. 2024 Jul 2.

doi: 10.1111/jan.16307. Online ahead of print.

Pre-implementation context and implementation approach for a nursing and midwifery clinician researcher career pathway: A qualitative study

Maree Johnson^{1

2}, Nicola Straiton^{1

2}, Caleb Ferguson³, Elizabeth Mcinnes^{1

2}, Anna Thornton^{1

4}, Browyn Everett⁵, Karen Tuqiri⁶, Shahla Meedya¹, Kate Hackett⁶, Marilyn Cruickshank^{5

7}, Margaret Fry^{5

8}, Lin Perry⁵, Suzanne Sheppard-Law^{5

6}, Annmarie Hosie^{4

9}, Sally Inglis⁵, Gemma Mcerlean^{3

10}, Deborah Debono⁵, Ritin Fernandez¹¹, Rochelle Wynne^{12

13}, Josephine Chow¹⁰, Louise Hickman³, Gail Del Olmo¹⁴, Sandy Middleton^{1

2}; SPHERE Nursing and Midwifery Implementation Science Academy

Affiliations

¹ School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Sydney, New South Wales, Australia.
² Nursing Research Institute, St Vincent's Health Network Sydney, St. Vincent's Hospital Melbourne and Australian Catholic University, Sydney, New South Wales, Australia.
³ University of Wollongong, Wollongong, New South Wales, Australia.
⁴ St Vincent's Health Network Sydney, Sydney, New South Wales, Australia.
⁵ University of Technology Sydney, Sydney, New South Wales, Australia.
⁶ South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.
⁷ Sydney Children's Hospital Network, Sydney, New South Wales, Australia.
⁸ North Sydney Local Health District, Sydney, New South Wales, Australia.
⁹ University of Notre Dame, Notre Dame, New South Wales, Australia.
¹⁰ South Western Sydney Local Health District, Sydney, New South Wales, Australia.
¹¹ The University of Newcastle, Newcastle, New South Wales, Australia.
¹² Western Sydney University, Sydney, New South Wales, Australia.
¹³ School of Nursing & Midwifery, Deakin University, Geelong, Victoria, Australia.
¹⁴ New South Wales Ministry of Health, St Leonards, New South Wales, Australia.

PMID: 38956892
DOI: 10.1111/jan.16307

Pre-implementation context and implementation approach for a nursing and midwifery clinician researcher career pathway: A qualitative study

Maree Johnson et al. J Adv Nurs. 2024.

. 2024 Jul 2.

doi: 10.1111/jan.16307. Online ahead of print.

Authors

Affiliations

¹ School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Sydney, New South Wales, Australia.
² Nursing Research Institute, St Vincent's Health Network Sydney, St. Vincent's Hospital Melbourne and Australian Catholic University, Sydney, New South Wales, Australia.
³ University of Wollongong, Wollongong, New South Wales, Australia.
⁴ St Vincent's Health Network Sydney, Sydney, New South Wales, Australia.
⁵ University of Technology Sydney, Sydney, New South Wales, Australia.
⁶ South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.
⁷ Sydney Children's Hospital Network, Sydney, New South Wales, Australia.
⁸ North Sydney Local Health District, Sydney, New South Wales, Australia.
⁹ University of Notre Dame, Notre Dame, New South Wales, Australia.
¹⁰ South Western Sydney Local Health District, Sydney, New South Wales, Australia.
¹¹ The University of Newcastle, Newcastle, New South Wales, Australia.
¹² Western Sydney University, Sydney, New South Wales, Australia.
¹³ School of Nursing & Midwifery, Deakin University, Geelong, Victoria, Australia.
¹⁴ New South Wales Ministry of Health, St Leonards, New South Wales, Australia.

PMID: 38956892
DOI: 10.1111/jan.16307

Abstract

Aim: To describe the pre-implementation context and implementation approach, for a clinician researcher career pathway.

Background: Clinician researchers across all health disciplines are emerging to radically influence practice change and improve patient outcomes. Yet, to date, there are limited clinician researcher career pathways embedded in clinical practice for nurses and midwives.

Methods: A qualitative descriptive design was used.

Data sources: Data were collected from four online focus groups and four interviews of health consumers, nursing and midwifery clinicians, and nursing unit managers (N = 20) between July 2022 and September 2023.

Results: Thematic and content analysis identified themes/categories relating to: Research in health professionals' roles and nursing and midwifery, and Research activity and culture (context); with implementation approaches within coherence, cognitive participation, collective action and reflexive monitoring (Normalization Process Theory).

Conclusions: The Pathway was perceived to meet organizational objectives with the potential to create significant cultural change in nursing and midwifery. Backfilling of protected research time was essential.

Implications for the profession and/or patient care: The Pathway was seen as an instrument to empower staff, foster staff retention and extend research opportunities to every nurse and midwife, while improving patient experiences and outcomes.

Impact: Clinicians, consumers and managers fully supported the implementation of clinician researchers with this Pathway. The Pathway could engage all clinicians in evidence-based practice with a clinician researcher leader, effect practice change with colleagues and enhance patient outcomes.

Reporting method: This study adheres to relevant EQUATOR guidelines using the COREG checklist.

Patient or public contribution: Health consumers involved in this research as participants, did not contribute to the design or conduct of the study, analysis or interpretation of the data, or in the preparation of the manuscript.

Keywords: clinical academic; clinician researcher; clinician scientist; consumer; implementation; midwife; midwifery; nurse; nursing; professional pathway.

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References

REFERENCES

1. Australian Academy of Health and Medical Sciences. (2022). Research and Innovation as Core Functions in Transforming the Health System: A Vision for the Future of Health in Australia. Accessed 6 December, 2023 www.aahms.org
1. Avery, M., Westwood, G., & Richardson, A. (2021). Enablers and barriers to progressing a clinical academic career in nursing, midwifery and allied health professions: A cross‐sectional survey. Journal of Clinical Nursing, 31, 406–416. https://doi.org/10.1111/jocn.15673
1. Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. NursingPlus Open, 2, 8–14. https://doi.org/10.1016/j.npls.2016.01.001
1. Carrick‐Sen, D., Moore, A., Davidson, P., Gendong, H., & Jackson, D. (2019). International perspectives of nurses, midwives and allied health professionals clinical academic roles: Are we at tipping point? International Journal of Practice‐Based Learning in Health and Social Care, 7, 1–15. https://doi.org/10.18552/ijpblhsc.v7i2.639
1. Carrick‐Sen, D., Richardson, A., Moore, A., & Dolan, S. (2016). Transforming healthcare through clinical academic roles in nursing, midwifery and allied health professions: A practical resource for healthcare provider Organisations. AUKUH.

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Pre-implementation context and implementation approach for a nursing and midwifery clinician researcher career pathway: A qualitative study

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Pre-implementation context and implementation approach for a nursing and midwifery clinician researcher career pathway: A qualitative study

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Abstract

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