Embedding research into the organisational structure of smaller rural hospitals: building research culture and capacity and understanding perceived rural health workforce benefit

Abstract Background Rural hospitals in Australia have not been afforded the same opportunities for research activity as their metropolitan counterparts. Equitable access to career and research opportunities has been identified as a potential strategy to enhance workforce satisfaction and retention i...

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Main Authors: Laura Alston, Dai Pu, Sarah Wood, Michael Field, Hannah Beks, Olivia A. King, Nikita Wheaton, Catherine E. Huggins, Anna Wong Shee, Kevin Mc Namara, Vincent L. Versace
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Health Services Research
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Online Access:https://doi.org/10.1186/s12913-025-13107-8
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author Laura Alston
Dai Pu
Sarah Wood
Michael Field
Hannah Beks
Olivia A. King
Nikita Wheaton
Catherine E. Huggins
Anna Wong Shee
Kevin Mc Namara
Vincent L. Versace
author_facet Laura Alston
Dai Pu
Sarah Wood
Michael Field
Hannah Beks
Olivia A. King
Nikita Wheaton
Catherine E. Huggins
Anna Wong Shee
Kevin Mc Namara
Vincent L. Versace
author_sort Laura Alston
collection DOAJ
description Abstract Background Rural hospitals in Australia have not been afforded the same opportunities for research activity as their metropolitan counterparts. Equitable access to career and research opportunities has been identified as a potential strategy to enhance workforce satisfaction and retention in rural areas. Smaller rural hospitals show potential in being key settings for research; but minimal investment has translated into a lack of action and knowledge. Practical examples of how this can be done from an organisational structure point of view, are limited in the literature. Methods This cross-sectional study was undertaken in a rural hospital that services rural communities classed as MM4-5 by the Modified Monash Model. The study utilised the validated Research Capacity and Culture (RCC) tool to assess the impact of a rural hospital research unit on building research capacity and culture. It also explored the association between job satisfaction and research activity among hospital staff. Data analysis included descriptive statistics and linear regression. Results Seventy-four staff members completed the survey, with 15 reporting that they had worked with the research unit to complete projects. Among staff who received support from the Research Unit, there were higher RCC scores for 9 out of 20 organisational-level items. Rural hospitals staff rated the benefit of having research opportunities available (mean rating 7 out of 10) in their workplace for future career prospects. Conclusions This study provides evidence that the presence of a research unit, as part of the organisational structure, may assist in improving research capacity and culture within the rural hospital setting. It also identified areas for improvement in this context, as scores were not increased across all of the RCC domains and is an area of future development. Rural hospitals staff perceive the availability of a local research unit and research opportunitiestobebeneficialfortheircareer and this has implications for rural health workforce development strategies. 
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spelling doaj-art-cd190b8eeee7422c88b92aafb888f7c82025-08-20T03:42:48ZengBMCBMC Health Services Research1472-69632025-07-0125111210.1186/s12913-025-13107-8Embedding research into the organisational structure of smaller rural hospitals: building research culture and capacity and understanding perceived rural health workforce benefitLaura Alston0Dai Pu1Sarah Wood2Michael Field3Hannah Beks4Olivia A. King5Nikita Wheaton6Catherine E. Huggins7Anna Wong Shee8Kevin Mc Namara9Vincent L. Versace10Research Unit, Colac Area HealthSchool of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash UniversityDeakin Rural Health, School of Medicine, Deakin UniversityResearch Unit, Colac Area HealthDeakin Rural Health, School of Medicine, Deakin UniversityDeakin Rural Health, School of Medicine, Deakin UniversityDeakin Rural Health, School of Medicine, Deakin UniversitySchool of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash UniversityDeakin Rural Health, School of Medicine, Deakin UniversityDeakin Rural Health, School of Medicine, Deakin UniversityDeakin Rural Health, School of Medicine, Deakin UniversityAbstract Background Rural hospitals in Australia have not been afforded the same opportunities for research activity as their metropolitan counterparts. Equitable access to career and research opportunities has been identified as a potential strategy to enhance workforce satisfaction and retention in rural areas. Smaller rural hospitals show potential in being key settings for research; but minimal investment has translated into a lack of action and knowledge. Practical examples of how this can be done from an organisational structure point of view, are limited in the literature. Methods This cross-sectional study was undertaken in a rural hospital that services rural communities classed as MM4-5 by the Modified Monash Model. The study utilised the validated Research Capacity and Culture (RCC) tool to assess the impact of a rural hospital research unit on building research capacity and culture. It also explored the association between job satisfaction and research activity among hospital staff. Data analysis included descriptive statistics and linear regression. Results Seventy-four staff members completed the survey, with 15 reporting that they had worked with the research unit to complete projects. Among staff who received support from the Research Unit, there were higher RCC scores for 9 out of 20 organisational-level items. Rural hospitals staff rated the benefit of having research opportunities available (mean rating 7 out of 10) in their workplace for future career prospects. Conclusions This study provides evidence that the presence of a research unit, as part of the organisational structure, may assist in improving research capacity and culture within the rural hospital setting. It also identified areas for improvement in this context, as scores were not increased across all of the RCC domains and is an area of future development. Rural hospitals staff perceive the availability of a local research unit and research opportunitiestobebeneficialfortheircareer and this has implications for rural health workforce development strategies. https://doi.org/10.1186/s12913-025-13107-8Rural Health ServicesRural HospitalsRural HealthWorkforceCapacity buildingResearch Culture
spellingShingle Laura Alston
Dai Pu
Sarah Wood
Michael Field
Hannah Beks
Olivia A. King
Nikita Wheaton
Catherine E. Huggins
Anna Wong Shee
Kevin Mc Namara
Vincent L. Versace
Embedding research into the organisational structure of smaller rural hospitals: building research culture and capacity and understanding perceived rural health workforce benefit
BMC Health Services Research
Rural Health Services
Rural Hospitals
Rural Health
Workforce
Capacity building
Research Culture
title Embedding research into the organisational structure of smaller rural hospitals: building research culture and capacity and understanding perceived rural health workforce benefit
title_full Embedding research into the organisational structure of smaller rural hospitals: building research culture and capacity and understanding perceived rural health workforce benefit
title_fullStr Embedding research into the organisational structure of smaller rural hospitals: building research culture and capacity and understanding perceived rural health workforce benefit
title_full_unstemmed Embedding research into the organisational structure of smaller rural hospitals: building research culture and capacity and understanding perceived rural health workforce benefit
title_short Embedding research into the organisational structure of smaller rural hospitals: building research culture and capacity and understanding perceived rural health workforce benefit
title_sort embedding research into the organisational structure of smaller rural hospitals building research culture and capacity and understanding perceived rural health workforce benefit
topic Rural Health Services
Rural Hospitals
Rural Health
Workforce
Capacity building
Research Culture
url https://doi.org/10.1186/s12913-025-13107-8
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