课题基金 / 基金详情

The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve Health

The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve Health
弗吉尼亚综合转化健康研究所 (iTHRIV):利用数据改善健康
批准号:
10367106
负责人:
Donald E Brown
金额:
$16.99万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2021
资助国家:
美国
项目状态:
已结题
起止时间:
2021-09-01 至 2024-01-31

项目摘要

项目成果

Donald E Brown的其他基金

相似基金

相关文献

中文摘要
翻译
项目总结/文摘
英文摘要
Project Summary/Abstract Healthcare interventions and technologies are appropriate and life-changing for some and clearly unethical or physiologically futile for others. The band of uncertainty that lies between these two extremes is a common source of ethical dilemmas in modern healthcare. For about 20% of patients in intensive care units, interventions may be life-prolonging but they offer little hope of survival outside the acute care setting—a situation called potentially inappropriate intervention. These situations arise due to multiple factors such as family demands, poor team collaboration, hierarchies that inhibit honest discussion, and societal norms that tend to default to aggressive treatments. Healthcare providers recognize these situations as burdensome for patients who endure high-tech, invasive procedures and treatments but who do not achieve meaningful benefit from them. As a result, healthcare providers feel they are complicit in wrongdoing--causing unnecessary suffering, prolonged dying, and lack of truth-telling—otherwise known as moral distress. An intervention to address this cause of moral distress is a type of ethics consultation called moral distress consultation. This health system-wide intervention is designed to assist healthcare providers experiencing moral distress to identify the causes and to design strategies to remedy the causes. Thus, this intervention seeks to improve patient care by acting on healthcare provider moral distress. A national Moral Distress Consultation Collaborative, composed of expert moral distress consultants from across the country is poised to more fully characterize the connection between burdensome interventions and moral distress with the goal of helping clinicians and families recognize and resolve situations of potentially inappropriate intervention. Consequently, the specific aims of this study are to 1) generate a taxonomy of barriers and strategies relevant to situations of potentially inappropriate intervention by harmonizing and evaluating a database from two moral distress consultation services, 2) evaluate organizational policies and state healthcare laws that play a role in potentially inappropriate interventions—specifically focusing on policies related to decision making and code status, and 3) define core competencies for moral distress consultation to promote knowledge and expertise among the nations moral distress consultants.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve Health
  • 批准号:
    10335371
  • 项目类别:
  • 资助金额:
    $5.0万
  • 财政年份:
    2020
  • 负责人:
    Donald E Brown
  • 依托单位:
The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve Health
  • 批准号:
    10158925
  • 项目类别:
  • 资助金额:
    $11.83万
  • 财政年份:
    2020
  • 负责人:
    Donald E Brown
  • 依托单位:
Provision of Clinical Data to Support a Nationwide COVID-19 Cohort Collaborative
  • 批准号:
    10159046
  • 项目类别:
  • 资助金额:
    $5.0万
  • 财政年份:
    2020
  • 负责人:
    Donald E Brown
  • 依托单位:
Convalescent Immune Plasma for the Treatment of COVID-19: Mechanisms Underlying the Host Immunologic and Virologic Response
  • 批准号:
    10213475
  • 项目类别:
  • 资助金额:
    $48.36万
  • 财政年份:
    2020
  • 负责人:
    Donald E Brown
  • 依托单位:
国内基金
海外基金
层出镰刀菌氮代谢调控因子AreA 介导伏马菌素 FB1 生物合成的作用机理
  • 批准号:
    2021JJ40433
  • 项目类别:
    省市级项目
  • 资助金额:
    --
  • 批准年份:
    2021
  • 负责人:
    孙磊
  • 依托单位:
寄主诱导梢腐病菌AreA和CYP51基因沉默增强甘蔗抗病性机制解析
  • 批准号:
    32001603
  • 项目类别:
    青年科学基金项目
  • 资助金额:
    24.0万元
  • 批准年份:
    2020
  • 负责人:
    段真珍
  • 依托单位:
AREA国际经济模型的移植.改进和应用
  • 批准号:
    18870435
  • 项目类别:
    面上项目
  • 资助金额:
    2.0万元
  • 批准年份:
    1988
  • 负责人:
    史树中
  • 依托单位: