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

描述(由申请者提供)：肿瘤护理学会(ONS)是一个由超过35,000名注册护士和其他医疗保健提供者组成的专业组织，致力于肿瘤护理方面的患者护理、教育、研究和管理方面的卓越表现。国家统计局的使命是促进肿瘤学护理和高质量癌症护理的卓越。国家统计局的愿景是引领癌症护理的变革。英国国家统计局的成员是一群不同的专业人士，在不同的专业角色和实践环境中。注册护士、其他 医疗保健专业人员、患者和护理人员受益于国家统计局基于研究的资源，这些资源目前在国家统计局网站上没有访问限制。国家统计局将证据付诸实践(PEP)计划是一项重大倡议，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，以改善20个主题领域以患者和照顾者为中心的结果，包括照顾者压力和负担。PEP倡议提炼和综合了当前干预措施的证据，以改善护理敏感的、以患者为中心的结果，并将研究结果打包成资源，供提供护理时使用。这项拟议研究的目的是检查和评估以癌症护理人员为中心的结果研究电子定向信息活动对国家统计局成员的覆盖范围、有效性和影响。该项目的影响包括：(1)有针对性的电子邮件信息作为传播证据和改进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群体。(2)将人口统计与网络行为、对电子邮件的回应、对调查的回应和临床行为联系起来的经验和方法可供组织使用并与其他人分享，以进一步努力提高其他主题领域的质量。这些方法被用于营销和销售，但并未被常规应用于改善医疗实践。(3)查明其他资源和格式，以改善国家统计局在其他领域可使用的总体证据资源的可及性和在实践中的使用，并告知其他组织和团体。该项目可以直接影响医疗研究和质量使命机构，通过增加研究在实践中的使用，提高所有美国人的医疗保健的质量、安全和效率。目的#1：开发和实施一个电子TM计划，用于传播与照顾者压力和负担主题有关的ONS PEP证据合成。目的#2：描述电子TM在以癌症护理人员为中心的结果证据资源方面的覆盖范围和有效性。本研究假设，处于TM状态的护士将比处于“现状”状态的护士更容易接触到相关的基于网络的照顾者压力和资源负担。目的#3：比较接受TM的国家统计局成员和被分配到“现状”(对照)条件的成员的自我报告的实践行为，表明他们使用以癌症照顾者为中心的研究结果。研究假设：(1)与未收到TM的人相比，获得TM的人会报告更多地使用与照顾者相关的证据，并报告反映使用情况的实践行为；(2)这一效应是通过访问基于网络的PEP照顾者压力和负担证据资源来调节的。

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.