Edwards Zoe, Tatterton Michael
School of Pharmacy & Medical Sciences, University of Bradford, Bradford, West Yorkshire, UK.
Affinity Care Primary Care Network, Bradford, West Yorkshire, UK.
Eur J Gen Pract. 2025 Dec;31(1):2539777. doi: 10.1080/13814788.2025.2539777. Epub 2025 Aug 13.
Research is vital for progress and development of healthcare and may help relieve current health service pressures through improvements and efficiencies. Research in primary care is not well established and is not part of routine practice. This study aims to investigate the barriers and facilitators to primary care staff conducting research.
A systematic literature review was conducted in CINAHL, Medline, APA, PsycInfo, AHMED and EMBASE from inception to April 2023. Searches were for studies involving clinical or non-clinical staff working in primary care where barriers or facilitators to conducting research were examined.
Twenty-one studies were included from 2000 to 2022. The QuADs quality appraisal method found that papers were of varying, often low quality. Five themes were found - research beliefs & understanding, time, funding & recognition, skills & knowledge, administration & support, ethics & understanding and communication & people. Staff thought research useful but optional and were impeded by time and funding. They need training and support to carry out research. Communication from the researchers before, during and after study completion would prevent problems and lead to more research participation in the future.
Improved communication at all stages would serve as a facilitator to primary care staff conducting research. Clear, appropriate training for all staff would allow them to complete appropriate tasks for their roles and prevent one individual taking full responsibility. Embedding research in primary care with protected time and resources to complete it would remove barriers to taking part.
研究对于医疗保健的进步和发展至关重要，并且可能通过改进和提高效率来帮助缓解当前的卫生服务压力。初级保健研究尚未得到充分确立，也不是常规实践的一部分。本研究旨在调查初级保健人员开展研究的障碍和促进因素。
从数据库建立至2023年4月，在护理学与健康领域数据库（CINAHL）、医学文献数据库（Medline）、美国心理学会数据库（APA）、心理学文摘数据库（PsycInfo）、联合和补充医学数据库（AHMED）和荷兰医学文摘数据库（EMBASE）中进行了系统的文献综述。检索的是涉及在初级保健机构工作的临床或非临床工作人员且研究了开展研究的障碍或促进因素的研究。
纳入了2000年至2022年的21项研究。四分法质量评估方法发现，论文质量参差不齐，往往较低。发现了五个主题——研究信念与理解、时间、资金与认可、技能与知识、管理与支持、伦理与理解以及沟通与人员。工作人员认为研究有用但非必需，并且受到时间和资金的阻碍。他们需要培训和支持来开展研究。研究人员在研究完成前、期间和之后进行沟通将避免问题，并导致未来更多的研究参与。
在各个阶段改善沟通将有助于初级保健人员开展研究。为所有工作人员提供清晰、适当的培训将使他们能够完成与其角色相应的任务，并避免由一个人承担全部责任。将研究纳入初级保健并提供受保护的时间和资源来完成研究将消除参与研究的障碍。
