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: 10410491
• 负责人: Susan Anne Bell
• 金额: $ 17.13万
• 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 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10410491
• 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; case control; community building; community-level factor; 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（Sue Anne Bell），博士，FNP-BC是早期职业护士科学家和灾难反应护士 专注于改善社区级破坏后的老年人的健康状况，特别是自然的 灾难。贝尔博士的长期职业目标是成为一名独立的护士科学家 特定于灾难的老龄化科学和老年医学领域的国家领导者，重点是建立社区 老年人的韧性。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，成为成功的独立调查员 研究活动。研究环境：对数据的需求未满足，可以解释健康结果 灾难后老年人。灾难的急性破坏会加剧年龄较大的潜在脆弱性 成人，导致功能下降。在过去的十年中，有超过1200多名联邦宣布为灾难，有 对高质量因果证据的关键需求，可以在 灾难。研究目的：该提案的总体目标是阐明与 美国老年人灾难发生后的住院，并将这些知识转化为可行的工具 为了支持老年人准备并减轻灾难的危害。具体目的是：1）检查 接触自然灾害与老年人特定病情住院之间的关系， 2）在大量老年人样本中，检查社区弹性影响的程度 自然灾害成人和3）采访家庭健康护士以识别住院的可能性 自然之后，长期生病的老年人需要的其他个人和社区级别的支持形式 灾难以避免住院。研究计划：为了实现这些目标，贝尔博士将进行分析 测量老年人灾难之后的住院治疗，社区弹性如何影响 个人住院，并了解灾难如何从家庭角度影响老年人 卫生护士。职业发展计划：通过这项研究和培训建议，贝尔博士将建立 根据她在定性研究和灾难响应方面的专业知识，以发展为老师的专业知识 研究人员具有地理空间分析和收集数据的数据和人群的专业知识。 贝尔博士的职业发展目标将通过专家的密集指导来支持 亲自承诺的导师团队和国家顾问委员会，高级课程工作，参加 地方和国家科学界，以及逐步独立的研究。环境：贝尔博士 独特的资源包括一个专门和成就的多学科指导团队 长期合作；密歇根大学的杰出研究基础设施 强调支持初级调查员；以及战略选择的高级课程和研讨会 由密歇根大学的几个不同的学术单位交付。