Nursing Research Training in Symptom Management

描述（由申请人提供）：症状管理护理研究培训。本次申请的目的是继续为症状管理方面的6名博士前学生和4名博士后学员提供资助。在最后一次竞争性更新（第5-10年）中，该提案得到了扩展，以纳入额外的博士后培训生，并纳入症状群以及除原始申请（第1-5年）中的原始疲劳、呼吸困难、疼痛和失眠症状外的症状经历的遗传标志物。这次更新（15-20年）的目标是扩大与症状管理结果有关的培训，特别是在症状及其管理的经济成本领域。其目标是：1）为学员提供必要的知识和技能，以进行症状体验和健康相关结果的研究（包括经济成本），2）指导学员在各种医疗保健环境中的疾病轨迹中在不同人群中开发和实施关于这些症状的研究计划，3）为学员准备graneclamping技能，包括写作，进行和管理资助的赠款，4）增加准备进行症状研究的不同种族护士学者的数量，以及5）增加准备进行与症状相关的跨学科干预研究的护士学者的数量。包括在培训教师是谁担任顾问委员会，卫生保健经济学家，8个额外的核心教师，和五个新的导师教师学者的项目总监和3名联合董事。博士预科课程包括博士课程要求和3季度研讨会系列（经验，管理，成果）;强烈建议2季度生物标志物系列。博士后培训根据个人需求量身定制，重点关注复杂问题和先进方法。博士后学员也参加了3季度的研讨会系列，但花费额外的时间在相关的指导研究团队和财务管理的赠款活动。住院医生的经验是针对个人的目标，并在整个培训期间获得。准备护士学者的理论和实践的先进知识与症状管理，严格的定性和定量研究培训，是至关重要的推动知识在临床和转化科学与跨学科的研究团队。护理的UCSF学校是在一个独特的位置，提供这种培训，因为我们的研究计划和合作经验与其他学科参与与糖尿病相关的研究。 公共卫生相关性：在医学治疗和药物治疗期间，需要更好地理解症状体验，并开发新的非药理学方法来管理症状，以用于与急性和慢性疾病相关的症状。需要更多训练有素的护士研究人员，最终目标是改善数百万经历疼痛，呼吸困难，疲劳或失眠以及焦虑或抑郁相关心理症状的美国人的生活质量。

DESCRIPTION (provided by applicant): Nursing Research Training in Symptom Management. The purpose of this application is to continue to provide funding for 6 predoctoral students and 4 postdoctoral trainees in symptom management. This proposal was expanded in the last competing renewal (years 5-10) to include an additional postdoctoral trainee, and to include clusters of symptoms, and genetic markers of the symptom experience in addition to the original fatigue, dyspnea, pain and insomnia symptoms from the original application (years 1-5). Objectives for this renewal (years 15-20) are to expand the training related to outcomes of symptom management, particularly in the area of economic cost of symptoms and their management. The objectives are to: 1) prepare trainees with knowledge and skills necessary to conduct research on symptom experience and health-related outcomes (including economic costs), 2) mentor trainees to develop and implement programs of research on these symptoms in diverse populations across the illness trajectory in a variety of health care settings, 3) prepare trainees with grantsmanship skills that include writing, conducting, and administering a funded grant, 4) increase numbers of ethnically diverse nurse scholars prepared to conduct research on symptoms, and 5) increase numbers of nurse scholars prepared to conduct interdisciplinary intervention research related to symptoms. Included in the training faculty are the Program Director and 3 Co-Directors who serve as the Advisory Board, a Health Care Economist, 8 additional Core Faculty, and five new mentored faculty scholars. The predoctoral curriculum includes doctoral program requirements and a 3-quarter seminar series (experience, management, outcomes); a 2-quarter Biomarkers series is highly recommended. Postdoctoral training is tailored to individual needs, with focus on complex issues and advanced methodologies. Postdoctoral trainees also attend the 3-quarter seminar series, but spend additional time in grant activities related to directing a research team and fiscal management. Residency experiences are tailored to individual goals and obtained throughout the training period. Preparing nurse scholars with advanced knowledge of theory and practice related to symptom management, with rigorous qualitative and quantitative research training, is essential to move knowledge forward in clinical and translational science with interdisciplinary research teams. The UCSF School of Nursing is in a unique position to provide this training because of our programs of research and collaborative experiences with other disciplines involved in symptom-related research. PUBLIC HEALTH RELEVANCE: A better understanding of symptom experience, and development of novel non- pharmacological ways to manage symptoms, is needed for symptoms associated with acute and chronic illness, during medical treatments and drug therapies. More trained nurse researchers are needed, with the ultimate goal of improving quality of life for millions of Americans who experience pain, dyspnea, fatigue, or insomnia, as well as associated psychological symptoms of anxiety or depression.