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关于招募医疗保健专业人员作为研究参与者的思考:从ONSPres研究中学习。

Reflections on recruiting healthcare professionals as research participants: Learning from the ONSPres Study.

作者信息

Browne Sarah, Dooley Siobhra, Geraghty Aisling, Dominguez Castro Patricia, Reynolds Ciara, Perrotta Carla, Kelly Lucy, McCallum Kimberley, Clyne Barbara, Bradley Catriona, Bury Gerard, Kennelly Sharon, Corish Clare

机构信息

School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.

UCD Institute of Food and Health, University College Dublin, Dublin, Ireland.

出版信息

HRB Open Res. 2022 Jun 27;5:47. doi: 10.12688/hrbopenres.13499.1. eCollection 2022.

Abstract

The involvement of healthcare professionals (HCPs) as research participants is essential to generate high quality evidence for enhancing health services and practice.  Research teams face many challenges in recruiting HCPs for research, and barriers and enablers for interdisciplinary research are not well described in the literature.  The Oral Nutritional Supplement Prescribing Malnutrition Research Study (ONSPres Study) examined malnutrition identification, management, and appropriate oral nutritional supplement prescribing in primary care in Ireland.  The ONSPres Study offers a unique view of recruiting HCPs for research because a range of disciplines were sought for participation in a mixed methods study.  The purpose of this open letter is to describe the experiences of recruitment and participation.  Sixteen general practitioners (GPs) were recruited to participate in one-to-one interviews, eighty health and social care professionals working in community care (including nurses, pharmacists, dietitians, physiotherapists, speech and language therapists, and occupational therapists) were recruited to take part in 12 focus groups, and 31 GPs and trainee GPs were recruited to participate in an education programme developed by the study team.   Strategies required to gain access and reach HCPs differed between disciplines.   Professional networks enhanced access to HCPs working in practice and recruitment was slower and more tailored when those networks were less available to the team.  An interest in malnutrition, to assist in research, to advance patient care, and the opportunity for learning were incentives for the participating HCPs.  Limitations in the diversity of the sample arose, with a bias towards female participants and GPs motivated by an interest in the topic.  It is recommended that study teams collaborate early with relevant HCP disciplines so they can contribute to recruitment planning at project concept and design stages.  To enhance and incentivise HCP participation in research, dedicated time and acknowledgement of participation as continuous professional development is proposed.

摘要

医疗保健专业人员(HCPs)作为研究参与者对于生成高质量证据以改善卫生服务和实践至关重要。研究团队在招募HCPs参与研究时面临诸多挑战,而跨学科研究的障碍和促进因素在文献中并未得到充分描述。口服营养补充剂处方治疗营养不良研究(ONSPres研究)考察了爱尔兰初级保健中营养不良的识别、管理以及适当的口服营养补充剂处方。ONSPres研究为招募HCPs参与研究提供了独特视角,因为该研究寻求一系列学科参与一项混合方法研究。这封公开信的目的是描述招募和参与的经历。招募了16名全科医生(GPs)参与一对一访谈,招募了80名在社区护理工作的卫生和社会护理专业人员(包括护士、药剂师、营养师、物理治疗师、言语和语言治疗师以及职业治疗师)参与12个焦点小组,还招募了31名全科医生和实习全科医生参与研究团队开发的一个教育项目。不同学科获取和接触HCPs所需的策略有所不同。专业网络增强了与实际工作中的HCPs的联系,当团队难以利用这些网络时,招募速度会更慢且更具针对性。对营养不良的兴趣、协助研究、推进患者护理以及学习机会是参与研究的HCPs的激励因素。样本多样性存在局限性,存在偏向女性参与者和因对该主题感兴趣而参与的全科医生的倾向。建议研究团队尽早与相关HCP学科合作,以便他们能够在项目概念和设计阶段为招募计划做出贡献。为了加强并激励HCPs参与研究,建议提供专门时间,并认可参与是持续专业发展的一部分。

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