Funded Grants Submitted by Nurses
This document lists summaries of funded grants for which nurses were the principal investigators.
For information on how to apply for an Agency for Healthcare Research and Quality (AHRQ) grant, select: http://www.ahrq.gov/funding/process/grant-app-basics/index.html
The summaries of grants appear in alphabetical order by principal investigator. Use the alphabetic index that follows to select the first letter of the principal investigator's last name.
Principal Investigator: Jacquelyn Blaz, doctoral candidate
Institution: University of Utah
Grant No: R36 HS22183-01
Period: 2/1/13 – 4/30/14
Title: Exploring the creation of nurses’ informal documentation and use in clinical work
Summary: The proposed project examines how nurses produce and use informal documentation in a medical oncology unit and the meaning informal documentation has within the unit culture. Despite widespread adoption of EHRs and the availability of electronic handoff tools, nurses continue to rely on paper handoff tools they refer to as "brains." Though the role of nurses' brains during handoff is beginning to be addressed in the literature, without an understanding of the role brains play beyond inter-shift handoff, existing descriptions of nurses' brains are incomplete. This gap will be addressed in this study. The purpose of this dissertation research is to develop a deep understanding of nurses' brains in the context of a medical oncology unit. A grounded theory approach utilizing a symbolic interactionism framework will allow for the development of a theory of nurses' brains, including the meanings ascribed to brains, how nurses produce their brains, and understanding of the functions brains serve for nurses in a medical oncology setting. Successful strategies for the development of electronic tools will be derived from the developed theory. The results of this study will be used to develop functional and technical requirements for electronic tools to support nurses' clinical practice including inter-shift handoff.
Principal Investigator: Ingrid Duva
Institution: Emory University
Grant No: RO3 HS17767 (dissertation)
Title: Factors Impacting Nurse Care Coordination for Hospitalized Patients
Summary: This project will examine the relationship among patient and work environment characteristics and nurse care coordination activities to provide new insights on how to improve this critical part of nursing care for hospitalized patients. This is a descriptive and cross-sectional study collecting data from staff nurses on 44 medical-surgical units caring for patients with co-existing chronic illness. It will be conducted at five metro-Atlanta area hospitals. Three surveys: the practice environment scale (PES-NWI), the nurse care coordination Inventory (NCCI) and a relational coordination instrument (RCI) will be distributed. Scores from these surveys, all supported for use at the patient care unit level, will be aggregated to a unit measure.
Principal Investigator: Penny H. Feldman
Institution: Visiting Nurse Service of New York
Grant No: R18 HS17837-03
Period: 9/30/08 – 9/29/12
Title: Improving Medication Management Practices and Care Transitions through Technology
Summary: This study will conduct a randomized trial to examine the effectiveness and cost-effectiveness of two information technology (IT) interventions ("basic" and "augmented") aimed at facilitating high quality care transitions through improved clinician practice and enhanced patient engagement among home health patients at risk of a serious medication problem due to drugs they are taking and/or complexity of their medication regimens. The relationships between costs and effectiveness of care delivered under the respective interventions will be described, as will the implications of these relationships for home care policy and program initiatives.
Principal Investigator: Patricia Groves, doctoral candidate
Institution: University of Missouri--Columbia
Grant No: HS18725
Title: Between Safety Culture and Hosital Nursing Practice Exploring the Intersection
Summary: This project will examine how organizational context (communicated structures of rules and resources) constrain and enable individual hospital staff nurses’ ability to keep patients safe. The study is framed using Structuration Theory: a cross-sectional, qualitative design will be used. Long-term benefits from this study include advancement of knowledge about how safety culture influences nursing practice, which in turn will allow tailored modifications of safety cultures to promote increased safety for patients.
Principal Investigator: Quinn Grundy
Institution: University of California, San Francisco
Grant No: R36 HS22383-01
Period: 9/30/13 – 2/28/15
Title: Examining the Interaction Between Nurses and Industry in Clinical Practice
As policies continue to restrict pharmaceutical industry access to physicians, and the influence of RNs on treatment and purchasing decisions grows, RNs may be increasingly exposed to marketing in their clinical practice and susceptible to conflicts of interest. Research is required to understand RNs' interactions with industry so that relevant and effective policy can be developed to ensure the quality and safety of patient care. The study is multi-sited in that 3-4 healthcare settings will be purposively selected to reflect a spectrum of industry relations policy options and employer types. This descriptive study will draw on data collected from four sources: 1) targeted observation of nurse-industry interactions; 2) focus groups with RNs; 3) individual interviews with individuals that have direct experience of nurse-industry interactions; and 4) relevant documents analysis. Interpretive phenomenology will be employed as the analytic approach. This methodology will be useful in understanding these interactions in context and to take into consideration the social norms, constraints and facilitators of industry relations.
Principal Investigator: Marcelline R. Harris
Institution: Mayo Clinic Rochester
Grant No: R01 HS15508-03
Period: 4/1/06 – 3/31/10
Title: Analyzing Nurses’ Impact on Outcomes Using Detailed Data
There is increasing but inconsistent evidence of a relationship between hospital nurse staffing and adverse patient outcomes. This retrospective historical cohort study addresses this problem by taking advantage of 5-years (1999-2003) of the unique data resources of Mayo Clinic and its hospitals, which over the study period include data on 250,000 admissions, 1.5 million patient days, and 4.5 million patient shifts. The objectives are to determine: a) which patients are most at risk for experiencing a complication related to nurse staffing; b) whether associations between outcomes and nurse staffing are as strong as reported, and hence, whether they should be relied upon in surveillance systems for monitoring hospital quality; c) new acuity adjustment metrics for use in analyzing nurse sensitive patient outcomes; and d) outcomes and their associated costs at discharge and within 30 days follow-up. Subsequently, this study can provide heretofore missing evidence needed to define nurse staffing levels associated with patient safety in U.S. hospitals.
Principal Investigator: Amanda Hessel
Institution: Rutgers University
Grant No: R36 HS021988
Period: 9/30/12 – 12/31/13
Title: Impact of Health Information Technology on Delivery and Quality of Patient Care
Summary: This study will use existing database to examine individual and cumulative impacts of electronic health record (EHR) utilization and functionality, organizational climate, nurse staffing levels, and the delivery of nursing care on patient outcomes in a sample of 72 acute care hospitals. It will quantify the effects of differing EHR implementation and functionality, organizational climate, nurse staffing levels, and the delivery of nursing care on patient mortality and non-mortality nursing outcomes such as catheter-related blood stream infections and hospital readmission.
Principal Investigator: Arlene E. Johnson
Institution: Clemson University
Grant No: R03 HS20233
Period: 9/30/11 -7/31/13
Title: Enhancing Patient Safety for Nurses Through Virtual Patient Interaction
This research project focuses on developing an innovative virtual pediatric patient system, which will be utilized to enhance patient safety in the education of baccalaureate nursing students. The objective of the proposed research is to use a combination of emerging computing and virtual reality technologies to build and test a virtual patient system. The specific aims of the research are: 1) design, model, and program virtual patients (a mother and child), 2) assess the feasibility and functionality of the virtual patient system, and 3) assess the usability of the virtual patient system to promote the development of patient interviewing skills in baccalaureate nursing students. The proposed virtual pediatric patient system is an interdisciplinary approach to research that has the potential to improve nurse interviewing and clinical decision making skills, which will ultimately lead to enhanced patient safety. The virtual patient system uses a combination of emerging computing and virtual reality technologies to build and evaluate a virtual patient system (including a child and mother). The system is designed to enhance clinical nursing education, by allowing nursing students to have face-to-face interactions with a virtual child and mother in an ambulatory care setting. The virtual patient system has the potential to improve nurse interviewing and clinical decision making skills, which will ultimately enhance patient safety.
Principal Investigator: Tiffany Kelley, doctoral candidate
Institution: Duke University
Grant No: HS21075
Title: Information Needs While Caring for Hospitalized Children
Summary: In order to effectively evaluate the use of electronic nursing documentation on the improvement of safety and quality of care to hospitalized patients, an understanding of the use of paper-based documentation is necessary. This dissertation will use a descriptive convergent mixed-methods multiple-case study design to investigate the use of paper-based and electronic nursing documentation by an inpatient pediatric unit at Duke University Hospital that recently converted from paper-based to electronic nursing documentation. Findings from this study will be used to create standards for nursing documentation, enhance and refine the design of electronic nursing documentation systems, and identify hardware devices that integrate with nursing workflow to maximize the collection and communication of patient information.
Principal Investigator: Gail Mallory
Institution: Oncology Nursing Society
Grant No: R18 HS21957
Period: 1/1/13 – 12/31/15
Title: Cancer Caregiver-Centered Outcomes Research: Dissemination by Health Professionals
Summary: The purpose of this proposed study is to examine and evaluate the reach, effectiveness, and impact of a cancer caregiver-centered outcomes research electronic targeted messaging campaign to ONS members. The impacts of this project include the following: (1) Evidence regarding the effectiveness of targeted e-mail messaging as a way to disseminate evidence and improve practice behaviors can be applied in other key topic areas and by other groups. (2) Experience and development of methodologies to link demographics with web behavior, response to e-mail messages, response to surveys, and clinical behaviors can be used by the organization and shared with others to further efforts to improve quality care in other topic areas. (3) Identification of additional resources and formats that may improve overall evidence resource accessibility and use in practice that can be used by ONS in other areas and to inform other organizations and groups.
Principal Investigator: Mary E. Mancini
Institution: University of Texas, Arlington
Grant No: R18 HS20416-03
Period: 4/1/11 – 3/31/15
Title: Improving Physician and Nurse Communication
Summary: Building on our research team's work in the military and healthcare sectors, this application seeks to develop and evaluate a "serious" game that improves the communication skills of practicing physicians and nurses The game will be constructed to allow healthcare providers to appreciate the impact of ineffective inter-professional communication while experimenting with and learning more effective communication skills and behaviors through practice and feedback. Through an iterative development and evaluation process, this development and dissemination project will apply existing gaming knowledge and technology to a new setting - healthcare. The result of this work will also inform future research initiatives using gaming environments in other healthcare related situations and with other healthcare professionals.
Principal Investigator: Joanne Pohl
Institution: Michigan Public Health Institute
Grant No: R18 HS017191
Period: 9/13/07 – 9/30/11
Title: A Partnership for Clinician Electronic Health Record Use and Quality of Care
Principal Investigator: Mary Jean Schumann
Institution: George Washington University School of Nursing
Grant No: R13 HS21600
Period: 9/30/12 – 12/31/13
Title: Symposium on Patient Engagement
Summary: The Nursing Alliance for Quality Care plans a conference on patient engagement (PE), or the active involvement of patients as partners in their own healthcare. The Culture of Engagement symposium will bring together research, policy and strategy experts including nurses, physicians and consumers, with the broad objective of promoting research into the area of PE, specifically examining ways in which nurses can play a key role in implementing PE. The major aims of this conference are to: (1) Develop a national consensus-based white paper that will define the role of nurses in better effectively fostering consumer/patient and family engagement in every aspect of health care, including decision making, care coordination, and self-care management; (2) Involve a diverse, interdisciplinary group of health professionals in an expert panel, a nursing conference, and follow-on activities that will promote significant patient engagement policy, research and strategy setting to improve the patient/consumer healthcare experience; and (3) Use the conference activities and the white paper to establish a set of consensus-based recommendations and action steps that nurses can use to facilitate patient engagement.
Principal Investigator: Sandra L. Siedlecki
Institution: Cleveland Clinic Foundation
Grant No: R13 HS23344-01
Period: 4/1/14 – 3/31/15
Title: Nursing Research Conference. Launching New Knowledge: 10 Years and Counting
Summary: The purpose of this conference is to facilitate the generation, dissemination, and translation of clinical research knowledge into actionable nursing interventions that improve the health and well-being of patients. This forum decreases the length of time it takes for research knowledge to generate actionable changes in practice that improve patient care. The conference provides an avenue for dissemination of clinical nursing research findings and opportunities for clinical nurses to actively interact and network with experienced nurse researchers. This conference is specifically planned to meet the unique needs of the clinical nurse who is in a unique position to identify the problems in need of a solution.
Principal Investigator: Janet Stifter, doctoral candidate
Institution: University of Illinois at Chicago
Grant No: R36 HS23072-01
Title: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers
Summary: The purpose of this study is to examine the relationship between nurse continuity and hospital-acquired pressure ulcers. For this study nurse continuity is defined as a consistent nurse caregiver who provides care to the patient during the hospitalization. By virtue of the coordinated, seamless care resulting from nurse continuity, the central study hypothesis is that when nurse continuity is present there will be fewer pressure ulcers than when nurse continuity is absent. The nurse staffing variable number of shifts cared for by the same/single RN is used to measure nurse continuity. The innovative Hands on Automated Nursing Data System (HANDS) with its standardized nursing data will allow the examination of the influence of nurse continuity because a variety of nurse staffing measures, including nurse continuity, are linked with an individual patient's predictors and pressure ulcer outcomes across the hospitalization.. The study findings are urgently needed because future nursing services reorganization could adversely affect patient safety and care, unless health services scientists demonstrate a clear link between nurse continuity and improved patient outcomes.
Principal Investigator: Beth Ann Swan
Institution: Thomas Jefferson University
Grant No: R13 HS18895
Period: 9/30/12 – 12/31/13
Title: Ambulatory Care Registered Nurse Performance Measurement Conference
Summary: The specific aims/objectives of the conference are to: 1. Convene a working research conference to formulate a research agenda and develop a strategy to study the testable components of the registered nurse (RN) role related to care coordination and transition in the patient-centered medical home (PCMH) related to improving patient outcomes, decreasing health care costs, and promoting sustainable system change. 2. Identify two nursing sensitive quality indicators that will measure the impact of RNs on cost, access, quality, and value in meeting goals of the PCMH. 3. Discuss methodological and technical issues related to measure development and testing. 4. Develop a research demonstration project proposal (R18) that tests the measures of RNs as care and transition coordinators, managing multiple chronic illnesses, in the PCMH (proposed submission date May 2010). 5. Disseminate conference findings to organizations and individuals that have the capability to use the information to improve the quality of health care services
Principal Investigator: Heather Tubbs Cooley, doctoral candidate
Institution: University of Pennsylvania
Grant No: HS18802
Title: The Impact of Nursing Workforce Organization on Outcomes of Hospitalized Children
This cross-sectional, observational study will: 1)determine the extent to which nursing workforce organization is associated with outcomes for children hospitalized with common medical and surgical conditions after controlling for patient and hospital characteristics: and 2) compare outcomes for children treated in general hospitals and children’s hospitals and, where differences exist, to determine the extent to which nursing workforce organization accounts for these differences. The sample includes 259 hospitals, 32,000 nurses, and 90,000 pediatric patients.