Harding Katherine, Lynch Lauren, Porter Judi, Taylor Nicholas F
Eastern Health, Level 2, 5 Arnold Street, Box Hill, Vic. 3128, Australia. Email:.
Aust Health Rev. 2017 Mar;41(1):45-53. doi: 10.1071/AH15180.
Objective The aim of the present study was to determine whether there is an association between having research culture in a health service and better organisational performance. Methods Using systematic review methods, databases were searched, inclusion criteria applied and study quality appraised. Data were extracted from selected studies and the results were synthesised descriptively. Results Eight studies were selected for review. Five studies compared health services with high versus low levels of research activity among the workforce. Three studies evaluated the effect of specific interventions focused on the health workforce. All studies reported a positive association between research activity and organisational performance. Improved organisational performance included lower patient mortality rates (two of two studies), higher levels of patient satisfaction (one of one study), reduced staff turnover (two of two studies), improved staff satisfaction (one of two studies) and improved organisational efficiency (four of five studies). Conclusions A stronger research culture appears to be associated with benefits to patients, staff and the organisation. What is known about this topic? Research investment in the health workforce can increase research productivity of the health workforce. In addition, investment in clinical research can lead to positive health outcomes. However, it is not known whether a positive research culture among the health workforce is associated with improved organisational performance. What does this paper add? The present systematic review of the literature provides evidence that a positive research culture and interventions directed at the health workforce are associated with patient, staff and organisational benefits. What are the implications for practitioners? For health service managers and policy makers, one interpretation of the results could be to provide support for initiatives directed at the health workforce to increase a research culture in health services. However, because association does not imply causation, managers need to interpret the results with caution and evaluate the effect of any initiatives to increase the research culture of the health workforce on the performance of their organisation.
目的 本研究旨在确定卫生服务机构中拥有研究文化与更好的组织绩效之间是否存在关联。方法 采用系统评价方法，检索数据库，应用纳入标准并评估研究质量。从选定的研究中提取数据，并对结果进行描述性综合分析。结果 八项研究被选入综述。五项研究比较了员工研究活动水平高与低的卫生服务机构。三项研究评估了针对卫生人力的特定干预措施的效果。所有研究均报告研究活动与组织绩效之间存在正相关。组织绩效的改善包括降低患者死亡率（两项研究中的两项）、提高患者满意度（一项研究中的一项）、降低员工流动率（两项研究中的两项）、提高员工满意度（两项研究中的一项）以及提高组织效率（五项研究中的四项）。结论 更强的研究文化似乎与对患者、员工和组织都有益处相关。关于这个主题已知的情况是什么？对卫生人力的研究投资可以提高卫生人力的研究生产力。此外，对临床研究的投资可以带来积极的健康结果。然而，尚不清楚卫生人力中的积极研究文化是否与改善组织绩效相关。本文补充了什么？本系统文献综述提供了证据，表明积极的研究文化和针对卫生人力的干预措施与患者、员工和组织的益处相关。对从业者有什么启示？对于卫生服务管理者和政策制定者而言，对结果的一种解读可能是为旨在提高卫生服务机构研究文化的针对卫生人力的举措提供支持。然而，由于关联并不意味着因果关系，管理者需要谨慎解读结果，并评估任何旨在提高卫生人力研究文化的举措对其组织绩效的影响。
