NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Faculty of Health, Psychology and Social care, Manchester Metropolitan University, Manchester, UK.
J Clin Nurs. 2018 Apr;27(7-8):e1462-e1476. doi: 10.1111/jocn.14264. Epub 2018 Mar 26.
To explore the research culture of nurses and allied health professionals (AHPs) in the UK and the influence of a dedicated research strategy and funding. It is important to understand the culture in order to effectively promote evidence-based patient care. The primary aim of this research was to explore the influence of research-focused exposure on the research culture of nurses and AHPs in the UK and to identify whether there was a difference in the research culture between a research-focused and non-research-focused clinical area (City and Riverside Hospitals).
This is a unique and novel study that explored and compared the research culture stance of both AHPs and nurses.
METHODS: A mixed methods design was used in this study. Tools used included the "Research Capacity and Culture tool" as an online survey, three focus group discussions and five semi-structured interviews with senior managers. Focus groups included research-naive groups from both hospitals and a research-active group from City Hospital.
There were 224 responses received from 941 surveys with a 24% response rate. Descriptive statistics of the survey results indicated that there was a difference (p = .001) in the mean score of the research culture between City Hospital (5.35) and Riverside Hospital (3.90), but not between nurses and AHPs (p = .12). Qualitative data findings from the framework analysis were congruent and supported the survey results. The results provided empirical evidence to support a whole-level approach in order to improve the research culture. Both findings showed that there may not be any difference in the research culture between professional groups. Importantly, new evidence is presented to suggest that there were crucial communication issues which were hampering the research culture and there was a lack of support at the middle management level which needed to be tackled to improve the research culture of nurses and AHPs.
The study highlighted the need to include a whole-level approach in organisation to improve research culture and to include communication within the Cooke's framework if evidence-based practice is to influence the quality of patient care.
探索英国护士和辅助卫生专业人员（AHPs）的研究文化，以及专门的研究策略和资金的影响。了解文化对于有效地促进基于证据的患者护理非常重要。这项研究的主要目的是探索以研究为重点的暴露对英国护士和 AHPs 的研究文化的影响，并确定在以研究为重点和非以研究为重点的临床领域（城市和河滨医院）之间，研究文化是否存在差异。
这是一项独特而新颖的研究，探讨并比较了 AHPs 和护士的研究文化立场。
方法：本研究采用混合方法设计。使用的工具包括作为在线调查的“研究能力和文化工具”、三个焦点小组讨论和与高级管理人员的五次半结构化访谈。焦点小组包括来自两家医院的研究新手小组和来自城市医院的研究活跃小组。
共收到来自 941 份调查的 224 份回复，回复率为 24%。调查结果的描述性统计表明，城市医院（5.35）和河滨医院（3.90）之间的研究文化平均得分存在差异（p=0.001），但护士和 AHPs 之间不存在差异（p=0.12）。框架分析的定性数据结果是一致的，并支持调查结果。研究结果提供了实证证据，支持采用整体方法来提高研究文化。这两个发现都表明，在专业群体之间，研究文化可能没有任何差异。重要的是，新的证据表明，在研究文化中存在着关键的沟通问题，这阻碍了研究文化的发展，而且中层管理层面缺乏支持，需要加以解决，以提高护士和 AHPs 的研究文化。
这项研究强调了在组织中采用整体方法来提高研究文化的必要性，并在考克框架内纳入沟通，如果要影响患者护理质量，就必须采用基于证据的实践。
