Doctoral Dissertation Research: Effecting Changes While Providing Reproductive Health Care in Diverse Organizational Contexts

博士论文研究：在不同的组织环境中提供生殖保健的同时实现变革

• 批准号: 2116624
• 负责人: Tomas Matza
• 金额: $ 2.44万
• 依托单位: University of Pittsburgh
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2024-01-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2116624&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Effecting; Changes

This award is funded in whole or in part under the American Rescue Plan Act of 2021 (Public Law 117-2). This doctoral dissertation project examines variation in caregiving attitudes and practices, the resulting impacts on pregnancy outcomes, and caregivers’ attempts to improve outcomes in general while navigating differential institutional conventions. Caregivers face tradeoffs between individualized care and broader organizational priorities, and this research investigates how caregivers balance those tradeoffs while effecting organizational change. This research valuably contributes to scholarship on the practice of health care amid divergent economic, ethical, and institutional challenges. By focusing on multiple comparable institutions, the research helps to characterize individuals’ contributions to organizational change. The results from the study help to guide the implementation of health care in diverse contexts. This study contributes to the training of a graduate student in scientific methodology and analytical approaches. This project examines how caregivers provide support and healthcare for pregnant and post-partum women in diverse organizational settings with limited infrastructure and access to resources, particularly prisons. The investigation focuses on tradeoffs imposed by the caregivers’ concurrent attempts to effect positive organizational change while maintaining high standards of health care. Using a combination of methods, including observational approaches, interviews with a diverse sample of stakeholders, focus groups, and an analysis of social media content, the investigators examine how caregivers navigate these tradeoffs in multiple organizational settings. This comparative approach contributes to scholarship on the multifaceted factors that shape how healthcare providers advance and implement improvements to the systems in which they work.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

该奖项是根据2021年《美国救援计划法》（公法117-2）全部或部分资助的。这项博士学位论文项目考试的出勤率和实践的差异，对怀孕结果的影响以及护理人员的一般试图改善结果的尝试，而导航不同的机构惯例。护理人员面临个性化护理和更广泛的组织优先事项之间的权衡，这项研究调查了护理人员如何在有效的组织变革的同时平衡这些权衡。在经济，道德和机构挑战不同的情况下，这一研究价值在医疗保健实践方面有助于科学。通过专注于多个可比机构，该研究有助于表征个人对组织变革的贡献。研究的结果有助于指导在多样性背景下实施医疗保健。这项研究有助于培训科学方法论和分析方法的研究生。该项目考试是如何在潜水员组织环境中为孕妇和产后妇女提供支持和医疗保健，其基础设施有限，并且可以使用资源，尤其是监狱。这项投资的重点是护理人员在维持高标准医疗保健的同时实施积极的组织变革而实施的权衡。调查人员利用包括观察方法的方法，包括观察方法，对利益相关者的潜水员样本，焦点小组的访谈，以及对社交媒体内容的分析，研究人员研究了护理人员如何在多个组织环境中导航这些权衡。这种比较方法有助于科学对多方面的因素，这些因素塑造了医疗保健提供者如何进步并实施对其工作系统的改进。该奖项反映了NSF的法定任务，并且我们是否通过使用基金会的知识分子优点和更广泛的影响审查标准来评估我们的支持。