An ‘all teach, all learn’ approach to research capacity strengthening in Indigenous primary health care continuous quality improvement

McPhail-Bell, Karen, Matthews, Veronica, Bainbridge, Roxanne, Redman-MacLaren, Michelle Louise, Askew, Deborah, Ramanathan, Shanthi, Bailie, Jodie, and Bailie, Ross (2018) An ‘all teach, all learn’ approach to research capacity strengthening in Indigenous primary health care continuous quality improvement. Frontiers in Public Health, 6. 107.

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In Australia, Indigenous people experience poor access to healthcare and the highest rates of morbidity and mortality of any population group. Despite modest improvements in recent years, concerns remains that Indigenous people have been over-researched without corresponding health improvements. Embedding Indigenous leadership, participation and priorities in health research is an essential strategy for meaningful change for Indigenous people. To centralize Indigenous perspectives in research processes, a transformative shift away from traditional approaches that have benefited researchers and non-Indigenous agendas is required. This shift must involve concomitant strengthening of the research capacity of Indigenous and non-Indigenous researchers and research translators – all must teach and all must learn. However, there is limited evidence about how to strengthen systems and stakeholder capacity to participate in and lead CQI research in Indigenous primary healthcare, to the benefit of Indigenous people. This paper describes the collaborative development of, and principles underpinning a research capacity strengthening model in a national Indigenous primary healthcare continuous quality improvement research network. The development process identified the need to address power imbalances, cultural contexts, relationships, systems requirements and existing knowledge, skills and experience of all parties. Taking a strengths-based perspective, we harnessed existing knowledge, skills and experiences; hence our emphasis on capacity ‘strengthening’. New insights are provided into the complex processes of research capacity strengthening within the context of continuous quality improvement in Indigenous primary healthcare.

Item ID: 53097
Item Type: Article (Research - C1)
ISSN: 2296-2565
Keywords: research capacity building, continuous quality improvement, research translation, primary health care services, Aboriginal and Torres Strait Islander health, Indigenous health, collaborative leadership, research capacity strengthening, Indigenous leadership
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This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

Funders: National Health and Medical Research Council (NHMRC)
Projects and Grants: NHMRC grant ID 1078927
Date Deposited: 23 Jul 2018 05:46
FoR Codes: 45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450417 Aboriginal and Torres Strait Islander public health and wellbeing @ 60%
42 HEALTH SCIENCES > 4203 Health services and systems > 420319 Primary health care @ 40%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 60%
92 HEALTH > 9202 Health and Support Services > 920208 Health Inequalities @ 30%
92 HEALTH > 9202 Health and Support Services > 920299 Health and Support Services not elsewhere classified @ 10%
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