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Nurse Practice Environment Influences in Reducing Disparities In Hospital Outcome

护士执业环境对减少医院结果差异的影响

基本信息

批准号：
7872478
负责人：
JACQUELINE MARGO BROOKS CARTHON
金额：
$ 9.14万
依托单位：
UNIVERSITY OF PENNSYLVANIA
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：
2010-07-01 至 2013-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7872478
关键词：
Acute Address Admission activity Affect Applications Grants Area Care given by nurses Caring Cessation of life Characteristics Comorbidity Complex Complication Consensus Data Set Development Plans Discipline of Nursing Doctor of Philosophy Education Educational Status Environment Environmental Risk Factor Ethnic Origin Faculty Failure Fellowship Funding Future Goals Health Health Expenditures Health Insurance Health Personnel Health Services Health Services Research Health system Healthcare Hospital Administrators Hospital Mortality Hospital Nursing Hospitals Infection Institute of Medicine (U.S.)Institution Intervention Investments Lead Life Link Marshal Measures Medical Mentored Research Scientist Development Award Mentorship Minority Minority Groups Nurse&apos s Role Nurses Nursing Education Nursing Staff Operative Surgical Procedures Outcome Outcomes Research Patients Pennsylvania Physicians Play Pneumonia Policies Positioning Attribute Postdoctoral Fellow Postoperative Period Prevention Provider Public Health Quality of Care Race Research Research Methodology Research Project Grants Resources School Nursing Series Socioeconomic Status Technology Time Training United States Universities Variant Work Workload care seeking career career development design experience health care quality health disparity improved innovation mortality nursing intervention nursing skill payment public health relevance racial and ethnic skills statistics

项目摘要

DESCRIPTION (provided by applicant): The purpose of this K01 Mentored Research Scientist Development Award is to prepare Margo Brooks Carthon, PhD, RN, for an independent health services research career, with a special focus on disparities research. The career development plan entails three approaches to achieve the immediate and long-term career goals of the candidate, including 1) completion of training dedicated to acquiring skills in advanced health outcomes research methods and statistics; 2) enlistment of an expert mentorship team including Dr. Linda Aiken, PhD, FAAN, RN, Dr. Herbert Smith and Dr. David Barton Smith and 3) the conduct of a study to evaluate the influence of nurse practice environments on hospital outcomes of minority patients, that will lead to future R-series grant applications. I have an offer for a faculty position from the University of Pennsylvania School of Nursing upon the completion of my post-doctoral research fellowship. The research project seeks to understand how characteristics of the nurse work force and the nurse practice environment influence outcomes among hospitalized minority patients. This study will employ a cross sectional, observational design to determine the effects of nurse work force and the practice environment on selected patient outcomes in order to assess what types of investments in nursing resources might be most beneficial to minority patient outcomes. The specific aims of the research project are to: 1) examine the difference in post operative mortality and failure to rescue rates among minority and non-minority patients, and determine how much of the differences in minority patient outcomes are explained by underlying patient characteristics such as comorbidites or characteristics of the hospitals where minorities seek care; and 2) determine to what extent differences in minority patient post surgical outcomes are associated with nurse staffing, the proportion of nurses with BSN education, and the quality of the nurse practice environment. It is anticipated that the results of the study will inform managerial and policy initiatives on how to improve health outcomes, particularly in hospitals serving a large proportion of minorities. PUBLIC HEALTH RELEVANCE: This proposal directly addresses the public health concern regarding disparities in health outcomes among hospitalized racial and ethnic minorities. Its results will represent one of the first initiatives to evaluate the influence of nursing care and the practice environment on minority patient outcomes and will provide a preliminary assessment of what kinds of investments in nursing are most beneficial.

描述（由申请人提供）：K01 指导研究科学家发展奖的目的是为 Margo Brooks Carthon 博士、注册护士做好独立卫生服务研究职业的准备，特别关注差异研究。职业发展计划需要三种方法来实现候选人的近期和长期职业目标，包括1）完成致力于获得先进健康结果研究方法和统计技能的培训； 2) 招募包括 Linda Aiken 博士、FAAN、RN、Herbert Smith 博士和 David Barton Smith 博士在内的专家指导团队；3) 开展一项研究，评估护士执业环境对少数族裔患者医院结果的影响，这将导致未来的 R 系列拨款申请。完成博士后研究奖学金后，我收到了宾夕法尼亚大学护理学院的教职邀请。该研究项目旨在了解护士队伍的特征和护士执业环境如何影响住院少数族裔患者的治疗结果。本研究将采用横断面、观察性设计来确定护士队伍和实践环境对选定患者结果的影响，以评估哪些类型的护理资源投资可能对少数族裔患者的结果最有利。该研究项目的具体目标是：1）检查少数族裔和非少数族裔患者术后死亡率和抢救失败率的差异，并确定少数族裔患者结果的差异在多大程度上是由潜在的患者特征（如合并症或少数族裔就诊医院的特征）来解释的； 2) 确定少数族裔患者术后结果的差异在多大程度上与护士人员配置、受过 BSN 教育的护士比例以及护士执业环境质量相关。预计该研究的结果将为管理和政策举措提供有关如何改善健康结果的信息，特别是在为大部分少数族裔提供服务的医院中。公共卫生相关性：该提案直接解决了有关住院少数族裔健康结果差异的公共卫生问题。其结果将是评估护理和实践环境对少数族裔患者结果影响的首批举措之一，并将对哪种护理投资最有益提供初步评估。