Mazzella Ebstein Ann M, Barton-Burke Margaret, Fessele Kristen L
Office of Nursing Research, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Asia Pac J Oncol Nurs. 2020 Sep 14;7(4):312-318. doi: 10.4103/apjon.apjon_35_20. eCollection 2020 Oct-Dec.
This article describes how one comprehensive cancer center in the Northeast United States reorganized their nursing research fellowship (NRF) with the goals of engaging nurses in research processes, developing a culture of inquiry, building nursing research capacity, and sustaining infrastructures for facilitating high-quality, nurse-led oncology research studies.
The basis for the curriculum, course work, and research practicum is derived from academic courses taught at the undergraduate, graduate, and doctoral levels. Evidence from the current literature, expertise of nurse-scientists, and feedback from former fellows provided the background for a fellowship model that included: (1) amending curriculum timeframes; (2) incorporating protected time; (3) improving access to resources; (4) enhancing the protection, data sharing, and accessibility of data; and (5) involving nurse-scientists as mentors and facilitators of research processes. These factors were incorporated over 3 years. Metrics included individual class and overall course evaluations and ongoing assessments.
In three cohorts from 2016 to 2019, a total of 21 nurses were accepted, and 18 (86%) nurses completed the NRF. In cohort 1 through cohort 3, 17 fellows presented their research findings internally, and a total of nine projects were presented at external forums. There were seven fellows whose manuscript submissions resulted in 21 journal publications. Of the 18 fellows, 15 (83%) conducted institutional review board-approved studies and three (17%) fellows developed studies involving one concept analysis and two systematic reviews.
Utilizing technology, the fellowship improved access beyond the classroom setting. Improved application processes, the inclusion of protected time for nurses, and mentoring from nurse-scientists demonstrate a commitment to fostering a culture supporting new knowledge and innovation for improving patient care.
本文描述了美国东北部的一家综合癌症中心如何重组其护理研究奖学金项目（NRF），目标是让护士参与研究过程，培养探究文化，建设护理研究能力，并维持促进高质量、由护士主导的肿瘤学研究的基础设施。
课程、 coursework 和研究实习的基础源自本科、研究生和博士阶段教授的学术课程。当前文献的证据、护士科学家的专业知识以及往届学员的反馈为一个奖学金模式提供了背景，该模式包括：（1）修改课程时间框架；（2）纳入受保护时间；（3）改善资源获取；（4）加强数据保护、数据共享和数据可及性；（5）让护士科学家担任研究过程的导师和促进者。这些因素在3年时间里得以整合。指标包括个别课程和整体课程评估以及持续评估。
在2016年至2019年的三个队列中，共有21名护士被该项目录取，18名（86%）护士完成了NRF项目。在第1队列至第3队列中，17名学员在内部展示了他们的研究成果，共有9个项目在外部论坛上进行了展示。有7名学员提交的手稿发表了21篇期刊论文。在18名学员中，15名（83%）开展了经机构审查委员会批准的研究，3名（17%）学员开展了涉及一项概念分析和两项系统评价的研究。
通过利用技术，该奖学金项目改善了课堂之外的资源获取。改进后的申请流程、为护士纳入受保护时间以及护士科学家的指导表明致力于培育一种支持新知识和创新以改善患者护理的文化。
