What shapes research and research capacity building in rural health services? Context matters.

Abstract

Objective

To determine the contextual factors influencing research and research capacity building in rural health settings. Design

Qualitative study using semi-structured telephone interviews to collect data regarding health professionals’ research education and capacity building. Analysis involved inductive coding using Braun and Clark’s thematic analysis; and deductive mapping to the Consolidated Framework for Implementation Research (CFIR). Setting

Victorian rural health services and university campuses. Participants

Twenty senior rural health managers, academics and/or research coordinators. Participants had at least three years’ experience in rural public health, health-related research or health education settings. Main outcome measures

Contextual factors influencing the operationalisation and prioritisation of research capacity building in rural health services. Results

Findings reflected the CFIR domains and constructs: intervention characteristics (relative advantage); outer setting (cosmopolitanism, external policies and incentives); inner setting (implementation climate, readiness for implementation); characteristics of individuals (self-efficacy); and process (planning, engaging). Findings illustrated the implementation context and the complex contextual tensions, which either prevent or enhance research capacity building in rural health services. Conclusions

Realising the Australian Government’s vision for improved health service provision and health outcomes in rural areas requires a strong culture of research and research capacity building in rural health services. Low levels of rural research funding, chronic workforce shortages and the tension between undertaking research and delivering health care, all significantly impact the operationalisation and prioritisation of research capacity building in rural health services. Effective policy and investment addressing these contextual factors is crucial for the success of research capacity building in rural health services.