APRNet: NAMCS Data and Privacy/Confidentiality Issues

描述(摘自摘要)：本合作协议的目的 建议是：(1)进行网络定义调查，使用改编的 全国非卧床医疗护理调查(NAMCS)将在 2001年10月，会议；和(2)对患者进行多方法研究 以及身为APRNet成员的临床医生，以确定他们的态度和 了解隐私和保密问题。APRNet是一个新的区域 小学高级实习护士实习研究网络(PBRN) 新英格兰南部的CARE(APRN)。使用初始的支持 探索性赠款，这个网络已经建立，正在规划 网络的维护，并从每个网络收集描述性数据 临床医生。与其他由AHRQ资助的PBRN一起，APRNet将 参与设计一种类似NAMCS的调查工具，用于 将对100%的网络成员和每3名患者中的1名进行调查 请参阅指定时间表内的内容。为了隐私和机密性 研究，申请人将：1)领导临床医生成员的焦点小组和 对会员患者确定相关问题进行研究； 2)开发涵盖对数据的知识和态度的调查工具 卫生保健研究中的保密和隐私；以及3)调查成员和 选取患者使用本调查工具进行调查。因为我们知道的太少了 关于APRN在城市和社区环境中的做法， 是为实践和政策提供信息所必需的。对此网络的支持将 增强APRNet-S描述初级保健机构APRN实践的能力 在该区域，为APRN制定循证实践模式，并 加强将研究成果转化为初级保健实践。 最终，申请人希望能够将我们的数据与其他 区域医疗网络和NAMCS关于护士从业人员的数据，以及 检查APRN实践对健康差距的影响 2010年健康人(美国卫生与公众服务部 [USDHHS]，2000)。

DESCRIPTION (from Abstract): The purposes of this cooperative agreement proposal are: (1) to conduct a network defining survey using the adaptation of the National Ambulatory Medical Care Survey (NAMCS) to be selected at the October, 2001, meeting; and (2) to conduct a multi-method study of patients and clinicians who are members of APRNet to determine their attitudes and knowledge of privacy and confidentiality issues. APRNet is a new regional Practice-Based Research Network (PBRN) for Advanced Practice Nurses in Primary Care (APRNs) in southern New England. Using support from the initial exploratory grant, this network was established, planning is ongoing for maintenance of the network, and descriptive data have been collected from each of the clinicians. Along with the other AHRQ-funded PBRNs, APRNet will participate in designing a NAMCS-like survey instrument to be used in the network and will survey 100% of network members and 1 of every 3 patients they see during the designated timetable. For the privacy and confidentiality study, the applicant will: 1) conduct focus groups of clinician members and patients of members to determine relevant issues for study; 2) develop a survey instrument that covers knowledge and attitudes about data confidentiality and privacy in health care research; and 3) survey members and selected patients with this survey instrument. Because so little is known about the practice of APRNs in urban and community-based settings, such data are necessary to inform practice and policy. Support for this network will enhance APRNet?s capability to describe APRN practice in primary care settings in the region, develop evidence-based practice models for APRNs, and to enhance the translation of research findings into primary care practice. Ultimately, the applicant expects to be able to compare our data with other regional medical networks and with the NAMCS data on nurse practitioners, and to examine the effect of APRN practice on the health disparities described in Healthy People 2010 (United States Department of Health and Human Services [USDHHS], 2000).