Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis
| Autor: | Anthony Figaji, Claire Karekezi, Wellingson Silva Paiva, Angelos G. Kolias, Davi Jorge Fontoura Solla, Ignatius N. Esene, Brandon George Smith, Charlotte Jane Whiffin, Peter J. Hutchinson, Tom Bashford, Muhammad Mukhtar Khan |
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| Přispěvatelé: | Whiffin, Charlotte Jane [0000-0002-9767-2123], Smith, Brandon George [0000-0001-8471-1368], Bashford, Tom [0000-0003-0228-9779], Hutchinson, Peter John [0000-0002-2796-1835], Kolias, Angelos G [0000-0003-3992-0587], Fontoura Solla, Davi Jorge [0000-0002-5092-6595], Apollo - University of Cambridge Repository |
| Rok vydání: | 2021 |
| Předmět: |
Population
Neurosurgery Mentorship Reflexivity Situated Humans Medicine education Developing Countries Poverty education.field_of_study Medical education Data collection business.industry General Medicine Focus group neurological injury Neurosurgeons Income Surgery Thematic analysis business qualitative research Qualitative research |
| Zdroj: | BMJ Open, Vol 11, Iss 9 (2021) BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesLow-income and-middle-income countries (LMICs) are increasing investment in research and development, yet there remains a paucity of neurotrauma research published by those in LMICs. The aim of this study was to understand neurosurgeons’ experiences of, aspirations for, and ability to conduct and disseminate clinical research in LMICs.DesignThis was a two-stage inductive qualitative study situated within the naturalistic paradigm. This study committed to an interpretivist way of knowing (epistemology), and considered reality subjective and multiple (ontology). Data collection used online methods and included a web-based survey tool for demographic data, an asynchronous online focus group and follow-up semistructured interviews. Data were analysed using Braun and Clarke’s Reflexive Thematic Analysis supported by NVivo V.12.SettingLMICs.ParticipantsIn April–July 2020, 26 neurosurgeons from 11 LMICs participated in this study (n=24 in the focus groups, n=20 in follow-up interviews).ResultsThe analysis gave rise to five themes: The local landscape; creating capacity; reach and impact; collaborative inquiry; growth and sustainability. Each theme contained an inhibitor and stimulus to neurosurgeons conducting and disseminating clinical research, interpreted as ‘the neurosurgical research potential in LMICs’. Mentorship, education, infrastructure, impact and engagement were identified as specific accelerators. Whereas lack of generalisability, absence of dissemination and dissemination without peer review may desensitise the impact of research conducted by neurosurgeons.ConclusionThe geographical, political and population complexities make research endeavour challenging for neurosurgeons in LMICs. Yet in spite of, and because of, these complexities LMICs provide rich opportunities to advance global neurosurgery. More studies are required to evaluate the specific effects of accelerators of research conducted by neurosurgeons and to understand the effects of desensitisers on high-quality, high-impact clinical research. |
| Databáze: | OpenAIRE |
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