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：苏安妮贝尔，博士，FNP-BC是一个早期的职业护士科学家和灾难应对护士 重点是改善社区一级中断后老年人的健康状况，特别是自然灾害。 灾害贝尔博士的长期职业目标是成为一名独立的护士科学家， 专门针对灾害的老龄科学和老年学的国家领导人，专注于建立社区 老年人的恢复力。这个K23指导职业发展奖的目标是贝尔博士， 通过执行协调的5年培训计划，成为一名成功的独立调查员， 研究活动。研究背景：对于可以解释健康结果的数据存在未满足的需求， 灾难后的老年人。灾害的严重破坏可能加剧老年人的潜在脆弱性 成年人，导致功能下降。在过去十年中，联邦政府宣布的灾难超过1,200起， 迫切需要高质量的因果证据，可以保持功能和支持老年人后， 灾害研究目的：本提案的总体目标是揭示与以下相关的机制： 美国老年人灾难后的住院治疗，并将这些知识转化为可操作的工具 帮助老年人做好准备，减轻灾害的危害。具体目标是：（1）审查 自然灾害暴露与老年人因疾病住院治疗之间的关系， 2)在老年人的大样本中，检查社区弹性对老年人的影响程度。 自然灾害发生后成人住院的可能性; 3）与家庭保健护士面谈， 慢性病老年人在自然康复后所需的额外的个人和社区一级的支持形式 避免住院治疗。研究计划：为了实现这些目标，贝尔博士将进行分析， 测量老年人在灾难发生后的住院情况， 个人住院，并从家庭的角度了解灾害如何影响老年人 保健护士职业发展计划：通过这项研究和培训计划，贝尔博士将建立 凭借她在定性研究和灾害应对方面的专业知识， 具有地理空间分析和在难以到达的环境和人群中收集数据方面的专业知识的研究人员。 博士贝尔的职业发展目标将通过一位专家的密集指导得到支持， 个人致力于导师和国家咨询委员会的团队，先进的课程，参与 地方和国家科学界，并逐步独立的研究。地点：Dr. Bell's 独特的资源包括一个专门的和有成就的多学科导师团队，她与他们有 长期合作;密歇根大学杰出的研究基础设施， 重点支持初级调查员;以及从战略角度选择高级课程和研讨会 由密歇根大学的几个不同的学术单位提供。