Self-Assessment Organisational Readiness Tool (SORT) for Nursing Research Capacity Development: Results of a UK Delphi Study

IF 3.7 3区 医学 Q1 NURSING
Parveen Ali, Julie Mcgarry, Ashfaque Ahmed Talpur, Joanne Cooper, Joanne Cooke
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引用次数: 0

Abstract

Aim

This Delphi study aimed to develop the Self-assessment Organisational Readiness Tool (SORT), a prototype designed to assess healthcare organisations’ capacity to support nursing engagement in research activities.

Background

Nurses are pivotal to evidence-based healthcare, yet organisational barriers frequently hinder their engagement in research. Existing frameworks often lack the precision needed to evaluate organisational readiness to support nurses in research capacity building, leadership development and digital innovation. This study aims to bridge this gap through the development of the SORT framework.

Methods

A structured Delphi consensus-building process was conducted over three iterative rounds and supplemented by four expert working group workshops. Participants, identified through purposive sampling, included 43 professionals with expertise in research and development, evidence-based practice and clinical and research leadership. Quantitative data were analysed using consensus thresholds (≥70% agreement), while qualitative feedback informed the iterative refinement of the tool.

Findings

Consensus was achieved on 67 statements across five thematic areas: People-centred research, releasing potential, research systems, careers and digitally enabled research. Key items highlighted the importance of skills development, organisational leadership and collaboration with academia and patient/public involvement. Limited consensus in areas such as monitoring progress and digital research highlights the need for further refinement. SORT demonstrated strong face validity, with plans for reliability testing and factor analysis in future work.

Implications for Nursing Practice and Policy

SORT is designed to be used by nursing and R&D leaders, healthcare executives, managers and policymakers to evaluate and improve organisational readiness to support research aiming nurses in healthcare settings. It can inform strategic planning, workforce development and performance benchmarking within healthcare institutions. It will also serve as a guide to individual nurse respondents by increasing their awareness of various initiatives in their organisations that they should know about. SORT provides a practical framework for embedding research within healthcare organisations to support nursing practice. It offers organisations a tool to identify strengths and gaps in research capacity, informing workforce development and infrastructure planning. Policymakers can use SORT to benchmark readiness and align strategies with national objectives. While developed in the UK, SORT has the potential to support global efforts to advance nursing research capacity, as this is the first tool developed specially to measure organisational readiness to support nurses for research and has already generated interest in other countries and professions.

Conclusion

SORT represents a significant step towards fostering a research culture within healthcare organisations. By aligning with the Chief Nursing Officer strategy in the UK context, it supports evidence-based practice and enhances nursing's contribution to healthcare quality and innovation. Future work will focus on validating SORT's reliability and expanding its applicability across diverse healthcare settings.

护理研究能力发展的自我评估组织准备工具(SORT):英国德尔菲研究的结果
本德尔菲研究旨在开发自我评估组织准备工具(SORT),这是一个原型,旨在评估医疗机构在研究活动中支持护理参与的能力。护士是循证医疗保健的关键,然而组织障碍经常阻碍他们参与研究。现有框架往往缺乏评估组织准备情况所需的准确性,以支持护士进行研究能力建设、领导力发展和数字创新。本研究旨在通过SORT框架的发展来弥合这一差距。方法采用结构化的德尔菲共识建立过程,分三轮反复进行,并辅以四次专家工作组研讨会。通过有目的抽样确定的参与者包括43名在研发、循证实践以及临床和研究领导方面具有专长的专业人员。定量数据使用共识阈值(≥70%的一致性)进行分析,而定性反馈告知工具的迭代改进。会议就以下五个主题领域的67项声明达成共识:以人为本的研究、释放潜力、研究系统、职业和数字化研究。重点项目强调了技能发展、组织领导、与学术界合作以及患者/公众参与的重要性。在监测进展和数字研究等领域达成的有限共识凸显了进一步完善的必要性。SORT显示出较强的面效度,并计划在未来的工作中进行信度测试和因子分析。对护理实践和政策的影响SORT旨在由护理和研发领导者、医疗保健主管、管理人员和政策制定者使用,以评估和改进组织准备,以支持针对医疗保健环境中的护士的研究。它可以为医疗保健机构的战略规划、劳动力发展和绩效基准测试提供信息。它还将作为个别护士受访者的指南,通过提高他们对组织中他们应该知道的各种举措的认识。SORT提供了一个实用的框架,用于在医疗保健组织内嵌入研究,以支持护理实践。它为组织提供了一种工具,以确定研究能力的优势和差距,为劳动力发展和基础设施规划提供信息。政策制定者可以利用特别排序来衡量准备情况,并使战略与国家目标保持一致。虽然在英国开发,SORT有潜力支持全球推进护理研究能力的努力,因为这是第一个专门开发的工具来衡量组织是否愿意支持护士进行研究,并且已经引起了其他国家和专业的兴趣。结论:SORT代表了在医疗机构内培养研究文化的重要一步。通过与英国首席护理官战略保持一致,它支持循证实践,并增强护理对医疗质量和创新的贡献。未来的工作将侧重于验证SORT的可靠性,并扩大其在不同医疗保健环境中的适用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.90
自引率
7.30%
发文量
72
审稿时长
6-12 weeks
期刊介绍: International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.
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