Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Karolinska University Hospital, Stockholm, Sweden.
Worldviews Evid Based Nurs. 2021 Feb;18(1):15-22. doi: 10.1111/wvn.12481. Epub 2020 Dec 8.
Evidence-based patient care requires clinicians to make decisions based on the best available evidence and researchers to provide new scientific knowledge. Clinician-scientists (i.e., registered nurses [RNs] and physicians with a PhD) make important contributions to health care; yet, their roles are not fully understood, supported, or recognized by healthcare leaders. Only a few studies have addressed the factors that enable RNs and physicians to simultaneously pursue both clinical work and research after earning a PhD.
To explore what factors have a bearing on the ability of RNs and physicians to pursue research and clinical work simultaneously after earning a PhD.
The study used a qualitative design based on open-ended, in-depth interviews. Data were analyzed using conventional content analysis.
Analysis of the data yielded a broad range of factors that RNs and physicians perceived to either facilitate or hinder continued research while simultaneously undertaking clinical work. Most of the perceived barriers were due to factors external to the individual. Several factors applied to both professions yet differed in impact. Factors mentioned as fundamental to continued research were financial support and allocated time for research. Maintenance of a good relationship with academia and support from management were also considered to be important. In addition, personal factors, such as motivation to pursue a research career after obtaining a PhD, were influential.
A supportive infrastructure is important for enabling clinician-scientists to pursue research after earning a PhD. Creating favorable conditions for RNs and physicians to combine research with clinical work can facilitate evidence-based practice. This information can be used for interventions aimed at improving the conditions for clinician-scientists.
循证患者护理要求临床医生根据最佳现有证据做出决策，研究人员提供新的科学知识。临床科学家（即注册护士[RN]和拥有博士学位的医生）为医疗保健做出了重要贡献；然而，医疗保健领导者并没有充分理解、支持或认可他们的角色。只有少数研究探讨了使 RN 和医生在获得博士学位后同时从事临床工作和研究的因素。
探讨影响 RN 和医生在获得博士学位后同时从事研究和临床工作的能力的因素。
该研究采用基于开放式、深入访谈的定性设计。使用常规内容分析对数据进行分析。
数据分析产生了广泛的因素，RN 和医生认为这些因素会促进或阻碍他们在同时进行临床工作的同时继续进行研究。大多数感知到的障碍是由于个体以外的因素造成的。有几个因素适用于两种职业，但影响不同。被认为对继续研究至关重要的因素是研究经费和研究时间的分配。与学术界保持良好关系和管理层的支持也被认为很重要。此外，获得博士学位后追求研究职业的动机等个人因素也有影响。
支持性基础设施对于临床科学家在获得博士学位后从事研究至关重要。为 RN 和医生创造将研究与临床工作相结合的有利条件可以促进循证实践。这些信息可用于旨在改善临床科学家工作条件的干预措施。
