The Quality Health Outcomes Model (QHOM) (Mitchell et al., 1998) provides a framework for studying the quality of health care and delineates relations among interventions, patient characteristics, health care system characteristics, and patient outcomes. Dr. Radwin will use the QHOM as a framework to conduct studies that build on a middle range theory of the quality of oncology nursing care (Radwin, 2000). The research program proposed in this award will culminate in the examination of relations among: (1) interpersonal health care interventions delivered by nurses, (2) oncology patient state and trait characteristics, including gender, race, and age, (3) health care system characteristics at the hospital and unit level, and (4) adverse and desired oncology patient outcomes. Findings will be used to refine the QHOM. To develop the requisite theoretical knowledge and analytic skills to carry out this research program, Dr. Radwin first will complete an intensive period of formal study, including courses in health services research, health outcomes, health care models, and advanced statistical methods. Other developmental activities throughout this award will include mentorship from a distinguished group of nurse scientists, social scientists, and methodologists; and participation in multidisciplinary seminars, colloquia and other forums. After completion of the mentored training, Dr. Radwin, as an independent researcher, will seek funding to use the QHOM to examine the quality of care for groups of patients with different medical or surgical problems.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08HS011625-04
Application #
6761950
Study Section
HSR Health Care Research Training SS (HCRT)
Program Officer
Anderson, Kay
Project Start
2001-09-01
Project End
2006-08-31
Budget Start
2004-09-01
Budget End
2005-08-31
Support Year
4
Fiscal Year
2004
Total Cost
Indirect Cost
Name
University of Massachusetts Boston
Department
None
Type
Schools of Nursing
DUNS #
808008122
City
Boston
State
MA
Country
United States
Zip Code
02125
Radwin, Laurel E; Cabral, Howard J; Woodworth, Tiffany Siu (2013) Effects of race and language on patient-centered cancer nursing care and patient outcomes. J Health Care Poor Underserved 24:619-32
Radwin, Laurel E; Cabral, Howard J; Chen, Leslie et al. (2010) A protocol for capturing daily variability in nursing care. Nurs Econ 28:95-105
Radwin, Laurel E; Cabral, Howard J; Wilkes, Gail (2009) Relationships between patient-centered cancer nursing interventions and desired health outcomes in the context of the health care system. Res Nurs Health 32:4-17