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

以癌症护理人员为中心的结果研究 - 由癌症护理中心向临床医生传播

• 批准号: 8601887
• 负责人: Gail Alice Mallory
• 金额: $ 9.62万
• 依托单位: ONCOLOGY NURSING SOCIETY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2014-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8601887
• 关键词: Cancer; Caregiver; Centered; Outcomes; Research

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.

描述（由申请人提供）：肿瘤护理协会 (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，致力于在肿瘤护理领域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癌症护理。 ONS 的愿景是引领癌症护理的变革。 ONS 成员是一群多元化的专业人士，担任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 网站上不受访问限制。 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员提供资源，以促进证据的获取和使用，从而改善 20 个主题领域（包括护理人员压力和负担）以患者和护理人员为中心的结果。 PEP 计划提炼并综合了当前的干预措施证据，以改善对护理敏感、以患者为中心的结果，并将研究结果打包成资源以供在护理服务时使用。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成果研究电子定向信息活动向 ONS 成员的范围、有效性和影响。该项目的影响包括以下内容： (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) 组织可以使用将人口统计数据与网络行为、对电子邮件的响应、对调查的响应和临床行为联系起来的方法的经验和开发，并与其他人共享，以进一步努力提高其他主题领域的质量护理。此类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) 确定可提高整体证据资源可获取性和实践中使用的额外资源和格式，供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使命机构，通过增加实践中研究的使用来提高所有美国人的医疗保健质量、安全性和效率。目标 1：开发和实施电子 TM 程序，用于传播与护理人员压力和负担主题相关的 ONS PEP 证据综合。目标#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。据推测，处于 TM 状态的护士将比处于“现状”状态的护士更多地访问相关的基于网络的护理人员压力和负担资源。目标 #3：比较接受 TM 的 ONS 成员与分配到“现状”（对照）条件的成员的自我报告的实践行为，表明他们使用以癌症护理人员为中心的研究结果。假设 (1) 与未接受 TM 的人相比，接受 TM 的人会更多地使用与护理人员相关的证据，并报告更多反映使用情况的实践行为；(2) 这种效应是通过访问基于网络的 PEP 护理人员压力和负担证据资源来调节的。