An approach to building research capacity for health practitioners in a public health environment: an organisational perspective
Julie Hulcombe A , Jennifer Sturgess B , Tina Souvlis C D and Cate Fitzgerald E FA Allied Health Professions Office of Queensland, Department of Health, Queensland Government, 15 Butterfield Street, Herston, Qld 4006, Australia. Email: Julie_Hulcombe@health.qld.gov.au
B 531 Mt Crosby Road, Anstead, Brisbane, Qld 4070, Australia. Email: jenny.sturgess@gmail.com
C healthindustry.com.au Pty Ltd, PO Box 478, New Farm, Qld 4005, Australia. Email: tina.soulvis@healthindustry.com.au
D Griffith University, Gold Coast Campus, Parklands Drive, Southport, Qld 4222, Australia.
E Allied Health Services, Metro South Hospital and Health Service, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, Qld 4102, Australia.
F Corresponding author. Email: cate.fitzgerald@health.qld.gov.au
Australian Health Review 38(3) 252-258 https://doi.org/10.1071/AH13066
Submitted: 10 April 2013 Accepted: 4 February 2014 Published: 1 May 2014
Abstract
A unique opportunity to engage in research capacity-building strategies for health practitioners arose within public sector health services during the negotiations for an industrial agreement. A research capacity-building initiative for health practitioners that is allied health, oral health and scientist practitioners was funded and the components of this initiative are described. The initiative was implemented using a research capacity-building framework developed from a review of the literature and stakeholder consultations. The framework included leadership and governance, support to researchers and translation of evidence into practice and was contextualised to public health environments. There were several phases of implementation. An evaluation of the preliminary phase of establishing research positions and research activity was conducted and several successes of the capacity-building strategies were identified. These successes (e.g. solid partnerships with universities) are discussed, as are future concerns, such as sustainability of the initiative in a tighter fiscal context.
What is known about the topic? The literature identifies strategies to increase research capacity, including grant funds and bursaries, training in research methods, regular forums and networks for support, positions for research fellows and linkages and partnerships. There is minimal clarity or discourse around the organisational strategies or proposed evaluation of such strategies to enable or support research capacity building.
What does this paper add? This paper describes implementation of a research capacity-building framework developed from a unique opportunity to provide funding for research positions and grants embedded in an industrial agreement. It describes the organisational and cultural perspectives and framework to build a research culture based on this funding, in a predominantly clinical workforce.
What are the implications for practitioners? Research positions for allied health, oral health and scientist practitioners funded and supported jointly by a health organisation and a university are able to influence the number and quality of research proposals developed. These disciplines in other jurisdictions may use this model of research capacity building within their particular context.
References
[1] Condell SL, Begley C. Capacity building: a concept analysis of the term applied to research. Int J Nurs Pract 2007; 13 268–75.| Capacity building: a concept analysis of the term applied to research.Crossref | GoogleScholarGoogle Scholar | 17883712PubMed |
[2] Cooke J. A framework to evaluate research capacity building in health care. BMC Fam Pract 2005; 6 44
| A framework to evaluate research capacity building in health care.Crossref | GoogleScholarGoogle Scholar | 16253133PubMed |
[3] Cleary M, Freeman A. Facilitating research within clinical settings: the development of a beginner’s guide. Int J Ment Health Nurs 2005; 14 202–8.
| Facilitating research within clinical settings: the development of a beginner’s guide.Crossref | GoogleScholarGoogle Scholar | 16181158PubMed |
[4] Gagliardi AR, Perrier L, Webster F, Leslie K, Bell M, Levinson W, et al Exploring mentorship as a strategy to build capacity for knowledge translation research and practice: protocol for a qualitative study. Implement Sci 2009; 4 55
| Exploring mentorship as a strategy to build capacity for knowledge translation research and practice: protocol for a qualitative study.Crossref | GoogleScholarGoogle Scholar | 19691833PubMed |
[5] Pickstone C, Nancarrow S, Cooke J, Vernon W, Mountain G, Boyce RA, et al Building research capacity in the allied health professions. Evid Policy 2008; 4 53–68.
| Building research capacity in the allied health professions.Crossref | GoogleScholarGoogle Scholar |
[6] Bates I, Taegtmeyer M, Bertel Squire S, Ansong D, Nhlema-Simwaka B, Baba A, et al Indicators of sustainable capacity building for health research: analysis of four African case studies. Health Res Policy Syst 2011; 9 14
| Indicators of sustainable capacity building for health research: analysis of four African case studies.Crossref | GoogleScholarGoogle Scholar | 21443780PubMed |
[7] Coen SE, Bottorff JL, Johnson JL, Ratner PA. A relational concept framework for multidisciplinary health research centre infrastructure. Health Res Policy Syst 2010; 8 29
| A relational concept framework for multidisciplinary health research centre infrastructure.Crossref | GoogleScholarGoogle Scholar | 20925953PubMed |
[8] Dayan PS, Osmond M, Kuppermann N, Lang E, Klassen T, Johnson D. Development of the capacity necessary to perform and promote knowledge translation research in emergency medicine. Acad Emerg Med 2007; 14 978–83.
| Development of the capacity necessary to perform and promote knowledge translation research in emergency medicine.Crossref | GoogleScholarGoogle Scholar | 17967959PubMed |
[9] Lee M, Saunders K. Oak trees from acorns? An evaluation of local bursaries in primary care. Prim Health Care Res Dev 2004; 5 93–5.
| Oak trees from acorns? An evaluation of local bursaries in primary care.Crossref | GoogleScholarGoogle Scholar |
[10] Brett T, Arnold-Reed D, Moorhead R. ‘Supporting clinical research practices.’ Paper presented at the National Primary Health Care Research, Evaluation and Development Conference: Working Together. 23–25 May 2007, Sydney, NSW. Research Online@ND; 2007. Available at http://researchonline.nd.edu.au/med_conference/14/ [verified 2 July 2012].
[11] Trostle J. Research capacity building and international health: definitions, evaluations and strategies for success. Soc Sci Med 1992; 35 1321–4.
| Research capacity building and international health: definitions, evaluations and strategies for success.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3s%2FpslWmsg%3D%3D&md5=99c6e11c2e05aab35741a6e2dc548b1cCAS | 1462171PubMed |
[12] Holden L, Pager S, Golenko X, Ware RS. Validation of the research capacity and culture (RCC) tool: measuring RCC at individual, team and organisational levels. Aust J Primary Health 2012; 18 62–7.
| Validation of the research capacity and culture (RCC) tool: measuring RCC at individual, team and organisational levels.Crossref | GoogleScholarGoogle Scholar |
[13] Ried K, Farmer EA, Weston KM. Setting directions for capacity building in primary health care: a survey of a research network. BMC Fam Pract 2006; 7 8
| Setting directions for capacity building in primary health care: a survey of a research network.Crossref | GoogleScholarGoogle Scholar | 16466583PubMed |
[14] Stephens D, Taylor N, Leggat SG. Research experience and research interests of allied health professionals. J Allied Health 2009; 38 e107–11.
| 20011811PubMed |
[15] Pager S, Holden L, Golenko X. Motivators, enablers, and barriers to building allied health research capacity. J Multidisciplinary Healthcare 2012; 5 53–9.
| Motivators, enablers, and barriers to building allied health research capacity.Crossref | GoogleScholarGoogle Scholar |
[16] Brauer S, Haines TP, Bew PG. Fostering clinician-led research. J Allied Health 2007; 35 12–16.
[17] Crisp BR, Swerissen H, Duckett SJ. Four approaches to capacity building in health: consequences for measurement and accountability. Health Promot Int 2000; 15 99–107.
| Four approaches to capacity building in health: consequences for measurement and accountability.Crossref | GoogleScholarGoogle Scholar |
[18] Farmer E, Weston K. A conceptual model for capacity building in Australian primary health care research. Aust Fam Physician 2002; 31 1139–42.
| 12516520PubMed |
[19] Stinchcomb JB. Using logic modelling to focus evaluation efforts: Translating operational theories into practical measures. J Offender Rehabil 2001; 33 47–65.
| Using logic modelling to focus evaluation efforts: Translating operational theories into practical measures.Crossref | GoogleScholarGoogle Scholar |