Fostering Independence in Nursing and Outcomes Research

描述（由申请人提供）：申请人提出职业发展奖励，以加强在卫生服务研究方法，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，参加研讨会和科学会议，并与相关领域的知名学者进行研究实践。最终目标是成为一名专注于护理和患者结果研究的独立科学家。这些研究活动的目的是确定干预措施，以改善癌症患者的健康状况。该提案的目的是：1)利用先进的卫生服务研究方法来评估ANCC磁体医院状况是否与住院接受癌症手术的老年人预后改善相关；2)应用成本-效果分析方法评价磁铁医院和非磁铁医院患者的经济结果；3)修订护理工作指标工具的执业环境量表，以衡量门诊肿瘤科护士的执业环境。对监测、流行病学和最终结果(SEER)-Medicare数据的二次分析将解决目标1和2；而目标3将通过焦点小组、认知访谈和在门诊医院工作的肿瘤护士对仪器项目进行试点测试来完成。在完成培训和研究部分后，申请人将能够很好地进行跨学科，高影响力的研究，阐明护理在癌症患者护理结果中的作用。拟议的研究直接回应了医学研究所和国家癌症政策委员会的要求，要求进行更多的研究，以阐明护理实践环境与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。职业发展计划结合了课程学习和指导经验，以获得作为护士和结果研究人员独立职业的额外技能。本研究旨在探讨护理实践环境与癌症患者护理效果之间的关系。

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.