Cancer Caregiver-Centered Outcomes Research - Dissemination to clinicians by the

描述（由申请人提供）：肿瘤护理学会（ONS）是一个由35，000多名注册护士和其他医疗保健提供者组成的专业组织，致力于在肿瘤护理方面提供卓越的患者护理，教育，研究和管理。ONS的使命是促进卓越的肿瘤护理和优质的癌症护理。ONS的愿景是引领癌症护理的转型。国家统计局成员是一个多元化的专业群体，在各种专业角色和实践环境。注册护士，其他 医疗保健专业人员、患者和护理人员受益于ONS基于研究的资源，这些资源目前在ONS网站上没有访问限制。ONS将证据付诸实践（PEP）计划是一项重大举措，旨在为临床医生和其他人提供资源，以促进获取和使用证据，从而改善20个主题领域（包括护理人员压力和负担）中以患者和患者为中心的结局。PEP倡议提炼和综合了目前的干预证据，以改善护理敏感，以病人为中心的结果，并将研究结果打包成资源，供护理提供时使用。这项拟议研究的目的是检查和评估以癌症患者为中心的结果研究电子有针对性的消息传递活动对ONS成员的影响范围，有效性和影响。该项目的影响包括：（1）关于有针对性的电子邮件消息传递作为传播证据和改善实践行为的一种方式的有效性的证据可以应用于其他关键主题领域和其他团体。(2)将人口统计学与网络行为、电子邮件回复、调查回复和临床行为联系起来的方法的经验和发展可由组织使用并与他人分享，以进一步努力提高其他主题领域的护理质量。这些方法用于营销和销售，但尚未常规应用于改善医疗保健实践。(3)确定其他资源和格式，这些资源和格式可以改善总体证据资源的可获得性，并在实践中使用，可由国家统计局在其他领域使用，并告知其他组织和团体。该项目可以直接影响医疗保健研究和质量机构的使命，以提高医疗保健的质量，安全性和效率，为所有美国人通过增加在实践中使用的研究。目标一：制定并实施电子TM计划，以传播与护理人员压力和负担主题相关的ONS PEP证据合成。目标#2：描述电子TM在以癌症患者为中心的结局证据资源方面的覆盖范围和有效性。据推测，护士在TM条件下将访问相关的基于网络的照顾者的压力和负担资源比那些在“现状”的条件。目标3：比较接受TM的ONS成员与分配到“现状”（对照）条件的成员自我报告的实践行为，这些行为表明使用了以癌症患者为中心的研究结果。据推测，（1）那些谁收到TM将报告更多的使用与治疗相关的证据和报告的实践行为反映使用比那些谁没有收到TM和（2）这种影响是通过访问基于网络的PEP照顾者压力和负担的证据资源介导。

DESCRIPTION (provided by applicant): The Oncology Nursing Society (ONS) is a professional organization of over 35,000 registered nurses and other healthcare providers dedicated to excellence in patient care, education, research, and administration in oncology nursing. The ONS mission is to promote excellence in oncology nursing and quality cancer care. The ONS vision is to lead the transformation of cancer care. ONS members are a diverse group of professionals in a variety of professional roles and practice settings. Registered nurses, other healthcare professionals, patients, and caregivers benefit from ONS research-based resources that are currently available without access restrictions on the ONS websites. The ONS Putting Evidence into Practice (PEP) program is a major initiative to provide resources for clinicians and others to facilitate access to and use of evidence to improve patient- and caregiver-centered outcomes in 20 topic areas, including Caregiver Strain and Burden. The PEP initiative distills and synthesizes current evidence for interventions to improve nursing-sensitive, patient-centered outcomes and packages research findings into resources for use at the point of care delivery. The purpose of this proposed study is to examine and evaluate the reach, effectiveness, and impact of a cancer caregiver-centered outcomes research electronic targeted messaging campaign to ONS members. The impacts of this project include the following: (1) Evidence regarding the effectiveness of targeted e-mail messaging as a way to disseminate evidence and improve practice behaviors can be applied in other key topic areas and by other groups. (2) Experience and development of methodologies to link demographics with web behavior, response to e-mail messages, response to surveys, and clinical behaviors can be used by the organization and shared with others to further efforts to improve quality care in other topic areas. Such approaches are used for marketing and sales but have not been applied routinely to improve healthcare practice. (3) Identification of additional resources and formats that may improve overall evidence resource accessibility and use in practice that can be used by ONS in other areas and to inform other organizations and groups. This project can directly impact the Agency for Healthcare Research and Quality Mission to improve the quality, safety, and efficiency of health care for all Americans by increasing the use of research in practice. Aim #1: To develop and implement an electronic TM program for dissemination of ONS PEP evidence synthesis related to the topic of Caregiver Strain and Burden. Aim #2: To describe the reach and effectiveness of electronic TM regarding cancer caregiver-centered outcomes evidence resources. It is hypothesized that nurses in the TM condition will access relevant web- based Caregiver Strain and Burden resources more than those in the "status quo" condition. Aim #3: To compare the self-reported practice behaviors indicating use of cancer caregiver-centered research findings by ONS members who receive TM with members who are assigned to the "status quo" (control) condition. It is hypothesized that (1) those who receive TM will report greater use of caregiver-related evidence and report practice behaviors reflecting use more than those who do not receive TM and (2) this effect is mediated by accessing web-based PEP Caregiver Strain and Burden evidence resources.