Individualized Care for At Risk Older Adults

在可预见的未来，满足不断增长的老年人口复杂的健康和社会需求 患有多种慢性病（MCC）的成年人，并支持他们的家庭照顾者，特别是在 健康的频繁转变是一个社会优先事项。这T32，个性化护理的风险老年人， 总部设在宾夕法尼亚大学护理学院（SON），在老龄化和过渡的专业知识， 护理研究是我们教师的标志，是独特的设计，准备护士学者谁将解决这个问题 挑战.自2007年以来，该计划已成功培养了15名博士研究生和13名博士后研究员 他们现在正在追求成功的学术事业，并推动与健康和医疗保健相关的科学 老年人的过渡。这项由两位经验丰富的护士科学家领导的更新建议得到了支持。 由九个额外的核心和八个相关的教师在儿子与研究的互补方案。我们 对团队科学的强调是通过25名跨专业的宾夕法尼亚大学教师的共同指导培训来实现的 外护理。在AHRQ多种慢性病研究网络概念模型的指导下， 我们的培训计划将准备每年任命四名博士前和四名博士后护士科学家 具有以下技能和知识：1）推进与频繁和复杂过渡的影响有关的科学 在健康和医疗保健方面对患有MCC的老年人及其家庭照顾者的影响，特别强调 护士的作用; 2）使用团队科学，以最高标准的严谨性和完整性进行研究 方法，并采用当代和新兴的研究设计和方法;和3）执行 综合、传播、实施和翻译研究结果， 卫生保健实践和政策。这次更新建立在我们的成功之上， 人口、研究和卫生保健系统通过创新的方案修改而发生变化。具体地说， 这一更新扩大了该计划对慢性病老年人护理的重视， 日益增多的患有多种慢性病的老年人的健康和社会需求， 家庭护理人员。此外，我们强调纵向照顾不同的和脆弱的亚群的老年人 在多个健康过渡期中患有MCC的成年人。我们加强我们目前在研究方法方面的培训 包括：（a）具有增强的转化潜力的更广泛的设计;（B）先进的数据科学;（c） 复杂的定性和混合方法;以及（d）严格衡量成果。当前关注 个别研究结果的传播延伸到更有力地注重知识综合， 执行和翻译。致力于促进发展的科学基础、资源和网络 教师导师为这项培训赠款提供了良好的基础和环境。根据我们之前 成功，我们将培养护理科学家和领导者准备贡献科学进步， 对老年MCC患者及其家庭照顾者的护理和结果产生重大的积极影响。

For the foreseeable future, addressing the complex health and social needs of the growing population of older adults with multiple chronic conditions (MCCs) and supporting their family caregivers, especially during frequent transitions in health, is a societal priority. This T32, Individualized Care for At-Risk Older Adults, based at the University of Pennsylvania School of Nursing (SON) where expertise in aging and transitional care research are hallmarks of our faculty, is uniquely designed to prepare nurse scholars who will address this challenge. Since 2007, this program has successfully prepared 15 PhD graduates and 13 postdoctoral fellows who are now pursuing successful scholarly careers and advancing science related to health and health care transitions of older adults. This proposed renewal, led by two highly experienced nurse scientists is supported by nine additional core and eight associated faculty in the SON with complementary programs of research. Our emphasis on team science is actualized with co-mentored training from 25 interprofessional Penn faculty external to nursing. Guided by the AHRQ Multiple Chronic Conditions Research Network's conceptual model, our training program will prepare four predoctoral and four postdoctoral nurse scientists appointed annually with the skills and knowledge to: 1) advance science related to the impact of frequent and complex transitions in health and health care on older adults with MCCs and their family caregivers, with particular emphasis on the role of nurses; 2) conduct research with the highest standards of rigor and integrity, using a team science approach, and employing contemporary and emerging research designs and methodologies; and 3) perform synthesis, dissemination, implementation and translation of research findings designed to inform and improve health care practices and policies. This renewal builds on our success and is responsive to dynamic population, research, and health care system changes through innovative program modifications. Specifically, this renewal expands the program's emphasis on care of chronically ill older adults to focus on the complex health and social needs of the growing population of older adults with multiple chronic conditions and their family caregivers. Further, we emphasize the longitudinal care of diverse and vulnerable subgroups of older adults with MCCs throughout multiple health transitions. We enhance our current training in research methods to include: (a) a broader range of designs with enhanced translational potential; (b) advanced data science; (c) sophisticated qualitative and mixed methods; and, (d) rigorous measurement of outcomes. Current attention to dissemination of individual study findings extends to a more robust focus on knowledge synthesis, implementation, and translation. The rich scientific base, resources and networks contributed by committed faculty mentors provide an excellent foundation and environment for this training grant. Building on our prior success, we will produce nurse scientists and leaders prepared to contribute scientific advances designed to have a major, positive impact on the care and outcomes of older adults with MCCs and their family caregivers.