NURSING EXPERTISE MEASURES FOR OUTCOMES RESEARCH

结果研究的护理专业知识测量

• 批准号: 6190411
• 负责人: EILEEN T LAKE
• 金额: $ 9.11万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-01 至 2003-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6190411
• 关键词: clinical research; human subject; model design /development; nurse performance; nursing care quality; nursing models; nursing research; nursing skill /technique; outcomes research; psychometrics

The influence of clinical nursing expertise on patient outcomes has yet to be factored into outcomes research. Incorporating expertise into outcomes research entails the development of measures and models suitable for an organizational research framework. This study bridges the research traditions of Linda Aiken and Patricia Benner. I propose to develop survey measures of clinical nursing expertise and test the survey measures in outcomes research models. The survey measures will be developed using primary survey and narrative data collected from a purposive sample of staff nurses at the Hospital of the University of Pennsylvania. Nursing expertise measures will be tested in outcomes research models using nurse survey and patient outcomes data collected in an NINR-funded study by Penn's Center for Health Outcomes and Policy Research. My immediate goal is to develop valid, reliable survey measures of clinical nursing expertise. My long term goal is to build a program of research that delineates the mechanisms whereby nursing influences patient outcomes. To fulfill these goals, the research career development plan comprises training in advanced qualitative and quantitative research methods. The qualitative research methods will be required to validate the nursing expertise instrument. The quantitative research methods will be used to evaluate the psychometric properties of the expertise instrument and to develop multi-level mult-stage models linking the organization of nursing to outcomes. These models will test the direct and indirect effects of clinical expertise and other individual and organizational characteristics on outcomes employing such methods as multiple imputation, hierarchical linear modeling, and structural equation modeling. My aims for this research career award are to: 1) gain new qualitative and quantitative research skills, 2) develop my program of research by introducing clinical expertise into outcomes research, 3) publish findings in peer- reviewed journals, 4) develop a proposal for extramural funding examining the effect of the practice environment on nursing expertise and of nursing expertise on outcomes, and 5) establish interdisciplinary collaborative relationships with experts in the fields of survey development, clinical nursing expertise, and advanced qualitative and quantitative research methods.

临床护理专业知识对患者结局的影响尚未纳入结果研究。 将专业知识纳入结果研究需要开发适合组织研究框架的措施和模型。 这项研究桥接了琳达·艾肯（Linda Aiken）和帕特里夏·本纳（Patricia Benner）的研究传统。 我建议制定临床护理专业知识的调查措施，并在结果研究模型中测试调查措施。 调查措施将使用宾夕法尼亚大学医院的有目的的员工护士样本收集的主要调查和叙述数据制定。护理专业知识措施将在结果研究模型中使用护士调查和宾夕法尼亚州健康成果和政策研究中心一项尼r资助的研究中收集的患者结果数据进行测试。 我的近期目标是制定有效的，可靠的临床护理专业知识调查措施。 我的长期目标是建立一个研究计划，该计划描述了护理影响患者结果的机制。 为了实现这些目标，研究职业发展计划包括高级定性和定量研究方法的培训。 将需要定性研究方法来验证护理专业知识工具。定量研究方法将用于评估专业知识工具的心理计量学特性，并开发将护理组织与成果组织联系起来的多级多阶段模型。 这些模型将测试临床专业知识以及其他个人和组织特征对采用多个插补，分层线性建模和结构方程建模等方法的直接和间接影响。 我对这项研究职业奖的目的是：1）获得新的定性和定量研究技能，2）通过将临床专业知识引入结果研究中，开发我的研究计划，3）在同行评审期刊中发表结果，4）制定一项提案，开发一项针对外部资金的研究，以研究实践对培训的效果以及在OUTCOMERS和5）之间的效果，以及在OUTCOMERS上建立培训的效果，以及5）在OUTCOMERS和5）中进行了分解，5）涉及培训的效果。调查开发，临床护理专业知识以及先进的定性和定量研究方法。