Comparative and Cost-Effectiveness Research Training for Nurse Scientists

缺乏关于什么是“真实的生活”中的最佳治疗和保健服务的知识 (i.e.,不受控制的情况。这导致临床医生，患者，购买者和政策制定者面临 每天都有重要的决定，没有足够的信息。缺乏知识并不是因为缺乏数据; 电子数据基础设施越来越到位，患者数据在个人，设施， 在区域和国家一级开展急需的比较和成本效益研究。因此，我们认为， 美国研究界，包括护理科学家，有一个前所未有的机会， 日常临床决策和改善国家的卫生系统和健康的高风险， 人口，以及通过比较和成本效益研究告知医疗保健价值。与我们 国家护理研究所（NINR）资助的博士前和博士后培训计划， “护士科学家比较和成本效益研究培训（CER 2）”（T32 NR 014205）， 哥伦比亚大学护理学院一直是准备护士科学家进行这项严格， 跨学科的转化研究CER 2联合主任、执行委员会、导师和学员 进行了跨学科，比较，和成本效益的研究，先进的护理 科学以及知情的临床决策和卫生政策。环境是特殊的， 发达的基础设施和对跨学科转化研究的坚定承诺。此外，委员会认为， 新颖的研究基础和独特的专业知识的参与，合格的，跨学科的教师 为学员提供良好的机会，发展成为独立的护士科学家。重点是 在高风险、得不到充分服务的人群中，在整个护理过程中促进健康和/或预防疾病 在我们前四年支持的实质性成就的基础上， 更新的目的是：1）维持一个行政结构，以支持跨学科的核证减排量2; 2）招募和保留一名 合格的不同干部的博士前和博士后护士进行跨学科的比较， 成本效益研究; 3）提高学员的跨学科知识和技能 促进健康和/或预防疾病的比较和成本效益研究方法 在高风险、服务不足的人群中提供连续的护理; 4）评估培训计划的投入， 持续和每年的产出和成果，并根据需要完善该计划。的目标和 培训活动与2016年NINR战略计划的科学重点领域（健康，自我， 管理，以及临终关怀和姑息治疗），并解决21世纪世纪护士的交叉领域 科学家-研究职业的创新战略。

There is a lack of knowledge about what constitutes optimal treatment and delivery of healthcare in “real life” (i.e., non-controlled) situations. This results in clinicians, patients, purchasers, and policy makers confronting important decisions every day without adequate information. The lack of knowledge is not due to a lack of data; increasingly, the electronic data infrastructure is in place and patient data are available at the individual, facility, regional, and national levels to conduct much needed comparative and cost-effectiveness research. Therefore, the United States research community, including nurse scientists, has an unprecedented opportunity to inform everyday clinical decisions and improve the nation's health system and the health of high-risk, underserved populations, as well as inform healthcare value through comparative and cost-effectiveness research. With our National Institute of Nursing Research (NINR) funded predoctoral and postdoctoral training program, “Comparative and Cost-Effectiveness Research Training for Nurse Scientists (CER2)” (T32 NR014205), Columbia University School of Nursing has been a leader in preparing nurse scientists to conduct this rigorous, interdisciplinary, translational research. The CER2 co-directors, executive committee, preceptors, and trainees have conducted interdisciplinary, comparative, and cost-effectiveness research that has advanced nursing science as well as informed clinical decision making and health policy. The environment is exceptional with well-developed infrastructure and a strong commitment to interdisciplinary translational research. Moreover, the novel research base and unique expertise of the participating, well-qualified, interdisciplinary faculty provide trainees with excellent opportunities to develop into independent nurse scientists. With a focus on health promotion and/or disease prevention across the continuum of care in high-risk, underserved populations and building upon the substantial achievements of our first four years of support, the aims of this competitive renewal are to: 1) Maintain an administrative structure to support interdisciplinary CER2; 2) Recruit and retain a qualified diverse cadre of predoctoral and postdoctoral nurses to conduct interdisciplinary comparative and cost-effectiveness research; 3) Enhance the knowledge and skills of the trainees in interdisciplinary comparative and cost-effectiveness research methods for health promotion and/or disease prevention across the continuum of care in high-risk, underserved populations; and 4) Evaluate the training program inputs, outputs, and outcomes on an ongoing and annual basis and refine the program as needed. The aims and training activities are well-aligned with the 2016 NINR Strategic Plan areas of scientific focus (Wellness, Self- Management, and End-of-Life and Palliative Care) and address the cross cutting area of 21st Century Nurse Scientists - Innovative Strategies for Research Careers.