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RISES模型:促进卫生专业人员参与研究积极性的新方法。

The RISES Model: A New Approach to Promoting Health Professionals' Motivation to Engage in Research.

作者信息

D'Arrietta Louisa M, Vangaveti Venkat N, Crowe Melissa J, Malau-Aduli Bunmi S

机构信息

College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.

Library Services, Townsville University Hospital, Townsville Hospital and Health Service, Townsville, Queensland, Australia.

出版信息

J Multidiscip Healthc. 2025 Jan 6;18:13-28. doi: 10.2147/JMDH.S489026. eCollection 2025.

DOI:10.2147/JMDH.S489026
PMID:39802683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11721145/
Abstract

PURPOSE

A decline in the number of health professionals (HPs) engaging in clinical and healthcare research has spurred governments, educational and healthcare organisations to focus on developing strategies to promote a resurgence of clinical researchers. Based on the Expectancy-Value-Cost theory which offers a comprehensive framework to understand motivation in research, this study aimed to explore how motivations and perceived values of research evolve across different career stages, and develop a model that promotes sustained research motivation.

METHODS

This study employed a phenomenological qualitative research design and individual interviews to explore the experiences of 30 HPs (doctors, nurses, midwives, and allied health professionals) across three career stages-early, mid, and late-at three North Queensland Public Hospitals from March 19 to April 15, 2021. A purposive sampling technique was used to select participants, and data were analysed through inductive thematic analysis.

RESULTS

Six themes emerged, categorised into individual, organizational, and sociocultural factors. Individual: Back to Basics and Career Aspirations Influence Research Value; Organisational: Cumbersome Processes and Resource Accessibility; Sociocultural: Building Research Capacity through Connections and Supportive Relationships Enhance Motivation. These themes informed the development of the RISES model, a multi-layered framework emphasising a collaborative approach to addressing individual, organisational, and sociocultural factors to support HPs' sustained research engagement.

CONCLUSION

The study provides valuable insights into the lived experiences of HPs in relation to research, highlighting the intricate interplay of factors affecting their motivation. It introduces the RISES model to encourage ongoing research motivation and suggests further research to expand on these findings and explore additional aspects of research engagement in healthcare.

摘要

目的

从事临床和医疗保健研究的卫生专业人员数量下降,促使政府、教育和医疗保健组织专注于制定促进临床研究人员数量回升的战略。基于期望-价值-成本理论提供了一个理解研究动机的综合框架,本研究旨在探讨研究动机和感知价值如何在不同职业阶段演变,并开发一个促进持续研究动机的模型。

方法

本研究采用现象学定性研究设计和个人访谈,以探索2021年3月19日至4月15日期间在北昆士兰三所公立医院的30名卫生专业人员(医生、护士、助产士和专职医疗人员)在早期、中期和后期三个职业阶段的经历。采用目的抽样技术选择参与者,并通过归纳主题分析对数据进行分析。

结果

出现了六个主题,分为个人、组织和社会文化因素。个人:回归基础和职业抱负影响研究价值;组织:繁琐的流程和资源可及性;社会文化:通过联系和支持性的关系建立研究能力可增强动机。这些主题为RISES模型的开发提供了依据,这是一个多层次框架,强调采用协作方法来解决个人、组织和社会文化因素,以支持卫生专业人员持续参与研究。

结论

该研究为卫生专业人员在研究方面的实际经历提供了有价值的见解,突出了影响其动机的因素之间的复杂相互作用。它引入了RISES模型以鼓励持续的研究动机,并建议进一步开展研究以扩展这些发现,并探索医疗保健研究参与的其他方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8c/11721145/5510ad183600/JMDH-18-13-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8c/11721145/5510ad183600/JMDH-18-13-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8c/11721145/5510ad183600/JMDH-18-13-g0001.jpg

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本文引用的文献

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Barriers Preventing Medical Trainees from Active Participation in Research Activities.阻碍医学实习生积极参与研究活动的因素。
J Multidiscip Healthc. 2024 Apr 9;17:1513-1522. doi: 10.2147/JMDH.S447948. eCollection 2024.
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How can healthcare organisations increase doctors' research engagement? A scoping review.医疗机构如何提高医生的研究参与度?一项范围综述。
J Health Organ Manag. 2024 Apr 8;ahead-of-print(ahead-of-print). doi: 10.1108/JHOM-09-2023-0270.
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Exploring the motivation of health professionals to engage with research at various career stages.
探讨不同职业阶段的卫生专业人员从事研究的动机。
BMC Health Serv Res. 2024 Mar 7;24(1):305. doi: 10.1186/s12913-024-10772-z.
4
Exploring individual character traits and behaviours of clinical academic allied health professionals: a qualitative study.探索临床学术型医疗保健专业人员的个体特征和行为:一项定性研究。
BMC Health Serv Res. 2023 Sep 23;23(1):1025. doi: 10.1186/s12913-023-10044-2.
5
The value of allied health professional research engagement on healthcare performance: a systematic review.卫生保健专业人员参与研究对医疗保健绩效的价值:系统评价。
BMC Health Serv Res. 2023 Jul 18;23(1):766. doi: 10.1186/s12913-023-09555-9.
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Nursing, midwifery, and allied health professions research capacities and cultures: a survey of staff within a university and acute healthcare organisation.护理、助产和相关保健专业的研究能力和文化:对一所大学和一家急性医疗机构内工作人员的调查。
BMC Health Serv Res. 2023 Jun 16;23(1):647. doi: 10.1186/s12913-023-09612-3.
7
Research engagement and research capacity building: a priority for healthcare organisations in the UK.研究参与和研究能力建设:英国医疗机构的优先事项。
J Health Organ Manag. 2023 Mar 27;ahead-of-print(ahead-of-print). doi: 10.1108/JHOM-12-2021-0436.
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More and better clinical trials in health care: focusing on people, not just systems and processes.医疗保健领域开展更多、更优质的临床试验:关注人群,而非仅仅关注系统和流程。
Med J Aust. 2023 Mar 20;218(5):209-211. doi: 10.5694/mja2.51856. Epub 2023 Feb 20.
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Describing the evidence-base for research engagement by health care providers and health care organisations: a scoping review.描述医疗保健提供者和医疗机构参与研究的证据基础:范围综述。
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