Free Standard AU & NZ Shipping For All Book Orders Over $80!
Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Becoming a clinician researcher in allied health

Desley Harvey A F , David Plummer B , Ilsa Nielsen C , Robyn Adams D and Tilley Pain E
+ Author Affiliations
- Author Affiliations

A Cairns and Hinterland Hospital and Health Service, James Cook University, Cairns Hospital, PO Box 902, Cairns, Qld 4870, Australia.

B Population Health, Griffith University, Parklands Drive, Southport, Qld 4222, Australia. Email: d.plummer@griffith.edu.au

C Allied Health Professions’ Office of Queensland, Level 6, William McCormack Place (Stage 2), 5B Sheridan Street, Cairns, Qld 4870, Australia. Email: Ilsa.Nielsen@health.qld.gov.au

D Discipline of Physiotherapy, College of Health Care Sciences, James Cook University, 1 James Cook Drive, Townsville City, Qld 4811, Australia. Email: robyn.adams@jcu.edu.au

E Townsville Hospital and Health Service, The Townsville Hospital, 100 Angus Smith Drive, Douglas, Qld 4814, Australia. Email: Tilley.Pain@health.qld.gov.au

F Corresponding author. Email: Desley.Harvey@health.qld.gov.au

Australian Health Review 40(5) 562-569 https://doi.org/10.1071/AH15174
Submitted: 18 September 2015  Accepted: 12 November 2015   Published: 25 Janaury 2016

Abstract

Objective Combining research with clinical practice has benefits for health services and practitioners. There is limited information available on strategies used by health professionals to balance research with high clinical service demands. The aims of the present study were to examine how research is initiated and to identify the factors that influence the successful integration of research into a clinical work role.

Methods Semistructured recursive-style interviews were conducted with 15 research-active allied health professionals at regional health services using a combination of criterion and purposive sampling. Interviews were recorded, transcribed and analysed using constant comparative techniques to identify dominant themes, which were integrated to create a conceptual model.

Results Becoming a clinician researcher involved four phases: (1) a research debut; (2) building momentum; (3) developing a track record; and (4) becoming an established clinician researcher. A research debut was enabled by pre-entry exposure to research or through quality activities, predisposing personal characteristics and research opportunities at work. Quarantined time for research, a research-friendly workplace culture and supportive research relationships enabled a clinician to thrive as a researcher despite the challenges.

Conclusion The clinician researcher career trajectory contributes to a better understanding of how a research career commences and develops in clinical settings. It may assist to develop strategies to support research capacity building.

What is known about the topic? There are potential benefits for clinicians and health services that flow from incorporating research into clinical roles. Factors that motivate, enable and constrain allied health research in clinical settings have been identified, but little is known about how a research career is initiated and progresses over time.

What does this paper add? The present study contributes an important career path understanding to the successful development of research capacity from a clinician perspective. The clinician researcher career trajectory delineates four phases and identifies enabling and constraining factors. The study highlights the combination of factors that can initiate a research debut and lead clinicians to thrive as researchers.

What are the implications for practitioners? Conducting research can provide an opportunity for a professional challenge and increased job satisfaction. A research-friendly environment, supportive research relationships and quarantined time for research contribute to research output in clinical settings.


References

[1]  Bawden G, McDermott F. Project discovery: social work research @ Southern Health. Soc Work 2012; 65 136–44.
Project discovery: social work research @ Southern Health.Crossref | GoogleScholarGoogle Scholar |

[2]  Hulcombe J, Sturgess J, Souvlis T, Fitzgerald C. An approach to building research capacity for health practitioners in a public health environment: an organisational perspective. Aust Health Rev 2014; 38 252–8.
An approach to building research capacity for health practitioners in a public health environment: an organisational perspective.Crossref | GoogleScholarGoogle Scholar | 24785693PubMed |

[3]  Skinner EH, Williams CM, Haines T. Embedding research culture and productivity in hospital physiotherapy departments: challenges and opportunities. Aust Health Rev 2015; 39 312–4.
Embedding research culture and productivity in hospital physiotherapy departments: challenges and opportunities.Crossref | GoogleScholarGoogle Scholar | 25774754PubMed |

[4]  Joubert L, Epstein I. Multi-disciplinary data mining in allied health practice: another perspective on Australian research and evaluation. J Soc Work Res Eval 2005; 6 139–41.

[5]  Pager S, Holden L, Golenko X. Motivators, enablers, and barriers to building allied health research capacity. J Multidiscip Healthc 2012; 5 53–9.
Motivators, enablers, and barriers to building allied health research capacity.Crossref | GoogleScholarGoogle Scholar | 22396626PubMed |

[6]  Parsons JE, Merlin TL, Taylor JE, Wilkinson D, Hiller JE. Evidence-based practice in rural and remote clinical practice: where is the evidence? Aust J Rural Health 2003; 11 242–8.
| 14641222PubMed |

[7]  Salmon L, Curton M, Ginnivan D, Neumayer R. Building sustainable rural research capacity: the experiences of a brain injury rehabilitation service. Aust J Rural Health 2007; 15 155–8.
Building sustainable rural research capacity: the experiences of a brain injury rehabilitation service.Crossref | GoogleScholarGoogle Scholar | 17542786PubMed |

[8]  Miles E, Adams R, Anaf S, Sheppard L. Factors identified by physiotherapists that influence retention of regional clinicians: a qualitative investigation. Internet J Allied Health Sci Pract 2010; 8 1–6.

[9]  Campbell N, McAllister L, Eley D. The influence of motivation in recruitment and retention of rural and remote allied health professionals: A literature review. Rural Remote Health 2012; 12 1900
| 1:STN:280:DC%2BC38fktVOhsw%3D%3D&md5=d5051608149832834b001cccecfa074eCAS | 22845190PubMed |

[10]  Roots RK, Li LC. Recruitment and retention of occupational therapists and physiotherapists in rural regions: a metasynthesis. BMC Health Serv Res 2013; 13 59
Recruitment and retention of occupational therapists and physiotherapists in rural regions: a metasynthesis.Crossref | GoogleScholarGoogle Scholar | 23402304PubMed |

[11]  Pighills AC, Plummer D, Harvey D, Pain T. Positioning occupational therapy as a discipline on the research continuum: results of a cross-sectional survey of research experience. Aust Occup Ther J 2013; 60 241–51.
Positioning occupational therapy as a discipline on the research continuum: results of a cross-sectional survey of research experience.Crossref | GoogleScholarGoogle Scholar | 23888974PubMed |

[12]  Harvey D, Plummer D, Pighills A, Pail T. Practitioner research capacity: a survey of social workers in northern Queensland. Aust Soc Work 2013; 66 540–54.
Practitioner research capacity: a survey of social workers in northern Queensland.Crossref | GoogleScholarGoogle Scholar |

[13]  Lazzarini P, Geraghty J, Kinnear EM, Butterworth M, Ward D. Research capacity and culture in podiatry: early observations within Queensland Health. J Foot Ankle Res 2013; 6 1
Research capacity and culture in podiatry: early observations within Queensland Health.Crossref | GoogleScholarGoogle Scholar | 23302627PubMed |

[14]  Cusick A, Lannin N. On becoming a practitioner-researcher in remote northern Australia: personal commitment and resources compensate for structural deterrents to research. Disabil Rehabil 2008; 30 1984–98.
On becoming a practitioner-researcher in remote northern Australia: personal commitment and resources compensate for structural deterrents to research.Crossref | GoogleScholarGoogle Scholar | 18608393PubMed |

[15]  Cusick A. The experience of clinician-researchers in occupational therapy. Am J Occup Ther 2001; 55 9–18.
The experience of clinician-researchers in occupational therapy.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M7otVemsQ%3D%3D&md5=564bc6b352f906472bd8fceb139948abCAS | 11216372PubMed |

[16]  Webster E, Thomas M, Ong N, Cutler L. Rural research capacity building program: capacity building outcomes. Aust J Primary Health 2011; 17 107–13.
Rural research capacity building program: capacity building outcomes.Crossref | GoogleScholarGoogle Scholar |

[17]  Cooke J, Booth A, Nancarrow S, Wilkinson A, Askew D. Re:Cap: identifying the evidence base for research capacity development in health and social care. 2006. Available at: http://works.bepress.com/susan_nancarrow/62/ [verified 14 September 2015].

[18]  Young AF. Becoming a practitioner-researcher: a personal journey. Br J Occup Ther 2004; 67 369–71.
Becoming a practitioner-researcher: a personal journey.Crossref | GoogleScholarGoogle Scholar |

[19]  Creswell JW. Qualitative inquiry and research design choosing among five traditions. Thousand Oaks, CA: Sage; 2006.

[20]  Australian Institute of Health and Welfare (AIHW). Rural, regional and remote health: a guide to remoteness classifications. Catalogue no. PHE 53. Canberra: AIHW; 2004.

[21]  Ritchie J, Lewis J, Elam G. Designing and selecting samples. In: Ritchie J, Lewis J, editors. Qualitative research practice a guide for social science students and researchers. Thousand Oaks, CA: Sage; 2011. pp. 77–108.

[22]  Minichiello V, Aroni R, Hays T. In-depth interviewing: principles, techniques, analysis. 3rd edn. Sydney: Pearson Education Australia; 2008.

[23]  Spencer L, Ritchie J, O’Connor W. Analysis: practices, principles and processes. In: Ritchie J, Lewis J, editors. Qualitative research practice a guide for social science students and researchers. Thousand Oaks, CA: Sage; 2011. pp. 199–218.

[24]  Lincoln YS, Guba EG. Naturalistic inquiry. London: Sage; 1987.

[25]  Bateman H, Walter F, Elliott J. What happens next? Evaluation of a scheme to support primary care practitioners with a fledgling interest in research. Fam Pract 2004; 21 83–6.
What happens next? Evaluation of a scheme to support primary care practitioners with a fledgling interest in research.Crossref | GoogleScholarGoogle Scholar | 14760051PubMed |

[26]  Sandberg JG, Johnson LN, Robila M, Miller RB. Clinician identified barriers to clinical research. J Marital Fam Ther 2002; 28 61–7.
Clinician identified barriers to clinical research.Crossref | GoogleScholarGoogle Scholar | 11813368PubMed |

[27]  Cooke J, Nancarrow S, Dyas J, Williams M. An evaluation of the ‘designated research team’ approach to building research capacity in primary care. BMC Fam Pract 2008; 9 37
An evaluation of the ‘designated research team’ approach to building research capacity in primary care.Crossref | GoogleScholarGoogle Scholar | 18588685PubMed |

[28]  Blevins D, Farmer MS, Edlund C, Sullivan G, Kirchner JE. Collaborative research between clinicians and researchers: a multiple case study of implementation. Implement Sci 2010; 5 76
Collaborative research between clinicians and researchers: a multiple case study of implementation.Crossref | GoogleScholarGoogle Scholar | 20946658PubMed |

[29]  Holden L, Pager S, Golenko X, Ware RS, Weare R. Evaluating a team-based approach to research capacity building using a matched-pairs study design. BMC Fam Pract 2012; 13 16
Evaluating a team-based approach to research capacity building using a matched-pairs study design.Crossref | GoogleScholarGoogle Scholar | 22409832PubMed |

[30]  Lewis J, Ritchie J. Generalising from qualitative research. In Ritchie J, Lewis J, editors. Qualitative research practice a guide for social science students and researchers. Thousand Oaks, CA: Sage; 2011. pp. 263–86.