College of Nursing, Georgia Regents University, Augusta, Georgia 30912, USA.
J Trauma Acute Care Surg. 2013 Jul;75(1):173-8.
Few interdisciplinary research groups include basic scientists, pharmacists, therapists, nutritionists, laboratory technicians, as well as trauma patients and families, in addition to clinicians. Increasing interprofessional diversity within scientific teams working to improve trauma care is a goal of national organizations and federal funding agencies such as the National Institutes of Health (NIH). This article describes the design, implementation, and outcomes of a Trauma Interdisciplinary Group for Research (TIGR) at a Level 1 trauma center as it relates to increasing research productivity, with specific examples excerpted from an ongoing NIH-funded study.
We used a pretest/posttest design with objectives aimed at measuring increases in research productivity following a targeted intervention. A SWOT (strengths, weaknesses, opportunities, and threats) analysis was used to develop the intervention, which included research skill-building activities, accomplished by adding multidisciplinary investigators to an existing NIH-funded project. The NIH project aimed to test the hypothesis that accelerated biologic aging from chronic stress increases baseline inflammation and reduces inflammatory response to trauma (projected n = 150). Pre-TIGR/post-TIGR data related to participant screening, recruitment, consent, and research processes were compared. Research productivity was measured through abstracts, publications, and investigator-initiated projects.
Research products increased from 12 to 42 (approximately 400%). Research proposals for federal funding increased from 0 to 3, with success rate of 66%. Participant screenings for the NIH-funded study increased from 40 to 313. Consents increased from 14 to 70. Laboratory service fees were reduced from $300 per participant to $5 per participant.
Adding diversity to our scientific team via TIGR was exponentially successful in (1) improving research productivity, (2) reducing research costs, and (3) increasing research products and mentoring activities that the team before TIGR had not entertained. The team is now well positioned to apply for more federally funded projects, and more trauma clinicians are considering research careers than before.
很少有跨学科研究小组将基础科学家、药剂师、治疗师、营养师、实验室技术人员以及创伤患者和家属与临床医生一起纳入其中。增加致力于改善创伤护理的科学团队中的跨专业多样性是国家组织和联邦资助机构（如美国国立卫生研究院 (NIH)）的目标。本文描述了作为提高研究生产力目标的一个 1 级创伤中心的创伤跨学科研究小组 (TIGR) 的设计、实施和结果，具体示例取自正在进行的 NIH 资助研究。
我们使用了预测试/后测试设计，目标是衡量在有针对性的干预措施之后研究生产力的提高。使用 SWOT（优势、劣势、机会和威胁）分析来制定干预措施，包括通过向现有的 NIH 资助项目中增加多学科研究人员来进行研究技能建设活动。NIH 项目旨在测试慢性应激导致的生物衰老加速会增加基线炎症并降低对创伤的炎症反应的假设（预计 n = 150）。将 TIGR 前/TIGR 后与参与者筛选、招募、同意和研究过程相关的数据进行了比较。研究生产力通过摘要、出版物和研究员发起的项目来衡量。
研究成果从 12 项增加到 42 项（约增加了 400%）。用于联邦资助的研究提案从 0 项增加到 3 项，成功率为 66%。NIH 资助研究的参与者筛选从 40 人增加到 313 人。同意书从 14 份增加到 70 份。实验室服务费用从每位参与者 300 美元降至每位参与者 5 美元。
通过 TIGR 增加我们的科学团队的多样性在以下方面取得了巨大成功：（1）提高了研究生产力，（2）降低了研究成本，（3）增加了团队在 TIGR 之前未曾考虑过的研究产品和指导活动。该团队现在已准备好申请更多联邦资助项目，并且比以前有更多的创伤临床医生考虑从事研究工作。
