Comparative and Cost-Effectiveness Research Training for Nurse Scientists

护士科学家的比较和成本效益研究培训

• 批准号: 9302537
• 负责人: Patricia W. Stone
• 金额: $ 15.78万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9302537
• 关键词: Nurses; Research Training; Scientist; comparative cost effectiveness

DESCRIPTION (provided by applicant): The United States healthcare system spends far more than any other developed county and we consistently have worse outcomes. Comparative and cost-effectiveness research (CER2) are fields of scientific inquiry that employ innovative methods to generate knowledge aimed at improving quality and efficiency by informing the everyday decisions confronting clinicians, patients, purchasers and policy makers. This is in contrast to efficacy research, such as a randomized controlled trial, where the question is typically whether the treatment can work under a controlled environment. Because CER2 is designed to inform actual patient situations, it is much more patient-centered. Many have recognized that CER2 will be important tools to inform decisions about health promotion and disease prevention in underserved high-risk populations such as racial and ethnic minorities, persons with multiple chronic conditions, the elderly and children. The United States research community has an unprecedented opportunity to improve the nation's health system and the health of the population as well as improve efficiency through CER2; and, nurse scientists, whose research provides the evidence base for nursing practice, which is the largest clinical workforce in the United States, need to be trained in CER2 methods. This training grant, CER2 Training for Nurse Scientists, provides an opportunity to train nurse scientists in this important field. The Columbia University Medical Center (CUMC), including the Columbia University School of Nursing (CUSON), is an excellent environment to train nurse scientists in CER2 methods. This application builds upon the complementary strengths of CUSON's faculty with expertise in mentoring pre-doctoral and post-doctoral students in CER2 methods; their research foci on high-risk, underserved populations as well as the robust infrastructure of CUMC in CER2 methods. The specific aims are: 1. To recruit and retain a qualified diverse cadre of pre-doctoral and post-doctoral nurse fellows to conduct CER2 comparing the everyday effectiveness of approaches to health promotion and/or disease prevention across the continuum of care in high-risk, underserved populations; 2. To implement a training curriculum for CER2 methods that includes the integration of theories and methods used in the conduct of rigorous CER2 training for nurse scientists trainees; 3. To enhance the knowledge and skills of pre-doctoral and post-doctoral nurse scientist trainees in CER2 methods to inform patient and/or policy decisions about health promotion and/or disease prevention across the continuum of care in high-risk, underserved populations; and, 4. To evaluate the CER2 Training for Nurse Scientists program structures, processes, and outcomes on an ongoing and annual basis. These aims are well-matched to the mission of the National Institute of Nursing Research, which is to promote and improve the health of individuals, families, communities, and populations; as well as help nurse scientists to be leaders in identifying high-quality, high-value, patient-centered approaches to health promotion and disease prevention across the continuum of care.

描述（由申请人提供）：美国的医疗保健系统的支出远远超过任何其他发达县，而且我们的成果始终如一。比较和成本效益研究（CER2）是科学探究领域，采用创新方法来产生旨在提高质量和效率的知识，通过告知与临床医生，患者，购买者和政策制定者面对的日常决策。这与疗效研究相反，例如一项随机对照试验，在该试验中，问题通常是在受控环境下是否可以在治疗中起作用。由于CER2旨在为实际的患者情况提供信息，因此以患者为中心。许多人已经认识到，CER2将是有关促进健康和疾病预防疾病的决定的重要工具，例如种族和少数民族，具有多种慢性病的人，老年人和儿童。美国研究界有一个前所未有的机会，可以改善国家的卫生系统和人口健康，并通过CER2提高效率；而且，护士科学家的研究为护理实践提供了证据基础，这是美国最大的临床劳动力，需要接受CER2方法的培训。这项培训补助金是护士科学家的CER2培训，为在这个重要领域的护士科学家提供了机会。哥伦比亚大学医学中心（CUMC），包括哥伦比亚大学护理学院（Cuson），是培训CER2方法的护士科学家的绝佳环境。该申请基于Cuson教职员工的补充优势，并具有指导CER2方法的博士前和博士后学生的专业知识；他们的研究重点是CER2方法中CUMC的高风险，服务不足的人群以及稳健的基础设施。具体目的是：1。要招募和保留合格的多样化的博士后和博士后护士的干部，以进行CER2进行CER2，以比较在高危人群中，在高危人群中，促进健康促进和/或疾病预防方法的日常有效性； 2。为CER2方法实施培训课程，其中包括在进行严格的CER2培训对护士科学家学员进行严格的CER2培训中使用的理论和方法； 3。在CER2方法中增强博士前和博士后护士科学家学员的知识和技能，以告知患者和/或政策决策有关健康促进和/或预防疾病的预防范围内，以高风险，服务不足的人群培训；以及4。评估护士科学家的CER2培训，以持续和年度的基础进行计划结构，过程和结果。这些目标与美国国家护理研究所的使命非常匹配，该研究所的使命是促进和改善个人，家庭，社区和人口的健康；除了帮助护士科学家成为领导者，以确定整个护理的高质量，高价值，以患者为中心的健康促进和疾病预防方法。