"他们没有多余的时间":通过访谈探讨公共卫生研究活动的决定因素,从而确定地方政府中嵌入式研究人员的角色。

IF 3.6 2区 医学 Q1 HEALTH POLICY & SERVICES Health Research Policy and Systems Pub Date : 2024-07-31 DOI:10.1186/s12961-024-01162-2
Rachael C Edwards, Dylan Kneale, Claire Stansfield, Sarah Lester
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引用次数: 0

摘要

背景:嵌入式研究人员是一种新颖的干预措施,可改善研究证据在政策和实践环境(包括公共卫生)中的转化。这些角色越来越受欢迎,但往往缺乏明确的评估框架。了解研究活动的初始水平,包括相关的障碍和机遇,对于制定变革理论、塑造角色和确定期望至关重要。我们的目标是确定公共卫生研究活动的主要决定因素,这些因素是嵌入式研究人员角色的背景,包括嵌入式研究人员本身的属性:我们对英国地方政府不同公共卫生机构的嵌入式研究人员进行了 17 次半结构式访谈。我们采用主题分析法对访谈进行了分析:结果:我们确定了地方政府公共卫生机构研究活动的十三个相互关联的决定因素。研究和人际交往技能,以及在地方政府中已有的联系和知识,是嵌入式研究人员非常看重的个人特质。资源不足(资金、时间和基础设施)是开展研究活动的主要障碍,而地方对循证决策的强烈需求则提供了宝贵的机会。然而,各公共卫生团队对什么是 "研究 "和所需资源的认识并不一致:我们的研究结果表明,成功的嵌入式研究人员应具备同样强大的研究和沟通技能,并应获得指导和明确的职业发展途径。对地方政府内部研究工作的看法与资源不足和高层认可密切相关。嵌入式研究人员可以花时间了解当地的研究文化,从而从中受益。针对嵌入式研究人员的变革理论应将地方政府研究活动中存在的个人、人际和组织障碍与机遇之间的相互联系概念化。需要开展进一步研究,以确定探索嵌入式研究人员的影响的方法,并解读地方政府内部研究活动的各个阶段以及相关行为。
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"They don't have the luxury of time": interviews exploring the determinants of public health research activity that contextualise embedded researcher roles in local government.

Background: Embedded researchers are a novel intervention to improve the translation of research evidence into policy and practice settings, including public health. These roles are being implemented with increasing popularity, but they often lack clear evaluative frameworks. Understanding initial levels of research activity, including associated barriers and opportunities, is essential to developing theories of change and thus shaping the roles and defining expectations. We aimed to identify the principal determinants of research activity in public health that contextualise embedded researcher roles, including attributes of the embedded researcher themselves.

Methods: We undertook seventeen semi-structured interviews with embedded researchers in diverse public health settings in English local government. Interviews were analysed using thematic analysis.

Results: We identified thirteen interlinked determinants of research activity within local government public health settings. Research and interpersonal skills, as well as pre-existing connections and knowledge within local government, were highly valued individual attributes for embedded researchers. Resource deficiencies (funding, time, and infrastructure) were primary barriers to research activity, whereas a strong local appetite for evidence informed decision making presented a valuable opportunity. However, there was inconsistencies across public health teams relating to perceptions of what constituted "research" and the resources that would be required.

Conclusions: Our results suggest that successful embedded researchers will have equally strong research and communication skills and should be offered mentorship and clear career progression pathways. Perceptions of research within local government are closely linked to resource deficiencies and senior endorsement. Embedded researchers could benefit from taking the time to develop locally contextualised knowledge of this research culture. Theories of change for embedded researchers should conceptualise the interconnections across individual, interpersonal, and organisational barriers and opportunities underlying local government research activity. Further research is needed to identify methods for exploring the influence of embedded researchers as well as to unpack the stages of research activity within local government and the associated behaviours.

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来源期刊
Health Research Policy and Systems
Health Research Policy and Systems HEALTH POLICY & SERVICES-
CiteScore
7.50
自引率
7.50%
发文量
124
审稿时长
27 weeks
期刊介绍: Health Research Policy and Systems is an Open Access, peer-reviewed, online journal that aims to provide a platform for the global research community to share their views, findings, insights and successes. Health Research Policy and Systems considers manuscripts that investigate the role of evidence-based health policy and health research systems in ensuring the efficient utilization and application of knowledge to improve health and health equity, especially in developing countries. Research is the foundation for improvements in public health. The problem is that people involved in different areas of research, together with managers and administrators in charge of research entities, do not communicate sufficiently with each other.
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