The applicant proposes a career development award to strengthen skills in health services research methods, cost-effectiveness analysis, and instrument refinement. The principal learning activities include coursework, participation and presentation at seminars and scientific meetings, and research practica with recognized scholars in the related content. The ultimate goal is a career as an independent scientist focused on nursing and patient outcomes research. The objective of these research activities is to identify interventions to improve the health outcomes of the population of patients with cancer. The proposal aims are to 1) Utilize advanced health services research methods to evaluate whether ANCC Magnet Hospital status is associated with improved outcomes for older adults hospitalized for cancer surgery; 2) Apply cost-effectiveness analysis to evaluate the economic outcomes for patients in Magnet- and non-Magnet hospitals, and 3) Revise the Practice Environment Scale of the Nursing Work Index instrument to measure the practice environment of nurses working in ambulatory oncology settings. Secondary analysis of Surveillance, Epidemiology, and End Results (SEER)-Medicare data will address Aims 1 and 2;
while Aim 3 will be accomplished through focus groups, cognitive interviews, and pilot testing of instrument items with oncology nurses working in ambulatory facilities. After completion of the training and research components, the applicant will be well positioned to conduct interdisciplinary, high-impact research that articulates the role of nursing on outcomes of care for patients with cancer. The proposed research responds directly to the Institute of Medicine and National Cancer Policy Board requests for additional research to elucidate the relationship between nursing practice environments and patient outcomes, and to identify factors associated with outcome variations in the cancer population. The career development plan combines coursework and mentored experiences to acquire additional skills for an independent career as a nurse and outcomes researcher. The research projects examine the relationship between the nursing practice environment and outcomes of care for patients with cancer. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Career Transition Award (K99)
Project #
1K99NR010750-01
Application #
7448866
Study Section
National Institute of Nursing Research Initial Review Group (NRRC)
Program Officer
Huss, Karen
Project Start
2008-09-18
Project End
2010-06-30
Budget Start
2008-09-18
Budget End
2009-06-30
Support Year
1
Fiscal Year
2008
Total Cost
$88,085
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Type
Schools of Nursing
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Friese, Christopher R; Earle, Craig C; Magazu, Lysa S et al. (2011) Timeliness and quality of diagnostic care for medicare recipients with chronic lymphocytic leukemia. Cancer 117:1470-7
Katz, Steven J; Hawley, Sarah T; Morrow, Monica et al. (2010) Coordinating cancer care: patient and practice management processes among surgeons who treat breast cancer. Med Care 48:45-51
Friese, Christopher R; Silber, Jeffrey H; Aiken, Linda H (2010) National Cancer Institute Cancer Center designation and 30-day mortality for hospitalized, immunocompromised cancer patients. Cancer Invest 28:751-7
Friese, Christopher R; Earle, Craig C; Silber, Jeffrey H et al. (2010) Hospital characteristics, clinical severity, and outcomes for surgical oncology patients. Surgery 147:602-9
Friese, Christopher R; Abel, Gregory A; Magazu, Lysa S et al. (2009) Diagnostic delay and complications for older adults with multiple myeloma. Leuk Lymphoma 50:392-400
Friese, Christopher R; Neville, Bridget A; Edge, Stephen B et al. (2009) Breast biopsy patterns and outcomes in Surveillance, Epidemiology, and End Results-Medicare data. Cancer 115:716-24
Friese, Christopher R; Lake, Eileen T; Aiken, Linda H et al. (2008) Hospital nurse practice environments and outcomes for surgical oncology patients. Health Serv Res 43:1145-63
Friese, Christopher R; Aiken, Linda H (2008) Failure to rescue in the surgical oncology population: implications for nursing and quality improvement. Oncol Nurs Forum 35:779-85