Cargando…

Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis

OBJECTIVES: Low-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 co...

Descripción completa

Detalles Bibliográficos
Autores principales: Whiffin, Charlotte Jane, Smith, Brandon George, Esene, Ignatius N, Karekezi, Claire, Bashford, Tom, Mukhtar Khan, Muhammad, Hutchinson, Peter John, Kolias, Angelos G, Fontoura Solla, Davi Jorge, Paiva, Wellingson S, Figaji, Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461280/
https://www.ncbi.nlm.nih.gov/pubmed/34551952
http://dx.doi.org/10.1136/bmjopen-2021-051806
_version_ 1784571942894829568
author Whiffin, Charlotte Jane
Smith, Brandon George
Esene, Ignatius N
Karekezi, Claire
Bashford, Tom
Mukhtar Khan, Muhammad
Hutchinson, Peter John
Kolias, Angelos G
Fontoura Solla, Davi Jorge
Paiva, Wellingson S
Figaji, Anthony
author_facet Whiffin, Charlotte Jane
Smith, Brandon George
Esene, Ignatius N
Karekezi, Claire
Bashford, Tom
Mukhtar Khan, Muhammad
Hutchinson, Peter John
Kolias, Angelos G
Fontoura Solla, Davi Jorge
Paiva, Wellingson S
Figaji, Anthony
author_sort Whiffin, Charlotte Jane
collection PubMed
description OBJECTIVES: Low-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. DESIGN: This 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. SETTING: LMICs. PARTICIPANTS: In April–July 2020, 26 neurosurgeons from 11 LMICs participated in this study (n=24 in the focus groups, n=20 in follow-up interviews). RESULTS: The 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. CONCLUSION: The 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.
format Online
Article
Text
id pubmed-8461280
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-84612802021-10-08 Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis Whiffin, Charlotte Jane Smith, Brandon George Esene, Ignatius N Karekezi, Claire Bashford, Tom Mukhtar Khan, Muhammad Hutchinson, Peter John Kolias, Angelos G Fontoura Solla, Davi Jorge Paiva, Wellingson S Figaji, Anthony BMJ Open Surgery OBJECTIVES: Low-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. DESIGN: This 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. SETTING: LMICs. PARTICIPANTS: In April–July 2020, 26 neurosurgeons from 11 LMICs participated in this study (n=24 in the focus groups, n=20 in follow-up interviews). RESULTS: The 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. CONCLUSION: The 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. BMJ Publishing Group 2021-09-22 /pmc/articles/PMC8461280/ /pubmed/34551952 http://dx.doi.org/10.1136/bmjopen-2021-051806 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Surgery
Whiffin, Charlotte Jane
Smith, Brandon George
Esene, Ignatius N
Karekezi, Claire
Bashford, Tom
Mukhtar Khan, Muhammad
Hutchinson, Peter John
Kolias, Angelos G
Fontoura Solla, Davi Jorge
Paiva, Wellingson S
Figaji, Anthony
Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis
title Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis
title_full Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis
title_fullStr Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis
title_full_unstemmed Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis
title_short Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis
title_sort neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461280/
https://www.ncbi.nlm.nih.gov/pubmed/34551952
http://dx.doi.org/10.1136/bmjopen-2021-051806
work_keys_str_mv AT whiffincharlottejane neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT smithbrandongeorge neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT eseneignatiusn neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT karekeziclaire neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT bashfordtom neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT mukhtarkhanmuhammad neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT hutchinsonpeterjohn neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT koliasangelosg neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT fontourasolladavijorge neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT paivawellingsons neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis
AT figajianthony neurosurgeonsexperiencesofconductinganddisseminatingclinicalresearchinlowincomeandmiddleincomecountriesareflexivethematicanalysis