Individual and community drivers of hospitalizations for older adults after natural disaster

自然灾害后老年人住院的个人和社区驱动因素

• 批准号: 10172818
• 负责人: Susan Anne Bell
• 金额: $ 16.99万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10172818
• 关键词: Academy; Acute; Address; Admission activity; Adult; Affect; Aging; American; Area; Award; Care given by nurses; Caring; Case Series; Cessation of life; Chronic; Chronic Disease; Chronically Ill; Clinical; Code; Collaborations; Communities; Data; Development Plans; Diagnosis; Disasters; Discipline of Nursing; Disease; Doctor of Philosophy; Elderly; Environment; Exposure to; Focus Groups; Foundations; Future; Gerontology; Goals; Health; Heterogeneity; Home; Hospitalization; Hurricane; Incidence; Individual; Injury; Intervention; Interview; K-Series Research Career Programs; Knowledge; Link; Location; Measures; Medicare; Medicine; Mentors; Mentorship; Michigan; National Institute on Aging; Natural Disasters; Nurses; Nursing Homes; Outcome; Persons; Physical Function; Population; Prevalence; Qualitative Research; Recovery; Research; Research Activity; Research Infrastructure; Research Personnel; Research Training; Resources; Risk; Sampling; Science; Scientist; Series; Services; Statistical Data Interpretation; System; Techniques; Testing; Tornadoes; Training; Training Activity; Translating; Trauma; Universities; Visiting Nurse; Work; career; career development; community building; comorbidity; disease diagnosis; functional decline; human old age (65+); improved; multidisciplinary; preservation; prevent; resilience; response; service providers; social capital; tool

Candidate: Sue Anne Bell, PhD, FNP-BC is an early career nurse-scientist and disaster response nurse focused on improving health outcomes for older adults after community-level disruptions, specifically natural disasters. Dr. Bell's long-term career goals are to become an independent nurse-scientist who advances the science of aging specific to disasters and a national leader in gerontology, focused on building community resilience for older adults. The objective of this K23 mentored career development award is for Dr. Bell to become a successful independent investigator by carrying out a coordinated 5-year plan of training and research activities. Research Context: There is an unmet need for data that can explain health outcomes for older adults after disaster. The acute disruption of a disaster can exacerbate potential vulnerabilities for older adults, leading to a decline in function. With over 1,200 federally declared disasters in the last decade, there is a critical need for high-quality causal evidence that can preserve function and support for older adults after disasters. Research Aims: The overall goal of this proposal is to unravel the mechanisms associated with hospitalizations after disasters among older adults in the US and translate that knowledge into actionable tools to support older adults prepare for and mitigate the harms of disaster. The specific aims are to: 1) Examine the relationship between exposure to a natural disaster and condition-specific hospitalizations among older adults, 2) Among a large sample of older adults, examine the extent to which community resilience affects the likelihood of hospitalization following a natural disaster adults and 3) Interview home health nurses to identify forms of additional individual and community-level support needed by chronically ill older adults after natural disaster to avoid hospitalization. Research Plan: To accomplish these aims, Dr. Bell will conduct analyses to measure hospitalizations after a subset of disasters among older adults, how community resilience affects individual hospitalizations, and understand how disasters affect older adults from the perspective of home health nurses. Career Development Plan: Through this research and training proposal, Dr. Bell will build upon her expertise in qualitative research and disaster response to develop expertise as a gerontology researcher with expertise in geospatial analysis and collecting data in hard to reach settings and populations. Dr. Bell's career development goals will be supported through intensive mentorship from an expert and personally committed team of mentors and national advisory board, advanced coursework, participation in the local and national scientific community, and progressively independent research. Environment: Dr. Bell's unique resources include a dedicated and accomplished multidisciplinary mentorship team with whom she has longstanding collaborations; the outstanding research infrastructure at the University of Michigan, which places an emphasis on supporting junior investigators; and strategically selected advanced courses and seminars delivered by several distinct academic units at the University of Michigan.

候选人：Sue Anne Bell，FNP-BC博士，是一名早期职业护士科学家和灾难应对护士 重点改善老年人在社区层面的干扰，特别是自然干扰后的健康结果 灾难。贝尔医生的长期职业目标是成为一名独立的护士科学家，推动 专门研究灾害的老龄化科学，在老年学方面处于全国领先地位，专注于建立社区 老年人的复原力。这项K23指导职业发展奖的目标是让贝尔博士 通过实施协调一致的五年培训计划，成为成功的独立调查员 研究活动。研究背景：对能够解释以下健康结果的数据的需求尚未得到满足 灾难过后的老年人。灾难的严重破坏可能会加剧老年人的潜在脆弱性 成人，导致功能下降。在过去的十年里，联邦政府宣布了1200多起灾难，有 迫切需要高质量的因果证据，以保护老年人的功能和支持 灾难。研究目的：这项提案的总体目标是解开与 美国老年人灾难后的住院情况，并将这些知识转化为可操作的工具 为了支持老年人，为灾难做好准备并减轻其危害。具体目标是：1)审查 老年人暴露于自然灾害与特定条件住院之间的关系， 2)在大样本老年人中，检查社区复原力对 自然灾害发生后住院的可能性成年人和家庭保健护士面谈以确定 慢性疾病老年人在自然情况下需要的额外的个人和社区层面的支持的形式 避免住院的灾难。研究计划：为了实现这些目标，贝尔博士将进行分析 衡量老年人在一系列灾难后的住院情况，社区复原力如何影响 个人住院，并从家庭的角度了解灾难如何影响老年人 保健员。职业发展计划：通过这项研究和培训建议，贝尔博士将建立 凭借她在定性研究和灾难应对方面的专长，发展作为老年学专家的专长 具有地理空间分析和在难以接触到的环境和人群中收集数据的专业知识的研究人员。 贝尔博士的职业发展目标将通过一名专家和 亲力亲为的导师团队和国家顾问委员会，高级课程，参与 地方和国家科学界，并逐步独立研究。环境：贝尔博士的房间 独一无二的资源包括一支专注且成就卓著的多学科指导团队，她与 长期的合作；密歇根大学杰出的研究基础设施， 强调支持初级调查人员；战略性地挑选高级课程和研讨会 由密歇根大学几个不同的学术单位提供。