Comparative and Cost-Effectiveness Research Training for Nurse Scientists

在“现实生活”中，缺乏关于医疗保健最佳治疗和提供的构成要素的知识 (即，不受控制的)情况。这导致临床医生、患者、购买者和政策制定者面临 在没有充分信息的情况下，每天做出重要决定。缺乏知识并不是因为缺乏数据； 电子数据基础设施日益到位，患者数据可在个人、设施、 在区域、区域和国家各级开展急需的比较和成本效益研究。因此， 美国研究界，包括护士科学家，有一个前所未有的机会来告知 日常临床决策和改善国家卫生系统和健康的高危人群，未得到充分的服务 并通过比较和成本效益研究了解医疗保健的价值。带着我们的 国家护理研究所(NINR)资助的博士后和博士后培训计划， “护理科学家的比较和成本效益研究培训(CER2)”(T32 NR014205)， 哥伦比亚大学护理学院在培养护士科学家进行这项严格的、 跨学科、转化性研究。CER2联席董事、执行委员会、导师和实习生 进行跨学科、可比性和成本效益研究，使护理 科学以及知情的临床决策和卫生政策。环境出类拔萃， 完善的基础设施和对跨学科翻译研究的坚定承诺。此外， 新的研究基础和独特的专业知识参与，高素质，跨学科的教职员工 为学员提供成为独立护士科学家的绝佳机会。重点放在 在服务不足的高危人群的整个护理过程中促进健康和/或疾病预防 在我们头四年支持取得的实质性成就的基础上，这项竞争的目标是 续签的目的是：1)维持行政结构，以支持跨学科的CER2；2)招聘和保留 合格的博士后和博士后护理干部进行跨学科比较和 成本效益研究；3)提高学员在跨学科领域的知识和技能 促进健康和/或预防疾病的比较和成本效益研究方法 高危、服务不足人群的连续护理；以及4)评估培训方案的投入， 在持续和年度的基础上提供产出和成果，并根据需要改进方案。目标和目标 培训活动与2016年NINR战略计划科学重点领域(健康、自我 管理、临终关怀和临终关怀)和21世纪护士的交叉领域 科学家--研究事业的创新战略。

There is a lack of knowledge about what constitutes optimal treatment and delivery of healthcare in “real life” (i.e., non-controlled) situations. This results in clinicians, patients, purchasers, and policy makers confronting important decisions every day without adequate information. The lack of knowledge is not due to a lack of data; increasingly, the electronic data infrastructure is in place and patient data are available at the individual, facility, regional, and national levels to conduct much needed comparative and cost-effectiveness research. Therefore, the United States research community, including nurse scientists, has an unprecedented opportunity to inform everyday clinical decisions and improve the nation's health system and the health of high-risk, underserved populations, as well as inform healthcare value through comparative and cost-effectiveness research. With our National Institute of Nursing Research (NINR) funded predoctoral and postdoctoral training program, “Comparative and Cost-Effectiveness Research Training for Nurse Scientists (CER2)” (T32 NR014205), Columbia University School of Nursing has been a leader in preparing nurse scientists to conduct this rigorous, interdisciplinary, translational research. The CER2 co-directors, executive committee, preceptors, and trainees have conducted interdisciplinary, comparative, and cost-effectiveness research that has advanced nursing science as well as informed clinical decision making and health policy. The environment is exceptional with well-developed infrastructure and a strong commitment to interdisciplinary translational research. Moreover, the novel research base and unique expertise of the participating, well-qualified, interdisciplinary faculty provide trainees with excellent opportunities to develop into independent nurse scientists. With a focus on health promotion and/or disease prevention across the continuum of care in high-risk, underserved populations and building upon the substantial achievements of our first four years of support, the aims of this competitive renewal are to: 1) Maintain an administrative structure to support interdisciplinary CER2; 2) Recruit and retain a qualified diverse cadre of predoctoral and postdoctoral nurses to conduct interdisciplinary comparative and cost-effectiveness research; 3) Enhance the knowledge and skills of the trainees in interdisciplinary comparative and cost-effectiveness research methods for health promotion and/or disease prevention across the continuum of care in high-risk, underserved populations; and 4) Evaluate the training program inputs, outputs, and outcomes on an ongoing and annual basis and refine the program as needed. The aims and training activities are well-aligned with the 2016 NINR Strategic Plan areas of scientific focus (Wellness, Self- Management, and End-of-Life and Palliative Care) and address the cross cutting area of 21st Century Nurse Scientists - Innovative Strategies for Research Careers.