| BackgroundWith the continuous development of China's socialist market economy and the deepening of the reform of the medical and health system,the competition between hospitals has become increasingly fierce.The competitiveness of hospitals is not only reflected in their medical quality,but also in their scientific research level.Improving the scientific research level of the hospital and promoting the organic integration of medical treatment,teaching and scientific research are conducive to improving the overall strength of the hospital and making it invincible in the medical market competition.Q hospital attaches great importance to scientific research and has an urgent need to continuously improve the level of scientific research.Therefore,it is necessary to investigate the status of scientific research cognition and scientific research needs of medical staff in Q hospital,and take effective measures to enhance the scientific research enthusiasm of medical staff.ObjectivesThis paper takes the medical staff of Q hospital as the research sample.This paper studies the current situation of scientific research cognition and scientific research demand of the medical staff in the hospital through a questionnaire survey in order to find out the difficulties faced by the medical staff in the process of scientific research,and provide suggestions for the scientific research management of the hospital according to the survey results.MethodsIn this study,Q hospital was used as the research site,and convenient sampling method was adopted to investigate the medical staff,including clinicians,nursing staff and medical technicians.Data were collected through online questionnaires.Use STATA 15.0 statistical software for data analysis.The measurement data that does not meet the normal distribution is represented by M[P25,P75].The descriptive analysis of single-choice questions is mainly expressed by frequency and its corresponding composition ratio.The descriptive analysis of multiple-choice questions is expressed by frequency analysis of multiple responses to calculate the percentage of responses and the percentage of cases where each option is checked.According to the median,cognitive scores of scientific research significance and cognitive scores of scientific research specificity were divided into low cognitive degree and high cognitive degree(low cognitive degree=0;high cognitive level?1).Six factors that may affect the cognitive level of scientific research,such as job category,professional title series,highest educational background,gender,age,and working years,were taken as independent variables for univariate logistic regression analysis.The variables with collinearity were excluded by multicollinearity test,and the variables without statistical significance in multivariate logistic regression analysis were eliminated by backward cull method(the cull standard was 0.1).The OR value and its 95%CI were calculated.The chi-square test using multiple response cross analysis was used to compare the difference in scientific research needs of medical staff in different job categories.When the theoretical frequency of more than one fifth of the cells was<5,the likelihood ratio chi-square test of multiple response cross analysis was used to find the influence of post category on the scientific research needs of medical personnel.When P<0.05,the difference was considered statistically significant.ResultsA total of 491 questionnaires were collected in this survey,of which 433 were valid.There were 256 clinicians,108 nursing staff and 69 medical technicians.There were 213 junior professional titles,137 intermediate professional titles,50 vice-senior professional titles and 33 senior professional titles.There were 134 people with bachelor's degree or below,127 with master's degree,and 172 with doctor's degree There were 193 males and 240 females.The number of people aged 30-34 years old was the largest,accounting for 35.80%.The number of people who have worked for 5 to 9 years was the largest,accounting for 38.11%1.Scientific research cognition:(1)Cognition of scientific research significance:The top three ranks of medical staff who choose to carry out scientific research according to the selected proportion were:the need for promotion of professional titles(32.78%),the promotion of academic level(28.47%),and the solution of clinical difficulties(21.95%).The importance of clinicians and nursing staff to the basic tasks of tertiary hospitals was as follows:medical treatment,teaching,and scientific research;medical technicians were ranked as medical,scientific research,and teaching.The average score of medical personnel's cognition of scientific research significance was 17[15,19],and the cognition degree of scientific research significance was relatively high.Using the median of 17 as the basis for the classification of scientific research significance cognition degree,a univariate logistic regression analysis of the factors affecting the scientific research significance cognition degree was carried out.It was found that the differences in scientific research significance cognition of medical personnel with different job categories and the highest educational background were statistically significant(P<0.05).After the multiple collinearity test,it was found that the job category and the highest degree of education are collinear.Since the variables of job category are more representative,this study excluded the variables of highest educational background,and studied the influence of job category on the cognition degree of scientific research significance of medical staff.It was found that nursing staff had a higher cognition degree of scientific research significance than clinicians(OR=1.96,95%CI:1.23?3.12).(2)Cognition of scientific research specificity:The average score of medicalstaff's cognition of scientific research specificity was 12[8,16],and the cognition degree of scientific research specificity was relatively low.A univariate logistic regression analysis showed that there were statistically significant differences in the cognition degree of scientific research specificity among medical personnel with different job categories,professional title series,highest educational background,gender,age and years of service(P<0.05).After multiple collinearity test,it was found that there was collinearity between job category and professional title series,the highest educational background,gender and age,so the variables of job category were retained,and the variables of professional title series,the highest educational background,gender and age were excluded.The job categories and working years were included in the multivariate logistic regression analysis,and the backward elimination method was used to eliminate variables that were not statistically significant.The results showed that the job category was related to the cognition degree of scientific research specificity of medical staff,and the cognition degree of scientific research specificity of nursing staff was lower than that of clinicians(OR=0.17,95%CI:0.10?0.28)2.Research needs:(1)Preliminary needs for scientific research:The top three difficulties encountered by medical personnel in searching the literature were that the full text of the literature could not be obtained,the retrieval method was inappropriate,and the purchased resources could not meet the needs.The top three needs of medical staff for hospital library work or services were to share electronic resources of university medical libraries,purchase more databases,and conduct more academic lectures.Medical staff in different job categories encountered different difficulties in finding literature(P<0.05)(2)Mid-term scientific research needs:The top three medical staff training needs for clinical research design types were case-control studies,randomized controlled trials,and cohort studies.The top three training needs of medical personnel for clinical research type were treatment evaluation,prognosis evaluation and diagnostic evaluation.The top three difficulties encountered by medical personnel in using the hospital laboratory were:limited number of difficult to obtain,do not know the type of equipment equipped in the laboratory,do not know how to apply.The top three requirements of medical personnel for the public basic experimental platform of the hospital were:guidance of technical personnel,perfect equipment and sufficient space.The difficulties encountered by medical personnel in carrying out animal experiments were as follows:insufficient special equipment for animal experiments,insufficient cage space for experimental animals,and lack of understanding of application ways of animal experiment places and equipment.The top three difficulties encountered by medical personnel in conducting clinical research were unclear data processing methods,inappropriate design methods and insufficient research time.There was no statistically significant difference in the demand for clinical research design training,difficulties encountered in using the hospital laboratory,and difficulties encountered in carrying out animal experiments among medical personnel of different post categories(P?0.05).There were statistically significant differences in the demands of medical personnel of different post categories for research type training,the demands of hospitals for building public basic experimental platform,and the difficulties encountered in carrying out clinical research(P<0.05)(3)Post-research needs:The top three training requirements of medical personnel for statistical analysis software were:SPSS,SAS and STATA.The top three medical staffs requirements for writing submission training or services were data analysis of research results,experience introduction of high-level articles,chart making and beautification.The top three difficulties encountered by medical staff in reimbursement for scientific research were:complicated reimbursement process,unknown reimbursement process,and unclear reimbursement scope.There was no statistically significant difference in the difficulties encountered by medical personnel of different post categories in scientific research reimbursement(P>0.05).There was a statistically significant difference in the demand for training on statistical analysis software,training on paper writing and submission or service among medical personnel of different post categories(P<0.05).Conclusions and recommendationsNursing staff have a high degree of cognition of the significance of scientific research in hospitals,but a low degree of cognition of the specificity of scientific research on related scientific research regulations and related scientific research techniques in hospitals.Clinicians' cognition degree of scientific research significance is relatively low,while their cognition degree of scientific research specificity is relatively high,which is related to clinicians' higher education level,higher scientific research literacy and higher ability to carry out scientific research compared with nursing staff.Medical staff have a lot of demands on various scientific research support conditions provided by the hospital in the early,middle and late stages of scientific research.Therefore,in order to improve the enthusiasm of medical staff in scientific research and the level of scientific research management in hospitals,we propose the following Suggestions:(1)Deepen the clinician's cognition of scientific research significance and enhance scientific research awareness;(2)Strengthen the cognition of nursing staffs scientific research specificity and enhance scientific research ability;(3)The scientific research service for medical staff should be run through every step of the scientific research process;(4)Provide targeted scientific research guidance to medical staff in different job categories. |
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