Culture, cognisance, capacity and capability: The interrelationship of individual and organisational factors in developing a research hospital.
allied health professionals
clinical academic careers
nurses
research hospital
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
revised:
31
03
2021
received:
29
10
2020
accepted:
26
04
2021
pubmed:
29
5
2021
medline:
27
1
2022
entrez:
28
5
2021
Statut:
ppublish
Résumé
To share our experience of implementing a programme of interventions aimed at building research capacity and capability of nurses and allied health professionals in a specialist children's hospital. Clinicians at the forefront of care are well positioned to lead on research to improve outcomes and experiences of patients but some professional groups continue to be underrepresented. Inequities persist alongside robust national infrastructures to support Clinical Academic Careers for non-medical health professionals, further highlighting the need to address local infrastructure and leadership to successfully build research capacity. An evolving programme of inquiry and analysis was established in one organisation, this included targeted interventions to mitigate barriers and enable research capacity and capability. An all-staff survey was conducted in 2015 to understand the existing research culture. Interventions were put in place, evaluated through a second survey (2018), and focus group interviews with staff who had accessed interventions. Respondents demonstrated high levels of interest and commitment to research at the individual level which were not always harnessed at the organisational level. Inequities between professional groups existed in terms of training, time to undertake research and opportunities and outputs. Follow-up revealed continuing structural barriers at an organisational level, however at an individual level, interventions were reflected in >30 fellowship awards; major concerns were reported about sustaining these research ambitions. Success in building a research-active clinical workforce is multifactorial and all professional groups report increasing challenges to undertake research alongside clinical responsibilities. Individuals report concerns about the depth and pace of cultural change to sustain Clinical Academic Careers and build a truly organisation-wide research hospital ethos to benefit patients. The achievements of individual nurses and allied health professionals indicate that with supportive infrastructure, capacity, cognisance and capability are not insurmountable barriers for determined clinicians. We use the standards for reporting organisational case studies to report our findings (Rodgers et al., 2016 Health Services and Delivery Research, 4 and 1).
Sections du résumé
AIM
OBJECTIVE
To share our experience of implementing a programme of interventions aimed at building research capacity and capability of nurses and allied health professionals in a specialist children's hospital.
BACKGROUND
BACKGROUND
Clinicians at the forefront of care are well positioned to lead on research to improve outcomes and experiences of patients but some professional groups continue to be underrepresented. Inequities persist alongside robust national infrastructures to support Clinical Academic Careers for non-medical health professionals, further highlighting the need to address local infrastructure and leadership to successfully build research capacity.
DESIGN
METHODS
An evolving programme of inquiry and analysis was established in one organisation, this included targeted interventions to mitigate barriers and enable research capacity and capability.
METHODS
METHODS
An all-staff survey was conducted in 2015 to understand the existing research culture. Interventions were put in place, evaluated through a second survey (2018), and focus group interviews with staff who had accessed interventions.
RESULTS
RESULTS
Respondents demonstrated high levels of interest and commitment to research at the individual level which were not always harnessed at the organisational level. Inequities between professional groups existed in terms of training, time to undertake research and opportunities and outputs. Follow-up revealed continuing structural barriers at an organisational level, however at an individual level, interventions were reflected in >30 fellowship awards; major concerns were reported about sustaining these research ambitions.
CONCLUSIONS
CONCLUSIONS
Success in building a research-active clinical workforce is multifactorial and all professional groups report increasing challenges to undertake research alongside clinical responsibilities. Individuals report concerns about the depth and pace of cultural change to sustain Clinical Academic Careers and build a truly organisation-wide research hospital ethos to benefit patients.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
The achievements of individual nurses and allied health professionals indicate that with supportive infrastructure, capacity, cognisance and capability are not insurmountable barriers for determined clinicians. We use the standards for reporting organisational case studies to report our findings (Rodgers et al., 2016 Health Services and Delivery Research, 4 and 1).
Types de publication
Journal Article
Langues
eng
Pagination
362-377Subventions
Organisme : NIHR GOSH BRC
Informations de copyright
© 2021 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
Références
70@70 Programme. Retrieved from https://www.nihr.ac.uk/documents/7070-nihr-senior-nurse-and-midwife-research-leader-programme/22750
Baltruks, D., & Callaghan, P. (2018). Nursing, midwifery and allied health clinical academic research careers in the UK. London. Retrieved from https://councilofdeans.org.uk/wp-content/uploads/2018/08/Nursing-midwifery-and-allied-health-clinical-academic-research-careers-in-the-UK.pdf
Boaz, A., Hanney, S., Jones, T., & Soper, B. (2015). Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review. British Medical Journal Open, 5(12), e009415. https://doi.org/10.1136/bmjopen-2015-009415
Cooke, J. (2005). A framework to evaluate research capacity building in health care. BMC Family Practice, 6, 44. https://doi.org/10.1186/1471-2296-6-44
Cooper, J., Mitchell, K., Richardson, A., & Bramley, L. (2019). Developing the role of the clinical academic nurse, midwife and allied health professional in healthcare organisations. International Journal of Practice-based Learning in Health and Social Care, 7, 16-24.
Dimova, S., Prideaux, R., Ball, S., Harshfield, A., Carpenter, A., & Marjanovic, S. (2018). Enabling NHS staff to contribute to research. Retrieved from https://www.rand.org/pubs/research_reports/RR2679.html
Fletcher, S., Whiting, C., Boaz, A., & Reeves, S. (2020). Expanding postgraduate clinical research capacity: An exploration of key resistances. Journal of Further and Higher Education, 44, 596-608.
Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology, 13, 117. https://doi.org/10.1186/1471-2288-13-117
Gee, M., & Cooke, J. (2018). How do NHS organisations plan research capacity development? Strategies, strengths, and opportunities for improvement. BMC Health Services Research, 18(1), 198. https://doi.org/10.1186/s12913-018-2992-2
Golenko, X., Pager, S., & Holden, L. (2012). A thematic analysis of the role of the organisation in building allied health research capacity: A senior managers’ perspective. BMC Health Services Research, 12, 276. https://doi.org/10.1186/1472-6963-12-276
Harding, K., Lynch, L., Porter, J., & Taylor, N. (2016). Organisational benefits of a strong research culture in a health service: A systematic review. Australian Health Review, 41, 45-53.
Hartviksen, T. A., Aspfors, J., & Uhrenfeldt, L. (2019). Healthcare middle managers’ experiences of developing capacity and capability: A systematic review and meta-synthesis. BMC Health Services Research, 19(1), 546. https://doi.org/10.1186/s12913-019-4345-1
Health Education England (2018). Clinical Academic Careers Framework: A framework for optimising clinical academic careers across healthcare professions. Retrieved from https://www.hee.nhs.uk/sites/default/files/documents/HEE_Clinical_Academic_Careers_Framework.pdf
Health Education England (2019). Developing a flexible workforce that embraces research and innovation. Retrieved from https://www.hee.nhs.uk/sites/default/files/documents/HEE%20research%20and%20innovation%20strategy.pdf
Information Commissioner’s Office (2020). Guide to the General Data Protection Regulation (GDPR). Retrieved from https://ico.org.uk/for-organisations/guide-to-data-protection/guide-to-the-general-data-protection-regulation-gdpr/
Jonker, L., & Fisher, S. J. (2018). The correlation between National Health Service trusts’ clinical trial activity and both mortality rates and care quality commission ratings: A retrospective cross-sectional study. Public Health, 157, 1-6. https://doi.org/10.1016/j.puhe.2017.12.022
Luckson, M., Duncan, F., Rajai, A., & Haigh, C. (2018). Exploring the research culture of nurses and allied health professionals (AHPs) in a research-focused and a non-research-focused healthcare organisation in the UK. Journal of Clinical Nursing, 27(7-8), e1462-e1476. https://doi.org/10.1111/jocn.14264
Maben, J., & King, A. (2019). Engaging NHS staff in research. BMJ, 365, l4040. https://doi.org/10.1136/bmj.l4040
Marjanovic, S., Ball, S., Harshfield, A., Dimova, S., Prideaux, R., Carpenter, A., & Simmons, R. (2019). Involving NHS staff in research. Retrieved from https://www.thisinstitute.cam.ac.uk/wp-content/uploads/2019/02/Involving-NHS-Staff-In-Research.pdf
Matus, J., Walker, A., & Mickan, S. (2018). Research capacity building frameworks for allied health professionals - a systematic review. BMC Health Services Research, 18(1), 716. https://doi.org/10.1186/s12913-018-3518-7
Matus, J., Wenke, R., Hughes, I., & Mickan, S. (2019). Evaluation of the research capacity and culture of allied health professionals in a large regional public health service. Journal of Multidisciplinary Healthcare, 12, 83-96. https://doi.org/10.2147/JMDH.S178696
Matus, J., Wenke, R., & Mickan, S. (2019). A practical toolkit of strategies for building research capacity in allied health. Asia-Pacific Journal of Health Management, 14, 5-18.
McCance, T. V., Fitzsimons, D., Keeney, S., Hasson, F., & McKenna, H. P. (2007). Capacity building in nursing and midwifery research and development: An old priority with a new perspective. Journal of Advanced Nursing, 59(1), 57-67. https://doi.org/10.1111/j.1365-2648.2007.04280.x
Medical Schools Council (2016). Retrieved from https://www.medschools.ac.uk/our-work/clinical-academia
Morgan Jones, M., Kamenetzky, A., Manville, C., Ghiga, I., MacLure, C., Harte, E., & Grant, J. (2017). The National Institute for Health Research at 10 years: An impact synthesis: 100 impact case studies. Rand Health Quarterly, 6(2), 13.
Newall, F., & Khair, K. (2020). Research engagement in pediatric nursing practice: Career pathways are the biggest barrier. Journal of Pediatrics, 221, S62-S63.
Pickstone, C., Nancarrow, S., Cooke, J., Vernon, W., Mountain, G., Boyce, R., & Campbell, J. (2008). Building research capacity in the allied health professions. Evidence and Policy, 4, 75-91.
Rafferty, A. M., Traynor, M., Thompson, D. R., Ilott, I., & White, E. (2003). Research in nursing, midwifery, and the allied health professions. BMJ, 326(7394), 833-834. https://doi.org/10.1136/bmj.326.7394.833
Richardson, A., Avery, M., & Westwood, G. (2019). A cross-funder survey of enablers and barriers to progressing a research-related academic career in the non-medical health professions. Retrieved from https://www.hee.nhs.uk/sites/default/files/documents/HEE%20NIHR%20Cross%20funder%20NMAHP%20final%20full%20report%20April%202019.pdf
Rodgers, M., Thomas, S., Harden, M., Parker, G., Street, A., & Eastwood, A. (2016). Developing a methodological framework for organisational case studies: A rapid review and consensus development process. Health Services and Delivery Research, 4(1), 1-142.
Smith, J., & Firth, J. (2011). Qualitative data analysis: the framework approach. Nurse Researcher, 18(2), 52-62. https://doi.org/10.7748/nr2011.01.18.2.52.c8284
Trusson, D., Rowley, E., & Bramley, L. (2019). A mixed-methods study of challenges and benefits of clinical academic careers for nurses, midwives and allied health professionals. British Medical Journal Open, 9(10), e030595. https://doi.org/10.1136/bmjopen-2019-030595
Van’t Hoff, W. (2019). Why are NHS trusts not doing more research? Retrieved from https://www.hsj.co.uk/why-are-nhs-trusts-not-doing-more-research/7026101.article