tailieunhanh - báo cáo khoa học: " Collaborative research between clinicians and researchers: a multiple case study of implementation"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Collaborative research between clinicians and researchers: a multiple case study of implementation | Blevins et al. Implementation Science 2010 5 76 http content 5 1 76 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Collaborative research between clinicians and researchers a multiple case study of implementation 1 13 Dean Blevins Mary S Farmer Carrie Edlund Greer Sullivan JoAnn E Kirchner Abstract Background Bottom-up clinician-conceived and directed clinical intervention research coupled with collaboration from researcher experts is conceptually endorsed by the participatory research movement. This report presents the findings of an evaluation of a program in the Veterans Health Administration meant to encourage clinician-driven research by providing resources believed to be critical. The evaluation focused on the extent to which funded projects maintained integrity to their original proposals were methodologically rigorous were characterized by collaboration between partners and resulted in sustained clinical impact. Methods Researchers used quantitative survey and archival and qualitative focus group data to evaluate the implementation evaluation and sustainability of four clinical demonstration projects at four sites. Fourteen research center mentors and seventeen clinician researchers evaluated the level of collaboration using a six-dimensional model of participatory research. Results Results yielded mixed findings. Qualitative and quantitative data suggested that although the process was collaborative clinicians prior research experience was critical to the quality of the projects. Several challenges were common across sites including subject recruitment administrative support and logistics and subsequent dissemination. Only one intervention achieved lasting clinical effect beyond the active project period. Qualitative analyses identified barriers and facilitators and suggested areas to improve sustainability. Conclusions Evaluation results suggest that this participatory research .