Olaussen Alexander, Jennings Paul A, O'Reilly Gerard, Mitra Biswadev, Cameron Peter A
Emergency and Trauma Centre, The Alfred Hospital, Melbourne, Victoria, Australia.
National Trauma Research Institute, The Alfred Hospital, Melbourne, Victoria, Australia.
Emerg Med Australas. 2017 Apr;29(2):204-209. doi: 10.1111/1742-6723.12734. Epub 2017 Jan 17.
Research underpins evidence-based practice, but there are significant barriers to conducting research relevant to each clinical discipline. Understanding these barriers could allow strategies to reduce their impact. The present study was undertaken to understand specific barriers to research for emergency medicine (EM) trainees.
EM trainees attending research short courses were surveyed. Free-text responses were classified into themes and a list of pre-specified potential barriers was used for ranking purposes.
The responders (n = 61/90; 67.8%) were young, mostly male with low confidence in leading a research project and limited previous research experience. There were 155 unique barriers identified from 55 respondents, which fitted into nine categories. The most frequently perceived barrier was time (29%), followed by skills (22.6%) and cultural factors (19.4%). Most trainees (n = 54/56, 96.4%) believed that the barriers could be overcome. Strategies suggested included protection of time, mentoring and education, as well as top-down improved research culture.
Barriers to research in EM are similar to other specialities and were perceived to be manageable. Reorganisation and refocus of the Australasian College for Emergency Medicine training curriculum may be an option to foster an environment to promote research.
研究是循证医学实践的基础，但开展与各临床学科相关的研究存在重大障碍。了解这些障碍有助于制定减轻其影响的策略。本研究旨在了解急诊医学（EM）实习生开展研究的具体障碍。
对参加研究短期课程的EM实习生进行调查。将自由文本回复分类为主题，并使用预先指定的潜在障碍列表进行排名。
受访者（n = 61/90；67.8%）较为年轻，多数为男性，对领导研究项目信心不足且以往研究经验有限。从55名受访者中识别出155个独特的障碍，可归为九类。最常被提及的障碍是时间（29%），其次是技能（22.6%）和文化因素（19.4%）。大多数实习生（n = 54/56，96.4%）认为这些障碍可以克服。建议的策略包括保障时间、指导与教育，以及自上而下改善研究文化。
EM研究的障碍与其他专业类似，且被认为是可控的。重新组织和调整澳大利亚急诊医学学院的培训课程可能是营造促进研究环境的一种选择。
