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Table 2 The 36 studies with included research activities, aim of study and indicative If-Then statements

From: Uncovering the mechanisms of research capacity development in health and social care: a realist synthesis

Author (Year) [Ref]

Context

Discipline

Included research activities

Aim of study

Indicative If-Thens

1. Albert & Mickan (2003) [4]

Australia

Primary Care

Training

To propose a paradigm shift in the content of capacity-building as a step towards closing the gaps between research, policy and practice

IF research ideas and implementation strategies are discussed and translated across several organisational contexts and cultures, THEN research influences practice

2. Breen et al. (2005) [21]a

South Africa

Public Health

Leadership, Networks, Resources,

Training

To seek improved understanding of how RCB can be achieved and to propose a framework to improve understanding and delivery and to achieve better congruence between expectations and outcomes relating to RCB

IF investment is inadequate and incentives inappropriate, THEN organisations are unable to sustain RCD beyond the lifespan of a specific project

3. Coen et al. (2010) [31]

Canada

Health and Health Services Research

Infrastructure, Leadership, Networks

To explore potential for an expanded conceptualisation of research infrastructure, that specifies its largely assumed qualities whilst extending to articulate the interactive relationships among tangible and intangible systems and structures underlying centre functioning

IF organisational leaders develop an appropriate organisational research culture, THEN members collaborate on research

IF researchers share a particular research identity, THEN researchers acquire a sense of belonging or a ‘ready-made affinity group’

4. Condell & Begley (2007) [8]

International

Nursing

Funding, Leadership, Training,

To conduct a concept analysis of capacity-building and its relationship to research

IF organisations engage in dynamic RCD activities, THEN organisations can achieve sustainability and ultimately effect social change

5. Conn et al. (2005) [49]

United States of America

Nursing

Funding, Prioritisation

To describe the success of one school of nursing in moving from having no NIH funding to being ranked in top 20 schools for NIH funding for consecutive years

IF staff in grant support services are not involved in graduate student education or research presentation materials, THEN this conveys a clear message about the importance of preparing competitive grant applications

IF an organisation frequently communicates about grant activity, THEN the organisation cultivates an environment that is conducive to high research productivity

6. Cooke & Green (2000) [50]

International

Nursing Research

Prioritisation, Training

To identify factors that might affect the research capacity of departments of nursing in higher education, and to make recommendations to enable departments to develop their capacity to undertake research

IF nurse educators are encouraged to pursue further qualifications, particularly higher degrees, THEN teaching staff feel able to engage in research activity

7. Cooke et al. (2005) [9]a

United Kingdom

Primary Care

Networks, Training

To develop the debate around RCB by suggesting a framework for planning change and measuring progress, based on six principles of RCB

IF organisations support research ‘close to practice’, THEN stakeholders perceive that research is useful

IF organisations develop linkages, partnerships and collaborations, THEN organisations can build up intellectual capital (knowledge) and social capital (relationships)

IF organisations build up intellectual capital (knowledge) and social capital (relationships), THEN their ability to do research is enhanced

IF research funders include continuity and sustainability in funding provision, THEN organisations can maintain and continue newly acquired skills and structures to undertake research

8. Cooke et al. (2015) [12]

United Kingdom

Health and Health Services Research

Funding, Leadership, Networks, Prioritisation, Training

To illustrate the use of collaborative priority-setting in a United Kingdom research collaboration (Collaboration and Leadership in Applied Health Research and Care – CLAHRC)

IF research networks identify ‘needs-led, meaningful’ research projects, THEN research is considered timely

IF research networks harness flexible resources (people, funds, skills), THEN research can be responsive

IF research leadership is responsive and transformative, THEN research can be co-produced

9. Del Mar & Askew (2004) [18]a

Australia

Primary Care

Funding, Networks, Training

To promote interventions for family/general practice RCB by describing successful international examples (e.g. diseases and illness research as well as process research); monitor output of research; increase number of research journals; encourage and enable research skills acquisition (including as part of professional training); strengthen academic base; and promote research networks and collaborations)

IF governments have family medicine research on their agendas (as shown by funding for RCB and for research activity itself), THEN governments send a clear message to clinical and academic communities that family medicine research is important and worthy of support

10. Edwards et al. (2009) [51]

LMICs

Nursing Research

Funding, Mentoring, Training

To identify long-standing barriers to nurses’ engagement in research and to discuss strategies to enable LMIC nurses to lead research of high relevance to local and international policy decisions affecting population health

IF researchers are given opportunities to work alongside senior researchers, both on-site and by distance, THEN they can discuss ways to balance research with teaching, clinical and administrative demands

11. Farmer & Weston (2002) [19]a

Australia

Primary Care

Funding, Mentoring, Networks

To propose a conceptual model to assist primary care RCB initiatives

IF research funders employ a whole system approach providing funding and resources at multiple levels, THEN practitioners can enter the system at an appropriate level, and then progress to a higher level of research capacity

IF research funders accommodate diversity, THEN practitioners develop research interests in topics of ongoing personal interest

IF research funders provide protected time for research, THEN individuals participate in research

12. Fenton et al. (2001, 2007) [52, 53]

United Kingdom

Primary Care

Networks

To reflect on the understanding of networks from organisational science and how this understanding can inform the development and evaluation of primary care research networks

IF researchers demonstrate socialisation, teamwork and openness, THEN researchers resist the tendency towards groupthink and open up opportunities for the exchange of ideas and knowledge

13. Fitzgerald et al. (2003) [54]

United States of America

Nursing

Mentoring, Networks

To discuss two paediatric critical care clinical nurse specialists’ participation in a collaborative research team led by university faculty

IF healthcare professionals are included as an integral part of the research team, THEN healthcare professionals receive mentoring in many aspects of the research process

IF healthcare professionals are pulled away from their clinical unit to engage in research responsibilities, THEN other staff may resent the intrusion or see involvement in the project as frivolous when they are left with more work or without ready access to consultation

14. Gadsby (2011) [16]

LMICs

Health and Health Services Research

Funding, Networks, Training

To inform understanding of RCS, and how to consider the effectiveness of these initiatives by examining (1) understandings of and approaches to RCS, and (2) different ways in which RCS is monitored and evaluated

IF donors support individual capacity development at the expense of system capacity development, THEN individuals from LMICs leave for better jobs elsewhere

15. Golenko et al. (2012) [55]

Australia

Allied Health

Infrastructure, Leadership

To describe and analyse allied health senior manager perspectives of how organisational factors impact on RCB

IF staff are supported from a staff-time perspective to do research, THEN staff are motivated to participate in research

IF staff receive recognition for research participation, THEN staff are motivated to participate in research

16. Green et al. (2007) [56]

United Kingdom

Nursing Research

Leadership, Networks, Training

To evaluate different approaches to RCD and to answer: ‘How do university departments develop the research capacity of their nursing/midwifery staff, what approaches do they use, and why are outcomes as they are?

IF researchers form alliances between novice and experienced researchers, THEN organisations achieve a balance between capacity development and leading-edge development

17. Jenerette et al. (2008) [6]a

United States of America

Nursing Research

Networks

To describe the models of research collaboration emerging from the Yale-Howard Partnership Center on Reducing Health Disparities by Self and Family Management

IF partners demonstrate effective communication and are sensitive to the history and unique characteristics of the partnering institution as well as its population, THEN investigators successfully complete projects on time and deliver subsequent presentations and publications

18. Johnson et al. (2005) [20]a

Liberia

Health and Health Services Research

Infrastructure, Training

To present an RCB model to strengthen HIV/AIDS service delivery system through a proposed Liberia–United States of America research partnership that focuses on establishing and strengthening HIV/AIDS service delivery system infrastructure and enhancing research and application skills of Liberian scientists and professionals

IF participant perceives the salience of the North–South partnership, THEN the participant is ready to participate in research

IF participants are ready to participate in research, THEN their organisation sustains its research activities

19. Jones et al. (2003) [26]a

Australia

Primary Care

Training

To determine general practitioners’ research training needs and the barriers to involvement in research

IF GPs perceive that they do not possess the necessary research skills, THEN they are reluctant to engage in research

20. Lansang & Dennis (2004) [1]a

LMICs

Health and Health Services Research

Funding, Infrastructure, Mentoring, Networks, Training

To review the broad approaches taken to RCB and the likelihood that these efforts will prove sustainable

IF research funders promote ‘learning by doing’ approaches, such as developmental or seed grants, hands-on training in ongoing research programmes or mentorship programmes, THEN practitioners are encouraged to participate in research

IF developing countries develop partnerships and networks with developed countries or other developing countries, THEN their collective outputs are greater than the sum of their isolated efforts

21. Levine et al. (2013) [13]

United States of America

Health and Health Services Research

Funding, Infrastructure, Mentoring, Networks, Training

To study two RCB programmes with similar goals and to expand upon the knowledge base of strategies and approaches to RCD and thus provide a better understanding of contextual factors that may influence the efficacy of RCD strategies

IF organisations develop good external and internal health services research partners, THEN they can build research capacity

IF organisations are able to build on or leverage larger organisational changes, THEN they can achieve successful RCB

22. Macfarlane et al. (2005) [14]a

United Kingdom

Primary Care

Funding, Infrastructure, Leadership, Networks, Training

To identify key structural, developmental and environmental characteristics associated with successful and sustained involvement in research, and to inform national strategy for RCB in primary care

IF organisations produce a mission statement that acknowledges the value of research, THEN GPs develop a research practice

23. Mahmood et al. (2011) [5]

Bangladesh

Health and Health Services Research

Funding, Prioritisation

To identify problems faced by a health research institute in Bangladesh, describe two strategies developed to address these problems, and identify the results after 3 years of implementation

IF organisations develop a monitoring and evaluation framework, THEN donors do not exert an influence over organisational research priorities

24. Nchinda (2002) [57]

LMICs

Health and Health Services Research

Training

To describe some experiences in RCS over the last few decades and to propose, from these, mechanisms for sustainable RCB

IF returning researchers learn new skills and techniques when training overseas, THEN these researchers require access to appropriate equipment and resources when returning to their own institutions

25. North American Primary Care Research Group (2002) [27]a

North America

Primary Care

Infrastructure, Leadership, Mentoring, Training

To present a position paper to guide development of a strategic planning process

IF academic leaders understand the research process and the types of infrastructure services and skills required to support a successful independent investigator, THEN organisations can identify experienced investigators willing to support each other and to mentor others

26. Nuyens (2007) [15]

International

Health and Health Services Research

Prioritisation

To look at major issues emerging from countries’ experiences in setting priorities during the past 15 years and at the challenges still to be addressed

IF national organisations institute a bottom-up approach to the generation of research priorities, THEN a context-sensitive and culturally sensitive process of priority-setting occurs

27. O’Byrne & Smith (2011) [58]

United Kingdom

Nursing

Facilitation, Infrastructure, Leadership, Mentoring, Networks, Prioritisation

To identify models used to provide local research opportunities and thereby develop research capacity and capability in clinical nurses in the United Kingdom

If organisations prioritise expansion of research initiatives for nurses and allocates resources for an accompanying infrastructure, THEN organisations achieve successful RCB

28. Pickstone et al. (2008) [59]

United Kingdom

Allied Health

Funding

To describe the nature of RCB in allied health professions and to explore the vision of RCB using the United Kingdom as an example

IF professionals receive sustained targeted funding to release them to undertake research, THEN professionals are able to resist workload pressures

29. Priest et al. (2007) [60]

United Kingdom

Nursing

Networks

To explore nursing lecturers’ RCD through their engagement as co-researchers in a larger case study project

IF organisations identify a specific person as a research contact, THEN staff interested in research involvement feel able to approach that person

30. Raghunath et al. (2004) [61]

United Kingdom

Primary care

Funding, Networks, Training

To explore the meaning, understanding, usefulness and reality of multidisciplinary research in primary care and provide examples

IF external assessment provides definable indicators of success, THEN organisations are able to demonstrate accountability and value for money

31. Ried et al. (2005, 2006, 2007) [62, 63, 64]

Australia

Primary care

Networks, Training

To understand the background and skills of the membership and to tailor South Australian Primary Health Care Research Network (SARNet) services to members’ needs

IF organisations utilise a whole system approach to RCB, THEN diverse individuals are encouraged to participate in research activities

32. Sarre & Cooke (2009) [65]

United Kingdom

Primary care

Infrastructure, Leadership, Training

To provide practical support to primary care organisations through the development of indicators against which to plan and measure progress of RCD at an organisational level

IF RCD occurs at different structural levels, including change and sustainable development in individuals, teams and organisations, THEN it can demonstrate clear links to the effectiveness and quality of healthcare organisations in improving health and well-being

33. Segrott et al. (2006) [66]

International

Nursing

Facilitation, Prioritisation, Training

To report a critical overview of nursing RCD in academic departments, major barriers to RCD, and capacity-building strategies from the literature, and to examine the wider context within which capacity-building takes place

IF departments have a flexible approach to research activities, THEN researchers are given the creative space to pursue their own research interests alongside core research priorities

34. Stephens et al. (2011) [67]

United States of America

Health and Health Services Research

Funding, Leadership

To synthesise and share what has been learned about RCB to help organisations and institutions develop and enhance their ability to plan and conduct health services research and obtain funding for their research

IF organisations secure departmental and institutional leadership support for capacity-building activities, THEN this facilitates future research activities

IF research leaders demonstrate how a department/organisation’s existing experiences can be used to leverage and build an interdisciplinary team in health services research, THEN potential participants become less sceptical about the value of health services research

35. Van Weel & Rosser (2004) [68]

International

Primary Care

Networks, Training

To summarise World Organisation of Family Doctors (Wonca) conference discussions and present recommendations proposed by conference attendees from 34 countries

IF research teams display research achievements to policy-makers, health funders, and academic leaders, THEN policy-makers and others have a greater perception of the relevance of that research

IF a tight link is created between clinical practice and a research environment, THEN clinicians and policy-makers will perceive the greater relevance of research to clinical practice

36. Whitworth et al. (2012) [3]

United Kingdom

Allied Health

Facilitation, Funding, Leadership, Mentoring, Networks, Training

To outline a comprehensive model developed and successfully implemented by speech and language therapists in North East England

IF organisations acknowledge the developmental stage at which the practitioner is positioned, THEN organisations can arrange suitable pathways into the research pathway

  1. LMICs low- and middle-income countries, NIH National Institutes for Health, RCB research capacity-building, RCD research capacity development, RCS research capacity strengthening
  2. NB. For a more complete list of If-Thens see Additional file 1
  3. aCitation pearls – key articles