Advanced Training in Nursing Outcomes Research

描述（由申请人提供）：护理结果研究高级培训的星星修订版。该计划是对1999年开始的T32-NR-007104的修订，增加了两个博士前职位，明确侧重于加速BSN到博士教育。 这一修订是对医学研究所2010年具有里程碑意义的研究《护理的未来》的建议的回应，该研究建议到2020年将拥有博士学位的护士人数增加一倍。 我们将专门针对护士的招聘博士研究谁没有事先决定在研究生涯，以证明它是可能的，以增加管道到研究生涯。 我们已经做出了课程的变化，使博士在3年内成功完成。优先申请人池是合格的申请人谁是在3年或更少的基本BSN毕业，谁是26岁或以下。 我们的目标是帮助这些有前途的年轻研究人员在30岁之前完成博士和博士后研究，这将使他们能够为护理科学，改善临床护理和教育下一代护士做出持续贡献。 我们是一个正式的跨学科博士前和博士后研究计划，包括概念和经验基础以及先进成果研究的前沿方法和统计工具。 我们的学生参加我们在艺术和科学学院，沃顿商学院（商业），医学院，安嫩伯格（通信）的附属教师的课程。 我们的临床优先事项反映在我们的教师资助的研究是改善慢性病患者的结果，减少健康差距和研究临终关怀。 我们的课程BSN博士研究培训的独特组成部分包括两个新的临床护理博士课程和一个临床住院医师，以认识到这些新的研究员来研究没有多年的临床经验的好处，需要增加临床指导，以询问临床相关的研究问题。 该计划的研究培训直接与宾夕法尼亚大学的相关博士前和博士后培训计划相结合，为研究员提供教育机会网络，以增加护理学院内提供的丰富经验。 该计划是由质量健康成果模型的概念框架，假设护理干预措施的结果是介导的护理发生的组织背景和患者的特点。 研究员在护理的组织背景，患者风险调整方法，护士敏感的结果措施，空间地理和地理编码，比较有效性方法和护理测量成本的测量中接受科学教育的状态。 该计划的前12年在招聘和计划完成方面取得了巨大成功，包括少数民族，教师和研究员的高知名度科学出版物，我们的校友在竞争校外补助金方面的成功，以及那些谁已经完成了他们的奖学金的主流研究职位的安置，他们的研究生涯可以继续蓬勃发展。 公共卫生相关性：这次修订是响应国家的需要，加快教育途径，从护理学士学位（BSN）到博士学位，在更短的时间内培养护士研究人员，并在更年轻的年龄，以扩大其对护理科学发展的影响，改善临床护理和下一代护士的教育。 通过跨学科的创新课程，两名最近完成了BSN水平基础护理教育的高素质学员将在护理成果研究方面开展密切指导的博士课程，重点关注前沿研究方法，并重点关注慢性病，临终关怀和健康差异。

DESCRIPTION (provided by applicant): STAR Revision to Advanced Training in Nursing Outcomes Research. This program is a revision to T32-NR-007104 that began in 1999 to add two predoctoral positions with an explicit focus on expedited BSN to PhD education. This revision is responsive to the recommendation of the 2010 landmark study by the Institute of Medicine, The Future of Nursing, to double the number of nurses with doctoral degrees by 2020. We will specifically target the recruitment of nurses to doctoral study who have not previously decided upon a research career in order to demonstrate that it is possible to increase the pipeline into research careers. We have made curriculum changes to enable successful completion of the PhD within 3 years. The priority applicant pool are well qualified applicants who are within 3 years or less of basic BSN graduation and who are 26 years of age or younger. Our goal is to assist these promising young researchers to complete their PhD and post doctoral fellowships by age 30 which will enable them to make sustained contributions to nursing science, improved clinical care, and teaching the next generation of nurses. Ours is a formal interdisciplinary program of pre-doctoral and post-doctoral study comprising the conceptual and empirical foundations and the cutting edge methodologic approaches and statistical tools of advanced outcomes research. Our students take coursework with our affiliated faculty in the Schools of Arts and Sciences, Wharton (business), Medicine, Annenberg (communications). Our clinical priorities reflected in the funded research of our faculty are improved outcomes for the chronically ill and reducing health disparities and research on end-of-life care. Unique components of our curriculum for BSN to PhD research training include two new doctoral level courses in clinical nursing and a clinical residency in recognition that these new fellows are coming to research without the benefit of many years of clinical experience and need increased clinical mentoring in order to ask clinically relevant research questions. 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. Research fellows receive state of the science education in the measurement of the organizational context of care, patient risk adjustment methods, nurse sensitive outcome measures, spatial geography and geocoding, comparative effectiveness methods, and cost of care measurement. The program's first 12 years have been highly successful in terms of the recruitment and program completion including minorities, high visibility scientific publications by faculty and fellows, success of our alumni 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. PUBLIC HEALTH RELEVANCE: This revision is responsive to national needs to expedite educational pathways from bachelor's degrees in nursing (BSN) to PhDs to produce nurse researchers in fewer years and at younger ages to extend their impact on nursing science development, improved clinical care, and education of the next generation of nurses. Through an interdisciplinary, innovative curriculum, two highly qualified trainees who have recently completed basic nursing education at the BSN level will undertake a closely mentored doctoral program in nursing outcomes research with a focus on cutting edge research methods and a substantive focus on chronic illness, end-of-life care, and health disparities.