Aanstad Kristin Jerve, Marsdal Kjersti Engen, Blix Ellen, Kaasen Anne, Lukasse Mirjam, Sørbye Ingvil Krarup, Svege Ida
Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Pilestredet 32, Oslo, 0167, Norway.
Division of Obstetrics and Gynecology, Oslo University Hospital, Oslo, Norway.
Res Involv Engagem. 2024 Sep 12;10(1):95. doi: 10.1186/s40900-024-00627-6.
There has been a growing concern regarding research waste and the mismatch between conducted research and the research needs of knowledge users. The Needs Led Research (NLR) approach is proposed as an effective method to ensure that research address actual evidence gaps that are relevant to the users of the knowledge. By search and reviewing literature and involving knowledge users, NLR aims to identify, verify, and prioritize research needs. This paper describes and compares the implementation of the NLR approach in two separate PhD projects within maternity care, and addresses the challenges encountered throughout the processes, aiming to offer valuable insights for future NLR initiatives.
The NLR processes consisted of four phases: (1) defining the scope (2) identifying and verifying research needs (3) prioritizing research needs and (4) designing the PhD projects. Literature searches were conducted during Phase 2, while knowledge user involvement took place in Phases 2 and 3. The knowledge user involvement, at a co-thinker and advocatory level, included knowledge user groups and surveys. Project groups, who were responsible for all decision-making, conducted Phases 1 and 4. The scopes of the PhD projects were labor induction (NLR-LINO) and fetal monitoring in low-risk deliveries (NLR-LISTEN).
In NLR-LINO, 17 research needs were identified and verified as actual evidence gaps relevant for the knowledge users. Among these, ten were rated as "very important" by a majority of the 322 survey respondents. The aim of the PhD LINO project was defined as "To investigate whether outpatient induction of labor is beneficial in a Norwegian setting." In NLR-LISTEN, seven research needs were identified and verified as actual evidence gaps relevant for the knowledge users. These were prioritized by 466 survey respondents, and the aim of the PhD LISTEN project was defined as "To investigate the methods used for fetal monitoring in low-risk deliveries in Norway and evaluate adherence to evidence-based practice while also exploring potential reasons for any deviations."
This paper shows that the NLR is a viable approach for prioritizing research. The findings highlight the impact of the initial scope on subsequent phases and emphasize the importance of pragmatic decision-making throughout the process. However, it is crucial to acknowledge that NLR requires dedicated resources, and if integrated into PhD projects, additional time and training should be allocated accordingly.
人们越来越关注研究浪费以及所开展的研究与知识使用者的研究需求之间的不匹配问题。需求导向型研究（NLR）方法被提议作为一种有效方法，以确保研究解决与知识使用者相关的实际证据空白。通过检索和回顾文献并让知识使用者参与，NLR旨在识别、验证和确定研究需求的优先级。本文描述并比较了NLR方法在两个独立的产科护理博士项目中的实施情况，并阐述了整个过程中遇到的挑战，旨在为未来的NLR计划提供有价值的见解。
NLR过程包括四个阶段：（1）界定范围；（2）识别和验证研究需求；（3）确定研究需求的优先级；（4）设计博士项目。在第二阶段进行文献检索，而知识使用者参与第二和第三阶段。知识使用者在共同思考者和倡导者层面的参与包括知识使用者群体和调查。负责所有决策的项目组进行第一和第四阶段。博士项目的范围是引产（NLR-LINO）和低风险分娩中的胎儿监测（NLR-LISTEN）。
在NLR-LINO中，确定并验证了17项研究需求，这些需求是与知识使用者相关的实际证据空白。其中，322名调查受访者中的大多数将10项评为“非常重要”。博士LINO项目的目标被定义为“调查在挪威的环境中门诊引产是否有益”。在NLR-LISTEN中，确定并验证了7项研究需求，这些需求是与知识使用者相关的实际证据空白。466名调查受访者对这些需求进行了优先级排序，博士LISTEN项目的目标被定义为“调查挪威低风险分娩中使用的胎儿监测方法，评估对循证实践的依从性，同时探索任何偏差的潜在原因”。
本文表明NLR是一种确定研究优先级的可行方法。研究结果突出了初始范围对后续阶段的影响，并强调了在整个过程中务实决策的重要性。然而，必须认识到NLR需要专门的资源，如果将其纳入博士项目，应相应地分配额外的时间和培训。
