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Fostering Independence in Nursing and Outcomes Research

促进护理和结果研究的独立性

基本信息

批准号：
8290575
负责人：
CHRISTOPHER R FRIESE
金额：
$ 24.36万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-07-02 至 2013-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8290575
关键词：
Address Admission activity Adult Biometry Care given by nurses Caring Cessation of life Cognitive Complication Cost Effectiveness Analysis Data Data Collection Diagnosis Discipline of Nursing Elderly Environment Epidemiology Failure Focus Groups Fostering Future Health Services Research Hospitals Intervention Interview Knowledge Length of Stay Malignant Neoplasms Measures Medical Surveillance Medicare Modeling National Cancer Policy Board Nurses Oncologic Nursing Oncology Nurse Operative Surgical Procedures Outcome Outcomes Research Outpatients Patient Outcomes Assessments Patients Performance Phase Positioning Attribute Postoperative Complications Postoperative Period Probability Quality of Care Randomized Controlled Trials Registries Research Research Activity Research Design Research Methodology Research Project Grants Risk Role Scientist Simulate Surgical Oncology Techniques Testing Time United States Work active method cancer care cancer surgery career chemotherapy cost economic outcome experience improved indexing instrument interest mortality oncology patient population response

项目摘要

This continuation of K99 NR010750-02 requests transition to the independent (ROO phase) to support the applicant's career objective as an independent scientist focused on nursing and patient outcomes research. The objective of the research activities proposed in the ROO phase is to examine the patient outcomes for those diagnosed with invasive cancer and seeking active treatment. Through a combination of secondary analysis of existing data and collection of new primary data, the proposed research will examine the patient outcomes associated with surgical care, and with outpatient chemotherapy administration. These activities will serve as preliminary studies for an ROl application to examine the patient-reported outcomes of care in the adult outpatient chemotherapy setting. This research is in response to the National Cancer Policy Board's report that patient outcomes for those diagnosed with cancer is variable, depending on treatment setting, and the urgent need to develop interventions to strengthen the settings of care to improve patient outcomes. The ROO proposal aims are to 1) Utilize advanced health services research methods to evaluate whether ANCC Magnet Hospital status is associated with improved patient 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 ofthe Nursing Work Index instrument to measure the practice environment of nurses working in ambulatory oncology settings. Secondary analysis of national Medicare (MEDPAR) data, which includes patients in the Surveillance, Epidemiology and End Results registry regions, 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 these research components, the applicant will be well positioned to conduct interdisciplinary, high-impact research that articulates the role of nursing care on patient outcomes in the oncology setting.

K99 NR 010750 -02的延续要求过渡到独立（ROO阶段），以支持申请人的职业目标是作为一名独立的科学家，专注于护理和患者结果研究。在ROO阶段提出的研究活动的目的是检查患者的结局，那些被诊断患有侵袭性癌症并寻求积极治疗的人。通过结合二级分析现有数据和收集新的原始数据，拟议的研究将检查患者结果与外科护理和门诊化疗管理相关。这些活动将作为ROI应用的初步研究，以检查患者报告的治疗结果，成人门诊化疗环境。这项研究是为了响应国家癌症政策委员会的报告说，患者的结果为那些诊断为癌症是可变的，这取决于治疗环境，以及迫切需要制定干预措施，以加强护理环境，以改善患者结果。 ROO提案的目的是：1）利用先进的卫生服务研究方法来评估是否 ANCC磁铁医院状态与因以下原因住院的老年人的患者结局改善相关癌症手术。2)应用成本-效果分析评估患者的经济结局，修订护理工作实习环境量表测量门诊肿瘤科护士执业环境的指数工具。国家医疗保险（MEDPAR）数据的二次分析，其中包括监测中的患者，流行病学和最终结果登记研究区域将解决目标1和2，而目标3将实现通过焦点小组、认知访谈和与肿瘤科护士一起对仪器项目进行试点测试在流动医疗机构工作完成这些研究部分后，申请人将很好地定位进行跨学科，高影响力的研究，阐明护理的作用，肿瘤学环境中的患者结局。

项目成果

期刊论文数量（13）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Disparities in breast cancer care delivery: solving a complex puzzle.

乳腺癌护理服务的差异：解决一个复杂的难题。

DOI：
10.1007/s10549-012-2005-9
发表时间：
2012
期刊：
Breast cancer research and treatment
影响因子：
3.8
作者：
Friese,ChristopherR
通讯作者：
Friese,ChristopherR

Pod nursing on a medical/surgical unit: implementation and outcomes evaluation.

DOI：
10.1097/nna.0000000000000051
发表时间：
2014-04
期刊：
The Journal of nursing administration
影响因子：
0
作者：
Friese CR;Grunawalt JC;Bhullar S;Bihlmeyer K;Chang R;Wood W
通讯作者：
Wood W

Bedside shift-to-shift nursing report: implementation and outcomes.

床边轮班护理报告：实施和结果。

DOI：
发表时间：
2012
期刊：
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
影响因子：
0
作者：
Evans,Deby;Grunawalt,Julie;McClish,Donna;Wood,Winnie;Friese,ChristopherR
通讯作者：
Friese,ChristopherR

Nurse-physician relationships in ambulatory oncology settings.