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Institution: University of Massachusetts Boston
Grant Title: Testing
the Quality Health Outcomes Model in Cancer Care
Grant Number: K08 HS011625
Total Award: $632,300
Project Description: This project has been
completed. The Quality Health Outcomes Model (QHOM) and Dr. Radwin's
middle-range theory of high quality cancer nursing care provided a dynamic
framework for examining relationships among patient-centered nursing care,
patient state and trait characteristics, health care system characteristics,
and desired patient outcomes. The series of studies culminated in the
examination of relationships among:
- Patient-centered nursing care for a
racially diverse group of hospitalized cancer patients.
- Patient state and
trait characteristics, including gender, race, and age.
- Health care system
characteristics at the unit level.
- Desired oncology patient outcomes.
Career Goals: Dr. Radwin is an Associate Professor in the Department of Nursing at the University of Massachusetts and a Yvonne L. Munn Nurse Researcher in the Munn Center for Nursing Research at Massachusetts General Hospital. She earned her Ph.D. in Nursing from Boston College where she received numerous academic awards. She continues to conduct studies and carry out activities related to the quality of patient-centered nursing care and the achievement of desired health-related quality of life (HRQOL) outcomes.
Progress to Date: Conceptual analyses in this study addressed the QHOM as a research program framework and offered QHOM refinement. Qualitative findings provided a conceptual definition of individualization, which characterizes patient-centered care, and a typology of concepts reflecting cancer patients' descriptions of nursing care.
K-Generated Publications (selected):
Alster K., Radwin L.
The deserved care framework for evaluating health care quality. Home Healthcare
Management and Practice 2004. 16:332-38
Radwin L, Washko M, Suchy K, Tyman K. Development and pilot
psychometric testing of four desired health outcome scales: Fortitude, trust
in nurses, cancer patient optimism, and authentic self-representation. Oncology
Nursing Forum 2005. 32:92-6
Radwin L, Fahrquar S, Knowles M, Virchick B. Cancer patients'
descriptions of their nursing care. Journal of Advanced Nursing 2005.
Radwin L. Arthritis symptoms, information sources, and a
constantly shifting threshold of risk-benefit ratios influenced elderly
patients' decisions about total joint replacement. Evidence Based Nursing
Radwin L. Refining the quality health outcomes model:
Differentiating between client trait and state characteristics. Nursing
Outlook 2002. 50:168-69.
Radwin L. Gate keeping and legitimization were central in the
interactions between informal carers of older people and health care workers.
Evidence Based Nursing 2002 5:95.
Radwin L. Cancer patients' demographic characteristics and
ratings of patient-centered nursing care. Journal of Nursing Scholarship 2003.
Radwin L. Thresholds for requesting transfers to tertiary care
were influenced by perceptions of the current illness and differences in
perceptions of the initial hospital and tertiary care center. Evidence Based
Nursing 2006. 9:93.
Radwin L, Alster K. Individualized nursing care: An
empirically generated definition. Internal Nursing Review 2002. 49:54-63.
Radwin K, Alster K, Rubin K. The development and testing of
the oncology Patients' perceptions of the quality of nursing care scale
(OPPQNCS). Oncology Nursing Forum 2003. 30:283-90.
Radwin L, Fawcett J. A conceptual model-based program of
nursing research: Retrospective and prospective applications. Journal of
Advanced Nursing 2002. 40:355-60.
Radwin L, Wilkes G, Cabral H. Effects of patient-centered
oncology care on desired patient outcomes. Psycho-Oncology 2008. 17:S53.
Radwin L, Wilkes G, Curtin L, et al. Enhancing patients' trust
in oncology nursing care. Oncology Nursing Forum 2007. 34:237.
Suhonen R, Schmidt L, Radwin
L. Measuring individualized nursing care: Assessment of reliability and
validity of three scales. Journal of Advanced Nursing 2007. 59:77-85.
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