Understanding the research capacity and culture of a regional allied health workforce

2021 ◽  
Author(s):  
Angela Crombie ◽  
Donna Borkowski ◽  
Marcus Gardner ◽  
Kevin Masman ◽  
Owen Howlett
Keyword(s):  
Health Workforce ◽  
Allied Health ◽  
Research Capacity

Research capacity and culture of the Victorian public health allied health workforce is influenced by key research support staff and location

2015 ◽  
Vol 39 (3) ◽  
pp. 303 ◽  
Author(s):  
Cylie Williams ◽  
Koki Miyazaki ◽  
Donna Borkowski ◽  
Carol McKinstry ◽  
Matthew Cotchet ◽  
...  
Keyword(s):  
Public Health ◽  
Health Workforce ◽  
Health Research ◽  
Allied Health ◽  
Research Capacity ◽  
The Self ◽  
Research Activity ◽  
Research Skills ◽  
Extrinsic Factors ◽  
Research Activities

Objective The aim of the present study was to identify and understand the self-rated research capacity and culture of the allied health workforce. Methods The present study was a cross-sectional survey. The Research Capacity and Culture tool was disseminated to all Victorian public health allied health departments. General demographic data were also collected, including the presence of an organisational allied health research lead. Results Five hundred and twenty fully completed surveys were returned by participants; all allied health disciplines and all grades were represented. One hundred and eighty-six participants had an organisational allied health research lead and 432 were located in a metropolitan-based health service. There were significant differences (P < 0.05) within all organisational and team research skills between those with and without a research lead, together with those in different service locations (metropolitan vs non-metropolitan). Higher self-ratings in individual research skills (P < 0.05) were primarily associated with more senior and metropolitan-located clinicians. Conclusion The allied health workforce identifies as a group that is ready to build the evidence to support clinical practice yet requires a whole-systems approach to do so. The results of the present study suggest that the development of key people to build capacity at a higher organisational level has a flow-down effect on research capacity and culture. What is known about the topic? Some allied health disciplines (occupational therapy, dietetics and podiatry) have previously been surveyed about their research capabilities, capacity and culture. Those surveys identified individual skill and success in undertaking early phase research activities, such as finding and critiquing the literature. However, there were limitations to research activity identified, such as a lack of success or skill in the later phase of research projects to undertake analysis of data, writing for publication and mentoring less experienced clinicians in research. What does this paper add? The present study explored the effect of extrinsic factors on undertaking research activity within the allied health workforce. It determined that there are several factors that affect the organisation and team levels of research capacity and culture, but these factors were different to the self-reported individual success or skills. The results can assist organisations to make strategic decisions about how to engage allied health clinicians in research activities. What are the implications for practitioners? The results of the present study give a platform for the Victorian allied health workforce to grow in its engagement in research activities and use of evidence. This knowledge is important to decision makers and funding bodies, as well as to the Australian allied health workforce.

scholarly journals Effects and mechanisms of an allied health research position in a Queensland regional and rural health service: a descriptive case study

2018 ◽  
Vol 42 (6) ◽  
pp. 667 ◽  
Author(s):  
Rachel J. Wenke ◽  
Anna Tynan ◽  
Annette Scott ◽  
Sharon Mickan
Keyword(s):  
Health Service ◽  
Allied Health ◽  
Research Capacity ◽  
Research Culture ◽  
Building Research ◽  
Potential Value ◽  
Research Collaborations ◽  
Rural Health Service ◽  
Use Of Technology

The aim of the present case study is to illustrate the outcomes of a dedicated allied health (AH) research position within a large Queensland regional and rural health service. The secondary aim of the case study is to describe the enabling and hindering mechanisms to the success of the role. Semistructured interviews were conducted with the Executive Director of Allied Health and the current AH research fellow incumbent within the health service. A focus group was also undertaken with six stakeholders (e.g. clinicians, team leaders) who had engaged with the research position. Outcomes of the AH research fellow included clinical and service improvements, enhanced research culture and staff up-skilling, development of research infrastructure and the formation of strategic research collaborations. Despite being a sole position in a geographically expansive health service with constrained resources, key enabling mechanisms to the success of the role were identified, including strong advocacy and regular communication with the Executive. In conclusion, the case study highlights the potential value of an AH research position in building research capacity within a large non-metropolitan health service. Factors to facilitate ongoing success could include additional research and administrative funding, as well as increased use of technology and team-based research. What is known about the topic? Dedicated research positions embedded within health care settings are a well cited strategy to increase research capacity building of allied health professionals (AHPs). However the majority of these positions are within metropolitan health settings and unique challenges exist for these roles in regional and rural areas. Few studies have described the impact of dedicated AH research positions within regional health centres or the factors which facilitate or hinder their role. What does this paper add? Dedicated research positions within a non-metropolitan Australian health service may have a positive impact on AH clinical services, research culture, staff upskilling, research infrastructure and research collaborations. Key enabling mechanisms to support the role may include advocacy from higher level management, strong networks and communication channels. Additional research and administrative funding, the use of technology and team based research may enhance sustainability of such roles. What are the implications for practitioners? AH research positions have potential value in building research capacity within a large non-metropolitan health service. Health managers and researchers should be aware of the unique challenges to these roles and consider mechanisms that may best enhance and sustain outcomes of the positions including: the development of infrastructure (i.e. technology, website of resources), networks, and communication strategies (i.e. regular meetings with leadership and promotion internally).

Factors that contribute to high-quality clinical supervision of the rural allied health workforce: lessons from the coalface

2019 ◽  
Vol 43 (6) ◽  
pp. 682 ◽  
Author(s):  
Priya Martin ◽  
Katherine Baldock ◽  
Saravana Kumar ◽  
Lucylynn Lizarondo
Keyword(s):  
Clinical Supervision ◽  
Health Workforce ◽  
Health Professionals ◽  
Allied Health ◽  
Rural And Remote ◽  
High Quality ◽  
Allied Health Professionals ◽  
Remote Health ◽  
Rural And Remote Health

Objective The aim of this study was to identify the factors contributing to high-quality clinical supervision of the allied health workforce in rural and remote settings. Methods This quantitative study was part of a broader project that used a mixed-methods sequential explanatory design. Participants were 159 allied health professionals from two Australian states. Quantitative data were collected using an online customised survey and the Manchester Clinical Supervision Scale (MCSS-26). Data were analysed using regression analyses. Results Supervisee’s work setting and choice of supervisor were found to have a positive and significant influence on clinical supervision quality. Supervisee profession and time in work role were found to have a negative and significant influence on the quality of clinical supervision. Conclusions High-quality clinical supervision is essential to achieve quality and safety of health care, as well as to support the health workforce. Information on high-quality clinical supervision identified in this study can be applied to clinical supervision practices in rural and remote settings, and to professional support policies and training to enhance the quality of supervision. What is known about the topic? There is mounting evidence on the benefits of clinical supervision to health professionals, organisations and patients. Clinical supervision enhances recruitment and retention of the health workforce. However, there are still gaps regarding the factors that contribute to high-quality clinical supervision, especially for rural and remote health professionals. What does this paper add? This study, the first of its kind, recruited rural and remote health professionals from seven allied health disciplines across two Australian states. It investigated the factors that influence high-quality clinical supervision in this under-resourced group. This paper outlines specific factors that contribute to clinical supervision quality for rural and remote allied health professionals. What are the implications for practitioners? Effective and high-quality clinical supervision of the rural and remote allied health workforce can enhance recruitment and retention in those areas. Healthcare organisations can facilitate effective clinical supervision delivery by using the evidence gathered in this study in clinical supervision policy, training and practice.

The interface of health support workers with the allied health professions

2020 ◽  
pp. 101-124
Author(s):  
Susan Nancarrow
Keyword(s):  
United Kingdom ◽  
Health Workforce ◽  
Allied Health ◽  
Health Professions ◽  
Allied Health Professions ◽  
The United Kingdom ◽  
Different Types ◽  
Challenges And Opportunities ◽  
Health Support ◽  
Professional Project

The chapter begins by describing the allied health workforce, before exploring from a neo-Weberian perspective the development of the support workforce associated with the allied health professions with a focus on the United Kingdom and Australia – not least by considering the reasons for introducing a support workforce, the contexts in which it is used, the negotiation of its boundaries, and the challenges and opportunities for allied health professions and its support workforce. In particular, this chapter claims that the heterogeneous allied health support workforce has evolved through two models, with different types of workers. The first is the profession-led model, which supports the neo-Weberian idea of the professional project, in which allied health professions developed support roles to expand and maintain their market monopoly and autonomy in niche areas. The second is the managerial model, which instead privileges the ‘patient-centred’ goals of increasing role flexibility by recognising and rewarding individuals’ skills and competencies and working across traditional professional and organisational boundaries. The chapter finally outlines some of the key challenges to allied health support workforce going forward.

Surveying Allied Health Professionals Within a Public Health Service: What Works Best, Paper or Online?

2019 ◽  
pp. 016327871987056
Author(s):  
Joanna C. Kidd ◽  
Sue Colley ◽  
Sarah Dennis
Keyword(s):  
Selection Bias ◽  
Online Survey ◽  
Allied Health ◽  
Response Rate ◽  
Poor Response ◽  
Research Capacity ◽  
Local Health ◽  
Allied Health Professionals ◽  
Paper Form ◽  
Paper Survey

Poor response rate, self-selection bias, and item noncompletion negatively impact the generalization of results from surveys. This study examined differences in these factors between a paper and online survey among allied health clinicians. Clinicians within a large local health district were initially invited to complete the Research Capacity in Context Tool online via an e-mail link. Following a lower-than-expected response rate, potential selection bias, and item noncompletion, the survey was readministered in paper form to the same cohort of clinicians 6–12 months later. The response rate to the paper survey was higher than to the online survey (27.6% vs. 16.5%). Selection biases were evident, characterized by seniority and discipline: Junior clinicians responded at rates significantly less than expected to the online survey but as expected to the paper survey. Occupational therapists, speech pathologists, and podiatrists responded more highly to the online survey, while other disciplines responded more highly to the paper survey. The rate of item noncompletion was higher for online than paper survey (6.72% vs. 3.8% questions not completed, respectively), with patterns of noncompletion also differing. These data suggest paper surveys are likely to produce less biased and more generalizable data from allied health clinicians.

scholarly journals Developing clinical academic researchers: insights from practitioners and managers in nursing, midwifery and allied health

2019 ◽  
Vol 25 (9) ◽  
pp. 282-292
Author(s):  
Hazel Roddam ◽  
Lucy Cross ◽  
Rachel Georgiou ◽  
Josephine Gibson ◽  
Stephanie Jones ◽  
...  
Keyword(s):  
Health Research ◽  
Allied Health ◽  
Academic Research ◽  
Health Professions ◽  
Research Capacity ◽  
Career Pathways ◽  
Allied Health Professions ◽  
Barriers And Enablers ◽  
Research Activities ◽  
Strategic Support

Background/Aims Developing a clinical academic role in nursing, midwifery and the allied health professions is challenging because of the lack of a national career pathway, recognition and understanding of the role. This evaluation aimed to explore perspectives of aspiring, or active clinical academics, and healthcare managers in nursing, midwifery and the allied health professions about the benefits, barriers and enablers of engagement in these career pathways. Methods In total, eight workshops were facilitated across England (four each for managers and prospective clinical academics), where 162 participants shared their experiences and perceptions of clinical academic research activities. Results Three major themes were identified that related to the perceived benefits, barriers and enablers of engagement in these career pathways: building health research capacity, building individuals' health research capability, and improving patient care. Conclusion This article demonstrates factors that are valued and perceived to be working well by practitioners and their clinical service managers, and highlights key priorities for further strategic support.

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