卫生服务机构与教育机构合作发展卫生服务机构和卫生服务人员的研究能力:系统性范围界定审查。

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES BMC Health Services Research Pub Date : 2024-11-08 DOI:10.1186/s12913-024-11836-w
Melissa Nott, David Schmidt, Matt Thomas, Kathryn Reilly, Teesta Saksena, Jessica Kennedy, Catherine Hawke, Bradley Christian
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引用次数: 0

摘要

背景:医疗卫生服务人员参与研究可提高医疗卫生成果,改善对临床指南的遵守情况。为了提高研究参与度,许多医疗卫生服务机构都在努力建设研究能力,以提高个人和组织开展医疗卫生研究的技能和能力。研究能力建设的方法有很多种,其中机构间、机构内或大学与医疗卫生服务机构合作的方法是经常提到的战略。大学与医疗卫生服务机构的研究合作可以利用双方机构各自的优势,产生巨大影响,实现互利共赢。然而,研究能力建设方法的范围和范畴,包括其相对价值和成功与否,尚未得到整合。本综述旨在研究和描述医疗服务机构与教育合作伙伴为提高医疗服务人员的研究能力而采取的合作策略:方法:采用 Arksey 和 O'Malley 的范围审查框架作为审查方法的参考。对四个主要数据库进行了系统检索:Medline、CINAHL、Embase 和 Cochrane,重点是 1995 年以后的出版物。通过团队反复讨论,确定了纳入和排除标准。两个阶段的筛选过程和数据提取均在 Covidence 中进行管理。合作、研究能力、卫生服务和卫生工作者是指导搜索的主要概念、背景和人群:在确定的 1462 项研究中,有 61 项被选中进行审查。这些研究报告涉及大学与医疗服务机构之间的合作关系,特别关注医疗服务人员的研究能力建设。这些研究主要来自澳大利亚、美国、英国和加拿大。合作方式各不相同,并利用不同的活动来培养研究能力,包括培训、指导、共享资金和建立网络。培训伙伴关系最为普遍。研究结果强调了方法本地化的重要性,一些研究表明,这种合作对参与合作的双方都具有内在价值。尽管强调了培训和指导等个人干预措施,但团队层面的干预措施明显不足:本综述强调了卫生服务机构与教育合作伙伴之间在研究能力建设合作方面的各种方法。它倡导对目标的共同理解,强调建立关系的重要性以及可持续基础设施在长期合作成功中的关键作用。未来的发展方向应考虑这些模式对临床成果的切实影响。
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Collaborations between health services and educational institutions to develop research capacity in health services and health service staff: a systematic scoping review.

Background: Participation of health service staff in research improves health outcomes and adherence to clinical guidelines. To increase research participation, many health services seek to build research capacity which adds to the development of individual and organisational skills and abilities in order to conduct health research. Numerous approaches to research capacity building have been trialed with inter- and intra-institutional, or university-health service collaborative approaches being frequently described strategies. University-health service research collaborations have potential for high impact and mutual benefit, by harnessing respective strengths across both organisations. However, the range and scope of research capacity building approaches, including their relative value and success have not been consolidated. The aim of this review was to examine and describe the collaborative strategies employed by health services in conjunction with educational partners to enhance the research capability of health service staff.

Methods: The scoping review framework by Arksey and O'Malley was used to inform the review method. A systematic search was conducted of four major databases: Medline, CINAHL, Embase, and Cochrane, focusing on publications after 1995. Inclusion and exclusion criteria were established through iterative team discussions. The two-stage screening process and data extraction was managed in Covidence. Collaboration, Research Capacity, Health Services, and Health workforce were the primary concepts, contexts and populations guiding the search.

Results: Of the 1462 studies identified, 61 were selected for the review. These studies reported on partnerships between universities and health services with a specific focus on building research capacity of health service staff. Studies predominantly hailed from Australia, USA, UK, and Canada. Collaboration approaches varied and leveraged different activities to build research capacity included training, mentoring, shared funding, and networking. Training partnerships emerging as the most prevalent. Findings emphasised the importance of localisation in approaches, with some studies indicating the intrinsic value of such collaborations for both partners involved. Despite the emphasis on individual interventions like training and mentoring, team-level interventions were notably scarce.

Conclusion: This review highlights the diverse range of approaches in research capacity building collaborations between health services and educational partners. It advocates for a shared understanding of goals, highlighting the critical nature of relationship-building and the pivotal role of sustainable infrastructure in long-term collaboration success. Future directions should consider the tangible impacts of these models on clinical outcomes.

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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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