Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia
Allied Health, Gold Coast Hospital and Health Service, Southport, Queensland, Australia.
BMJ Open. 2022 Apr 29;12(4):e060456. doi: 10.1136/bmjopen-2021-060456.
Engaging clinicians in research can improve healthcare organisational performance, patient and staff satisfaction. Emerging evidence suggests that knowledge brokering activities potentially support clinicians' research engagement, but it is unclear how best they should be used.
This study explores how embedded researchers utilised knowledge brokering activities to engage research interested clinicians in research.
A longitudinal qualitative interview based study was co-designed to investigate how experienced research fellows utilise knowledge brokering activities to facilitate allied health clinicians' engagement in research.
In one large tertiary level, regional Australian health service, research fellows were matched with research interested clinicians.
Qualitative analysis of three longitudinal semi-structured interviews for each research fellow was undertaken. Initial descriptions of their utilisation of knowledge brokering activities were deductively coded. Reflexive thematic analysis was utilised to generate a shared explanation of clinicians' engagement in research.
Three research fellows facilitated 21 clinicians' participation in and leadership of clinical research projects over 12 months. They utilised all ten key knowledge brokering activities with each clinician, with differing patterns and examples. Research fellows described using linkage and exchange activities of communicating and collaborating with key stakeholders, and they tailored knowledge management products for individual's engagement. Further, they described a broader learning journey where they clarified and monitored individuals' capabilities, motivation and their contextual support for research engagement.
When research fellows chose and tailored knowledge brokering activities to align and extend clinicians' research capabilities and motivation, they created individualised learning curriculums to support clinicians' participation in and leadership of local research projects. Health and academic leaders should consider structuring embedded researcher positions to include knowledge brokering roles and activities, specifically for research interested clinicians who are ready to participate in and lead research projects.
让临床医生参与研究可以提高医疗保健组织的绩效、患者和员工的满意度。新出现的证据表明，知识中介活动有可能支持临床医生的研究参与，但尚不清楚如何最好地利用这些活动。
本研究探讨了嵌入式研究人员如何利用知识中介活动来吸引有研究兴趣的临床医生参与研究。
一项基于纵向定性访谈的研究是为了调查经验丰富的研究人员如何利用知识中介活动来促进医疗保健临床医生参与研究而共同设计的。
在一个大型的三级区域性澳大利亚卫生服务机构中，为每个有研究兴趣的临床医生匹配了研究研究员。
对每位研究研究员进行了三次纵向半结构访谈的定性分析。对他们利用知识中介活动的初始描述进行了演绎编码。使用反思性主题分析生成了对临床医生参与研究的共同解释。
三名研究研究员在 12 个月内促成了 21 名临床医生参与和领导临床研究项目。他们与每位临床医生都使用了所有 10 项关键知识中介活动，具有不同的模式和示例。研究研究员描述了使用联络和交流活动与关键利益相关者进行沟通和合作，以及为个人的参与定制知识管理产品。此外，他们描述了一个更广泛的学习过程，在这个过程中，他们明确和监测了个人的能力、动机以及他们对研究参与的背景支持。
当研究研究员选择并定制知识中介活动以匹配和扩展临床医生的研究能力和动机时，他们为临床医生参与和领导当地研究项目创建了个性化的学习课程。卫生和学术领导者应考虑构建嵌入式研究人员职位，包括知识中介角色和活动，特别是针对有研究兴趣且准备参与和领导研究项目的临床医生。
