Using Patient Centered Outcomes Research to Examine Consistent Resident Assignmen

使用以患者为中心的结果研究来检查住院医师分配的一致性

基本信息

批准号：
8597602
负责人：
NICHOLAS G CASTLE
金额：
$ 21.97万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-30 至 2015-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8597602
关键词：
Using Patient Centered Outcomes Research

项目摘要

This application is provided by Nicholas Castle, a professor (tenured) in the Department of Health Policy & Administration (HPM), at the University of Pittsburgh. My long-term career goal is to apply my knowledge of nursing home operations to improve quality of resident care. As part of PAR-12-115 (K18) I have developed goals related to assessing the benefits and harms of health delivery system interventions to inform decision-making and, highlighting comparisons and outcomes that matter to people. This is in the emphasis area of care delivery and coordination for chronic care patients. The following steps are included as part of this proposal to achieve these objectives: 1) completing coursework in research methods in comparative effectiveness research methodology; 2) conducting well-mentored, rigorous patient-centered outcomes research (PCOR); 3) attending appropriate research meetings, seminars, and national conferences; and, 4) limiting teaching and administrative activities. The specific research proposed is to examine the use of consistent assignment of Nurse Aides in nursing homes. Touted benefits of consistent assignment are that: it improves quality of care, reduces staff turnover, and is preferred by staff. However, these beliefs are based on very little empirical evidence. Examining the impact of consistent assignment is thus significant, especially if it continues to be promoted as a means of improving care. It is uncertain how many nursing homes use consistent assignment. With respect to Patient Centered Outcomes (PCO); theoretically, consistent assignment of Nurse Aides is believed to strengthen the familiarity of staff with residents care requirements. As such, improvements in care should result. However, no rigorous empirical studies have examined the association of consistent assignment with PCO. Thus, in this proposal I will examine (1) the extent and level of consistent assignment in nursing homes of Nurse Aides; (2) the influence of Nurse Aide consistent assignment in nursing homes on PCO; (3) simulate outcomes related to specific policies requiring (and not requiring) Nurse Aide consistent assignment; and (4) identify (and distribute) key factors promoting successful implementation and use of consistent assignment. These activities will have a profound influence on the care of residents in nursing homes.

该应用程序由尼古拉斯·卡斯尔（Nicholas Castle）提供，他是该系的终身教授。匹兹堡大学卫生政策与管理 (HPM)。我的长期职业目标是运用我在疗养院运营方面的知识来提高居民护理质量。作为 PAR-12-115 (K18) 的一部分我制定了与评估益处和危害相关的目标卫生服务系统干预措施，为决策提供信息，并强调比较以及对人们重要的结果。这是护理服务的重点领域慢性病患者的协调。本提案包含以下步骤为了实现这些目标：1）完成比较研究方法的课程作业有效性研究方法； 2) 进行良好指导、严格以患者为中心结果研究（PCOR）； 3）参加适当的研究会议、研讨会和全国会议； 4) 限制教学和行政活动。提出的具体研究是检验护士一致分配的使用疗养院的助手。一致分配的被吹捧的好处是：它提高了质量关爱，减少员工流失，深受员工青睐。然而，这些信念是建立在经验证据很少。因此，检查一致分配的影响非常重要，特别是如果它继续作为改善护理的一种手段得到推广。目前还不确定有多少疗养院采用一致的分配方式。关于患者以结果为中心（PCO）；从理论上讲，护士助理的一致分配被认为加强工作人员对居民护理要求的熟悉程度。因此，改进应该得到护理。然而，尚无严格的实证研究检验过两者之间的关联。与 PCO 一致的分配。因此，在本提案中，我将审查（1）护士助理在疗养院的一致分配； (2)护士助理的影响疗养院中 PCO 的一致分配； (3) 模拟与特定相关的结果要求（和不要求）护士助理一致分配的政策； (4) 识别（和分配）促进成功实施和使用一致分配的关键因素。这些活动将对疗养院居民的护理产生深远的影响。