Trusson Diane, Rowley Emma, Bramley Louise
School of Medicine, University of Nottingham, Nottingham, UK
Business School, University of Nottingham, Nottingham, Nottinghamshire, UK.
BMJ Open. 2019 Oct 7;9(10):e030595. doi: 10.1136/bmjopen-2019-030595.
The clinical academic trajectory for doctors and dentists is well-established, with research embedded in their career development. Recent years have also seen a burgeoning interest and push for nurses, midwives and allied health professionals (NMAHPs) to pursue a clinical academic career. However, the National Institute for Health Research (NIHR) 10-year review suggested that there may be problems with progression post Master's degree level for this group, with nurses and midwives receiving less NIHR funding than allied health professionals. This study responds to these concerns, tracking the progression and exploring experiences of NMAHPs in the East Midlands region of England.
An online survey and in-depth interviews were used to capture a wide range of experiences.
67 NMAHPs who were pursuing a clinical academic career were surveyed, supplemented by 16 semi-structured in-depth interviews.
Three themes emerged during data analysis: Embarking on a clinical academic career, overcoming barriers and benefits.
NMAHPs are motivated to pursue a clinical academic career by a drive to improve services for the benefit of patients and the National Health Service more widely, as well as for personal development and career progression. People working in these roles have opportunities to explore possible solutions to issues that they encounter in their clinical role through academic study. Findings reveal benefits emanating from the individual level through to (inter)national levels, therefore academic study should be encouraged and supported. However, investment is needed to establish more clinical academic roles to enable NMAHPs to continue to use their experience and expertise post-PhD, otherwise the full extent of their value will not be recognised.
医生和牙医的临床学术发展轨迹已得到充分确立，研究融入其职业发展之中。近年来，护士、助产士和专职医疗人员（NMAHPs）对从事临床学术职业的兴趣也在迅速增长并受到推动。然而，英国国家卫生研究院（NIHR）的十年审查表明，该群体在硕士学位之后的职业发展可能存在问题，护士和助产士获得的NIHR资金比专职医疗人员少。本研究回应了这些担忧，追踪了英格兰东米德兰兹地区NMAHPs的职业发展并探索了他们的经历。
采用在线调查和深入访谈来获取广泛的经历。
对67名正在从事临床学术职业的NMAHPs进行了调查，并辅以16次半结构化深入访谈。
数据分析过程中出现了三个主题：开启临床学术生涯、克服障碍和益处。
NMAHPs追求临床学术职业的动机是渴望改善服务，以更广泛地造福患者和国民医疗服务体系，同时也是为了个人发展和职业晋升。从事这些工作的人有机会通过学术研究探索解决他们在临床工作中遇到的问题的可能方案。研究结果揭示了从个人层面到（跨）国家层面所产生的益处，因此应鼓励和支持学术研究。然而，需要进行投资以设立更多临床学术岗位，使NMAHPs在获得博士学位后能够继续运用他们的经验和专业知识，否则他们的全部价值将无法得到认可。
