Unravelling the complexity of research capacity strengthening for health professionals in low- and middle-income countries: A concept analysis

IF 3.4 3区 医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2024-05-16 DOI:10.1111/jan.16232
Julie M. Buser, Emily Capellari, Mekitie Wondafrash, Rachel Gray, Kirby L. Morris, Faelan E. Jacobson-Davies, Diomede Ntasumbumuyange, Edward Kumakech, Yolanda R. Smith
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Abstract

Aims

Research capacity strengthening (RCS) is crucial in enhancing healthcare outcomes, particularly in low- and middle-income countries (LMICs), which face challenges due to limited resources, unequal access to care and the need for evidence-based decision-making. We seek to move beyond a surface-level understanding of RCS, unearthing the core attributes, the factors that precede its implementation and the transformative outcomes it generates within the LMIC healthcare landscape.

Design

This study employs the Walker and Avant approach to concept analysis to comprehensively explore the dimensions and attributes of RCS as it pertains to allied and public health professionals in LMICs, propose empirical referents and suggest an operational definition.

Data Sources

Ovid MEDLINE, Embase, CINAHL and Cochrane CENTRAL were searched from inception to 27 July 2023, to identify studies on RCS in LMICs. The Walker and Avant approach to concept analysis was selected because it provides a framework for systematically examining and clarifying the meaning and implications of RCS. This method involves a structured process of defining RCS, identifying its attributes, antecedents, consequences and cases, and ultimately providing a clear understanding of its meaning and implications. Identifying empirical referents offers measurable indicators that researchers and policymakers can use to assess the effectiveness of RCS initiatives in LMICs.

Conclusion

RCS for health professionals in LMICs involves a sustainable process that equips them with essential research skills, fostering the ability to conduct high-quality research and improve healthcare delivery in resource-constrained settings.

Implications

RCS aims to empower health professionals to apply evidence-based practices, reduce disparities and enhance the well-being of populations in LMICs.

Impact

Ultimately, a concept analysis of RCS empowers us to harness the full potential of research to enhance healthcare delivery, improve patient outcomes and advance the well-being of populations worldwide.

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揭示加强中低收入国家卫生专业人员研究能力的复杂性:概念分析。
目的:加强研究能力(RCS)对于提高医疗保健成果至关重要,尤其是在中低收入国家(LMIC),这些国家面临着资源有限、医疗服务不平等以及需要循证决策等挑战。我们试图超越对区域医疗服务的表层理解,发掘其核心属性、实施前的因素及其在中低收入国家医疗保健领域产生的变革性成果:本研究采用 Walker 和 Avant 的概念分析方法,全面探讨了 RCS 与 LMICs 的专职和公共卫生专业人员相关的维度和属性,提出了经验参考,并提出了可操作的定义:数据来源:对 Ovid MEDLINE、Embase、CINAHL 和 Cochrane CENTRAL 进行了检索,检索期从开始到 2023 年 7 月 27 日,以确定有关低收入国家地区 RCS 的研究。之所以选择 Walker 和 Avant 的概念分析方法,是因为该方法提供了一个框架,可以系统地研究和澄清 RCS 的含义和影响。这种方法涉及一个结构化的过程,即定义 RCS,确定其属性、前因、后果和案例,并最终提供对其含义和影响的清晰理解。确定经验参照物提供了可衡量的指标,研究人员和政策制定者可以利用这些指标来评估在低收入和中等收入国家开展的地区保健服务举措的有效性:结论:针对低收入和中等收入国家卫生专业人员的区域研究与培训是一个可持续的过程,可使他们掌握基本的研究技能,培养在资源有限的环境中开展高质量研究和改善医疗服务的能力:影响:区域研究旨在增强医疗专业人员的能力,以应用循证实践,减少差异,提高低收入和中等收入国家人口的福祉:最终,对区域医疗服务的概念分析使我们能够充分发挥研究的潜力,以加强医疗服务、改善患者的治疗效果并提高全球人口的福祉。
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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