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Facilitators and barriers to brokering between research and care by clinician-scientists

Facilitators and barriers to brokering between research and care by clinician-scientists Marie-Louise Bartelink, Esther de Groot, Roger Damoiseaux, Julius Centre UMCUtrecht, Yvette Baggen, Diede Stevens, UU, Nynke Scherpbier-de Haan, RadboudMC Nijmegen, Martin Smalbrugge, VUMC General Practice, Elderly Care Medicine, Educational Sciences

Research and Care

Research and Care

Clinician-scientists (CSs) Combining research with working in daily practice of general practice and elderly care medicine Bridging the gap - brokering Practice-based research and evidence-based practice

Aim To identify brokering activities and barriers and facilitators involved

Qualitative research 17 senior Dutch CSs in GP and ECM Structured interviews Audio recorded, transcribed verbatim Interpretative analysis used to identify themes

Results – brokering activities- summary CSs: Facilitate collaboration between researchers and practitioners Exchange knowledge Use extensive networks Actively involve care and research in daily work

CSs facilitate collaboration between researchers and practitioners, resulting in: Involvement of researchers and clinicians in designing projects Participation of colleague practitioners in research

CSs exchange knowledge Share information about daily practice Share information about evidence

CSs actively involve care and research in daily work “For the researchers we act like the voice of conscience for the relevance to practice. And in education or care, we act like the voice of conscience for the evidence-based content”

Barriers: situational Time Money Lack of support Lack of common interests Competing priorities

Barriers: individual Not valued Falling between two camps Inadequacy because of dual responsibilities

Facilitators: situational Time Networks and access to information Compatible interests, respect, trust Support

Facilitators: individual Recognition, adding value Prioritising, switching perspectives Feeling responsible Self-development, inspiration

“I see my task as bringing GP research forward, to give the core values of GP a far more stable foundation.” “It is nice to have such a job and even getting paid for doing it”

Implications Brokering activities are important for connecting research and care Should be better rewarded and facilitated Some important skills might be developed during CS training