Reimagining Researchers in Health Research; Comment on “Experience of Health Leadership in Partnering With University-Based Researchers in Canada: A Call to ‘Re-Imagine’ Research”

Document Type : Commentary

Author

School of Nursing, Faculty of Health and Social Development, University of British Columbia, Kelowna, BC, Canada

Abstract

It is widely accepted that research evidence should inform policy and practice in health service organizations. Yet, amid increasingly complex and even wicked realities, where health inequities prevail and resource-strained health service organizations struggle to keep pace with demand, using research to inform practice and policy remains an elusive ideal. Bowen and colleagues’ study illuminates critical relational pathways for engagement in evidence-informed practice and decision-making and suggests beginning insights into what might contribute to the tenuousness of this aspirational ideal. But what kind of reimagination is needed to move toward more genuine engagement in research? This commentary argues for reimagining the relationship between researchers and health research, positioning researchers as responsive, guided by humility, and part of a greater collective effort to advance a public good. It challenges notions of objectivity and detached expertise, suggesting that researchers embrace an active practice of humility focused on approaching research in service and from a position of learning rather than knowing.

Keywords


  1. World Health Organization. Rio Political Declaration on Social Determinants of Health. Rio de Janeiro, Brazil: WHO; 2011.
  2. Global Ministerial Forum for Research on Health. Bamako Call to Action on Research for Health: Strengthening Research for Health, Development, and Equity. Bamako, Mali; 2008.
  3. Graham ID, Kothari A, McCutcheon C. Moving knowledge into action for more effective practice, programmes and policy: protocol for a research programme on integrated knowledge translation. Implement Sci. 2018;13(1):22. doi:10.1186/s13012-017-0700-y
  4. Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med. 2011;104(12):510-520. doi:10.1258/jrsm.2011.110180
  5. Bowen S, Botting I, Graham ID, et al. Experience of health leadership in partnering with university-based researchers in Canada – a call to “re-imagine” research. Int J Health Policy Manag. 2019;8(12):684-699. doi:10.15171/IJHPM.2019.66
  6. Kondo KK, Damberg CL, Mendelson A, et al. Implementation processes and pay for performance in healthcare: A systematic review. J Gen Intern Med. 2016;31(S1):61-69. doi:10.1007/s11606-015-3567-0
  7. Van de Walle S, Cornelissen F. Performance Reporting. In: The Oxford Handbook of Public Accountability. Vol 1. Oxford University Press; 2014. doi:10.1093/oxfordhb/9780199641253.013.0009
  8. Brewster L, Tarrant C, Dixon-Woods M. Qualitative study of views and experiences of performance management for healthcare-associated infections. J Hosp Infect. 2016;94(1):41-47. doi:10.1016/j.jhin.2016.01.021
  9. Dobrow MJ, Miller FA, Frank C, Brown AD. Understanding relevance of health research: Considerations in the context of research impact assessment. Health Res Policy Syst. 2017;15(1):31-39. doi:10.1186/s12961-017-0188-6
  10. Brewster L, Aveling EL, Martin G, et al. What to expect when you’re evaluating healthcare improvement: A concordat approach to managing collaboration and uncomfortable realities. BMJ Qual Saf. 2015;24(5):318-324. doi:10.1136/bmjqs-2014-003732
  11. Humphries S, Stafinski T, Mumtaz Z, Menon D. Barriers and facilitators to evidence-use in program management: A systematic review of the literature. BMC Health Serv Res. 2014;14(1):171. doi:10.1186/1472-6963-14-171
  12. Lomas J. The in-between world of knowledge brokering. BMJ. 2007;334(7585):129-132. doi:10.1136/bmj.39038.593380.AE
  13. Bowen S, Martens P. Demystifying knowledge translation: Learning from the community. J Health Serv Res Policy. 2005;10(4):203-211. doi:10.1258/135581905774414213
  14. Kerner JF. Knowledge translation versus knowledge integration: A “funder’s” perspective. J Contin Educ Health Prof. 2006;26(1):72-80. doi:10.1002/chp.53
  15. Holmes B, Scarrow G, Schellenberg M. Translating evidence into practice: The role of health research funders. Implement Sci. 2012;7(1):39. doi:10.1186/1748-5908-7-39
  16. David Johnson J. The role of human agents in facilitating clinical and translational science. Clin Transl Sci. 2012;5(4):356-361. doi:10.1111/j.1752-8062.2011.00379.x
  17. Hoens AM, Li LC. The Knowledge Broker’s “Fit” in the World of Knowledge Translation. Physiother Can. 2014;66(3):223-227. doi:10.3138/ptc.66.3.GEE
  18. Koch T, Harrington A. Reconceptualizing rigour: The case for reflexivity. J Adv Nurs. 1998;28(4):882-890. doi:10.1046/j.1365-2648.1998.00725.x
  19. Reimer-Kirkham S, Varcoe C, Browne AJ, Lynam MJ, Khan KB, McDonald H. Critical inquiry and knowledge translation: Exploring compatibilities and tensions. Nurs Philos. 2009;10(3):152-166. doi:10.1111/j.1466-769X.2009.00405.x
  20. Brisbois BW, Spiegel JM, Harris L. Health, environment and colonial legacies: Situating the science of pesticides, bananas and bodies in Ecuador. Soc Sci Med. 2019;239:112529. doi:10.1016/j.socscimed.2019.112529
  21. Beavis ASW, Hojjati A, Kassam A, et al. What all students in healthcare training programs should learn to increase health equity: Perspectives on postcolonialism and the health of Aboriginal Peoples in Canada. BMC Med Educ. 2015;15(1):155. doi:10.1186/s12909-015-0442-y
  22. Brassolotto J, Raphael D, Baldeo N. Epistemological barriers to addressing the social determinants of health among public health professionals in Ontario, Canada: A qualitative inquiry. Crit Public Health. 2013;24(3):321-336. doi:10.1080/09581596.2013.820256
  23. Crane JT. AIDS, academia, and the rise of global health. Behemoth A J Civilis. 2010;(3):78-97.
  24. Shaw D, Satalkar P. Researchers’ interpretations of research integrity: a qualitative study. Account Res. 2018;25(2):79-93. doi:10.1080/08989621.2017.1413940
  25. Satalkar P, Shaw D. How do researchers acquire and develop notions of research integrity? A qualitative study among biomedical researchers in Switzerland. BMC Med Ethics. 2019;20(1):1-12. doi:10.1186/s12910-019-0410-x
  26. Burns KEA, Straus SE, Liu K, Rizvi L, Guyatt G. Gender differences in grant and personnel award funding rates at the Canadian Institutes of Health Research based on research content area: A retrospective analysis. PLoS Med. 2019;16(10):e1002935. doi:10.1371/journal.pmed.1002935
  27. Meyers M. Women in Higher Education: The Fight for Equity. New York: Hampton Press; 2012.
  28. Eggins H. Changing Role of Women in Higher Education. 1st ed. Springer International Publishing; 2017.
  29. Davis DE, Hook JN, Worthington EL, et al. Relational humility: Conceptualizing and measuring humility as a personality judgment. J Pers Assess. 2011;93(3):225-234. doi:10.1080/00223891.2011.558871
  30. Plamondon KM, Bisung E. The CCGHR Principles for Global Health Research: Centering equity in research, knowledge translation, and practice. Soc Sci Med. 2019;239:112530.. doi:10.1016/j.socscimed.2019.112530
  31. CCGHR. CCGHR Principles for Global Health Research. Ottawa, ON: Canadian Coalition for Global Health Research; 2015. http://www.ccghr.ca/resources/principles-global-health-research/.
  32. Yeager KA, Bauer-Wu S. Cultural humility: Essential foundation for clinical researchers. Appl Nurs Res. 2013;26(4):251-256. doi:10.1016/j.apnr.2013.06.008
  33. Hanson L. From reflexivity to collectivity: Challenging the benevolence narrative in global health. Can Med Educ J. 2017;8(2):e1-e3.
  34. Clarke A, Mamo L, Fosket JR, Fishman JR, Shim JK. Biomedicalization: Technoscience, health, and illness in the U.S. Duke University Press; 2010.
  35. Yanow D. Ways of knowing: Passionate humility and reflective practice in research and management. Am Rev Public Adm. 2009;39(6):579-601. doi:10.1177/0275074009340049
  36. Moher D, Glasziou P, Chalmers I, et al. Increasing value and reducing waste in biomedical research: Who’s listening? Lancet. 2016;387(10027):1573-1586. doi:10.1016/S0140-6736(15)00307-4
  37. Macleod MR, Michie S, Roberts I, et al. Biomedical research: Increasing value, reducing waste. Lancet. 2014;383(9912):101-104. doi:10.1016/S0140-6736(13)62329-6
  38. Whitmee Dr S, Haines Prof A, Beyrer Prof C, et al. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation– Lancet Commission on planetary health. Lancet. 2015;386(10007):1973-2028. doi:10.1016/S0140-6736(15)60901-1
  39. Godard O, Elgaronline. Global Climate Justice: Proposals, Arguments and Justifications. Cheltenham, UK: Edward Elgar Publishing; 2017. doi:10.4337/9781786438157
  40. Falkner R. The unavoidability of justice – and order – in international climate politics: From Kyoto to Paris and beyond. Br J Polit Int Relations. 2019;21(2):270-278. doi:10.1177/1369148118819069
  41. Kelley M, Edwards K, Starks H, et al. Values in translation: how asking the right questions can move translational science toward greater health impact. Clin Transl Sci. 2012;5(6):445-451. doi:10.1111/j.1752-8062.2012.00441.x
  42. Bowen S. Engaged scholarship, knowledge translation, and PR. In: Higginbottom G, Liamputtong P, eds. Participatory Qualitative Research Methodologies in Health. Thousand Oaks, California: SAGE; 2015:183-199.
  43. Paynter S. Tackling wicked problems through engaged scholarship. J Community Engagem Scholarsh. 2014;17(1):48.
  44. Smylie J, Kaplan-Myrth N, McShane K, et al. Indigenous knowledge translation: Baseline findings in a qualitative study of the pathways of health knowledge in three Indigenous communities in Canada. Health Promot Pract. 2009;10(3):436-446. doi:10.1177/1524839907307993
  45. Smylie J, Olding M, Ziegler C. Sharing what we know about living a good life: Indigenous approaches to knowledge translation. J Can Health Libr Assoc. 2014;35(1):16. doi:10.5596/c14-009
  46. Browne AJ, Varcoe C, Smye V, Reimer-Kirkham S, Lynam MJ, Wong S. Cultural safety and the challenges of translating critically oriented knowledge in practice. Nurs Philos. 2009;10(3):167-179. doi:10.1111/j.1466-769X.2009.00406.x
  47. Kothari A, Wathen CN. Integrated knowledge translation: Digging deeper, moving forward. J Epidemiol Community Health. 2017;71(6):619-623. doi:10.1136/jech-2016-208490
  48. Nixon SA. The coin model of privilege and critical allyship: Implications for health. BMC Public Health. 2019;19(1):1613-1637. doi:10.1186/s12889-019-7884-9
  49. Murphy J, Hatfield J, Afsana K, Neufeld V. Making a commitment to ethics in global health research partnerships: a practical tool to support ethical practice. J Bioeth Inq. 2015;12(1):137-146. doi:10.1007/s11673-014-9604-6
Volume 10, Issue 2
February 2021
Pages 86-89
  • Receive Date: 08 November 2019
  • Revise Date: 07 January 2020
  • Accept Date: 07 January 2020
  • First Publish Date: 01 February 2021