Nursing Research Training in Symptom Management

描述(申请人提供)：症状管理方面的护理研究培训。本次申请的目的是继续为6名博士后学员和4名博士后学员提供症状管理方面的资助。在上一次竞争性更新中(第5-10年)，这一提议被扩大到包括一名额外的博士后实习生，并包括症状群和症状经验的遗传标记，以及最初应用程序(第1-第5年)的原始疲劳、呼吸困难、疼痛和失眠症状。这次更新(15-20年)的目标是扩大与症状管理成果有关的培训，特别是在症状及其管理的经济成本领域。其目标是：1)培养具备开展症状体验和健康相关结果研究(包括经济成本)所需的知识和技能的受训者；2)指导受训者在各种医疗保健环境中制定和实施不同人群中这些症状的研究计划；3)培养具备写作、指导和管理资助等技能的受训者；4)增加准备进行症状研究的不同种族护士学者的数量；以及5)增加准备进行与症状相关的跨学科干预研究的护士学者数量。培训教师中包括项目主任和担任咨询委员会的3名联席主任，1名卫生保健经济学家，8名额外的核心学院，以及5名新的指导学院学者。博士前课程包括博士课程要求和3个季度的研讨会系列(经验、管理、成果)；强烈推荐2个季度的生物标志物系列。博士后培训是根据个人需要量身定做的，重点放在复杂的问题和先进的方法上。博士后实习生也参加为期3个季度的系列研讨会，但在与指导研究团队和财务管理相关的资助活动上花费额外的时间。实习经历是根据个人目标量身定做的，并在整个培训期间获得。通过严格的定性和定量研究培训，使护士学者具备与症状管理相关的理论和实践方面的高级知识，这对于推动跨学科研究团队在临床和转化科学方面的知识进步至关重要。加州大学旧金山分校护理学院在提供这种培训方面处于独特的地位，因为我们的研究计划以及与其他涉及症状相关研究的学科的合作经验。 公共卫生相关性：在医疗和药物治疗期间，对于与急性和慢性病相关的症状，需要更好地了解症状体验，并开发新的非药理学方法来管理症状。需要更多训练有素的护士研究人员，最终目标是改善数百万经历疼痛、呼吸困难、疲劳或失眠以及相关焦虑或抑郁心理症状的美国人的生活质量。

DESCRIPTION (provided by applicant): Nursing Research Training in Symptom Management. The purpose of this application is to continue to provide funding for 6 predoctoral students and 4 postdoctoral trainees in symptom management. This proposal was expanded in the last competing renewal (years 5-10) to include an additional postdoctoral trainee, and to include clusters of symptoms, and genetic markers of the symptom experience in addition to the original fatigue, dyspnea, pain and insomnia symptoms from the original application (years 1-5). Objectives for this renewal (years 15-20) are to expand the training related to outcomes of symptom management, particularly in the area of economic cost of symptoms and their management. The objectives are to: 1) prepare trainees with knowledge and skills necessary to conduct research on symptom experience and health-related outcomes (including economic costs), 2) mentor trainees to develop and implement programs of research on these symptoms in diverse populations across the illness trajectory in a variety of health care settings, 3) prepare trainees with grantsmanship skills that include writing, conducting, and administering a funded grant, 4) increase numbers of ethnically diverse nurse scholars prepared to conduct research on symptoms, and 5) increase numbers of nurse scholars prepared to conduct interdisciplinary intervention research related to symptoms. Included in the training faculty are the Program Director and 3 Co-Directors who serve as the Advisory Board, a Health Care Economist, 8 additional Core Faculty, and five new mentored faculty scholars. The predoctoral curriculum includes doctoral program requirements and a 3-quarter seminar series (experience, management, outcomes); a 2-quarter Biomarkers series is highly recommended. Postdoctoral training is tailored to individual needs, with focus on complex issues and advanced methodologies. Postdoctoral trainees also attend the 3-quarter seminar series, but spend additional time in grant activities related to directing a research team and fiscal management. Residency experiences are tailored to individual goals and obtained throughout the training period. Preparing nurse scholars with advanced knowledge of theory and practice related to symptom management, with rigorous qualitative and quantitative research training, is essential to move knowledge forward in clinical and translational science with interdisciplinary research teams. The UCSF School of Nursing is in a unique position to provide this training because of our programs of research and collaborative experiences with other disciplines involved in symptom-related research. PUBLIC HEALTH RELEVANCE: A better understanding of symptom experience, and development of novel non- pharmacological ways to manage symptoms, is needed for symptoms associated with acute and chronic illness, during medical treatments and drug therapies. More trained nurse researchers are needed, with the ultimate goal of improving quality of life for millions of Americans who experience pain, dyspnea, fatigue, or insomnia, as well as associated psychological symptoms of anxiety or depression.