Skip to main content
Top
Published in: Health Research Policy and Systems 1/2017

Open Access 01-12-2017 | Research

Allied health research positions: a qualitative evaluation of their impact

Authors: Rachel J. Wenke, Elizabeth C. Ward, Ingrid Hickman, Julie Hulcombe, Rachel Phillips, Sharon Mickan

Published in: Health Research Policy and Systems | Issue 1/2017

Login to get access

Abstract

Background

Research positions embedded within healthcare settings have been identified as an enabler to allied health professional (AHP) research capacity; however, there is currently limited research formally evaluating their impact. In 2008, a Health Practitioner industrial agreement funded a research capacity building initiative within Queensland Health, Australia, which included 15 new allied health research positions. The present project used a qualitative and realist approach to explore the impact of these research positions, as well as the mechanisms which facilitated or hindered their success within their respective organisations.

Methods

Forty-four AHP employees from six governmental health services in Queensland, Australia, participated in the study. Individual interviews were undertaken, with individuals in research positions (n = 8) and their reporting line managers (n = 8). Four stakeholder focus groups were also conducted with clinicians, team leaders and professional heads who had engaged with the research positions.

Results

Nine key outcomes of the research positions were identified across individual, team/service and organisational/community levels. These outcomes included clinician skill development, increased research activity, clinical and service changes, increased research outputs and collaborations, enhanced research and workplace culture, improved profile of allied health, development of research infrastructure, and professional development of individuals in the research positions. Different mechanisms that influenced these outcomes were identified. These mechanisms were grouped by those related to the (1) research position itself, (2) organisational factors and (3) implementation factors.

Conclusions

The present findings highlight the potential value of the research positions for individuals, teams and clinical services across different governmental healthcare services, and demonstrate the impact of the roles on building the internal and external profile of allied health. Results build upon the emerging evidence base for allied health research positions and have important implications for a number of stakeholders (i.e. individuals in the research positions, AHPs and their managers, university partners and state-wide executives). Key recommendations are provided for all stakeholders to enhance the ongoing impact of these roles and the potential advocacy for additional positions and resources to support them.
Appendix
Available only for authorised users
Literature
1.
go back to reference 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(3):252–8.CrossRefPubMed 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(3):252–8.CrossRefPubMed
2.
go back to reference Pickstone C, Nancarrow S, Cooke J, Vernon W, Mountain G, Boyce RA, et al. Building research capacity in the allied health professions. Evid Policy. 2008;4(1):53–68.CrossRef Pickstone C, Nancarrow S, Cooke J, Vernon W, Mountain G, Boyce RA, et al. Building research capacity in the allied health professions. Evid Policy. 2008;4(1):53–68.CrossRef
3.
go back to reference Ried K, Farmer EA, Weston KM. Bursaries, writing grants and fellowships: a strategy to develop research capacity in primary health care. BMC Fam Pract. 2007;8:19.CrossRefPubMedPubMedCentral Ried K, Farmer EA, Weston KM. Bursaries, writing grants and fellowships: a strategy to develop research capacity in primary health care. BMC Fam Pract. 2007;8:19.CrossRefPubMedPubMedCentral
4.
go back to reference Golenko X, Pager S, Holden L. A thematic analysis of the role of the organisation in building allied health research capacity: a senior managers’ perspective. BMC Health Serv Res. 2012;12:276.CrossRefPubMedPubMedCentral Golenko X, Pager S, Holden L. A thematic analysis of the role of the organisation in building allied health research capacity: a senior managers’ perspective. BMC Health Serv Res. 2012;12:276.CrossRefPubMedPubMedCentral
5.
go back to reference Harding K, Lynch L, Porter J, Taylor NF. Organisational benefits of a strong research culture in a health service: a systematic review. Aust Health Rev. 2016. doi:10.1071/AH15180. Ahead of print. Harding K, Lynch L, Porter J, Taylor NF. Organisational benefits of a strong research culture in a health service: a systematic review. Aust Health Rev. 2016. doi:10.1071/AH15180. Ahead of print.
6.
7.
go back to reference Lazzarini PA, Geraghty J, Kinnear EM, Butterworth M, Ward D. Research capacity and culture in podiatry: early observations within. Queensland Health J. 2013;6(1):1. Lazzarini PA, Geraghty J, Kinnear EM, Butterworth M, Ward D. Research capacity and culture in podiatry: early observations within. Queensland Health J. 2013;6(1):1.
8.
go back to reference Finch E, Cornwell P, Ward EC, McPhail SM. Factors influencing research engagement: research interest, confidence and experience in an Australian speech-language pathology workforce. BMC Health Serv Res. 2013;13:144.CrossRefPubMedPubMedCentral Finch E, Cornwell P, Ward EC, McPhail SM. Factors influencing research engagement: research interest, confidence and experience in an Australian speech-language pathology workforce. BMC Health Serv Res. 2013;13:144.CrossRefPubMedPubMedCentral
9.
go back to reference Orme J, Powell J. Building research capacity in social work: process and issues. Br J Soc Work. 2008;38(5):988–1008.CrossRef Orme J, Powell J. Building research capacity in social work: process and issues. Br J Soc Work. 2008;38(5):988–1008.CrossRef
10.
go back to reference Trostle J. Research capacity and international health: definitions, evaluations and strategies for success. Soc Sci Med. 1992;35(11):1321–4.CrossRefPubMed Trostle J. Research capacity and international health: definitions, evaluations and strategies for success. Soc Sci Med. 1992;35(11):1321–4.CrossRefPubMed
11.
go back to reference Bernhardt J, Shyn-Li LT. More options and better job security required in career paths of physiotherapist researchers: an observational study. Aust J Physiother. 2008;54(2):135–40.CrossRefPubMed Bernhardt J, Shyn-Li LT. More options and better job security required in career paths of physiotherapist researchers: an observational study. Aust J Physiother. 2008;54(2):135–40.CrossRefPubMed
12.
go back to reference Brauer SG, Haines TP, Bew PG. Fostering clinician-led research. Aust J Physiother. 2007;53(3):143–4.CrossRefPubMed Brauer SG, Haines TP, Bew PG. Fostering clinician-led research. Aust J Physiother. 2007;53(3):143–4.CrossRefPubMed
13.
go back to reference Refshauge K. Embedding research and researchers in clinical practice is fundamental. Aust J Physiother. 2008;54(3):226.CrossRefPubMed Refshauge K. Embedding research and researchers in clinical practice is fundamental. Aust J Physiother. 2008;54(3):226.CrossRefPubMed
14.
go back to reference Williams C, Miyazaki K, Borkowski D, McKinstry C, Cotchet M, Haines T. Research capacity and culture of the Victorian public health allied health workforce is influenced by key research support staff and location. Aust Health Rev. 2015;39(3):303–11.CrossRefPubMed Williams C, Miyazaki K, Borkowski D, McKinstry C, Cotchet M, Haines T. Research capacity and culture of the Victorian public health allied health workforce is influenced by key research support staff and location. Aust Health Rev. 2015;39(3):303–11.CrossRefPubMed
15.
go back to reference Pain T, Plummer D, Pighills A, Harvey D. Comparison of research experience and support needs of rural versus regional allied health professionals. Aust J Rural Health. 2015;23(5):277–85.CrossRefPubMed Pain T, Plummer D, Pighills A, Harvey D. Comparison of research experience and support needs of rural versus regional allied health professionals. Aust J Rural Health. 2015;23(5):277–85.CrossRefPubMed
16.
go back to reference Wenke R, Mickan S. The role and impact of research positions within health care settings in allied health: A systematic review. BMC Health Serv Res. 2016;16:355.CrossRefPubMedPubMedCentral Wenke R, Mickan S. The role and impact of research positions within health care settings in allied health: A systematic review. BMC Health Serv Res. 2016;16:355.CrossRefPubMedPubMedCentral
17.
go back to reference Perry L, Grange A, Heyman B, Noble P. Stakeholders’ perceptions of a research capacity development project for nurses, midwives and allied health professionals. J Nurs Manag. 2008;16(3):315–26.CrossRefPubMed Perry L, Grange A, Heyman B, Noble P. Stakeholders’ perceptions of a research capacity development project for nurses, midwives and allied health professionals. J Nurs Manag. 2008;16(3):315–26.CrossRefPubMed
18.
go back to reference Janssen J, Hale L, Mirfin-Veitch B, Harland T. Building the research capacity of clinical physical therapists using a participatory action research approach. Phys Ther. 2013;93(7):923–34.CrossRefPubMed Janssen J, Hale L, Mirfin-Veitch B, Harland T. Building the research capacity of clinical physical therapists using a participatory action research approach. Phys Ther. 2013;93(7):923–34.CrossRefPubMed
19.
go back to reference Pawson R, Tilley N. Realist Evaluation. London: Sage; 2004. Pawson R, Tilley N. Realist Evaluation. London: Sage; 2004.
20.
go back to reference McGhee G, Marland GR, Atkinson J. Grounded theory research: literature reviewing and reflexivity. J Adv Nurs. 2007;60(3):334–42.CrossRefPubMed McGhee G, Marland GR, Atkinson J. Grounded theory research: literature reviewing and reflexivity. J Adv Nurs. 2007;60(3):334–42.CrossRefPubMed
21.
go back to reference QSR International Pty Ltd. NVivo qualitative data analysis Software. 11th ed. 2015. QSR International Pty Ltd. NVivo qualitative data analysis Software. 11th ed. 2015.
23.
go back to reference Zallman L, Tendulkar S, Bhuyia N, Dube B, Early S, Arredondo M, et al. Provider’s perspectives on building research and quality improvement capacity in primary care: a strategy to improve workforce satisfaction. Clin Transl Sci. 2013;6(5):404–8.CrossRefPubMed Zallman L, Tendulkar S, Bhuyia N, Dube B, Early S, Arredondo M, et al. Provider’s perspectives on building research and quality improvement capacity in primary care: a strategy to improve workforce satisfaction. Clin Transl Sci. 2013;6(5):404–8.CrossRefPubMed
24.
go back to reference Smith T, Brown L, Cooper R. A multidisciplinary model of rural allied health clinical-academic practice: a case study. J Allied Health. 2009;38(4):236–41.PubMed Smith T, Brown L, Cooper R. A multidisciplinary model of rural allied health clinical-academic practice: a case study. J Allied Health. 2009;38(4):236–41.PubMed
25.
go back to reference Wilson NA. Factors that affect job satisfaction and intention to leave of allied health professionals in a metropolitan hospital. Aust Health Rev. 2015;39(3):290–4.CrossRefPubMed Wilson NA. Factors that affect job satisfaction and intention to leave of allied health professionals in a metropolitan hospital. Aust Health Rev. 2015;39(3):290–4.CrossRefPubMed
26.
go back to reference Keane S, Smith TN, Lincoln M, Fisher K. Survey of the rural allied health workforce in New South Wales to inform recruitment and retention. Aust J Rural Health. 2011;19(1):38–44.CrossRefPubMed Keane S, Smith TN, Lincoln M, Fisher K. Survey of the rural allied health workforce in New South Wales to inform recruitment and retention. Aust J Rural Health. 2011;19(1):38–44.CrossRefPubMed
27.
go back to reference Keane S, Lincoln M, Smith TN. Retention of allied health professionals in rural new south Wales: a thematic analysis of focus group discussions. BMC Health Serv Res. 2012;12:175.CrossRefPubMedPubMedCentral Keane S, Lincoln M, Smith TN. Retention of allied health professionals in rural new south Wales: a thematic analysis of focus group discussions. BMC Health Serv Res. 2012;12:175.CrossRefPubMedPubMedCentral
28.
go back to reference Keane S, Lincoln M, Rolfe M, Smith T. Retention of the rural allied health workforce in New South Wales: a comparison of public and private practitioners. BMC Health Serv Res. 2013;13:32.CrossRefPubMedPubMedCentral Keane S, Lincoln M, Rolfe M, Smith T. Retention of the rural allied health workforce in New South Wales: a comparison of public and private practitioners. BMC Health Serv Res. 2013;13:32.CrossRefPubMedPubMedCentral
29.
go back to reference Philip K. Allied health: untapped potential in the Australian health system. Aust Health Rev. 2015;39(3):244–7.CrossRefPubMed Philip K. Allied health: untapped potential in the Australian health system. Aust Health Rev. 2015;39(3):244–7.CrossRefPubMed
30.
go back to reference Collins J. Education techniques for lifelong learning: principles of adult learning. Radiographics. 2004;24(5):1483–9.CrossRefPubMed Collins J. Education techniques for lifelong learning: principles of adult learning. Radiographics. 2004;24(5):1483–9.CrossRefPubMed
31.
go back to reference Rogers EM. Diffusion of Innovations. New York: Free Press; 2003. Rogers EM. Diffusion of Innovations. New York: Free Press; 2003.
Metadata
Title
Allied health research positions: a qualitative evaluation of their impact
Authors
Rachel J. Wenke
Elizabeth C. Ward
Ingrid Hickman
Julie Hulcombe
Rachel Phillips
Sharon Mickan
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2017
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/s12961-016-0166-4

Other articles of this Issue 1/2017

Health Research Policy and Systems 1/2017 Go to the issue