College of Medicine and Dentistry, James Cook University, Townsville, QLD, 4811, Australia.
Library Services, Townsville University Hospital, Townsville Hospital and Health Service, Townsville, QLD, Australia.
BMC Health Serv Res. 2024 Mar 7;24(1):305. doi: 10.1186/s12913-024-10772-z.
Research is crucial for improved healthcare and better patient outcomes, but there is a current shortage of clinician-researchers who can connect research and practice in the health professions field. This study aimed to investigate the effect of career stage, previous training and involvement in research on health professionals' (HPs) motivations to engage in research while in public hospital clinical roles. HPs' perceived motivation concerning the importance, value, and barriers attributed to research during different career stages were examined.
A mixed methods study design was adopted for this research. An online survey developed based on the Expectancy-Value-Cost (EVC) theory was distributed to HPs (doctors, nurses, midwives, and allied health professionals) in three North Queensland Public Hospitals. Data analysis included descriptive and inferential statistics for the quantitative data and content analysis for the qualitative text responses.
Three hundred and fifty-five responses were received. Prior research training and involvement in research influenced respondents' perceptions about the importance, attitude, motivators, and barriers to research. Attainment value was the overarching motivation for involvement in research and research training for all career stages and all professional HP groups. Positive attitude to research was significantly higher (P = 0.003) for the allied health group (27.45 ± 4.05), followed by the medical (26.30 ± 4.12) and then the nursing and midwifery group (25.62 ± 4.21). Perceived importance and attitude attributed to research were significantly higher (P < 0.05) for those who had research training (26.66 ± 3.26 and 28.21 ± 3.73) compared to those who did not have research training (25.77 ± 3.77 and 23.97 ± 3.53). Significantly higher (P < 0.05) perceptions of organisational and individual barriers were reported among early career (50.52 ± 7.30) respondents compared to their mid-career (48.49 ± 8.14) and late career (47.71 ± 8.36) counterparts.
The findings from this study provide valuable insights into the factors that influence HPs' motivation for research. The results underscore the importance of professional group, involvement in research, exposure to research training, career stage, gender, and organisational support in shaping HPs' attitudes, values, and perceived barriers to research. Understanding these factors can inform the development of targeted strategies to enhance research engagement among HPs and promote evidence-based practice in healthcare.
研究对于改善医疗保健和提高患者预后至关重要，但目前缺乏能够将研究与卫生专业领域实践相结合的临床研究人员。本研究旨在调查职业阶段、先前的培训和参与研究对卫生专业人员（医生、护士、助产士和专职医疗人员）在公立医院临床角色中从事研究的动机的影响。检查了卫生专业人员在不同职业阶段对研究的重要性、价值和障碍的感知动机。
本研究采用混合方法研究设计。根据期望-价值-成本（EVC）理论，为北昆士兰三家公立医院的卫生专业人员（医生、护士、助产士和专职医疗人员）开发了在线调查。数据分析包括定量数据的描述性和推断性统计以及定性文本回复的内容分析。
共收到 355 份回复。先前的研究培训和参与研究影响了受访者对研究的重要性、态度、动机和障碍的看法。获得价值是参与研究和研究培训的总体动机，适用于所有职业阶段和所有专业卫生专业人员群体。对研究的积极态度对于专职医疗组（27.45±4.05）明显更高（P=0.003），其次是医疗组（26.30±4.12），然后是护理和助产组（25.62±4.21）。与没有研究培训的人相比（25.77±3.77 和 23.97±3.53），具有研究培训的人对研究的感知重要性和态度（P<0.05）更高（26.66±3.26 和 28.21±3.73）。与中年职业（48.49±8.14）和老年职业（47.71±8.36）相比，早期职业（50.52±7.30）受访者报告了更高的（P<0.05）组织和个人障碍感知。
本研究的结果提供了有关影响卫生专业人员研究动机的因素的有价值的见解。研究结果强调了专业群体、参与研究、接触研究培训、职业阶段、性别和组织支持在塑造卫生专业人员对研究的态度、价值观和感知障碍方面的重要性。了解这些因素可以为制定有针对性的策略提供信息，以提高卫生专业人员的研究参与度，并促进医疗保健中的循证实践。
