Understanding research capacity and culture of Allied Health clinicians working within a metropolitan tertiary hospital

大都市区 焦点小组 护理部 定性研究 组织文化 调查研究 社会认知理论 心理学 医学 能力建设 数据收集 测量数据收集 医学教育 定性性质 组织结构 认知 调查方法 卫生服务研究 梅德林 医疗保健 研究设计 组织氛围 需求评估 社会支持 知识管理 多元方法论
作者
Michelle Cottrell,Sara Winter
出处
期刊:Health Services Management Research [SAGE Publishing]
卷期号:: 9514848251384284-9514848251384284
标识
DOI:10.1177/09514848251384284
摘要

Background Clinician engagement in research is shaped by research capacity building and organizational culture. This study aimed to assess current capacity and culture, and understand factors influencing research engagement. Methods A sequential explanatory mixed-methods design was used, involving a Research Capacity and Culture (RCC) survey followed by interviews and focus groups at a major metropolitan tertiary hospital . All Health Practitioner and Clinical Assistant staff were invited to participate. Survey data were analysed descriptively, and qualitative data from interviews/focus groups were analysed using Framework Analysis, incorporating the Theoretical Domains Framework. Suggested strategies were mapped to the Theory and Techniques Tool. Results Surveys were completed by 105 staff (37.3% response rate), and 23 participated in interviews/focus groups. Survey results showed high skills/success in organizational and team domains, but lower skills in individual domains. Qualitative findings revealed three main themes: (i) individual clinicians, (ii) organizational structure and culture, and (iii) access to support structures. Recommended strategies focused on social supports, incentives, and improving access to knowledge while reducing cognitive load. Conclusions While clinicians recognise research as part of their role, challenges limit engagement. Prioritising practical support (e.g., offline time, clear communication) and developing organizational policies can foster sustained research engagement.
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