title: Moving beyond 'not enough time': factors influencing paediatric clinicians' participation in research.
abstract: BACKGROUND
  Increasing the amount of clinical research that occurs in healthcare settings has been identified as an important mechanism to improve healthcare outcomes. While clinicians are key persons in achieving this aim, research participation amongst clinicians is generally limited.
  
  
  OBJECTIVE
  To identify the factors (barriers and facilitators) influencing clinician research participation and determine how professional culture impacts on these factors.
  
  
  METHODS
  Forty clinicians working at a tertiary children's hospital participated in six discipline-specific focus groups. Thematic analysis was performed using an inductive process based in grounded theory.
  
  
  RESULTS
  Four major themes (cultural factors, personal factors, resources and solutions) and 16 subthemes were identified. Participants described how the current health system discourages clinician research. They reported that their research participation requires personal sacrifice of their own time; income or career progression. Research participation was seen to compete with other priorities in clinicians' workload and is disadvantaged because of the primacy of clinical work and the lack of immediate tangible benefit from research projects. Solutions suggested by our participants included better alignment of clinical and research goals, improved availability of research mentors and collaborative opportunities. Nurses and allied health professionals reported a changing professional culture that values research. Only doctors identified research participation to be important for career progression.
  
  
  CONCLUSIONS
  For clinician research participation to flourish, significant changes in healthcare structure and priorities will be required that result in research becoming more embedded in healthcare delivery. Initiatives to improve collaboration between clinicians and universities may also support these aims.
authors.affiliation: Kids Rehab, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.|Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Simon P
authors.initials: SP
authors.lastname: Paget
authors.affiliation: Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.|Department of Nephrology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
authors.forename: Patrina H Y
authors.initials: PH
authors.lastname: Caldwell
authors.affiliation: General Manager's Unit, Western Sydney Local Health District, Sydney, New South Wales, Australia.
authors.forename: Joyce
authors.initials: J
authors.lastname: Murphy
authors.affiliation: Clinical and Regulatory Affairs, Novogen Pty Ltd, Sydney, New South Wales, Australia.
authors.forename: Kimberley J
authors.initials: KJ
authors.lastname: Lilischkis
authors.affiliation: Kids Rehab, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.|Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Angie M
authors.initials: AM
authors.lastname: Morrow
mesh_terms: D000328:Adult; D000488:Allied Health Personnel; D001291:Attitude of Health Personnel; D001315:Australia; D035843:Biomedical Research; D003299:Cooperative Behavior; D003625:Data Collection; D005260:Female; D017144:Focus Groups; D006776:Hospitals, Pediatric / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010372:Pediatrics / Q000193:education / Q000592:standards; D010820:Physicians; D012108:Research Personnel
keywords: allied health occupations; health personnel; medical staff; nursing staff; research