Advanced Training in Nursing Outcomes Research

描述（由申请人提供）：该提案是T32-NR007104的竞争性延续请求，最初于1999年资助，目的是培训护理结果研究的护士调查员。这是一个正式的跨学科项目，包括博士前和博士后研究的概念和实证基础以及高级成果研究的方法方法和统计工具。该项目的研究培训直接与宾夕法尼亚大学相关的博士前和博士后培训项目相结合，为研究员提供了一个教育机会网络，增加了护理学院提供的丰富经验。该计划以质量健康结果模型的概念框架为指导，假设护理干预的结果是由护理发生的组织环境和患者的特征所介导的。因此，研究人员在护理的组织背景测量、患者风险调整方法和护士敏感结果测量方面接受科学教育。该计划的目标是培养骨干护士研究人员，他们的工作将通过严格的测试和验证护理成果研究的概念模型来推进护理科学。本基金资助博士预科生4名，博士后4名。我们要求为相同数量的职位提供资金。该计划的前9年在以下方面取得了巨大成功：招募了包括少数民族在内的有才华的研究员，教师和研究员发表了高知名度的科学出版物，我们的研究员在竞争校外资助资金方面取得了成功，以及将那些完成了奖学金的人安置在主流研究职位上，使他们的研究事业能够继续蓬勃发展。对护理结果研究中T32项目的外部评估是高度赞扬的，并支持项目的继续。该项目将继续关注与临床护理实践、循证管理和卫生政策高度相关的研究问题的识别，并获得解决重要问题的先进定量方法的知识。新的研究方向包括：1)将人口健康（包括慢性病患病率的增加）纳入护理结果的研究；2)转化研究策略和方法的进展。

DESCRIPTION (provided by applicant): This proposal is a competing continuation request for T32-NR007104 originally funded in 1999 for the purpose of training nurse investigators in nursing outcomes research. It is a formal interdisciplinary program of pre-doctoral and post-doctoral study comprising the conceptual and empirical foundations and the methodologic approaches and statistical tools of advanced outcomes research. Research training in this program directly interfaces with related pre- and post-doctoral training programs across the University of Pennsylvania providing a network of educational opportunities for fellows that augment the rich experiences offered within the School of Nursing. The program is guided by the conceptual framework of the Quality Health Outcomes Model postulating that outcomes of nursing interventions are mediated by the organizational context in which care takes place and the characteristics of patients. Thus research fellows receive state of the science education in the measurement of the organizational context of care, patient risk adjustment methods, and nurse sensitive outcome measures. The program has as its goal the development of a cadre nurse researchers whose work will advance nursing science through rigorous testing and validation of this conceptual model for nursing outcomes research. The present grant funds 4 pre-doctoral and 4 post-doctoral fellows. We are requesting funding for the same number of positions. The program's first 9 years have been highly successful in terms of the recruitment of talented fellows including minorities, high visibility scientific publications by faculty and fellows, success of our fellows in competing for extramural grant funds, and the placement of those who have completed their fellowships in mainstream research positions where their research careers can continue to flourish. An External Review of the T32 program in nursing outcomes research is highly complimentary and supports program continuation. The program will continue its basic focus on identification of research questions of high relevance to clinical nursing practice, evidence-based management, and health policy, and the acquisition of knowledge of advanced quantitative methods to address important questions. New directions include 1) the integration of population health including the increased prevalence of chronic health conditions into research on the outcomes of nursing care, and 2) advances in translational research strategies and methods. RELEVANCE: This program produces nurse researchers who will create the knowledge base leading to patient-centered health care services that are safe and effective. They will discover through scientific research how to improve patient outcomes and attract and retain a qualified nurse workforce. Most will also educate the next generation of professional nurses.