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一项基于理论的调查,旨在了解执业药师对研究开展、传播和转化的看法和经验。

A theoretically informed survey of the views and experiences of practicing pharmacists on research conduct, dissemination and translation.

机构信息

School of Pharmacy and Life Sciences, Robert Gordon University, The Sir Ian Wood Building, Garthdee Road, Aberdeen, AB10 7GJ, UK.

Highland Pharmacy Education and Research Centre, Centre for Health Science, Old Perth Road, Inverness, IV2 3JH, UK.

出版信息

Res Social Adm Pharm. 2019 Nov;15(11):1298-1308. doi: 10.1016/j.sapharm.2018.12.005. Epub 2018 Dec 13.

Abstract

BACKGROUND

While studies have reported pharmacists' perspectives of research involvement, almost all are limited by sector, have little focus on research translation and have not incorporated behavior change theory.

OBJECTIVE

To determine pharmacists' views and experiences of research conduct, dissemination and translation.

METHODS

This was an electronic cross-sectional survey of pharmacists across six Scottish health board areas. Survey items were: demographics; research activities (e.g. conduct, dissemination) in the last two years; research interests, experience and confidence in research tasks (e.g. proposal writing, data collection); and Likert statements on research conduct and dissemination, and translating research findings to practice. Conduct/dissemination and translation items were based on the Theoretical Domains Framework (TDF). Data were analysed using descriptive and inferential statistics, and principal component analysis (PCA) of TDF items. Following determination of internal consistency, scores for each component were calculated.

RESULTS

The response rate was 19.4% (136/701), with 17 (12.5%) currently involved in research. Responses were more positive for interest in research than experience or confidence. PCA of research conduct/dissemination items identified three internally reliable components of support/opportunities, motivation/outcomes, and roles/characteristics. Component scores for support/opportunities to participate in research were most negative. PCA of translation items identified three internally reliable components of current practices/abilities, consequences and support. Scores for all three components were positive, being most positive for consequences of research translation. Those in secondary care, with a postgraduate qualification and prescribers scored higher for interest, experience, confidence, and for most components (p < 0.05).

CONCLUSION

A minority of pharmacists are involved in the research conduct/dissemination and these are more likely to be highly qualified individuals based in secondary care. Given the need to develop and evaluate new models of pharmaceutical care, involvement should be extended to all practice settings. Study findings could be used to develop behavior change interventions targeting individuals and organizations.

摘要

背景

虽然已有研究报告了药师对参与研究的看法,但几乎所有研究都受到部门限制,对研究转化的关注甚少,并且没有纳入行为改变理论。

目的

确定药师对研究开展、传播和转化的看法和经验。

方法

这是一项针对苏格兰六个卫生委员会地区药师的电子横断面调查。调查项目包括:人口统计学特征;过去两年的研究活动(如开展、传播);研究兴趣、研究任务的经验和信心(如提案撰写、数据收集);以及对研究开展和传播以及将研究结果转化为实践的利克特陈述。开展/传播和转化项目基于理论领域框架(TDF)。使用描述性和推断性统计以及 TDF 项目的主成分分析(PCA)对数据进行分析。在确定内部一致性后,计算每个成分的分数。

结果

回复率为 19.4%(136/701),其中 17 人(12.5%)目前参与研究。对研究的兴趣大于经验或信心。研究开展/传播项目的 PCA 确定了三个内部可靠的支持/机会、动机/结果和角色/特征组成部分。参与研究的支持/机会的组成部分得分最低。翻译项目的 PCA 确定了当前实践/能力、后果和支持三个内部可靠的组成部分。所有三个组成部分的得分均为正,研究翻译的后果得分最高。在二级保健机构工作、具有研究生学历和处方者对兴趣、经验、信心以及大多数组成部分的评分更高(p < 0.05)。

结论

只有少数药师参与研究开展/传播,而且这些药师更有可能是来自二级保健机构的高资质人员。鉴于需要开发和评估新的药学服务模式,应将参与范围扩大到所有实践环境。研究结果可用于针对个人和组织制定行为改变干预措施。

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