Building research capacity in musculoskeletal health: qualitative evaluation of a graduate nurse and allied health professional internship programme

Wright, David; Fry, Mary; Adams, Jo; Bowen, Catherine

doi:10.1186/s12913-020-05628-1

Cited by 9 publications

(17 citation statements)

References 22 publications

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“…14 15 Opportunities for non-medical clinicians to engage in research alongside their clinical practice are now increasing, particularly through schemes such as the National Institute for Healthcare Research and Health Education England funded 'Integrated Clinical Academic' Fellowships. 16 This is in addition to research leadership capacity building initiatives such as the NHS (National Health Service) 70@70, 17 research internships for newly qualified clinicians, 18 nursing, midwifery and allied health professionals research awards, 19 and discipline-specific research capacity building initiatives, such as the NIHR (National Institute for Health Research) Nursing and Midwifery Incubator. 20 Imperial College Healthcare NHS Trust (a large hospital group within the UK National Health Service) has developed a strategic plan to increase and support clinical academic activity among the professions outside medicine.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Impacts of clinical academic activity: qualitative interviews with healthcare managers and research-active nurses, midwives, allied health professionals and pharmacists

2021

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ObjectivesTo explore the perceived impacts of clinical academic activity among the professions outside medicine.DesignQualitative semistructured interviews.Setting and participantsThere were two groups of interviewees: Research-active nurses, midwives, allied health professionals, healthcare scientists, psychologists and pharmacists (NMAHPPs) and managers of these professions. All participants were employed in a single, multisite healthcare organisation in the UK.AnalysisInterview transcripts were analysed using the framework method to identify key themes, subthemes and areas of divergence.ResultsFour themes were identified. The first, cultural shifts, described the perceived improvements in the approach to patient care and research culture that were associated with clinical academic activity. The second theme explored visibility and included the positive reputation that clinical academics were identified as bringing to the organisation in contrast with perceived levels of invisibility and inaccessibility of these roles. The third theme identified the impacts of the clinical academic pathways, including the precarity of these roles. The final theme explored making impact tangible, and described interviewees’ suggestions of possible methods to record and demonstrate impact.ConclusionsPerceived positive impacts of NMAHPP clinical academic activity focused on interlinked positive changes for patients and clinical teams. This included delivery of evidence-based healthcare, patient involvement in clinical decision making and improved staff recruitment and retention. However, the positive impacts of clinical academic activity often centred around individual clinicians and did not necessarily translate throughout the organisation. The current clinical academic pathway was identified as causing tension between the perceived value of clinical academic activity and the need to find sufficient staffing to cover clinical services.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Impacts of clinical academic activity: qualitative interviews with healthcare managers and research-active nurses, midwives, allied health professionals and pharmacists

2021

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“…However, in comparison to the medical professionals, there is currently a lack of structure and access to clinical academic career pathways for the NMAHPP disciplines [20][21][22]. Various initiatives have been reported, such as embedded researcher models [23], practice-based research training programmes [24], interdisciplinary internship schemes [25], and organisation-and discipline-specific postdoctoral career pathways [26].…”

Section: Introductionmentioning

confidence: 99%

Reflections on contributing to health research: A qualitative interview study with research participants and patient advisors

Newington

Alexander²,

Kirby³

et al. 2022

PLoS ONE

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Objectives The aims of this study were to explore individuals’ experiences of contributing to health research and to identify the types of impact that are perceived as important by participants or patient and public advisors. Specifically, research led by NMAHPP clinicians (Nursing, Midwifery, Allied health professions, Healthcare science, Psychology and Pharmacy). Methods Semi-structured one-to-one interviews were conducted with health research participants and patient or public advisors. Interviewees were recruited from five UK sites and via social media. Interview transcripts were analysed using Thematic Analysis to identify key themes and areas of disagreement. Results Twenty-one interviews were completed, and four main themes were identified. The first, optimising research experiences, included personal reflections and broader recommendations to improve participant experiences. The second, connecting health research with healthcare, described research as key for the continued development of healthcare, but illustrated that communication between research teams, participants, and clinicians could be improved. The third theme explored the personal impacts of contributing to research, with interviewees recalling common positive experiences. The final theme discussed capturing research impacts. Interviewees highlighted potential priorities for different stakeholders, but emphasised that financial impacts should not be the sole factor. Conclusion Individuals who were involved in NMAHPP health research recalled positive experiences and reported good relationships with their research teams. They felt that their contributions were valued. Suggested strategies to optimise the research experience focused on simplifying documentation, clear signposting of the research activities involved, and feedback on the research findings. Routine sharing of relevant research data with clinicians was also recommended. Personal impacts included a deeper understanding of their health condition or health more broadly, and increased confidence interacting with healthcare and other professionals. These findings will be used to inform development of a framework to capture the impact of NMAHPP research.

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“…As one populous country with more than 1.4 billion people, China is now experiencing a gradual increase in aging population which is occurring in a significant rate compared to many other countries [ 7 ]. The average annual growth rate of annual outpatient visits in Chinese hospitals was 5.73% between the years 2012 and 2018 [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

The situation and influencing factors of outpatient satisfaction in large hospitals: Evidence from Henan province, China

Ren

Lei

Tarimo

et al. 2021

BMC Health Serv Res

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Background The level of outpatient satisfaction plays a significant role in improving the quality and utilization of healthcare services. Patient satisfaction gives providers insights into various aspects of services including the effectiveness of care and level of empathy. This study aimed to evaluate the level of patient satisfaction in the outpatient department and to explore its influencing factors in large hospitals (accommodating over 1000 beds) of Henan province, China. Methods We analyzed data from Henan Large Hospitals Patient Satisfaction Survey conducted in the year 2018 and included 630 outpatients. Structural Equation Model (SEM) was used to explore the relationship among evaluation indicators of outpatient satisfaction levels. We used Dynamic Matter-Element Analysis (DMA) to evaluate the status of outpatient satisfaction. Binary Logistic Regression (BLR) was adopted to estimate the impact of personal characteristics towards outpatient satisfaction. Results The overall score for outpatient satisfaction in large hospitals was 66.28±14.73. The mean outpatient satisfaction scores for normal-large, medium-large, and extra-large hospitals were 63.33±12.12, 70.11±16.10, 65.41±14.67, respectively, and were significantly different (F = 11.953, P < 0.001). Waiting time, doctor-patient communication, professional services, and accessibility for treatment information were shown to have directly positive correlations with outpatient satisfaction (r = 0.42, 0.47, 0.55, 0.46, all P < 0.05). Results from BLR analysis revealed that patients’ age and frequency of hospital visits were the main characteristics influencing outpatient satisfaction (P < 0.05). Conclusions The outpatient satisfaction of large hospitals is moderately low. Hospital managers could shorten the waiting time for outpatients and improve the access to treatment information to improve the satisfaction of outpatients. It is also necessary to enhance service provision for outpatients under the age of 18 as well as the first-time patients.

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Building research capacity in musculoskeletal health: qualitative evaluation of a graduate nurse and allied health professional internship programme

Cited by 9 publications

References 22 publications

Impacts of clinical academic activity: qualitative interviews with healthcare managers and research-active nurses, midwives, allied health professionals and pharmacists

Impacts of clinical academic activity: qualitative interviews with healthcare managers and research-active nurses, midwives, allied health professionals and pharmacists

Reflections on contributing to health research: A qualitative interview study with research participants and patient advisors

The situation and influencing factors of outpatient satisfaction in large hospitals: Evidence from Henan province, China

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