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揭示低、中收入国家卫生专业人员研究能力增强的复杂性:概念分析。

Unravelling the complexity of research capacity strengthening for health professionals in low- and middle-income countries: A concept analysis.

机构信息

Center for International Reproductive Health Training (CIRHT), University of Michigan, Ann Arbor, Michigan, USA.

Academic and Clinical Engagement, Taubman Health Sciences Library, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

J Adv Nurs. 2024 Dec;80(12):4856-4870. doi: 10.1111/jan.16232. Epub 2024 May 16.

Abstract

AIMS

Research capacity strengthening (RCS) is crucial in enhancing healthcare outcomes, particularly in low- and middle-income countries (LMICs), which face challenges due to limited resources, unequal access to care and the need for evidence-based decision-making. We seek to move beyond a surface-level understanding of RCS, unearthing the core attributes, the factors that precede its implementation and the transformative outcomes it generates within the LMIC healthcare landscape.

DESIGN

This study employs the Walker and Avant approach to concept analysis to comprehensively explore the dimensions and attributes of RCS as it pertains to allied and public health professionals in LMICs, propose empirical referents and suggest an operational definition.

DATA SOURCES

Ovid MEDLINE, Embase, CINAHL and Cochrane CENTRAL were searched from inception to 27 July 2023, to identify studies on RCS in LMICs. The Walker and Avant approach to concept analysis was selected because it provides a framework for systematically examining and clarifying the meaning and implications of RCS. This method involves a structured process of defining RCS, identifying its attributes, antecedents, consequences and cases, and ultimately providing a clear understanding of its meaning and implications. Identifying empirical referents offers measurable indicators that researchers and policymakers can use to assess the effectiveness of RCS initiatives in LMICs.

CONCLUSION

RCS for health professionals in LMICs involves a sustainable process that equips them with essential research skills, fostering the ability to conduct high-quality research and improve healthcare delivery in resource-constrained settings.

IMPLICATIONS

RCS aims to empower health professionals to apply evidence-based practices, reduce disparities and enhance the well-being of populations in LMICs.

IMPACT

Ultimately, a concept analysis of RCS empowers us to harness the full potential of research to enhance healthcare delivery, improve patient outcomes and advance the well-being of populations worldwide.

摘要

目的

研究能力增强(RCS)对于提高医疗保健结果至关重要,尤其是在资源有限、医疗服务获取不平等以及需要循证决策的中低收入国家(LMICs)。我们试图深入了解 RCS,挖掘其核心属性、实施 RCS 之前的因素以及在 LMIC 医疗保健领域产生的变革性结果。

设计

本研究采用 Walker 和 Avant 的概念分析方法,全面探讨 RCS 与 LMIC 中的联合和公共卫生专业人员相关的维度和属性,提出实证参考,并提出操作性定义。

数据来源

从创建到 2023 年 7 月 27 日,我们在 Ovid MEDLINE、Embase、CINAHL 和 Cochrane CENTRAL 中搜索了有关 LMIC 中 RCS 的研究。选择 Walker 和 Avant 的概念分析方法是因为它为系统地检查和澄清 RCS 的含义和影响提供了框架。该方法涉及定义 RCS、识别其属性、前提、后果和案例的结构化过程,最终提供对其含义和影响的清晰理解。确定实证参考提供了可衡量的指标,研究人员和政策制定者可以使用这些指标来评估 LMIC 中 RCS 举措的有效性。

结论

LMIC 中卫生专业人员的 RCS 涉及一个可持续的过程,使他们具备必要的研究技能,培养在资源有限环境中进行高质量研究和改善医疗服务的能力。

意义

RCS 旨在使卫生专业人员能够应用基于证据的实践,减少差距,并提高 LMIC 中人口的福祉。

影响

最终,对 RCS 的概念分析使我们能够充分利用研究的潜力,以改善医疗保健服务提供,改善患者结局,并促进全球人口的福祉。

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