Advancement of Research on Nurse Practitioners (ARNP): Setting a Research Agenda

执业护士研究进展（ARNP）：制定研究议程

• 批准号: 10088080
• 负责人: Lusine Poghosyan
• 金额: $ 4.98万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10088080
• 关键词: Advancement; Research; Nurse; Practitioners; ARNP

Healthcare systems globally face pressures to meet the increasing demand for primary care services, particularly in rural and socio-economically deprived areas due to aging populations and chronic disease burdens. Many countries, including the United States (U.S.), are seeking innovative healthcare workforce solutions to meet this demand. One potential solution is the development of the nurse practitioner (NP) workforce. By 2025, an additional 52,000 physicians will be needed to meet the primary care demand in the U.S. The growing NP workforce could help fill this need as their numbers will double between 2008 and 2025, and NPs will comprise 27% of all primary care providers by 2025. Studies consistently show NPs deliver high quality, safe care to patients and achieve optimal patient outcomes. Furthermore, NP care also increases access to care for racial and ethnic minorities residing in rural and underserved areas as NPs disproportionally care for these populations (AHRQ Priority Populations). Thus, many stakeholders recommend optimal use of NPs in primary care. Yet, many barriers at the federal, state, and organizational levels hamper NP workforce, practice, and their ability to deliver care, which are not well-explored or studied. Lack of evidence prevents policymakers', administrators', and clinicians' (AHRQ stakeholders) abilities to take actions to eliminate barriers and optimally utilize NP workforce to promote safe care delivery. The purpose of this research development conference grant is to convene national and international experts to develop a comprehensive research agenda to define challenges affecting NP workforce, practice, and NPs' ability to deliver primary care and identify methodologies to study them. We will convene a 1.5 day conference, Advancement of Research on Nurse Practitioners (ARNP), consisting of researchers, leaders, clinicians, and policymakers to: Aim 1. Identify barriers and facilitators affecting NP workforce, practice, and their ability to deliver safe primary care both in the U.S. and globally. Aim 2. Identify best strategies and methods to study these barriers and facilitators. Aim 3. Develop a comprehensive research agenda to produce evidence to eliminate barriers and promote facilitators to NP practice in primary care. ARNP will be held at Columbia University School of Nursing in New York, NY and led by nationally recognized health services researchers (Chair: Dr. Lusine Poghosyan, Co-Chair: Dr. Grant Martsolf) who brought together national and international interdisciplinary experts in the planning committee. The expected product is a research agenda to enhance NP workforce in the U.S., which will be shared with nationally relevant organizations. To evaluate ARNP's success, both summative and formative evaluations will be completed. ARNP's aims are consistent with AHRQ's mission of producing evidence to improve the safety and quality of health care. ARNP can provide an important platform for advancing health services research, developing collaborative research projects between the U.S. and the international community, and enhancing knowledge sharing among a broader audience of interdisciplinary experts.

全球医疗保健系统面临着满足初级保健服务日益增长的需求的压力， 特别是在由于人口老龄化和慢性病而导致的农村和社会经济贫困地区 负担。包括美国在内的许多国家正在寻求创新的医疗保健劳动力 解决方案来满足这一需求。一种潜在的解决方案是培养执业护士（NP） 劳动力。到 2025 年，将需要额外 52,000 名医生来满足初级保健需求 美国不断增长的 NP 劳动力可能有助于满足这一需求，因为他们的人数将在 2008 年至 2025 年间翻一番， 到 2025 年，NP 将占所有初级保健提供者的 27%。研究一致表明，NP 提供高 为患者提供优质、安全的护理，并实现最佳的患者治疗效果。此外，NP护理也增加了 居住在农村和服务欠缺地区的种族和族裔少数群体作为 NP 获得护理的机会比例过高 照顾这些人群（AHRQ 优先人群）。因此，许多利益相关者建议最佳利用 初级保健中的 NP。然而，联邦、州和组织层面的许多障碍阻碍了 NP 的劳动力， 实践以及他们提供护理的能力，这些尚未得到充分探索或研究。缺乏证据阻止 政策制定者、管理者和临床医生（AHRQ 利益相关者）采取行动消除障碍的能力 并充分利用 NP 劳动力来促进安全护理服务。本研究开发的目的 会议拨款是为了召集国内和国际专家开展全面的研究 确定影响 NP 劳动力、实践和 NP 提供初级保健和服务能力的挑战的议程 确定研究它们的方法。我们将召开一个为期 1.5 天的会议，“研究进展” 执业护士 (ARNP)，由研究人员、领导者、临床医生和政策制定者组成，旨在： 目标 1. 确定 影响 NP 劳动力、实践及其提供安全初级保健能力的障碍和促进因素 美国和全球。目标 2. 确定研究这些障碍和促进因素的最佳策略和方法。目标3。 制定全面的研究议程，以提供消除障碍和促进促进者的证据 初级保健中的 NP 实践。 ARNP 将在纽约哥伦比亚大学护理学院举行 由国家认可的卫生服务研究人员领导（主席：Lusine Poghosyan 博士，联合主席：Dr. 格兰特·马索尔夫 (Grant Martsolf) 汇集了国内和国际跨学科专家参与规划 委员会。预期的产品是一项旨在增强美国 NP 劳动力的研究议程，这将是 与国家相关组织共享。评估 ARNP 的成功，包括总结性和形成性 评估将完成。 ARNP 的目标与 AHRQ 的使命是一致的，即提供证据以 提高医疗保健的安全性和质量。 ARNP 可以为促进健康提供重要平台 服务研究，开发美国和国际之间的合作研究项目 社区，并加强更广泛的跨学科专家之间的知识共享。