Abstract
BackgroundThe calls for increased numbers of researchers in rural health are growing. To meet this demand, training is needed. If training is to be effective, the value placed on research, the organisational need for research training and key targets for research skill development within a rural health organisation must be understood.MethodsThis qualitative study was underpinned by a critical realist perspective that allowed exploration of the organisational, cultural and structural contexts of research training and of the ability of individuals to act within these contexts. Individual interviews with purposively selected key informants from the organisation’s board, executive and facility management (n = 7) and two focus groups with a convenience sample of frontline health workers with interests in research (total n = 11) were held. Data were analysed using NVivo software and thematic analysis.ResultsThe themes emerging from this study were the fragmentation of research activity, a need for systems that support research and collaboration for expertise.ConclusionsThis study has identified an overreliance on individual activity leading to a fragmented approach to research. There is a need for supportive structures, coordination and workplace leadership to overcome a longstanding culture that views research as out of the rural scope of practice. Identifying research training targets, partnering for educational expertise and planning for long-term sustainability are necessary steps toward increasing research activity in the longer term.
Highlights
Rural health decision-makers and clinicians need relevant, good quality research to make improvements and enhancements to rural health services
Research capacity-building is an avenue for these organisations to have the capability to produce research that leads to better understanding of locally relevant issues and consider improvements and enhancements [1]
Research in rural areas presents its own set of challenges and the solutions proposed have included
Summary
Rural health decision-makers and clinicians need relevant, good quality research to make improvements and enhancements to rural health services. This study, conducted within a rural and outer regional portion of New South Wales, Australia, in 2016– 2017, explored the perceived benefits of and perceived need for research and research training within a large rural public health organisation responsible for the management of over 40 hospitals and other health facilities over a very large geographic area. The calls for increased numbers of researchers in rural health are growing To meet this demand, training is needed. If training is to be effective, the value placed on research, the organisational need for research training and key targets for research skill development within a rural health organisation must be understood
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