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Building PHN Scientists
Carolyn L. Blue, RN, PhD, CHES Community Practice Department School of Nursing The University of North Greensboro
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Presenter Disclosures
Carolyn L. Blue I have no relationships to disclose.
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Highlights from the National Scientific Agenda
Science-based decisions Collaborative research teams (interdisciplinary and public-private partnerships) Translating medical science to public health benefits Focus on prevention and health promotion Public health systems research Policy research Shift from “pure” research to problem-oriented, applied research
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Health Care Reform: What it Means for PHN Research
Comparative clinical effectiveness research Service delivery, care management, and client outcomes Expenditures associated with community prevention practices Patient needs, outcomes, and preferences of care Evidence building from systematic review of existing research Quality improvement in health care service delivery Quality and efficiency of care Measures to establish “best practices” Translational research from academia to community settings Data collection and analysis to understand health disparities
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Educating for comparative clinical effectiveness research
Theory-driven intervention design Statistical and other analytic methods Health informatics Instrumentation Subgroup analysis
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Educating for quality improvement in health care service delivery
Systems analysis Markets, management, & business practices Health policy process Health economics Evidence-based “best practices” Embed leadership competencies
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Educating for translational research
Experiences that foster collaborative partnerships and networks Academic partnering with community groups and stakeholders Transdisciplinary partnering Workforce socialized to partner with scientists in academia
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Educating for data collection and analysis to understand health disparities
Epidemiology Healthy People indicators &objectives Research design Statistics Ethical principles
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DNP vs. PHD Education for PHN Science Development
Clinically intensive career Engages in practice based on evidence Practice-oriented clinical investigations (e.g., outcome research) PHD: Research intensive career Engages in research to generate new knowledge Broad spectrum of investigations relevant to PHN “Win-win” when the two collaborate!!!
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Socialization of Nurse Scientists
Establish a research culture Mentor students for immersion into science Advance information technology as tools to 1) engage in public health measurable objectives of importance and 2) promote population health. Encourage publication practices and authorship. Encourage intellectual curiosity about the research others have conducted. Follow new developments in public health and public health nursing Insist on ethical conduct in research involving humans. Noncompetative environment (resist pressure to produce poor science) Personal responsibility
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Habits of the Mind Basic desire for discovery
Respect for others’ research Willingness to examine own’s research critically and objectively Discrimination between knowledge and subjective beliefs Willingness to change one’s own mind if evidence warrants it Willingness to challenge science Willingness to subject one’s research to peer review Willingness to take intellectual risks Tolerance for nonsignificant findings Understand the purpose of research is to improve population health Value co-learning and capacity building among community partners Seek novel approaches to address research questions Note. From American Academy of Health Behavior WorkGroup on Doctoral Research Training. (2005). A vision for doctoral research training in health behavior: A position paper from the American Academy of Health Behavior. American Journal of Health Behavior, 29(6),
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What does Rausch recommend???
The community of PHN researchers make recommendations for progress based on research. It is beneficial to PHN science to critique and debate findings. Questioning and challenging current ideas is healthy to moving PHN science forward. It is proper to discuss controversial ideas (without penalty).
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Each of us has a spark of life inside us and our highest endeavor ought to be to set off the spark in one another Florence Nightengale
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