BACKGROUND Primary healthcare has a long and successful patient care history in Sweden. Nevertheless, a research-oriented attitude has been more or less absent in this context. In society today, access to information has significantly influenced the nature of patients' demand for up-to-date healthcare. A prerequisite for this new demand is health professionals who are interested in novel ways of thinking and view a change of work practices as necessary. One way to achieve this goal is by means of strategic communication, which is a relatively new interdisciplinary field. The aim of this study was to analyse the role of strategic communication in the creation of intentions in Research and Development (R&D) among primary healthcare staff as measured by a validated instrument. METHODS An intervention study on staff was performed. A 15-item questionnaire was validated and implemented. All primary healthcare staff from the southwestern Swedish province of Halland were included. In total, 846 employees (70%) agreed to participate in the measurements. After 12 years, 352 individuals who had participated in the intervention and remained in the organisation were identified and followed up. The intervention comprised established communication channels. The measurements were performed after 7 and 12 years. A questionnaire was designed for this purpose. The questions were validated by a factor analysis, and the degree of reliability was measured with Cronbach's alpha coefficient. χ2 and Fisher's exact tests were used as statistical tests in comparisons. RESULTS Factor analysis identified five pure factors (most Cronbach's alpha > 0.70). Strategic communication contributed to a significant improvement in the staff members' interest in R&D and willingness to change in both the short (P < 0.05) and long (P < 0.05) term. The positive attitude was stable over time. CONCLUSIONS Strategic communication seems to be a significant tool for creating a stable positive attitude towards R&D in the primary healthcare context. The creation of a positive attitude towards a scientific approach is a relevant finding that deserves special attention in a context as complex as healthcare. Using a validated instrument seems to contribute to pure results in this case.

中文翻译：

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促进通过经过验证的工具衡量的初级医疗保健部门的研发意图的创建。

背景技术在瑞典，初级保健具有悠久而成功的患者护理历史。然而，在这种情况下或多或少地缺乏以研究为导向的态度。在当今的社会中，信息的获取已极大地影响了患者对最新医疗保健需求的性质。满足这一新需求的前提是健康专业人员，他们对新颖的思维方式感兴趣，并视需要改变工作方法。实现这一目标的一种方法是借助战略交流，这是一个相对较新的跨学科领域。这项研究的目的是分析战略沟通在主要医疗保健人员研发意图（R＆D）的创建过程中的作用，这是通过一种经过验证的工具进行衡量的。方法对员工进行干预研究。一项15项调查问卷已得到验证和实施。瑞典西南部哈兰省的所有主要卫生保健人员也包括在内。共有846名员工（70％）同意参加评估。12年后，确定并跟踪了352名参与干预措施并留在组织中的人员。干预措施包括已建立的沟通渠道。在7年和12年后进行测量。为此目的设计了一个调查表。通过因素分析验证了问题，并使用Cronbach's alpha系数衡量了信度。比较中使用χ2和Fisher精确检验作为统计检验。结果因子分析确定了五个纯因子（大多数Cronbach's alpha> 0.70）。战略沟通极大地改善了员工对研发的兴趣，并在短期（P <0.05）和长期（P <0.05）方面都愿意做出改变。随着时间的流逝，积极态度是稳定的。结论战略沟通似乎是在初级卫生保健背景下对研发建立稳定积极态度的重要工具。对科学方法的积极态度的创造是一个相关发现，在像医疗保健这样复杂的环境中，值得特别关注。在这种情况下，使用经过验证的仪器似乎有助于获得纯结果。结论战略沟通似乎是在初级卫生保健背景下对研发建立稳定积极态度的重要工具。对科学方法的积极态度的创建是一个相关发现，在像医疗保健这样复杂的环境中值得特别关注。在这种情况下，使用经过验证的仪器似乎有助于获得纯结果。结论战略沟通似乎是在初级卫生保健背景下对研发建立稳定积极态度的重要工具。对科学方法的积极态度的创建是一个相关发现，在像医疗保健这样复杂的环境中值得特别关注。在这种情况下，使用经过验证的仪器似乎有助于获得纯结果。