Misso Marie L, Ilic Dragan, Haines Terry P, Hutchinson Alison M, East Christine E, Teede Helena J
Monash Centre for Health Research and Implementation, School Public Health and Preventative Medicine, Monash University, MHRP, 43-51 Kanooka Grove, Clayton, VIC, 3168, Australia.
Department of Epidemiology & Preventive Medicine, School of Public Health & Preventive Medicine, Monash University, Level 6, The Alfred Centre, 99 Commercial Rd, Melbourne, VIC, 3004, Australia.
BMC Med Educ. 2016 Jan 14;16:13. doi: 10.1186/s12909-016-0525-4.
Health professionals need to be integrated more effectively in clinical research to ensure that research addresses clinical needs and provides practical solutions at the coal face of care. In light of limited evidence on how best to achieve this, evaluation of strategies to introduce, adapt and sustain evidence-based practices across different populations and settings is required. This project aims to address this gap through the co-design, development, implementation, evaluation, refinement and ultimately scale-up of a clinical research engagement and leadership capacity building program in a clinical setting with little to no co-ordinated approach to clinical research engagement and education.
METHODS/DESIGN: The protocol is based on principles of research capacity building and on a six-step framework, which have previously led to successful implementation and long-term sustainability. A mixed methods study design will be used. Methods will include: (1) a review of the literature about strategies that engage health professionals in research through capacity building and/or education in research methods; (2) a review of existing local research education and support elements; (3) a needs assessment in the local clinical setting, including an online cross-sectional survey and semi-structured interviews; (4) co-design and development of an educational and support program; (5) implementation of the program in the clinical environment; and (6) pre- and post-implementation evaluation and ultimately program scale-up. The evaluation focuses on research activity and knowledge, attitudes and preferences about clinical research, evidence-based practice and leadership and post implementation, about their satisfaction with the program. The investigators will evaluate the feasibility and effect of the program according to capacity building measures and will revise where appropriate prior to scale-up.
It is anticipated that this clinical research engagement and leadership capacity building program will enable and enhance clinically relevant research to be led and conducted by health professionals in the health setting. This approach will also encourage identification of areas of clinical uncertainty and need that can be addressed through clinical research within the health setting.
卫生专业人员需要更有效地融入临床研究,以确保研究能够满足临床需求,并在医疗一线提供切实可行的解决方案。鉴于关于如何最好地实现这一目标的证据有限,需要对在不同人群和环境中引入、调整和维持循证实践的策略进行评估。本项目旨在通过共同设计、开发、实施、评估、完善并最终扩大一个临床研究参与和领导力能力建设项目,来填补这一空白。该临床研究环境几乎没有或完全没有协调一致的临床研究参与和教育方法。
方法/设计:该方案基于研究能力建设原则和一个六步框架,该框架此前已成功实施并实现长期可持续性。将采用混合方法研究设计。方法将包括:(1)回顾关于通过能力建设和/或研究方法教育让卫生专业人员参与研究的策略的文献;(2)审查现有的当地研究教育和支持要素;(3)在当地临床环境中进行需求评估,包括在线横断面调查和半结构化访谈;(4)共同设计和开发一个教育和支持项目;(5)在临床环境中实施该项目;(6)实施前和实施后的评估,并最终扩大项目规模。评估重点是研究活动以及对临床研究、循证实践和领导力的知识、态度和偏好,以及实施后对该项目的满意度。研究人员将根据能力建设措施评估该项目的可行性和效果,并在扩大规模前酌情进行修订。
预计这个临床研究参与和领导力能力建设项目将使卫生专业人员能够在卫生环境中领导和开展与临床相关的研究,并增强这方面的能力。这种方法还将鼓励确定临床不确定性和需求领域,这些领域可通过卫生环境中的临床研究来解决。