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澳大利亚医疗保健环境中的嵌入式研究人员模式:按“嵌入程度”的比较。

The embedded researcher model in Australian healthcare settings: comparison by degree of "embeddedness".

机构信息

University of Technology Sydney, Faculty of Health, Sydney, New South Wales, Australia.

Griffith University, Griffith Health, Brisbane, Australia.

出版信息

Transl Res. 2020 Apr;218:29-42. doi: 10.1016/j.trsl.2019.10.005. Epub 2019 Nov 5.

DOI:10.1016/j.trsl.2019.10.005
PMID:31759948
Abstract

The embedded researcher model is a health-academic partnership where researchers are core members of a healthcare organization, with an aim to support evidence translation. The purpose of this study was to describe the characteristics and experiences of embedded researchers in Australian healthcare settings, and investigate how the model is experienced differently based on the level of "embeddedness." This exploratory study utilized a purpose-designed online survey. Responses were described using Word and Excel and analyzed using SPSS. To investigate how the model was experienced based on the level of "embeddedness," we tested for differences in responses between respondents with primary academic vs healthcare affiliations. A total of 104 embedded researchers from nursing and midwifery, allied health and medicine completed the survey, with equal numbers reporting a primary academic vs primary healthcare affiliation. Most indicated that research is a strategic objective of the healthcare organization (85.9%) yet almost a third (31%) reported that research outputs were not measured. While 60% agreed that clinical practice informed by research was valued, only 28% reported having adequate resources. Of those with a formal dual affiliation over a quarter reported conflict between expectations of the healthcare and academic organizations. Respondents with a primary academic affiliation were older, more qualified, had more research experience, had been in the role longer, and had more positive perceptions of the research culture of healthcare organizations. This study provides a starting point for healthcare organizations and academic institutions to partner in the further development and implementation of this model.

摘要

嵌入式研究人员模式是一种健康学术伙伴关系,研究人员是医疗机构的核心成员,旨在支持证据转化。本研究旨在描述澳大利亚医疗机构中嵌入式研究人员的特征和经验,并探讨基于“嵌入程度”的不同体验。本探索性研究采用了专门设计的在线调查。使用 Word 和 Excel 对响应进行描述,并使用 SPSS 进行分析。为了研究基于“嵌入程度”的模型体验,我们测试了具有主要学术与医疗保健联系的受访者之间的响应差异。共有 104 名来自护理和助产、联合健康和医学的嵌入式研究人员完成了调查,其中具有主要学术与主要医疗保健联系的人数相等。大多数人表示,研究是医疗机构的战略目标(85.9%),但近三分之一(31%)报告研究成果未得到衡量。尽管 60%的人同意以研究为基础的临床实践是有价值的,但只有 28%的人报告拥有足够的资源。在那些具有正式双重联系的人中,超过四分之一的人报告说在医疗机构和学术机构的期望之间存在冲突。具有主要学术联系的受访者年龄较大、学历更高、研究经验更丰富、任职时间更长,对医疗机构的研究文化有更积极的看法。本研究为医疗机构和学术机构提供了一个起点,以进一步发展和实施这种模式。

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