Trajectories in Aging and Care

描述(由申请人提供)：这份建议书描述了杜克大学护理学院P20护理研究发展中心的延续，该中心专注于老龄化和护理的轨迹-“TRAC中心”。TRAC中心的总体目标是建立智力和物质基础设施，以支持专注于老龄化和护理轨迹的新的和正在进行的研究。该中心基于这样的假设，即轨迹研究的见解为设计提供了依据，并提高了老年护理干预措施的精确度，旨在改善从家庭到机构的整个护理连续体系中受损老年人的健康结果。 具体目标是： 1.审查生物、心理、社会和环境因素对晚年健康模式的影响，作为制定积极调整老龄化和护理轨迹的创新办法的基础。 2.启动护士领导的跨学科研究，测试干预措施，以预防疾病或功能衰退，促进疾病恢复和功能恢复，尽可能支持和加强垂死过程，并帮助虚弱的老年人达到和保持最佳生活质量。 3.提高从事与衰老和护理轨迹相关研究的新老护士科学家的生产力。 4.就影响衰老和护理轨迹的因素开展新的合作研究，并扩大与爱荷华大学老年护理研究中心和其他R研究中心的研究人员现有的合作。 这些目标将在核心预算资源调拨目标中心的两个主要组成部分内推进：行政和协调核心部分和试点/可行性研究核心部分。管理和协调核心整合和协调中心的所有活动，并提供a)纵向研究设计和分析方面的培训，b)进入LTC研究站点的联合体，以及c)无缝访问现有的纵向数据库，这些数据库能够识别形成以后生活中健康模式的临床相关因素。试点/可行性研究核心支持制定、审查和及时完成重点关注老龄化和护理轨迹的高绩效试点/可行性研究。

DESCRIPTION (provided by applicant): This proposal describes the continuation of a P20 Nursing Research Developmental Center at Duke University School of Nursing focused on Trajectories of Aging and Care - "TRAC Center". The overall goal of the TRAC Center is to establish the intellectual and physical infrastructure to support new and ongoing research focused on trajectories of aging and care. The Center is based on the assumption that insights from trajectory research inform the design and increases the precision of gerontological nursing interventions intended to improve health outcomes among impaired older adults across the continuum of care, from home to institution. Specific aims are to: 1. Examine the influence of biopsychosocial and environmental factors on patterns of health in later life as a basis for developing innovative approaches to positively reorienting trajectories of aging and care. 2. Initiate nurse led interdisciplinary studies that test interventions to prevent disease or declines in function, promote recovery from illness and restoration of function, support and enhance where possible the dying process, and assist frail older adults to attain and maintain optimal quality of life. 3. Enhance the productivity of both new and established nurse scientists engaged in research related to trajectories of aging and care. 4. Develop new collaborative research on factors influencing trajectories of aging and care and expand existing collaboration with investigators from the Gerontological Nursing Research Center at the University of Iowa and other R Research centers. These aims will be advanced within the two major TRAC Center components: The Administrative and Coordination Core and the Pilot/Feasibility Studies Core. The Administrative and Coordination Core integrates and coordinates all Center activities and provides a) training in longitudinal research design and analysis, b) entry to a consortium of LTC research sites, and c) seamless access to extant longitudinal databases capable of identifying clinically relevant factors that shape health patterns of in later life. The Pilot/Feasibility Studies Core supports the development, review, and timely completion of high merit pilot/feasibility studies focused on trajectories of aging and care.