School of Medicine, Logan Campus, Griffith University, University Drive Meadowbrook, Meadowbrook Q 4131, Australia.
BMC Health Serv Res. 2012 Aug 27;12:276. doi: 10.1186/1472-6963-12-276.
Evidence-based practice aims to achieve better health outcomes in the community. It relies on high quality research to inform policy and practice; however research in primary health care continues to lag behind that of other medical professions. The literature suggests that research capacity building (RCB) functions across four levels; individual, team, organisation and external environment. Many RCB interventions are aimed at an individual or team level, yet evidence indicates that many barriers to RCB occur at an organisational or external environment level. This study asks senior managers from a large healthcare organisation to identify the barriers and enablers to RCB. The paper then describes strategies for building allied health (AH) research capacity at an organisational level from a senior managers' perspective.
This qualitative study is part of a larger collaborative RCB project. Semi-structured in-depth interviews were conducted with nine allied health senior managers. Recorded interviews were transcribed and NVivo was used to analyse findings and emergent themes were defined.
The dominant themes indicate that the organisation plays an integral role in building AH research capacity and is the critical link in creating synergy across the four levels of RCB. The organisation can achieve this by incorporating research into its core business with a whole of organisation approach including its mission, vision and strategic planning. Critical success factors include: developing a co-ordinated and multidisciplinary approach to attain critical mass of research-active AH and enhance learning and development; support from senior managers demonstrated through structures, processes and systems designed to facilitate research; forming partnerships to increase collaboration and sharing of resources and knowledge; and establishing in internal framework to promote recognition for research and career path opportunities.
This study identifies four key themes: whole of organisation approach; structures, processes and systems; partnerships and collaboration; and dedicated research centres, units and positions. These themes form the foundation of a model which can be applied to assist in achieving synergy across the four levels of RCB, overcome barriers and create an environment that supports and facilitates research development in AH.
循证实践旨在实现社区更好的健康结果。它依赖于高质量的研究来为政策和实践提供信息；然而，基层医疗保健的研究仍然落后于其他医学专业。文献表明，研究能力建设（RCB）在四个层面上发挥作用；个人、团队、组织和外部环境。许多 RCB 干预措施针对个人或团队层面，但有证据表明，RCB 的许多障碍发生在组织或外部环境层面。本研究要求来自大型医疗机构的高级管理人员识别 RCB 的障碍和促成因素。本文从高级管理人员的角度描述了在组织层面上建立辅助健康（AH）研究能力的策略。
这项定性研究是一个更大的合作 RCB 项目的一部分。对 9 名辅助健康高级管理人员进行了半结构化深入访谈。记录的访谈被转录，使用 NVivo 对结果进行分析，并确定了新兴主题。
主导主题表明，组织在建立 AH 研究能力方面发挥着不可或缺的作用，是在 RCB 的四个层面上建立协同作用的关键环节。该组织可以通过将研究纳入其核心业务，采用全组织方法，包括其使命、愿景和战略规划来实现这一目标。关键成功因素包括：发展协调一致的多学科方法，以获得大量的研究活跃的 AH，并加强学习和发展；通过旨在促进研究的结构、流程和系统来展示高级管理人员的支持；建立伙伴关系，以增加合作和资源知识共享；并建立内部框架，以促进对研究的认可和职业机会。
本研究确定了四个关键主题：全组织方法；结构、流程和系统；伙伴关系和合作；以及专门的研究中心、单位和职位。这些主题构成了一个模型的基础，该模型可用于协助实现 RCB 的四个层面的协同作用，克服障碍，并创造一个支持和促进 AH 研究发展的环境。
