Johnson Julie K, Barach Paul, Vernooij-Dassen Myrra
Centre for Clinical Governance Research, University of New South Wales, Sydney, NSW 2052, Australia.
BMJ Qual Saf. 2012 Dec;21 Suppl 1:i22-8. doi: 10.1136/bmjqs-2012-001197. Epub 2012 Oct 25.
A multicentre, multinational research study requires careful planning and coordination to accomplish the aims of the study and to ensure systematic and rigorous examination of all project methods and data collected.
The aim of this paper is to describe the approach we used during the HANDOVER Project to develop a multicentre, multinational research project for studying transitions of patient care while creating a community of practice for the researchers.
We highlight the process used to assure the quality of a multicentre qualitative study and to create a codebook for data analysis as examples of attending to the community of practice while conducting rigorous qualitative research.
Essential elements for the success of this multinational, multilanguage research project included recruiting a strong research team, explicit planning for decision-making processes to be used throughout the project, acknowledging the differences among the study settings and planning the protocols to capitalise upon those differences.
Although not commonly discussed in reports of large research projects, there is an underlying, concurrent stream of activities to develop a cohesive team that trusts and respects one another's skills and that engage independent researchers in a group process that contributes to achieving study goals. We discuss other lessons learned and offer recommendations for other teams planning multicentre research.
一项多中心、跨国研究需要精心规划与协调，以实现研究目标，并确保对所有项目方法和收集的数据进行系统且严谨的审查。
本文旨在描述我们在“交接项目”（HANDOVER Project）期间所采用的方法，即开发一个多中心、跨国研究项目，以研究患者护理的过渡情况，同时为研究人员创建一个实践社区。
我们着重介绍用于确保多中心定性研究质量以及创建数据分析编码手册的过程，以此作为在进行严谨定性研究时关注实践社区的示例。
这个跨国、多语言研究项目成功的关键要素包括组建一支强大的研究团队、为整个项目中要使用的决策过程进行明确规划、认识到各研究地点之间的差异，并规划方案以利用这些差异。
尽管在大型研究项目报告中通常不会讨论，但存在一个潜在的、并行的活动流程，即组建一个相互信任、尊重彼此技能的凝聚性团队，并让独立研究人员参与到有助于实现研究目标的团队过程中。我们讨论了其他经验教训，并为计划开展多中心研究的其他团队提供建议。
