Fostering Independence in Nursing and Outcomes Research

描述(由申请者提供)：申请者提出职业发展奖，以加强卫生服务研究方法、成本效益分析和工具改进方面的技能。主要的学习活动包括课程作业、在研讨会和科学会议上的参与和陈述，以及与相关内容的公认学者一起进行的研究实践。最终目标是成为一名专注于护理和患者结局研究的独立科学家。这些研究活动的目的是确定改善癌症患者群体健康状况的干预措施。该提案旨在1)利用先进的卫生服务研究方法，评估ANCC磁力医院的状况是否与因癌症手术住院的老年人的预后改善有关；2)应用成本效益分析来评估磁力医院和非磁力医院患者的经济结果；3)修订护理工作指数量表的实践环境量表，以衡量在门诊肿瘤学环境中工作的护士的实践环境。监测、流行病学和最终结果(SEER)的二次分析--医疗保险数据将针对目标1和目标2；而目标3将通过焦点小组、认知访谈和与在门诊设施工作的肿瘤科护士一起对仪器项目进行试点测试来实现。在完成培训和研究部分后，申请者将能够很好地进行跨学科、高影响力的研究，阐明护理对癌症患者护理结果的作用。这项拟议的研究直接响应了医学研究所和国家癌症政策委员会的请求，要求进行更多的研究，以阐明护理实践环境和患者结果之间的关系，并确定与癌症人群结果变化相关的因素。职业发展计划将课程工作和指导经验相结合，以获得作为护士和结果研究人员的独立职业生涯的额外技能。研究项目考察了护理实践环境与癌症患者护理结果之间的关系。

DESCRIPTION (provided by applicant): The applicant proposes a career development award to strengthen skills in health services research methods, cost-effectiveness analysis, and instrument refinement. The principal learning activities include coursework, participation and presentation at seminars and scientific meetings, and research practica with recognized scholars in the related content. The ultimate goal is a career as an independent scientist focused on nursing and patient outcomes research. The objective of these research activities is to identify interventions to improve the health outcomes of the population of patients with cancer. The proposal aims are to 1) Utilize advanced health services research methods to evaluate whether ANCC Magnet Hospital status is associated with improved outcomes for older adults hospitalized for cancer surgery; 2) Apply cost-effectiveness analysis to evaluate the economic outcomes for patients in Magnet- and non-Magnet hospitals, and 3) Revise the Practice Environment Scale of the Nursing Work Index instrument to measure the practice environment of nurses working in ambulatory oncology settings. Secondary analysis of Surveillance, Epidemiology, and End Results (SEER)-Medicare data will address Aims 1 and 2; while Aim 3 will be accomplished through focus groups, cognitive interviews, and pilot testing of instrument items with oncology nurses working in ambulatory facilities. After completion of the training and research components, the applicant will be well positioned to conduct interdisciplinary, high-impact research that articulates the role of nursing on outcomes of care for patients with cancer. The proposed research responds directly to the Institute of Medicine and National Cancer Policy Board requests for additional research to elucidate the relationship between nursing practice environments and patient outcomes, and to identify factors associated with outcome variations in the cancer population. The career development plan combines coursework and mentored experiences to acquire additional skills for an independent career as a nurse and outcomes researcher. The research projects examine the relationship between the nursing practice environment and outcomes of care for patients with cancer.