目的:描述实施前的背景和实施方法,对于临床医生研究人员的职业道路。
背景:所有健康学科的临床医师研究人员正在兴起,以从根本上影响实践变化并改善患者预后。然而,到目前为止,在护士和助产士的临床实践中,临床医生研究员的职业路径有限。
方法:采用定性描述性设计。
方法:数据来自四个在线焦点小组和四次健康消费者访谈,护理和助产临床医生,2022年7月至2023年9月期间和护理单元经理(N=20)。
结果:主题和内容分析确定了与以下相关的主题/类别:卫生专业人员的角色研究以及护理和助产,和研究活动和文化(背景);实施方法在一致性范围内,认知参与,集体行动和反身监测(规范化过程理论)。
结论:该路径被认为符合组织目标,有可能在护理和助产方面产生显著的文化变化。受保护的研究时间的回填至关重要。
■途径被视为赋予员工权力的工具,培养员工留用,并将研究机会扩展到每位护士和助产士,同时改善患者体验和结果。
结论:临床医生,消费者和管理者完全支持临床医生研究人员实施这一途径。该路径可以让所有临床医生与临床医生研究员负责人一起进行循证实践,与同事一起改变实践,提高患者预后。
■本研究遵循使用COREG检查表的相关EQUATOR指南。
■参与本研究的健康消费者作为参与者,对研究的设计或实施没有贡献,分析或解释数据,或在准备手稿时。
OBJECTIVE: To describe the pre-implementation context and implementation approach, for a clinician researcher career pathway.
BACKGROUND: Clinician researchers across all health disciplines are emerging to radically influence practice change and improve patient outcomes. Yet, to date, there are limited clinician researcher career pathways embedded in clinical practice for nurses and midwives.
METHODS: A qualitative descriptive design was used.
METHODS: Data were collected from four online focus groups and four interviews of health consumers, nursing and midwifery clinicians, and nursing unit managers (N = 20) between July 2022 and September 2023.
RESULTS: Thematic and content analysis identified themes/categories relating to: Research in health professionals\' roles and nursing and midwifery, and Research activity and culture (context); with implementation approaches within coherence, cognitive participation, collective action and reflexive monitoring (Normalization Process Theory).
CONCLUSIONS: The Pathway was perceived to meet organizational objectives with the potential to create significant cultural change in nursing and midwifery. Backfilling of protected research time was essential.
UNASSIGNED: The Pathway was seen as an instrument to empower staff, foster staff retention and extend research opportunities to every nurse and
midwife, while improving patient experiences and outcomes.
CONCLUSIONS: Clinicians, consumers and managers fully supported the implementation of clinician researchers with this Pathway. The Pathway could engage all clinicians in evidence-based practice with a clinician researcher leader, effect practice change with colleagues and enhance patient outcomes.
UNASSIGNED: This study adheres to relevant EQUATOR guidelines using the COREG checklist.
UNASSIGNED: Health consumers involved in this research as participants, did not contribute to the design or conduct of the study, analysis or interpretation of the data, or in the preparation of the manuscript.