The impact of research governance in healthcare and higher education organizations

Howarth, Michelle; Kneafsey, Rosie

doi:10.1111/j.1365-2648.2004.03341.x

Cited by 16 publications

(12 citation statements)

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“…29 In addition, greater transparency of the review processes 23,30 would allow PhD students, as novice researchers, to explore and manage the necessary ethical considerations of their study and incorporate these into their study design and project management. As research capacity builds in Irish nursing and midwifery, the potential for ethical review mentorship for PhD students is also enhanced.…”

Section: Discussionmentioning

confidence: 99%

Clinical research ethics in Irish healthcare

Condell

Begley

2012

Nurs Ethics

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Gaining ethical clearance to conduct a study is an important aspect of all research involving humans but can be time-consuming and daunting for novice researchers. This article stems from a larger ethnographic study that examined research capacity building in Irish nursing and midwifery. Data were collected over a 28-month time frame from a purposive sample of 16 nurse or midwife research fellows who were funded to undertake full-time PhDs. Gaining ethical clearance for their studies was reported as an early 'rite of passage' in the category of 'labouring the doctorate'. This article penetrates the complexities in Irish clinical research ethics by describing the practices these nurse and midwife researchers encountered and the experiences they had. The key issue of representation that occurred in the context of 'medicalized' research ethics is further explored including its meaning for nursing or midwifery research.

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Section: Discussionmentioning

confidence: 99%

Clinical research ethics in Irish healthcare

Condell

Begley

2012

Nurs Ethics

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“…The time involved to negotiate somewhat bureaucratic research approval processes has led to some master's programmes dissuading students from carrying out empirical projects and to turn to systematic literature reviews as an alternative method for their dissertation projects (Howarth & Kneafsey 2005). This has had the educationally impoverishing impact of denying students the opportunity to develop real skills of systematic enquiry through collecting and analysing primary data – a loss of opportunity for skills development and criticality that has adverse implications for professional development and for research capacity building in these professions.…”

Section: The Increasing Applicability Of Research Skills In Health Anmentioning

confidence: 99%

“…A drift away from master's students undertaking research has implications for research capacity building within the healthcare professions (Howarth & Kneafsey 2005). Whereas not all healthcare practitioners have research activity within their job description, it is clearly an expectation of some senior practitioner roles, such as nursing and allied health consultants.…”

Section: Service Review Examplesmentioning

confidence: 99%

“…We know from conversations with colleagues in other British universities that we are not alone in having struggled in recent years to find ways of continuing to enable students to undertake projects that give them opportunities to develop critical skills in collecting and analysing primary data in applied settings in the face of complex, time‐consuming and ever changing NHS governance arrangements. In many cases, the struggle has been given up and primary research studies have been abandoned as learning and assessment tasks (Watson & Manthorpe 2002; Howarth & Kneafsey 2005).…”

Section: Introductionmentioning

confidence: 99%

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A pragmatic approach to resolving tensions between the educational validity of master's projects in healthcare settings and ethical and governance requirements

Gerrish

Hill

Mawson

et al. 2009

Learn Health Soc Care

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The concurrent realities of growing numbers of master's students in health and social care subjects, and developments in research governance processes in the public sector are discussed as a context for master's level dissertation projects. Master's level continuing professional development of health and social care practitioners necessarily includes the development of skills in diverse approaches to research and systematic enquiry. The master's dissertation project gives an opportunity for extended applied learning and skills development in relation to this. Recent developments in National Health Service research governance processes, while essential to the protection of patients, have created difficulties for students in gaining the necessary governance and ethical approvals to carry out projects involving the collection of primary data within the timeframe of a master's dissertation project. The implications of this on opportunities for learning and development at this level are explored. The value of different types of master's dissertation projects and the appropriateness, respectively, of different types of governance processes are discussed. Approaches developed by one higher education/National Health Service partnership, to ensuring that the ethical approval of student project proposals is managed as expediently and appropriately as possible, are shared and discussed. These include the development of a toolkit to assist students and others in differentiating between, for example, research, audit and service evaluation activities. They also include consideration of appropriate governance frameworks and ethical review in relation to each of these potential project types.

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“…Whilst Bryar (2002) argues that research governance has the potential to promote research capability and capacity, others have identified concerns with its implementation. For example, Howarth and Kneafsey (2005) provide evidence that the research governance framework has been implemented differently across health and social care organizations in the UK, which has resulted in increased bureaucracy and paperwork for researchers and significant levels of frustration with Research Governance processes. In some NHS organizations, attempts have been made to resolve these issues.…”

Section: Introductionmentioning

confidence: 99%

Centralization and research governance: does it work?

Howarth

Kneafsey

Haigh

2008

Journal of Advanced Nursing

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Title. Centralization and research governance: does it work? Aim. This paper is a report of a study to evaluate the impact and success of the United Kingdom centralized Research Management and Governance model. Background. Research is crucial to the generation of new knowledge and for the development of nursing services. However, poor research conduct has prompted a growing international impetus to govern and monitor research activity. In 2004, a centralized Research Management and Governance Model aimed at fostering a quality research culture through streamlining bureaucratic management processes was implemented across 14 primary care provider organizations in the United Kingdom. Methods. A questionnaire survey was undertaken in 2004 to explore researchers' experiences (n = 76) of the model across the 14 organizations, and semi-structured interviews were conducted with five research and development managers. The interview transcripts were independently thematically analysed. Findings. Governance processes were seen as useful or very useful by 36AE8% (n = 28) of researchers viewed, and 47AE3% (n = 36) thought they were a hindrance or not useful. Managers suggested that the model supported the research infrastructure and had reduced paperwork. The benefits of centralization were balanced against managers' perceptions of reduced autonomy and control. Conclusions. Centralizing research governance is an effective way of maximizing research resources, but researchers still may not value the process. Partnership working can streamline research governance mechanisms, but needs to be adequately resourced and transparent. This model could be of benefit to international colleagues who are charged with the management of research.

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The impact of research governance in healthcare and higher education organizations

Abstract: Recommendations emerging from the study include the promotion of transparent research governance guidelines for practitioners, and the need for staff education about governance processes and greater parity between organizations in research governance processes.

Cited by 16 publications

References 16 publications

Clinical research ethics in Irish healthcare

Clinical research ethics in Irish healthcare

A pragmatic approach to resolving tensions between the educational validity of master's projects in healthcare settings and ethical and governance requirements

Centralization and research governance: does it work?

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