Roberts Rosa, Perry Nicky, Phillips Alan, Richardson Daniel, Soni Suneeta
Brighton and Sussex Medical School, University of Sussex Brighton, Brighton, UK
Department of Sexual Health and HIV Medicine, Royal Sussex County Hospital, Brighton, UK.
Int J STD AIDS. 2015 Feb;26(2):107-12. doi: 10.1177/0956462414531241. Epub 2014 Apr 8.
Clinical research improves patient care and is a government priority. We sought the opinions of genito-urinary medicine clinic staff regarding undertaking research, any barriers they perceived, and methods to optimise study recruitment. Questionnaires were offered to everyone working in the genito-urinary medicine clinic over a one-week period. In addition, four focus groups were held with genito-urinary medicine clinic staff. Forty-three questionnaires were completed. All respondents stated that research was important; however, 14.0% worried that it affected patient care and 16.3% would rather see patients without having to consider research. Doctors were more likely to enjoy discussing studies than other healthcare staff (p = 0.029) and were less likely to think that too many studies were being conducted at one time (p = 0.027). Forty staff attended the focus groups. Time, knowledge of studies, difficulty in broaching the topic of research and patient factors were cited as barriers to recruitment. Suggestions to improve recruitment included: greater multi-disciplinary team involvement; improving staff research knowledge; streamlining the research process; and patient education. Reasons for different attitudes between staff disciplines towards research included different training pathways and incentives to conduct research. The recommendations staff have made to help drive recruitment should be implemented in the genito-urinary medicine clinic.
临床研究可改善患者护理，也是政府的一项优先事项。我们征求了泌尿生殖医学诊所工作人员对开展研究的意见、他们所察觉到的任何障碍以及优化研究招募的方法。在为期一周的时间里，我们向泌尿生殖医学诊所的每一位工作人员发放了调查问卷。此外，还与泌尿生殖医学诊所的工作人员举行了4次焦点小组讨论。共完成了43份调查问卷。所有受访者均表示研究很重要；然而，14.0%的人担心研究会影响患者护理，16.3%的人宁愿诊治患者而无需考虑研究。与其他医护人员相比，医生更愿意讨论研究（p = 0.029），且不太可能认为同时开展的研究过多（p = 0.027）。40名工作人员参加了焦点小组讨论。时间、对研究的了解、开启研究话题的困难以及患者因素被视为招募的障碍。改善招募的建议包括：加强多学科团队参与；提高工作人员的研究知识；简化研究流程；以及对患者进行教育。不同科室工作人员对研究态度不同的原因包括不同的培训途径和开展研究的激励措施。工作人员提出的有助于推动招募的建议应在泌尿生殖医学诊所实施。
