Insights into the barriers and enablers faced by nurse/midwife clinician researchers in Australia

IF 1.6 4区 医学 Q2 NURSING
Caitlin M. Walsh , Claire M. Rickard , Karina R. Charles , Daner Ball , Jessica A. Schults
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引用次数: 0

Abstract

Background

Clinician researchers are described as health professionals who conduct research and provide clinical care. Whilst this dual expertise is common in medicine and increasingly in allied health disciplines, fewer nurses and midwives are engaged in clinician researcher roles.

Aim

This study aimed to understand the barriers and enablers experienced by clinician researchers in nursing and midwifery in the Australian health systems.

Methods

Semi-structured interviews were conducted with current nurse or midwife clinician researchers in Australia. Participants were classified as clinician researchers if they were registered nurses or midwives currently practising clinically whilst concurrently engaged in research. Interview data were analysed using iterative thematic analysis. In total, 15 interviews were conducted.

Findings

Key themes identified included (i) perceived value; (ii) structural factors; and (iii) personal factors. Nurse and midwife clinician researchers reported feeling challenged by the absence of a clear career trajectory, and the constant undervaluing of nurse and midwife clinician researchers by health service leaders and peers.

Discussion

Barriers included insufficient funding, motivation, mentorship, and leadership support. Enablers included protected research time, leadership support, and capacity-building. Participants also proposed changes to support clinician researcher career progression. These suggestions were used to put forward evidence-based recommendations for such a pathway.

Conclusion

This study highlighted the need for a clearly articulated workforce model to support sustainable clinician researcher careers for nurses and midwives to overcome these barriers.

深入了解澳大利亚护士/助产士临床研究人员面临的障碍和促进因素
临床研究人员被描述为进行研究和提供临床护理的卫生专业人员。虽然这种双重专业知识在医学中很常见,在联合卫生学科中也越来越多,但很少有护士和助产士从事临床研究员的工作。目的本研究旨在了解澳大利亚卫生系统中临床医生研究人员在护理和助产方面遇到的障碍和推动因素。方法采用半结构化访谈法对澳大利亚在职护士或助产士临床研究人员进行访谈。如果参与者是注册护士或助产士,他们目前在临床执业,同时从事研究,则被归类为临床医生研究人员。访谈数据采用迭代主题分析进行分析。总共进行了15次访谈。确定的主要主题包括:(i)感知价值;(ii)结构性因素;(三)个人因素。护士和助产士临床研究人员报告说,由于缺乏明确的职业轨迹,以及卫生服务领导和同行对护士和助产士临床研究人员的持续低估,他们感到受到挑战。障碍包括资金、动机、指导和领导支持不足。使能因素包括受保护的研究时间、领导支持和能力建设。参与者还提出了支持临床研究人员职业发展的改革建议。这些建议被用来为这一路径提出循证建议。结论:本研究强调需要一个明确的劳动力模型,以支持可持续的临床研究人员的职业生涯,为护士和助产士克服这些障碍。
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来源期刊
Collegian
Collegian NURSING-
CiteScore
2.70
自引率
6.70%
发文量
127
审稿时长
72 days
期刊介绍: Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.
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