Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH FRONT

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

Cylie Williams A B F , Koki Miyazaki A , Donna Borkowski C , Carol McKinstry D , Matthew Cotchet D and Terry Haines B E
+ Author Affiliations
- Author Affiliations

A Peninsula Health-Community Health, PO Box 52, Frankston, Vic. 3199, Australia. Email: kmiyazaki@phcn.vic.gov.au

B Monash University, Faculty of Medicine, Nursing and Health Sciences, School of Physiotherapy, PO Box 527, Frankston, Vic. 3199, Australia.

C Bendigo Health, PO Box 126, Bendigo, Vic. 3552, Australia. Email: DBorkowski@bendigohealth.org.au

D Latrobe Rural Health School, La Trobe University, Edwards Road, Flora Hill, Vic. 3550, Australia. Email: C.McKinstry@latrobe.edu.au; M.Cotchett@latrobe.edu.au

E Monash Health, Allied Health Research Unit, Cnr Kingston and Warrigal Roads, Cheltenham, Vic. 3192, Australia. Email: terrence.haines@monash.edu

F Corresponding author. Email: cyliewilliams@phcn.vic.gov.au

Australian Health Review 39(3) 303-311 https://doi.org/10.1071/AH14209
Submitted: 31 October 2014  Accepted: 25 March 2015   Published: 18 May 2015

Abstract

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.


References

[1]  Iles R, Davidson M. Evidence based practice: a survey of physiotherapists’ current practice. Physiother Res Int 2006; 11 93–103.
Evidence based practice: a survey of physiotherapists’ current practice.Crossref | GoogleScholarGoogle Scholar | 16808090PubMed |

[2]  Powell CA, Case-Smith J. Information literacy skills of occupational therapy graduates: promoting evidence-based practice in the MOT curriculum. Med Ref Serv Q 2010; 29 363–80.
Information literacy skills of occupational therapy graduates: promoting evidence-based practice in the MOT curriculum.Crossref | GoogleScholarGoogle Scholar | 21058179PubMed |

[3]  Baker SS, Morrone AS, Gable KE. Allied health deans’ and program directors’ perspectives of specialized accreditation effectiveness and reform. J Allied Health 2004; 33 247–54.
| 15656255PubMed |

[4]  Stagnitti K, Schoo A, Reid C, Dunbar J. Access and attitude of rural allied health professionals to CPD and training. IJTR 2005; 12 355–61.

[5]  Trostle J. Research capacity building in international health: definitions, evaluations and strategies for success. Soc Sci Med 1992; 35 1321–4.
Research capacity building in international health: definitions, evaluations and strategies for success.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3s%2FpslWmsg%3D%3D&md5=7086fd2ad517b7f3295e674b71cef948CAS | 1462171PubMed |

[6]  Patel VM, Ashrafian H, Ahmed K, Arora S, Jiwan S, Nicholson JK, Darzi A, Athanasiou T. How has healthcare research performance been assessed? A systematic review. J R Soc Med 2011; 104 251–61.
How has healthcare research performance been assessed? A systematic review.Crossref | GoogleScholarGoogle Scholar | 21659400PubMed |

[7]  Ilott I, Bury T. Research capacity: a challenge for the therapy professions. Physiotherapy 2002; 88 194–200.
Research capacity: a challenge for the therapy professions.Crossref | GoogleScholarGoogle Scholar |

[8]  Pickstone C, Nancarrow S, Cooke J, Vernon W, Mountain G, Boyce RA, Campbell J. Building research capacity in the allied health professions. Evid Policy 2008; 4 53–68.
Building research capacity in the allied health professions.Crossref | GoogleScholarGoogle Scholar |

[9]  Pager S, Holden L, Golenko X. Motivators, enablers, and barriers to building allied health research capacity. J Multidiscip Healthc 2012; 5 53–9.
Motivators, enablers, and barriers to building allied health research capacity.Crossref | GoogleScholarGoogle Scholar | 22396626PubMed |

[10]  Harvey D, Pain T, Pighills A, Plummer D. Practitioner research capacity: a survey of social workers in northern Queensland. Aust Soc Work 2013; 66 540–54.
Practitioner research capacity: a survey of social workers in northern Queensland.Crossref | GoogleScholarGoogle Scholar |

[11]  Pighills AC, Plummer D, Harvey D, Pain T. Positioning occupational therapy as a discipline on the research continuum: results of a cross-sectional survey of research experience. Aust Occup Ther J 2013; 60 241–51.
Positioning occupational therapy as a discipline on the research continuum: results of a cross-sectional survey of research experience.Crossref | GoogleScholarGoogle Scholar | 23888974PubMed |

[12]  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
A thematic analysis of the role of the organisation in building allied health research capacity: a senior managers’ perspective.Crossref | GoogleScholarGoogle Scholar | 22920443PubMed |

[13]  Agustin C, Grand M, Gebski V, Turner S. Radiation therapists’ perspective on barriers to clinical trials research. J Med Imaging Radiat Oncol 2008; 52 178–82.
Radiation therapists’ perspective on barriers to clinical trials research.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1c3hs1aksw%3D%3D&md5=a874541675db610bdd73be812ddb859aCAS | 18373811PubMed |

[14]  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; 16 315–26.
Stakeholders’ perceptions of a research capacity development project for nurses, midwives and allied health professionals.Crossref | GoogleScholarGoogle Scholar | 18324991PubMed |

[15]  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; 38 252–8.
| 24785693PubMed |

[16]  Whitworth A, Haining S, Stringer H. Enhancing research capacity across healthcare and higher education sectors: development and evaluation of an integrated model. BMC Health Serv Res 2012; 12 287
Enhancing research capacity across healthcare and higher education sectors: development and evaluation of an integrated model.Crossref | GoogleScholarGoogle Scholar | 22929175PubMed |

[17]  Mason J. Review of Australian Government health workforce programs: Mason Review. Canberra: Australian Government Department of Health; 2013.

[18]  Holden L, Pager S, Golenko X, Ware RS. Validation of the research capacity and culture (RCC) tool: measuring RCC at individual, team and organisation levels. Aust J Primary Health 2012; 18 62–7.
Validation of the research capacity and culture (RCC) tool: measuring RCC at individual, team and organisation levels.Crossref | GoogleScholarGoogle Scholar |

[19]  Qualtrics Research Suite. Qualtrics. Provo, UT: Qualtrics; 2013.

[20]  StataCorp. Stata statistical software: release 13. College Station, TX: StataCorp LP; 2013.

[21]  Hosmer DW, Lemeshow S. Applied logistic regression. New York: Wiley; 2000.

[22]  Lazzarini PA, Geraghty J, Kinnear EM, Butterworth M, Ward D. Research capacity and culture in podiatry: early observations within Queensland health. J Foot Ankle Res 2013; 6 1
Research capacity and culture in podiatry: early observations within Queensland health.Crossref | GoogleScholarGoogle Scholar | 23302627PubMed |

[23]  Howard AJ, Ferguson M, Wilkinson P, Campbell KL. Involvement in research activities and factors influencing research capacity among dietitians. J Hum Nutr Diet 2013; 26 180–7.
Involvement in research activities and factors influencing research capacity among dietitians.Crossref | GoogleScholarGoogle Scholar | 23577923PubMed |

[24]  Bennett S, Tooth L, McKenna K, Rodger S, Strong J, Ziviani J, Mickan S, Gibson L. Perceptions of evidence-based practice: a survey of Australian occupational therapists. Aust Occup Ther J 2003; 50 13–22.
Perceptions of evidence-based practice: a survey of Australian occupational therapists.Crossref | GoogleScholarGoogle Scholar |

[25]  Hadley J, Hassan I, Khan KS. Knowledge and beliefs concerning evidence-based practice amongst complementary and alternative medicine health care practitioners and allied health care professionals: a questionnaire survey. BMC Complement Altern Med 2008; 8 45
Knowledge and beliefs concerning evidence-based practice amongst complementary and alternative medicine health care practitioners and allied health care professionals: a questionnaire survey.Crossref | GoogleScholarGoogle Scholar | 18651937PubMed |

[26]  Salbach NM, Jaglal SB, Korner-Bitensky N, Rappolt S, Davis D. Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke. Phys Ther 2007; 87 1284–303.
Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke.Crossref | GoogleScholarGoogle Scholar | 17684088PubMed |

[27]  Pain K, Magill-Evans J, Darrah J, Hagler P, Warren S. Effects of profession and facility type on research utilization by rehabilitation professionals. J Allied Health 2004; 33 3–9.
| 15053214PubMed |