UK research staff perspectives on improving recruitment and retention to primary care research; nominal group exercise
UK research staff perspectives on improving recruitment and retention to primary care research; nominal group exercise
复制标题
DOI：
10.1093/fampra/cmn085
复制
发表时间：
2009-02-01
期刊：
影响因子：
2.2
通讯作者：
Kinmonth, Ann Louise
中科院分区：
文献类型：
--
作者：
Graffy, Jonathan;Grant, Julie;Kinmonth, Ann Louise
背景初级保健研究经常遇到招募困难，但几乎没有证据提供解决方案。作为国家卫生研究所初级保健研究学校和英国临床研究网络计划的一部分，我们引发了研究人员对促进或阻碍招聘因素的看法。为了确定有经验的研究人员认为重要的成功招聘和保留和他们的信心，实现他们的因素。举行了一系列三次讲习班。第三个使用了一个修改后的名义组技术进行分类是否与“上下文”的研究发生，“内容”的研究或招聘的“过程”，并优先考虑他们的重要性，以成功。18名研究人员参加了确定优先事项讲习班。他们优先考虑初级保健工作人员对研究的积极态度和潜在参与者对研究人员的信任，作为影响招聘的主要背景因素。研究需要被工作人员认为是安全和相关的，并符合实践系统。他们建议研究人员加强与工作人员和参与者的关系，并尽量减少初级保健团队的工作量。虽然有信心在许多招聘过程中，受访者仍然不确定如何实现文化变革，使研究成为正常的实践活动的一部分，以及如何最好地激励患者参与。参与的研究工作者确定了可能对招聘很重要的因素，其中一些他们表示没有信心解决。如果目前加强初级保健研究的努力要取得成果，了解如何改善招募是至关重要的。
Background. Primary care studies often encounter recruitment difficulties, but there is little evidence to inform solutions. As part of a National Institute for Health Research School for Primary Care Research and UK Clinical Research Network programme, we elicited research staff perspectives on factors facilitating or obstructing recruitment.Objective. To identify factors that experienced research staff consider important in successful recruitment and retention and their confidence in achieving them.Methods. An iterative series of three workshops was held. The third used a modified nominal group technique to categorize whether factors related to the 'context' in which the research took place, the 'content' of the study or the recruitment 'process' and to prioritize them by their importance to success.Results. Eighteen research staff participated in the prioritization workshop. They prioritized positive attitudes of primary care staff towards research and trust of researchers by potential participants as major contextual factors affecting recruitment. Studies needed to be considered safe and relevant by staff and fit with practice systems. They proposed that researchers strengthen relationships with staff and participants and minimize workload for primary care teams. Although confident in many recruitment processes, respondents remained uncertain how to achieve cultural change so that research became part of normal practice activity and how best to motivate patients to participate.Conclusions. Research workers taking part identified factors which might be important in recruitment, several of which they expressed little confidence in addressing. Understanding how to improve recruitment is crucial if current efforts to strengthen primary care research are to bear fruit.