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The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19
Health policy and systems research (HPSR) is a multi-disciplinary, largely applied field of research aimed at understanding and strengthening the performance of health systems, often with an emphasis on power, policy and equity. The value of embedded and participatory HPSR specifically in facilitati...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464993/ https://www.ncbi.nlm.nih.gov/pubmed/37643165 http://dx.doi.org/10.1371/journal.pgph.0002116 |
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author | Nzinga, Jacinta Oliwa, Jacquie Oluoch, Dorothy Jepkosgei, Joyline Mbuthia, Daniel Boga, Mwanamvua Musitia, Peris Ogola, Muthoni Muinga, Naomi Muraya, Kui Hinga, Alex Kamuya, Dorcas Kelley, Maureen Molyneux, Sassy |
author_facet | Nzinga, Jacinta Oliwa, Jacquie Oluoch, Dorothy Jepkosgei, Joyline Mbuthia, Daniel Boga, Mwanamvua Musitia, Peris Ogola, Muthoni Muinga, Naomi Muraya, Kui Hinga, Alex Kamuya, Dorcas Kelley, Maureen Molyneux, Sassy |
author_sort | Nzinga, Jacinta |
collection | PubMed |
description | Health policy and systems research (HPSR) is a multi-disciplinary, largely applied field of research aimed at understanding and strengthening the performance of health systems, often with an emphasis on power, policy and equity. The value of embedded and participatory HPSR specifically in facilitating the collection of rich data that is relevant to addressing real-world challenges is increasingly recognised. However, the potential contributions and challenges of HPSR in the context of shocks and crises are not well documented, with a particular gap in the literature being the experiences and coping strategies of the HPSR researchers who are embedded in health systems in resource constrained settings. In this paper, we draw on two sets of group discussions held among a group of approximately 15 HPSR researchers based in Nairobi, Kenya, who were conducting a range of embedded HPSR studies throughout the COVID-19 pandemic. The researchers, including many of the authors, were employed by the KEMRI-Wellcome Trust Research Programme (KWTRP), which is a long-standing multi-disciplinary partnership between the Kenya Medical Research Institute and the Wellcome Trust with a central goal of contributing to national and international health policy and practice. We share our findings in relation to three inter-related themes: 1) Ensuring the continued social value of our HPSR work in the face of changing priorities; 2) Responding to shifting ethical procedures and processes at institutional and national levels; and 3) Protecting our own and front-line colleagues’ well-being, including clinical colleagues. Our experiences highlight that in navigating research work and responsibilities to colleagues, patients and participants through the pandemic, many embedded HPSR staff faced difficult emotional and ethical challenges, including heightened forms of moral distress, which may have been better prevented and supported. We draw on our findings and the wider literature to discuss considerations for funders and research leads with an eye to strengthening support for embedded HPSR staff, not only in crises such as the on-going COVID-19 pandemic, but also more generally. |
format | Online Article Text |
id | pubmed-10464993 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-104649932023-08-30 The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19 Nzinga, Jacinta Oliwa, Jacquie Oluoch, Dorothy Jepkosgei, Joyline Mbuthia, Daniel Boga, Mwanamvua Musitia, Peris Ogola, Muthoni Muinga, Naomi Muraya, Kui Hinga, Alex Kamuya, Dorcas Kelley, Maureen Molyneux, Sassy PLOS Glob Public Health Research Article Health policy and systems research (HPSR) is a multi-disciplinary, largely applied field of research aimed at understanding and strengthening the performance of health systems, often with an emphasis on power, policy and equity. The value of embedded and participatory HPSR specifically in facilitating the collection of rich data that is relevant to addressing real-world challenges is increasingly recognised. However, the potential contributions and challenges of HPSR in the context of shocks and crises are not well documented, with a particular gap in the literature being the experiences and coping strategies of the HPSR researchers who are embedded in health systems in resource constrained settings. In this paper, we draw on two sets of group discussions held among a group of approximately 15 HPSR researchers based in Nairobi, Kenya, who were conducting a range of embedded HPSR studies throughout the COVID-19 pandemic. The researchers, including many of the authors, were employed by the KEMRI-Wellcome Trust Research Programme (KWTRP), which is a long-standing multi-disciplinary partnership between the Kenya Medical Research Institute and the Wellcome Trust with a central goal of contributing to national and international health policy and practice. We share our findings in relation to three inter-related themes: 1) Ensuring the continued social value of our HPSR work in the face of changing priorities; 2) Responding to shifting ethical procedures and processes at institutional and national levels; and 3) Protecting our own and front-line colleagues’ well-being, including clinical colleagues. Our experiences highlight that in navigating research work and responsibilities to colleagues, patients and participants through the pandemic, many embedded HPSR staff faced difficult emotional and ethical challenges, including heightened forms of moral distress, which may have been better prevented and supported. We draw on our findings and the wider literature to discuss considerations for funders and research leads with an eye to strengthening support for embedded HPSR staff, not only in crises such as the on-going COVID-19 pandemic, but also more generally. Public Library of Science 2023-08-29 /pmc/articles/PMC10464993/ /pubmed/37643165 http://dx.doi.org/10.1371/journal.pgph.0002116 Text en © 2023 Nzinga et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Nzinga, Jacinta Oliwa, Jacquie Oluoch, Dorothy Jepkosgei, Joyline Mbuthia, Daniel Boga, Mwanamvua Musitia, Peris Ogola, Muthoni Muinga, Naomi Muraya, Kui Hinga, Alex Kamuya, Dorcas Kelley, Maureen Molyneux, Sassy The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19 |
title | The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19 |
title_full | The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19 |
title_fullStr | The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19 |
title_full_unstemmed | The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19 |
title_short | The hidden emotional labour behind ensuring the social value of research: Experiences of frontline health policy and systems researchers based in Kenya during COVID-19 |
title_sort | hidden emotional labour behind ensuring the social value of research: experiences of frontline health policy and systems researchers based in kenya during covid-19 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464993/ https://www.ncbi.nlm.nih.gov/pubmed/37643165 http://dx.doi.org/10.1371/journal.pgph.0002116 |
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