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联合健康专业人员的研究能力建设框架——一项系统综述

Research capacity building frameworks for allied health professionals - a systematic review.

作者信息

Matus Janine, Walker Ashlea, Mickan Sharon

机构信息

Allied Health, Gold Coast Health, Gold Coast, Queensland, Australia.

School of Allied Health Sciences, Griffith University, Gold Coast, Queensland, Australia.

出版信息

BMC Health Serv Res. 2018 Sep 15;18(1):716. doi: 10.1186/s12913-018-3518-7.

Abstract

BACKGROUND

Building the capacity of allied health professionals to engage in research has been recognised as a priority due to the many benefits it brings for patients, healthcare professionals, healthcare organisations and society more broadly. There is increasing recognition of the need for a coordinated multi-strategy approach to building research capacity. The aim of this systematic review was to identify existing integrated models and frameworks which guide research capacity building for allied health professionals working in publicly funded secondary and tertiary healthcare organisations.

METHODS

A systematic review was undertaken searching five databases (Medline, CINAHL, Embase, AustHealth and Web of Science) using English language restrictions. Two authors independently screened and reviewed studies, extracted data and performed quality assessments using the Mixed Methods Appraisal Tool. Content and thematic analysis methods were used to code and categorise the data.

RESULTS

A total of 8492 unique records were screened by title and abstract, of which 20 were reviewed in full-text. One quantitative study and five qualitative studies were included, each of which describing a research capacity building framework. Three interconnected and interdependent themes were identified as being essential for research capacity building, including 'supporting clinicians in research', 'working together' and 'valuing research for excellence'.

CONCLUSIONS

The findings of this systematic review have been synthesised to develop a succinct and integrated framework for research capacity building which is relevant for allied health professionals working in publicly funded secondary and tertiary healthcare organisations. This framework provides further evidence to suggest that research capacity building strategies are interlinked and interdependent and should be implemented as part of an integrated 'whole of system' approach, with commitment and support from all levels of leadership and management. Future directions for research include using behaviour change and knowledge translation theories to guide the implementation and evaluation of this new framework.

TRIAL REGISTRATION

The protocol for this systematic review has been registered with PROSPERO. The registration number is CRD42018087476 .

摘要

背景

培养专职医疗人员的研究能力已被视为一项优先事项,因为它能为患者、医疗保健专业人员、医疗保健组织以及更广泛的社会带来诸多益处。人们越来越认识到需要采取协调一致的多策略方法来培养研究能力。本系统评价的目的是确定现有的综合模型和框架,以指导在公共资助的二级和三级医疗保健组织中工作的专职医疗人员的研究能力建设。

方法

进行了一项系统评价,在五项数据库(Medline、CINAHL、Embase、AustHealth和科学网)中进行检索,并设置了英文限制。两名作者独立筛选和审查研究、提取数据,并使用混合方法评估工具进行质量评估。采用内容和主题分析方法对数据进行编码和分类。

结果

通过标题和摘要共筛选出8492条独特记录,其中20条进行了全文审查。纳入了一项定量研究和五项定性研究,每项研究都描述了一个研究能力建设框架。确定了三个相互关联且相互依存的主题对研究能力建设至关重要,包括“支持临床医生开展研究”、“协同合作”和“重视卓越研究”。

结论

本系统评价的结果已被综合起来,以制定一个简洁的综合研究能力建设框架,该框架适用于在公共资助的二级和三级医疗保健组织中工作的专职医疗人员。该框架进一步证明,研究能力建设策略是相互关联和相互依存的,应作为综合“全系统”方法的一部分来实施,并得到各级领导和管理层的承诺与支持。未来的研究方向包括使用行为改变和知识转化理论来指导这一新框架的实施和评估。

试验注册

本系统评价的方案已在国际系统评价注册库(PROSPERO)注册。注册号为CRD42018087476 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/125a/6139135/bd5de1885332/12913_2018_3518_Fig1_HTML.jpg

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