abstract: 'Background: Increasing the amount of clinical research that occurs in

  healthcare settings has been identified as an important mechanism to

  improve healthcare outcomes. While clinicians are key persons in

  achieving this aim, research participation amongst clinicians is

  generally limited.

  Aims: To identify the factors (barriers and facilitators) influencing

  clinician research participation and determine how professional culture

  impacts on these factors.

  Methods: Forty clinicians working at a tertiary children''s hospital

  participated in six discipline-specific focus groups. Thematic analysis

  was performed using an inductive process based in grounded theory.

  Results: Four major themes (cultural factors, personal factors,

  resources and solutions) and 16 subthemes were identified. Participants

  described how the current health system discourages clinician research.

  They reported that their research participation requires personal

  sacrifice of their own time; income or career progression. Research

  participation was seen to compete with other priorities in clinicians''

  workload and is disadvantaged because of the primacy of clinical work

  and the lack of immediate tangible benefit from research projects.

  Solutions suggested by our participants included better alignment of

  clinical and research goals, improved availability of research mentors

  and collaborative opportunities. Nurses and allied health professionals

  reported a changing professional culture that values research. Only

  doctors identified research participation to be important for career

  progression.

  Conclusions: For clinician research participation to flourish,

  significant changes in healthcare structure and priorities will be

  required that result in research becoming more embedded in healthcare

  delivery. Initiatives to improve collaboration between clinicians and

  universities may also support these aims.'
affiliation: 'Paget, SP (Corresponding Author), Childrens Hosp Westmead, Locked Bag
  4001, Westmead, NSW 2145, Australia.

  Paget, Simon P.; Morrow, Angie M., Childrens Hosp Westmead, Kids Rehab, Sydney,
  NSW, Australia.

  Caldwell, Patrina H. Y., Childrens Hosp Westmead, Dept Nephrol, Sydney, NSW, Australia.

  Paget, Simon P.; Caldwell, Patrina H. Y.; Morrow, Angie M., Univ Sydney, Sydney
  Med Sch, Sydney, NSW, Australia.

  Murphy, Joyce, Western Sydney Local Hlth Dist, Gen Managers Unit, Sydney, NSW, Australia.

  Lilischkis, Kimberley J., Novogen Pty Ltd, Clin \& Regulatory Affairs, Sydney, NSW,
  Australia.'
author: Paget, Simon P. and Caldwell, Patrina H. Y. and Murphy, Joyce and Lilischkis,
  Kimberley J. and Morrow, Angie M.
author-email: simon.paget@health.nsw.gov.au
author_list:
- family: Paget
  given: Simon P.
- family: Caldwell
  given: Patrina H. Y.
- family: Murphy
  given: Joyce
- family: Lilischkis
  given: Kimberley J.
- family: Morrow
  given: Angie M.
da: '2023-09-28'
doi: 10.1111/imj.13351
eissn: 1445-5994
files: []
issn: 1444-0903
journal: INTERNAL MEDICINE JOURNAL
keywords: 'research; health personnel; allied health occupations; medical staff;

  nursing staff'
keywords-plus: 'HEALTH-CARE; ATTITUDES; KNOWLEDGE; SCIENTISTS; MEDICINE; BARRIERS;

  NURSES'
language: English
month: MAR
number: '3'
number-of-cited-references: '31'
orcid-numbers: 'Paget, Simon/0000-0001-6605-3330

  Caldwell, Patrina/0000-0003-1124-6578'
pages: 299-306
papis_id: 38304f2dcb8d3494d645732b2f06a68d
ref: Paget2017movingnot
researcherid-numbers: Caldwell, Patrina/C-4211-2013
times-cited: '20'
title: 'Moving beyond `not enough time'': factors influencing paediatric clinicians''
  participation in research'
type: Article
unique-id: WOS:000399309300011
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '47'
web-of-science-categories: Medicine, General \& Internal
year: '2017'