Sinfield Paul, Donoghue Kim, Horobin Adele, Anderson Elizabeth S
Department of Health Sciences, University of Leicester, UK.
Qual Prim Care. 2012;20(3):191-8.
The National Institute for Health Research initiative 'collaborations for leadership in applied health research and care' (CLAHRC) in Leicestershire Northamptonshire and Rutland (LNR) is a partnership between the University of Leicester and NHS trusts in LNR that aims to reduce the second gap in translation (the long delay between conducting research and it having an impact on clinical practice).
CLAHRC-LNR appointed specialist staff as boundary spanners and knowledge brokers to improve links between academia and the NHS, and to facilitate a range of activities designed to increase the implementation of research evidence. An interprofessional and interdisciplinary approach is used and incorporates a range of activities including: applied research, service evaluation and pilot projects, education and training events, knowledge dissemination activities and developing networks to increase the use of research in the NHS partners.
CLAHRC-LNR's close collaboration with partner NHS trusts has aided the development of a programme of applied research that aims to develop interprofessional teamworking to improve healthcare systems and patient outcomes. Co-ordinators (boundary spanners) have been appointed in trusts and have been crucial in facilitating interprofessional working. Activities include a successful programme of training and education courses within the NHS partner trusts using the principles of interprofessional education. CLAHRC-LNR is developing the use of knowledge exchange events and workshops as well as establishing communities of practice to bring together professionals from across LNR NHS trusts and the University of Leicester to share their expertise and build interprofessional relationships. CLAHRC fellows (knowledge brokers) are being appointed to work with co-ordinators to facilitate the use of research evidence in decision making in the trusts and clinical commissioning groups (CCGs).
Interprofessional working is integral to the approach adopted by CLAHRC-LNR, running through many of its activities, and is proving vital to addressing and helping to close the second gap in translation.
英国国家卫生研究院发起的“应用健康研究与护理领导力合作”（CLAHRC）项目在莱斯特郡、北安普敦郡和拉特兰（LNR）开展，是莱斯特大学与LNR地区国民保健服务信托基金之间的合作项目，旨在缩小翻译过程中的第二个差距（即研究成果应用于临床实践的延迟时间过长）。
CLAHRC-LNR项目任命了专业人员作为边界跨越者和知识经纪人，以改善学术界与国民保健服务之间的联系，并推动一系列旨在增加研究证据应用的活动。该项目采用跨专业和跨学科的方法，包括一系列活动，如应用研究、服务评估和试点项目、教育与培训活动、知识传播活动，以及建立网络以促进国民保健服务合作伙伴对研究的应用。
CLAHRC-LNR与国民保健服务信托基金合作伙伴的紧密合作推动了一项应用研究项目的开展，该项目旨在发展跨专业团队合作，以改善医疗系统和患者治疗效果。各信托基金已任命协调员（边界跨越者），他们在促进跨专业合作方面发挥了关键作用。活动包括在国民保健服务合作伙伴信托基金内成功开展的一系列培训和教育课程，这些课程采用了跨专业教育的原则。CLAHRC-LNR正在发展知识交流活动和研讨会的应用，并建立实践社区，将LNR地区国民保健服务信托基金和莱斯特大学的专业人员聚集在一起，分享他们的专业知识，建立跨专业关系。CLAHRC研究员（知识经纪人）被任命与协调员合作，以促进在信托基金和临床委托小组（CCG）的决策过程中应用研究证据。
跨专业合作是CLAHRC-LNR所采用方法的核心，贯穿其许多活动，对于解决并帮助缩小翻译过程中的第二个差距至关重要。
