Sahs John A, Nicasio Andel V, Storey Joan E, Guarnaccia Peter J, Lewis-Fernández Roberto
Department of Psychiatry, Columbia University Medical Center, Adult Psychiatry Clinic, New York Presbyterian-Columbia, 635 West 165th Street, 6th floor, New York, NY, 10032, USA.
Center of Excellence for Cultural Competence, New York State Psychiatric Institute, New York, USA.
Community Ment Health J. 2017 Aug;53(6):647-660. doi: 10.1007/s10597-016-0073-8. Epub 2016 Nov 29.
Research collaboration in "real world" practice settings may enhance the meaningfulness of the findings and reduce barriers to implementation of novel intervention strategies. This study describes an initiative to integrate research into a hospital-based outpatient psychiatric clinic within an academic medical center, focusing on collaborative processes across three research projects. We report on the varied outcomes of the projects and utilize data from two focus groups to identify the key elements that contributed to the challenges and successes. We identify barriers to practice-research collaborations that emerged even when the initial circumstances of the partnership were favorable. These barriers include the presence of varied agendas across clinicians and investigators, resource constraints, limited staff buy-in, and staff turnover. In highlighting the lessons learned in this collaborative process, we hope to facilitate successful partnerships in other clinical settings.
在“现实世界”实践环境中的研究合作可能会增强研究结果的意义，并减少新干预策略实施的障碍。本研究描述了一项将研究整合到学术医疗中心内一家医院门诊精神科诊所的倡议，重点关注三个研究项目的协作过程。我们报告了这些项目的不同结果，并利用来自两个焦点小组的数据来确定导致挑战和成功的关键因素。我们确定了即使在合作初期情况有利时也会出现的实践-研究合作障碍。这些障碍包括临床医生和研究人员之间存在不同的议程、资源限制、员工参与度有限以及人员流动。在强调这一协作过程中吸取的经验教训时，我们希望促进其他临床环境中的成功合作。
