the questionnaire. Only seven participants were able to take part in the discussion and rescore stages. Data were analysed in two ways: level of relevance attributed to each indicator as a measure of organizational RCD, represented by median responses (medians of 7-9 defined strong support, 4-6 indicated moderate support and 1-3 indicated weak support), and level of consensus reached by the group. Consensus was reached if 85% of the group rated an indicator within the same band. Eighty-nine (68%) indicators were ranked as strongly relevant, and for seventy-three of these indicators, a consensus was reached. The study was successful in generating a set of agreed indicators considered relevant for measuring RCD in primary care organizations. These will form the basis of a pilot tool kit to assist primary care organizations to develop research capacity. Further work will explore the applicability of the indicators in practice.
研究能力发展（RCD）在国家卫生服务中支持为政策和实践中的决策提供证据。本研究旨在就一系列衡量初级保健组织研究能力的指标达成一定程度的共识。指标是通过使用研讨会和修改后的名义群体技术的两阶段过程开发的。2005 年，研讨会用于从广泛的研究活跃和研究感兴趣的人中生成可能的指标。使用 RCD 的六个原则的理论框架来探索和确定指标。数据进行了主题编码，并开发了一份 129 项、9 点李克特量表问卷。2006 年 4 月，9 名在初级保健中发展研究能力的专家应邀参加了名义小组。在会议之前，问卷被分发出去，对答复的分析构成了结构化讨论的基础。然后要求参与者重新对问卷进行评分。只有 7 名参与者能够参加讨论和重新评分阶段。数据进行了两种方式的分析：每个指标作为组织 RCD 衡量标准的相关性程度，由中位数反应（中位数为 7-9 表示强烈支持，4-6 表示中度支持，1-3 表示弱支持）表示，以及小组达成的共识程度。如果 85%的小组成员对同一指标进行评分，则达成共识。89（68%）个指标被评为高度相关，其中 73 个指标达成共识。该研究成功地生成了一组被认为与衡量初级保健组织 RCD 相关的协议指标。这些将成为帮助初级保健组织发展研究能力的试点工具包的基础。进一步的工作将探索指标在实践中的适用性。
