Research-related activities in community-based child health services

Aim. This paper is a report of a study to describe current research-related activities within community-based child health services in a large urban health service. Background. In recent years, increased participation in research-related activities has accompanied implementation of evidence-based practice in hospital-based services. Little is known about participation in these activities in community-based health services. Methods. We undertook a descriptive study of current research-related activities by staff working in community-based child health services in an urban setting in Australia in 2006-2007. Research-related activities were defined as reflective practice, quality improvement, evaluation and research. Results. Staff reported that research-related activities usually comprised reflective practice or quality improvement. These activities worked best when there were sufficient staff within teams and a stable environment. Evaluation was confined to activities closely related to quality improvement. Participation in research was limited. Our consultation revealed a need for sustained investment to build organizational and workforce capacity, and resource support and infrastructure to encourage participation in research-related activities. Conclusion. Increased focus on evidence-based practice has created expectations that community-based child health service staff will utilize and contribute to research evidence. Whilst there is interest among community-based child health service staff in participating in research-related activities, investment in leadership, skill development, infrastructure, resource and novel ways to enhance research output within these services are needed to increase participation in research-related activities, and the evidence base for community-based child health services.