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Doing Clinical Healthcare Research

Doing Clinical Healthcare Research

Sarah Winch | Amanda Henderson | Linda Shields

(2007)

Additional Information

Book Details

Abstract

Doing Clinical Healthcare Research: A Survival Guide will help students, academics and healthcare staff identify and overcome organisational barriers to conducting research in busy clinical environments and show how research should be project managed in order to guarantee successful outcomes for all involved.
Dr. Sarah Winch is Nursing Director Research (Princess Alexandra Hospital), and Adjunct Senior Lecturer, School of Social Science, University of Queensland, Australia.
Dr Amanda Henderson is Nursing Director Education (Princess Alexandra Hospital), Adjunct Professor (Nursing), Griffith University and Research Fellow, Queensland University of Technology, Australia.
Professor Linda Shields is Professor of Nursing Practice and Education, University of Hull, UK.
"The content is practical, and language and approach easy to get along with. Anyone contemplating clinical research should read it." - Irene Mabbott, Nursing Standard
Doing Clinical Healthcare Research: A Survival Guide will help students, academics and healthcare staff identify and overcome organisational barriers to conducting research in busy clinical environments and show how research should be project managed in order to guarantee successful outcomes for all involved.

Table of Contents

Section Title Page Action Price
Cover \r Cover
Half-Title\r i
Ttile iii
Copyright\r iv
Contents v
List of tables and figures ix
Acknowledgements x
About the authors xi
Introduction xiii
Part one: Preparing your research 1
1 Overcoming organizational barriers: getting into and around healthcare organizations 3
The healthcare organization: maximizing your chances for success 4
Getting ‘legs’ for your research idea: the hook and the heart 7
Tips for developing useful research questions 8
Understanding key professional groups and the contribution they can make to your project 9
Champions and sponsors 10
The team: identifying and accessing relevant players 12
‘Getting started’ making contact and keeping people on-side 16
Summary 21
References 21
2 Ethical considerations: informed consent and protecting vulnerable populations 23
The role of ethics committees 24
The history of ethical approval for research 24
Adhering to ethical standards 25
Informed consent 27
Ethical issues for different groups 33
Ethical issues with respect to hearing/observing unethical behaviour 37
Ensuring privacy and confidentiality 38
Debriefing 39
Summary 39
References 39
3 Multicultural considerations 41
Doing research overseas: cultural considerations 42
Ensuring culturally sensitive research 43
Trans-cultural research 45
Developing country access 49
Summary 53
References 53
Part two: Design and implementation of research 55
4 Writing the ‘master’ research proposal: gaining ethics approval and funding 57
Writing the ‘master proposal’ 57
Template of the master research proposal 58
The ethics approval process 65
Using your master research proposal to gain funding 67
Legal issues and research governance 74
Summary 76
References 76
5 Identification, access and recruitment of research subjects 77
Identification and location of the target population 78
Building bridges to potential participants 79
Advertising 81
Entering healthcare facilities 83
Recruitment of research subjects 84
When timing is crucial 85
Discharge information 87
Decision-making during the illness trajectory 87
The value and limitations of databases 88
Planning the amount of time in the field: deliberations and considerations 89
Maximizing retention: trials and longitudinal studies 90
Summary 90
References 91
6 The hard work begins: maximizing participation 93
Gaining traction – ‘marketing the research’ 94
Marketing the research to the population 94
Health facility staff as participants 95
Patients and carers as participants 101
Accessing carers 104
Use of secondary records and archive information 104
Observation: less demanding on participants? 106
Intervention studies: a competitive edge 108
Making a difference through clinical research 108
Summary 109
References 109
Part three: Collecting data and disseminating findings 111
7 Operationalizing the data collection 113
Planning calendars (and task-tracking documents) 114
Employment of staff 117
The use of a journal 118
Collecting data: considerations in intervention studies 119
Collecting data: considerations for focus groups 120
Collecting data in the field: recording observations on paper 121
Collecting data: considerations for organizing surveys 123
Providing feedback about your sample 124
Data entry 126
Keeping records 129
Summary 130
References 132
8 The interpretation and analysis of your findings: gaining value from the research process 133
Organizing the data 135
Examining the data 137
Reporting meaningful findings 139
Summary 139
References 140
Further reading for guidance on the application of research methods 142
9 Disseminating findings 143
Choosing how to disseminate research 150
Writing journal articles 152
Research reports 153
Newspapers: feature articles and press releases 155
Summary 155
References 156
10 Creating and sustaining research-friendly environments 156
Setting the research agenda: writing the strategic research plan 159
Communicating and adhering to your research direction 159
Creating research infrastructure 160
Building research capacity 162
The ‘Visiting Scholar’ program 163
Research training 164
Research governance 165
Measures of success 166
Summary 166
Reference 167
Doing clinical research: a summary 171
Index 130