Abstract
Introduction: The embedded researcher model offers a novel approach to integrating academic research directly into healthcare systems, with the aim of enhancing both research relevance and clinical practice. By co-producing research, embedded researchers are uniquely positioned to ensure that evidence is swiftly applied to real-world settings. Despite growing interest in the embedded researcher approach, there remains limited understanding of how these roles function in practice, especially within the context of learning health systems.
This study, therefore, seeks to examine the experiences of the first cohort of embedded researchers working within an Irish emerging learning health system. By capturing their insights, the study aims to illuminate the complexities of these roles, the impact they have on both research and healthcare, and the barriers that need to be addressed to optimise their contribution to integrated care.
Methods: A purposive sample of former pioneer embedded researchers were invited to participate in an online qualitative survey. Thematic analysis was employed to identify recurring themes, highlighting challenges and opportunities encountered in this innovative model.
Results:
Six key themes emerged:
Citizenship
All embedded researchers, despite diverse backgrounds, expressed a shared sense of purpose in improving healthcare outcomes. This theme underscored their commitment to enhancing public health, aligning personal motivations with broader societal impact.
Navigating Duality
Embedded researchers experienced dual identities as researchers and hospital staff. This paradox was described as both fulfilling and challenging, as they wished to dedicate more time to both domains but faced constraints from each necessitating continuous renegotiating of roles, often without clear boundaries or support from either organisation.
Steep Learning Curve
Both researchers and healthcare organisations experienced a steep learning trajectory. Researchers had to adapt to the complexities of healthcare delivery, while healthcare staff were introduced to new approaches to co-produced research. This reciprocal learning process was essential for building sustainable partnerships.
Living Research
Researchers reported that embedding within healthcare settings transformed their work from theoretical exercises into "living" research. The immediacy of impact was both rewarding and motivating, allowing them to observe firsthand the value of research in real-world settings.
Importance of Relationships
Physical presence and relationship-building were deemed critical. Embedded researchers emphasised the necessity of spending time in healthcare settings to foster trust and rapport with both staff and patients. These relationships were viewed as key to the success of their work.
Digital Glue and Grease
A major challenge highlighted by participants was the friction caused by the digital infrastructure of the organisations. Researchers were required to maintain two separate digital identities (academic and hospital) resulting in duplication of effort, fragmentation, and inefficiencies.
Implications: Embedded researchers are making significant contributions to healthcare research and practice. Beyond traditional academic outputs, these researchers are facilitating capacity-building within clinical settings. Their dual roles allow them to bridge the gap between evidence and practice, advancing both research development and health service delivery. To maximise the potential of the embedded researcher model, organisations must address structural and digital barriers and foster stronger institutional support systems that can accommodate duality in roles and identities.