Angus Rebecca L, Hattingh H Laetitia, Weir Kelly A
Allied Health and Rehabilitation Services, Gold Coast Hospital and Health Service, 1 Hospital Boulevard, Southport, QLD, 4215, Australia.
Medical Services, Clinical Governance and Research, Gold Coast Hospital and Health Service, 1 Hospital Boulevard, Southport, QLD, 4215, Australia.
BMC Health Serv Res. 2024 Jan 27;24(1):143. doi: 10.1186/s12913-024-10599-8.
A research culture in health care organisations is associated with improved healthcare performance. Allied health (AH) students undertake research training as part of their professional degree qualifications. This may include participation in research projects, sometimes undertaken in association with health services. Co-supervision of these projects by health service staff provides research capacity building opportunities and staff-centred outcomes for the individuals involved, as well as improvements in clinical knowledge and practice within the local area. Also, publications from these projects contribute to the wider evidence base. Identification of barriers and facilitators to engagement in, and conduct of, these projects may optimise systems for improved health service outcomes.
This formative evaluation used the Consolidated Framework for Implementation Research (CFIR) to guide analysis of qualitative data obtained from semi-structured interviews with health service-employed allied health professionals, including clinicians and research fellows, who had supervised students on clinical-related research placements within the previous five years.
Eleven AH clinicians described 18 collaborative projects with 24 students from five AH disciplines across four universities. Three health service-employed AH research fellows described their involvement in these and other student research projects. Twenty key determinant constructs were identified and mapped across all five CFIR domains. Facilitators included health service cosmopolitanism, project adaptability and implementation climate (compatibility). Health service-employed research fellows provided readiness for implementation and a facilitator for project execution. The main barriers identified were cost to staff in workload and personal time and aspects related to project complexity. Differing student characteristics affected the relative advantage of collaborative projects in positive and negative manners.
This study describes the facilitators and barriers to the conduct of collaborative AH student research projects. Addressing these determinants when establishing each new project may enable health services to optimise communication, role delineation and project success, and thus ultimately, healthcare performance and patient care.
医疗保健机构中的研究文化与改善医疗保健绩效相关。专职医疗（AH）专业的学生在攻读专业学位资格时要接受研究培训。这可能包括参与研究项目，有时是与卫生服务机构合作开展。由卫生服务机构工作人员共同指导这些项目，为相关人员提供了研究能力建设机会和以工作人员为中心的成果，同时也改善了当地的临床知识和实践。此外，这些项目的出版物有助于扩大证据基础。识别参与和开展这些项目的障碍及促进因素，可能会优化系统以改善卫生服务成果。
本次形成性评价使用实施研究综合框架（CFIR）来指导对定性数据的分析，这些数据来自对在过去五年中指导学生进行临床相关研究实习的卫生服务机构聘用的专职医疗专业人员（包括临床医生和研究员）进行的半结构化访谈。
11名AH临床医生描述了与来自四所大学五个AH学科的24名学生开展的18个合作项目。三名受雇于卫生服务机构的AH研究员描述了他们参与这些以及其他学生研究项目的情况。确定了20个关键决定因素，并将其映射到CFIR的所有五个领域。促进因素包括卫生服务的国际化、项目适应性和实施氛围（兼容性）。受雇于卫生服务机构的研究员为实施做好了准备，并为项目执行提供了促进作用。确定的主要障碍是工作人员的工作量和个人时间成本以及与项目复杂性相关的方面。不同的学生特征以积极和消极的方式影响合作项目的相对优势。
本研究描述了开展AH学生合作研究项目的促进因素和障碍。在建立每个新项目时考虑这些决定因素，可能会使卫生服务机构优化沟通、明确角色和项目成功率，从而最终改善医疗保健绩效和患者护理。
