Internal and External Influences that can have an Impact on Health Care Research use
Healthcare research is relevant in healthcare planning, management of public health and diseases, improving the quality and safety of health, and the resilience of healthcare systems (Dobrow et al., 2017). However, there are various internal and external influences on the use of health research within healthcare settings, especially in hospitals.
To begin with, the internal factors that influence healthcare research include the competency of the available healthcare workforce, the healthcare organization’s internal structure and operational culture, including decision-making processes, how operations are directed, and the existing collaborative capacity among the employees. Other internal influences include the efficiency of internal support infrastructure, such as competent leadership and management, to support the implementation of research evidence in practice settings. For example, in a healthcare setting where the leaders of the health system or hospital are incompetent, they will be less updated on evidence advancements made in the healthcare industry. Therefore, they are less likely to guide the use of new evidence in health care practice or in the management of the health care system.
On the other hand, the external influences of the use of health care research are the quality of the research, how interpretable and generalizable the research findings are, the social-cultural aspect of the served community, legal and regulatory environment related to the research evidence, and its implementation, and prevailing health technologies related to health care delivery.
From a personal perspective, I believe that the biggest influence on the use of healthcare research is the competency level of the healthcare workforce. This is because competence improves the capacity of healthcare workers to make objective decisions, integrate research evidence into daily practice, and meet patient needs. Evidence shows that competency among nurses improves the capacity to search for evidence, integrate evidence in practice to develop evidence-based practice (EBP), and implement EBP (Lam & Schubert, 2019).
References
Dobrow, M. J., Miller, F. A., Frank, C., & Brown, A. D. (2017). Understanding relevance of health research: Considerations in the context of research impact assessment. Health Research Policy and Systems, 15(1), 1–9. https://doi.org/10.1186/S12961-017-0188-6/PEER-REVIEW.
Lam, C. K., & Schubert, C. (2019). Evidence-Based Practice Competence in Nursing Students: An Exploratory Study with Important Implications for Educators. Worldviews on Evidence-Based Nursing, 16(2), 161–168. https://doi.org/10.1111/WVN.12357.
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Internal and External Influences that can have an Impact on Health Care Research use
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