{"id":1192,"date":"2026-06-03T07:00:15","date_gmt":"2026-06-03T07:00:15","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjleader\/?p=1192"},"modified":"2026-05-28T15:34:28","modified_gmt":"2026-05-28T15:34:28","slug":"why-a-research-identity-and-community-matter-for-global-health-workforce-development-by-lisa-bunn-and-rosi-raine","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjleader\/2026\/06\/03\/why-a-research-identity-and-community-matter-for-global-health-workforce-development-by-lisa-bunn-and-rosi-raine\/","title":{"rendered":"Why a research identity and community matter for global health workforce development. By Lisa Bunn and Rosi Raine"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Across global health systems, developing a research<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">skilled workforce has become a strategic priority, driven by growing evidence that research engagement is associated with better healthcare performance and improved patient outcomes [1]. Health systems across the world are investing heavily in research, yet many healthcare professionals remain interested in research but not actively engaged in it [2,3]. This blog interrogates why the transition from research curiosity to active engagement remains out of reach for much of the workforce.<\/span><\/p>\n<p><b>The Research Capacity\u2013Participation Paradox<\/b><\/p>\n<p><span style=\"font-weight: 400\">Evidence-based practice has been established for decades and is now embedded within clinical decision<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">making and professional standards [4]. Yet participation in research remains uneven; concentrated among certain professions, while nursing, allied health, and social care staff remain underrepresented [5].<\/span><\/p>\n<p><span style=\"font-weight: 400\">Disparities persist even in well<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">resourced systems. In the United Kingdom, research is embedded within professional regulatory frameworks and supported by major national investment through organisations such as the National Institute for Health and Care Research (NIHR). Despite this, barriers to undertaking research in practice remain significant; including lack of time, infrastructure, career pathways, and organisational support [2,5].<\/span><\/p>\n<p><span style=\"font-weight: 400\">Much of the global effort to build research capacity has focused on developing skills, infrastructure, and organisational systems [6]. These are necessary, but they are not sufficient. A paradox remains: increased investment in research does not automatically lead to increased participation. Perhaps the problem is that capacity is not determined by capability alone, but by culture, community, and identity.\u00a0<\/span><\/p>\n<p><b>Culture and community<\/b><\/p>\n<p><span style=\"font-weight: 400\">Research culture is increasingly evaluated across university and health and care organisations, often demonstrating variability and relatively low satisfaction outside research-intensive areas [7-10]. However, there remains no universally agreed definition of research culture, and its meaning varies across professional groups and contexts.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Previous research has identified organisational barriers, leadership, inclusion, and access to support as critical determinants of engagement in research activity [2,11]. However, even when structural barriers such as time or funding are addressed, participation may remain limited, reflecting deeper cultural and relational factors [3].<\/span><\/p>\n<p><span style=\"font-weight: 400\">This shifts the focus to more fundamental questions:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">What do individuals perceive as a positive research culture?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Do health professionals perceive research as a valued part of their role?<\/span><\/li>\n<\/ul>\n<p><b>Research identity: the missing link in workforce strategy<\/b><\/p>\n<p><span style=\"font-weight: 400\">Evidence consistently demonstrates that engagement in research is shaped not only by capability, but by how professionals perceive their role in relation to research [2]. What matters is not just whether individuals can do research, but whether they believe that they should.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This is research identity.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Identity is not simply an individual attribute; it is socially constructed through professional socialisation, cultural expectations, and access to opportunity [12]. Within the context of research, it determines whether professionals:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">seek out research opportunities<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">feel confident to engage<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">sustain involvement over time<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Without research identity, research remains something people could do, but not something they see as part of their role.<\/span><\/p>\n<p><b>The invisible majority: the research<\/b><b>\u2011<\/b><b>curious workforce<\/b><\/p>\n<p><span style=\"font-weight: 400\">The largest untapped resource in global health research is not hidden in elite institutions\u2014it is already embedded within the workforce. It is the \u201cresearch<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">curious\u201d workforce: professionals who recognise the value of research but lack the identity, pathways, support, or permission to engage.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Evidence shows that healthcare professionals often hold positive attitudes towards research while simultaneously experiencing structural barriers, including time, mentorship, and organisational support, that prevent participation [2,3]. The result is a structural failure: curiosity alone does not translate into participation.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Current workforce strategies tend to focus on those already engaged or on developing research leaders, rather than enabling early<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">stage participation [5]. This creates a critical transitional gap, where health systems invest in research capacity while excluding much of the workforce from participating in it.<\/span><\/p>\n<p><b>Culture determines capability and capacity<\/b><\/p>\n<p><span style=\"font-weight: 400\">If research identity is the missing link at the individual level, organisational culture is the system<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">level determinant.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Research engagement is shaped by leadership, mentorship, infrastructure, and workload\u2014but also by legitimacy:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Who is expected to do research?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Who is supported to do research?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Who feels they are allowed to do research?<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Organisational culture is consistently associated with workforce performance and patient outcomes in healthcare systems [11]. In the context of research, it also shapes participation. Where research is visible, valued, and integrated into practice, engagement increases. Where it remains peripheral, participation remains limited, regardless of investment.<\/span><\/p>\n<p><b>A culture of equity<\/b><\/p>\n<p><span style=\"font-weight: 400\">While policy attention has often focused on high<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">income systems, these challenges are global.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Health systems worldwide face workforce shortages, increasing demand, and the need to embed evidence-based care [13]. At the same time, persistent inequities exist in research participation and leadership, both between professional groups and across global regions [14].<\/span><\/p>\n<p><span style=\"font-weight: 400\">Research identity is not evenly distributed, it reflects professional hierarchies, access to opportunity, and structural inequities [15]. If unaddressed, current approaches risk entrenching these inequities rather than reducing them.<\/span><\/p>\n<p><b>From capacity building to system transformation<\/b><\/p>\n<p><span style=\"font-weight: 400\">Transforming a research<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">skilled workforce into a research<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">active workforce requires a shift from training individuals to transforming systems.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Health systems should:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Normalise research across professional roles, embedding expectations within education, role descriptions and standards<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Invest in the research<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">curious stage, creating accessible entry points into research participation<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Measure participation, not just outputs, tracking engagement across professions and career stages<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Align career pathways with research, ensuring it is integrated rather than optional<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Foster communities of practice, which support knowledge exchange and nurture identity, capability and capacity [16]<\/span><\/li>\n<\/ul>\n<p><b>From policy ambition to practical action<\/b><\/p>\n<p><span style=\"font-weight: 400\">Encouragingly, system<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">level initiatives are emerging to address this gap.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In England, programmes such as the NIHR INSIGHT initiative aim to support early<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">stage research engagement and broaden access to research careers across health and social care professions [17]. These initiatives recognise that developing a research<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">active workforce requires early, inclusive, and structured support, rather than reliance on traditional academic pathways.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Such approaches are critical, not because they create immediate research leaders, but because they build the conditions in which research identity can develop and positively influence culture.<\/span><\/p>\n<p><b>A call to action<\/b><\/p>\n<p><span style=\"font-weight: 400\">The global ambition to embed research within healthcare is both necessary and urgent. But achieving it requires a fundamental shift.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The question is not simply how we equip professionals with research skills, but how we enable them to see research as part of their professional identity.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Without this shift, investment in research capacity will continue to fall short; benefiting those already engaged while leaving the majority behind.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ultimately, a research<\/span><span style=\"font-weight: 400\">\u2011<\/span><span style=\"font-weight: 400\">active workforce could be re-defined from how many people can <\/span><i><span style=\"font-weight: 400\">do<\/span><\/i><span style=\"font-weight: 400\"> research, to how many believe that they <\/span><i><span style=\"font-weight: 400\">belong<\/span><\/i><span style=\"font-weight: 400\"> in research; that it is part of their role and a shared responsibility for improving patient care.<\/span><\/p>\n<p><b>References<\/b><\/p>\n<ol>\n<li><span style=\"font-weight: 400\"> Boaz A, Goodenough B, Hanney S, Soper B. If health organisations and staff engage in research, does healthcare improve? Strengthening the evidence base through systematic reviews. Health Res Policy Syst. 2024 Aug 19;22(1):113. doi: 10.1186\/s12961-024-01187-7.<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Lee S, Gifford J, Flood V. Enablers and barriers of research engagement among clinicians. J Multidiscip Healthc. 2024;17:4075\u20134087. doi:10.2147\/JMDH.S463837\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Matheson M, Skinner IW, Vehagen A, et<\/span><span style=\"font-weight: 400\">\u202f<\/span><span style=\"font-weight: 400\">al. Barriers and enablers to health professional research engagement: A Systematic Review of Qualitative Studies.\u00a0 Nurs Health Sci. 2025;27:e70022. doi:10.1111\/nhs.70022\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Sackett D L, Rosenberg W M C, Gray J A M, Haynes R B, Richardson W S. Evidence based medicine: what it is and what it isn&#8217;t BMJ 1996; 312 :71 doi:10.1136\/bmj.312.7023.71<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Trusson D, Rowley E, Bramley L. A mixed-methods study of challenges and benefits of clinical academic careers for nurses, midwives and allied health professionals. BMJ Open 2019;9:e030595. doi:10.1136\/bmjopen-2019-030595<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Cooke, J. A framework to evaluate research capacity building in health care. BMC Fam Pract 2005;6, 44. doi.org\/10.1186\/1471-2296-6-44<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Cordrey, T., King, E., Pilkington, E. et al. Exploring research capacity and culture of allied health professionals: a mixed methods evaluation. BMC Health Serv Res 22, 85 (2022). <\/span><a href=\"https:\/\/doi.org\/10.1186\/s12913-022-07480-x\"><span style=\"font-weight: 400\">https:\/\/doi.org\/10.1186\/s12913-022-07480-x<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400\"> Frakking, T., Craswell, A., Clayton, A., &amp; Waugh, J. Evaluation of Research Capacity and Culture of Health Professionals Working with Women, Children and Families at an Australian Public Hospital: A Cross Sectional Observational Study. Journal of Multidisciplinary Healthcare, 2021;14, 2755\u20132766. doi.org\/10.2147\/JMDH.S330647<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Comer, C., Collings, R., McCracken, A. Payne, C. &amp; Moore, A. Allied health professionals\u2019 perceptions of research in the United Kingdom national health service: a survey of research capacity and culture. BMC Health Serv Res 2022;22, 1094. doi.org\/10.1186\/s12913-022-08465-6<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Bell, L., Chapman, R., Ashton, C. et al. Baseline assessments of research capacity, capability and culture in UK local authorities: reflections from evaluators embedded in Health Determinants Research Collaborations. Health Res Policy Sys 2025;23, 68. doi.org\/10.1186\/s12961-025-01323-x<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Braithwaite J, Herkes J, Ludlow K, Testa L, Lamprell, G. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open 2017;7:e017708. doi: 10.1136\/bmjopen-2017-017708<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Cruess, RL, Cruess, SR, Boudreau, JD, Snell, L, Steinert, Y. A Schematic Representation of the Professional Identity Formation and Socialization of Medical Students and Residents: A Guide for Medical Educators, Academic Medicine. 2015; 90, 6; 718\u2013725, https:\/\/doi.org\/10.1097\/ACM.0000000000000700<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Correia, T., Kuhlmann, E., Lotta, G., Beja, A., Morais, R., Zapata, T. and Campbell, J. Turning the global health and care workforce crisis into action: The pathway to effective evidence-based policy and implementation. Int J Health Plann Mgmt. 2025; 40: 224-233. doi.org\/10.1002\/hpm.3860<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Olufadewa I, Adesina M, Ayorinde T. Global health in low-income and middle-income countries: a framework for action. The Lancet Global Health, 9, e899-e900 doi:10.1016\/S2214-109X(21)00143-1<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Kett PM, Shahrir S, Bekemeier B, Schaffer K, Zemmel DJ, Patterson, DG. Individual and organizational factors associated with public health workforce competencies to advance health equity. PLOS Global Public Health 2025; 5(1): e0004068. doi.org\/10.1371\/journal.pgph.0004068<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Noar AP, Jeffery HE, Subbiah Ponniah H, Jaffer U. The aims and effectiveness of communities of practice in healthcare: A systematic review. PLOS ONE. 2023; 18(10): e0292343. doi.org\/10.1371\/journal.pone.0292343<\/span><\/li>\n<li><span style=\"font-weight: 400\"> National Institute for Health and Care Research (NIHR). INSIGHT programme: supporting early career development in health and care research. 2024. Available at: https:\/\/www.nihr.ac.uk\/career-development\/research-career-funding-programmes\/supporting-career-development\/insight-programme (accessed 16 May 2026).<\/span><\/li>\n<\/ol>\n<p><strong>Authors<\/strong><\/p>\n<p><strong>Lisa Bunn<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1190\" src=\"http:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Outlook-zp0uafvy-225x300.jpg\" alt=\"\" width=\"145\" height=\"193\" srcset=\"https:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Outlook-zp0uafvy-225x300.jpg 225w, https:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Outlook-zp0uafvy.jpg 481w\" sizes=\"auto, (max-width: 145px) 100vw, 145px\" \/><\/p>\n<p><em>Dr Lisa Bunn is an Associate Professor of Neurological Rehabilitation and NIHR Senior Research Leader. She works across clinical practice, research, and workforce development, with a focus on evidence-based care, research capacity building, and patient engagement. Her work spans national and international initiatives to develop research-skilled health and care workforces and to translate complex research into meaningful practice.\u00a0<\/em><\/p>\n<p><strong>Rosi Raine<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1191\" src=\"http:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Rosi-BMJL-225x300.png\" alt=\"\" width=\"148\" height=\"198\" srcset=\"https:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Rosi-BMJL-225x300.png 225w, https:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Rosi-BMJL-769x1024.png 769w, https:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Rosi-BMJL-768x1022.png 768w, https:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Rosi-BMJL-1154x1536.png 1154w, https:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Rosi-BMJL-640x852.png 640w, https:\/\/blogs.bmj.com\/bmjleader\/files\/2026\/05\/Rosi-BMJL.png 1160w\" sizes=\"auto, (max-width: 148px) 100vw, 148px\" \/><\/p>\n<p><em>Dr Rosi Raine is an Associate Professor of Occupational Therapy and Associate Dean of the Faculty of Health at the University of Plymouth.<\/em><\/p>\n<p><strong>Declarations of Interest<\/strong><br \/>\nNo interests to declare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Across global health systems, developing a research\u2011skilled workforce has become a strategic priority, driven by growing evidence that research engagement is associated with better healthcare performance and improved patient outcomes [1]. Health systems across the world are investing heavily in research, yet many healthcare professionals remain interested in research but not actively engaged in it [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjleader\/2026\/06\/03\/why-a-research-identity-and-community-matter-for-global-health-workforce-development-by-lisa-bunn-and-rosi-raine\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":525,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1192","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/posts\/1192","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/users\/525"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/comments?post=1192"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/posts\/1192\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/media?parent=1192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/categories?post=1192"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmjleader\/wp-json\/wp\/v2\/tags?post=1192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}