Using Patient Centered Outcomes Research to Examine Consistent Resident Assignmen

使用以患者为中心的结果研究来检查住院医师分配的一致性

• 批准号: 8597602
• 负责人: NICHOLAS G CASTLE
• 金额: $ 21.97万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8597602
• 关键词: Using; Patient; Centered; Outcomes; Research

This application is provided by Nicholas Castle, a professor (tenured) in the Department of Health Policy & Administration (HPM), at the University of Pittsburgh. My long-term career goal is to apply my knowledge of nursing home operations to improve quality of resident care. As part of PAR-12-115 (K18) I have developed goals related to assessing the benefits and harms of health delivery system interventions to inform decision-making and, highlighting comparisons and outcomes that matter to people. This is in the emphasis area of care delivery and coordination for chronic care patients. The following steps are included as part of this proposal to achieve these objectives: 1) completing coursework in research methods in comparative effectiveness research methodology; 2) conducting well-mentored, rigorous patient-centered outcomes research (PCOR); 3) attending appropriate research meetings, seminars, and national conferences; and, 4) limiting teaching and administrative activities. The specific research proposed is to examine the use of consistent assignment of Nurse Aides in nursing homes. Touted benefits of consistent assignment are that: it improves quality of care, reduces staff turnover, and is preferred by staff. However, these beliefs are based on very little empirical evidence. Examining the impact of consistent assignment is thus significant, especially if it continues to be promoted as a means of improving care. It is uncertain how many nursing homes use consistent assignment. With respect to Patient Centered Outcomes (PCO); theoretically, consistent assignment of Nurse Aides is believed to strengthen the familiarity of staff with residents care requirements. As such, improvements in care should result. However, no rigorous empirical studies have examined the association of consistent assignment with PCO. Thus, in this proposal I will examine (1) the extent and level of consistent assignment in nursing homes of Nurse Aides; (2) the influence of Nurse Aide consistent assignment in nursing homes on PCO; (3) simulate outcomes related to specific policies requiring (and not requiring) Nurse Aide consistent assignment; and (4) identify (and distribute) key factors promoting successful implementation and use of consistent assignment. These activities will have a profound influence on the care of residents in nursing homes.

该申请由尼古拉斯城堡（Nicholas Castle）提供 匹兹堡大学的卫生政策与管理（HPM）。我的长期职业目标 是要应用我对疗养院业务的知识来提高居民护理的质量。作为 我已经建立了与评估利益和危害有关的目标（K18）的一部分（K18） 健康提供系统干预措施，以告知决策并强调比较 和对人重要的结果。这是护理交付的重点和 慢性护理患者的协调。作为本提案的一部分，包括以下步骤 为了实现这些目标：1）在比较中完成研究方法的课程 有效性研究方法； 2）进行良好的，严格的以患者为中心 结果研究（PCOR）； 3）参加适当的研究会议，研讨会和 民族会议； 4）限制教学和行政活动。 提出的具体研究是检查护士一致分配的使用 疗养院的助手。一致分配的吹捧好处是：它提高质量 护理，减少员工营业额，并受到员工的偏爱。但是，这些信念是基于 很少的经验证据。因此，检查一致分配的影响是显着的， 特别是如果继续将其作为改善护理的一种手段进行推广。 不确定有多少疗养院使用一致的任务。关于病人 中心成果（PCO）；从理论上讲，护士助手的一致分配被认为是 加强员工对居民护理要求的熟悉。因此，改进 应该导致护理。但是，尚无严格的经验研究研究 PCO的一致分配。因此，在此提案中，我将研究（1） 护士助手的疗养院的一致分配； （2）护士助手的影响 在PCO上的疗养院任务一致； （3）模拟与特定有关的结果 需要（并且不需要）护士助手一致分配的政策； （4）确定（和 分发）促进成功实施和使用一致分配的关键因素。 这些活动将对养老院居民的护理产生深远的影响。