Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Leeds Institute of Health Sciences, Leeds, UK.
BMC Med Educ. 2018 Jul 13;18(1):165. doi: 10.1186/s12909-018-1263-6.
Child Health research is reported to be at worryingly low level by the Royal College of Paediatrics and Child Health. Recent survey showed that 54.5% of paediatric consultants in the United Kingdom do not do any research at all. We conducted a mixed methods study to understand barriers and facilitators for research involvement among paediatric trainees who are going to fill these consultant posts in the future.
A questionnaire based on a validated index for research and development was completed by 136 paediatric trainees within a region in the North of England (Yorkshire and Humber). Twelve semi-structured interviews were conducted with stratified purposive sampling. Descriptive statistics and Chi-Square test for independence were used for quantitative analysis. Thematic content analysis was done for interviews based on analysis method framework.
136 out of 396 trainees responded to the survey. There was a significant relationship between confidence in using research in practice and ability to understand research terminology. This was not related to research experience or training. Males were significantly more likely to have presented a research paper, know how research influences practice and have more confidence in using research in practice than females. There was no significant relationship between gender and research training or highest qualification. Time constraints and lack of academic culture were the most frequently mentioned barriers in the survey. Over-arching themes identified from the interviews were related to lack of academic culture, opportunities provided in current training scheme and constraints related to time availability along with workforce management.
Paediatric research requires a supportive academic culture with more flexibility in training scheme and immediate attention to a pressing staffing crisis.
皇家儿科学会（Royal College of Paediatrics and Child Health）报告称，儿童健康研究的水平令人担忧。最近的调查显示，英国 54.5%的儿科顾问根本不做任何研究。我们进行了一项混合方法研究，以了解未来即将填补这些顾问职位的儿科受训者参与研究的障碍和促进因素。
在英格兰北部（约克郡和亨伯地区）的一个地区，136 名儿科受训者完成了一份基于研究和发展验证指数的问卷。通过分层有目的抽样进行了 12 次半结构化访谈。定量分析采用描述性统计和卡方检验。基于分析方法框架对访谈进行了主题内容分析。
396 名受训者中有 136 名对调查做出了回应。在实践中使用研究的信心与理解研究术语的能力之间存在显著关系。这与研究经验或培训无关。与女性相比，男性更有可能发表研究论文、了解研究如何影响实践以及更有信心在实践中使用研究。性别与研究培训或最高资格之间没有显著关系。时间限制和缺乏学术文化是调查中最常提到的障碍。访谈中确定的主要主题与缺乏学术文化、当前培训计划中提供的机会以及与时间可用性相关的限制以及劳动力管理有关。
儿科研究需要一个支持性的学术文化，培训计划更具灵活性，并立即关注紧迫的人员配备危机。
