NURSING EXPERTISE MEASURES FOR OUTCOMES RESEARCH

临床护理专业知识对患者结局的影响尚未纳入结局研究。 将专业知识融入成果研究需要开发适合组织研究框架的措施和模型。 这项研究的桥梁琳达艾肯和帕特里夏本纳的研究传统。 本人建议发展临床护理专业知识的调查方法，并在结果研究模型中对调查方法进行检验。 调查措施将使用主要的调查和叙事数据收集的工作人员在宾夕法尼亚大学医院的护士有目的的样本。护理专业知识措施将在结果研究模型中进行测试，使用护士调查和宾夕法尼亚大学健康结果和政策研究中心在NINR资助的研究中收集的患者结果数据。 我的近期目标是开发有效的，可靠的临床护理专业知识的调查措施。 我的长期目标是建立一个研究计划，描绘护理影响病人结果的机制。 为了实现这些目标，研究职业发展计划包括先进的定性和定量研究方法的培训。 护理专业知识量表的有效性研究需要采用质性研究方法。定量研究方法将被用来评估的心理测量学特性的专业知识工具，并开发多层次的多阶段模型连接的护理组织的结果。 这些模型将采用多重插补、分层线性模型和结构方程模型等方法测试临床专业知识和其他个人和组织特征对结局的直接和间接影响。 我获得这个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来发展我的研究计划，3）在同行评议的期刊上发表研究结果，4）制定一项校外资助提案，研究实践环境对护理专业知识和护理专业知识对结果的影响，5）与调查开发、临床护理专业知识、先进的定性定量研究方法等领域的专家建立跨学科合作关系。

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.