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护士科学家培训计划,以促进干预措施的转化。

A training program for nurse scientists to promote intervention translation.

机构信息

School of Nursing, The University of North Carolina at Chapel Hill, Carrington Hall, Chapel Hill, NC.

School of Nursing, The University of North Carolina at Chapel Hill, Carrington Hall, Chapel Hill, NC.

出版信息

Nurs Outlook. 2018 Mar-Apr;66(2):149-156. doi: 10.1016/j.outlook.2017.09.003. Epub 2017 Sep 19.

Abstract

BACKGROUND

To reduce the burden of chronic illness, prevention and management interventions must be efficacious, adopted and implemented with fidelity, and reach those at greatest risk. Yet, many research-tested interventions are slow to translate into practice.

PURPOSE

This paper describes how The University of North Carolina at Chapel Hill School of Nursing's NINR-funded institutional pre- and postdoctoral research-training program is addressing the imperative to speed knowledge translation across the research cycle.

METHODS

The training emphasizes six research methods ("catalysts") to speed translation: stakeholder engagement, patient-centered outcomes, intervention optimization and sequential multiple randomized trials (SMART), pragmatic trials, mixed methods approaches, and dissemination and implementation science strategies. Catalysts are integrated into required coursework, biweekly scientific and integrative seminars, and experiential research training. Trainee and program success is evaluated based on benchmarks applicable to all PhD program students, supplemented by indicators specific to the catalysts. Trainees must also demonstrate proficiency in at least two of the six catalysts in their scholarly products. Proficiency is assessed through their works in progress presentations and peer reviews at T32 integrative seminars.

DISCUSSION

While maintaining the emphasis on theory-based interventions, we have integrated six catalysts into our ongoing research training to expedite the dynamic process of intervention development, testing, dissemination and implementation.

CONCLUSIONS

Through a variety of training activities, our research training focused on theory-based interventions and the six catalysts will generate future nurse scientists who speed translation of theory-based interventions into practice to maximize health outcomes for patients, families, communities and populations affected by chronic illness.

摘要

背景

为了减轻慢性病负担,预防和管理干预措施必须有效,并且必须忠实地采用和实施这些措施,同时要覆盖到风险最大的人群。然而,许多经过研究检验的干预措施在转化为实践方面进展缓慢。

目的

本文介绍了北卡罗来纳大学教堂山分校护理学院 NINR 资助的机构博士后研究培训计划如何应对加快整个研究周期知识转化的紧迫性。

方法

该培训强调了六种研究方法(“催化剂”)来加速转化:利益相关者参与、以患者为中心的结果、干预措施优化和序贯多项随机试验(SMART)、实用试验、混合方法方法以及传播和实施科学策略。催化剂被整合到必修课程、两周一次的科学和综合研讨会以及体验式研究培训中。根据适用于所有博士项目学生的基准以及针对催化剂的特定指标来评估学员和项目的成功。学员还必须在他们的学术产品中至少展示出对六种催化剂中的两种的熟练程度。通过在 T32 综合研讨会上的研究进展报告和同行评审来评估熟练程度。

讨论

在保持基于理论的干预措施重点的同时,我们已经将六个催化剂整合到我们正在进行的研究培训中,以加快干预措施的开发、测试、传播和实施的动态过程。

结论

通过各种培训活动,我们专注于基于理论的干预措施和六个催化剂的研究培训将培养未来的护理科学家,加速基于理论的干预措施向实践的转化,从而最大限度地提高受慢性病影响的患者、家庭、社区和人群的健康结果。

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