Rego Kian, Orlando Elaina, Archambault Patrick, Geagea Anna, Mitra Anish R, Vazquez-Grande Gloria, Marticorena Rosa M, Patterson Lisa, DiDiodato Giulio, Rewa Oleksa G, Senaratne Janek, Law Madelyn, Binnie Alexandra, Tsang Jennifer
Research Department, Niagara Health, St. Catharines, ON, Canada.
Department of Health Sciences, Faculty of Applied Health Sciences, Brock University, St. Catharines, ON, Canada.
Can J Anaesth. 2024 Dec;71(12):1646-1652. doi: 10.1007/s12630-024-02883-2. Epub 2024 Dec 17.
Although health research in Canada is primarily conducted in academic hospitals, most patients receive their care in community hospitals. The benefits of increasing research capacity in community hospitals include improved study recruitment, increased generalizability of results, broader patient access to novel therapies, better patient outcomes, enhanced staff satisfaction, and improved organizational efficiency. Nevertheless, building research programs in community hospitals remains challenging because of a lack of support and expertise. To address this gap, we developed a toolkit to help community hospital professionals build and sustain their community hospital research programs.
The toolkit was developed by the Canadian Community Intensive Care Unit Research Network (CCIRNet), a group of clinician-researchers and research staff from community hospitals across Canada who have experience building community hospital research programs. Feedback from a concurrent qualitative study of Canadian community critical care professionals informed the toolkit's design.
The CCIRNet toolkit outlines five stages of community hospital clinical research program development: 1) building a research team and gaining support, 2) developing a new research program, 3) choosing a first research study, 4) getting the study up and running, and 5) sustaining a research program. Feedback from qualitative interviews emphasized the need for a step-by-step approach, frequently asked questions, and essential resources. Accordingly, each stage is structured in a question-and-answer format and includes relevant resources for each section.
The CCIRNet toolkit is a practical resource for establishing research programs in community hospitals. The toolkit may increase research participation and support clinical research capacity building in community hospitals.
尽管加拿大的健康研究主要在学术医院进行,但大多数患者在社区医院接受治疗。提高社区医院研究能力的益处包括改善研究招募情况、增强结果的普遍性、使更多患者能够获得新疗法、改善患者治疗效果、提高工作人员满意度以及提升组织效率。然而,由于缺乏支持和专业知识,在社区医院建立研究项目仍然具有挑战性。为了填补这一空白,我们开发了一个工具包,以帮助社区医院专业人员建立并维持他们的社区医院研究项目。
该工具包由加拿大社区重症监护病房研究网络(CCIRNet)开发,这是一群来自加拿大各地社区医院的临床研究人员和研究工作人员,他们在建立社区医院研究项目方面具有经验。对加拿大社区重症监护专业人员进行的一项同步定性研究的反馈为该工具包的设计提供了参考。
CCIRNet工具包概述了社区医院临床研究项目开发的五个阶段:1)组建研究团队并获得支持,2)制定新的研究项目,3)选择首个研究课题,4)使研究启动并运行,5)维持研究项目。定性访谈的反馈强调了采用循序渐进的方法、常见问题解答以及必备资源的必要性。因此,每个阶段都采用问答形式构建,并为每个部分提供了相关资源。
CCIRNet工具包是在社区医院建立研究项目的实用资源。该工具包可能会增加研究参与度,并支持社区医院的临床研究能力建设。