1 00:00:05,633 --> 00:00:07,101 A SPECIAL 2 00:00:07,101 --> 00:00:13,674 THANK YOU TO MEMBERS AND NIR 3 00:00:13,674 --> 00:00:14,775 COMMUNITY. THIS WILL BE WEBCAST 4 00:00:14,775 --> 00:00:15,743 AND THANK YOU FOR JOINING US. 5 00:00:15,743 --> 00:00:17,411 BEFORE WE GET STARTED, I WILL 6 00:00:17,411 --> 00:00:19,447 TURN THE MEETING OVER TO DR. 7 00:00:19,447 --> 00:00:20,581 EXCELLENCIES EXCELLENCIES, OUR 8 00:00:20,581 --> 00:00:22,250 EXECUTIVE SECRETARY, TO WALK US 9 00:00:22,250 --> 00:00:27,722 THROUGH THE MEETING LOGISTICS. 10 00:00:27,722 --> 00:00:28,990 GOOD MORNING, WELCOME. I 11 00:00:28,990 --> 00:00:30,358 WILL DO A ROLL CALL TO ENSURE WE 12 00:00:30,358 --> 00:00:31,893 HAVE A QUORUM FOR TODAY'S 13 00:00:31,893 --> 00:00:32,994 MEETING. PLEASE SAY PRESENT OR 14 00:00:32,994 --> 00:00:38,933 HERE WHEN I CALL YOUR NAME. DR. 15 00:00:38,933 --> 00:00:42,536 ATK 16 00:00:42,536 --> 00:00:46,007 ATKINS. DR. AYALA. 17 00:00:46,007 --> 00:00:47,942 >> PRESENT. 18 00:00:47,942 --> 00:00:49,911 >> DR. BEKEMEIER. 19 00:00:49,911 --> 00:00:53,114 >> PRESENT. 20 00:00:53,114 --> 00:00:55,883 >> PROFESSOR DAS. 21 00:00:55,883 --> 00:00:57,018 >> PRESENT. 22 00:00:57,018 --> 00:00:59,887 >> DR. FITZPATRICK. 23 00:00:59,887 --> 00:01:10,164 >> PRESENT. 24 00:01:11,198 --> 00:01:16,837 >> DR. RAMOS. PRESENT. 25 00:01:16,837 --> 00:01:19,907 >> DR. HERRINGTON. 26 00:01:19,907 --> 00:01:20,608 >> PRESENT. 27 00:01:20,608 --> 00:01:27,882 >> DR. MIRANDA. DR. STONE. 28 00:01:27,882 --> 00:01:28,382 DR. WAYNE. 29 00:01:28,382 --> 00:01:29,116 >> PRESENT. 30 00:01:29,116 --> 00:01:32,053 >> DR. SULLIVAN IS UNABLE TO 31 00:01:32,053 --> 00:01:33,454 JOIN US TODAY. 32 00:01:33,454 --> 00:01:35,122 >> SULLIVAN IS HERE, SORRY. 33 00:01:35,122 --> 00:01:39,093 >> AH. WELCOME, DR. SULLIVAN. 34 00:01:39,093 --> 00:01:39,560 >> THANK YOU. 35 00:01:39,560 --> 00:01:43,197 >> DR. STONE IS HERE. I 36 00:01:43,197 --> 00:01:45,232 COULDN'T GET MY MIC OFF. 37 00:01:45,232 --> 00:01:46,867 >> GOOD MORNING, DR. STONE. 38 00:01:46,867 --> 00:01:49,136 DR. AKLIN, WE HAVE A QUORUM FOR 39 00:01:49,136 --> 00:01:50,338 THIS MEETING. I'LL NOW TURN TO A 40 00:01:50,338 --> 00:01:55,810 VOTE ON THE MINUTES FROM THE 41 00:01:55,810 --> 00:01:59,113 LAST COUNCIL MEETING, MINUTES OF 42 00:01:59,113 --> 00:02:00,047 SEPTEMBER 2024 MEETING WERE MADE 43 00:02:00,047 --> 00:02:01,449 AVAILABLE IN THE COUNCIL BOOK 44 00:02:01,449 --> 00:02:03,184 FOR YOUR REVIEW. MAY I HAVE A 45 00:02:03,184 --> 00:02:05,486 MOTION TO APPROVE, PLEASE? 46 00:02:05,486 --> 00:02:07,054 >> SO MOVED. 47 00:02:07,054 --> 00:02:09,991 >> A SECOND? 48 00:02:09,991 --> 00:02:11,125 >> SECOND. 49 00:02:11,125 --> 00:02:15,429 >> IS THERE ANY DISCUSSION? 50 00:02:15,429 --> 00:02:22,269 ANY OPPOSED TO THE MINUTES? 51 00:02:22,269 --> 00:02:25,773 MOTION CARRIES. THANK YOU. NOW 52 00:02:25,773 --> 00:02:28,409 ON MEETING LOGISTICS. THIS IS A 53 00:02:28,409 --> 00:02:30,344 ONE-DAY MEETING. AS ALWAYS, A 54 00:02:30,344 --> 00:02:31,912 RECORDING OF THIS MEET LOG BE 55 00:02:31,912 --> 00:02:35,683 AVAILABLE AT THE ADDRESS SHOWN. 56 00:02:35,683 --> 00:02:37,485 CLOSED SESSION WILL BEGIN 57 00:02:37,485 --> 00:02:39,920 APPROXIMATELY TEN MINUTES 58 00:02:39,920 --> 00:02:41,555 FOLLOWING THE END OF OPEN 59 00:02:41,555 --> 00:02:43,891 SESSION. DATES FOR FUTURE 60 00:02:43,891 --> 00:02:49,964 COUNCIL MEETINGS ARE LISTED ON 61 00:02:49,964 --> 00:02:52,166 THE NINR WEBPAGE AND THE 62 00:02:52,166 --> 00:02:53,701 ELECTRONIC COUNCIL BOOK. PLEASE 63 00:02:53,701 --> 00:02:55,236 ADD THESE TO YOUR CALENDAR. A 64 00:02:55,236 --> 00:02:59,106 SUMMER MEET LOG BE ADDED WHEN A 65 00:02:59,106 --> 00:03:00,908 COMMONLY ACCEPTABLE DATE CAN BE 66 00:03:00,908 --> 00:03:03,310 FOUND. THIS WILL BE A VIRTUAL 67 00:03:03,310 --> 00:03:07,481 MEETING. AS SOON AS WE HAVE 68 00:03:07,481 --> 00:03:08,816 FINALIZED A DATE, WE WILL LET 69 00:03:08,816 --> 00:03:12,820 YOU KNOW. I WANT TO REMIND 70 00:03:12,820 --> 00:03:13,754 COUNCILMEMBERS, OTHERWISE THAN 71 00:03:13,754 --> 00:03:15,389 EX OFFICIO, YOU ARE SPECIAL 72 00:03:15,389 --> 00:03:16,824 GOVERNMENT EMPLOYEES. AS SUCH, 73 00:03:16,824 --> 00:03:19,894 YOU MAY NOT ENGAGE IN LOBBYING 74 00:03:19,894 --> 00:03:21,529 ACTIVITIES WHILE RECEIVING PAY 75 00:03:21,529 --> 00:03:23,030 FROM THE FEDERAL GOVERNMENT. 76 00:03:23,030 --> 00:03:25,132 FURTHER INFORMATION REGARDING 77 00:03:25,132 --> 00:03:25,733 CONFLICT OF INTEREST AND 78 00:03:25,733 --> 00:03:28,636 CONFIDENTIALITY REQUIREMENTS ARE 79 00:03:28,636 --> 00:03:29,904 POSTED IN THE ELECTRONIC COUNCIL 80 00:03:29,904 --> 00:03:32,306 BOOK, SO PLEASE REVIEW THOSE IF 81 00:03:32,306 --> 00:03:34,041 YOU HAVE NOT DONE SO ALREADY. I 82 00:03:34,041 --> 00:03:37,711 WILL GIVE MORE SPECIFIC 83 00:03:37,711 --> 00:03:39,013 INSTRUCTIONS ABOUT CONFLICT OF 84 00:03:39,013 --> 00:03:39,847 INTEREST AND CONFIDENTIALITY AT 85 00:03:39,847 --> 00:03:41,348 THE BEGINNING OF THE CLOSED 86 00:03:41,348 --> 00:03:43,617 SESSION THAT FOLLOWS. NOW I WILL 87 00:03:43,617 --> 00:03:46,020 TURN IT BACK TO DR. AKLIN FOR 88 00:03:46,020 --> 00:03:48,923 THE NINR ACTING DIRECTOR'S 89 00:03:48,923 --> 00:03:50,925 REPORT. 90 00:03:50,925 --> 00:03:56,831 >> THANK YOU, DR. TARLOV. 91 00:03:56,831 --> 00:03:59,900 COULD WE GO BACK TO THE 92 00:03:59,900 --> 00:04:02,403 BEGIN ING?ENTER I'M DR. 93 00:04:02,403 --> 00:04:05,172 COURTNEY AKLIN, THE DIRECTOR OF 94 00:04:05,172 --> 00:04:07,108 THE RESEARCH. I HAVE BEEN 95 00:04:07,108 --> 00:04:08,709 SERVING AS A DEPUTY DIRECTOR 96 00:04:08,709 --> 00:04:10,377 PRIOR IN OCTOBER OF 2023. BEFORE 97 00:04:10,377 --> 00:04:12,646 WE GET STARTED I WANT TO TAKE A 98 00:04:12,646 --> 00:04:14,248 MOMENT TO EXPRESS MY 99 00:04:14,248 --> 00:04:15,349 APPRECIATION AND GRATITUDE FOR 100 00:04:15,349 --> 00:04:23,190 DR. SHANNON FINK WHO LEAD NINR 101 00:04:23,190 --> 00:04:26,060 PRIOR. THE DOCTOR SET US ON OUR 102 00:04:26,060 --> 00:04:27,328 CURRENT TRAJECTORY, WHICH WE 103 00:04:27,328 --> 00:04:29,530 WILL DISCUSS IN MORE DETAIL 104 00:04:29,530 --> 00:04:31,365 LATER. NEXT SLIDE, PLEASE. TODAY 105 00:04:31,365 --> 00:04:34,768 MARKS OUR FIRST COUNCIL OF 2025. 106 00:04:34,768 --> 00:04:37,004 AS WE PAUSE THE COUNCIL TO ALLOW 107 00:04:37,004 --> 00:04:38,272 TIME FOR THE PRESIDENTIAL 108 00:04:38,272 --> 00:04:40,341 TRANSITION TO OCCUR, WE ARE 109 00:04:40,341 --> 00:04:42,476 PLANNING TO ADD ANOTHER COUNCIL 110 00:04:42,476 --> 00:04:43,878 THIS SUMMER, AS DR. TARLOV 111 00:04:43,878 --> 00:04:46,313 MENTIONED, TO MAKE UP FOR THE 112 00:04:46,313 --> 00:04:48,215 JANUARY COUNCIL WE MISSED AND IN 113 00:04:48,215 --> 00:04:49,116 COMPLIANCE WITH THREE FISCAL 114 00:04:49,116 --> 00:04:50,684 MEETINGS THIS YEAR. YOU CAN 115 00:04:50,684 --> 00:04:52,987 EXPECT THE REGULARLY-SCHEDULED 116 00:04:52,987 --> 00:04:54,989 MEETING TO FOLLOW FOR THE 117 00:04:54,989 --> 00:04:56,657 SUMMER, THEN BACK ON TRACK WITH 118 00:04:56,657 --> 00:04:58,425 REGULAR JANUARY, MAY AND 119 00:04:58,425 --> 00:05:00,594 SEPTEMBER COUNCILS IN 2026. I'M 120 00:05:00,594 --> 00:05:02,296 LOOKING FORWARD TO LOOKING WITH 121 00:05:02,296 --> 00:05:06,333 YOU TO ADVANCE NURSING SCIENCE 122 00:05:06,333 --> 00:05:09,603 AGAIN. NEXT SLIDE, PLEASE. (?) 123 00:05:09,603 --> 00:05:11,272 AS COUNCILMEMBERS IS CRUCIAL TO 124 00:05:11,272 --> 00:05:14,308 ABILITY TO SUPPORT THE WORK 125 00:05:14,308 --> 00:05:15,943 NECESSARY TO ADVANCE. I'M 126 00:05:15,943 --> 00:05:17,178 DELIGHTED TO BRING A NEW MEMBER 127 00:05:17,178 --> 00:05:19,079 TO OUR COUNCIL. I'M EXCITED TO 128 00:05:19,079 --> 00:05:22,416 INTRODUCE AND WELCOME DR. MARIE 129 00:05:22,416 --> 00:05:23,851 LYNNE MIRANDA TO THE COUNCIL. 130 00:05:23,851 --> 00:05:30,224 DR. MIRANDA IS A NATIONAL KNOWN 131 00:05:30,224 --> 00:05:33,160 LEADER IN GEO SPACE (?) AND TOOK 132 00:05:33,160 --> 00:05:36,030 POSITION IN 2023 AND BRINGS 133 00:05:36,030 --> 00:05:38,866 ACCESS AND EXCELLENCE AT SCALE 134 00:05:38,866 --> 00:05:39,900 ACROSS EDUCATIONAL RESEARCH AND 135 00:05:39,900 --> 00:05:41,802 CLINICAL ENTERPRISE. SHE 136 00:05:41,802 --> 00:05:43,904 CHAMPIONS A VISION THAT 137 00:05:43,904 --> 00:05:46,006 PRIORITIZES SUCCESS OF STUDENTS 138 00:05:46,006 --> 00:05:47,641 AND SEEKS TO ENHANCE 139 00:05:47,641 --> 00:05:51,212 SCHOLARSHIPS AND THE 500 BILLION 140 00:05:51,212 --> 00:05:55,015 RESEARCH PROGRAM. DR. MIR MIR 141 00:05:55,015 --> 00:05:57,351 RAN /* MIRANDA WILL BE A 142 00:05:57,351 --> 00:05:58,419 VALUABLE ASSET TO OUR DISCUSSION 143 00:05:58,419 --> 00:06:00,821 AND WE WELCOME DR. MIRANDA. WE 144 00:06:00,821 --> 00:06:03,757 LOOK FORWARD TO YOUR 145 00:06:03,757 --> 00:06:05,459 CONTRIBUTION. NEXT SLIDE, 146 00:06:05,459 --> 00:06:06,794 PLEASE. WITH ALL THE TRANSITIONS 147 00:06:06,794 --> 00:06:09,029 THAT ARE OCCURRING AND HAVE BEEN 148 00:06:09,029 --> 00:06:11,098 OCCURRING, I WOULD BE REMISS IF 149 00:06:11,098 --> 00:06:15,269 I DID NOT ACKNOWLEDGE THAT NIH 150 00:06:15,269 --> 00:06:16,870 AND NINR ARE GOING THROUGH 151 00:06:16,870 --> 00:06:18,105 ADJUSTMENT. WE HAVE EXPERIENCED 152 00:06:18,105 --> 00:06:19,840 STAFF CHANGES OVER THE LAST FEW 153 00:06:19,840 --> 00:06:21,442 MONTHS THAT HAVE LEFT AN 154 00:06:21,442 --> 00:06:22,943 INDELIBLE MARK. AS A RESULT OF 155 00:06:22,943 --> 00:06:27,181 REDUCTION IN FORCE, SEVERAL 156 00:06:27,181 --> 00:06:30,084 LEADERS, (?) AND COLLEGES ACROSS 157 00:06:30,084 --> 00:06:31,518 THE SUBSTITUTE HAVE BEEN 158 00:06:31,518 --> 00:06:32,853 SEPARATED. WE ARE GRATEFUL FOR 159 00:06:32,853 --> 00:06:34,588 THE YEARS OF SERVICE FROM THESE 160 00:06:34,588 --> 00:06:36,890 INDIVIDUALS AND IMPACT THEY HAVE 161 00:06:36,890 --> 00:06:41,161 MADE AT NINR. NEXT SLIDE, 162 00:06:41,161 --> 00:06:43,897 PLEASE. WE ALSO HAVE WELCOMED A 163 00:06:43,897 --> 00:06:47,835 NEW LEADER TO THE STAFF AND LIKE 164 00:06:47,835 --> 00:06:55,876 TO JOIN (?) AS OUR EXECUTIVE 165 00:06:55,876 --> 00:06:57,711 OFFICER. SHE'S QUICKLY TAKEN 166 00:06:57,711 --> 00:07:02,216 CONTROL OF OUR OPERATIONS, MORE 167 00:07:02,216 --> 00:07:04,652 EFFICIENT AND EFFECTIVE 168 00:07:04,652 --> 00:07:07,888 PROCEDURES. NEXT SLIDE, PLEASE. 169 00:07:07,888 --> 00:07:11,392 WHILE FOCUSING ON INTRODUCTION I 170 00:07:11,392 --> 00:07:13,027 WANT TO NOTE THE NEW LEADERSHIP 171 00:07:13,027 --> 00:07:15,896 WITH THE PRESIDENTIAL 172 00:07:15,896 --> 00:07:19,099 TRANSITION. AS IS USUAL WE SEE 173 00:07:19,099 --> 00:07:22,036 CHANGES AT THE AGENCY LEVEL. ON 174 00:07:22,036 --> 00:07:22,603 FEBRUARY 13TH, ROBERT F. 175 00:07:22,603 --> 00:07:24,772 KENNEDY , JR. WAS CONFIRMED AS 176 00:07:24,772 --> 00:07:25,806 SECRETARY OF DEPARTMENT OF 177 00:07:25,806 --> 00:07:28,809 HEALTH AND HUMAN SERVICES. THEN 178 00:07:28,809 --> 00:07:34,214 MARCH 25TH DR. JAY BONACARIA AT 179 00:07:34,214 --> 00:07:35,616 THE NATIONAL INSTITUTES OF 180 00:07:35,616 --> 00:07:38,118 HEALTH THERE HAVE BEEN OTHER 181 00:07:38,118 --> 00:07:40,821 CASCADING LEADERSHIPS WITHIN THE 182 00:07:40,821 --> 00:07:46,393 NIH. DR. MAGNUMLY IS PRINCIPLE 183 00:07:46,393 --> 00:07:48,429 DIRECTOR AFTER SERVING FOR 184 00:07:48,429 --> 00:07:50,764 JANUARY 22ND THROUGH MARCH 31ST. 185 00:07:50,764 --> 00:07:53,167 MS. SHAWNA CRANSO IN IS THE NEW 186 00:07:53,167 --> 00:07:55,769 CHIEF OF STAFF. MR. JAMES ROY IS 187 00:07:55,769 --> 00:07:59,173 DEPUTY CHIEF STAFF. MR. ERIC 188 00:07:59,173 --> 00:08:03,877 SCHNABEL IS NEW CHIEF OPERATING 189 00:08:03,877 --> 00:08:06,113 OFFICER. NEXT SLIDE, PLEASE. 190 00:08:06,113 --> 00:08:07,715 SWITCHING TO BUDGET AND POLICY 191 00:08:07,715 --> 00:08:10,484 NEWS, WITH RESPECT TO BUDGET, 192 00:08:10,484 --> 00:08:12,252 MARCH 15, 2025, THE PRESIDENT 193 00:08:12,252 --> 00:08:13,654 SIGNED A FULL-YEAR RESOLUTION 194 00:08:13,654 --> 00:08:16,790 FOR FISCAL YEAR 2025 WHICH 195 00:08:16,790 --> 00:08:22,096 PROVIDES NIH WITH 48.5 BILLION. 196 00:08:22,096 --> 00:08:23,664 197.7 MILLION OF THAT FUNDING IS 197 00:08:23,664 --> 00:08:25,966 DEDICATED TO NINR, CONSISTENT 198 00:08:25,966 --> 00:08:27,401 WITH FY24 LEVEL. WE ARE 199 00:08:27,401 --> 00:08:29,136 COMMITTED TO CONTINUING AS WE 200 00:08:29,136 --> 00:08:31,038 USUALLY DO. THE RESPONSIBLE 201 00:08:31,038 --> 00:08:32,840 STEWARDSHIP OF THESE FUNDS TO 202 00:08:32,840 --> 00:08:35,342 MAXIMIZE THE IMPACT OF WORK AND 203 00:08:35,342 --> 00:08:38,879 OUR RESEARCH. NEXT SLIDE, 204 00:08:38,879 --> 00:08:40,848 PLEASE. IN THE PAST FEW MONTHS, 205 00:08:40,848 --> 00:08:42,883 SEVERAL POLICIES HAVE BEEN 206 00:08:42,883 --> 00:08:47,321 ISSUED OR UPDATED. I WILL TAKE A 207 00:08:47,321 --> 00:08:48,722 MOMENT TO HIGHLIGHT A FEW. 208 00:08:48,722 --> 00:08:51,892 PUBLIC ACCESS, REQUIRING PEER 209 00:08:51,892 --> 00:08:53,227 REVIEW JOURNAL ARTICLES FROM 210 00:08:53,227 --> 00:08:54,528 FEDERALLY FUNDED RESEARCH BE 211 00:08:54,528 --> 00:08:56,697 MADE AVAILABLE TO ENSURE PUBLIC 212 00:08:56,697 --> 00:08:59,900 HAS ACCESS TO PUBLISHED RESULTS 213 00:08:59,900 --> 00:09:01,235 OF NIH FUNDED WORK NECESSARILY 214 00:09:01,235 --> 00:09:03,871 TO ADVANCE THE SCIENCE. NIH 215 00:09:03,871 --> 00:09:05,239 RELEASED UPDATED PUBLIC ACCESS 216 00:09:05,239 --> 00:09:07,107 POLICY IN DECEMBER, WILL BE 217 00:09:07,107 --> 00:09:08,242 EFFECTIVE FOR MAN SCRIPTS 218 00:09:08,242 --> 00:09:11,245 ACCEPTED FOR PUBLICATION ON OR 219 00:09:11,245 --> 00:09:12,913 AFTER JULY 1ST OF THIS YEAR. 220 00:09:12,913 --> 00:09:14,581 CENTRALIZING PEER REVIEW. THE 221 00:09:14,581 --> 00:09:16,617 NIH HAS ANNOUNCED PLANS TO 222 00:09:16,617 --> 00:09:18,452 CENTRALIZE PEER REVIEW FOR ALL 223 00:09:18,452 --> 00:09:19,887 APPLICATIONS FOR GRANT, 224 00:09:19,887 --> 00:09:21,221 COOPERATIVE AGREEMENTS AND 225 00:09:21,221 --> 00:09:23,590 RESEARCH AND DEVELOPMENT 226 00:09:23,590 --> 00:09:25,259 CONTRACTS. THE CENTRALIZATION 227 00:09:25,259 --> 00:09:27,127 WILL APPLY TO FIRST STAGE OF THE 228 00:09:27,127 --> 00:09:29,229 PROCESS. THE PROPOSED 229 00:09:29,229 --> 00:09:31,899 CONSOLIDATION WOULD ELIMINATE 230 00:09:31,899 --> 00:09:34,868 INSTITUTE-BASED STUDY SESSIONS 231 00:09:34,868 --> 00:09:38,305 TO CHR CONDUCTS ALL INTERVIEWS 232 00:09:38,305 --> 00:09:41,141 AND IS IN MOTION AS THEY PREPARE 233 00:09:41,141 --> 00:09:45,045 FOR THE COUNCIL EVENT. NEW FORMS 234 00:09:45,045 --> 00:09:46,647 AWARD STRUCTURE. NIH IS 235 00:09:46,647 --> 00:09:48,315 IMPLEMENTING A NEW AWARDS 236 00:09:48,315 --> 00:09:50,184 STRUCTURE TO ENHANCE 237 00:09:50,184 --> 00:09:52,586 TRANSPARENCY AND TRACKING OF 238 00:09:52,586 --> 00:09:53,787 FUNDS FOR INTERNATIONAL RESEARCH 239 00:09:53,787 --> 00:09:54,154 COLLABORATION . 240 00:09:54,154 --> 00:09:56,723 THE NEW AWARD STRUCTURE WILL 241 00:09:56,723 --> 00:10:00,694 PROHIBIT (?) WORKS FROM BEING 242 00:10:00,694 --> 00:10:02,463 NESTED UNDER PARENT AND 243 00:10:02,463 --> 00:10:04,331 INDEPENDENT AWARDS LINKED TO 244 00:10:04,331 --> 00:10:06,433 THIS. EFFECTIVE MAY 1ST OF 2025, 245 00:10:06,433 --> 00:10:08,902 NIH WILL NOT ISSUE AWARDS TO THE 246 00:10:08,902 --> 00:10:10,471 (?) FOREIGN ENTITY, NEW RENEWAL 247 00:10:10,471 --> 00:10:12,973 OR NON-COMPETING CONTINUATION 248 00:10:12,973 --> 00:10:16,643 THAT INCLUDE AWARD TO A FOREIGN 249 00:10:16,643 --> 00:10:18,545 ENTITY. NIH WILL NO LONGER 250 00:10:18,545 --> 00:10:22,216 ACCEPT PRIOR APPROVAL REQUESTS, 251 00:10:22,216 --> 00:10:23,750 FORMER COMPONENT OR SUB AWARD TO 252 00:10:23,750 --> 00:10:25,986 THE PROJECT. IMPLEMENTATION OF 253 00:10:25,986 --> 00:10:28,622 THIS STRUCTURE IS ANTICIPATED NO 254 00:10:28,622 --> 00:10:30,791 LATER THAN SEPTEMBER 30, 2025, 255 00:10:30,791 --> 00:10:33,126 BEFORE END OF THE FISCAL YEAR. 256 00:10:33,126 --> 00:10:35,295 WE WILL ALSO UPDATE NEW COST 257 00:10:35,295 --> 00:10:38,832 EXTENSION POLICY. NIH'S 258 00:10:38,832 --> 00:10:41,201 TEMPORARILY DISABLED THE 259 00:10:41,201 --> 00:10:43,904 FUNCTIONALITY, WHICH ALLOWED THE 260 00:10:43,904 --> 00:10:46,173 EXTENSION WITHOUT PRIOR 261 00:10:46,173 --> 00:10:47,241 APPROVAL. CURRENTLY ALL COST 262 00:10:47,241 --> 00:10:53,113 EXTENSION REQUESTS MUST BE 263 00:10:53,113 --> 00:10:55,516 SUBMITTED FOR PRIOR APPROVAL. 264 00:10:55,516 --> 00:11:00,120 PROCESSES WILL ALIGN TO ENSURE 265 00:11:00,120 --> 00:11:01,555 TRANSPARENCY AND INTEGRITY. FOR 266 00:11:01,555 --> 00:11:03,123 MORE INFORMATION ON RECENT 267 00:11:03,123 --> 00:11:04,791 POLICY CHANGES REFERENCE LINKS 268 00:11:04,791 --> 00:11:11,131 ON THE SLIDE AT GRANTS @ 269 00:11:11,131 --> 00:11:13,133 NIH.GOV. NEXT SLIDE, PLEASE. AS 270 00:11:13,133 --> 00:11:15,869 I NOTE AT THE BEGINNING, DR. B. 271 00:11:15,869 --> 00:11:17,671 IS NOW THE NIH DIRECTOR. IN HIS 272 00:11:17,671 --> 00:11:21,675 ROLE HE'S CLARIFIED FIVE 273 00:11:21,675 --> 00:11:23,877 PRIORITIES FOR NIH. THE DOCTOR 274 00:11:23,877 --> 00:11:26,013 HAS OUTLINED THE ROLL NIH CAN 275 00:11:26,013 --> 00:11:27,514 AND SHOULD PLAY IN ADDRESSING 276 00:11:27,514 --> 00:11:30,918 CHRONIC DISEASE S SUCH AS 277 00:11:30,918 --> 00:11:32,452 DIABETES, HEART DISEASE, 278 00:11:32,452 --> 00:11:34,021 OBESITY, THE IMPACT ON AMERICAN 279 00:11:34,021 --> 00:11:36,223 LIVES. THIS FOCUS INCLUDES 280 00:11:36,223 --> 00:11:38,592 EMPHASIS ON CUTTING-EDGE 281 00:11:38,592 --> 00:11:39,860 RESEARCH FOR NEW TREATMENT BUT 282 00:11:39,860 --> 00:11:40,861 SCALING AND INCREASING 283 00:11:40,861 --> 00:11:45,532 ACCESSIBILITY OF NEW FUNDING TO 284 00:11:45,532 --> 00:11:47,734 TREATMENT. DR. B. HAS EMPHASIZED 285 00:11:47,734 --> 00:11:50,304 THE IMPORTANT ROLE NIH HAS IN 286 00:11:50,304 --> 00:11:50,938 PRODUCING SCIENTIFIC RESEARCH 287 00:11:50,938 --> 00:11:55,809 THAT IS REPRODUCIBLE, THEREFORE 288 00:11:55,809 --> 00:12:03,216 INCREASES PUBLIC TRUST IN TIME. 289 00:12:03,216 --> 00:12:05,819 INNOVATION WILL BE KEY, 290 00:12:05,819 --> 00:12:07,054 INVESTING IN NEW IDEA AND 291 00:12:07,054 --> 00:12:08,989 PROBLEMS TO TRANSFORM BOLD AND 292 00:12:08,989 --> 00:12:10,557 TRANSFORMATIVE IDEA. THIS IS AN 293 00:12:10,557 --> 00:12:12,559 AREA AT NINR HAVE STARTED TO TAP 294 00:12:12,559 --> 00:12:14,261 INTO AND YOU WILL SEE MORE AS 295 00:12:14,261 --> 00:12:17,965 OUR RESEARCH ACTIVITIES EVOLVE. 296 00:12:17,965 --> 00:12:18,966 PROMOTING OPEN COMMUNICATION 297 00:12:18,966 --> 00:12:22,302 ABOUT RESEARCH PROCESSES, 298 00:12:22,302 --> 00:12:23,870 FINDING AND DATA IS ESSENTIAL TO 299 00:12:23,870 --> 00:12:27,174 BUILDING TRUST AND SCIENCE AND 300 00:12:27,174 --> 00:12:28,909 FACILITATING SCIENTIFIC PROCESS 301 00:12:28,909 --> 00:12:31,511 AND VITAL TO HAVE THE HIGHEST 302 00:12:31,511 --> 00:12:34,915 STANDARDS OF INTEGRITY. LASTLY, 303 00:12:34,915 --> 00:12:36,416 DR. B. CONTINUES TO EXPLAIN TO 304 00:12:36,416 --> 00:12:39,920 ALL OF US WE NEED TO CULTIVATE 305 00:12:39,920 --> 00:12:41,154 AN ENVIRONMENT WHERE DIVERSE 306 00:12:41,154 --> 00:12:43,323 VIEWPOINTS CAN BE EXPRESSED 307 00:12:43,323 --> 00:12:44,658 FREELY, ENCOURAGING OPEN, 308 00:12:44,658 --> 00:12:46,693 SCIENTIFIC DISCOURSE AND 309 00:12:46,693 --> 00:12:48,428 RESPECTABLE DISAGREEMENT 310 00:12:48,428 --> 00:12:49,896 ESSENTIAL TO ADVANCING OUR 311 00:12:49,896 --> 00:12:53,767 KNOWLEDGE AND DISCOVERY. NEXT 312 00:12:53,767 --> 00:13:00,841 SLIDE, PLEASE. NEXT ONE. THE 313 00:13:00,841 --> 00:13:03,877 CHANGES AND NEW PRIORITIES, OUR 314 00:13:03,877 --> 00:13:05,412 MISSION AT NINR REMAINS STEAD 315 00:13:05,412 --> 00:13:07,881 FAST. WE ARE COMMITTED TO LEAD 316 00:13:07,881 --> 00:13:09,816 NURSING RESEARCH, HEALTH 317 00:13:09,816 --> 00:13:11,284 CHALLENGES FOR SYSTEM, PRACTICES 318 00:13:11,284 --> 00:13:13,553 AND PROGRAMS. TRANSLATING TO 319 00:13:13,553 --> 00:13:16,156 IMPROVED CLINICAL AND HEALTH 320 00:13:16,156 --> 00:13:17,591 OUTCOMES FOR INDIVIDUALS, 321 00:13:17,591 --> 00:13:19,393 COMMUNITIES AND ENTIRE 322 00:13:19,393 --> 00:13:21,495 POPULATION. THIS FOCUS INCLUDES 323 00:13:21,495 --> 00:13:22,362 ADVANCING PROGRAMS AND RESEARCH 324 00:13:22,362 --> 00:13:24,164 THAT VIEW HEALTH AND WELL-BEING 325 00:13:24,164 --> 00:13:34,541 FROM NURSE'S HOLISTIC 326 00:13:42,516 --> 00:13:43,750 PERSPECTIVE. A LARGE PERCENTAGE 327 00:13:43,750 --> 00:13:45,986 OF OUR PORTFOLIO ADDRESSES THIS 328 00:13:45,986 --> 00:13:47,688 INCLUDING RESEARCH ON LEADING 329 00:13:47,688 --> 00:13:51,892 CAUSES OF MORTALITY, SUCH 330 00:13:51,892 --> 00:13:53,360 AS ENTER[HOUSE AT EASE]ENTER AND 331 00:13:53,360 --> 00:13:54,628 NUTRITION. WE DRIVE INNOVATION 332 00:13:54,628 --> 00:13:57,264 THROUGH OUR PERSPECTIVE AND 333 00:13:57,264 --> 00:13:58,765 HOLISTIC AND THAT COMMUNITY IS 334 00:13:58,765 --> 00:14:01,134 IMPORTANT PARTNER AND 335 00:14:01,134 --> 00:14:03,870 RESOLUTIONS THAT TRANSLATE AND 336 00:14:03,870 --> 00:14:07,507 ARE SUSTAINABLE. LATER TODAY YOU 337 00:14:07,507 --> 00:14:09,242 WILL HEAR ABOUT INNOVATIVE 338 00:14:09,242 --> 00:14:10,310 SOLUTIONS WE SUPPORT AND 339 00:14:10,310 --> 00:14:11,278 RESEARCH AREAS WE HOPE TO 340 00:14:11,278 --> 00:14:13,647 ADVANCE AND EXPAND . AS YOU MAY 341 00:14:13,647 --> 00:14:17,517 KNOW, EARLIER THIS YEAR, WE 342 00:14:17,517 --> 00:14:21,254 ANNOUNCED SCHOOL HELP IS AN 343 00:14:21,254 --> 00:14:22,189 IMPERATIVE AND BELIEVE NURSING 344 00:14:22,189 --> 00:14:24,257 IS SUITED TO ADVANCE THIS AREA 345 00:14:24,257 --> 00:14:28,261 AND FILL THE GAP TO INTERRUPT 346 00:14:28,261 --> 00:14:29,963 THE CHRONIC DISEASE PATHWAY. YOU 347 00:14:29,963 --> 00:14:32,399 WILL HEAR MORE LEVERAGING 348 00:14:32,399 --> 00:14:33,500 NURSING RESEARCH THROUGH HEALTHY 349 00:14:33,500 --> 00:14:35,869 SCHOOL ENVIRONMENTS FOR ALL. 350 00:14:35,869 --> 00:14:37,637 NUTRITION IS A LEADING RISK 351 00:14:37,637 --> 00:14:40,207 FACTOR FOR CHRONIC BEING DISEASE 352 00:14:40,207 --> 00:14:41,341 DEVELOPMENT AND SUBSEQUENT 353 00:14:41,341 --> 00:14:43,110 MORBIDITY AND MORTALITY. 354 00:14:43,110 --> 00:14:45,212 IDENTIFYING BEST APPROACHES IS A 355 00:14:45,212 --> 00:14:48,815 CONTINUED FOCUS OF NINR. GIVEN 356 00:14:48,815 --> 00:14:50,383 THIS, MOVING FORWARD THE 357 00:14:50,383 --> 00:14:52,886 CONCEPT, ADVANCING 358 00:14:52,886 --> 00:14:53,453 NUTRITION-RELATED RESEARCH 359 00:14:53,453 --> 00:14:54,888 ACROSS THE LIFE SPAN. WE LOOK 360 00:14:54,888 --> 00:14:57,390 FORWARD TO THE DISCUSSION. IN 361 00:14:57,390 --> 00:15:01,561 2023 WE PRESENTED THIS COUNCIL A 362 00:15:01,561 --> 00:15:03,663 REPORT FOR VIOLENCE AGAINST 363 00:15:03,663 --> 00:15:07,801 WOMEN OR RFI. FROM THIS REQUEST 364 00:15:07,801 --> 00:15:09,603 WE RECEIVED INNOVATIVE 365 00:15:09,603 --> 00:15:10,704 STRATEGIES. TODAY YOU WILL HEAR 366 00:15:10,704 --> 00:15:11,772 HOW WE PLAN TO USE THIS 367 00:15:11,772 --> 00:15:12,806 INFORMATION TO ADDRESS THE 368 00:15:12,806 --> 00:15:15,175 IMPORTANT PUBLIC HEALTH 369 00:15:15,175 --> 00:15:16,610 CHALLENGE, WHICH IS CHRONIC 370 00:15:16,610 --> 00:15:27,154 DISEASE AND OTHER HEALTH IMPLY 371 00:15:29,189 --> 00:15:29,723 IMPLICATIONS VIOLENCE AGAINST 372 00:15:29,723 --> 00:15:30,223 WOMEN AND THE WE CARE 373 00:15:30,223 --> 00:15:31,558 INITIATIVE. FROM DR. P. TRAINING 374 00:15:31,558 --> 00:15:32,759 NEXT GENERATION TO CARRY FORTH 375 00:15:32,759 --> 00:15:34,561 BE BOLD IDEAS IS CRUCIAL TO THE 376 00:15:34,561 --> 00:15:36,163 FIELD OF RESEARCH. I'M HAPPY TO 377 00:15:36,163 --> 00:15:37,631 REPORT WE ARE ALREADY DOING 378 00:15:37,631 --> 00:15:41,535 QUITE WELL IN THIS AREA. WHEN 379 00:15:41,535 --> 00:15:43,370 NIH TO PORTION OF THE BUDGET 380 00:15:43,370 --> 00:15:44,304 SUPPORTING RESEARCH TRAINING. 381 00:15:44,304 --> 00:15:46,039 HOWEVER WE THINK WE CAN DO 382 00:15:46,039 --> 00:15:48,975 BETTER AND REIMAGINE TRAINING IN 383 00:15:48,975 --> 00:15:51,211 A NEW AND INNOVATIVE WAY. ONE 384 00:15:51,211 --> 00:15:53,814 STEP YOU WILL HEAR ABOUT DURING 385 00:15:53,814 --> 00:15:55,148 THE TRAINING AND NINR RESOURCES 386 00:15:55,148 --> 00:15:57,017 AND ACTIVITY. IN ADDITION WE ARE 387 00:15:57,017 --> 00:15:59,753 VISITING WITH SEVERAL OTHER 388 00:15:59,753 --> 00:16:00,887 SCIENTIFIC ACTIVITY, MANY OF 389 00:16:00,887 --> 00:16:04,090 WHICHLY DISCUSS NEXT. NEXT 390 00:16:04,090 --> 00:16:06,059 SLIDE, PLEASE. WE HAVE SEVERAL 391 00:16:06,059 --> 00:16:08,328 UPCOMING EVENTS AND ACTIVITIES 392 00:16:08,328 --> 00:16:10,797 WE ARE SO EXCITED TO FACILITATE. 393 00:16:10,797 --> 00:16:14,000 FIRST WE HAVE AN UPCOMING 394 00:16:14,000 --> 00:16:16,369 ARTIFICIAL INTELLIGENCE VIRTUAL 395 00:16:16,369 --> 00:16:17,838 BOOTCAMP JUNE 2ND AND 3. THIS 396 00:16:17,838 --> 00:16:22,642 WILL EXPLORE THE IMPACT 397 00:16:22,642 --> 00:16:23,243 ARTIFICIAL INTELLIGENCE HAS. 398 00:16:23,243 --> 00:16:26,012 OVER TWO DAYS THIS WILL ENABLE 399 00:16:26,012 --> 00:16:27,948 ATTENDEES TO UNDERSTAND 400 00:16:27,948 --> 00:16:31,551 FOUNDATIONAL PRINCIPLES OF AI, 401 00:16:31,551 --> 00:16:32,853 ACTIONABLE STEP, EXEMPLARY 402 00:16:32,853 --> 00:16:34,054 RESEARCH AND CLINICAL 403 00:16:34,054 --> 00:16:36,156 APPLICATIONS F AI AND ETHICAL 404 00:16:36,156 --> 00:16:36,857 CONSIDERATIONS WE NEED TO 405 00:16:36,857 --> 00:16:38,558 CONSIDER SURROUNDING AI ADOPTION 406 00:16:38,558 --> 00:16:42,696 FOR NURSING SCIENCE AND HEALTH 407 00:16:42,696 --> 00:16:44,231 RESEARCH. NINR, IN COLLABORATION 408 00:16:44,231 --> 00:16:46,499 WITH THE NIH OFFICE OF 409 00:16:46,499 --> 00:16:47,634 BEHAVIORAL AND SOCIAL SCIENCES 410 00:16:47,634 --> 00:16:49,202 RESEARCH, IS HOSTING A VIRTUAL 411 00:16:49,202 --> 00:16:51,404 ONE-DAY MEETING JUNE 11TH, 412 00:16:51,404 --> 00:16:54,107 DESIGNED TO SUPPORT OUR FOCUS ON 413 00:16:54,107 --> 00:16:58,078 SCHOOL HEALTH. ADVANCING 414 00:16:58,078 --> 00:16:59,880 RESEARCH TO SUPPORT HEALTHY 415 00:16:59,880 --> 00:17:01,414 SCHOOL ENVIRONMENTS FOR ALL WERE 416 00:17:01,414 --> 00:17:03,216 TOP. FROM KEYNOTES TO PANELS 417 00:17:03,216 --> 00:17:04,818 FOCUSED ON COORDINATING CARE AND 418 00:17:04,818 --> 00:17:06,820 ADDRESSING HEALTH CHALLENGES IN 419 00:17:06,820 --> 00:17:08,855 SCHOOLS, PARTICIPANTS WILL 420 00:17:08,855 --> 00:17:11,458 ENGAGE IN EXPERTS AND FELLOW 421 00:17:11,458 --> 00:17:14,494 RESEARCHERS IN LEARNING HOW TO 422 00:17:14,494 --> 00:17:15,829 ADVANCE NURSING SCIENCE. THIS 423 00:17:15,829 --> 00:17:16,997 AIMS TO IDENTIFY GAPS AND 424 00:17:16,997 --> 00:17:18,231 OPPORTUNITIES FOR NURSING 425 00:17:18,231 --> 00:17:19,900 RESEARCH TO ADVANCE THE SCIENCE 426 00:17:19,900 --> 00:17:22,736 AND PRACTICE, ELEVATING THE POE 427 00:17:22,736 --> 00:17:24,571 TEN ROLE OF SCHOOL NURSES IN THE 428 00:17:24,571 --> 00:17:27,774 PROCESS. FINALLY WE ARE PLEASED 429 00:17:27,774 --> 00:17:29,342 TO ANNOUNCE THE SOCIAL 430 00:17:29,342 --> 00:17:30,677 DETERMINANTS OF HEALTH RESEARCH 431 00:17:30,677 --> 00:17:33,580 INSTITUTE CONVENING AND EARLY 432 00:17:33,580 --> 00:17:35,248 STAGE INVESTIGATORER WORKSHOP IN 433 00:17:35,248 --> 00:17:36,783 SEPTEMBER 16TH AND 17. THIS WILL 434 00:17:36,783 --> 00:17:45,392 BE IN CONJUNCTION WITH 14TH 435 00:17:45,392 --> 00:17:47,894 ANNIVERSARY. NEXT SLIDE. 40 436 00:17:47,894 --> 00:17:49,195 YEARS AGO CONGRESS PASSED 437 00:17:49,195 --> 00:17:51,898 LEGISLATION CALLED THE NATIONAL 438 00:17:51,898 --> 00:17:53,466 CENTER FOR NURSING RESEARCH AND 439 00:17:53,466 --> 00:17:55,035 RECOGNIZED THE TIRELESS EFFORTS 440 00:17:55,035 --> 00:17:57,537 THAT NURSING BRINGS A NECESSARY 441 00:17:57,537 --> 00:17:59,105 PERSPECTIVE TO HEALTH RESEARCH. 442 00:17:59,105 --> 00:18:01,274 STUFF AT NINR HAS BEEN AT THE 443 00:18:01,274 --> 00:18:03,443 FOREFRONT OF CHAMPIONING AND 444 00:18:03,443 --> 00:18:04,911 IMPROVING HEALTH OUTCOMES FOR 445 00:18:04,911 --> 00:18:06,046 ALL AMERICANS THROUGH INNOVATIVE 446 00:18:06,046 --> 00:18:07,714 RESEARCH THAT EXAMINES THE FULL 447 00:18:07,714 --> 00:18:09,015 PICTURE. AS WE GATHER TO 448 00:18:09,015 --> 00:18:10,650 CELEBRATE OUR 40TH ANNIVERSARY 449 00:18:10,650 --> 00:18:12,719 WE WILL SHOW CASE WHERE WE'VE 450 00:18:12,719 --> 00:18:14,187 BEEN, WHAT WE ARE DOING NOW AND 451 00:18:14,187 --> 00:18:17,157 WHERE WE PLAN TO HEAD. WE WILL 452 00:18:17,157 --> 00:18:20,226 EXAMINE HOW NINR LEVERAGES THE 453 00:18:20,226 --> 00:18:22,395 UNIQUE HOLISTIC PERSPECTIVE OF 454 00:18:22,395 --> 00:18:24,798 NURSING TO SUPPORT 455 00:18:24,798 --> 00:18:25,699 SOLUTIONS-ORIENTED RESEARCH THAT 456 00:18:25,699 --> 00:18:27,667 ADDRESSES CONDITIONS OF PEOPLE'S 457 00:18:27,667 --> 00:18:29,302 LIVES. THIS EZ ADVANCE 458 00:18:29,302 --> 00:18:32,572 REAL-WORLD HEALTH CHALLENGES AND 459 00:18:32,572 --> 00:18:34,074 DRIVE MAXIZATIONS TO DRIVE 460 00:18:34,074 --> 00:18:36,176 IMPACTS ACROSS INDIVIDUALS, 461 00:18:36,176 --> 00:18:37,978 FAMILIES AND COMMUNITIES. WITH A 462 00:18:37,978 --> 00:18:41,848 FOCUS ON SOLUTIONS-ORIENTED 463 00:18:41,848 --> 00:18:45,952 RESEARCH, NINR FUNDED 464 00:18:45,952 --> 00:18:50,156 INVESTIGATORS SCIENTIFIC 465 00:18:50,156 --> 00:18:52,525 DISCODISLEVEL 466 00:18:52,525 --> 00:19:00,200 SYSTEMS AND PROMOTION AND TO 467 00:19:00,200 --> 00:19:03,203 OPTIMIZE THEIR OWN HEALTH AND 468 00:19:03,203 --> 00:19:04,971 WELL-BEING. TO PREVENT ENTRY OF 469 00:19:04,971 --> 00:19:07,307 CHRONIC TO DISEASE, WORKING 470 00:19:07,307 --> 00:19:08,274 ALONGSIDE COMMUNITIES AND 471 00:19:08,274 --> 00:19:10,510 PARTNERS TO PROMOTE 472 00:19:10,510 --> 00:19:13,279 HEALTH-PROMOTING BEHAVIOR S, 473 00:19:13,279 --> 00:19:15,415 NINR IS ADVANCING RESEARCH THAT 474 00:19:15,415 --> 00:19:16,449 TACKLES CHALLENGES THAT MATTER 475 00:19:16,449 --> 00:19:18,218 TO PEOPLE AND THEIR HEALTH. NOW 476 00:19:18,218 --> 00:19:22,722 MORE THAN EVER, NURSES, NURSING 477 00:19:22,722 --> 00:19:29,829 RESEARCH -- NURSING AND NURSING 478 00:19:29,829 --> 00:19:36,870 RESEARCH ARE ESSENTIAL TO THE 479 00:19:36,870 --> 00:19:37,504 CHALLENGES. WHAT SETS NURSING 480 00:19:37,504 --> 00:19:39,873 APART IS PRACTICES THAT LOOKS 481 00:19:39,873 --> 00:19:41,708 BEYOND DISEASE TO INCORPORATE 482 00:19:41,708 --> 00:19:43,043 CONDITIONS OF PEOPLE'S LIVES, 483 00:19:43,043 --> 00:19:44,878 WHERE PEOPLE LIVE, LEARN, WORK 484 00:19:44,878 --> 00:19:47,280 AND PLAY. THIS EMPHASIS 485 00:19:47,280 --> 00:19:49,549 PRIORITIZES ATTENTION TO FACTORS 486 00:19:49,549 --> 00:19:52,619 THAT HAVE THE GREATEST IMPACT ON 487 00:19:52,619 --> 00:19:53,820 HEALTH. NEXT SLIDE, PLEASE. 488 00:19:53,820 --> 00:19:55,355 THANK YOU FOR YOUR TIME AND 489 00:19:55,355 --> 00:19:57,490 PARTICIPATION IN THIS COUNCIL. 490 00:19:57,490 --> 00:19:58,992 UNLESS THERE ARE QUESTIONS, I 491 00:19:58,992 --> 00:20:01,594 WILL NOW TURN THE MEETING OVER 492 00:20:01,594 --> 00:20:05,231 TO DR. ELIZABETH TARLOV, NINR'S 493 00:20:05,231 --> 00:20:08,701 EXECUTIVE SECRETARY. WE WILL 494 00:20:08,701 --> 00:20:19,145 PROCEED WITH THE MEETING. 495 00:20:20,080 --> 00:20:23,783 496 00:20:23,783 --> 00:20:25,952 >> PARDON ME WHILE I GET TO 497 00:20:25,952 --> 00:20:28,755 WHERE I'M GOING. THANK YOU, DR. 498 00:20:28,755 --> 00:20:30,590 AKLIN FOR THE DELAY. 499 00:20:30,590 --> 00:20:34,160 COUNCILMEMBERS, WE ARE NOW 500 00:20:34,160 --> 00:20:38,398 PROCEEDING TO REVIEW OF COUNCIL 501 00:20:38,398 --> 00:20:45,438 PROCEDURE Y 502 00:20:45,438 --> 00:20:48,875 PROCEDURE S. EACH IS 503 00:20:48,875 --> 00:20:49,943 ESTABLISHING PROCEDURES FOR 504 00:20:49,943 --> 00:20:50,610 GRANT APPLICATIONS AND MUST BE 505 00:20:50,610 --> 00:20:52,779 IN WRITING AND REVIEWED EVERY 506 00:20:52,779 --> 00:20:55,448 YEAR. THEY COVER PROCEDURES FOR 507 00:20:55,448 --> 00:20:57,517 THE SECOND LEVEL YEAR REVIEW, 508 00:20:57,517 --> 00:20:59,886 EXPEDITED REVIEW, CERTAIN 509 00:20:59,886 --> 00:21:02,956 DELEGATED AUTHORITIES AND 510 00:21:02,956 --> 00:21:05,558 CONCEPT CLEARANCE. THE OPERATING 511 00:21:05,558 --> 00:21:06,659 PROCEDURES DOCUMENT WAS MADE 512 00:21:06,659 --> 00:21:09,996 AVAILABLE IN ADVANCE OF THIS 513 00:21:09,996 --> 00:21:10,563 MEETING ON THE ELECTRONIC 514 00:21:10,563 --> 00:21:14,000 COUNCIL BOOK. I WILL NOW PAUSE 515 00:21:14,000 --> 00:21:17,237 TO ALLOW DISCUSSION OF THE 516 00:21:17,237 --> 00:21:27,614 OPERATING PROCEDURES. 517 00:21:30,950 --> 00:21:33,319 HEARING NONE, I THANK YOU 518 00:21:33,319 --> 00:21:35,088 FOR YOUR REVIEW AND NOTE 519 00:21:35,088 --> 00:21:35,822 NORMALLY THIS HAPPENS A T THE 520 00:21:35,822 --> 00:21:39,192 JANUARY MEETING OF COUNCIL AND 521 00:21:39,192 --> 00:21:42,128 RESUME WITH A JANUARY SCHEDULE 522 00:21:42,128 --> 00:21:47,467 NEXT YEAR. NOW TURN IT BACK NOW 523 00:21:47,467 --> 00:21:49,869 TO DR. AKLIN. 524 00:21:49,869 --> 00:21:51,871 >> THANK YOU DR. TARLOV. NOW 525 00:21:51,871 --> 00:21:54,974 WELCOME THE DEPUTY DIRECTOR FOR 526 00:21:54,974 --> 00:21:56,476 EXTRA MURAL SCIENCE PROGRAM, DR. 527 00:21:56,476 --> 00:21:59,879 (?) WHO WILL SHARE AN UPDATE ON 528 00:21:59,879 --> 00:22:02,348 THE INCLUSION REPORT. THANK YOU 529 00:22:02,348 --> 00:22:07,153 DR. DUVAL. 530 00:22:07,153 --> 00:22:08,154 >> THANK YOU DR. AKLIN. GOOD 531 00:22:08,154 --> 00:22:10,256 MORNING, THANKS FOR THE 532 00:22:10,256 --> 00:22:15,895 OPPORTUNITY TO BE WITH YOU. MY 533 00:22:15,895 --> 00:22:19,332 NAME IS BILL DUVAL, DEPUTY 534 00:22:19,332 --> 00:22:23,870 DIRECTOR OF MY PROGRAM. I WILL 535 00:22:23,870 --> 00:22:26,706 SPEAK ABOUT THE EXTRA-MURALLY 536 00:22:26,706 --> 00:22:27,907 FINISHEDED RESEARCH BY THE NIH. 537 00:22:27,907 --> 00:22:29,542 NIH IS REQUIRED TO REPORT TO 538 00:22:29,542 --> 00:22:31,444 CONGRESS ON ENROLLMENT OF 539 00:22:31,444 --> 00:22:32,212 PARTICIPANTS IN CLINICAL 540 00:22:32,212 --> 00:22:33,780 RESEARCH. WE BREAK THIS DOWN BY 541 00:22:33,780 --> 00:22:36,749 SEX, RACE AND ETHNICITY TO 542 00:22:36,749 --> 00:22:39,152 MONITOR ADHERENCE TO NIH 543 00:22:39,152 --> 00:22:40,286 POLICIES. MOST SPECIFICALLY, THE 544 00:22:40,286 --> 00:22:43,189 NIH POLICY ON THE INCLUSION OF 545 00:22:43,189 --> 00:22:47,594 WOMEN AND MINORITIES. THIS IS 546 00:22:47,594 --> 00:22:49,462 ELIZABETH -- DR. TARLOV 547 00:22:49,462 --> 00:22:50,830 MENTIONED, THIS IS ANOTHER ONE 548 00:22:50,830 --> 00:22:56,402 OF THOSE THINGS THAT WOULD HAVE 549 00:22:56,402 --> 00:22:58,938 BEEN AND ALSO USED REPORTED BY 550 00:22:58,938 --> 00:23:01,541 (?) EVERY TWO YEARS BUT WITH THE 551 00:23:01,541 --> 00:23:03,876 21ST CENTURY CURES ACT, THAT'S 552 00:23:03,876 --> 00:23:08,281 CHANGED THE FREQUENCY TO 553 00:23:08,281 --> 00:23:09,782 TRIENNIAL REPORTING SO NEW DATA 554 00:23:09,782 --> 00:23:11,384 IS GOING TO BE FROM THE PAST 555 00:23:11,384 --> 00:23:17,724 THREE YEARS, 2022, 2023 AND 556 00:23:17,724 --> 00:23:20,627 2024. EACH NIH INSTITUTE AND 557 00:23:20,627 --> 00:23:23,396 CENTER, INCLUDING NINR, IS 558 00:23:23,396 --> 00:23:24,697 REQUIRED TO SUBMIT A REPORT TO 559 00:23:24,697 --> 00:23:26,199 NIH CENTRAL. A SINGLE REPORT IS 560 00:23:26,199 --> 00:23:29,535 COMPILED AND SUBMITTED TO 561 00:23:29,535 --> 00:23:31,137 CONGRESS. SO ADDITION TO SLIDES 562 00:23:31,137 --> 00:23:33,006 HERE WE HAVE A REPORT 563 00:23:33,006 --> 00:23:33,840 SUMMARIZING THESE REPORTS THAT 564 00:23:33,840 --> 00:23:35,375 IS AVAILABLE TO COUNCILMEMBERS 565 00:23:35,375 --> 00:23:38,578 ON THE ECB. I WOULD ALSO LIKE TO 566 00:23:38,578 --> 00:23:40,647 SAY THE DATA AND EFFORTS 567 00:23:40,647 --> 00:23:42,548 PRESENTED HERE TODAY HAVE BUILT 568 00:23:42,548 --> 00:23:44,183 ON NINR'S SCIENTIFIC OVERSIGHT 569 00:23:44,183 --> 00:23:47,787 AND MANAGEMENT, AS WELL AS THE 570 00:23:47,787 --> 00:23:51,691 2023 NINR COUNCIL WORKING GROUP 571 00:23:51,691 --> 00:23:55,795 ON INCLUSION AND NINR-SUPPORTED 572 00:23:55,795 --> 00:23:58,064 STUDIES. NEXT SLIDE, PLEASE. WE 573 00:23:58,064 --> 00:24:00,400 WILL GO AHEAD AND DIVE RIGHT 574 00:24:00,400 --> 00:24:03,269 INTO THE DATA. THIS FIRST TABLE 575 00:24:03,269 --> 00:24:06,973 SHOWS THE DATA FOR -- EXCUSE ME, 576 00:24:06,973 --> 00:24:12,712 BY SEX AND BY YEAR. THIS IS FOR 577 00:24:12,712 --> 00:24:14,681 NINR-SUPPORTED EXTRA-MURAL 578 00:24:14,681 --> 00:24:17,517 RESEARCH, DEFINED BY THE NIH AND 579 00:24:17,517 --> 00:24:18,685 THE NIH DEFINITION . 580 00:24:18,685 --> 00:24:25,058 THE MOST RECENT DATA, 2022, 2023 581 00:24:25,058 --> 00:24:26,592 AND 2024 IS ON THE RIGHT SIDE OF 582 00:24:26,592 --> 00:24:29,228 THIS TABLE. WE ARE ALSO 583 00:24:29,228 --> 00:24:34,600 INCLUDING THE PREVIOUS TRIENNIAL 584 00:24:34,600 --> 00:24:36,769 REPORT, 2015 THROUGH 2021 TO 585 00:24:36,769 --> 00:24:39,439 GIVE AN IDEA OF THE FULLER 586 00:24:39,439 --> 00:24:41,240 PICTURE OF THE CONTEXT IN WHICH 587 00:24:41,240 --> 00:24:43,576 THESE RECRUITMENT EFFORTS ARE 588 00:24:43,576 --> 00:24:47,246 HAPPENING. THE 2019 TO 2021 DATA 589 00:24:47,246 --> 00:24:48,948 WAS PRESENTED THIS COUNCIL IN 590 00:24:48,948 --> 00:24:52,618 JANUARY OF' 22. SO YOU CAN SEE 591 00:24:52,618 --> 00:24:56,823 THAT IN NINR FUNDED EXTRA-MURAL 592 00:24:56,823 --> 00:24:58,725 FUNDED RESEARCH THE RESEARCH OF 593 00:24:58,725 --> 00:25:01,794 FEMALE PARTICIPANTS HAVE 594 00:25:01,794 --> 00:25:04,330 FLUCTUATED IN UPPER TO MID 50 TO 595 00:25:04,330 --> 00:25:05,531 LOW 60 PERCENT, FAIRLY 596 00:25:05,531 --> 00:25:09,369 REPRESENTATIVE OF THE U.S. AS A 597 00:25:09,369 --> 00:25:10,737 WHOLE. I'LL POINT OUT IT IS NOT 598 00:25:10,737 --> 00:25:13,773 A DATA POINT REFERENCED BUT IN 599 00:25:13,773 --> 00:25:17,110 2016 NINR HAD HIGH OF 83% FEMALE 600 00:25:17,110 --> 00:25:17,944 PARTICIPANTS, SO THIS IS 601 00:25:17,944 --> 00:25:20,012 CERTAINLY A FOR BALANCED TREND 602 00:25:20,012 --> 00:25:22,715 FOR US AS AN INSTITUTE. THE 603 00:25:22,715 --> 00:25:26,018 OTHER THING I WILL POINT OUT, IF 604 00:25:26,018 --> 00:25:30,490 YOU LOOK IN TOTAL ENROLLMENT 605 00:25:30,490 --> 00:25:32,592 FROM 2023 TO 2024 THERE IS A 606 00:25:32,592 --> 00:25:36,629 SIGNIFICANT JUMP, 54,000 TO 607 00:25:36,629 --> 00:25:38,965 94,000. WE HAVE LOOKED AT THE 608 00:25:38,965 --> 00:25:42,668 DATA, DRIVEN BY ONE PARTICULARLY 609 00:25:42,668 --> 00:25:46,139 LARGE SURVEY STUDY. NOTE THAT AS 610 00:25:46,139 --> 00:25:49,942 WE MOVE FORWARD. NEXT SLIDE, 611 00:25:49,942 --> 00:25:52,378 PLEASE. SO THIS TABLE SHOWS 612 00:25:52,378 --> 00:25:54,747 ENROLLMENT BY RACE ACROSS THE 613 00:25:54,747 --> 00:25:56,649 YEARS. I'LL POINT OUT A COUPLE 614 00:25:56,649 --> 00:26:00,086 OF THINGS. AGAIN, REMIND FOLKS 615 00:26:00,086 --> 00:26:01,788 THE FULL REPORT, THE DRAFT 616 00:26:01,788 --> 00:26:03,923 REPORT IS AVAILABLE ON THE ECB 617 00:26:03,923 --> 00:26:07,827 FOR FURTHER READING. AMERICAN 618 00:26:07,827 --> 00:26:08,661 INDIAN, ALASKAN NATIVE 619 00:26:08,661 --> 00:26:10,730 ENROLLMENT HAS DECREASED TO 620 00:26:10,730 --> 00:26:15,435 BELOW 1% IN 2024. WE ARE AT.9%, 621 00:26:15,435 --> 00:26:20,640 DOWN FROM A HIGH WATER OF 2.4% 622 00:26:20,640 --> 00:26:21,874 IN 2021 AND BELOW U.S. 623 00:26:21,874 --> 00:26:24,944 POPULATION ESTIMATE OF ROUGHLY 624 00:26:24,944 --> 00:26:26,779 1.3%. ANOTHER ITEM TO NOTE, 625 00:26:26,779 --> 00:26:28,815 ALTHOUGH ON A DIFFERENT END OF 626 00:26:28,815 --> 00:26:30,983 IT, IS BLACK AND 627 00:26:30,983 --> 00:26:33,352 AFRICAN-AMERICANS COMPRISE 628 00:26:33,352 --> 00:26:37,723 ANYWHERE BETWEEN 20 AND LOW 30% 629 00:26:37,723 --> 00:26:39,892 AND NINR RESEARCH DURING THIS 630 00:26:39,892 --> 00:26:43,763 PERIOD. THIS IS UP FROM 17 TO 631 00:26:43,763 --> 00:26:46,098 20% IN THE PREVIOUS THREE-YEAR 632 00:26:46,098 --> 00:26:48,634 PERIOD AND SUBSTANTIALLY HIGHER 633 00:26:48,634 --> 00:26:50,236 RELATIVE TO THE U.S. 634 00:26:50,236 --> 00:26:55,441 POPULATION, ABOUT 14% IN 2013. 635 00:26:55,441 --> 00:26:58,344 I WILL ALSO POINT OUT IN THAT 636 00:26:58,344 --> 00:26:59,779 VERY, VERY LAST ROW ON THE 637 00:26:59,779 --> 00:27:02,081 BOTTOM RIGHT WE HAVE HAD A JUMP, 638 00:27:02,081 --> 00:27:05,418 INCREASE IN NUMBER OF 639 00:27:05,418 --> 00:27:11,224 PARTICIPANTS WHO EITHER ARE 640 00:27:11,224 --> 00:27:14,961 UNKNOWN OR CHOSE NOT TO REPORT. 641 00:27:14,961 --> 00:27:17,730 WHICH IS AN INTERESTING JUMP TO 642 00:27:17,730 --> 00:27:19,532 MAKE INFERENCES TO UNDERSTAND 643 00:27:19,532 --> 00:27:19,966 TRENDS OVER TIME . 644 00:27:19,966 --> 00:27:21,534 THE MORE PEOPLE, THE MORE 645 00:27:21,534 --> 00:27:24,504 PARTICIPANT WHO'S ARE IN THIS 646 00:27:24,504 --> 00:27:27,974 CATEGORY. NEXT SLIDE, PLEASE. 647 00:27:27,974 --> 00:27:30,276 LASTLY, THIS TABLE SHOWS BY YEAR 648 00:27:30,276 --> 00:27:34,280 ENROLLMENT BY ETHNICITY. 649 00:27:34,280 --> 00:27:35,615 ENROLLMENT HAS GROWN SLIGHTLY 650 00:27:35,615 --> 00:27:39,585 OVER THE SIX-YEAR PERIOD, FROM 651 00:27:39,585 --> 00:27:45,391 10.1% IN 2019 TO 11.6% IN 2024. 652 00:27:45,391 --> 00:27:47,527 THIS DOES REMAIN 653 00:27:47,527 --> 00:27:50,162 UNDERREPRESENTATIVE -- 654 00:27:50,162 --> 00:27:51,864 UNDERREPRESENTED IN NINR EXTRA 655 00:27:51,864 --> 00:27:53,299 MURAL CLINICAL RESEARCH RELATIVE 656 00:27:53,299 --> 00:27:54,967 TO THE U.S. POPULATION SO 657 00:27:54,967 --> 00:27:59,405 CERTAINLY SOMETHING TO KEEP IN 658 00:27:59,405 --> 00:28:01,574 MIND. NEXT SLIDE, PLEASE. THANK 659 00:28:01,574 --> 00:28:05,678 YOU. WITH THAT I'LL TAKE ANY 660 00:28:05,678 --> 00:28:15,888 QUESTIONS. 661 00:28:17,056 --> 00:28:17,156 662 00:28:17,156 --> 00:28:20,059 >> HEARING NONE, I WILL ASK 663 00:28:20,059 --> 00:28:22,528 IF THERE ARE CONCERNS SUBMITTING 664 00:28:22,528 --> 00:28:24,964 TO TO NIH CENTRAL AS PART OF THE 665 00:28:24,964 --> 00:28:29,135 REQUIRED REPORTING PROCESS. 666 00:28:29,135 --> 00:28:31,837 ALL RIGHT. THANK YOU VERY 667 00:28:31,837 --> 00:28:35,207 MUCH. I'LL HAND IT BACK TO DR. 668 00:28:35,207 --> 00:28:35,441 AKLIN. 669 00:28:35,441 --> 00:28:39,879 >> THANK YOU, DR. DUVAL, FOR 670 00:28:39,879 --> 00:28:47,019 YOUR PRESENTATION. NEXT SLIDE, 671 00:28:47,019 --> 00:28:49,755 PLEASE. THE WORKING GROUP IS 672 00:28:49,755 --> 00:28:51,591 COMPRISED OF EXPERTS IN DATA 673 00:28:51,591 --> 00:28:53,125 SCIENCE AND AI AND HEALTH 674 00:28:53,125 --> 00:28:54,961 RESEARCH AND RELATE FIELDS FROM 675 00:28:54,961 --> 00:28:56,729 BOTH WITHIN AND OUTSIDE THE 676 00:28:56,729 --> 00:28:59,432 NURSING AND SCIENCE COMMUNITY. 677 00:28:59,432 --> 00:29:00,866 CHARGED WITH RECOMMENDED FUTURE 678 00:29:00,866 --> 00:29:02,168 DIRECTIONS FOR NINR SUPPORTED 679 00:29:02,168 --> 00:29:04,103 SCIENCE AND TRAINING SCIENCE AND 680 00:29:04,103 --> 00:29:06,072 AI, THE GROUP ASSESSED PRESSING 681 00:29:06,072 --> 00:29:08,307 RESEARCH QUESTIONS AND TRAINING 682 00:29:08,307 --> 00:29:09,675 NEEDS AND OPPORTUNITIES IN THE 683 00:29:09,675 --> 00:29:11,577 NURSING SCIENCE FIELD WITH AN 684 00:29:11,577 --> 00:29:12,745 EYE TO RECOMMENDING RESEARCH AND 685 00:29:12,745 --> 00:29:13,980 TRAINING WHERE NURSING SCIENCE 686 00:29:13,980 --> 00:29:16,248 CAN POTENTIALLY HAVE THE BIGGEST 687 00:29:16,248 --> 00:29:21,554 IMPACT. CO -CHAIRS DR. YVONNE 688 00:29:21,554 --> 00:29:28,961 BRYAN AND PAT /* PATRICIA STONE 689 00:29:28,961 --> 00:29:30,262 ARE HERE WITH A PRESENTATION. I 690 00:29:30,262 --> 00:29:31,530 WILL TURN IT OVER TO THEM. 691 00:29:31,530 --> 00:29:35,201 >> GOOD MORNING. NEXT SLIDE, 692 00:29:35,201 --> 00:29:38,304 PLEASE. THE CHARGE WAS NINR'S 693 00:29:38,304 --> 00:29:42,942 INTEREST IN NINR AND DATA 694 00:29:42,942 --> 00:29:45,611 SCIENCE AND INTERSECTS WITH 695 00:29:45,611 --> 00:29:46,245 SOCIOECONOMIC FACTORS SHAPING 696 00:29:46,245 --> 00:29:49,048 THE CONDITIONS OF DAILY LIFE. 697 00:29:49,048 --> 00:29:51,884 ALSO WE ARE THINKING ABOUT 698 00:29:51,884 --> 00:29:55,054 HEALTH FOR ALL, HOW IS AI 699 00:29:55,054 --> 00:29:56,288 INFLUENCING UP STREAM FACTORS 700 00:29:56,288 --> 00:29:59,859 CRITICAL FOR HEALTH FOR ALL. WE 701 00:29:59,859 --> 00:30:01,127 WERE CHARGED WITH ONE RESEARCH 702 00:30:01,127 --> 00:30:05,031 AND TRAINING ACTIVITY SHOULD BE 703 00:30:05,031 --> 00:30:06,365 DONE, WHAT AI RESEARCH AND 704 00:30:06,365 --> 00:30:08,000 TRAINING SHOULD NINR SUPPORT, 705 00:30:08,000 --> 00:30:10,803 TOPICS IDEALLY SUITED TO THIS 706 00:30:10,803 --> 00:30:12,838 ARMED NURSING SCIENTIFIC 707 00:30:12,838 --> 00:30:13,973 PERSPECTIVE AND BIG QUESTIONS 708 00:30:13,973 --> 00:30:15,508 THAT AREN'T BEING ADDRESSED 709 00:30:15,508 --> 00:30:16,876 RIGHT NOW THAT NURSING SCIENCE 710 00:30:16,876 --> 00:30:17,910 CAN TAKE ON AND THE SCIENCE THAT 711 00:30:17,910 --> 00:30:23,883 CAN BE USED TO ANSWER THOSE 712 00:30:23,883 --> 00:30:25,418 QUESTIONS. NEXT SLIDE, PLEASE. A 713 00:30:25,418 --> 00:30:29,989 LITTLE BIT ABOUT THE WORKING 714 00:30:29,989 --> 00:30:34,560 GROUP. NEXT SLIDE. AS WE JUST 715 00:30:34,560 --> 00:30:36,829 HEARD, WE WERE ESTABLISHED IN 716 00:30:36,829 --> 00:30:39,865 SEPTEMBER 2024. WE HAD EXPERTS 717 00:30:39,865 --> 00:30:41,567 FROM THE COUNCIL AND OTHER 718 00:30:41,567 --> 00:30:45,204 NURSING SCIENTISTS AS WELL AS 719 00:30:45,204 --> 00:30:48,107 THOSE THAT -- OUTSIDE OF THE 720 00:30:48,107 --> 00:30:50,409 COMMUNITY. AS I ALREADY SAID, 721 00:30:50,409 --> 00:30:53,946 CHARGED WITH RECOMMENDING FUTURE 722 00:30:53,946 --> 00:30:55,781 DIRECTIONS FOR NINR SUPPORTED 723 00:30:55,781 --> 00:30:56,916 SCIENCE AND TRAINING. I'M 724 00:30:56,916 --> 00:30:58,918 EXCITED TO SAY SOME OF THE 725 00:30:58,918 --> 00:31:02,421 TRAIN ING IS ALREADY HAPPENING. 726 00:31:02,421 --> 00:31:03,689 I THINK WE ALREADY SAID THE 727 00:31:03,689 --> 00:31:06,292 SLIDE SO I DON'T THINK I NEED TO 728 00:31:06,292 --> 00:31:08,861 REPEAT IT. NEXT SLIDE, PLEASE. 729 00:31:08,861 --> 00:31:11,530 WE MET THREE TIMES BETWEEN 730 00:31:11,530 --> 00:31:13,666 SEPTEMBER AND OCTOBER 2024. WE 731 00:31:13,666 --> 00:31:15,601 AGREED ON -- WHICH WAS VERY 732 00:31:15,601 --> 00:31:17,336 IMPORTANT WHAT WAS OUR WORKING 733 00:31:17,336 --> 00:31:19,305 DEFINITION OF AI. WE DISCUSSED 734 00:31:19,305 --> 00:31:20,940 THE PRESSING RESEARCH QUESTIONS 735 00:31:20,940 --> 00:31:23,876 IN NURSING SCIENCE AND FORMED 736 00:31:23,876 --> 00:31:25,010 FOUR PRIORITY RESEARCH 737 00:31:25,010 --> 00:31:27,613 RECOMMENDATIONS AND SEVEN 738 00:31:27,613 --> 00:31:28,814 ADDITIONAL RESEARCH 739 00:31:28,814 --> 00:31:31,050 RECOMMENDATIONS AND TWO PRIORITY 740 00:31:31,050 --> 00:31:33,352 TRAINING RECOMMENDATIONS. NEXT 741 00:31:33,352 --> 00:31:34,954 SLIDE, PLEASE. OUR WORKING 742 00:31:34,954 --> 00:31:36,655 DEFINITION OF AI IS THE SCIENCE 743 00:31:36,655 --> 00:31:39,925 OF MAKE MAGAZINES TO THINGS THAT 744 00:31:39,925 --> 00:31:42,061 WOULD REQUIRE INTELLIGENCE IF 745 00:31:42,061 --> 00:31:45,798 DONE BY HUMANS. NEXT SLIDE, 746 00:31:45,798 --> 00:31:50,436 PLEASE. THIS IS WHO WAS ON IT. I 747 00:31:50,436 --> 00:31:53,672 WAS HAPPY TO CHAIR WITH DR. 748 00:31:53,672 --> 00:31:56,842 YVONNE BRYAN, DR. WANG AND 749 00:31:56,842 --> 00:32:00,913 FITZPATRICK -- SHERUSH, NOT 750 00:32:00,913 --> 00:32:03,382 GOING TO TRY TO SAY THE LAST 751 00:32:03,382 --> 00:32:07,720 NAME, MICHAEL CARRY FROM DUKE, 752 00:32:07,720 --> 00:32:08,988 GEORGE S. FROM PENNSYLVANIA AND 753 00:32:08,988 --> 00:32:15,861 MOLLY COUPLE MINUTES, UN -- CUM 754 00:32:15,861 --> 00:32:17,830 FROM UNIVERSITY OF UTAH. WE DID 755 00:32:17,830 --> 00:32:20,800 RANK THESE IN ORDER OF PRIORITY. 756 00:32:20,800 --> 00:32:22,001 NEXT SLIDE. NINR SUPPORT SHOULD 757 00:32:22,001 --> 00:32:25,037 NURSES AND OTHER INTER 758 00:32:25,037 --> 00:32:27,106 DISCIPLINARY SCIENTISTS TO LEAD 759 00:32:27,106 --> 00:32:29,441 AI RESEARCH AGENDAS ADDRESSING 760 00:32:29,441 --> 00:32:32,611 DIFFERENCES IN HEALTH AND 761 00:32:32,611 --> 00:32:33,179 DISEASE DISTRIBUTIONS AND 762 00:32:33,179 --> 00:32:35,281 CONDITIONS OF LIFE. TO MEET THIS 763 00:32:35,281 --> 00:32:36,615 GOAL NINR SHOULD SUPPORT 764 00:32:36,615 --> 00:32:38,651 RESEARCH THAT LEVERAGING AI 765 00:32:38,651 --> 00:32:42,488 TOOLS TO DEVELOP HEALTH 766 00:32:42,488 --> 00:32:45,457 INTERVENTIONS THAT ADDRESS THESE 767 00:32:45,457 --> 00:32:50,596 NEEDS AND CONDITION S OF DAILY 768 00:32:50,596 --> 00:32:52,331 LIFE, IDENTIFY METHODOLOGIES AND 769 00:32:52,331 --> 00:32:53,732 COLLECTION STRATEGIES TO 770 00:32:53,732 --> 00:32:55,000 MINIMIZE DIFFERENCES AND 771 00:32:55,000 --> 00:32:57,069 OUTCOMES AND DEVELOP AI-DRIVEN 772 00:32:57,069 --> 00:32:58,604 STRATEGY, INTEGRATING CONDITIONS 773 00:32:58,604 --> 00:33:01,073 OF DAILY LIFE AND IDENTIFIES AND 774 00:33:01,073 --> 00:33:02,942 MITIGATES DIFFERENCES IN HEALTH 775 00:33:02,942 --> 00:33:06,445 FOR ALL AND TESTS THESE 776 00:33:06,445 --> 00:33:08,013 INNOVATIONS WHILE ENSURING ALL 777 00:33:08,013 --> 00:33:11,750 POPULATIONS ARE ADEQUATELY 778 00:33:11,750 --> 00:33:14,286 REPRESENTED. NEXT SLIDE, PLEASE. 779 00:33:14,286 --> 00:33:16,989 NINR SHOULD -- RESEARCH 780 00:33:16,989 --> 00:33:18,691 RECOMMENDATION #, NINR SHOULD 781 00:33:18,691 --> 00:33:20,459 PROMOTE RESEARCH SYSTEMS AND 782 00:33:20,459 --> 00:33:21,794 ORGANIZATIONAL LEVEL INITIATIVES 783 00:33:21,794 --> 00:33:22,494 TO IMPROVE DIGITAL 784 00:33:22,494 --> 00:33:24,330 INFRASTRUCTURE IN SHARING EQUAL 785 00:33:24,330 --> 00:33:27,867 ACCESS TO AI TECHNOLOGIES AND TO 786 00:33:27,867 --> 00:33:29,001 MEET THIS GOAL NINR SHOULD 787 00:33:29,001 --> 00:33:30,069 SUPPORT RESEARCH THAT, ONE, 788 00:33:30,069 --> 00:33:37,076 DEVELOPS AND TESTS SYSTEMS AND 789 00:33:37,076 --> 00:33:39,445 ORGANIZATIONAL INTERVENTIONS FOR 790 00:33:39,445 --> 00:33:41,080 DIGITAL DIFFERENCES AND PROMOTES 791 00:33:41,080 --> 00:33:42,781 AI TECHNOLOGIES WHILE EXPLORING 792 00:33:42,781 --> 00:33:45,684 HEALTH SYSTEMS IN RURAL AND 793 00:33:45,684 --> 00:33:46,852 URBAN AREAS CAN LEVERAGE THESE 794 00:33:46,852 --> 00:33:48,654 TOOLS TO ADDRESS CONDITIONS OF 795 00:33:48,654 --> 00:33:50,689 DAILY LIFE, REDUCE DIFFERENCES 796 00:33:50,689 --> 00:33:54,193 IN CARE AND IMPROVE HEALTH 797 00:33:54,193 --> 00:33:57,129 OUTCOMES FOR ALL. THEN ADDRESS 798 00:33:57,129 --> 00:33:59,865 SYSTEM-LEVEL CHANGES SUCH AS 799 00:33:59,865 --> 00:34:03,869 INFRASTRUCTURE, WORKFORCE 800 00:34:03,869 --> 00:34:07,139 CAPACITY, INTERNET CONNECTIVITY 801 00:34:07,139 --> 00:34:08,974 THAT HINDER RURAL AND URBAN 802 00:34:08,974 --> 00:34:10,609 AREAS AND DEVELOP STRATEGIES TO 803 00:34:10,609 --> 00:34:13,779 IMPROVE EQUITABLE ACCESS TO 804 00:34:13,779 --> 00:34:19,184 THESE TECHNOLOGY THREE, EXAMINES 805 00:34:19,184 --> 00:34:21,487 APPROACHES AND PRACTICES FOR 806 00:34:21,487 --> 00:34:22,187 IMPLEMENTING AI SOLUTIONS IN 807 00:34:22,187 --> 00:34:26,725 RURAL AND URBAN AREAS FOCUSING 808 00:34:26,725 --> 00:34:27,226 ON DEVELOPING DIGITAL 809 00:34:27,226 --> 00:34:29,428 INFRASTRUCTURE AND STRATEGIES TO 810 00:34:29,428 --> 00:34:30,429 PROMOTE SUSTAINABLE, EQUITABLE 811 00:34:30,429 --> 00:34:34,633 AND INCLUSIVE ACCESS TO AI TOOLS 812 00:34:34,633 --> 00:34:37,069 AND APPLICATIONS. FOURTH, 813 00:34:37,069 --> 00:34:38,804 DESIGNS AND ADAPTS AI 814 00:34:38,804 --> 00:34:39,672 TECHNOLOGIES THAT SUPPORTS 815 00:34:39,672 --> 00:34:41,106 INDIVIDUALS IN RURAL AND URBAN 816 00:34:41,106 --> 00:34:47,713 AREAS THAT WITH VARYING LEVELS 817 00:34:47,713 --> 00:34:52,551 OF DIGITAL LITERACY AND DIGITAL 818 00:34:52,551 --> 00:34:54,386 ACCESS. OUR THIRD RECOMMENDATION 819 00:34:54,386 --> 00:34:57,022 WAS THAT NINR SHOULD ENCOURAGE 820 00:34:57,022 --> 00:34:57,990 ENGAGEMENT OF PATIENTS AND 821 00:34:57,990 --> 00:34:59,124 FAMILIES IN ALL STAGES OF 822 00:34:59,124 --> 00:35:00,292 ALGORITHM DEVELOPMENT AND 823 00:35:00,292 --> 00:35:02,561 EVALUATION TO ENSURE 824 00:35:02,561 --> 00:35:03,529 ACCEPTABILITY AND USE OF THE 825 00:35:03,529 --> 00:35:06,298 DESIGN AND IMPROVE MODEL 826 00:35:06,298 --> 00:35:08,100 ACCURACY. TO MEET THIS GOAL, 827 00:35:08,100 --> 00:35:09,234 NINR SHOULD SUPPORT RESEARCH 828 00:35:09,234 --> 00:35:11,003 THAT DEVELOPS AND TESTS METHODS 829 00:35:11,003 --> 00:35:13,872 AND MODELS TO MEANING FULLY 830 00:35:13,872 --> 00:35:17,676 ENGAGED PATIENTS, FAMILIES AND 831 00:35:17,676 --> 00:35:19,211 COMMUNITIES IN AI INNOVATION, 832 00:35:19,211 --> 00:35:20,946 FOCUSING ON BUILDING TRUST, 833 00:35:20,946 --> 00:35:22,915 EXAMINING HOW EARLY 834 00:35:22,915 --> 00:35:23,916 PARTICIPATION OF COMMUNITY 835 00:35:23,916 --> 00:35:25,150 STAKEHOLDERS INFLUENCES THE 836 00:35:25,150 --> 00:35:26,752 LONG-TERM SUCCESS AND EFFICACY 837 00:35:26,752 --> 00:35:28,387 OF AI-DRIVEN HEALTH CARE 838 00:35:28,387 --> 00:35:30,823 SOLUTION AND ESTABLISH 839 00:35:30,823 --> 00:35:33,058 SYSTEMATIC FRAMEWORKS TO 840 00:35:33,058 --> 00:35:34,860 FACILITATE THIS ENGAGEMENT. ALSO 841 00:35:34,860 --> 00:35:37,096 DEVELOPS AND IMPLEMENTS AND 842 00:35:37,096 --> 00:35:39,865 EVALUATES STRATEGIES TO ENGAGE 843 00:35:39,865 --> 00:35:40,632 PATIENT'S, FAMILIES, CONDITIONS 844 00:35:40,632 --> 00:35:42,301 AND COMMUNITIES IN THE 845 00:35:42,301 --> 00:35:43,902 CO -DESIGN AND EVALUATION OF AI 846 00:35:43,902 --> 00:35:45,537 TOOLS WITH A FOCUS ON BUILDING 847 00:35:45,537 --> 00:35:48,107 TRUST AND ENSURING TRANSPARENCY 848 00:35:48,107 --> 00:35:51,243 IN THE PERFORMANCE LIMITATIONS 849 00:35:51,243 --> 00:35:54,346 AND FAIRNESS. SUCH 850 00:35:54,346 --> 00:35:55,214 COLLABORATIONS TO PROMOTE 851 00:35:55,214 --> 00:35:56,849 INTERVENTIONS TAYLORED TO LOCAL 852 00:35:56,849 --> 00:35:58,517 POPULATIONS AND IMPROVE ACCURACY 853 00:35:58,517 --> 00:35:59,585 AND FAIRNESS OF PREDICTIVE 854 00:35:59,585 --> 00:36:01,720 HEALTH MODELS, ACHIEVE ING THIS 855 00:36:01,720 --> 00:36:05,057 CAN BE DONE BY EMBEDDING USER 856 00:36:05,057 --> 00:36:08,594 CENTERED DESIGN AND DECISION 857 00:36:08,594 --> 00:36:13,032 SUPPORT INTO AI INNOVATIONS. 858 00:36:13,032 --> 00:36:15,034 NEXT SLIDE. OUR FOURTH 859 00:36:15,034 --> 00:36:15,901 RECOMMENDATION, NINR SHOULD 860 00:36:15,901 --> 00:36:18,771 ENCOURAGE NURSES AND 861 00:36:18,771 --> 00:36:19,438 INTERDISCIPLINARY SCIENTIST TO 862 00:36:19,438 --> 00:36:22,141 USE PERSPECTIVES THAT ACCOUNT 863 00:36:22,141 --> 00:36:23,976 FOR DAILY LIFE TO MITIGATE BIAS 864 00:36:23,976 --> 00:36:26,879 AND MINIMIZE DIFFERENCES IN 865 00:36:26,879 --> 00:36:28,847 HEALTH AND DISEASE DISTRIBUTION. 866 00:36:28,847 --> 00:36:30,382 TO MEET THIS GOAL, NINR SHOULD 867 00:36:30,382 --> 00:36:31,683 SUPPORT RESEARCH THAT 868 00:36:31,683 --> 00:36:33,552 ESTABLISHES OR ENHANCES 869 00:36:33,552 --> 00:36:34,953 GOVERNANCE STRUCTURES AND 870 00:36:34,953 --> 00:36:37,356 RELATED MODELS SUCH AS 871 00:36:37,356 --> 00:36:39,058 THEORETICAL, CLINICAL AND 872 00:36:39,058 --> 00:36:43,195 ETHICAL FRAMEWORKS BY 873 00:36:43,195 --> 00:36:47,933 SYSTEMATICALLY INTEGRATING 874 00:36:47,933 --> 00:36:49,268 THROUGH CONTINUOUS MONITORING 875 00:36:49,268 --> 00:36:51,870 AND REDICTION OF DISEASE 876 00:36:51,870 --> 00:36:54,039 DISTRIBUTION DIFFERENCES. 877 00:36:54,039 --> 00:36:55,841 DESIGNS INVALIDATES AI MODELS 878 00:36:55,841 --> 00:36:56,809 INCORPORATING CONDITIONS OF 879 00:36:56,809 --> 00:36:59,344 DAILY LIFE UP INCLUDING SPECIFIC 880 00:36:59,344 --> 00:37:01,213 STRATEGIES TO INTEGRATE SUCH 881 00:37:01,213 --> 00:37:03,482 FACTORS INTO MODELS. EFFORTS AIM 882 00:37:03,482 --> 00:37:06,218 TO IMPROVE FAIRNESS, PERFORMANCE 883 00:37:06,218 --> 00:37:07,486 AND BIAS MITIGATION WHILE 884 00:37:07,486 --> 00:37:09,288 CONTRIBUTING TO MORE ACCURATE 885 00:37:09,288 --> 00:37:10,222 OUTCOMES ACROSS A VARIETY OF 886 00:37:10,222 --> 00:37:15,894 PATIENT POPULATIONS. FOURTH, 887 00:37:15,894 --> 00:37:18,030 INNOVATES METHODS TO ASSIMILATE 888 00:37:18,030 --> 00:37:20,299 -- AND INTEGRATE CONDITIONS OF 889 00:37:20,299 --> 00:37:22,801 DAILY LIFE DATA WITH NURSING 890 00:37:22,801 --> 00:37:24,403 DATA INCORPORATING MULTI -MODAL 891 00:37:24,403 --> 00:37:30,275 AND WIDE RANGE OF REAL-WORLD 892 00:37:30,275 --> 00:37:35,881 DATA SOURCES. NEXT SLIDE. IO 893 00:37:35,881 --> 00:37:39,618 YVONNE, DO I GO ON? OUR TRAINING 894 00:37:39,618 --> 00:37:42,921 RECOMMENDATIONS, THEY WERE TIED 895 00:37:42,921 --> 00:37:45,624 FOR PRIORITY. THE FIRST UP WITH 896 00:37:45,624 --> 00:37:47,926 WAS DEVELOP TARGETED AI TRAINING 897 00:37:47,926 --> 00:37:49,561 PROGRAMS TO ADVANCE NURSE 898 00:37:49,561 --> 00:37:51,130 SCIENTIST COMPETENCY AND 899 00:37:51,130 --> 00:37:52,264 CONDUCTING AI FOCUSED RESEARCH 900 00:37:52,264 --> 00:37:53,932 THROUGH A LENS THAT ACKNOWLEDGES 901 00:37:53,932 --> 00:37:55,100 CONDITIONS OF DAILY LIFE THAT 902 00:37:55,100 --> 00:37:56,802 RESULT IN DIFFERENCES IN HEALTH 903 00:37:56,802 --> 00:37:59,571 AND DISEASE DISTRIBUTION AND 904 00:37:59,571 --> 00:38:01,206 INCLUDED DEDICATED FORMAL 905 00:38:01,206 --> 00:38:03,175 EDUCATION AND INFORMATICS, 906 00:38:03,175 --> 00:38:06,145 CLINICAL DECISION SUPPORT AND 907 00:38:06,145 --> 00:38:07,880 AI. TO MEET THIS GOAL NINR 908 00:38:07,880 --> 00:38:09,448 SHOULD INVEST IN TRAINING 909 00:38:09,448 --> 00:38:11,583 PROGRAMS THAT INCREASE AWARENESS 910 00:38:11,583 --> 00:38:14,686 AND COMPETENCY IN AREAS SUCH AS 911 00:38:14,686 --> 00:38:17,055 AI LITERACY. ETHICAL AI USE. 912 00:38:17,055 --> 00:38:19,591 BIASSED MITIGATION. DATA 913 00:38:19,591 --> 00:38:21,260 INTERPRETATION AND CLINICAL 914 00:38:21,260 --> 00:38:24,129 APPLICATIONS OF AI TOOLS. IN THE 915 00:38:24,129 --> 00:38:26,932 SECOND TRAINING RECOMMENDATION, 916 00:38:26,932 --> 00:38:29,334 NINR SHOULD ENCOURAGE ALL 917 00:38:29,334 --> 00:38:30,869 TRAINING PROGRAMS SO THAT ALL 918 00:38:30,869 --> 00:38:35,007 THE T-32s TO PROVIDE STUDENTS 919 00:38:35,007 --> 00:38:35,908 WITH FOUNDATIONAL EDUCATION IN 920 00:38:35,908 --> 00:38:37,910 AI TO PREPARE THEM FOR 921 00:38:37,910 --> 00:38:38,844 INTEGRATION INTO NURSING SCIENCE 922 00:38:38,844 --> 00:38:41,213 AND PRACTICE. TO MEET THIS GOAL 923 00:38:41,213 --> 00:38:42,748 NINR SHOULD INVEST IN TRAINING 924 00:38:42,748 --> 00:38:44,950 PROGRAMS THAT PROVIDE FORMAL 925 00:38:44,950 --> 00:38:47,920 EDUCATION IN INFORMATICS, 926 00:38:47,920 --> 00:38:50,589 CLINICAL DECISION SUPPORT AND AI 927 00:38:50,589 --> 00:38:53,559 -- BUILD AI EDUCATION UPON 928 00:38:53,559 --> 00:38:54,760 FOUNDATIONAL INFORMATICS 929 00:38:54,760 --> 00:38:55,627 EDUCATION, INCORPORATING 930 00:38:55,627 --> 00:39:01,533 TRAINING SOURCES O F BIAS IN THE 931 00:39:01,533 --> 00:39:07,239 AI AND STRATEGY FOR PREVENTING 932 00:39:07,239 --> 00:39:10,909 AND EDADDRESSING BIAS. YOU ARE 933 00:39:10,909 --> 00:39:12,277 TAKING OVER, YVONNE? 934 00:39:12,277 --> 00:39:14,613 >> YES, THANKS PAT. THE 935 00:39:14,613 --> 00:39:18,116 FORWARD ARE ADDITIONAL 936 00:39:18,116 --> 00:39:19,151 RECOMMENDATIONS. NEXT SLIDE, 937 00:39:19,151 --> 00:39:21,086 PLEASE. NINR SHOULD FACILITATE 938 00:39:21,086 --> 00:39:24,022 PARTNERSHIPS BETWEEN NURSE 939 00:39:24,022 --> 00:39:26,725 SCIENTISTS AND INDUSTRY TO 940 00:39:26,725 --> 00:39:29,027 DEVELOP INNOVATIVE 941 00:39:29,027 --> 00:39:33,065 PATIENT-CENTERED TECHNOLOGISTS 942 00:39:33,065 --> 00:39:34,700 AND SHOULD SUPPORT DEVELOPMENT 943 00:39:34,700 --> 00:39:37,236 AND ADOPTION OF STANDARDIZED 944 00:39:37,236 --> 00:39:40,539 NURSING STRUCTURES TO FACILITATE 945 00:39:40,539 --> 00:39:43,242 LARGE-SCALE DATA HARMIZATION AND 946 00:39:43,242 --> 00:39:46,712 INTEGRATION INTO NATIONAL HEALTH 947 00:39:46,712 --> 00:39:47,679 ANALYSES. NINR SHOULD FACILITATE 948 00:39:47,679 --> 00:39:50,582 A SYSTEMATIC APPROACH TO 949 00:39:50,582 --> 00:39:54,419 INTEGRATING AI APPLICATIONS IN 950 00:39:54,419 --> 00:39:55,988 NURSING, INCLUDING CLINICAL 951 00:39:55,988 --> 00:39:58,657 DECISION SUPPORT, PATIENT 952 00:39:58,657 --> 00:40:01,226 EDUCATION, DOCUMENTATION AND 953 00:40:01,226 --> 00:40:05,864 PREDICTIVE ANALYTICS. NINR 954 00:40:05,864 --> 00:40:08,533 SHOULD PRIORITIZE RESEARCH ON 955 00:40:08,533 --> 00:40:11,003 IDENTIFYING AND MITIGATING 956 00:40:11,003 --> 00:40:13,572 BIASES IN AI TOOLS TO PROMOTE 957 00:40:13,572 --> 00:40:17,743 HEALTH CARE OUTCOMES FOR ALL 958 00:40:17,743 --> 00:40:20,679 PEOPLES. NEXT SLIDE, PLEASE. 959 00:40:20,679 --> 00:40:22,214 NINR SHOULD SUPPORT THE 960 00:40:22,214 --> 00:40:24,650 DEVELOPMENT OF STANDARDIZED 961 00:40:24,650 --> 00:40:27,085 FRAMEWORKS FOR BIAS ASSESSMENT 962 00:40:27,085 --> 00:40:31,890 AND CONTINUOUS MONITORING OF AI 963 00:40:31,890 --> 00:40:34,860 ALGORITHMS IN HEALTH CARE AND 964 00:40:34,860 --> 00:40:37,229 SHOULD FOSTER NURSE'S CRITICAL 965 00:40:37,229 --> 00:40:39,031 EVALUATION OF AI-GENERATED DATA 966 00:40:39,031 --> 00:40:46,705 TO ENSURE PROFESSIONAL JUDGMENT 967 00:40:46,705 --> 00:40:50,375 AND RESEARCH APPROACHES THAT 968 00:40:50,375 --> 00:40:54,479 PRODUCE ENDURING, ADAPTABLE 969 00:40:54,479 --> 00:40:56,114 SOLUTIONS, TO KEEP PACE WITH 970 00:40:56,114 --> 00:40:59,751 RAPID AI ADVANCEMENTS IN HEALTH 971 00:40:59,751 --> 00:41:03,121 CARE. NEXT SLIDE. WE THANK YOU 972 00:41:03,121 --> 00:41:07,326 SO VERY MUCH. I THINK THERE IS A 973 00:41:07,326 --> 00:41:09,261 DISCUSSION, I'M NOT SURE. SO I 974 00:41:09,261 --> 00:41:15,734 WILL TURN IT OVER TO EITHER THE 975 00:41:15,734 --> 00:41:16,601 DISCUSSANT OR FOR Q&A, THANK 976 00:41:16,601 --> 00:41:17,102 YOU. 977 00:41:17,102 --> 00:41:19,905 >> THANK YOU, DR. STONE AND 978 00:41:19,905 --> 00:41:21,273 BRYANT. WE HAVE TIME FOR 979 00:41:21,273 --> 00:41:23,008 QUESTIONS. SO I WILL OPEN IT UP 980 00:41:23,008 --> 00:41:29,815 TO COUNCIL, IF YOU ALL HAVE ANY 981 00:41:29,815 --> 00:41:30,115 QUESTIONS. 982 00:41:30,115 --> 00:41:32,150 >> I JUST WANTED TO THANK THE 983 00:41:32,150 --> 00:41:33,485 WORKING GROUP MEMBERS, 984 00:41:33,485 --> 00:41:35,120 ESPECIALLY THE ONES WHO ARE 985 00:41:35,120 --> 00:41:38,623 HERE. IT WAS REALLY A PLEASURE 986 00:41:38,623 --> 00:41:42,627 TO WORK WITH YOU ON DEVELOPING 987 00:41:42,627 --> 00:41:43,295 THESE RECOMMENDATIONS. 988 00:41:43,295 --> 00:41:47,933 >> AND I CONCUR WHOLE 989 00:41:47,933 --> 00:41:48,667 HEARTEDLY. 990 00:41:48,667 --> 00:41:51,636 >> THANK YOU FOR YOUR WORK. 991 00:41:51,636 --> 00:41:53,672 >> GO AHEAD, DANIEL. 992 00:41:53,672 --> 00:41:54,973 >> OKAY, THANK YOU. I DON'T 993 00:41:54,973 --> 00:41:56,441 NECESSARILY HAVE A QUESTION. I 994 00:41:56,441 --> 00:41:58,510 JUST HAVE A COMMENT. I WANT TO 995 00:41:58,510 --> 00:42:00,679 ECHO DR. STONE'S COMMENTS, YOU 996 00:42:00,679 --> 00:42:02,180 KNOW, THANK THE WORKING GROUP 997 00:42:02,180 --> 00:42:04,850 FOR PUTTING TOGETHER SUCH A 998 00:42:04,850 --> 00:42:08,220 THOUGHTFUL LIST OF 999 00:42:08,220 --> 00:42:09,521 RECOMMENDATIONS. I APPRECIATE 1000 00:42:09,521 --> 00:42:11,623 THE PRIORITIZATION OF THESE, 1001 00:42:11,623 --> 00:42:13,959 WHICH I THOUGHT -- YOU KNOW, IN 1002 00:42:13,959 --> 00:42:16,828 CON GREENS WITH WHAT I HAVE READ 1003 00:42:16,828 --> 00:42:18,597 ARE BEST PRACTICES. I REALLY 1004 00:42:18,597 --> 00:42:23,034 APPRECIATE THE APPROACH TO 1005 00:42:23,034 --> 00:42:23,668 INTERDISCIPLINARY COLLABORATION. 1006 00:42:23,668 --> 00:42:25,404 I APPRECIATED THE FACT YOU ALL 1007 00:42:25,404 --> 00:42:27,906 LOOKED AT ALL STAGES OF AI 1008 00:42:27,906 --> 00:42:30,442 ALGORITHM DEVELOPMENT AND 1009 00:42:30,442 --> 00:42:31,610 EVALUATION, ENSURING FOLKS WHO 1010 00:42:31,610 --> 00:42:37,048 ARE CLOSE TOST TO PAIN AND PROBS 1011 00:42:37,048 --> 00:42:38,016 ARE INCORPORATED, FOLKS FROM THE 1012 00:42:38,016 --> 00:42:39,785 COMMUNITY ARE INCORPORATED IN 1013 00:42:39,785 --> 00:42:42,220 DESIGN AND EVALUATION. OF COURSE 1014 00:42:42,220 --> 00:42:43,221 THE TRAINING COMPONENT REALLY 1015 00:42:43,221 --> 00:42:44,322 HIT ME AS WELL AS ONE THAT I 1016 00:42:44,322 --> 00:42:46,091 THOUGHT WAS ON THE MARK, SO 1017 00:42:46,091 --> 00:42:48,193 THANK YOU ALL FOR YOUR HARD WORK 1018 00:42:48,193 --> 00:42:49,294 ON THAT. 1019 00:42:49,294 --> 00:42:53,365 >> YOU'RE WELCOME. IT WAS A 1020 00:42:53,365 --> 00:42:54,699 REAL PLEASURE. 1021 00:42:54,699 --> 00:42:56,301 1022 00:42:56,301 --> 00:43:03,008 >> DR. -- MR. RANKIN. 1023 00:43:03,008 --> 00:43:04,743 >> YES, I WANT TO COMMEND YOU 1024 00:43:04,743 --> 00:43:06,445 ALL ON TAKING THE LEAD. IT IS 1025 00:43:06,445 --> 00:43:07,279 SOMETHING THAT IS ON THE MINDS 1026 00:43:07,279 --> 00:43:11,049 OF A LOT OF PEOPLE. AI AND WHAT 1027 00:43:11,049 --> 00:43:12,984 IT MAY BE, MOVING FORWARD IN THE 1028 00:43:12,984 --> 00:43:14,586 FUTURE. I DON'T THINK WE 1029 00:43:14,586 --> 00:43:16,321 ACTUALLY KNOW. BUT ARE WE 1030 00:43:16,321 --> 00:43:17,556 TALKING ABOUT ACTUALLY INCURRING 1031 00:43:17,556 --> 00:43:19,090 PEOPLE TO DO RESEARCH USING AI 1032 00:43:19,090 --> 00:43:21,493 OR EXPECTING THAT IT IS GOING TO 1033 00:43:21,493 --> 00:43:24,629 COME AND BEING PROACTIVE WITH 1034 00:43:24,629 --> 00:43:26,298 THIS APPROACH? 1035 00:43:26,298 --> 00:43:29,367 >> I THINK THAT WE ARE 1036 00:43:29,367 --> 00:43:30,936 ENCOURAGING -- MAKING 1037 00:43:30,936 --> 00:43:31,770 RECOMMENDATIONS THAT THERE 1038 00:43:31,770 --> 00:43:33,405 SHOULD BE RESEARCH ON THE 1039 00:43:33,405 --> 00:43:36,908 DEVELOPMENT AND EVALUATION OF 1040 00:43:36,908 --> 00:43:42,614 AI. THAT IT IS HAPPENING, YOU 1041 00:43:42,614 --> 00:43:47,586 KNOW. I KNOW THAT NINR SUPPORTED 1042 00:43:47,586 --> 00:43:55,126 AI APPROACH TO PUTTING AN 1043 00:43:55,126 --> 00:43:57,429 INDICATOR IN HOSPITAL ELECTRONIC 1044 00:43:57,429 --> 00:44:00,031 MEDICAL RECORDS THAT BRINGS IN A 1045 00:44:00,031 --> 00:44:03,168 LOT OF -- AN ALGORITHM THAT 1046 00:44:03,168 --> 00:44:06,104 BRINGS IN NARRATIVE NURSING 1047 00:44:06,104 --> 00:44:07,439 NOTES AS WELL AS LABORATORY 1048 00:44:07,439 --> 00:44:09,708 THINGS, YOU KNOW, TO SAY AS A 1049 00:44:09,708 --> 00:44:12,377 CONDITION THAT THIS PATIENT 1050 00:44:12,377 --> 00:44:17,516 MIGHT BE DOING POORLY IN THE 1051 00:44:17,516 --> 00:44:19,384 ICU. IT'S ACTUALLY SAVED LIVES. 1052 00:44:19,384 --> 00:44:21,586 WE NEED TO CONTINUE TO DEVELOP 1053 00:44:21,586 --> 00:44:23,755 THESE SORT OF THINGS, YOU KNOW, 1054 00:44:23,755 --> 00:44:25,290 IN ALL DIFFERENT SETTINGS AND DO 1055 00:44:25,290 --> 00:44:29,561 THEM ETHICALLY AND MAKE SURE 1056 00:44:29,561 --> 00:44:31,396 THAT PEOPLE ARE -- UNDERSTAND 1057 00:44:31,396 --> 00:44:31,630 THEM. 1058 00:44:31,630 --> 00:44:34,332 >> THANK YOU. IT CAN BE A 1059 00:44:34,332 --> 00:44:37,235 TOOL FOR GOOD OR FOR BAD, THAT 1060 00:44:37,235 --> 00:44:38,270 IS A CONCERN. 1061 00:44:38,270 --> 00:44:42,841 >> YEAH. IT COULD BE. BUT THE 1062 00:44:42,841 --> 00:44:48,513 TOOL IS THERE. 1063 00:44:48,513 --> 00:44:53,985 >> ANY OTHER QUESTIONS, 1064 00:44:53,985 --> 00:44:56,154 COMMENTS? DO YOU WANT TO SAY 1065 00:44:56,154 --> 00:44:57,389 ANYTHING ABOUT IT? 1066 00:44:57,389 --> 00:44:58,957 >> THANK YOU. FIRST I WANT TO 1067 00:44:58,957 --> 00:45:00,992 ACKNOWLEDGE -- THANK BOTH OF OUR 1068 00:45:00,992 --> 00:45:02,928 CHAIR'S EFFORTS IN LEADING US IN 1069 00:45:02,928 --> 00:45:04,796 THIS WORKING GROUP. AS ALL OF 1070 00:45:04,796 --> 00:45:08,166 YOU KNOW, AI'S ALREADY 1071 00:45:08,166 --> 00:45:15,273 TRANSFORMING HEALTH CARE. BANKS 1072 00:45:15,273 --> 00:45:16,908 REPRESENTING THE LARGEST 1073 00:45:16,908 --> 00:45:18,276 PROFESSIONALS, NURSING, WE NEED 1074 00:45:18,276 --> 00:45:20,712 TO UP OUR GAME IN EDUCATING AND 1075 00:45:20,712 --> 00:45:22,380 TRAINING OUR NURSE, NURSE 1076 00:45:22,380 --> 00:45:25,517 SCIENTISTS IN AI SO WE CAN 1077 00:45:25,517 --> 00:45:28,720 UNDERSTAND NOT ONLY THE PRO 'S, 1078 00:45:28,720 --> 00:45:30,589 WHERE WE CAN SAVE LIVES AND THEY 1079 00:45:30,589 --> 00:45:32,991 ARE ALREADY VALIDATED RESEARCH 1080 00:45:32,991 --> 00:45:35,060 TOOLS THAT ARE ALREADY AI TOOLS 1081 00:45:35,060 --> 00:45:37,028 PROVEN TO SORT OF IMPROVE CARE 1082 00:45:37,028 --> 00:45:39,664 OR SAVING LIVES, IMPROVE 1083 00:45:39,664 --> 00:45:41,800 MORTALITY, BUT ALSO 1084 00:45:41,800 --> 00:45:43,101 UNDERSTANDING, YOU KNOW, THE 1085 00:45:43,101 --> 00:45:44,936 BIAS WE MENTION IN THESE 1086 00:45:44,936 --> 00:45:46,404 RECOMMENDATIONS. IT IS IMPORTANT 1087 00:45:46,404 --> 00:45:48,873 FOR NURSES, NURSE SCIENTISTS TO 1088 00:45:48,873 --> 00:45:51,109 RECOGNIZE THE BIASES AND HOW CAN 1089 00:45:51,109 --> 00:45:54,245 WE MITIGATE THOSE RISKS AND 1090 00:45:54,245 --> 00:45:56,681 BIASES FROM DEVELOPMENT TO THE 1091 00:45:56,681 --> 00:45:57,749 IMPLEMENTATION, SO I APPRECIATE 1092 00:45:57,749 --> 00:46:01,386 ALL THE QUESTIONS BECAUSE WE DO 1093 00:46:01,386 --> 00:46:05,023 RECOGNIZE AND UNDERSTAND ALL 1094 00:46:05,023 --> 00:46:06,591 PRO-AI, ANYTHING AI, BUT WITH 1095 00:46:06,591 --> 00:46:09,694 APPROACH TO UNDERSTAND THE 1096 00:46:09,694 --> 00:46:11,396 PRO 'S AND CON'S AND ED A 1097 00:46:11,396 --> 00:46:13,131 ADVANTAGES AND DISADVANTAGES IT 1098 00:46:13,131 --> 00:46:14,566 BRINGS TO HEALTH CARE, THANK 1099 00:46:14,566 --> 00:46:15,900 YOU. 1100 00:46:15,900 --> 00:46:18,570 >> THANK YOU. DR. WANG. DID 1101 00:46:18,570 --> 00:46:20,538 YOU HAVE COMMENTS OR ANYTHING? 1102 00:46:20,538 --> 00:46:22,774 >> I JUST ECHO YOUR COMMENTS 1103 00:46:22,774 --> 00:46:24,776 ALREADY. AI IS ALREADY BEING 1104 00:46:24,776 --> 00:46:27,879 USED. IT IS RUNNING IN THE 1105 00:46:27,879 --> 00:46:28,480 BACKGROUNDS OF ALL THE 1106 00:46:28,480 --> 00:46:30,148 ELECTRONIC HEALTH REPORT 1107 00:46:30,148 --> 00:46:32,217 SYSTEMS. DOING THINGS LIKE 1108 00:46:32,217 --> 00:46:34,653 IDENTIFYING SEPSIS RISK, 1109 00:46:34,653 --> 00:46:36,821 IDENTIFYING ACUTE KIDNEY INJURY. 1110 00:46:36,821 --> 00:46:39,024 THOSE THINGS, THERE IS REALLY 1111 00:46:39,024 --> 00:46:41,926 GOOD EVIDENCE IT IS IDENTIFYING 1112 00:46:41,926 --> 00:46:47,899 VITAL SIGN CHANGES, SUBTLE 1113 00:46:47,899 --> 00:46:50,435 THINGS WE MIGHT DISMISS AS 1114 00:46:50,435 --> 00:46:51,903 NURSES IN OUR PRACTICE .TAB 1115 00:46:51,903 --> 00:46:53,138 IT IS POWERFUL AND THE CHALLENGE 1116 00:46:53,138 --> 00:46:56,241 IS IMPLEMENTING IT FROM ONE 1117 00:46:56,241 --> 00:46:58,176 MODEL TO ANOTHER. SYSTEMS ARE 1118 00:46:58,176 --> 00:46:59,844 VERY DIFFERENT. THAT IS WHERE 1119 00:46:59,844 --> 00:47:01,946 NURSES COME IN UNDERSTANDING HOW 1120 00:47:01,946 --> 00:47:03,615 THE SYSTEMS ARE DIFFERENT, WHY 1121 00:47:03,615 --> 00:47:05,617 ARE PATIENTS DIFFERENT, WHY ARE 1122 00:47:05,617 --> 00:47:07,819 PROVIDERS NOT RESPONDED TO FLAG 1123 00:47:07,819 --> 00:47:08,987 GENERATED THAT SAYS THIS PATIENT 1124 00:47:08,987 --> 00:47:11,890 IS -- SO THE QUESTIONS, AT THIS 1125 00:47:11,890 --> 00:47:13,425 POINT, ARE ENDLESS. BUT AI IS 1126 00:47:13,425 --> 00:47:15,427 HERE. I THINK BY US NOT 1127 00:47:15,427 --> 00:47:17,862 ADDRESSING IT, WE ARE MISSING A 1128 00:47:17,862 --> 00:47:21,366 HUGE OPPORTUNITY TO HELP 1129 00:47:21,366 --> 00:47:22,300 PATIENTS. 1130 00:47:22,300 --> 00:47:25,303 >> THANK YOU. 1131 00:47:25,303 --> 00:47:27,072 >> WE THANK YOU FOR THE 1132 00:47:27,072 --> 00:47:30,041 COMMENTS. WE LOOK FORWARD TO 1133 00:47:30,041 --> 00:47:35,413 MOVING THE FINAL REPORT FORWARD. 1134 00:47:35,413 --> 00:47:36,347 >> THANK YOU VERY MUCH FOR 1135 00:47:36,347 --> 00:47:37,315 THE DISCUSSION AND TO THE 1136 00:47:37,315 --> 00:47:38,817 CO -CHAIRS AND MEMBERS OF THE 1137 00:47:38,817 --> 00:47:40,685 WORKING GROUP. THE WORK YOU ARE 1138 00:47:40,685 --> 00:47:42,187 LAYING OUT IS DIRECTLY IN LINE 1139 00:47:42,187 --> 00:47:45,323 WITH THE PRIORITIES YOU HEARD ME 1140 00:47:45,323 --> 00:47:48,860 TALK ABOUT EARLIER, AS WELL AS 1141 00:47:48,860 --> 00:47:50,795 OUR UPCOMING WORKSHOP FOR THE AI 1142 00:47:50,795 --> 00:47:53,965 BOOT CAMP SO ENCOURAGE ALL OF 1143 00:47:53,965 --> 00:47:55,433 YOU TO DO THAT, AS WELL. WE HAVE 1144 00:47:55,433 --> 00:47:57,368 A FEW MINUTES BEFORE WE 1145 00:47:57,368 --> 00:47:58,470 TRANSITION TO INTERNAL 1146 00:47:58,470 --> 00:48:01,172 CONVERSATIONS TO OUR STAFF. 1147 00:48:01,172 --> 00:48:02,707 WANTED TO MAKE SURE THERE ARE 1148 00:48:02,707 --> 00:48:03,441 ADDITIONAL QUESTIONS FROM 1149 00:48:03,441 --> 00:48:04,442 COUNCIL BEFORE WE BREAK FOR A 1150 00:48:04,442 --> 00:48:08,847 FEW MINUTES. 1151 00:48:08,847 --> 00:48:08,980 1152 00:48:08,980 --> 00:48:12,283 1153 00:48:12,283 --> 00:48:15,653 SEEING NONE, WE ARE GOING TO 1154 00:48:15,653 --> 00:48:19,824 TAKE A QUICK BREAK. I'LL ASK 1155 00:48:19,824 --> 00:48:23,895 EVERYONE TO COME BACK AT 10:05. 1156 00:48:23,895 --> 00:48:31,644 THANK YOU VERY MUCH. 1157 00:48:31,644 --> 00:48:34,414 -- NINR SOLUTIONS OR RESEARCH. 1158 00:48:34,414 --> 00:48:38,785 >> THANKS, DR. AKLIN. NEXT 1159 00:48:38,785 --> 00:48:42,355 SLIDE, PLEASE. MANY OF YOU ARE 1160 00:48:42,355 --> 00:48:43,289 FAMILIAR WITH OUR MISSION 1161 00:48:43,289 --> 00:48:45,191 STATEMENT BUT I THINK IT IS 1162 00:48:45,191 --> 00:48:46,492 IMPORTANT AGAIN TO EMBED THIS 1163 00:48:46,492 --> 00:48:50,396 FRAMING AS I MOVE THROUGH THE 1164 00:48:50,396 --> 00:48:58,571 PRESENTATION. NINR IS STEADFAST 1165 00:48:58,571 --> 00:49:05,244 -- I AM NOT -- OKAY. MY 1166 00:49:05,244 --> 00:49:09,215 APOLOGIES. OKAY. NINR IS 1167 00:49:09,215 --> 00:49:12,852 STEADFAST IN ADVANCING OUR 1168 00:49:12,852 --> 00:49:16,289 MISSION OF LEADING NURSING 1169 00:49:16,289 --> 00:49:18,658 RESEARCH TO SOLVE CHALLENGES AND 1170 00:49:18,658 --> 00:49:23,463 INFORM PRACTICE AND POLICY, 1171 00:49:23,463 --> 00:49:24,831 OPTIMIZING HEALTH FOR ALL. THIS 1172 00:49:24,831 --> 00:49:26,699 IS WITH THE END GOAL OF 1173 00:49:26,699 --> 00:49:28,634 INFORMING HOW WE ENGAGE IN 1174 00:49:28,634 --> 00:49:30,737 CLINICAL SETTINGS, PEOPLE IN 1175 00:49:30,737 --> 00:49:33,172 COMMUNITY SETTINGS AND CONSIDER 1176 00:49:33,172 --> 00:49:34,607 FULL POPULATIONS TO ADVANCE 1177 00:49:34,607 --> 00:49:36,809 RESEARCH TO BE TRANSLATED INTO 1178 00:49:36,809 --> 00:49:40,079 THE MANY SETTINGS IN WHICH 1179 00:49:40,079 --> 00:49:42,081 NURSES WORK. MOVING FROM WHAT WE 1180 00:49:42,081 --> 00:49:43,483 KNOW ABOUT FACTORS THAT 1181 00:49:43,483 --> 00:49:45,284 INFLUENCE HEALTH TO WHAT WE DO 1182 00:49:45,284 --> 00:49:47,620 TO ADVANCE HEALTH FOR ALL REMAIN 1183 00:49:47,620 --> 00:49:52,492 ASCII FOCUS FOR US AT NINR. WE 1184 00:49:52,492 --> 00:49:53,526 REMAIN COMMITTED TO OUR MISSION 1185 00:49:53,526 --> 00:49:55,728 AND ARE CONTINUING TO MOVE 1186 00:49:55,728 --> 00:49:57,663 FORWARD SCIENTIFIC ACTIVITIES IN 1187 00:49:57,663 --> 00:49:59,799 PURSUIT OF THIS CONTINUED GOAL, 1188 00:49:59,799 --> 00:50:04,604 AS YOU HEARD EARLIER FROM DR. 1189 00:50:04,604 --> 00:50:10,610 AKLIN. NEXT SLIDE, PLEASE. AT 1190 00:50:10,610 --> 00:50:12,812 NINR WE'VE BEEN BUSY ADVANCING 1191 00:50:12,812 --> 00:50:16,749 SCIENTIFIC ACTIVITIES THAT ARE 1192 00:50:16,749 --> 00:50:18,684 SOLUTIONS-ORIENTED. OVER THE 1193 00:50:18,684 --> 00:50:20,720 PAST SEVERAL YEARS TO ACCELERATE 1194 00:50:20,720 --> 00:50:22,155 PROGRESS AND IMPROVING THE 1195 00:50:22,155 --> 00:50:25,658 HEALTH OF OUR NATION WE HAVE 1196 00:50:25,658 --> 00:50:27,293 EXPANDED OUR COMMITMENT TO 1197 00:50:27,293 --> 00:50:28,561 INTERVENTION RESEARCH THAT 1198 00:50:28,561 --> 00:50:32,899 FOCUSES ON SYSTEMS, PROGRAMS, 1199 00:50:32,899 --> 00:50:36,369 PRACTICES AND POLICIES. IN FACT, 1200 00:50:36,369 --> 00:50:38,671 NINR RANKS SECOND AT NIH IN 1201 00:50:38,671 --> 00:50:39,372 SUPPORTING INTERVENTION RESEARCH 1202 00:50:39,372 --> 00:50:41,974 AND ALSO SECOND IN ENCOURAGING 1203 00:50:41,974 --> 00:50:43,843 RESEARCH THAT CENTERS THE 1204 00:50:43,843 --> 00:50:46,012 CONSIDERATION OF PEOPLE'S LIVES 1205 00:50:46,012 --> 00:50:49,048 AND LIVING CONDITIONS AS THE 1206 00:50:49,048 --> 00:50:50,917 CONTEXT IN WHICH HEALTH IS 1207 00:50:50,917 --> 00:50:54,654 DEVELOPED, MAINTAINED AND 1208 00:50:54,654 --> 00:50:57,457 IMPROVED. NEXT SLIDE, PLEASE. IN 1209 00:50:57,457 --> 00:50:59,325 RECENT YEARS NINR HAS LED 1210 00:50:59,325 --> 00:51:00,693 SEVERAL RESEARCH INITIATIVES 1211 00:51:00,693 --> 00:51:03,062 THAT ADVANCE THIS BODY OF 1212 00:51:03,062 --> 00:51:04,964 RESEARCH, WITH THE GOAL OF 1213 00:51:04,964 --> 00:51:06,999 MOVING US ALONG TO ACTIONABLE 1214 00:51:06,999 --> 00:51:10,336 STRATEGIES TO IMPROVE HEALTH FOR 1215 00:51:10,336 --> 00:51:12,772 ALL. THESE INITIATIVES HAVE 1216 00:51:12,772 --> 00:51:15,074 INCLUDED A FOCUS ON BRIDGING THE 1217 00:51:15,074 --> 00:51:17,944 DIVIDE BETWEEN CLINICAL CARE AND 1218 00:51:17,944 --> 00:51:21,180 COMMUNITY SERVICES AND RESOURCES 1219 00:51:21,180 --> 00:51:23,015 TO MAKE CARE MORE EFFECTIVE AND 1220 00:51:23,015 --> 00:51:25,418 EFFICIENT FOR ALL POPULATIONS 1221 00:51:25,418 --> 00:51:27,920 ACROSS DISEASE Z AND CONDITIONS 1222 00:51:27,920 --> 00:51:32,091 AND THE LIFE COURSE. ANOTHER 1223 00:51:32,091 --> 00:51:39,332 INITIATIVE AIMS TO SUPPORT 1224 00:51:39,332 --> 00:51:41,434 HOUSING INSTABILITY AS IT IS 1225 00:51:41,434 --> 00:51:44,170 IMPORTANT TO MAINTAINING OPTIMAL 1226 00:51:44,170 --> 00:51:50,676 HEALTH. NINR IS ALSO ADVANCING 1227 00:51:50,676 --> 00:51:51,210 SOLUT 1228 00:51:51,210 --> 00:51:55,715 SOLUTIONS TO SUPPORT RESEARCH TO 1229 00:51:55,715 --> 00:51:58,451 DEVELOP INNOVATIVE CARE MODELS 1230 00:51:58,451 --> 00:52:00,786 BUILT AROUND CONTEXT OF PEOPLE'S 1231 00:52:00,786 --> 00:52:03,656 LIVES AND LIVING CONDITIONS. OUR 1232 00:52:03,656 --> 00:52:05,892 INITIATIVE ON NURSE BURNOUT 1233 00:52:05,892 --> 00:52:08,828 ADVANCES RESEARCH TO DEVELOP 1234 00:52:08,828 --> 00:52:10,062 ORGANIZATIONAL INTERVENTIONS TO 1235 00:52:10,062 --> 00:52:12,064 PREVENT AND MITIGATE NURSE 1236 00:52:12,064 --> 00:52:13,399 BURNOUT AND INCREASE NURSE 1237 00:52:13,399 --> 00:52:16,602 WELL-BEING IN THE VERY SETTINGS 1238 00:52:16,602 --> 00:52:18,437 WHERE NURSES PRACTICE. NOW THAT 1239 00:52:18,437 --> 00:52:22,108 I'VE HIGHLIGHTED A FEW OF OUR 1240 00:52:22,108 --> 00:52:23,075 SOLUTIONS-ORIENTED RESEARCH 1241 00:52:23,075 --> 00:52:24,544 EFFORTS I WILL BRIEFLY MENTION A 1242 00:52:24,544 --> 00:52:28,614 FEW STUDIES WE CURRENTLY 1243 00:52:28,614 --> 00:52:33,586 SUPPORT. NEXT SLIDE, PLEASE. OUR 1244 00:52:33,586 --> 00:52:35,154 INNOVATIVE SOLUTIONS ADVANCE 1245 00:52:35,154 --> 00:52:36,689 SOLUTIONS TO ADVANCE MULTIPLE 1246 00:52:36,689 --> 00:52:46,599 CHRONIC DISEASES ANDOVER THE LI 1247 00:52:46,599 --> 00:52:48,701 COURSE, ONE IS DIABETES OUTCOMES 1248 00:52:48,701 --> 00:52:51,037 AMONG HOSPITALIZED ADULTS. THIS 1249 00:52:51,037 --> 00:52:53,739 STUDY, WHICH COUPLES SDOH 1250 00:52:53,739 --> 00:52:55,174 SCREENING INTERVENTION TOOL WITH 1251 00:52:55,174 --> 00:52:59,512 A PATIENT NAVIGATION PROTOCOL, 1252 00:52:59,512 --> 00:53:00,413 LEVERAGES HOSPITALIZATION AS AN 1253 00:53:00,413 --> 00:53:03,783 OPPORTUNITY TO RESOLVE UNMET 1254 00:53:03,783 --> 00:53:06,052 SDOH NEEDS THAT PLACE PATIENTS 1255 00:53:06,052 --> 00:53:08,888 AT ELEVATED RISK OF FOUR 1256 00:53:08,888 --> 00:53:12,191 POST-DISCHARGE OUTCOMES. NEXT 1257 00:53:12,191 --> 00:53:20,299 SLIDE, PLEASE. RESIDENTS SUFFER 1258 00:53:20,299 --> 00:53:22,101 CHRONIC PAIN COMPARED TO 1259 00:53:22,101 --> 00:53:23,436 NON-RURAL AND IMPACTED BY 1260 00:53:23,436 --> 00:53:26,305 NURSING SHORTAGES. THIS PROJECT 1261 00:53:26,305 --> 00:53:27,907 USES A HYBRID EFFECTIVENESS 1262 00:53:27,907 --> 00:53:29,742 IMPLEMENTATION DESIGN TO 1263 00:53:29,742 --> 00:53:31,611 IMPLEMENT A NURSE CARE 1264 00:53:31,611 --> 00:53:32,912 MANAGEMENT MODEL IN A RURAL 1265 00:53:32,912 --> 00:53:34,313 HEALTH CARE SYSTEM IN PRIMARY 1266 00:53:34,313 --> 00:53:37,717 CARE CLINICS FOR PATIENTS WITH 1267 00:53:37,717 --> 00:53:40,620 CHRONIC PAIN. THE PROJECT IS 1268 00:53:40,620 --> 00:53:41,887 IMPLEMENTED ON A SYSTEM-WIDE 1269 00:53:41,887 --> 00:53:44,290 LEVEL WITH ATTENTION TO 1270 00:53:44,290 --> 00:53:45,358 IMPLEMENTATION NEEDS AT 1271 00:53:45,358 --> 00:53:46,592 DIFFERENT RURAL PRIMARY CARE 1272 00:53:46,592 --> 00:53:48,694 SITES, BASED ON POPULATION, 1273 00:53:48,694 --> 00:53:54,166 STAFFING AND OTHER FACTORS. THE 1274 00:53:54,166 --> 00:53:55,968 NEXT STUDY, THE DEMANDS OF 1275 00:53:55,968 --> 00:53:58,371 MANAGING CHRONIC CONDITIONS SUCH 1276 00:53:58,371 --> 00:54:00,573 AS DIABETES AND HYPERTENSION 1277 00:54:00,573 --> 00:54:03,075 SOMETIMES CANNOT BE MET WITH 1278 00:54:03,075 --> 00:54:07,680 USUAL CARE. THIS PROJECT 1279 00:54:07,680 --> 00:54:09,348 ADDRESSES MANAGING THE PROJECT 1280 00:54:09,348 --> 00:54:12,385 OF DIABETES AND HYPERTENSION NOT 1281 00:54:12,385 --> 00:54:14,687 RESPONSIVE TO MANAGEMENT AND TO 1282 00:54:14,687 --> 00:54:17,423 ADDRESS MONITORING COMBINED WITH 1283 00:54:17,423 --> 00:54:19,725 TEL HEALTH, WHICH MAY IMPROVE 1284 00:54:19,725 --> 00:54:21,394 MANAGEMENT BECAUSE IT 1285 00:54:21,394 --> 00:54:24,230 FACILITATES PATIENT PROVIDER 1286 00:54:24,230 --> 00:54:26,232 CONTEXT THAT SUPPORT PROJECT 1287 00:54:26,232 --> 00:54:27,900 MANAGEMENT. THIS FOCUSES ON 1288 00:54:27,900 --> 00:54:29,869 ADDRESSING BARRIERS AND EVIDENCE 1289 00:54:29,869 --> 00:54:31,570 GAPS THAT PROVIDE WIDESPREAD 1290 00:54:31,570 --> 00:54:33,572 IMPLEMENTATION OF MOBILE 1291 00:54:33,572 --> 00:54:37,843 MONITORING COMBINED WITH 1292 00:54:37,843 --> 00:54:39,578 TELEHEALTH. IF YOU CAN IS 1293 00:54:39,578 --> 00:54:41,280 ACCESSFUL THIS APPROACH CAN BE 1294 00:54:41,280 --> 00:54:44,517 USED FOR OTHER HIGH-RISK, 1295 00:54:44,517 --> 00:54:45,951 DIFFICULT-TO-MANAGE CONDITIONS 1296 00:54:45,951 --> 00:54:48,120 LIKE HEART FAILURE, CHRONIC 1297 00:54:48,120 --> 00:54:50,456 BLOOD AND DISEASE AND OTHERS IN 1298 00:54:50,456 --> 00:54:55,261 OTHER CONTEXT. NEXT SLIDE, 1299 00:54:55,261 --> 00:54:57,697 PLEASE. COMMUNITY PARTNERSHIP IS 1300 00:54:57,697 --> 00:54:59,999 ESSENTIAL TO MOVING FORWARD 1301 00:54:59,999 --> 00:55:01,000 SOLUTIONS-ORIENTED RESEARCH IN A 1302 00:55:01,000 --> 00:55:04,704 WAY THAT MAXIMIZES IMPACT AND 1303 00:55:04,704 --> 00:55:06,072 RESONATES WITH COMMUNITY AND 1304 00:55:06,072 --> 00:55:09,208 THAT IS SUSTAINABLE OVER TIME. 1305 00:55:09,208 --> 00:55:10,676 AUTHENTIC AND MEANINGFUL 1306 00:55:10,676 --> 00:55:13,245 COMMUNITY PARTNERSHIP ALLOWS 1307 00:55:13,245 --> 00:55:16,282 RESEARCHERS TO AMPLIFY COMMUNITY 1308 00:55:16,282 --> 00:55:18,951 VOICES AND INFLUENCE LEVERAGING 1309 00:55:18,951 --> 00:55:22,288 COMMUNITY STRENGTHS AND SHARE 1310 00:55:22,288 --> 00:55:24,156 DECISION MAKING AND RESOURCES TO 1311 00:55:24,156 --> 00:55:27,393 PROMOTE HEALTH GAINS. NINR 1312 00:55:27,393 --> 00:55:28,294 INITIATIVES INVITE THAT 1313 00:55:28,294 --> 00:55:33,999 COMMUNITY VOICE IN THE RESEARCH 1314 00:55:33,999 --> 00:55:35,701 PROCESS. NEXT SLIDE, PLEASE. 1315 00:55:35,701 --> 00:55:37,269 PROVIDING HEALTH SOLUTIONS IS 1316 00:55:37,269 --> 00:55:39,872 NOT NEW TO NINR. WE HAVE LONG 1317 00:55:39,872 --> 00:55:42,141 OPERATED IN THIS SPACE AND 1318 00:55:42,141 --> 00:55:44,376 CONTRIBUTED TO MANY NIH-WIDE 1319 00:55:44,376 --> 00:55:45,778 EFFORTS TO MOVE THIS RESEARCH 1320 00:55:45,778 --> 00:55:47,680 FORWARD. MOST RECENTLY, WE 1321 00:55:47,680 --> 00:55:51,183 CO -CHAIRED THE SDOH RESEARCH 1322 00:55:51,183 --> 00:55:53,919 COORDINATING COMMITTEE, WHICH 1323 00:55:53,919 --> 00:55:56,422 PROVIDES A UNIFORM WAY TO THINK 1324 00:55:56,422 --> 00:55:57,523 ABOUT SOLUTIONS-ORIENTED 1325 00:55:57,523 --> 00:56:00,726 RESEARCH BY PROMOTING AN 1326 00:56:00,726 --> 00:56:01,460 NIH-WIDE RESEARCH AGENDA THAT 1327 00:56:01,460 --> 00:56:03,963 CONSIDERS THE CONTEXT OF 1328 00:56:03,963 --> 00:56:07,800 PEOPLE'S LIVES AND LIVING 1329 00:56:07,800 --> 00:56:09,301 CONDITIONS AS PRINCIPLE 1330 00:56:09,301 --> 00:56:14,073 CONTRIBUTORS TO HEALTH. NINR 1331 00:56:14,073 --> 00:56:16,408 PLAYS A CRUCIAL ROLE IN 1332 00:56:16,408 --> 00:56:18,110 IMPLEMENTING A MATERNAL HEALTH 1333 00:56:18,110 --> 00:56:19,478 AND PREGNANCY OUTCOMES VISION 1334 00:56:19,478 --> 00:56:22,181 FOR EVERYONE FOR IMPROVED 1335 00:56:22,181 --> 00:56:25,050 INITIATIVE, WHICH AIMS TO REDUCE 1336 00:56:25,050 --> 00:56:26,819 PREVENTABLE CALLS OF MATERNAL 1337 00:56:26,819 --> 00:56:29,021 DEATH AND IMPROVE HEALTH FOR 1338 00:56:29,021 --> 00:56:33,292 WOMEN BEFORE, DURING AND AFTER 1339 00:56:33,292 --> 00:56:33,859 PREGNANCY, RECOGNIZING THE 1340 00:56:33,859 --> 00:56:36,796 CRITICAL IMPORTANCE OF 1341 00:56:36,796 --> 00:56:39,131 UNDERSTANDING DAILY CONDITIONS 1342 00:56:39,131 --> 00:56:41,801 AFFECTING WOMEN'S LIVES, NINR 1343 00:56:41,801 --> 00:56:44,136 CHAMPION ED A SOLUTIONS-ORIENTED 1344 00:56:44,136 --> 00:56:46,205 APPROACH THAT EMPHASIZED 1345 00:56:46,205 --> 00:56:49,074 COMMUNITY ENGAGEMENT AND 1346 00:56:49,074 --> 00:56:49,742 ADDRESSING SOCIAL DETERMINANTS 1347 00:56:49,742 --> 00:56:51,410 OF HEALTH. THIS APPROACH ENSURED 1348 00:56:51,410 --> 00:56:54,380 THAT THE IMPROVED STUDIES 1349 00:56:54,380 --> 00:56:56,148 ENCOMPASSED A WIDE RANGE OF 1350 00:56:56,148 --> 00:56:57,616 POPULATIONS AND GEOGRAPHICAL 1351 00:56:57,616 --> 00:56:59,885 AREAS ACROSS THE U.S. , 1352 00:56:59,885 --> 00:57:01,253 PROVIDING A COMPREHENSIVE VIEW 1353 00:57:01,253 --> 00:57:06,358 OF MATERNAL HEALTH CHALLENGES. 1354 00:57:06,358 --> 00:57:08,861 NINR WAS INSTRUMENTAL IN 1355 00:57:08,861 --> 00:57:11,063 ADVOCATING FOR MEANFULFUL 1356 00:57:11,063 --> 00:57:12,631 INTEGRATION OF EFFECTIVE 1357 00:57:12,631 --> 00:57:14,166 COMMUNITY VOICES THROUGHOUT THE 1358 00:57:14,166 --> 00:57:15,901 RESEARCH PROCESS. THIS EMPHASIS 1359 00:57:15,901 --> 00:57:17,403 ON COMMUNITY INVOLVEMENT WAS 1360 00:57:17,403 --> 00:57:21,774 VITAL IN IDENTIFYING EFFECTIVE 1361 00:57:21,774 --> 00:57:23,475 AND SUSTAINABLE SOLUTIONS TO 1362 00:57:23,475 --> 00:57:26,679 IMPROVE MATERNAL HEALTH OUTCOMES 1363 00:57:26,679 --> 00:57:29,515 WITHIN THESE COMMUNITIES. BY 1364 00:57:29,515 --> 00:57:31,183 PRIORITIZING AND EXAMINATION OF 1365 00:57:31,183 --> 00:57:33,886 CONDITIONS THAT AFFECT DAILY 1366 00:57:33,886 --> 00:57:36,455 LIFE AND COMMUNITY ENGAGEMENT, 1367 00:57:36,455 --> 00:57:46,966 NINR IS HELPING TO SHAPE BUT 1368 00:57:48,667 --> 00:57:50,669 ALSO WORKS TOWARD PRACTICAL 1369 00:57:50,669 --> 00:57:51,303 COMMUNITY-DRIVEN SOLUTIONS TO 1370 00:57:51,303 --> 00:57:55,307 THESE PRESSING HEALTH 1371 00:57:55,307 --> 00:57:56,842 CHALLENGES. NINR LEADS, THROUGH 1372 00:57:56,842 --> 00:57:58,911 THE INITIATIVES I JUST 1373 00:57:58,911 --> 00:58:00,813 DESCRIBED, AND SUPPORT FOR ITS 1374 00:58:00,813 --> 00:58:03,482 AWARDS AND OTHERS AND NINR WILL 1375 00:58:03,482 --> 00:58:05,017 CONTINUE TO LEAD THROUGH NEW 1376 00:58:05,017 --> 00:58:08,120 INITIATIVES YOU WILL HEAR ABOUT 1377 00:58:08,120 --> 00:58:12,558 NEXT ON THE AGENDA. NEXT SLIDE, 1378 00:58:12,558 --> 00:58:15,628 PLEASE. FOR MANY PRESSING AND 1379 00:58:15,628 --> 00:58:17,229 PERSISTENT HEALTH CHALLENGES 1380 00:58:17,229 --> 00:58:19,031 AMERICANS FACE REQUEERS THE 1381 00:58:19,031 --> 00:58:22,668 RESEARCH COMMUNITY TO MOVE MORE 1382 00:58:22,668 --> 00:58:28,107 QUICKLY INTO ACTION. SHIFTING 1383 00:58:28,107 --> 00:58:30,042 FROM KNOWLEDGE TO SOLUTIONS ON 1384 00:58:30,042 --> 00:58:31,977 PROGRESS ON ADVANCING HEALTH FOR 1385 00:58:31,977 --> 00:58:32,945 ALL IS CRITICALLY IMPORTANT TO 1386 00:58:32,945 --> 00:58:37,650 THE HEALTH OF THIS NATION. NINR 1387 00:58:37,650 --> 00:58:41,120 HAS AND WILL CONTINUE TO PAVE A 1388 00:58:41,120 --> 00:58:46,659 PATH TOWARD THIS GOAL THROUGH 1389 00:58:46,659 --> 00:58:49,128 SUPPORTING INNOVATIVE IDEAS AND 1390 00:58:49,128 --> 00:58:52,298 RIGOROUS RESEARCH TO SUPPORT 1391 00:58:52,298 --> 00:58:57,870 THEM. NEXT SLIDE, PLEASE. THANK 1392 00:58:57,870 --> 00:58:59,838 YOU FOR YOUR ATTENTION. I WILL 1393 00:58:59,838 --> 00:59:09,315 JUST PAUSE FOR QUESTIONS OR 1394 00:59:09,315 --> 00:59:11,317 DISCUSSION. MR. HERRINGTON. 1395 00:59:11,317 --> 00:59:12,651 >> THANK YOU DR. TARLOV. I 1396 00:59:12,651 --> 00:59:21,226 KNOW IN ILLINOIS THEY HAVE A 1397 00:59:21,226 --> 00:59:21,560 TO 1398 00:59:21,560 --> 00:59:22,628 TASKS FOR IN PLACE MAYBE THREE, 1399 00:59:22,628 --> 00:59:23,929 FOUR YEARS. IS THERE OPPORTUNITY 1400 00:59:23,929 --> 00:59:27,366 TO GET INFORMATION YOU SHARED OR 1401 00:59:27,366 --> 00:59:30,369 OPPORTUNITIES FOR THEM MAYBE TO 1402 00:59:30,369 --> 00:59:32,905 GET INVOLVED OR HELP COMMUNICATE 1403 00:59:32,905 --> 00:59:34,239 AND ALSO STILL HAVE 1404 00:59:34,239 --> 00:59:36,375 RELATIONSHIPS WITH MOST LOCAL 1405 00:59:36,375 --> 00:59:37,109 HEALTH DIRECTORS IN COOK COUNTY 1406 00:59:37,109 --> 00:59:39,111 BUT I KNOW IT IS A BIG ISSUE. 1407 00:59:39,111 --> 00:59:40,913 WE'D BE HAPPY TO, YOU KNOW, 1408 00:59:40,913 --> 00:59:42,648 ENGAGE SOME PEOPLE FROM PUBLIC 1409 00:59:42,648 --> 00:59:46,752 HEALTH TO GET INVOLVED IN THIS. 1410 00:59:46,752 --> 00:59:48,587 >> WONDERFUL. THANK YOU FOR 1411 00:59:48,587 --> 00:59:50,189 THAT. WE SHOULD TOUCH BASE AFTER 1412 00:59:50,189 --> 00:59:53,392 THE MEETING. THAT WOULD BE 1413 00:59:53,392 --> 01:00:03,902 GREAT, THANK YOU SO MUCH. DR. 1414 01:00:18,717 --> 01:00:21,420 GUILAMO-RAMOS. WE CAN'T HEAR 1415 01:00:21,420 --> 01:00:22,688 YOU. 1416 01:00:22,688 --> 01:00:25,791 1417 01:00:25,791 --> 01:00:36,135 [AUDIO DIFFICULTIES] 1418 01:00:44,443 --> 01:00:55,020 >> ANY OTHER COMMENTS OR 1419 01:00:55,020 --> 01:01:03,862 QUESTIONS? DR. VINCENT 1420 01:01:03,862 --> 01:01:14,373 GUILAMO-RAMOS, LET'S TRY THAT 1421 01:01:17,543 --> 01:01:18,911 AGAIN. 1422 01:01:18,911 --> 01:01:20,612 >> MAYBE HE COULD PUT HIS 1423 01:01:20,612 --> 01:01:24,750 COMMENT IN THE CHAT FUNCTION. 1424 01:01:24,750 --> 01:01:26,952 >> YEAH, CERTAINLY YOU COULD 1425 01:01:26,952 --> 01:01:32,458 TRY THE CHAT. THEN OUR SUPPORT 1426 01:01:32,458 --> 01:01:35,027 -- TECH SUPPORT IS TELLING US 1427 01:01:35,027 --> 01:01:45,571 YOU MIGHT WANT TO DISCONNECT AND 1428 01:01:46,839 --> 01:01:48,373 REJOIN. 1429 01:01:48,373 --> 01:01:49,908 >> TIME FOR DISCUSSION SO WE 1430 01:01:49,908 --> 01:01:53,178 MAY COME BACK AFTER WE GO 1431 01:01:53,178 --> 01:02:01,353 THROUGH OUR CONCEPTS. 1432 01:02:01,353 --> 01:02:06,959 >> ADDITIONAL COMMENTS OR 1433 01:02:06,959 --> 01:02:08,894 QUESTIONS? 1434 01:02:08,894 --> 01:02:09,828 >> THANK YOU DR. TARLOV. WE 1435 01:02:09,828 --> 01:02:12,965 WILL MOVE TO THE CONCEPT. IN 1436 01:02:12,965 --> 01:02:14,933 YOUR CAPACITY YOU ARE SOURCE OF 1437 01:02:14,933 --> 01:02:18,036 ADVICE ON RESEARCH DIRECTION AND 1438 01:02:18,036 --> 01:02:19,571 SCIENTIFIC PRIORITIES. NINR 1439 01:02:19,571 --> 01:02:21,006 SEEKS COUNCIL ADVICE FOR 1440 01:02:21,006 --> 01:02:23,909 LONG-TERM PLANNING BY PRESENTING 1441 01:02:23,909 --> 01:02:25,577 CONCEPTS. THE CONCEPT IS THE 1442 01:02:25,577 --> 01:02:27,546 EARLIEST PLANNING STEP OF AN 1443 01:02:27,546 --> 01:02:29,882 INITIATIVE. ANY IMPROVED CONCEPT 1444 01:02:29,882 --> 01:02:31,483 MAY OR MAY NOT BECOME FUNDING 1445 01:02:31,483 --> 01:02:33,252 INITIATIVES BASED ON ANY NUMBER 1446 01:02:33,252 --> 01:02:36,822 OF FACTORS INCLUDING THE 1447 01:02:36,822 --> 01:02:38,657 AVAILABILITY. A SUMMARY OF 1448 01:02:38,657 --> 01:02:40,292 TODAY'S CONCEPTS REMAIN 1449 01:02:40,292 --> 01:02:41,527 AVAILABLE IN EACH OF YOUR 1450 01:02:41,527 --> 01:02:43,262 COUNCIL BOOKS FOR REVIEW IN 1451 01:02:43,262 --> 01:02:45,364 ADVANCE OF THE MEETING. SO I 1452 01:02:45,364 --> 01:02:50,102 WILL NOW TURN IT OVER TO AN NINR 1453 01:02:50,102 --> 01:03:00,646 STAFF MEMBER ACROSS SPANNING A 1454 01:03:03,815 --> 01:03:05,751 LIFETIME. 1455 01:03:05,751 --> 01:03:07,819 >> GOOD MORNING. MY NAME IS 1456 01:03:07,819 --> 01:03:13,892 COMMANDER MAJOR TIAS IN THE 1457 01:03:13,892 --> 01:03:20,332 BRANCH WITHIN THE NINR, OOI'M 1458 01:03:20,332 --> 01:03:22,768 DELIGHTED TO PRESENT ADVANCING 1459 01:03:22,768 --> 01:03:23,569 NUTRITION-RELATED RESEARCH 1460 01:03:23,569 --> 01:03:26,939 ACROSS THE LIFE SPAN. NEXT 1461 01:03:26,939 --> 01:03:29,608 SLIDE, PLEASE. TO ESTABLISH 1462 01:03:29,608 --> 01:03:31,877 CONTEXT FOR THIS CONCEPT IT IS 1463 01:03:31,877 --> 01:03:34,313 IMPORTANT TO KNOW ADVERSE 1464 01:03:34,313 --> 01:03:36,114 NUTRITION-RELATED HEALTH ACROSS 1465 01:03:36,114 --> 01:03:38,083 THE LIFE SPAN IS A MAJOR PUBLIC 1466 01:03:38,083 --> 01:03:40,185 HEALTH PROBLEM ASSOCIATED WITH 1467 01:03:40,185 --> 01:03:44,356 GROWING RATES OF CHRONIC 1468 01:03:44,356 --> 01:03:52,631 DISEASES SUCH AS OBESITY, TYPE 2 1469 01:03:52,631 --> 01:03:53,031 DIABETES, CANCER, 1470 01:03:53,031 --> 01:03:54,700 CARDIOVASCULAR. OUTCOMES STILL 1471 01:03:54,700 --> 01:03:57,169 REMAIN UNFAVORABLE ACROSS AND 1472 01:03:57,169 --> 01:03:58,103 OVERALL AMONG POPULATIONS THERE 1473 01:03:58,103 --> 01:04:00,172 ARE MULTIPLE FACTORS 1474 01:04:00,172 --> 01:04:02,241 CONTRIBUTING TO THE RISE OF 1475 01:04:02,241 --> 01:04:02,808 NUTRITION-RELATED CHRONIC 1476 01:04:02,808 --> 01:04:04,710 DISEASE. WITH THE GROWING 1477 01:04:04,710 --> 01:04:05,377 RECOGNITION OF THE PIVOTAL ROLE 1478 01:04:05,377 --> 01:04:07,012 AND IMPACT OF THE FOOD 1479 01:04:07,012 --> 01:04:08,580 ENVIRONMENT AND OTHER CONDITIONS 1480 01:04:08,580 --> 01:04:11,883 IN WHICH PEOPLE ARE BORN, GROW, 1481 01:04:11,883 --> 01:04:14,353 LEARN, WORK, PLAY, LIVE AND ALSO 1482 01:04:14,353 --> 01:04:15,754 AGE. THERE'S ALSO WIDER SET OF 1483 01:04:15,754 --> 01:04:19,057 FACTORS SHAPING THE CONDITIONS 1484 01:04:19,057 --> 01:04:21,660 OF DAILY LIFE. RESEARCH, 1485 01:04:21,660 --> 01:04:24,196 HOWEVER, ADDRESSING DIFFERENCES 1486 01:04:24,196 --> 01:04:26,598 IN DIET AND NUTRITION HAS 1487 01:04:26,598 --> 01:04:29,268 PRIMARILY FOCUSED ON INFLUENCES 1488 01:04:29,268 --> 01:04:31,336 AT THE INDIVIDUAL AND INTER 1489 01:04:31,336 --> 01:04:33,005 PERSONAL LEVELS. GIVEN THE 1490 01:04:33,005 --> 01:04:36,108 PROFOUND IMPACT OF THE SOCIAL, 1491 01:04:36,108 --> 01:04:36,742 ENVIRONMENTAL, ORGANIZATIONAL 1492 01:04:36,742 --> 01:04:39,311 COMMUNITY FACTORS ON NUTRITIONAL 1493 01:04:39,311 --> 01:04:40,679 HEALTH THERE IS AN URGENT NEED 1494 01:04:40,679 --> 01:04:44,349 TO BROAD EN THE FOCUS FROM 1495 01:04:44,349 --> 01:04:45,350 INDIVIDUAL CHANGE TO EFFECTIVE 1496 01:04:45,350 --> 01:04:47,152 APPROACHES TO ADDRESS THE 1497 01:04:47,152 --> 01:04:50,122 CONDITIONS OF DAILY LIFE THAT 1498 01:04:50,122 --> 01:04:51,423 INFLUENCE ACCESS, AFFORDABILITY 1499 01:04:51,423 --> 01:04:54,026 AND PROMOTION OF HEALTHY FOOD 1500 01:04:54,026 --> 01:04:56,361 AND BEVERAGE OPTIONS. THIS 1501 01:04:56,361 --> 01:04:57,562 INCLUDES EVIDENCE ON THE IMPACT 1502 01:04:57,562 --> 01:04:59,731 OF PROGRAMS AT THE FEDERAL, 1503 01:04:59,731 --> 01:05:01,466 STATE AND LOCAL LEVELS THAT 1504 01:05:01,466 --> 01:05:03,735 AFFECT ACCESS TO NUTRITIONAL 1505 01:05:03,735 --> 01:05:05,971 RESOURCES. SO I'D LIKE TO POINT 1506 01:05:05,971 --> 01:05:09,875 OUT THE DATA IS DEPICTING THE 1507 01:05:09,875 --> 01:05:12,344 AGE-ADJUSTED MORTALITY RATE PER 1508 01:05:12,344 --> 01:05:14,179 100,000 OF THE OVERALL 1509 01:05:14,179 --> 01:05:16,882 POPULATION. ALSO AMONG MALES AND 1510 01:05:16,882 --> 01:05:17,949 FEMALES IN THE UNITED STATES. 1511 01:05:17,949 --> 01:05:25,023 ALSO SHOWS RISING RATES OF 1512 01:05:25,023 --> 01:05:27,059 CARDIOVASCULAR DISEASE AND 1513 01:05:27,059 --> 01:05:28,026 OBESITY ALONG WITH CRUEL 1514 01:05:28,026 --> 01:05:30,495 MORTALITY RATE ACROSS THE LIFE 1515 01:05:30,495 --> 01:05:35,133 SPAN. YOU CAN SEE THE RISE FOR 1516 01:05:35,133 --> 01:05:44,810 THIS OVERALL POPULATIO POPULATI 1517 01:05:44,810 --> 01:05:46,311 FOR NUTRITION-RELATED RESEARCH 1518 01:05:46,311 --> 01:05:47,379 THAT'S BEEN SHOWN TO BE 1519 01:05:47,379 --> 01:05:50,649 EFFECTIVE IN IMPROVING OUTCOMES, 1520 01:05:50,649 --> 01:05:51,650 SCIENTIFIC GAPS REMAIN 1521 01:05:51,650 --> 01:05:53,485 CONCERNING EVIDENCE-BASED 1522 01:05:53,485 --> 01:05:55,587 STRATEGIES AND PRACTICETIES THAT 1523 01:05:55,587 --> 01:05:57,189 ADDRESS CONDITIONS OF DAILY LIFE 1524 01:05:57,189 --> 01:05:58,890 AND FACTORS THAT ENHANCE THEIR 1525 01:05:58,890 --> 01:06:00,792 IMPLEMENTATION IN A WIDE RANGE 1526 01:06:00,792 --> 01:06:03,829 OF REAL-WORLD SETTINGS INCLUDING 1527 01:06:03,829 --> 01:06:05,530 CLINICS, SCHOOLS AND WORKPLACES. 1528 01:06:05,530 --> 01:06:08,233 HOW NUTRITION-RELATED PROGRAMS 1529 01:06:08,233 --> 01:06:10,302 AND PRACTICES INFLUENCE 1530 01:06:10,302 --> 01:06:13,338 EFFECTIVENESS OF BEHAVIORAL, 1531 01:06:13,338 --> 01:06:16,975 PHARMALOGICAL, CLINICAL AND 1532 01:06:16,975 --> 01:06:21,313 OTHER INNOVATIVES REMAINS 1533 01:06:21,313 --> 01:06:22,647 UNDERSTOOD AND INFORM CREATION 1534 01:06:22,647 --> 01:06:23,682 OF HEALTH CARE SYSTEMS THAT 1535 01:06:23,682 --> 01:06:27,285 INTEGRATE THOSE FACTORS, SOCIAL 1536 01:06:27,285 --> 01:06:28,453 AND ENVIRONMENTAL ORGANIZATION 1537 01:06:28,453 --> 01:06:29,688 AND COMMUNITY FACTORS AND 1538 01:06:29,688 --> 01:06:32,591 CONDITIONS AND DELIVERY OF CARE. 1539 01:06:32,591 --> 01:06:35,594 THIS IS PARTICULARLY CRITICAL TO 1540 01:06:35,594 --> 01:06:37,028 FOSTER HEALTH CARE SYSTEM'S 1541 01:06:37,028 --> 01:06:38,130 EFFECTIVENESS IN RESPONDING TO 1542 01:06:38,130 --> 01:06:41,533 THE CONSEQUENCES OF 1543 01:06:41,533 --> 01:06:42,434 NUTRITION-RELATED CHRONIC 1544 01:06:42,434 --> 01:06:44,403 DISEASE. CUMULATIVELY, THESE 1545 01:06:44,403 --> 01:06:46,271 FACTORS IMPACT THE CAPACITY TO 1546 01:06:46,271 --> 01:06:49,107 IMPROVE NUTRITIONAL HEALTH AND 1547 01:06:49,107 --> 01:06:52,577 PREVENT, MANAGE AND TREAT 1548 01:06:52,577 --> 01:06:54,112 NUTRITION-RELATED CHRONIC 1549 01:06:54,112 --> 01:06:55,680 DISEASES. NEXT SLIDE, PLEASE. 1550 01:06:55,680 --> 01:06:56,982 GIVEN THE CLINICAL RESEARCH GAPS 1551 01:06:56,982 --> 01:06:58,884 I JUST DISCUSSED, THE PURPOSE OF 1552 01:06:58,884 --> 01:07:02,154 THIS SCIENTIFIC CONCEPT IS TO 1553 01:07:02,154 --> 01:07:04,556 ADVANCE RESEARCH, IMPROVE 1554 01:07:04,556 --> 01:07:05,390 NUTRITION-RELATED OUTCOMES FOR 1555 01:07:05,390 --> 01:07:16,101 ALL PEOPLE ACROSS THE LIFE SPAN. 1556 01:07:18,737 --> 01:07:21,606 NINR WORK ON THESE FACTORS AND 1557 01:07:21,606 --> 01:07:23,041 INFLUENCES TO IMPROVE OUTCOMES 1558 01:07:23,041 --> 01:07:26,411 FOR ALL PEOPLE INCLUDING BUT NOT 1559 01:07:26,411 --> 01:07:30,649 LIMITED TO PRENATAL, EARLY 1560 01:07:30,649 --> 01:07:34,352 CHILDHOOD, ADOLESCENT, ADULT AND 1561 01:07:34,352 --> 01:07:35,687 AGING POPULATIONS. NEXT SLIDE, 1562 01:07:35,687 --> 01:07:38,957 PLEASE. SO YOU ASK WHY NURSING 1563 01:07:38,957 --> 01:07:40,859 RESEARCH FOR THIS CONCEPT. 1564 01:07:40,859 --> 01:07:43,628 NURSING BRINGS A BIG PICTURE 1565 01:07:43,628 --> 01:07:45,297 UNDERSTANDING THAT IMPROVING 1566 01:07:45,297 --> 01:07:47,666 HEALTH AND HEALTH CARE REQUIRES 1567 01:07:47,666 --> 01:07:50,702 TO THE CONDITIONS OF DAILY LIFE. 1568 01:07:50,702 --> 01:07:52,737 NURSING RESEARCH ALSO LEVERAGES 1569 01:07:52,737 --> 01:07:54,873 NURSING'S HOLISTIC PERSPECTIVE 1570 01:07:54,873 --> 01:07:59,911 AND PRIORITIZES FACTORS THAT 1571 01:07:59,911 --> 01:08:00,579 WILL ACCELERATE PROGRESS IN 1572 01:08:00,579 --> 01:08:01,980 IMPROVING NUTRITIONAL HEALTH FOR 1573 01:08:01,980 --> 01:08:05,484 ALL. IN SUMMARY, THIS CONCEPT 1574 01:08:05,484 --> 01:08:06,885 AIMS TO HARNESS NURSING SCIENCE 1575 01:08:06,885 --> 01:08:10,489 TO NARROW CRITICAL GAPS BY 1576 01:08:10,489 --> 01:08:11,857 ADVANCING RESEARCH IN THIS 1577 01:08:11,857 --> 01:08:16,761 IMPORTANT SCIENTIFIC AREA. NEXT 1578 01:08:16,761 --> 01:08:22,701 SLIDE. SO A FEW AREAS OF 1579 01:08:22,701 --> 01:08:26,605 SCIENTIFIC INTEREST FROM NINR 1580 01:08:26,605 --> 01:08:27,472 INCLUDE EXAMINES FOOD 1581 01:08:27,472 --> 01:08:29,975 ENVIRONMENTS ON DIETARY PATTERNS 1582 01:08:29,975 --> 01:08:32,244 ON CHRONIC DISEASE RISK AND 1583 01:08:32,244 --> 01:08:33,178 OUTCOMES AMONG VARIOUS 1584 01:08:33,178 --> 01:08:34,880 POPULATIONS SUCH AS PREGNANT 1585 01:08:34,880 --> 01:08:38,016 MOTHERS, SCHOOL CHILDREN, YOUTH, 1586 01:08:38,016 --> 01:08:40,252 RURAL AND TRIBAL COMMUNITIES, 1587 01:08:40,252 --> 01:08:43,955 HOUSING INSECURE INDIVIDUALS AND 1588 01:08:43,955 --> 01:08:45,790 AGING ADULTS IN CONGREGATE 1589 01:08:45,790 --> 01:08:47,959 SETTINGS. WE ARE INTERESTED IN 1590 01:08:47,959 --> 01:08:50,028 STUDIES THAT EXAMINE COMMUNITY 1591 01:08:50,028 --> 01:08:52,797 ORGANIZATIONAL INNOVATIONS TO 1592 01:08:52,797 --> 01:08:56,334 ENHANCE ACCESS THE QUALITY, 1593 01:08:56,334 --> 01:08:56,902 NUTRITION-RELATED CHRONIC 1594 01:08:56,902 --> 01:09:00,338 DISEASE PREVENTION AND 1595 01:09:00,338 --> 01:09:01,640 TREATMENT. FOOD NUTRITION 1596 01:09:01,640 --> 01:09:03,074 SUPPORT AND HEALTH CARE 1597 01:09:03,074 --> 01:09:04,209 SERVICES. WE ALSO ARE INTERESTED 1598 01:09:04,209 --> 01:09:05,710 IN LOOKING AT THE DEVELOPMENT 1599 01:09:05,710 --> 01:09:07,979 AND IMPLEMENTATION OR THE 1600 01:09:07,979 --> 01:09:10,415 EVALUATION OF NUTRITION-RELATED 1601 01:09:10,415 --> 01:09:13,051 CHRONIC DISEASE PREVENTION 1602 01:09:13,051 --> 01:09:14,753 INTERVENTIONS THAT PRIORITIZE 1603 01:09:14,753 --> 01:09:16,187 INTERVENING ON CONDITIONS OF 1604 01:09:16,187 --> 01:09:19,624 DAILY LIFE AMONG POPULATIONS 1605 01:09:19,624 --> 01:09:20,825 ACROSS THE LIFE SPAN. STUDIES 1606 01:09:20,825 --> 01:09:24,029 THAT LOOK AT THE IMPLEMENTATION 1607 01:09:24,029 --> 01:09:26,231 STRATEGIES TO ADDRESS CONDITIONS 1608 01:09:26,231 --> 01:09:28,833 OF DAILY LIFE THAT ENHANCE 1609 01:09:28,833 --> 01:09:31,336 ADOPTION OF EVIDENCE-BASED, 1610 01:09:31,336 --> 01:09:34,839 NUTRITION-RELATED MULTI -LEVEL 1611 01:09:34,839 --> 01:09:36,408 INTERVENTIONS IS OF KEEN 1612 01:09:36,408 --> 01:09:40,979 INTEREST. LASTLY TO INVESTIGATE 1613 01:09:40,979 --> 01:09:46,418 NEW NURSING AND ENHANCE 1614 01:09:46,418 --> 01:09:48,553 NUTRITION-RELATED HEALTH 1615 01:09:48,553 --> 01:09:50,722 OUTCOMES FOR ALL. LAST SLIDE. SO 1616 01:09:50,722 --> 01:09:52,223 AGAIN, THANK YOU FOR THE 1617 01:09:52,223 --> 01:09:53,992 OPPORTUNITY TO PRESENT THIS 1618 01:09:53,992 --> 01:09:55,193 EXCITING CONCEPT. WE LOOK 1619 01:09:55,193 --> 01:09:56,828 FORWARD TO YOUR THOUGHTS ON THIS 1620 01:09:56,828 --> 01:09:59,130 MAJOR PUBLIC HEALTH ISSUE. I 1621 01:09:59,130 --> 01:10:02,434 ALSO WOULD LIKE TO ACKNOWLEDGE 1622 01:10:02,434 --> 01:10:05,270 MY COLLEAGUES WITHIN BEST WHO 1623 01:10:05,270 --> 01:10:08,440 SUPPORT ED THIS . DR. LONG, DR. 1624 01:10:08,440 --> 01:10:10,575 MCNAMARA AND OTHER PROGRAM 1625 01:10:10,575 --> 01:10:14,245 DIRECTORS WITH VIN DESK, THANK 1626 01:10:14,245 --> 01:10:17,248 YOU. I LOOK FORWARD TO YOUR 1627 01:10:17,248 --> 01:10:18,383 QUESTIONS. DR. FITZPATRICK, DID 1628 01:10:18,383 --> 01:10:20,151 YOU WANT TO PROVIDE YOUR 1629 01:10:20,151 --> 01:10:20,418 FEEDBACK? 1630 01:10:20,418 --> 01:10:23,421 >> YES, THANK YOU. I WAS 1631 01:10:23,421 --> 01:10:25,357 REALLY EXCITED TO HEAR THIS 1632 01:10:25,357 --> 01:10:27,292 CONCEPT BECAUSE EVERY PATIENT 1633 01:10:27,292 --> 01:10:28,660 UNDER MEDICAL CARE HAS A NEW 1634 01:10:28,660 --> 01:10:33,932 TRADITION ORDER. WHETHER IT IS 1635 01:10:33,932 --> 01:10:37,002 (?), CERTAIN DIET LIKE DASH DIET 1636 01:10:37,002 --> 01:10:38,203 FOR HYPERTENSION. SO THIS 1637 01:10:38,203 --> 01:10:39,371 CROSSES NURSING IN ANY ROLE, 1638 01:10:39,371 --> 01:10:41,573 WHETHER IT IS THE COMMUNITY, 1639 01:10:41,573 --> 01:10:43,775 ACUTE CARE, PRIMARY CARE. SO IT 1640 01:10:43,775 --> 01:10:47,946 IS SO RELEVANT TO NURSING. I 1641 01:10:47,946 --> 01:10:50,015 LIKE THAT YOUR APPROACH TO THIS, 1642 01:10:50,015 --> 01:10:52,083 BECAUSE PREVENTION IS OBVIOUSLY 1643 01:10:52,083 --> 01:10:53,685 THE ULTIMATE GOAL BUT THERE IS 1644 01:10:53,685 --> 01:10:56,688 DISEASE MODIFICATION, WHICH YOU 1645 01:10:56,688 --> 01:11:02,560 HAVE ALLUDED TO WITH TYPE 2 1646 01:11:02,560 --> 01:11:04,929 DIABETES AND OBESE OBESITY. 1647 01:11:04,929 --> 01:11:06,564 THERE IS POTENTIAL. OBVIOUSLY 1648 01:11:06,564 --> 01:11:08,166 NURSING IS COMMITTED TO 1649 01:11:08,166 --> 01:11:10,101 IMPLEMENTATION. BUT THERE IS 1650 01:11:10,101 --> 01:11:11,002 IMPLEMENTATION ACROSS MULTIPLE 1651 01:11:11,002 --> 01:11:13,872 PRACTICE AREAS. THE ACUTE CARE 1652 01:11:13,872 --> 01:11:15,573 SETTING, PRIMARY CARE SETTING, 1653 01:11:15,573 --> 01:11:17,008 THE COMMUNITY, AS YOU HAVE 1654 01:11:17,008 --> 01:11:19,411 LISTED. THE POTENTIAL IS HUGE. 1655 01:11:19,411 --> 01:11:21,646 IF WE COULD IMPROVE THINGS LIKE 1656 01:11:21,646 --> 01:11:24,249 SURGICAL OUTCOMES, IF WE COULD 1657 01:11:24,249 --> 01:11:26,418 IMPROVE THE CARE OF CRITICALLY 1658 01:11:26,418 --> 01:11:29,854 ILL CHILDREN AND ADULTS, IF WE 1659 01:11:29,854 --> 01:11:31,723 COULD IMPROVE THE OPPORTUNITIES 1660 01:11:31,723 --> 01:11:34,526 FOR CHILDREN BORN PREMATURELY, 1661 01:11:34,526 --> 01:11:36,361 IN-PATIENT, OUT-PATIENT, IT 1662 01:11:36,361 --> 01:11:38,229 REALLY DOES JUST CROSS THE LIFE 1663 01:11:38,229 --> 01:11:39,664 SPAN. SO, YOU KNOW, ONE OF THE 1664 01:11:39,664 --> 01:11:41,599 THINGS I JUST WANTED TO MENTION 1665 01:11:41,599 --> 01:11:44,035 IS I LOVE THE FOCUS ON 1666 01:11:44,035 --> 01:11:45,870 IMPLEMENTATION. YOU CAN BE 1667 01:11:45,870 --> 01:11:47,172 CREATIVE IN MULTIPLE SETTINGS 1668 01:11:47,172 --> 01:11:50,241 WITH THAT. IT ALSO OPENS UP THE 1669 01:11:50,241 --> 01:11:52,077 OPPORTUNITY TO ALSO THINK ABOUT 1670 01:11:52,077 --> 01:11:54,145 SOME MECHANISMS SO MIGHT BE SOME 1671 01:11:54,145 --> 01:11:57,482 STUDIES THAT WE NOT ONLY 1672 01:11:57,482 --> 01:11:58,583 IMPLEMENT SOMETHING BUT WE CAN 1673 01:11:58,583 --> 01:12:01,720 THEN UNDERSTAND WHY IT WORKS. I 1674 01:12:01,720 --> 01:12:04,923 THINK NUTRITION RESEARCH IS SO 1675 01:12:04,923 --> 01:12:06,157 LACKING. THERE'S SO MUCH WE 1676 01:12:06,157 --> 01:12:09,260 DON'T KNOW THERE'S A LOT OF 1677 01:12:09,260 --> 01:12:10,962 CONTROVERSY OUT THERE. JUST 1678 01:12:10,962 --> 01:12:14,365 ENDLESS SCIENTIFIC QUESTIONS, SO 1679 01:12:14,365 --> 01:12:16,401 THANK YOU FOR THIS. I'M QUITE 1680 01:12:16,401 --> 01:12:17,168 EXCITED ABOUT IT. 1681 01:12:17,168 --> 01:12:20,238 >> THANK YOU SO MUCH. TOTALLY 1682 01:12:20,238 --> 01:12:22,040 AGREE. IN ADDITION TO LOOKING AT 1683 01:12:22,040 --> 01:12:23,742 IMPLEMENTATION STRATEGIES, WE 1684 01:12:23,742 --> 01:12:25,210 ARE VERY MUCH INTERESTED IN 1685 01:12:25,210 --> 01:12:30,682 LOOKING AT THE EVALUATION AND 1686 01:12:30,682 --> 01:12:41,226 BEST PRACTICES. DR. AYALA. 1687 01:12:41,226 --> 01:12:42,327 >> YOU HEAR ME? 1688 01:12:42,327 --> 01:12:42,861 >> YES. 1689 01:12:42,861 --> 01:12:45,930 >> GREAT. THANK YOU FOR THE 1690 01:12:45,930 --> 01:12:49,100 PRESENTATION, THE DISCUSSION AND 1691 01:12:49,100 --> 01:12:52,537 DR. TIAS AND DR. FITZPATRICK. I 1692 01:12:52,537 --> 01:12:54,506 WAS EXCITED TO SEE THIS, HAVING 1693 01:12:54,506 --> 01:12:55,640 THE OPPORTUNITY TO WORK WITH 1694 01:12:55,640 --> 01:12:58,076 MANY PUBLIC HEALTH NURSES WHO 1695 01:12:58,076 --> 01:12:59,544 WORK IN SCHOOLS, COMMUNITY 1696 01:12:59,544 --> 01:13:01,713 CENTERS AND OTHER PLACES IN THE 1697 01:13:01,713 --> 01:13:03,414 COMMUNITY. IT IS REALLY ONE AREA 1698 01:13:03,414 --> 01:13:06,718 WHERE THEY BOTH THEMSELVES AND 1699 01:13:06,718 --> 01:13:08,086 FAMILIES SEEM TO GRAVITATE. I 1700 01:13:08,086 --> 01:13:09,354 DON'T THINK WE HAVE CAPITALIZED 1701 01:13:09,354 --> 01:13:13,658 ON THIS ENOUGH TO IMPROVE THE 1702 01:13:13,658 --> 01:13:15,460 NUTRITIONAL HEALTH OUTCOMES 1703 01:13:15,460 --> 01:13:20,098 ASSOCIATED WITH NUTRITION. I 1704 01:13:20,098 --> 01:13:22,534 STUDY OBESITY AND PREVENTION AND 1705 01:13:22,534 --> 01:13:24,169 CONTROL OF CHRONIC DISEASES. 1706 01:13:24,169 --> 01:13:26,204 THIS IS AN AREA THAT MORE ARE 1707 01:13:26,204 --> 01:13:28,106 INTER TESTED IN STUDYING, SO I'M 1708 01:13:28,106 --> 01:13:31,676 VERY HOPEFUL THAT WE WILL GET 1709 01:13:31,676 --> 01:13:32,610 SOME GOOD APPLICATIONS IN 1710 01:13:32,610 --> 01:13:34,078 RESPONSE TO THIS CALL ONCE 1711 01:13:34,078 --> 01:13:37,782 RELEASED SO THAT WE CAN ADVANCE 1712 01:13:37,782 --> 01:13:46,090 THE SCIENCE AND IN RURAL AREAS 1713 01:13:46,090 --> 01:13:47,892 WHERE SO MANY OF THEM DO NOT 1714 01:13:47,892 --> 01:13:50,128 HAVE ACCESS TO HEALTHY FOOD AND 1715 01:13:50,128 --> 01:13:52,964 THE PROLIFERATION OF STORES THAT 1716 01:13:52,964 --> 01:13:57,669 OFFER MORE PROCESSED FOODS HAS 1717 01:13:57,669 --> 01:13:58,336 JUST INCREASED SIGNIFICANTLY 1718 01:13:58,336 --> 01:14:00,638 OVER THE YEARS. THANK YOU VERY 1719 01:14:00,638 --> 01:14:02,240 MUCH. REALLY EXCITED ABOUT THIS. 1720 01:14:02,240 --> 01:14:04,742 >> THANK YOU, DR. AYALA. 1721 01:14:04,742 --> 01:14:07,045 THOSE ARE EXCELLENT POINTS. AND 1722 01:14:07,045 --> 01:14:11,716 VERY MUCH NOTED, THANK YOU. I 1723 01:14:11,716 --> 01:14:22,160 BELIEVE -- LET'S SEE, DR. 1724 01:14:22,827 --> 01:14:25,096 MIRANDA. 1725 01:14:25,096 --> 01:14:26,631 >> THANK YOU. THANKS FOR THE 1726 01:14:26,631 --> 01:14:27,832 GREAT PRESENTATION AND CON 1727 01:14:27,832 --> 01:14:30,068 SECHLT I THINK IT IS EXCITING. I 1728 01:14:30,068 --> 01:14:32,136 MIGHT NOT BE QUICK ENOUGH TO 1729 01:14:32,136 --> 01:14:33,638 PROCESS ALL THE POINTS ON THE 1730 01:14:33,638 --> 01:14:34,672 SLIDE BEFORE THE THANK YOU THAT 1731 01:14:34,672 --> 01:14:36,975 SORT OF OUTLINED THINGS. I'M 1732 01:14:36,975 --> 01:14:37,876 JUST WONDERING, I REMEMBER 1733 01:14:37,876 --> 01:14:39,544 SEEING A NUMBER OF STUDIES. THIS 1734 01:14:39,544 --> 01:14:41,579 WAS A NUMBER OF YEARS AGO. IT 1735 01:14:41,579 --> 01:14:44,482 MIGHT BE UPDATED. DR. AYALA 1736 01:14:44,482 --> 01:14:45,750 PROBABLY HAS BETTER INSIGHTS 1737 01:14:45,750 --> 01:14:48,119 THAN I DO THAT SHOW THAT GETTING 1738 01:14:48,119 --> 01:14:49,754 ACCESS TO FRESH ROOTS AND 1739 01:14:49,754 --> 01:14:51,222 VEGETABLES INCREASED THE 1740 01:14:51,222 --> 01:14:52,190 UNDERSTANDING OF THE IMPORTANCE 1741 01:14:52,190 --> 01:14:54,425 OF FRESH ROOTS AND VEGETABLES 1742 01:14:54,425 --> 01:14:57,795 BUT DID NOT INCREASE THE C 1743 01:14:57,795 --> 01:15:02,333 CONSUMPTION OF FRESH FRUITS AND 1744 01:15:02,333 --> 01:15:03,902 VEGETABLES. I'M WONDERING, IN 1745 01:15:03,902 --> 01:15:05,670 THAT LIST OF FIVE DO YOU 1746 01:15:05,670 --> 01:15:08,006 ANTICIPATE THIS WOULD INCLUDE 1747 01:15:08,006 --> 01:15:10,174 BEHAVIORAL HEALTH KINDS OF 1748 01:15:10,174 --> 01:15:12,877 STUDIES SO WE -- WE'RE LOOKING 1749 01:15:12,877 --> 01:15:14,879 AT WHAT INDUCES BEHAVIOR CHANGE 1750 01:15:14,879 --> 01:15:17,048 OR AT WHAT POINTS IN PEOPLE'S 1751 01:15:17,048 --> 01:15:18,516 LIVES ARE THEY MORE SUSCEPTIBLE 1752 01:15:18,516 --> 01:15:20,118 TO BEHAVIOR CHANGE SO WE KNOW 1753 01:15:20,118 --> 01:15:22,754 THAT WOMEN ARE MORE LIKELY TO 1754 01:15:22,754 --> 01:15:25,890 STOP SMOKING WHEN THEY GET 1755 01:15:25,890 --> 01:15:28,126 PREGNANT. SO I JUST -- I WASN'T 1756 01:15:28,126 --> 01:15:29,761 FAST ENOUGH IN MY PROCESSING TO 1757 01:15:29,761 --> 01:15:32,030 LOOK AT THAT SECOND-TO-LAST 1758 01:15:32,030 --> 01:15:33,898 SLIDE TO SEE IF THIS FITS IN OR 1759 01:15:33,898 --> 01:15:35,967 PART OF YOUR CONCEPT AT ALL. 1760 01:15:35,967 --> 01:15:38,403 >> DR. MIRANDA, THANK YOU FOR 1761 01:15:38,403 --> 01:15:40,838 THAT QUESTION. I THINK IT IS 1762 01:15:40,838 --> 01:15:42,440 CENTRAL TO WHAT WE ARE LOOKING 1763 01:15:42,440 --> 01:15:45,743 FOR IN TERMS OF THE SCIENTIFIC 1764 01:15:45,743 --> 01:15:47,845 INTEREST. SO ON THAT PARTICULAR 1765 01:15:47,845 --> 01:15:49,948 SLIDE, THERE IS ABOUT -- REALLY 1766 01:15:49,948 --> 01:15:54,686 A FOCUS ON LOOKING AT VARIOUS 1767 01:15:54,686 --> 01:15:57,021 ADOPTION OF EVIDENCE-BASED 1768 01:15:57,021 --> 01:15:58,856 MULTI -LEVEL INTERVENTIONS, SO 1769 01:15:58,856 --> 01:16:02,026 EXACTLY WHAT YOU JUST SAID. IN 1770 01:16:02,026 --> 01:16:12,003 ADDITION TOEN -- TO ENHANCING 1771 01:16:12,003 --> 01:16:14,339 THIS, WE ARE INTERESTED IN THAT 1772 01:16:14,339 --> 01:16:16,040 MODIFICATION OR CHANGE, WHETHER 1773 01:16:16,040 --> 01:16:18,810 IT BE BEYOND INDIVIDUAL INTER 1774 01:16:18,810 --> 01:16:20,611 PERSONAL LEVEL BUT DEFINITELY IN 1775 01:16:20,611 --> 01:16:23,081 A COMMUNITY ORGANIZATIONAL 1776 01:16:23,081 --> 01:16:24,682 ENVIRONMENTAL IMPACT, AS YOU 1777 01:16:24,682 --> 01:16:26,684 MENTIONED. SO YES THAT, IS THE 1778 01:16:26,684 --> 01:16:28,453 TURNING POINT FOR NINR, LOOKING 1779 01:16:28,453 --> 01:16:29,954 AT THAT ADOPTION OF CHANGE. 1780 01:16:29,954 --> 01:16:32,590 >> THANK YOU. 1781 01:16:32,590 --> 01:16:38,696 >> THANK YOU SO MUCH. DR. 1782 01:16:38,696 --> 01:16:39,197 VINCENT GUILAMO-RAMOS. 1783 01:16:39,197 --> 01:16:40,431 >> YOU HEAR ME NOW? 1784 01:16:40,431 --> 01:16:42,934 >> I CAN'T HEAR YOU WELL. BUT 1785 01:16:42,934 --> 01:16:48,706 I CAN TRY, WILL READ LIPS. 1786 01:16:48,706 --> 01:16:58,716 [AUDIO ISSUES] 1787 01:16:58,716 --> 01:16:59,884 >> IF YOU ALREADY PUT YOUR 1788 01:16:59,884 --> 01:17:03,988 QUESTION IN THE CHAT, I CAN READ 1789 01:17:03,988 --> 01:17:13,698 THAT. 1790 01:17:13,698 --> 01:17:14,999 DR. WANG. 1791 01:17:14,999 --> 01:17:16,901 >> HI DOCTORS. THANK YOU 1792 01:17:16,901 --> 01:17:18,202 FIRST FORT THIS IMPORTANT TOPIC 1793 01:17:18,202 --> 01:17:20,304 AND WANT TO ECHO THE PREVIOUS 1794 01:17:20,304 --> 01:17:22,640 COMMENTS ON SUCH AN IMPORTANT 1795 01:17:22,640 --> 01:17:25,576 TOPIC FOR NURSES, NURSE 1796 01:17:25,576 --> 01:17:27,412 PRACTITIONER, SCIENTISTS AND 1797 01:17:27,412 --> 01:17:29,847 HIGHLIGHT THE ROLE OF NURSE 1798 01:17:29,847 --> 01:17:31,015 PRACTITIONERS, ACTUALLY 1799 01:17:31,015 --> 01:17:32,350 DELIVERING FOCUSED NUTRITION 1800 01:17:32,350 --> 01:17:34,185 INTERVENTION IN A WAY THAT CAN 1801 01:17:34,185 --> 01:17:36,087 BE REIMBURSED SO I THINK I WANT 1802 01:17:36,087 --> 01:17:40,691 TO MAKE SURE WE RECOGNIZE THIS 1803 01:17:40,691 --> 01:17:41,859 IMPLEMENTATION AND INNOVATIVE 1804 01:17:41,859 --> 01:17:48,566 CARE MODELS LED BY TRANSITIONING 1805 01:17:48,566 --> 01:17:50,034 RESEARCH INTO THE PRACTICE, SUCH 1806 01:17:50,034 --> 01:17:53,071 AS NURSE PRACTITIONERS 1807 01:17:53,071 --> 01:17:55,173 DELIVERING LESS MEDICINE, 1808 01:17:55,173 --> 01:17:57,608 INCLUDING NUTRITION, EXERCISE, 1809 01:17:57,608 --> 01:18:00,912 MINDFULNESS AND OTHERS. SECOND, 1810 01:18:00,912 --> 01:18:03,181 I AM CURIOUS ABOUT HOW THIS 1811 01:18:03,181 --> 01:18:05,917 LEVEL OF NUTRITIONAL RESEARCH 1812 01:18:05,917 --> 01:18:08,586 INTER SECT WITH SOME OF THE 1813 01:18:08,586 --> 01:18:12,790 " ALL OF US " PROGRAM, THE 1814 01:18:12,790 --> 01:18:15,159 NUTRITION BY PRECISION HEALTH 1815 01:18:15,159 --> 01:18:16,594 INITIATIVE, THAT WAS SORT OF OF 1816 01:18:16,594 --> 01:18:18,362 A LARGE INITIATIVE IN THE NIH 1817 01:18:18,362 --> 01:18:20,765 PART OF ALL OF US PROGRAM. AS WE 1818 01:18:20,765 --> 01:18:21,833 KNOW CURRENTLY IT IS SO 1819 01:18:21,833 --> 01:18:25,636 IMPORTANT TO RECOGNIZE THE 1820 01:18:25,636 --> 01:18:28,506 ACCESS TO HOPE FOODS AND 1821 01:18:28,506 --> 01:18:30,341 NUTRITIOUS FOODS BUT ALSO TAKING 1822 01:18:30,341 --> 01:18:33,244 IT TO ANOTHER LEVEL EMPOWERED BY 1823 01:18:33,244 --> 01:18:34,679 DIGITAL HEALTH AND AI 1824 01:18:34,679 --> 01:18:38,683 TECHNOLOGY, WE CAN REALLY 1825 01:18:38,683 --> 01:18:41,786 ELEVATE NUTRITION RESEARCH TO 1826 01:18:41,786 --> 01:18:43,621 THE PRECISION LEVEL, ADVANCEMENT 1827 01:18:43,621 --> 01:18:47,492 IN THESE TECHNOLOGIES. I'M 1828 01:18:47,492 --> 01:18:50,695 CURIOUS ABOUT YOUR THOUGHTS IN 1829 01:18:50,695 --> 01:18:53,664 THIS AREA, ADVANCING TO THE 1830 01:18:53,664 --> 01:18:55,399 PRECISION PERSONALIZED NUTRITION 1831 01:18:55,399 --> 01:18:55,867 APPROACH, THANK YOU. 1832 01:18:55,867 --> 01:18:57,368 >> THANK YOU, DR. WANG. FIRST 1833 01:18:57,368 --> 01:18:59,470 I DO WANT TO NOTE THE 1834 01:18:59,470 --> 01:19:04,542 IMPORTANCE, AS YOU MENTIONED, ON 1835 01:19:04,542 --> 01:19:09,313 NURSE PRACTITIONERS AND VARIOUS 1836 01:19:09,313 --> 01:19:10,648 CLINICIANS IN TREATING AND 1837 01:19:10,648 --> 01:19:12,617 WORKING WITH VARIOUS POPULATIONS 1838 01:19:12,617 --> 01:19:17,822 ON THE PREVENTION, MANAGEMENT 1839 01:19:17,822 --> 01:19:18,723 AND ALSO TREATMENT ASSOCIATED 1840 01:19:18,723 --> 01:19:21,692 WITH NUTRITION-RELATED CHRONIC 1841 01:19:21,692 --> 01:19:24,128 DISEASE AND OTHER FACTORS. THANK 1842 01:19:24,128 --> 01:19:26,063 YOU FOR POINTING THAT OUT. I 1843 01:19:26,063 --> 01:19:29,167 KNOW FOOD IS MEDICINE AND 1844 01:19:29,167 --> 01:19:31,369 IMPACTFUL, LOOKING AT VARIOUS 1845 01:19:31,369 --> 01:19:34,572 W 1846 01:19:34,572 --> 01:19:39,177 WAYS IN TREATING CLIENTS AND 1847 01:19:39,177 --> 01:19:40,912 PATIENTS AND THANKS FOR THE 1848 01:19:40,912 --> 01:19:42,413 BEHAVIORAL ASPECT YOU MENTIONED. 1849 01:19:42,413 --> 01:19:46,684 WE ARE VERY MUCH INTERESTED IN 1850 01:19:46,684 --> 01:19:50,855 MULTI -COMPONENT, AS WELL AS 1851 01:19:50,855 --> 01:19:51,923 VARIOUS INNOVATIONS IN THE 1852 01:19:51,923 --> 01:19:54,025 SPACE. AS YOU MENTIONED, USE OF 1853 01:19:54,025 --> 01:19:57,528 DATA, USE OF PRECISION MEDICINE 1854 01:19:57,528 --> 01:19:59,897 AND VERY MUCH DIGITAL AI 1855 01:19:59,897 --> 01:20:01,632 TECHNOLOGIES DOES GO ALONG WITH 1856 01:20:01,632 --> 01:20:03,968 INNOVATIONS WE ARE HOPING TO SEE 1857 01:20:03,968 --> 01:20:05,937 WITH, YOU KNOW, VARIOUS 1858 01:20:05,937 --> 01:20:06,938 INVESTIGATORS IN THIS SPACE. 1859 01:20:06,938 --> 01:20:08,806 THANK YOU FOR POINTING THAT OUT 1860 01:20:08,806 --> 01:20:10,441 AND NOTING THAT SO THAT OR 1861 01:20:10,441 --> 01:20:14,679 AUDIENCE IS FULLY AWARE OF THE 1862 01:20:14,679 --> 01:20:16,414 IMPACTFUL -- REALLY ARRAY OF 1863 01:20:16,414 --> 01:20:19,750 RESEARCH THAT WE'RE INTERESTED 1864 01:20:19,750 --> 01:20:26,691 IN. SO THANK YOU. MR. 1865 01:20:26,691 --> 01:20:31,596 HERRINGTON, SIR. 1866 01:20:31,596 --> 01:20:33,097 >> THANK YOU VERY MUCH. I 1867 01:20:33,097 --> 01:20:34,665 WANTED TO MAKE A COMMENT AND 1868 01:20:34,665 --> 01:20:35,933 OBSERVATION. ONE OF THE THINGS 1869 01:20:35,933 --> 01:20:37,802 THAT'S HAPPENED IN THIS COUNTRY, 1870 01:20:37,802 --> 01:20:39,470 NOW MORE FOODS ARE EATEN AWAY 1871 01:20:39,470 --> 01:20:41,072 FROM HOME THAN AT HOME. PEOPLE 1872 01:20:41,072 --> 01:20:43,007 ARE NOT COOKING. THEY ARE GOING 1873 01:20:43,007 --> 01:20:44,375 TO GROCERY STORE BUT NOT BUYING 1874 01:20:44,375 --> 01:20:46,110 HEALTHY FOODS; THEY ARE BUYING 1875 01:20:46,110 --> 01:20:47,878 FOODS THAT CAN BE PREPARED 1876 01:20:47,878 --> 01:20:49,313 QUICKLY. WHEN THEY ARE EATING 1877 01:20:49,313 --> 01:20:50,414 AWAY FROM HOME THEY REALLY DON'T 1878 01:20:50,414 --> 01:20:52,550 KNOW WHAT THEY ARE EATING. THERE 1879 01:20:52,550 --> 01:20:54,685 IS THIS IDEA, AND I KNOW 1880 01:20:54,685 --> 01:20:56,354 RESEARCH IS DONE LOCALLY, NOT 1881 01:20:56,354 --> 01:20:58,589 MAJOR, THAT THEY DID A FOOD 1882 01:20:58,589 --> 01:21:04,662 RECOGNITION STUDY. IT IS 1883 01:21:04,662 --> 01:21:05,296 ENTERINTER 1884 01:21:05,296 --> 01:21:06,964 INTERESTING TO SEE WHAT PEOPLE 1885 01:21:06,964 --> 01:21:08,366 CONSUME THAT HAS NO NUTRITIONAL 1886 01:21:08,366 --> 01:21:09,900 VALUE. SO THERE ARE A LOT OF 1887 01:21:09,900 --> 01:21:14,105 PEOPLE EATING HIGH-CALORIE, 1888 01:21:14,105 --> 01:21:17,108 HIGH-SODIUM FOODS THAT BELIEVE 1889 01:21:17,108 --> 01:21:23,314 THEY ARE EATING GOOD FOOD BUT 1890 01:21:23,314 --> 01:21:24,882 NOT REAL FOOD. I ENCOURAGE 1891 01:21:24,882 --> 01:21:26,317 RESEARCH TO SEE HOW WE CAN SHIFT 1892 01:21:26,317 --> 01:21:28,185 BACK TO THE NORM, WHICH USED TO 1893 01:21:28,185 --> 01:21:29,520 BE PEOPLE EATING AT HOME, BUYING 1894 01:21:29,520 --> 01:21:33,691 THEIR FOOD, PREPARING THEIR FOOD 1895 01:21:33,691 --> 01:21:35,159 AND SO I'M A BIG PROPONENT OF 1896 01:21:35,159 --> 01:21:36,227 THAT. I THINK THAT IS SOMETHING 1897 01:21:36,227 --> 01:21:41,165 WE NEED TO ENCOURAGE AS MUCH AS 1898 01:21:41,165 --> 01:21:41,999 POSSIBLE. 1899 01:21:41,999 --> 01:21:46,671 >> THANK YOU. THAT GOES ALONG 1900 01:21:46,671 --> 01:21:50,041 WITH IMPROVING THE FOOD 1901 01:21:50,041 --> 01:21:50,608 ENVIRONMENT, WORKING WITH 1902 01:21:50,608 --> 01:21:51,642 VARIOUS AND DIFFERENT 1903 01:21:51,642 --> 01:21:53,277 POPULATIONS TO HAVE AN 1904 01:21:53,277 --> 01:21:54,545 UNDERSTANDING WHAT IS NUTRITION 1905 01:21:54,545 --> 01:21:56,314 BUT ALSO IMPROVING THE FOOD 1906 01:21:56,314 --> 01:21:59,450 SECURITY AS WELL AS ACCESS AND 1907 01:21:59,450 --> 01:22:01,619 KNOWLEDGE ON DIETARY EATING 1908 01:22:01,619 --> 01:22:03,587 PATTERNS AND ALSO THE COOKING OF 1909 01:22:03,587 --> 01:22:07,224 FOOD, AS YOU MENTIONED. SO THAT 1910 01:22:07,224 --> 01:22:08,426 IS DEFINITELY OF INTEREST AS 1911 01:22:08,426 --> 01:22:09,660 PART OF THIS PARTICULAR 1912 01:22:09,660 --> 01:22:10,895 SCIENTIFIC CONCEPT. THANK YOU 1913 01:22:10,895 --> 01:22:13,030 FOR POINTING THAT OUT AND YOUR 1914 01:22:13,030 --> 01:22:22,039 COMMENTS. DR. AYALA, PLEASE. I 1915 01:22:22,039 --> 01:22:23,441 THINK I PROBABLY HAVE ENOUGH 1916 01:22:23,441 --> 01:22:27,044 TIME FOR ONE MORE. I SEE DR. 1917 01:22:27,044 --> 01:22:30,681 TARLOV HERE. SO DR. AYALA THEN 1918 01:22:30,681 --> 01:22:32,717 DR. MIRANDA, THANK YOU. 1919 01:22:32,717 --> 01:22:35,186 >> I WILL BE VERY QUICK . I 1920 01:22:35,186 --> 01:22:36,921 WAS RESPONDING TO DR. MIRANDA'S 1921 01:22:36,921 --> 01:22:38,389 COMMENT THAT I COMPLETELY 1922 01:22:38,389 --> 01:22:40,825 AGREEMENT WITH YOU THAT THERE 1923 01:22:40,825 --> 01:22:42,093 ISN'T ENOUGH EVIDENCE SHOWING 1924 01:22:42,093 --> 01:22:44,095 ACTUAL CONSUMPTION WHICH 1925 01:22:44,095 --> 01:22:46,697 ULTIMATELY LEADS TO IMPROVED 1926 01:22:46,697 --> 01:22:48,265 HEALTH OUTCOMES. I THINK THAT IS 1927 01:22:48,265 --> 01:22:49,600 ONE OF THE THING I APPRECIATED 1928 01:22:49,600 --> 01:22:52,002 ABOUT THIS INITIATIVE, IS ONE OF 1929 01:22:52,002 --> 01:22:52,937 THE FLAWS IN PREVIOUS RESEARCH 1930 01:22:52,937 --> 01:22:56,307 IS THE SENSITIVITY OF MEASURES 1931 01:22:56,307 --> 01:22:59,176 THAT HAVE BEEN USED IN MORE FOOD 1932 01:22:59,176 --> 01:23:01,612 ENVIRONMENT TYPE RESEARCH. SO IT 1933 01:23:01,612 --> 01:23:03,414 DOESN'T ALLOW FOR REALLY 1934 01:23:03,414 --> 01:23:05,082 EXAMINING THE EXTENT TO WHICH IT 1935 01:23:05,082 --> 01:23:07,284 LOOKS AT HEALTH. BUT 1936 01:23:07,284 --> 01:23:08,085 OPPORTUNITIES TO REALLY 1937 01:23:08,085 --> 01:23:10,421 INTEGRATE COMMUNITY AND CLINICAL 1938 01:23:10,421 --> 01:23:12,022 INTERVENTIONS MAY AFFORD THE 1939 01:23:12,022 --> 01:23:14,191 OPPORTUNITY TO ACTUALLY USE SOME 1940 01:23:14,191 --> 01:23:16,127 OF THE ELECTRONIC HEALTH RECORD 1941 01:23:16,127 --> 01:23:18,396 DATA AND OTHER MORE CLINICAL 1942 01:23:18,396 --> 01:23:19,397 DATA THAT MAY BE AVAILABLE 1943 01:23:19,397 --> 01:23:21,198 WITHIN THAT SETTING TO BETTER 1944 01:23:21,198 --> 01:23:22,666 UNDERSTAND WHAT IS ACTUALLY 1945 01:23:22,666 --> 01:23:25,102 HAPPENING WITH THESE FOOD 1946 01:23:25,102 --> 01:23:27,004 ENVIRONMENT INTERVENTIONS. 1947 01:23:27,004 --> 01:23:34,612 >> THANK YOU, DR. AYALA. 1948 01:23:34,612 --> 01:23:37,982 >> -- THOUGHT MAY BE A BIT OF 1949 01:23:37,982 --> 01:23:42,686 A BUMMER BUT I REALLY, REALLY 1950 01:23:42,686 --> 01:23:47,425 LIKE THIS CONCEPT. I'M REALLY 1951 01:23:47,425 --> 01:23:53,364 WORRIED THAT THE GIGANTIC 1952 01:23:53,364 --> 01:23:55,399 INVESTMENT THE FOOD INDUSTRY 1953 01:23:55,399 --> 01:23:57,902 PUTS INTO MARKETING. LIKE I 1954 01:23:57,902 --> 01:24:00,004 REMEMBER THAT WHOLE THING WELL 1955 01:24:00,004 --> 01:24:01,205 PARENTS SHOULD JUST SAY NO TO 1956 01:24:01,205 --> 01:24:02,540 THEIR CHILDREN CH I USED TO SAY 1957 01:24:02,540 --> 01:24:04,275 ALL THE TIME, I CAN SAY NO AS 1958 01:24:04,275 --> 01:24:06,110 WELL AS ANY PARENT YOU HAVE EVER 1959 01:24:06,110 --> 01:24:09,213 MET. I JUST WISH THERE WEREN'T A 1960 01:24:09,213 --> 01:24:10,347 MULTI BILLION DOLLAR SCREAMING 1961 01:24:10,347 --> 01:24:13,651 YES AT MY KIDS ALL THE TIME. I 1962 01:24:13,651 --> 01:24:18,823 JUST -- YOU KNOW, MAY BE PART OF 1963 01:24:18,823 --> 01:24:23,060 THE BEHAVIORAL -- THE BEHAVIORAL 1964 01:24:23,060 --> 01:24:26,163 HEALTH RESEARCH MIGHT BE AROUND 1965 01:24:26,163 --> 01:24:30,301 HOW DO YOU -- HOW DO WE HELP 1966 01:24:30,301 --> 01:24:36,874 PEOPLE GET PAST THAT LIKE 1967 01:24:36,874 --> 01:24:39,076 INCESSANT, LOUD, WELL-FINANCED 1968 01:24:39,076 --> 01:24:42,680 MESSAGING AROUND CONSUMPTION OF 1969 01:24:42,680 --> 01:24:47,885 PROCESSED FOODS. I HAVE NO 1970 01:24:47,885 --> 01:24:49,386 ANSWER TO THAT QUESTION. BUT I 1971 01:24:49,386 --> 01:24:52,890 WORRY ABOUT LIKE WE ARE DOING 1972 01:24:52,890 --> 01:24:55,059 ALL THIS STUFF AND WE ARE GOING 1973 01:24:55,059 --> 01:24:58,963 TO INVEST, I DON'T KNOW, $8 1974 01:24:58,963 --> 01:25:00,498 MILLION INTO IT. THEN ANY ONE OF 1975 01:25:00,498 --> 01:25:02,733 THE FOOD MANUFACTURING COMPANIES 1976 01:25:02,733 --> 01:25:04,235 HERE IN CHICAGO SPENDS WAY MORE 1977 01:25:04,235 --> 01:25:06,604 THAN THAT. ANY ONE COMPANY 1978 01:25:06,604 --> 01:25:09,006 SPENDS WAY MORE THAN THAT ON 1979 01:25:09,006 --> 01:25:10,241 MARKETING. SO JUST TRYING TO 1980 01:25:10,241 --> 01:25:14,078 FIGURE OUT THAT COMPONENT OF THE 1981 01:25:14,078 --> 01:25:14,512 PROBLEM. 1982 01:25:14,512 --> 01:25:15,880 >> THANK YOU, DOCTOR. 1983 01:25:15,880 --> 01:25:17,281 >> MY COLLEAGUE ALSO HAVE 1984 01:25:17,281 --> 01:25:19,083 MORE INSIGHTS. 1985 01:25:19,083 --> 01:25:21,151 >> THANK YOU, DR. MIRANDA, 1986 01:25:21,151 --> 01:25:23,287 FOR THAT FEEDBACK. I THINK WHAT 1987 01:25:23,287 --> 01:25:26,423 IS CENTRAL AND VERY IMPORTANT -- 1988 01:25:26,423 --> 01:25:28,792 AND DR. AKLIN IS VERY INTERESTED 1989 01:25:28,792 --> 01:25:30,494 IN MULTI -SECTORIAL INTERVENTION 1990 01:25:30,494 --> 01:25:33,063 , SO ACTUALLY COLLABORATING WITH 1991 01:25:33,063 --> 01:25:35,165 INDUSTRY AND OTHER ASPECTS IN 1992 01:25:35,165 --> 01:25:37,167 THIS SPACE. SO I THINK THAT IS 1993 01:25:37,167 --> 01:25:41,472 AN INNOVATION THAT WE WOULD 1994 01:25:41,472 --> 01:25:42,940 CHAMPION, THANK YOU. ALL RIGHT. 1995 01:25:42,940 --> 01:25:44,642 I KNOW MY TIME IS DUE. THANK YOU 1996 01:25:44,642 --> 01:25:47,278 FOR THE ROBUST DISCUSSION AND 1997 01:25:47,278 --> 01:25:50,681 FEEDBACK. I LOOK FORWARD TO NEXT 1998 01:25:50,681 --> 01:25:52,383 STEPS. THANK YOU DR. AKLIN AND 1999 01:25:52,383 --> 01:25:53,250 DR. TARLOV. 2000 01:25:53,250 --> 01:25:54,952 >> THANK YOU DR. TIAS AND DR. 2001 01:25:54,952 --> 01:25:57,087 FITZPATRICK FOR COVERING THIS 2002 01:25:57,087 --> 01:25:58,522 CONCEPT FOR US. REALLY EXCITED 2003 01:25:58,522 --> 01:26:00,925 TO HEAR THIS CONVERSATION AND 2004 01:26:00,925 --> 01:26:02,459 APOLOGIES WE HAVE TO MOVE ON BUT 2005 01:26:02,459 --> 01:26:04,528 WE HAVE THREE MORE CONCEPTS WE 2006 01:26:04,528 --> 01:26:05,829 WANT TO PRESENT. NOW WE WILL 2007 01:26:05,829 --> 01:26:07,965 CONTINUE ON WITH THE NEXT 2008 01:26:07,965 --> 01:26:12,069 CONCEPT, WHICH DR. CAMPBELL WILL 2009 01:26:12,069 --> 01:26:22,346 PRESENT ON MENTORING AND DR. -- 2010 01:26:22,346 --> 01:26:23,514 >> GOOD MORNING, KAREN KALE 2011 01:26:23,514 --> 01:26:26,150 FOR THE MODELS OF CARE. I WILL 2012 01:26:26,150 --> 01:26:29,286 PRESENT NEW CONCEPTS FOR NINR 2013 01:26:29,286 --> 01:26:30,588 RESOURCES AND ACTIVITIES. DR. 2014 01:26:30,588 --> 01:26:32,222 TARLOV AND I WOULD LIKE TO THANK 2015 01:26:32,222 --> 01:26:37,127 THE MANY PROGRAM AND SCIENTIFIC 2016 01:26:37,127 --> 01:26:41,265 STAFF THAT CONTRIBUTED. NEXT, 2017 01:26:41,265 --> 01:26:45,736 PLEASE. NEXT SLIDE, PLEASE. WE 2018 01:26:45,736 --> 01:26:47,271 HAVE SEEN A RAPID DECLINE IN THE 2019 01:26:47,271 --> 01:26:50,674 NUMBER OF NURSES SEEKING 2020 01:26:50,674 --> 01:26:52,242 DOCTORAL DEGREES AND ENTERING 2021 01:26:52,242 --> 01:26:53,777 THE RESEARCH ENTERPRISE DESPITE 2022 01:26:53,777 --> 01:26:55,913 INCREASE IN NUMBER OF PROGRAMS 2023 01:26:55,913 --> 01:26:57,381 AVAILABLE. WE KNOW THAT LIMITED 2024 01:26:57,381 --> 01:26:59,283 ACCESS TO MENTOR S IS A BARRIER 2025 01:26:59,283 --> 01:27:01,452 TO ESTABLISHING A PROGRAM OF 2026 01:27:01,452 --> 01:27:08,959 RESEARCH AND ENTERING AN 2027 01:27:08,959 --> 01:27:12,029 ACADEMIC CAREER. RESEARCH 2028 01:27:12,029 --> 01:27:13,931 TRAINING IS IMPORTANT TO 2029 01:27:13,931 --> 01:27:15,132 RESEARCH CAPACITY IN NURSES AND 2030 01:27:15,132 --> 01:27:17,968 WE KNOW A STRONGER NURSE 2031 01:27:17,968 --> 01:27:20,070 SCIENTIST WORKFORCE IS VITAL TO 2032 01:27:20,070 --> 01:27:22,873 ADVANCE THE NINR MISSION. NEXT 2033 01:27:22,873 --> 01:27:25,442 SLIDE, PLEASE. THIS CONCEPT 2034 01:27:25,442 --> 01:27:26,744 WOULD EXPAND THE LANDSCAPE OF 2035 01:27:26,744 --> 01:27:37,287 NINR TRAINING INITIATIVES THERE 2036 01:27:37,988 --> 01:27:42,693 ARE INSTITUTIONAL TRAINING 2037 01:27:42,693 --> 01:27:48,132 GRANTS. 30, 31, 32 INDIVIDUAL 2038 01:27:48,132 --> 01:27:48,766 PRE-DOCTORAL FELLOWSHIPS. THESE 2039 01:27:48,766 --> 01:27:50,367 ARE HELPFUL BUT DON'T FOCUS ON 2040 01:27:50,367 --> 01:27:53,303 MENTORING, WHICH HAS BEEN SHOWN 2041 01:27:53,303 --> 01:27:55,205 TO POSITIVELY INFLUENCE CAREER 2042 01:27:55,205 --> 01:27:57,474 CHOICES AND CAREER TRAJECTORIES 2043 01:27:57,474 --> 01:28:00,477 FOR NURSE SCIENTISTS. NEXT 2044 01:28:00,477 --> 01:28:02,713 SLIDE, PLEASE: THE PURPOSE OF 2045 01:28:02,713 --> 01:28:04,748 THIS CONCEPT IS TO SUPPORT 2046 01:28:04,748 --> 01:28:08,385 MENTORING ACTIVITIES THAT 2047 01:28:08,385 --> 01:28:10,187 EXPAND, PROMOTE AND ACCELERATE 2048 01:28:10,187 --> 01:28:12,289 THE DEVELOPMENT OF NURSE 2049 01:28:12,289 --> 01:28:14,558 SCIENTIST WORKFORCE TO ADVANCE 2050 01:28:14,558 --> 01:28:16,026 THE NINR MISSION. THIS CAN BE 2051 01:28:16,026 --> 01:28:17,895 ACCOMPLISHED BY ENCOURAGING 2052 01:28:17,895 --> 01:28:20,497 ACTIVITIES THAT PROVIDE CAREER 2053 01:28:20,497 --> 01:28:24,101 MENTORING AND APPLY HANDS-ON 2054 01:28:24,101 --> 01:28:25,502 MENTORED RESEARCH EXPERIENCES TO 2055 01:28:25,502 --> 01:28:26,970 PROMOTE CAREER ADVANCEMENT AMONG 2056 01:28:26,970 --> 01:28:29,540 NURSE SCIENTISTS AND EXPAND THE 2057 01:28:29,540 --> 01:28:32,209 POPULATION OF NURSE SCIENTISTS 2058 01:28:32,209 --> 01:28:36,246 WITH NIH-FUNDED RESEARCH 2059 01:28:36,246 --> 01:28:37,147 PROGRAMS. NEXT SLIDE, PLEASE. 2060 01:28:37,147 --> 01:28:40,184 SOME EXAMPLES OF INITIATIVES 2061 01:28:40,184 --> 01:28:42,486 THAT WOULD BE OF INTEREST UNDER 2062 01:28:42,486 --> 01:28:44,154 THIS CONCEPT INCLUDE 2063 01:28:44,154 --> 01:28:44,722 COLLABORATIONS BETWEEN 2064 01:28:44,722 --> 01:28:49,359 PROFESSIONAL SOCIETIES OR 2065 01:28:49,359 --> 01:28:49,993 NURSING SCHOOLS TO FACILITATE 2066 01:28:49,993 --> 01:28:51,862 AND PROVIDE SUPPORT FOR THE 2067 01:28:51,862 --> 01:28:53,397 DEVELOPMENT OF MENTORING 2068 01:28:53,397 --> 01:28:54,765 RELATIONSHIPS BETWEEN SENIOR AND 2069 01:28:54,765 --> 01:28:57,067 EARLY CAREER NURSE SCIENTISTS OR 2070 01:28:57,067 --> 01:28:58,235 RESEARCH EDUCATION PROGRAMS 2071 01:28:58,235 --> 01:29:00,804 BASED AT SCHOOLS WITH A STRONG 2072 01:29:00,804 --> 01:29:03,240 HISTORY OF NIH FUNDING THAT 2073 01:29:03,240 --> 01:29:04,108 PROVIDE RESEARCH SKILLS BUILDING 2074 01:29:04,108 --> 01:29:06,543 AND MENTORING OF NEW 2075 01:29:06,543 --> 01:29:08,378 INVESTIGATORS AT INSTITUTIONS 2076 01:29:08,378 --> 01:29:10,447 WITH LESS WELL DEVELOPED 2077 01:29:10,447 --> 01:29:12,216 RESEARCH INFRASTRUCTURE WITH A 2078 01:29:12,216 --> 01:29:14,218 FOCUS ON SUBMISSION OF 2079 01:29:14,218 --> 01:29:19,189 APPLICATION TO AN NIH MENTORED 2080 01:29:19,189 --> 01:29:21,325 OPPORTUNITY OR ONE OF THE K 2081 01:29:21,325 --> 01:29:23,927 AWARDS. NEXT, PLEASE. OTHER 2082 01:29:23,927 --> 01:29:27,064 EXAMPLES INCLUDE ENGAGEMENT OF 2083 01:29:27,064 --> 01:29:29,366 EXPERTS IN CAPACITY-BUILDING 2084 01:29:29,366 --> 01:29:34,805 THROUGH MENTORSHIP TO DEVELOP A 2085 01:29:34,805 --> 01:29:36,673 NURSE NETWORK OR ADDITIONAL 2086 01:29:36,673 --> 01:29:39,143 FUNDING OPPORTUNITY THAT WOULD 2087 01:29:39,143 --> 01:29:39,943 INCENTIVISE EXPERIENCED RESEARCH 2088 01:29:39,943 --> 01:29:41,478 MENTORS TO ADD A NEW 2089 01:29:41,478 --> 01:29:43,380 INVESTIGATOR FROM ANOTHER 2090 01:29:43,380 --> 01:29:44,581 INSTITUTION TO THEIR RESEARCH 2091 01:29:44,581 --> 01:29:54,691 TEAM. NEXT, PLEASE. A COUPLE 2092 01:29:54,691 --> 01:29:58,662 FINAL SUGGESTION WOULD BE 2093 01:29:58,662 --> 01:30:01,765 FUNDAMENTAL OPPORTUNITY THAT 2094 01:30:01,765 --> 01:30:02,166 WOU 2095 01:30:02,166 --> 01:30:04,434 WOULD ADD ADDITIONAL PLOTS, 2096 01:30:04,434 --> 01:30:07,571 DESIGN ED WITH NABILITY TO 2097 01:30:07,571 --> 01:30:08,806 ACCOMMODATE THE NEEDS OF A 2098 01:30:08,806 --> 01:30:10,040 TRAINEE THAT MIGHT HAVE A 2099 01:30:10,040 --> 01:30:11,375 POSITION AT ANOTHER INSTITUTION 2100 01:30:11,375 --> 01:30:12,743 OR A RESEARCH EDUCATION PROGRAM 2101 01:30:12,743 --> 01:30:14,645 TO TRAIN MID-CAREER 2102 01:30:14,645 --> 01:30:17,648 INVESTIGATORS TO BE RESEARCH 2103 01:30:17,648 --> 01:30:20,284 MENTORS WITH THE FOCUS ON SKILLS 2104 01:30:20,284 --> 01:30:26,256 TO NURSE SCIENTISTS FROM OTHER 2105 01:30:26,256 --> 01:30:26,957 INSTITU 2106 01:30:26,957 --> 01:30:28,425 INSTITUTIONS. I THANK YOU FOR 2107 01:30:28,425 --> 01:30:30,661 YOUR TIME AND ATTENTION AND 2108 01:30:30,661 --> 01:30:36,466 LOOKING FORWARD TO THE 2109 01:30:36,466 --> 01:30:37,734 DISCUSSION. 2110 01:30:37,734 --> 01:30:39,736 >> THANK YOU DR. KALE. I 2111 01:30:39,736 --> 01:30:50,280 THINK IT IS NOW TIME FOR ME TO 2112 01:30:50,747 --> 01:30:52,382 HAVE A LITTLE DISCUSSANT. 2113 01:30:52,382 --> 01:30:53,951 >> I HOPE EVERYONE CAN HEAR 2114 01:30:53,951 --> 01:30:56,453 ME, I APOLOGIZE FOR THE EARLIER 2115 01:30:56,453 --> 01:30:58,689 VERSION. FOR THIS CONCEPT AND 2116 01:30:58,689 --> 01:31:00,691 PRIOR CONCEPT AND MUCH OF THE 2117 01:31:00,691 --> 01:31:02,125 DISCUSSION THAT I VERY MUCH 2118 01:31:02,125 --> 01:31:04,394 APPRECIATE THE FRAMING AROUND 2119 01:31:04,394 --> 01:31:05,562 THE IMPORTANCE OF NURSING 2120 01:31:05,562 --> 01:31:08,632 SCIENCE, AS WELL AS THE MOVEMENT 2121 01:31:08,632 --> 01:31:09,967 TO SOLUTIONS AND TO REALLY 2122 01:31:09,967 --> 01:31:13,470 HAVING IMPACT. FOR ME WHAT IS 2123 01:31:13,470 --> 01:31:14,705 EXCITING ABOUT THIS PARTICULAR 2124 01:31:14,705 --> 01:31:16,640 CONCEPT IS IT RECOGNIZES THE 2125 01:31:16,640 --> 01:31:20,043 NEED TO PAY ATTENTION AND 2126 01:31:20,043 --> 01:31:23,547 SUPPORT NURSING SCIENTISTS NOW 2127 01:31:23,547 --> 01:31:28,018 AND IN THE FUTURE AND HIGHLIGHTS 2128 01:31:28,018 --> 01:31:30,921 CONTRIBUTIONS OF NURSING SCIENCE 2129 01:31:30,921 --> 01:31:40,697 AND WHAT WE AS HAVE AND I N 2130 01:31:40,697 --> 01:31:42,466 JOYED THINKING OF ALTERNATIVE 2131 01:31:42,466 --> 01:31:43,834 MECHANISM, THINKING OUTSIDE OF 2132 01:31:43,834 --> 01:31:49,373 THE BOX. THOSE IN TERMS ACROSS 2133 01:31:49,373 --> 01:31:50,340 INSTITUTIONS THEN ACROSS 2134 01:31:50,340 --> 01:31:51,942 DIFFERENT LEVELS OF CAREERS OF 2135 01:31:51,942 --> 01:31:54,378 EARLY TO MID TO LATE-STAGE NURSE 2136 01:31:54,378 --> 01:31:57,080 SCIENTISTS. SO, IN MY MIND, THIS 2137 01:31:57,080 --> 01:31:59,149 IS A FANTASTIC CONCEPT AND 2138 01:31:59,149 --> 01:32:00,117 REFLECTS MANY OF THE PRIORITIES 2139 01:32:00,117 --> 01:32:03,787 WE HAVE AS A NATION AND 2140 01:32:03,787 --> 01:32:05,188 RECOGNIZES THE VALUE OF NURSING 2141 01:32:05,188 --> 01:32:05,856 SCIENCE, THANK YOU. 2142 01:32:05,856 --> 01:32:10,594 >> THANK YOU SO MUCH FOR THAT 2143 01:32:10,594 --> 01:32:13,030 FEEDBACK. THANK YOU ALSO THAT 2144 01:32:13,030 --> 01:32:14,998 YOU SAW THIS REALLY IS GOING 2145 01:32:14,998 --> 01:32:17,367 BEYOND WHAT CURRENTLY EXISTS 2146 01:32:17,367 --> 01:32:19,636 WITH K CAREER DEVELOPMENT 2147 01:32:19,636 --> 01:32:21,371 OPPORTUNITIES BECAUSE THOSE ARE 2148 01:32:21,371 --> 01:32:22,306 COMPETITIVE. NOT EVERYONE IS IN 2149 01:32:22,306 --> 01:32:25,175 A POSITION TO APPLY FOR THOSE. 2150 01:32:25,175 --> 01:32:26,677 YET WE RECOGNIZE THE IMPORTANCE 2151 01:32:26,677 --> 01:32:29,947 OF MENTORING. DR. WANG. 2152 01:32:29,947 --> 01:32:32,349 >> YES. THANK YOU VERY MUCH. 2153 01:32:32,349 --> 01:32:35,285 I THINK IT IS SUCH AN IMPORTANT 2154 01:32:35,285 --> 01:32:36,787 CONCEPT SO THANK YOU FOR 2155 01:32:36,787 --> 01:32:39,957 BRINGING IT FORWARD. I ALSO KIND 2156 01:32:39,957 --> 01:32:41,391 OF -- I'M CURIOUS ABOUT 2157 01:32:41,391 --> 01:32:43,493 INITIALLY TALK ABOUT A DOCTORAL 2158 01:32:43,493 --> 01:32:45,729 EDUCATION, SO ARE WE FOCUSING ON 2159 01:32:45,729 --> 01:32:53,337 THE NURSE SCIENTIST OR THE PHD 2160 01:32:53,337 --> 01:32:55,138 SPECIFICALLY DOCTORAL? BECAUSE 2161 01:32:55,138 --> 01:32:57,341 ACADEMIC NURSING, THERE IS SORT 2162 01:32:57,341 --> 01:32:59,376 OF MORE INCREASE IN DOCTORAL 2163 01:32:59,376 --> 01:33:01,878 NURSING PRACTICE THAN OUR PHDS. 2164 01:33:01,878 --> 01:33:04,181 I WANT TO MAKE SURE WE ARE KIND 2165 01:33:04,181 --> 01:33:07,017 OF CLEAR IN TERMS OF THE PURPOSE 2166 01:33:07,017 --> 01:33:09,152 OF THIS PARTICULAR CONCEPT AS 2167 01:33:09,152 --> 01:33:11,154 APPLIES TO -- I'M NOT SUGGESTING 2168 01:33:11,154 --> 01:33:12,656 ONE OR ANOTHER, BUT I THINK IT 2169 01:33:12,656 --> 01:33:17,427 WOULD BE HELPFUL TO CLARIFY THE 2170 01:33:17,427 --> 01:33:21,999 PURPOSE. IS MORE IMPLEMENTING 2171 01:33:21,999 --> 01:33:22,866 THROUGH DOCTORING NURSING 2172 01:33:22,866 --> 01:33:27,237 PRACTICE OR ELEVATING PRE-PAIRED 2173 01:33:27,237 --> 01:33:29,539 FACULTY BY INTRODUCING TO DO 2174 01:33:29,539 --> 01:33:31,775 RESEARCH OR FOCUSED ON 2175 01:33:31,775 --> 01:33:33,710 PHD-TRAINED NURSE SCIENTISTS IN 2176 01:33:33,710 --> 01:33:35,512 SUPPORTING THEIR FACULTY ROLE. 2177 01:33:35,512 --> 01:33:38,682 THE SECOND IS, I THINK, IS ALSO 2178 01:33:38,682 --> 01:33:41,418 INTERESTING TO NOTE THAT WHILE 2179 01:33:41,418 --> 01:33:44,688 WE ARE -- WHICH I THINK IS A 2180 01:33:44,688 --> 01:33:48,258 BRILLIANT CONCEPT TO INTRODUCE 2181 01:33:48,258 --> 01:33:50,093 SUPPLEMENTAL OR CANDIDATE INTO 2182 01:33:50,093 --> 01:33:51,895 ALREADY FUNDED TEAMS, 2183 01:33:51,895 --> 01:33:52,696 RECOGNIZING THERE MAY BE 2184 01:33:52,696 --> 01:33:54,798 INFRASTRUCTURE GAP IN THE 2185 01:33:54,798 --> 01:33:56,600 INSTITUTION WHERE THE 2186 01:33:56,600 --> 01:33:58,435 SUPPLEMENTAL FUNDED CANDIDATE IS 2187 01:33:58,435 --> 01:34:01,938 FROM. WELL, THE FUNDED TEAM MAY 2188 01:34:01,938 --> 01:34:03,774 BE IN WELL SUPPORTED RESEARCH 2189 01:34:03,774 --> 01:34:04,641 INFRASTRUCTURE WITHIN THE 2190 01:34:04,641 --> 01:34:08,078 INSTITUTION, SO HOW DO WE 2191 01:34:08,078 --> 01:34:11,415 ADDRESS THE GAP NOW PLACING THE 2192 01:34:11,415 --> 01:34:13,850 CANDIDATE OR AWARD DEE OR MEN 2193 01:34:13,850 --> 01:34:16,019 TEE OR THE TRAINEE IN AN 2194 01:34:16,019 --> 01:34:17,421 ENVIRONMENT WHERE THERE IS NO 2195 01:34:17,421 --> 01:34:20,891 WAY FOR THE TRAINEE TO REPLICATE 2196 01:34:20,891 --> 01:34:25,195 OR LEARN IMPLEMENTING THEIR OWN 2197 01:34:25,195 --> 01:34:26,696 INSTITUTIONS SO THANK YOU FOR 2198 01:34:26,696 --> 01:34:28,432 THE OPPORTUNITY TO COMMENT ON 2199 01:34:28,432 --> 01:34:35,739 THOSE IMPORTANT ISSUE AND CON P 2200 01:34:35,739 --> 01:34:37,674 SEPTEMBERS. PF /* -- CONCEPTS. 2201 01:34:37,674 --> 01:34:38,708 >> THANK YOU. OBVIOUSLY WE 2202 01:34:38,708 --> 01:34:41,445 ARE THE NATIONAL INSTITUTION OF 2203 01:34:41,445 --> 01:34:42,612 NURSING RESEARCH, OBVIOUSLY OUR 2204 01:34:42,612 --> 01:34:44,047 FOCUS IS ON RESEARCH BUT THAT 2205 01:34:44,047 --> 01:34:46,450 DOES INCLUDE IMPLEMENTATION. SO 2206 01:34:46,450 --> 01:34:48,218 THANK YOU VERY MUCH. I 2207 01:34:48,218 --> 01:34:50,687 APPRECIATE YOUR COMMENTS. DR. 2208 01:34:50,687 --> 01:34:51,621 FITZPATRICK. 2209 01:34:51,621 --> 01:34:53,056 >> I THINK YOU MAY HAVE 2210 01:34:53,056 --> 01:34:55,492 ANSWERED MY QUESTION. MY FIRST 2211 01:34:55,492 --> 01:35:01,932 COMMENT WAS WHAT ABOUT THE K24 2212 01:35:01,932 --> 01:35:02,833 BUT COMPETITIVENESS AND 2213 01:35:02,833 --> 01:35:04,067 RESTRICTION, I THINK WHAT YOU 2214 01:35:04,067 --> 01:35:07,337 ARE TRYING TO DO IS BE MORE 2215 01:35:07,337 --> 01:35:09,106 INNOVATIVE. WHAT WE CAN EXPECT 2216 01:35:09,106 --> 01:35:10,073 IS ALTERNATIVE APPROACHES TO 2217 01:35:10,073 --> 01:35:13,577 IMPROVE MENTORING. IS THAT THE 2218 01:35:13,577 --> 01:35:14,744 BASIC GIST? 2219 01:35:14,744 --> 01:35:16,413 >> ABSOLUTELY. YOU KNOW, WE 2220 01:35:16,413 --> 01:35:18,448 CERTAINLY DON'T WANT TO 2221 01:35:18,448 --> 01:35:22,285 DISCOURAGE PEOPLE FROM USING THE 2222 01:35:22,285 --> 01:35:27,390 AWARDS THAT CURRENTLY EXIST BUT 2223 01:35:27,390 --> 01:35:33,797 K24s HAVE A LOT OF REQUIREMENTS. 2224 01:35:33,797 --> 01:35:35,332 AND SOME OF INFRASTRUCTURE TO BE 2225 01:35:35,332 --> 01:35:39,269 ABLE TO APPLY FOR THOSE AWARDS. 2226 01:35:39,269 --> 01:35:43,773 SIMILARLY, WE FIND THE KO1s, 8s, 2227 01:35:43,773 --> 01:35:46,343 23s WHICH ARE FOCUSED ON THE 2228 01:35:46,343 --> 01:35:47,544 CANDIDATE, AGAIN, YOU HAVE TO 2229 01:35:47,544 --> 01:35:49,312 HAVE THE INFRASTRUCTURE. HAVE TO 2230 01:35:49,312 --> 01:35:51,748 HAVE THOSE MENTORING 2231 01:35:51,748 --> 01:35:52,916 RELATIONSHIPS ESTABLISHED. SO 2232 01:35:52,916 --> 01:35:56,319 THIS IS REALLY LOOKING AT HOW DO 2233 01:35:56,319 --> 01:35:58,855 WE GO BEYOND THAT OR BEFORE IT 2234 01:35:58,855 --> 01:36:05,562 TO HELP BUILD THOSE MENTORSHIPS. 2235 01:36:05,562 --> 01:36:10,834 THANK YOU. DR. STONE. DR. STONE, 2236 01:36:10,834 --> 01:36:12,736 I THINK YOU ARE MUTED. 2237 01:36:12,736 --> 01:36:17,174 >> I AM. SORRY ABOUT THAT. I 2238 01:36:17,174 --> 01:36:19,075 REALLY LOVE THIS CONCEPT. I 2239 01:36:19,075 --> 01:36:25,649 THINK SO IT NEEDED. I THINK DR. 2240 01:36:25,649 --> 01:36:28,285 WANG'S POINT ABOUT THE MPs AND 2241 01:36:28,285 --> 01:36:29,686 SCIENCE NEEDS TO BE WELL THOUGHT 2242 01:36:29,686 --> 01:36:32,222 OUT, ONE WAY OR THE OTHER. I 2243 01:36:32,222 --> 01:36:37,327 THIS I IT IS A VERY IMPORTANT 2244 01:36:37,327 --> 01:36:40,497 POINT. AND I THINK, YOU KNOW, 2245 01:36:40,497 --> 01:36:45,535 THERE IS A WAY LIKE TO HAVE -- 2246 01:36:45,535 --> 01:36:48,905 IF YOU COULD DO SOMETHING LIKE A 2247 01:36:48,905 --> 01:36:52,042 YEAR WORKSHOP OR SOMETHING WHERE 2248 01:36:52,042 --> 01:36:59,482 PEOPLE COME INTO OR DO A 2249 01:36:59,482 --> 01:37:00,417 SUMMER-INTE 2250 01:37:00,417 --> 01:37:01,051 SUMMER-INTENSIVE. THEN WHERE 2251 01:37:01,051 --> 01:37:03,720 THEY COME INTO A SCHOOL OR 2252 01:37:03,720 --> 01:37:06,389 SOCIETY AND BE ABLE TO DEVELOP 2253 01:37:06,389 --> 01:37:07,891 THE MENTORING RELATIONSHIP OVER 2254 01:37:07,891 --> 01:37:10,327 THE YEAR TO WORK ON DEVELOPING 2255 01:37:10,327 --> 01:37:12,963 THEIR OWN K, YOU KNOW, I THINK 2256 01:37:12,963 --> 01:37:14,331 THINGS LIKE THAT COULD REALLY 2257 01:37:14,331 --> 01:37:16,399 WORK TO GET PEOPLE MOVING ALONG. 2258 01:37:16,399 --> 01:37:18,802 SO THEY COULD DO IT IN THEIR OWN 2259 01:37:18,802 --> 01:37:21,871 INSTITUTION. YOU KNOW, HAVING 2260 01:37:21,871 --> 01:37:24,007 THE MENTORSHIP BOTH WITHIN THEIR 2261 01:37:24,007 --> 01:37:27,410 INSTITUTION AND WITHOUT. SO I 2262 01:37:27,410 --> 01:37:28,612 THINK THIS IS VERY INNOVATIVE 2263 01:37:28,612 --> 01:37:39,089 AND COULD HELP, THANK YOU. 2264 01:37:41,725 --> 01:37:48,198 >> DR. KIM, YOU ARE ON MUTE. 2265 01:37:48,198 --> 01:37:49,199 >> DR. VINCENT GUILAMO-RAMOS, 2266 01:37:49,199 --> 01:37:51,401 DO YOU HAVE A COMMENT? 2267 01:37:51,401 --> 01:37:53,036 >> I'M NOT SURE IF IT WAS 2268 01:37:53,036 --> 01:37:55,572 YOUR MIC OR MINE. HAPPY IT WAS 2269 01:37:55,572 --> 01:37:57,474 NOT MINE. SO I WANT TO 2270 01:37:57,474 --> 01:37:59,042 RESPECT FULLY COME BACK TO THIS 2271 01:37:59,042 --> 01:38:00,744 QUESTION OF THE FOCUS IN TERMS 2272 01:38:00,744 --> 01:38:03,580 OF WHO IT IS WE ARE REALLY 2273 01:38:03,580 --> 01:38:04,648 REFERRING TO HERE AROUND 2274 01:38:04,648 --> 01:38:06,182 MENTORING AND WHAT THE 2275 01:38:06,182 --> 01:38:08,652 PROFESSION NEEDS. SO I REALIZE 2276 01:38:08,652 --> 01:38:14,090 THIS IS CHALLENGING TOPIC. BY NO 2277 01:38:14,090 --> 01:38:17,861 MEANS DO I WANT TO DISCREDIT OR 2278 01:38:17,861 --> 01:38:20,363 MINIMIZE DOCTORATE TRAINED 2279 01:38:20,363 --> 01:38:22,265 NURSES BUT MY UNDERSTANDING OF 2280 01:38:22,265 --> 01:38:24,501 THE CONCEPT IS WE HAVE LESS THAN 2281 01:38:24,501 --> 01:38:26,870 1% OF NURSING WORKFORCE PURSUING 2282 01:38:26,870 --> 01:38:28,938 A PHD IN NURSING SCIENCE AND WE 2283 01:38:28,938 --> 01:38:31,107 HAVE SIGNIFICANT RETIREMENTS IN 2284 01:38:31,107 --> 01:38:32,609 TERMS OF THE MOST EXPERIENCED 2285 01:38:32,609 --> 01:38:34,644 NURSING SCIENTISTS WHO WILL 2286 01:38:34,644 --> 01:38:36,179 SOON, OVER TIME, IN THE 2287 01:38:36,179 --> 01:38:37,681 IMMEDIATE FUTURE, NOT BE IN 2288 01:38:37,681 --> 01:38:40,617 THEIR RESPECTIVE POSITIONS WITH 2289 01:38:40,617 --> 01:38:41,651 THE ABILITY TO CONTRIBUTE NOT 2290 01:38:41,651 --> 01:38:45,855 ONLY THEIR WORK BUT ALSO THE 2291 01:38:45,855 --> 01:38:47,023 DEVELOPMENT OF FUTURE CHINA'S 2292 01:38:47,023 --> 01:38:49,292 NURSING WORKFORCE. TODAY WE HAVE 2293 01:38:49,292 --> 01:38:50,660 HAD A FANTASTIC MEETING WHERE WE 2294 01:38:50,660 --> 01:38:52,028 HAVE TALKED ABOUT THE IMPORTANCE 2295 01:38:52,028 --> 01:38:53,697 OF NURSING SCIENCE. WE ARE ON 2296 01:38:53,697 --> 01:38:57,767 THE MEAL OF THE 40TH ANNIVERSARY 2297 01:38:57,767 --> 01:39:01,638 OF NINR. WE ARE REMINDED IN ALL 2298 01:39:01,638 --> 01:39:04,641 OF THE DISCUSSIONS THE 2299 01:39:04,641 --> 01:39:08,712 IMPORTANCE OF ENVIRONMENTS, 2300 01:39:08,712 --> 01:39:09,346 COMMUNITIES, INTERVENTIONS AS 2301 01:39:09,346 --> 01:39:10,447 WELL AS ADOPTION, ALL THINGS 2302 01:39:10,447 --> 01:39:12,816 THAT CAN BE INFORMED BY SCIENCE. 2303 01:39:12,816 --> 01:39:14,751 I GUESS A LONG WAY OF SAYING I 2304 01:39:14,751 --> 01:39:19,189 SEE THIS AS BEING A PHD-FOCUSED 2305 01:39:19,189 --> 01:39:21,124 INITIATIVE. WE WOULD LOVE TO, 2306 01:39:21,124 --> 01:39:22,826 WHEN APPROPRIATE, HAVE MORE 2307 01:39:22,826 --> 01:39:23,960 CONVERSATION, IF NOT TODAY, 2308 01:39:23,960 --> 01:39:26,830 AROUND THE POINT I'M MAKING, 2309 01:39:26,830 --> 01:39:27,430 THANK YOU. 2310 01:39:27,430 --> 01:39:29,232 >> THANK YOU. MUCH 2311 01:39:29,232 --> 01:39:30,567 APPRECIATED. I WILL SAY, AND I'M 2312 01:39:30,567 --> 01:39:34,671 SURE YOU HAVE NOTICED, THIS 2313 01:39:34,671 --> 01:39:37,974 CONCEPT IS WRITTEN SO THAT IT 2314 01:39:37,974 --> 01:39:39,976 ALLOWS MANY DIFFERENT TYPES OF 2315 01:39:39,976 --> 01:39:43,913 ACTIVITIES UNDER THE CONCEPT. 2316 01:39:43,913 --> 01:39:46,549 MOST CERTAINLY, WE ARE ACUTELY 2317 01:39:46,549 --> 01:39:50,387 AWARE OF THE NEED FOR 2318 01:39:50,387 --> 01:39:53,056 PHD-PREPARED NURSE SCIENTISTS 2319 01:39:53,056 --> 01:39:55,759 BUT AS WE DEVELOP IT, I THINK WE 2320 01:39:55,759 --> 01:39:57,761 CAN VERY MUCH TAKE INTO ACCOUNT 2321 01:39:57,761 --> 01:40:02,465 THE COMMENTS AND SEE HOW WE CAN 2322 01:40:02,465 --> 01:40:08,304 BUILD THE SCIENCE MORE BROADLY. 2323 01:40:08,304 --> 01:40:09,139 MR. HERRINGTON. 2324 01:40:09,139 --> 01:40:11,474 >> YEAH, I'M GOING TO MAKE AN 2325 01:40:11,474 --> 01:40:12,275 OBSERVATION BASED ON MY ROLE 2326 01:40:12,275 --> 01:40:14,310 WITH UNIVERSITY OF ILLINOIS 2327 01:40:14,310 --> 01:40:18,214 CHICAGO'S URBAN HEALTH PROGRAM. 2328 01:40:18,214 --> 01:40:19,582 THE POOL OF ELIGIBLE CANDIDATES 2329 01:40:19,582 --> 01:40:26,189 TO GET THE A PHD IS STARTING TO 2330 01:40:26,189 --> 01:40:26,523 SL 2331 01:40:26,523 --> 01:40:29,559 SLIN /* -- TO SHRINK AS WELL. 2332 01:40:29,559 --> 01:40:32,228 WHATEVER WE CAN DO TO GET PEOPLE 2333 01:40:32,228 --> 01:40:33,430 ON THAT TRACK SOONER THAN LATER, 2334 01:40:33,430 --> 01:40:34,664 BECAUSE ONCE PEOPLE GET IN THEIR 2335 01:40:34,664 --> 01:40:36,299 MINDS WHAT THEY ARE GOING TO DO 2336 01:40:36,299 --> 01:40:38,668 THAT, IS THE FOCUS AND WHAT THEY 2337 01:40:38,668 --> 01:40:41,371 DO. BEDSIDE NURSING IS CHANGING 2338 01:40:41,371 --> 01:40:45,041 DRAMATICALLY BASED ON TECHNOLOGY 2339 01:40:45,041 --> 01:40:47,677 AND AI, SO WE NEED TO FIND SOME 2340 01:40:47,677 --> 01:40:50,547 WAY TO ACTUALLY EXPOSE PEOPLE TO 2341 01:40:50,547 --> 01:40:53,650 THIS IDEA AND CONCEPT EARLIER ON 2342 01:40:53,650 --> 01:40:54,684 BECAUSE PEOPLE MAY NOT EVEN 2343 01:40:54,684 --> 01:40:56,252 THINK UNTIL THEY ARE FINISHED 2344 01:40:56,252 --> 01:40:57,654 NURSING AND GO BACK TO GRADUATE 2345 01:40:57,654 --> 01:40:59,622 SCHOOL TO GET A DEGREE BECAUSE 2346 01:40:59,622 --> 01:41:03,193 THAT CAN ONLY GO SO FAR. THIS IS 2347 01:41:03,193 --> 01:41:05,662 AN OPPORTUNITY TO GET SOME 2348 01:41:05,662 --> 01:41:08,264 PEOPLE ENGAGED IN THIS CONCEPT 2349 01:41:08,264 --> 01:41:09,566 EARLIER BEFORE THEY EVEN MAKE 2350 01:41:09,566 --> 01:41:12,335 THE DECISION ABOUT WHAT THEY ARE 2351 01:41:12,335 --> 01:41:13,169 GOING TO DO OR BECOME. 2352 01:41:13,169 --> 01:41:15,872 >> THANK YOU, THAT IS A GREAT 2353 01:41:15,872 --> 01:41:20,043 POINT. CERTAINLY WE HOPE THAT AS 2354 01:41:20,043 --> 01:41:28,051 WE BUILD THIS PROGRAM, ALSO WE 2355 01:41:28,051 --> 01:41:30,987 WILL BUILD MENTORS. IN THOSE 2356 01:41:30,987 --> 01:41:32,188 INSTITUTIONS THOSE ARE OFTEN 2357 01:41:32,188 --> 01:41:33,890 YOUR FACULTY WHO ARE WORKING 2358 01:41:33,890 --> 01:41:36,626 WITH UNDERGRADUATES AND HELPING 2359 01:41:36,626 --> 01:41:40,463 THEM UNDERSTAND EARLY ON THE 2360 01:41:40,463 --> 01:41:41,498 OPTIONS. SO THANK YOU VERY MUCH. 2361 01:41:41,498 --> 01:41:46,102 DR. AYALA. 2362 01:41:46,102 --> 01:41:50,673 >> I JUST WANT TO ECHO THE 2363 01:41:50,673 --> 01:41:53,576 IMPORTANCE OF MENTOR SHIP FROM 2364 01:41:53,576 --> 01:41:56,613 EXTERNAL INDIVIDUALS. I HAVE 2365 01:41:56,613 --> 01:41:59,315 FOUND THAT IT IS IMPORTANT -- 2366 01:41:59,315 --> 01:42:00,783 WANT TO ADD TO THAT THE 2367 01:42:00,783 --> 01:42:03,186 IMPORTANCE OF TRAINING AND 2368 01:42:03,186 --> 01:42:04,854 WORKING IN A TRANSDISCIPLINARY 2369 01:42:04,854 --> 01:42:06,523 TEAM. NURSES ALREADY KNOW HOW TO 2370 01:42:06,523 --> 01:42:08,691 DO THAT IN A CLINICAL SETTING, 2371 01:42:08,691 --> 01:42:12,095 BUT IN A RESEARCH CONTEXT I HAVE 2372 01:42:12,095 --> 01:42:13,396 OFTEN SEEN THEIR PERSPECTIVE 2373 01:42:13,396 --> 01:42:15,598 SORT OF NARROWED OR THE 2374 01:42:15,598 --> 01:42:17,667 PERSPECTIVE OTHER PEOPLE HAVE IN 2375 01:42:17,667 --> 01:42:19,135 TERMS OF CONTRIBUTION OF NURSING 2376 01:42:19,135 --> 01:42:21,070 SCIENCE BEING VERY NARROW. WHAT 2377 01:42:21,070 --> 01:42:22,739 I HAVE EXPERIENCED AND SEEN 2378 01:42:22,739 --> 01:42:25,542 ACROSS A NUMBER OF INITIATIVES 2379 01:42:25,542 --> 01:42:27,377 IS THEIR ABILITY TO THINK ABOUT 2380 01:42:27,377 --> 01:42:29,078 HEALTH AND WELLNESS IN A MUCH 2381 01:42:29,078 --> 01:42:31,514 MORE HOLISTIC APPROACH THAT I 2382 01:42:31,514 --> 01:42:34,050 THINK HAS POTENTIAL TO HAVE A 2383 01:42:34,050 --> 01:42:35,952 BROADER IMPACT, SO HAVING 2384 01:42:35,952 --> 01:42:38,621 MENTORS THAT CAN HELP TRAIN NEW 2385 01:42:38,621 --> 01:42:40,023 SCIENTISTS ON HOW TO WORK AND 2386 01:42:40,023 --> 01:42:43,359 HOW TO HAVE THAT VOICE ON A 2387 01:42:43,359 --> 01:42:44,027 TRANSDISPOLLEN NEAR TEAM WOULD 2388 01:42:44,027 --> 01:42:45,595 REALLY GO A LONG WAY TO 2389 01:42:45,595 --> 01:42:48,164 ENSURE ING THAT NURSING 2390 01:42:48,164 --> 01:42:50,833 PERSPECTIVE IS -- INFLUENCES ALL 2391 01:42:50,833 --> 01:42:52,268 ASPECTS OF RESEARCH AND 2392 01:42:52,268 --> 01:42:55,505 ULTIMATELY PRACTICE, THANK YOU. 2393 01:42:55,505 --> 01:42:58,174 >> THANK YOU. IT IS A GREAT 2394 01:42:58,174 --> 01:43:01,978 POINT THAT MUCH OF WHAT WE DO IN 2395 01:43:01,978 --> 01:43:03,646 NURSING SCIENCE IS NOT -- WELL, 2396 01:43:03,646 --> 01:43:05,181 WE KNOW IT IS NOT EXACTLY THE 2397 01:43:05,181 --> 01:43:07,750 SAME AS OUR COLLEAGUES IN OTHER 2398 01:43:07,750 --> 01:43:10,386 DISCIPLINES, SO HAVING THOSE 2399 01:43:10,386 --> 01:43:12,822 MENTORS IN THE DISCIPLINE FROM 2400 01:43:12,822 --> 01:43:15,892 VARIOUS SOURCES IS VERY 2401 01:43:15,892 --> 01:43:18,294 IMPORTANT, THANK YOU . DR. 2402 01:43:18,294 --> 01:43:18,628 BEKEMEIER. 2403 01:43:18,628 --> 01:43:21,030 >> YEAH, THANK YOU. I JUST 2404 01:43:21,030 --> 01:43:25,969 WANT TO KIND OF UNDERSCORE -- 2405 01:43:25,969 --> 01:43:29,672 AND DR. KU, YOU REINFORCED THIS 2406 01:43:29,672 --> 01:43:32,075 A MINUTE AGO, BUT DR. STONE, 2407 01:43:32,075 --> 01:43:33,743 YOUR COMMENT ABOUT BRINGING -- 2408 01:43:33,743 --> 01:43:37,046 AS WE -- IF WE CAN BUILD MENTOR 2409 01:43:37,046 --> 01:43:38,448 SHIP PROGRAMS, I LOVE THIS 2410 01:43:38,448 --> 01:43:40,717 BUILDING MORE NURSE SCIENTISTS 2411 01:43:40,717 --> 01:43:43,753 BUT ALSO HAVING THEM BRING THEIR 2412 01:43:43,753 --> 01:43:44,887 SKILLS AND INTERESTS 2413 01:43:44,887 --> 01:43:48,658 INTENTIONALLY BACK TO THEIR 2414 01:43:48,658 --> 01:43:49,859 UNIVERSITIES SO WE GET OUT OF 2415 01:43:49,859 --> 01:43:52,095 THIS CYCLE MORE QUICKLY, RIGHT, 2416 01:43:52,095 --> 01:43:55,431 THAT THIS CAN BUILD MORE 2417 01:43:55,431 --> 01:44:01,404 LONG-TERM -- NOT JUST MENTORSHIP 2418 01:44:01,404 --> 01:44:04,407 BUT STRENGTHENING OUR 2419 01:44:04,407 --> 01:44:05,074 UNIVERSITIES, PARTICULARLY OURS 2420 01:44:05,074 --> 01:44:07,610 SCHOOLS OF NURSING, IN TERMS OF 2421 01:44:07,610 --> 01:44:10,413 REBUILDING THIS POOL OF NURSE 2422 01:44:10,413 --> 01:44:12,782 SCIENTISTS SO THAT SOMEHOW 2423 01:44:12,782 --> 01:44:14,651 PROPOSALS OR THE OPPORTUNITIES 2424 01:44:14,651 --> 01:44:17,320 HERE REALLY ENCOURAGE PEOPLE TO 2425 01:44:17,320 --> 01:44:19,856 NOT JUST GO OUT AND BE PART OF A 2426 01:44:19,856 --> 01:44:21,124 COHORT PROGRAM THROUGH AN 2427 01:44:21,124 --> 01:44:22,859 ASSOCIATION OR WHAT HAVE YOU, 2428 01:44:22,859 --> 01:44:24,927 WHICH SHOUTS FABULOUS AND MIGHT 2429 01:44:24,927 --> 01:44:27,363 BE WHAT WE NEED TO DO, BUT THEN 2430 01:44:27,363 --> 01:44:29,132 SOMEHOW BUILDING -- HOW THAT IS 2431 01:44:29,132 --> 01:44:30,299 GOING TO BE BROUGHT BACK TO 2432 01:44:30,299 --> 01:44:34,270 THEIR UNIVERSITY. HOW THAT IS 2433 01:44:34,270 --> 01:44:37,140 GOING TO BUILD MORE MENTOR SHIP, 2434 01:44:37,140 --> 01:44:40,443 MORE STRENGTH, MORE LOOKING AT 2435 01:44:40,443 --> 01:44:44,814 -- AS YOU STATED, THE OTHER 2436 01:44:44,814 --> 01:44:51,487 FACULTY THAT CAN IGNITE INTEREST 2437 01:44:51,487 --> 01:44:53,956 IN BACHELOR'S PREPARED NURSES TO 2438 01:44:53,956 --> 01:44:56,726 BE THINKING ABOUT A CAREER AS A 2439 01:44:56,726 --> 01:44:58,528 FUTURE NURSE SCIENTIST, ET 2440 01:44:58,528 --> 01:45:02,065 CETERA. SO THINKING LONG-TERM 2441 01:45:02,065 --> 01:45:06,736 AND NOT JUST BUILDING NEW 2442 01:45:06,736 --> 01:45:09,806 SCIENTISTS, SO THANK YOU. 2443 01:45:09,806 --> 01:45:12,375 >> THANK YOU FOR THAT 2444 01:45:12,375 --> 01:45:15,611 COMMENT. I THINK YOU BROUGHT 2445 01:45:15,611 --> 01:45:17,213 TOGETHER WHAT SEVERAL BROUGHT 2446 01:45:17,213 --> 01:45:20,683 UP. IT IS OUR DESIRE THIS WOULD 2447 01:45:20,683 --> 01:45:28,391 NOT BE A PROGRAM THAT 2448 01:45:28,391 --> 01:45:29,959 INFORMATION BACK TO THEIR 2449 01:45:29,959 --> 01:45:30,827 UNIVERSITIES. REMEMBER, THIS IS 2450 01:45:30,827 --> 01:45:32,829 DONE IN CONTEXT OF THER 2451 01:45:32,829 --> 01:45:36,399 INITIATIVES AND THINGS GOING ON 2452 01:45:36,399 --> 01:45:41,304 THAT CAN START TO LOOK AT THINGS 2453 01:45:41,304 --> 01:45:42,205 LIKE THE INFRASTRUCTURE, SO 2454 01:45:42,205 --> 01:45:45,675 THANK YOU. I ALSO WANT TO 2455 01:45:45,675 --> 01:45:47,510 MENTION DR. WANG DID PUT IN A 2456 01:45:47,510 --> 01:45:48,978 COMMENT. I THINK YOU ARE CORRECT 2457 01:45:48,978 --> 01:45:51,080 -- SHE SAID NOT SURE IF THIS 2458 01:45:51,080 --> 01:45:53,316 SHOULD BE A SEPARATE DISCUSSION 2459 01:45:53,316 --> 01:45:54,383 BUT OFFERING UNDERGRADUATE 2460 01:45:54,383 --> 01:45:55,618 NURSING OPPORTUNITIES TO ENHANCE 2461 01:45:55,618 --> 01:45:58,521 THE PIPELINE, SUPPORTING AND 2462 01:45:58,521 --> 01:46:00,189 INCENTIVISING PHD PROGRAMS IN 2463 01:46:00,189 --> 01:46:02,225 NURSE LOG BE CRITICAL. WE ARE AT 2464 01:46:02,225 --> 01:46:06,429 A CRISIS POINT FOR PHD IN 2465 01:46:06,429 --> 01:46:09,098 NURSING. ABSOLUTELY. I WOULD 2466 01:46:09,098 --> 01:46:11,467 AGREE IT NEEDS A LARGER 2467 01:46:11,467 --> 01:46:13,169 DISCUSSION THAN WHAT WE HAVE 2468 01:46:13,169 --> 01:46:16,572 NOW. ESPECIALLY SINCE I NEED TO 2469 01:46:16,572 --> 01:46:17,940 YIELD THE FLOOR TO COLLEAGUES 2470 01:46:17,940 --> 01:46:19,308 WITH OTHER CONCEPTS. THANK YOU 2471 01:46:19,308 --> 01:46:20,576 VERY MUCH. THE DISCUSSION HAS 2472 01:46:20,576 --> 01:46:22,645 BEEN HELPFUL AS WE MOVE FORWARD 2473 01:46:22,645 --> 01:46:25,181 AND HOPE TO BE ABLE TO COME BACK 2474 01:46:25,181 --> 01:46:28,451 AND REPORT IN THE FUTURE ON 2475 01:46:28,451 --> 01:46:32,088 WHERE THIS IS GOING . THANK YOU. 2476 01:46:32,088 --> 01:46:33,189 >> THANK YOU VERY MUCH. WE 2477 01:46:33,189 --> 01:46:36,058 ARE GOING TO MOVE ON TO OUR NEXT 2478 01:46:36,058 --> 01:46:39,195 CONCEPT, WHICH WILL BE LED BY 2479 01:46:39,195 --> 01:46:43,933 DR. DIMNER ON NURSING RESEARCH 2480 01:46:43,933 --> 01:46:45,735 TO EXAM MULTI -SCHOOL 2481 01:46:45,735 --> 01:46:51,908 ENVIRONMENTS FOR ALL AND DR. 2482 01:46:51,908 --> 01:46:53,109 BEKEMEIER WILL LEAD THE 2483 01:46:53,109 --> 01:46:53,409 DISCUSSION. 2484 01:46:53,409 --> 01:46:54,343 >> GREAT, THANK YOU FOR THE 2485 01:46:54,343 --> 01:46:57,380 OPPORTUNITY TO PRESENT THIS 2486 01:46:57,380 --> 01:47:07,924 CONCEPT TO YOU TODAY. MY NAME IS 2487 01:47:08,524 --> 01:47:08,791 DA 2488 01:47:08,791 --> 01:47:10,159 DARABLACKMON-DIMNER WITHIN THE 2489 01:47:10,159 --> 01:47:11,360 INTERMURAL PROGRAM. WE 2490 01:47:11,360 --> 01:47:13,462 IDENTIFIED THIS AS THE NEXT 2491 01:47:13,462 --> 01:47:14,664 IMPERATIVE AND THIS FOLLOWS FROM 2492 01:47:14,664 --> 01:47:17,867 THAT IDENTIFY-CATION AND IS 2493 01:47:17,867 --> 01:47:18,935 INTENDED TO PROVIDE A FRAMEWORK 2494 01:47:18,935 --> 01:47:21,137 FOR FUTURE EFFORTS IN THIS 2495 01:47:21,137 --> 01:47:22,705 CRITICAL SPACE. NEXT SLIDE, 2496 01:47:22,705 --> 01:47:25,775 PLEASE. SO WE ALL KNOW THAT K-12 2497 01:47:25,775 --> 01:47:29,579 SCHOOLS PROVIDE A CRITICAL 2498 01:47:29,579 --> 01:47:33,082 CONTEXT FOR CHILDREN AND YOUTH 2499 01:47:33,082 --> 01:47:34,817 AS THEY ARE THE PLACE THEY PLAY, 2500 01:47:34,817 --> 01:47:40,289 LEARN AND GROW AND CAN IMPACT 2501 01:47:40,289 --> 01:47:42,158 HEALTH IN.PATHWAYS IN SHORT AND 2502 01:47:42,158 --> 01:47:44,160 LONG-TERM. THEY KNOW WHEN THEY 2503 01:47:44,160 --> 01:47:44,994 PROVIDE A SUPPORTIVE ENVIRONMENT 2504 01:47:44,994 --> 01:47:46,596 THEY SET UP FOR A HEALTHY LIFE 2505 01:47:46,596 --> 01:47:48,931 BUT SCHOOLS VARY IN EDUCATIONAL 2506 01:47:48,931 --> 01:47:51,133 QUALITY AND AVAILABILITY OF 2507 01:47:51,133 --> 01:47:51,634 RESOURCES AND OVERALL 2508 01:47:51,634 --> 01:47:52,969 ENVIRONMENT AND THESE VARIATIONS 2509 01:47:52,969 --> 01:47:56,372 CAN CONTRIBUTE TO DIFFERENCES IN 2510 01:47:56,372 --> 01:48:00,509 HEALTH OUTCOMES. GIVEN THE 2511 01:48:00,509 --> 01:48:01,544 IMPORTANCE OF SCHOOL AND 2512 01:48:01,544 --> 01:48:03,246 SURROUNDING ECOSYSTEM, FOR THIS 2513 01:48:03,246 --> 01:48:04,580 CONCEPT WHEN WE USE THE TERM 2514 01:48:04,580 --> 01:48:06,115 SCHOOL HEALTH WE ARE 2515 01:48:06,115 --> 01:48:08,918 ENCOMPASSING BOTH. AGAIN, 2516 01:48:08,918 --> 01:48:12,188 PRIMARILY FOCUSING ON K-12 2517 01:48:12,188 --> 01:48:14,857 SCHOOLS. NEXT SLIDE, PLEASE. SO 2518 01:48:14,857 --> 01:48:16,259 WHEN WE THINK ABOUT SCHOOLS IN 2519 01:48:16,259 --> 01:48:17,827 CONTENTION THERETO ARE A NUMBER 2520 01:48:17,827 --> 01:48:20,529 OF IMPORTANT FACTORS THAT 2521 01:48:20,529 --> 01:48:21,197 INFLUENCE EXPERIENCES CHILDREN 2522 01:48:21,197 --> 01:48:22,598 AND YOUTH HAVE AND DRIVE THE 2523 01:48:22,598 --> 01:48:25,701 LONG-TERM OUTCOMES. FIRST WITH 2524 01:48:25,701 --> 01:48:27,236 RESPECT TO SCHOOL ENVIRONMENT WE 2525 01:48:27,236 --> 01:48:28,771 KNOW SCHOOL SAFETY AND 2526 01:48:28,771 --> 01:48:30,373 CONNECTION TO SCHOOL CAN REALLY 2527 01:48:30,373 --> 01:48:32,308 IMPACT STUDENT ACHIEVEMENT AND 2528 01:48:32,308 --> 01:48:34,176 WELL-BEING. ADDITIONAL FACTORS 2529 01:48:34,176 --> 01:48:37,146 SUCH AS TEMPERATURE AND NOISE, 2530 01:48:37,146 --> 01:48:39,849 THE AVAILABILITY OF NUTRITIOUS 2531 01:48:39,849 --> 01:48:41,450 FOOD OPTION, OUTDOOR SPACE FOR 2532 01:48:41,450 --> 01:48:45,488 PHYSICAL ACTIVITY CAN IMPACT 2533 01:48:45,488 --> 01:48:48,224 LEA 2534 01:48:48,224 --> 01:48:51,260 LEARNING, MENTAL HEALTH, DIET, 2535 01:48:51,260 --> 01:48:53,429 EXERCISE AND SLEEP. WITHIN THE 2536 01:48:53,429 --> 01:48:54,397 SCHOOL HEALTH CARE SYSTEM, 2537 01:48:54,397 --> 01:48:56,332 NURSES, AS WE KNOW, ARE OFTEN 2538 01:48:56,332 --> 01:48:58,668 THE FRONT-LINE PROVIDERS AND 2539 01:48:58,668 --> 01:49:00,403 SERVE STUDENT'S PHYSICAL AND 2540 01:49:00,403 --> 01:49:02,338 BEHAVIORAL HEALTH NEEDS AND KNOW 2541 01:49:02,338 --> 01:49:03,272 NURSES ARE THE MOST TRUSTED 2542 01:49:03,272 --> 01:49:05,207 HEALTH PROFESSIONALS. AS SUCH 2543 01:49:05,207 --> 01:49:07,009 THEY ARE OPTIMALLY POSITIONED TO 2544 01:49:07,009 --> 01:49:08,444 LEAD NURSING RESEARCH EFFORTS 2545 01:49:08,444 --> 01:49:12,949 THAT ARE COLLABORATIVE AND 2546 01:49:12,949 --> 01:49:13,883 COMPREHENSIVE AND EMPHASIZE 2547 01:49:13,883 --> 01:49:15,451 MODELS O F CARE DELIVERY THAT 2548 01:49:15,451 --> 01:49:17,887 CAN BE RESPONSIVE TO A WIDE 2549 01:49:17,887 --> 01:49:22,658 RANGE OF STUDENT NEEDSES AND 2550 01:49:22,658 --> 01:49:25,661 DIFFERENT CONTEXT THROUGH 2551 01:49:25,661 --> 01:49:28,030 RESOURCES. WE KNOW THESE 2552 01:49:28,030 --> 01:49:29,966 FUNDAMENTALLY SHAPE STUDENT'S 2553 01:49:29,966 --> 01:49:31,100 ACADEMIC ENGAGEMENT, ACHIEVEMENT 2554 01:49:31,100 --> 01:49:32,601 AND EDUCATIONAL ATTAINMENT AS 2555 01:49:32,601 --> 01:49:34,704 WELL AS IMPACT HEALTH AND 2556 01:49:34,704 --> 01:49:36,772 OVERALL WELL-BEING. SO 2557 01:49:36,772 --> 01:49:38,240 IDENTIFYING EFFECTIVE SCHOOL 2558 01:49:38,240 --> 01:49:39,075 LEVEL INTERVENTIONS THAT CAN 2559 01:49:39,075 --> 01:49:40,876 IMPROVE EDUCATIONAL OUTCOMES CAN 2560 01:49:40,876 --> 01:49:45,448 ALSO HAVE LASTING IMPACTS ON 2561 01:49:45,448 --> 01:49:46,315 HEALTH. FINALLY WHEN WE THINK 2562 01:49:46,315 --> 01:49:47,883 ABOUT THE SURROUNDING LARGER 2563 01:49:47,883 --> 01:49:49,885 ECOSYSTEM IN WHICH SCHOOLS ARE 2564 01:49:49,885 --> 01:49:52,221 CENTERED IT INCLUDES WIDE RANGE 2565 01:49:52,221 --> 01:49:54,357 OF SECTORS SUCH AS HOUSING, 2566 01:49:54,357 --> 01:49:56,592 FOOD, TRANSPORTATION, 2567 01:49:56,592 --> 01:49:58,094 RECREATION, HEALTH CARE, SOCIAL 2568 01:49:58,094 --> 01:49:59,962 SERVICES AND JUSTICE SYSTEM. IN 2569 01:49:59,962 --> 01:50:00,830 ADDITION, THE ACTUALLY SOCIAL 2570 01:50:00,830 --> 01:50:02,732 AND PHYSICAL CONTEXT OF 2571 01:50:02,732 --> 01:50:04,834 NEIGHBORHOODS CAN IMPACT THINGS 2572 01:50:04,834 --> 01:50:07,603 SUCH AS SAFE ROUTES TO SCHOOL, 2573 01:50:07,603 --> 01:50:08,371 AVAILABILITY OF FRESH FOODS AND 2574 01:50:08,371 --> 01:50:10,673 GREEN SPACES, NOISE AND LIGHT 2575 01:50:10,673 --> 01:50:12,641 POLLUTION AND OTHER POTENTIAL 2576 01:50:12,641 --> 01:50:13,943 EXPOSURES. COSTUME TEFLY ALL 2577 01:50:13,943 --> 01:50:16,879 THESE FACTORS CAN AFFECT HEALTH 2578 01:50:16,879 --> 01:50:18,280 BEHAVIORS SUCH AS NUTRITION, 2579 01:50:18,280 --> 01:50:20,249 EXERCISE AND SLEEP AND 2580 01:50:20,249 --> 01:50:22,985 ULTIMATELY IMPACT ABILITIES TO 2581 01:50:22,985 --> 01:50:27,556 LEARN AND DEVELOP. NEXT SLIDE, 2582 01:50:27,556 --> 01:50:29,291 PLEASE. SO EVEN THOUGH WE HAVE 2583 01:50:29,291 --> 01:50:30,192 THIS KNOWLEDGE OF THE IMPORTANCE 2584 01:50:30,192 --> 01:50:32,862 OF SCHOOLS AND LIFE-LONG HEALTH, 2585 01:50:32,862 --> 01:50:35,064 SCHOOL RESEARCH -- SCHOOL HEALTH 2586 01:50:35,064 --> 01:50:36,365 RESEARCH HAS YET TO REACH ITS 2587 01:50:36,365 --> 01:50:39,235 FULL POTENTIAL. CRITICAL GAPS 2588 01:50:39,235 --> 01:50:40,636 REMAIN IN DEVELOPING INNOVATIVE 2589 01:50:40,636 --> 01:50:44,673 APPROACHES TO PROMOTE HEALTHY 2590 01:50:44,673 --> 01:50:46,008 SCHOOL ENVIRONMENTS AND FOSTER 2591 01:50:46,008 --> 01:50:47,977 WELL-BEING FOR REAL WORLD 2592 01:50:47,977 --> 01:50:50,646 SUSTAINABILITY AND SCALE UP. IN 2593 01:50:50,646 --> 01:50:53,015 NURSING RESEARCH IS WELL 2594 01:50:53,015 --> 01:50:58,521 POSSES 2595 01:50:58,521 --> 01:51:02,491 POSSESSION POSITIONED AND BREAK 2596 01:51:02,491 --> 01:51:04,760 SILOS BETWEEN SCHOOL HEALTH, 2597 01:51:04,760 --> 01:51:05,795 SAFETY AND HEALTH CARE SYSTEM AS 2598 01:51:05,795 --> 01:51:07,096 WELL AS WITH COMMUNITIES. THESE 2599 01:51:07,096 --> 01:51:08,864 HAVE HINDERED PROGRESS IN 2600 01:51:08,864 --> 01:51:10,366 INTEGRATION OF MULTI SECTORIAL 2601 01:51:10,366 --> 01:51:13,569 SCHOOL HEALTH MODELS. SECOND 2602 01:51:13,569 --> 01:51:16,272 THROUGH WORKING DIRECTLY WITH 2603 01:51:16,272 --> 01:51:18,674 YOUTH AND COMMUNITIES, WE CAN 2604 01:51:18,674 --> 01:51:22,411 HELP TO CULTIVATE TRES IN THE 2605 01:51:22,411 --> 01:51:25,948 RESEARCH PROCESS. AS WE HAVE 2606 01:51:25,948 --> 01:51:29,985 DISCUSSED, THESE NURSES ARE WELL 2607 01:51:29,985 --> 01:51:32,054 SUITED TO ADDRESS RESEARCH AND 2608 01:51:32,054 --> 01:51:35,958 COMMUNITY RESEARCH TO IDENTIFY 2609 01:51:35,958 --> 01:51:38,194 AREAS OF INTEREST OF STUDENTS, 2610 01:51:38,194 --> 01:51:39,562 FAMILIES AND COMMUNITIES. NURSES 2611 01:51:39,562 --> 01:51:42,631 ARE WELL-POSITIONED TO BE 2612 01:51:42,631 --> 01:51:43,299 PARTNERS IN THIS RESEARCH GIVEN 2613 01:51:43,299 --> 01:51:44,633 THEIR POSITION AS THE MOST 2614 01:51:44,633 --> 01:51:47,103 TRUSTED HEALTH PROFESSIONAL. 2615 01:51:47,103 --> 01:51:47,903 TOGETHER THESE EFFORTS ARE 2616 01:51:47,903 --> 01:51:49,972 POISED TO TACKLE THE PRESSING 2617 01:51:49,972 --> 01:51:51,874 PUBLIC HEALTH CHALLENGE AND 2618 01:51:51,874 --> 01:51:54,643 PROMOTE ACADEMIC SUCCESS, HEALTH 2619 01:51:54,643 --> 01:52:01,617 AND WELLNESS FOR ALL YOUTH. NEXT 2620 01:52:01,617 --> 01:52:04,019 SLIDE, PLEASE. THE PURPOSE IS 2621 01:52:04,019 --> 01:52:06,322 FOSTER MULTI -DISCIPLINARY AND 2622 01:52:06,322 --> 01:52:09,158 MULTI -SECTORIAL RESEARCH TO 2623 01:52:09,158 --> 01:52:10,459 FILL GAPS IN UNDERSTANDING AND 2624 01:52:10,459 --> 01:52:13,796 INTERVENING ON COMPLEX INTER 2625 01:52:13,796 --> 01:52:15,531 PLAY BETWEEN ENVIRONMENT, 2626 01:52:15,531 --> 01:52:17,032 EDUCATION, HEALTH SERVICES AND 2627 01:52:17,032 --> 01:52:18,234 SURROUNDING ECOSYSTEM TO 2628 01:52:18,234 --> 01:52:22,037 OPTIMIZE EDUCATIONAL AND HEALTH 2629 01:52:22,037 --> 01:52:24,907 OUTCOMES FOR ALL YOUTHS. NEXT 2630 01:52:24,907 --> 01:52:26,208 SLIDE, PLEASE. THESE ARE JUST A 2631 01:52:26,208 --> 01:52:27,977 COUPLE OF EXAMPLE OS F THE 2632 01:52:27,977 --> 01:52:30,779 POTENTIAL TYPES OF SCIENCE THAT 2633 01:52:30,779 --> 01:52:32,648 WOULD BE OF INTEREST. SO WE 2634 01:52:32,648 --> 01:52:35,384 HEARD EARLIER ABOUT NUTRITION, 2635 01:52:35,384 --> 01:52:37,286 FOCUSING ON THE SCHOOL CONTEXT, 2636 01:52:37,286 --> 01:52:40,589 ADVANCING KNOWLEDGE ON HEALTH 2637 01:52:40,589 --> 01:52:44,260 IMPACT OF AVAILABILITY OF 2638 01:52:44,260 --> 01:52:45,394 NUTRIENT-RICH FOOD, AND SPACES 2639 01:52:45,394 --> 01:52:48,797 IN THE SCHOOLS AND COMMUNITIES. 2640 01:52:48,797 --> 01:52:51,767 OF INTEREST COULD BE IMPACTING 2641 01:52:51,767 --> 01:52:52,568 THE NEIGHBORHOOD ENVIRONMENTS 2642 01:52:52,568 --> 01:52:54,303 AND INVESTMENT ON STUDENT 2643 01:52:54,303 --> 01:52:56,338 HEALTH, WELL-BEING, RETENTION 2644 01:52:56,338 --> 01:52:58,107 AND ACADEMIC ACHIEVEMENT. 2645 01:52:58,107 --> 01:52:59,942 THINKING ABOUT RESEARCH THAT 2646 01:52:59,942 --> 01:53:02,945 EXAMINES PROTECTIVE FACTORS AND 2647 01:53:02,945 --> 01:53:05,948 PROMOTE RESILIENCE AND OUTCOMES 2648 01:53:05,948 --> 01:53:07,583 FOR ALL STUDENTS AND 2649 01:53:07,583 --> 01:53:08,551 COMMUNITIES. THINKING ABOUT 2650 01:53:08,551 --> 01:53:09,652 RESEARCH THAT COULD EXPAND 2651 01:53:09,652 --> 01:53:10,986 UNDERSTANDING OF IMPACT OF 2652 01:53:10,986 --> 01:53:12,388 BEFORE AND AFTER SCHOOL PROGRAMS 2653 01:53:12,388 --> 01:53:14,356 ON STUDENT ACHIEVEMENT AND 2654 01:53:14,356 --> 01:53:16,625 HEALTH AND IMPLEMENTATION 2655 01:53:16,625 --> 01:53:17,426 SCIENCE TO DEVELOP STRATEGIES 2656 01:53:17,426 --> 01:53:26,535 FOR OVERCOMING BARRIERS AND 2657 01:53:26,535 --> 01:53:29,939 INTERVENTIONS PRACTICES AND 2658 01:53:29,939 --> 01:53:34,543 PROGRAMS. NEXT SLIDE, PLEASE. SO 2659 01:53:34,543 --> 01:53:36,512 TO RECAP, NURSING'S HOLISTIC -- 2660 01:53:36,512 --> 01:53:38,647 A HOLISTIC APPROACH TO CHILD 2661 01:53:38,647 --> 01:53:39,982 HEALTH NECESSITATES A VISION OF 2662 01:53:39,982 --> 01:53:41,517 SCHOOLS AS A CRITICAL PART OF 2663 01:53:41,517 --> 01:53:44,486 THIS LARGER ECOSYSTEM IN WHICH 2664 01:53:44,486 --> 01:53:47,056 CHILDREN GROW, LEARN AND PLAY. 2665 01:53:47,056 --> 01:53:49,325 THE SCHOOL CONTEXT EXTENDS 2666 01:53:49,325 --> 01:53:51,527 BEYOND THE PHYSICAL BUILDING TO 2667 01:53:51,527 --> 01:53:52,294 INCLUDE THE SOCIAL RELATIONSHIPS 2668 01:53:52,294 --> 01:53:53,896 WITHIN SCHOOLS AS WELL AS 2669 01:53:53,896 --> 01:53:55,531 BROADER COMMUNITIES IN WHICH 2670 01:53:55,531 --> 01:53:58,667 THEY ARE INVESTIGATED. THESE 2671 01:53:58,667 --> 01:53:59,935 CONTACTS AND QUALITY OF 2672 01:53:59,935 --> 01:54:01,704 EDUCATIONAL RESOURCES AND 2673 01:54:01,704 --> 01:54:03,839 SUPPORTS ARE CRITICAL TO 2674 01:54:03,839 --> 01:54:05,374 LIFE-LONG HEALTH AND WELL-BEING 2675 01:54:05,374 --> 01:54:06,475 AND NURSING RESEARCH IS POISED 2676 01:54:06,475 --> 01:54:08,344 TO BUILD ON IDENTIFIED GAPS AND 2677 01:54:08,344 --> 01:54:10,412 MOVE SCIENCE AND PRACTICE OF 2678 01:54:10,412 --> 01:54:11,847 SCHOOL HEALTH FORWARD IN SERVICE 2679 01:54:11,847 --> 01:54:14,250 OF IMPROVING HEALTH AND 2680 01:54:14,250 --> 01:54:15,818 WELL-BEING FOR ALL STUDENTS. I 2681 01:54:15,818 --> 01:54:18,087 THINK YOU HAVE JUST ADVANCED TO 2682 01:54:18,087 --> 01:54:19,722 THE LAST SLIDE. THANK YOU, I 2683 01:54:19,722 --> 01:54:23,359 WANT TO GIVE A SPECIAL SOUTH-OUT 2684 01:54:23,359 --> 01:54:25,361 TO DR. (?) FOR THEIR HELP IN 2685 01:54:25,361 --> 01:54:26,262 PUTTING THIS CONCEPT TOGETHER 2686 01:54:26,262 --> 01:54:29,565 AND LOOK FORWARD TO YOUR 2687 01:54:29,565 --> 01:54:38,340 QUESTIONS AND DISCUSSION. WAS IT 2688 01:54:38,340 --> 01:54:39,408 DR. BEKEMEIER I THINK YOU ARE 2689 01:54:39,408 --> 01:54:40,909 GOING TO BE SPEAKING? 2690 01:54:40,909 --> 01:54:44,480 >> YEP, SO I THINK I'M UP. 2691 01:54:44,480 --> 01:54:47,549 THANK YOU SO MUCH. I'M REALLY 2692 01:54:47,549 --> 01:54:50,653 EXCITED ABOUT THIS CONCEPT TOO. 2693 01:54:50,653 --> 01:54:53,489 I 100% AGREE SCHOOL HEALTH 2694 01:54:53,489 --> 01:54:55,624 RESEARCH HAS TREMENDOUS GAPS 2695 01:54:55,624 --> 01:54:58,260 THAT EXIST. FRANKLY, I THINK 2696 01:54:58,260 --> 01:55:01,363 SOME OF THOSE GAPS HAVE LIKELY 2697 01:55:01,363 --> 01:55:04,566 CHANGED OVER TIME, AS ECOSYSTEMS 2698 01:55:04,566 --> 01:55:05,768 HAVE CHANGED AND SCHOOL 2699 01:55:05,768 --> 01:55:07,970 NIERMENTS HAVE CHANGED. SO THAT 2700 01:55:07,970 --> 01:55:10,839 MEANS THE RESEARCH QUESTIONS ARE 2701 01:55:10,839 --> 01:55:17,212 STILL EVOLVING. I LOVE THE FOCUS 2702 01:55:17,212 --> 01:55:19,448 THAT INCLUDES CROSS-SECTOR 2703 01:55:19,448 --> 01:55:21,550 APPROACHES. FOR EXAMPLE, HOUSING 2704 01:55:21,550 --> 01:55:25,020 GREENED SPACES, ET CETERA. 2705 01:55:25,020 --> 01:55:27,756 LOOKING UPSTREAM AND NOT RELYING 2706 01:55:27,756 --> 01:55:31,126 OR FOCUSING ON INDIVIDUAL 2707 01:55:31,126 --> 01:55:33,696 BEHAVIOR CHANGE. ALSO I LOVE THE 2708 01:55:33,696 --> 01:55:35,531 EMPHASIS ON SCHOOL NURSES. I'M A 2709 01:55:35,531 --> 01:55:38,467 PUBLIC -- I THINK OF MYSELF AS A 2710 01:55:38,467 --> 01:55:42,571 PUBLIC HEALTH NURSE, FIRST AND 2711 01:55:42,571 --> 01:55:45,107 FOREMOST. AND I SEE SCHOOL 2712 01:55:45,107 --> 01:55:48,544 NURSES AS PART -- AS PUBLIC 2713 01:55:48,544 --> 01:55:52,414 HEALTH NURSES. NOT FOCUSED ON 2714 01:55:52,414 --> 01:55:53,882 CLINICAL CARE TO INDIVIDUAL 2715 01:55:53,882 --> 01:55:55,617 KIDS, BUT THEY REALLY COULD BE 2716 01:55:55,617 --> 01:55:57,720 AND SHOULD BE ALL ASSURING 2717 01:55:57,720 --> 01:55:59,822 HEALTHY ENVIRONMENTS. IDEALLY, 2718 01:55:59,822 --> 01:56:01,390 INSIDE AND YOU EMPHASIZED 2719 01:56:01,390 --> 01:56:05,594 OUTSIDE OF SCHOOLS. I LOVE THIS 2720 01:56:05,594 --> 01:56:08,497 IDEA OF -- IN THE CONCEPT PAPER 2721 01:56:08,497 --> 01:56:11,233 IT TAKES ABOUT NURSES SERVING AS 2722 01:56:11,233 --> 01:56:14,069 A BRIDGE AMONG THE SILOS BETWEEN 2723 01:56:14,069 --> 01:56:16,004 EDUCATION, SCHOOL HEALTH, SCHOOL 2724 01:56:16,004 --> 01:56:17,606 SAFETY, THE BROADER HEALTH CARE 2725 01:56:17,606 --> 01:56:21,243 ECOSYSTEM AND CULTIVATING 2726 01:56:21,243 --> 01:56:24,513 TRUSTING COMMUNITIES. SO -- IN 2727 01:56:24,513 --> 01:56:28,050 THAT VEIN I THINK SCHOOL NURSES 2728 01:56:28,050 --> 01:56:33,088 ARE CURRENTLY UNDERUTILIZE, 2729 01:56:33,088 --> 01:56:34,390 UNDERSUPPORTED AND CLEARLY 2730 01:56:34,390 --> 01:56:35,391 UNDERSTUDIED AND NOT NECESSARILY 2731 01:56:35,391 --> 01:56:36,692 WORKING TO HIGHEST SCOPE OF 2732 01:56:36,692 --> 01:56:38,994 PRACTICE IN TERMS OF HOW THEY 2733 01:56:38,994 --> 01:56:40,829 COULD BE CONTRIBUTING EVEN TO 2734 01:56:40,829 --> 01:56:43,265 THEIR SCHOOL ENVIRONMENTS, MUCH 2735 01:56:43,265 --> 01:56:45,601 LESS TO THESE BROADER 2736 01:56:45,601 --> 01:56:48,137 ECOSYSTEMS. TO ME, THAT IS 2737 01:56:48,137 --> 01:56:50,172 REALLY EXCITING. AND TO BE ABLE 2738 01:56:50,172 --> 01:56:53,675 TO GENERATE RESEARCH THAT CAN 2739 01:56:53,675 --> 01:56:56,145 REALLY HOLD UP SCHOOL NURSES TO 2740 01:56:56,145 --> 01:56:58,280 THIS -- TO WHAT THEY ARE REALLY 2741 01:56:58,280 --> 01:57:01,750 CAPABLE OF AND COULD BE BRINGING 2742 01:57:01,750 --> 01:57:04,386 TO SCHOOL ENVIRONMENTS. THIS 2743 01:57:04,386 --> 01:57:06,488 TOPIC IS CLOSE TO HIM -- HITS 2744 01:57:06,488 --> 01:57:09,558 CLOSE TO HOME WITH ME BECAUSE I 2745 01:57:09,558 --> 01:57:12,561 HAD SOME EXPERIENCE WITH A STUDY 2746 01:57:12,561 --> 01:57:16,465 THAT WAS FUNDED AND LAUNCHED IN 2747 01:57:16,465 --> 01:57:25,174 SEPTEMBER OF 2020 WITH DOCTORS 2748 01:57:25,174 --> 01:57:28,010 ABOUT ENVIRONMENTS TO PROMOTE 2749 01:57:28,010 --> 01:57:30,479 HEALTHY RELATIONSHIPS AND THAT 2750 01:57:30,479 --> 01:57:32,581 WERE PROTECTIVE AGAINST 2751 01:57:32,581 --> 01:57:34,516 INTERPERSONAL VIOLENCE. WE DID 2752 01:57:34,516 --> 01:57:38,520 THAT RESEARCH WITH C D C FUNDING 2753 01:57:38,520 --> 01:57:42,224 AND FOCUSED ON NON-HERB AND 2754 01:57:42,224 --> 01:57:45,060 MIDDLE SCHOOLS. BUT FRANKLY, WE 2755 01:57:45,060 --> 01:57:48,063 HIT SERIOUS BARRIERS. CLEARLY, 2756 01:57:48,063 --> 01:57:49,865 IT WAS DURING COVID SO SUDDENLY 2757 01:57:49,865 --> 01:57:52,301 SCHOOLS CLOSED DOWN FOR A PERIOD 2758 01:57:52,301 --> 01:57:56,305 OF TIME. BUT ALSO LOTS OF 2759 01:57:56,305 --> 01:58:01,844 SETBACKS REGARDING INDIVIDUAL 2760 01:58:01,844 --> 01:58:04,012 PARENTS, SUPERINTENDENTS. 2761 01:58:04,012 --> 01:58:06,849 FRANKLY, THE SCHOOL NURSES WERE 2762 01:58:06,849 --> 01:58:12,621 KEY TO ADVANCING OUR RESEARCH IN 2763 01:58:12,621 --> 01:58:16,725 THESE COMMUNITIES, AS THEY 2764 01:58:16,725 --> 01:58:19,027 REALLY HAD THE CONNECTIONS TO 2765 01:58:19,027 --> 01:58:21,697 NOT JUST THE STUDENTS BUT TO THE 2766 01:58:21,697 --> 01:58:22,865 PRINCIPAL AND THE SUPERINTENDENT 2767 01:58:22,865 --> 01:58:26,001 AND SOME OF THE PARENTS, ET 2768 01:58:26,001 --> 01:58:30,138 CETERA. BUT IT WAS STILL, 2769 01:58:30,138 --> 01:58:33,976 FRANKLY, A BIG HILL TO CLIMB. SO 2770 01:58:33,976 --> 01:58:36,478 IN THAT VEIN I THINK PART OF AS 2771 01:58:36,478 --> 01:58:38,480 WE THINK ABOUT THIS RESEARCH, IT 2772 01:58:38,480 --> 01:58:43,619 REALLY HAS TO BE VERY 2773 01:58:43,619 --> 01:58:44,620 PRACTICE-ENGAGED. IT REALLY HAS 2774 01:58:44,620 --> 01:58:48,957 TO INCLUDE ENGAGEMENT WITH 2775 01:58:48,957 --> 01:58:51,393 SUPERINTENDENTS AND PRINCIPALS 2776 01:58:51,393 --> 01:58:55,898 AND EVEN PARENTS -- AND ALSO 2777 01:58:55,898 --> 01:59:01,003 PARENTS, I SHOULD SAY. IN THE 2778 01:59:01,003 --> 01:59:03,405 CONCEPT PAPER IT TALKS ABOUT 2779 01:59:03,405 --> 01:59:04,540 YOUTH, PARTICIPATORY ACTION 2780 01:59:04,540 --> 01:59:06,141 APPROACH, WHICH I THINK IS 2781 01:59:06,141 --> 01:59:09,845 FABULOUS. I THINK IT SHOULD ALSO 2782 01:59:09,845 --> 01:59:11,947 INCLUDE SOMETHING BROADER CBPR 2783 01:59:11,947 --> 01:59:15,384 APPROACH THAT REALLY INVOLVES 2784 01:59:15,384 --> 01:59:19,888 THESE OTHER PRETTY INFLUENTIAL 2785 01:59:19,888 --> 01:59:22,824 FIGURES WITH SCHOOLS THAT CAN 2786 01:59:22,824 --> 01:59:27,763 REALLY ADVANCE THE RESEARCH OR 2787 01:59:27,763 --> 01:59:30,065 BECOME A BARRIER. FRANKLY, IT IS 2788 01:59:30,065 --> 01:59:31,433 HARD. THIS RESEARCH TAKES TIME 2789 01:59:31,433 --> 01:59:33,936 AND A LOT OF ENGAGEMENT. YOU 2790 01:59:33,936 --> 01:59:36,305 KNOW, IF IT WERE EASY, IT WOULD 2791 01:59:36,305 --> 01:59:39,641 HAVE BEEN DONE ALREADY. BUT ONE 2792 01:59:39,641 --> 01:59:42,311 MORE THING REGARDING -- I LIKE 2793 01:59:42,311 --> 01:59:44,713 THAT YOU ARE ALSO HIGHLIGHTING 2794 01:59:44,713 --> 01:59:47,816 RESEARCH AROUND EDUCATIONAL 2795 01:59:47,816 --> 01:59:48,517 OUTC 2796 01:59:48,517 --> 01:59:52,387 OUTCOMES AND I'M THINKING -- IT 2797 01:59:52,387 --> 01:59:55,958 MAKE MES THINK ABOUT DOES THIS 2798 01:59:55,958 --> 02:00:05,400 MEAN INTER VEPGSS -- INTERVENTI 2799 02:00:05,400 --> 02:00:06,702 APPROACHES AFFECTING STUDENT 2800 02:00:06,702 --> 02:00:09,638 LEARNING, LIKE SOCIAL-EMOTIONAL, 2801 02:00:09,638 --> 02:00:10,672 TRAUMA-INFORMED, ET CETERA. OR 2802 02:00:10,672 --> 02:00:14,843 IS THAT KIND OF BEYOND THE SCOPE 2803 02:00:14,843 --> 02:00:18,313 OF WHAT THIS KIND OF RESEARCH 2804 02:00:18,313 --> 02:00:20,983 WOULD SUPPORT. IN ANY CASE IT 2805 02:00:20,983 --> 02:00:23,552 REALLY ALSO RINGS TO THE NOTION 2806 02:00:23,552 --> 02:00:26,154 OF MULTI SECTORIAL INTERVENTIONS 2807 02:00:26,154 --> 02:00:28,156 THAT DR. AKLIN HAS BEEN 2808 02:00:28,156 --> 02:00:29,424 EMPHASIZING. SO I WILL STOP 2809 02:00:29,424 --> 02:00:30,926 THERE AND INTERESTED TO HEAR 2810 02:00:30,926 --> 02:00:35,464 WHAT OTHERS HAVE TO SAY. 2811 02:00:35,464 --> 02:00:38,700 >> THANK YOU SO MUCH FOR YOUR 2812 02:00:38,700 --> 02:00:40,369 COMM 2813 02:00:40,369 --> 02:00:41,937 COMMENTS. YOU HIT ON WHAT WE 2814 02:00:41,937 --> 02:00:43,605 AGREE ARE SOME OF THE KEY 2815 02:00:43,605 --> 02:00:45,273 COMPONENTS IN TERMS OF 2816 02:00:45,273 --> 02:00:47,142 CENTRALITY OF COMMUNITY 2817 02:00:47,142 --> 02:00:48,310 PARTNERSHIPS AND PARTICIPATORY 2818 02:00:48,310 --> 02:00:51,079 RESEARCH, THE MULTI SECTOR 2819 02:00:51,079 --> 02:00:53,448 INVOLVEMENT TO GAIN AT MULTIPLE 2820 02:00:53,448 --> 02:00:55,717 LEVELS AND ABSOLUTELY THE ROLE 2821 02:00:55,717 --> 02:00:58,286 OF SCHOOL NURSES. TO YOUR POINT, 2822 02:00:58,286 --> 02:01:01,189 JUST ECHOING THAT, YEAH, 2823 02:01:01,189 --> 02:01:03,392 SCHOOL-BASED RESEARCH WAS 2824 02:01:03,392 --> 02:01:05,427 CHALLENGING BEFORE COVID. IT IS 2825 02:01:05,427 --> 02:01:07,462 POTENTIALLY MORE CHALLENGING NOW 2826 02:01:07,462 --> 02:01:09,831 IN JUST RECOGNIZING THE 2827 02:01:09,831 --> 02:01:11,600 DIFFERENT CHALLENGES, 2828 02:01:11,600 --> 02:01:13,702 RECOGNIZING THAT AND LEVERAGING 2829 02:01:13,702 --> 02:01:14,670 THOSE RELATIONSHIPS SCHOOL 2830 02:01:14,670 --> 02:01:15,871 NURSES BRING. TO YOUR QUESTION 2831 02:01:15,871 --> 02:01:22,244 ABOUT SOME OF THE OTHER TYPES OF 2832 02:01:22,244 --> 02:01:22,978 INTERVEN 2833 02:01:22,978 --> 02:01:23,812 INTERVENTIONS, ALL F OUR 2834 02:01:23,812 --> 02:01:24,746 CONCEPT S IS WRITTEN 2835 02:01:24,746 --> 02:01:26,348 INTENTIONALLY BROAD, SO AS WE 2836 02:01:26,348 --> 02:01:28,583 MOVE FORWARD, YOU KNOW, WE WILL 2837 02:01:28,583 --> 02:01:29,418 CERTAINLY THINK ABOUT WHAT ARE 2838 02:01:29,418 --> 02:01:31,019 THE DIFFERENT POTENTIAL 2839 02:01:31,019 --> 02:01:32,921 COMPONENTS OF WHAT SOME OF THOSE 2840 02:01:32,921 --> 02:01:35,824 INTERVENTIONS COULD LOOK LIKE, 2841 02:01:35,824 --> 02:01:39,661 SO THANK YOU FOR THAT. OTHER 2842 02:01:39,661 --> 02:01:44,900 QUESTIONS? YES, DR. AYALA. 2843 02:01:44,900 --> 02:01:46,468 >> THANK YOU, DR. BEKEMEIER. 2844 02:01:46,468 --> 02:01:48,203 YOU MADE A LOT OF POINTS I WAS 2845 02:01:48,203 --> 02:01:49,438 GOING TO MAKE SO I APPRECIATE 2846 02:01:49,438 --> 02:01:51,039 THAT. TWO THINGS FROM THE 2847 02:01:51,039 --> 02:01:53,375 PERSPECTIVE OF THE SCHOOLS: 2848 02:01:53,375 --> 02:01:55,644 CHRONIC ABSENTEEISM AND FAMILY 2849 02:01:55,644 --> 02:01:56,978 ENGAGEMENT. REGARDING THE FIRST 2850 02:01:56,978 --> 02:01:59,781 ONE WE KNOW CHRONIC ABSENTEEISM 2851 02:01:59,781 --> 02:02:01,717 IS A HUGE RISK FACTOR FOR 2852 02:02:01,717 --> 02:02:03,285 CHILDREN'S EDUCATIONAL AND 2853 02:02:03,285 --> 02:02:05,053 HEALTH OUTCOMES BUT ALSO KNOW 2854 02:02:05,053 --> 02:02:09,624 THEY ARE IMPACTED BY HEALTH 2855 02:02:09,624 --> 02:02:11,226 CONDITIONS. SO CHILDREN WITH 2856 02:02:11,226 --> 02:02:13,095 MULTIPLE CHRONIC DISEASES OR 2857 02:02:13,095 --> 02:02:15,530 OTHER ISSUES ARE AMONG THOSE AT 2858 02:02:15,530 --> 02:02:18,166 GREATEST RISK BUT NOT THE ONLY 2859 02:02:18,166 --> 02:02:20,202 ONES. SO I THINK HAVING THE 2860 02:02:20,202 --> 02:02:22,437 FOCUS COULD BENEFIT NOT ONLY THE 2861 02:02:22,437 --> 02:02:23,405 HEALTH AND WELLNESS OF CHILDREN 2862 02:02:23,405 --> 02:02:26,575 AND FAMILIES, BUT ALSO THE 2863 02:02:26,575 --> 02:02:28,844 SCHOOLS, BECAUSE THEY RIM PACTED 2864 02:02:28,844 --> 02:02:33,348 ECONOMICALLY BY CHRONIC 2865 02:02:33,348 --> 02:02:35,784 ABSENTEEISM. RELATED IS FAMILY 2866 02:02:35,784 --> 02:02:36,852 ENGAGEMENT. MANY SCHOOLS SURVIVE 2867 02:02:36,852 --> 02:02:38,520 OR FUNDED IN PART BECAUSE OF 2868 02:02:38,520 --> 02:02:39,588 THEIR ABILITY TO ENGAGE WITH 2869 02:02:39,588 --> 02:02:41,123 FAMILIES -- OR SOME OF THEIR 2870 02:02:41,123 --> 02:02:42,824 FUNDING BECAUSE OF THAT. I 2871 02:02:42,824 --> 02:02:44,993 REALLY THINK THAT SCHOOL-BASED 2872 02:02:44,993 --> 02:02:46,228 INTERVENTIONS COULD REALLY HAVE 2873 02:02:46,228 --> 02:02:49,397 AN IMPACT. ESPECIALLY THOSE LED 2874 02:02:49,397 --> 02:02:51,900 BY NURSING RESEARCHERS, NURSING 2875 02:02:51,900 --> 02:02:53,301 PERSPECTIVES CAN REALLY MOVE THE 2876 02:02:53,301 --> 02:02:55,670 NEEDLE, I THINK, IN TERMS OF HOW 2877 02:02:55,670 --> 02:02:57,773 DO WE ENGAGE FAMILIES IN THE 2878 02:02:57,773 --> 02:03:00,776 SCHOOL SYSTEM, THANK YOU. 2879 02:03:00,776 --> 02:03:02,210 >> GREAT, THANK YOU. 2880 02:03:02,210 --> 02:03:04,946 ABSOLUTELY AGREE THAT BOTH THOSE 2881 02:03:04,946 --> 02:03:06,715 ARE CRITICAL.LY JUST USE THIS 2882 02:03:06,715 --> 02:03:13,522 OPPORTUNITY TO PUT IN ANOTHER 2883 02:03:13,522 --> 02:03:14,523 PLUG. 2884 02:03:14,523 --> 02:03:17,592 FOR ACTUALLY LOOKING AT 2885 02:03:17,592 --> 02:03:20,295 INNOVATIVE WAYS TO SUPPORT BOTH 2886 02:03:20,295 --> 02:03:23,832 FAMILY ENGAGEMENT AND CHRONIC 2887 02:03:23,832 --> 02:03:25,801 ABSENTEEISM. SO THANK YOU FOR 2888 02:03:25,801 --> 02:03:27,135 HIGHLIGHTING THAT. HOPEFULLY 2889 02:03:27,135 --> 02:03:28,904 YOU'LL ALL BE ABLE TO TUNE IN 2890 02:03:28,904 --> 02:03:39,381 FOR THAT. OTHER QUESTIONS? 2891 02:03:40,315 --> 02:03:42,684 >> THANK YOU DR. BLACKMON AND 2892 02:03:42,684 --> 02:03:44,419 BEKEMEIER FOR THIS ENLIGHTENING 2893 02:03:44,419 --> 02:03:45,520 CONVERSATION AND TAKING US 2894 02:03:45,520 --> 02:03:47,122 THROUGH THE CONCEPT. IT IS TIME 2895 02:03:47,122 --> 02:03:49,157 FOR US TO ENGAGE IN OUR LAST 2896 02:03:49,157 --> 02:03:50,926 CONCEPT OF THE MORNING. IT IS 2897 02:03:50,926 --> 02:03:52,828 GOING TO BE ON INTERRUPTING 2898 02:03:52,828 --> 02:03:53,995 CYBERINGAL OF VIOLENCE AGAINST 2899 02:03:53,995 --> 02:03:57,265 WOMEN THROUGH TARGETED 2900 02:03:57,265 --> 02:03:59,467 APPROACHES. THE WE CARE 2901 02:03:59,467 --> 02:04:06,308 INITIATIVE AND PRESENTED BY DR. 2902 02:04:06,308 --> 02:04:07,175 BYNUM. 2903 02:04:07,175 --> 02:04:10,045 >> THANKS, DR. AKLIN. MY NAME 2904 02:04:10,045 --> 02:04:16,852 IS SHOLANDA BYNUM, A SCIENTIFIC 2905 02:04:16,852 --> 02:04:19,054 ADVISOR IN THE OFFICE OF THE 2906 02:04:19,054 --> 02:04:20,856 DIRECTOR. MY COLLEAGUE AND I ARE 2907 02:04:20,856 --> 02:04:23,525 HAPPY TO HAVE THE OPPORTUNITY TO 2908 02:04:23,525 --> 02:04:25,694 FRIEND " WE CARE " CONCEPT 2909 02:04:25,694 --> 02:04:28,730 FOCUSED ON VIOLENCE AGAINST 2910 02:04:28,730 --> 02:04:32,367 WOMEN. AN ISSUE THAT 2911 02:04:32,367 --> 02:04:33,835 UNFORTUNATELY AFFECTS MILLIONS 2912 02:04:33,835 --> 02:04:35,971 OF WOMEN BUT IMPACTS OVER YEARS 2913 02:04:35,971 --> 02:04:41,509 AND ACROSS GENERATIONS. NEXT 2914 02:04:41,509 --> 02:04:44,212 SLIDE. IN FACT, WORLDWIDE AN 2915 02:04:44,212 --> 02:04:47,282 ESTIMATED 30% OF WOMEN 2916 02:04:47,282 --> 02:04:50,685 EXPERIENCE SOME FORM OF EXPOSURE 2917 02:04:50,685 --> 02:04:53,755 TO VIOLENCE, WHICH MAY INCLUDE 2918 02:04:53,755 --> 02:04:55,991 DOMESTIC, PARTNER, PEER, 2919 02:04:55,991 --> 02:05:01,062 HOMICIDE AND OTHER FORMS. NEXT 2920 02:05:01,062 --> 02:05:02,530 SLIDE. IN THE U.S. INTIMATE 2921 02:05:02,530 --> 02:05:04,432 PARTNER VIOLENCE IS THE MOST 2922 02:05:04,432 --> 02:05:07,335 COMMON FORM OF VIOLENCE THAT 2923 02:05:07,335 --> 02:05:08,970 WOMEN EXPERIENCE, AFFECTING ONE 2924 02:05:08,970 --> 02:05:12,340 IN TWO WOMEN. THAT IS 50% OF ALL 2925 02:05:12,340 --> 02:05:13,775 WOMEN WILL EXPERIENCE INTIMATE 2926 02:05:13,775 --> 02:05:15,677 PARTNER VIOLENCE IN THEIR 2927 02:05:15,677 --> 02:05:18,113 LIFETIME. THIS IS REALLY A 2928 02:05:18,113 --> 02:05:20,181 JARRING STATISTIC. THE PHYSICAL 2929 02:05:20,181 --> 02:05:24,052 AND PSYCHOLOGICAL EFFECTS OF IPV 2930 02:05:24,052 --> 02:05:26,154 EXPOSURE ARE IMMEDIATE AND 2931 02:05:26,154 --> 02:05:26,855 LONG-TERM, CONSTITUTING A MAJOR 2932 02:05:26,855 --> 02:05:30,558 CAUSE OF INJURY FOR THE 2933 02:05:30,558 --> 02:05:31,826 POPULATION. SO VIOLENCE AGAINST 2934 02:05:31,826 --> 02:05:36,298 WOMEN ISN'T AN ISOLATED ISSUE 2935 02:05:36,298 --> 02:05:38,266 BUT RATHER IT IS PERVASIVE 2936 02:05:38,266 --> 02:05:40,235 ACROSS RACE, INCOME AND 2937 02:05:40,235 --> 02:05:42,170 GEOGRAPHICAL LINES, WITH SOME 2938 02:05:42,170 --> 02:05:46,041 WOMEN AT INCREASED RISK OF 2939 02:05:46,041 --> 02:05:47,509 EXPOSURE, INCLUDING INTIMATE 2940 02:05:47,509 --> 02:05:49,511 PARTNER HOMICIDE, ASSOCIATED 2941 02:05:49,511 --> 02:05:52,047 WITH 50% OF ALL HOMICIDES AMONG 2942 02:05:52,047 --> 02:05:53,682 THE POPULATION. AS YOU SEE ON 2943 02:05:53,682 --> 02:05:57,652 THE SCREEN, ON THIS CHART HERE, 2944 02:05:57,652 --> 02:05:59,621 MULTI -RACIAL, AMERICAN INDIAN, 2945 02:05:59,621 --> 02:06:00,889 ALASKAN NATIVE AND BLACK WOMEN 2946 02:06:00,889 --> 02:06:05,360 ARE AT INCREASED RISK OF IPV 2947 02:06:05,360 --> 02:06:06,828 EXPOSURE. ADDITIONALLY, WOMEN 2948 02:06:06,828 --> 02:06:08,997 LIVING IN RURAL AREAS, YOUNG 2949 02:06:08,997 --> 02:06:11,599 WOMEN AND WOMEN WITH FEWER 2950 02:06:11,599 --> 02:06:13,435 ECONOMIC RESOURCES ARE ALSO AT 2951 02:06:13,435 --> 02:06:15,737 INCREASED RISK. SO THESE 2952 02:06:15,737 --> 02:06:17,339 STATISTICS, AGAIN, ARE 2953 02:06:17,339 --> 02:06:19,407 STAGGERING AND REALLY 2954 02:06:19,407 --> 02:06:20,742 UNACCEPTABLE. THERE IS MUCH THAT 2955 02:06:20,742 --> 02:06:23,111 CAN BE DONE AND SHOULD BE DONE 2956 02:06:23,111 --> 02:06:25,613 TO ADDRESS THIS LONG-STANDING 2957 02:06:25,613 --> 02:06:28,650 PUBLIC HEALTH ISSUE. NINR HOPES 2958 02:06:28,650 --> 02:06:30,752 TO CONTRIBUTE TO THE SCIENCE TO 2959 02:06:30,752 --> 02:06:32,988 PREVENT AND ULTIMATELY ELIMINATE 2960 02:06:32,988 --> 02:06:34,689 VIOLENCE AGAINST WOMEN TO 2961 02:06:34,689 --> 02:06:38,960 IMPROVE HEALTH OUTCOMES FOR ALL. 2962 02:06:38,960 --> 02:06:41,363 NEXT SLIDE. SO WOMEN'S HEALTH, 2963 02:06:41,363 --> 02:06:45,500 IN GENERAL, IS A NATIONAL 2964 02:06:45,500 --> 02:06:46,868 PRIORITY. EARLIER THIS YEAR THE 2965 02:06:46,868 --> 02:06:48,570 REPORT NEW VISION FOR WOMEN'S 2966 02:06:48,570 --> 02:06:50,672 HEALTH WAS RELEASED. THIS REPORT 2967 02:06:50,672 --> 02:06:52,974 WAS COMMISSIONED BY CONGRESS AND 2968 02:06:52,974 --> 02:06:54,809 LED BY THE NIH OFFICE OF 2969 02:06:54,809 --> 02:06:57,645 RESEARCH ON WOMEN'S HEALTH. IN 2970 02:06:57,645 --> 02:07:02,050 IT THE ACADEMY'S OUTLINE 2971 02:07:02,050 --> 02:07:03,351 PROGRESS MADE ON WOMEN'S 2972 02:07:03,351 --> 02:07:05,020 PROGRESS AT NIH AND WHERE THERE 2973 02:07:05,020 --> 02:07:10,291 ARE REMAINING GAPS, INEFFICIENCY 2974 02:07:10,291 --> 02:07:11,593 OPPORTUNITIES TO DO MORE TO 2975 02:07:11,593 --> 02:07:16,431 ACCELERATE PROGRESS IN THIS AREA 2976 02:07:16,431 --> 02:07:18,033 IN TERMS OF PEOPLE'S LIVES AND 2977 02:07:18,033 --> 02:07:20,935 LIVING CONDITIONS ARE NOTED AS 2978 02:07:20,935 --> 02:07:24,572 PRINCIPAL CAUSE OF VIOLENCE 2979 02:07:24,572 --> 02:07:27,075 EXPOSURE. NEXT SLIDE. THIS WAS 2980 02:07:27,075 --> 02:07:28,843 MENTIONED EARLIER. WOMEN'S 2981 02:07:28,843 --> 02:07:31,079 HEALTH AND SPECIFICALLY VIOLENCE 2982 02:07:31,079 --> 02:07:33,515 AGAINST WOMEN IS ALSO IMPORTANT 2983 02:07:33,515 --> 02:07:36,418 TO NINR. SO IN 2023, PRIOR TO 2984 02:07:36,418 --> 02:07:39,120 THE RELEASE OF THE ACADEMY'S 2985 02:07:39,120 --> 02:07:40,655 REPORT, NINR PUBLISH ED A 2986 02:07:40,655 --> 02:07:42,023 REQUEST FOR INFORMATION TO 2987 02:07:42,023 --> 02:07:44,059 GATHER PUBLIC INPUT ON 2988 02:07:44,059 --> 02:07:46,961 SCIENTIFIC DIRECTIONS IN THIS 2989 02:07:46,961 --> 02:07:49,164 AREA OF RESEARCH IN WHICH WE 2990 02:07:49,164 --> 02:07:50,965 RECEIVED A VERY ROBUST RESPONSE 2991 02:07:50,965 --> 02:07:54,302 FROM THE SCIENTIFIC COMMUNITY, 2992 02:07:54,302 --> 02:07:56,104 COMMUNITY ORGANIZATIONS AND 2993 02:07:56,104 --> 02:07:57,372 WOMEN EXPOSED TO VIOLENCE. LATER 2994 02:07:57,372 --> 02:08:00,041 THAT YEAR WE PUBLISHED OUR 2995 02:08:00,041 --> 02:08:02,710 REPORT AND PRESENTED TO THIS 2996 02:08:02,710 --> 02:08:05,713 COUNCIL, WHICH OUTLINES NINE 2997 02:08:05,713 --> 02:08:07,248 OVERARCHING SCIENTIFIC AREAS 2998 02:08:07,248 --> 02:08:08,750 NEEDED TO MOVE THE FIELD 2999 02:08:08,750 --> 02:08:12,020 FORWARD. SO THESE THINGS INCLUDE 3000 02:08:12,020 --> 02:08:13,288 STRENGTHENING METHODS AND 3001 02:08:13,288 --> 02:08:14,389 MEASURES TO BETTER UNDERSTAND 3002 02:08:14,389 --> 02:08:16,124 THE MAGNITUDE OF VIOLENCE 3003 02:08:16,124 --> 02:08:18,560 AGAINST WOMEN, LEVERAGING 3004 02:08:18,560 --> 02:08:21,563 VARIOUS SETTINGS TO PREVENT AND 3005 02:08:21,563 --> 02:08:24,099 INTERRUPT VIOLENCE, 3006 02:08:24,099 --> 02:08:26,234 INCORPORATING ON PERPETRATORS, 3007 02:08:26,234 --> 02:08:28,803 FAMILY-BASED INTERVENTIONS TO 3008 02:08:28,803 --> 02:08:30,738 PREVENT INTER GENERATIONAL 3009 02:08:30,738 --> 02:08:32,073 TRANSFER OF VIOLENCE AND MANY 3010 02:08:32,073 --> 02:08:35,009 OTHER IMPORTANT AREAS. SO THESE 3011 02:08:35,009 --> 02:08:38,446 FINDING INFORM THE CONCEPT THAT 3012 02:08:38,446 --> 02:08:42,083 YOU WILL HEAR. NEXT SLIDE. SO WE 3013 02:08:42,083 --> 02:08:45,420 BRIEFLY TALKED ABOUT THE STATE 3014 02:08:45,420 --> 02:08:48,957 OF THE PROBLEM AND OUR INTEREST 3015 02:08:48,957 --> 02:08:51,559 IN VIOLENCE AGAINST WOMEN. LET'S 3016 02:08:51,559 --> 02:08:52,760 DISCUSS THE FACTORS DRIVING 3017 02:08:52,760 --> 02:08:54,662 THIS. THE THEMES IDENTIFIED IN 3018 02:08:54,662 --> 02:08:56,731 THE RFI REPORT I MENTIONED IN 3019 02:08:56,731 --> 02:08:59,767 BRIEF TO YOU MIRRORED THOSE IN 3020 02:08:59,767 --> 02:09:01,803 LITERATURE AND COINCIDE IN MANY 3021 02:09:01,803 --> 02:09:04,506 WAYS WITH FACTORS THAT 3022 02:09:04,506 --> 02:09:05,640 PERPETUATE VIOLENCE IN GENERAL. 3023 02:09:05,640 --> 02:09:10,111 FACTORS THAT INCREASE RISK OF 3024 02:09:10,111 --> 02:09:10,745 VICTIMIZATION, REVICTIMIZATION 3025 02:09:10,745 --> 02:09:12,580 AND SURVIVAL INCLUDE SYSTEM LAWS 3026 02:09:12,580 --> 02:09:14,716 AND PRACTICES GOVERNING THE 3027 02:09:14,716 --> 02:09:17,619 CRIMINAL LEGAL CONSEQUENCES OF 3028 02:09:17,619 --> 02:09:20,421 VIOLENCE AGAINST WOMEN SUCH AS 3029 02:09:20,421 --> 02:09:22,690 ENFORCEMENT OF RESTRAINING 3030 02:09:22,690 --> 02:09:25,860 ORDERS. THOSE ENABLING RIGHT TO 3031 02:09:25,860 --> 02:09:28,129 PRIVACY, BELIEF IN WORK PLACE TO 3032 02:09:28,129 --> 02:09:30,231 ADDRESS EXPOSURE EVENTS. 3033 02:09:30,231 --> 02:09:31,065 ECONOMIC SUPPORT PROVIDE WOMEN 3034 02:09:31,065 --> 02:09:33,535 WITH FINANCIAL RESOURCES NEEDED 3035 02:09:33,535 --> 02:09:37,172 TO ESCAPE ABUSE. HOUSING 3036 02:09:37,172 --> 02:09:38,673 PRACTICES THAT FACILITATE 3037 02:09:38,673 --> 02:09:40,708 IMMEDIATE AND LONG-TERM SHELTER 3038 02:09:40,708 --> 02:09:44,312 FOR WOMEN AND THEIR CHILDREN. 3039 02:09:44,312 --> 02:09:44,979 NEIGHBORHOOD DISADVANTAGES SUCH 3040 02:09:44,979 --> 02:09:47,682 AS LIVING IN AN AREA WITH 3041 02:09:47,682 --> 02:09:49,851 ELEVATED LEVELS OF ECONOMIC 3042 02:09:49,851 --> 02:09:52,620 HARDSHIP REDUCE EMPLOYMENT 3043 02:09:52,620 --> 02:09:53,655 OPPORTUNITIES AND HIGH CRIME 3044 02:09:53,655 --> 02:09:58,259 ALSO CONTRIBUTE. FACTORS SUCH AS 3045 02:09:58,259 --> 02:10:00,695 ECONOMIC INSTABILITY AND 3046 02:10:00,695 --> 02:10:02,597 EXPOSURE AS A CHILD ARE 3047 02:10:02,597 --> 02:10:05,099 INDIVIDUAL VIB TORS TO VIOLENCE. 3048 02:10:05,099 --> 02:10:07,468 PROTECTIVE FACTORS ARE UNDER 3049 02:10:07,468 --> 02:10:09,470 STUDY IN THE LITERATURE AND CAN 3050 02:10:09,470 --> 02:10:11,806 BE AND SHOULD BE LEVERAGED IN 3051 02:10:11,806 --> 02:10:14,175 IDENTIFYING SOLUTIONS TO 3052 02:10:14,175 --> 02:10:14,842 PREVENT, ELIMINATE AND BUFFER 3053 02:10:14,842 --> 02:10:17,979 AGAINST VIOLENCE EXPOSURE. THESE 3054 02:10:17,979 --> 02:10:20,315 INCLUDE THE CREATION OF LAWS, 3055 02:10:20,315 --> 02:10:22,450 SYSTEMS AND PRACTICES CONDUCIVE 3056 02:10:22,450 --> 02:10:30,358 TO PROTECTING WOMEN, BUILDING 3057 02:10:30,358 --> 02:10:32,694 CO. HEE SHUN AND EFFICACY, 3058 02:10:32,694 --> 02:10:33,328 DEVELOPING INFRASTRUCTURE TO 3059 02:10:33,328 --> 02:10:35,697 SUPPORT COORDINATED CARE TO 3060 02:10:35,697 --> 02:10:37,165 ADDRESS VIOLENCE AND BUILDING IN 3061 02:10:37,165 --> 02:10:39,634 CULTURAL PRACTICES AND 3062 02:10:39,634 --> 02:10:40,535 TRADITIONS, ESPECIALLY AMONG 3063 02:10:40,535 --> 02:10:48,710 AMERICAN INDIAN, ALASKAN NATIVE 3064 02:10:48,710 --> 02:10:53,815 WOMEN. NEXT SLIDE. SO THREADING 3065 02:10:53,815 --> 02:10:54,749 THESE PIECES OF INFORMATION 3066 02:10:54,749 --> 02:10:55,650 TOGETHER THIS IS PARTICULARLY 3067 02:10:55,650 --> 02:10:57,418 IMPORTANT TO NURSES AND NURSING 3068 02:10:57,418 --> 02:10:58,786 RESEARCH. AS NURSES ARE OFTEN ON 3069 02:10:58,786 --> 02:11:02,690 THE FRONT LINE OF ASSESSING AND 3070 02:11:02,690 --> 02:11:07,195 ADDRESSING VIOLENCE EXPOSURE, 3071 02:11:07,195 --> 02:11:10,465 BOTH PSYCHOLOGICAL AND PHYSICAL 3072 02:11:10,465 --> 02:11:17,238 HEALTH CONSEQUENCES, COULD BE IN 3073 02:11:17,238 --> 02:11:18,906 SCHOOL SETTINGS AND COULD BE IN 3074 02:11:18,906 --> 02:11:22,477 OTHER VARIETY OF PLACES AND 3075 02:11:22,477 --> 02:11:24,212 SPACES LEVERAGED TO INTERRUPT 3076 02:11:24,212 --> 02:11:26,414 THE PATHWAY. SO NURSING RESEARCH 3077 02:11:26,414 --> 02:11:29,417 IS UNIQUELY POSITIONED TO 3078 02:11:29,417 --> 02:11:31,185 ADVANCE HEALTHCARE SYSTEMS AND 3079 02:11:31,185 --> 02:11:32,587 WORK WITH AND THROUGH COMMUNITY 3080 02:11:32,587 --> 02:11:34,889 TO ADDRESS PRINCIPLE CAUSES, 3081 02:11:34,889 --> 02:11:38,693 ALIGNING WITH THE HOLISTIC 3082 02:11:38,693 --> 02:11:40,161 PERSPECTIVE THAT NURSING BRINGS 3083 02:11:40,161 --> 02:11:43,731 TO CLINICAL AND COMMUNITY CARE. 3084 02:11:43,731 --> 02:11:48,870 NEXT SLIDE. SO THAT LEADS US TO 3085 02:11:48,870 --> 02:11:56,244 THE " WE CARE " CONCEPT AIMED AT 3086 02:11:56,544 --> 02:12:01,182 ADVANCING CONCEPTS TO PREVENT, 3087 02:12:01,182 --> 02:12:04,052 ELIMINATE AND DECREASE VIOLENCE 3088 02:12:04,052 --> 02:12:06,020 AND IMPROVE HEALTH OUTCOMES FOR 3089 02:12:06,020 --> 02:12:07,455 ALL. NEXT SLIDE. IN THIS CONCEPT 3090 02:12:07,455 --> 02:12:09,991 WE ARE CONSIDERING VIOLENCE 3091 02:12:09,991 --> 02:12:12,193 AGAINST WOMEN BROADLY TO INCLUDE 3092 02:12:12,193 --> 02:12:13,528 INTIMATE PARTNER VIOLENCE, 3093 02:12:13,528 --> 02:12:16,030 PHYSICAL AND MENTAL ABUSE, 3094 02:12:16,030 --> 02:12:18,599 SEXUAL ASSAULT, DATING VIOLENCE, 3095 02:12:18,599 --> 02:12:22,070 PEER VIOLENCE AND HOMICIDE. 3096 02:12:22,070 --> 02:12:23,604 ADDITIONALLY, WE LEVERAGE THE 3097 02:12:23,604 --> 02:12:26,941 NIH CONCEPTUALIZATION OF SDOH TO 3098 02:12:26,941 --> 02:12:28,843 GROUND THIS, INCORPORATING FOCUS 3099 02:12:28,843 --> 02:12:31,179 ON CONDITIONS OF PEOPLE'S LIVES 3100 02:12:31,179 --> 02:12:36,517 AND LIVING CONDITIONS. NEXT 3101 02:12:36,517 --> 02:12:36,918 SLI 3102 02:12:36,918 --> 02:12:40,888 SLIDE. SO THE " WE CARE " 3103 02:12:40,888 --> 02:12:42,056 CONCEPT EMPLOYS A RANGE OF 3104 02:12:42,056 --> 02:12:44,258 DESIGNS AND METHODS INCLUDING 3105 02:12:44,258 --> 02:12:45,827 RESEARCH TO ELUCIDATE HEALTH 3106 02:12:45,827 --> 02:12:48,463 IMPACTS OF LAWS, SYSTEMS AND 3107 02:12:48,463 --> 02:12:50,231 PRACTICES THAT IMPACT VIOLENCE. 3108 02:12:50,231 --> 02:12:51,566 INTERVENTION RESEARCH THAT 3109 02:12:51,566 --> 02:12:54,535 ADDRESSES THE UNDERLYING CAUSES 3110 02:12:54,535 --> 02:12:56,204 OF VIOLENCE AGAINST WOMEN AND 3111 02:12:56,204 --> 02:12:57,739 RESEARCH TERM PER DATA 3112 02:12:57,739 --> 02:12:58,673 INFRASTRUCTURES TO MORE FULLY 3113 02:12:58,673 --> 02:13:02,410 UNDERSTAND THE SCOPE OF THE 3114 02:13:02,410 --> 02:13:07,982 PROBLEM. NEXT SLIDE. THIS MIGHT 3115 02:13:07,982 --> 02:13:11,819 INCLUDE STUDIES THAT ADVANCE 3116 02:13:11,819 --> 02:13:13,554 NURSE-LED RESEARCH TOWARDS 3117 02:13:13,554 --> 02:13:14,389 VIOLENCE AGAINST WOMEN IN 3118 02:13:14,389 --> 02:13:16,758 COMMUNITY AND SCHOOL SETTINGS, 3119 02:13:16,758 --> 02:13:18,059 ADDRESS VIOLENCE EXPOSURES 3120 02:13:18,059 --> 02:13:21,028 DURING CRITICAL TIME POINTS, 3121 02:13:21,028 --> 02:13:22,330 PARTICULARLY DURING PREGNANCY 3122 02:13:22,330 --> 02:13:25,133 AND AFTER A FIRST EVENT WHERE 3123 02:13:25,133 --> 02:13:28,636 SUBSEQUENT EXPOSURES ARE LIKELY 3124 02:13:28,636 --> 02:13:32,974 TO BE MORE SEVERE. THOSE THAT 3125 02:13:32,974 --> 02:13:34,742 AIM TO INTERRUPT THE TRANSFER OF 3126 02:13:34,742 --> 02:13:36,911 VIOLENCE, FOCUS ON VIOLENCE 3127 02:13:36,911 --> 02:13:38,212 PERPETRATION WHICH HAS RECEIVED 3128 02:13:38,212 --> 02:13:42,517 FAR LESS ATTENTION IN THE 3129 02:13:42,517 --> 02:13:46,053 LITERATURE AND IMPORTANTLY 3130 02:13:46,053 --> 02:13:47,054 STUDIES THAT LEVERAGE STRENGTHS 3131 02:13:47,054 --> 02:13:50,691 AND VALUES TO ADDRESS THIS 3132 02:13:50,691 --> 02:13:54,662 ISSUE. NEXT SLIDE. SO PREVENTING 3133 02:13:54,662 --> 02:13:55,963 AND ELIMINATING VIOLENCE AGAINST 3134 02:13:55,963 --> 02:13:57,698 WOMEN IS NOT TOO GRAND OF A 3135 02:13:57,698 --> 02:14:00,201 GOAL. IT IS ATTAINABLE. THERE 3136 02:14:00,201 --> 02:14:03,137 CAN BE A WORLD WITHOUT VIOLENCE 3137 02:14:03,137 --> 02:14:05,473 AGAINST WOMEN. IN THE WE CARE 3138 02:14:05,473 --> 02:14:06,808 CONCEPT IT IS NINR'S 3139 02:14:06,808 --> 02:14:08,042 CONTRIBUTION TO AWARD THIS GOAL. 3140 02:14:08,042 --> 02:14:09,744 THANK YOU FOR LISTENING, LOOKING 3141 02:14:09,744 --> 02:14:11,345 FORWARD TO DISCUSSION. I WILL 3142 02:14:11,345 --> 02:14:15,650 HAND IT OFF TO DR. AYALA TO LEAD 3143 02:14:15,650 --> 02:14:22,690 US IN THE DISCUSSION. 3144 02:14:22,690 --> 02:14:25,626 >> THANK YOU DR. BYNUM. THIS 3145 02:14:25,626 --> 02:14:32,633 IS A VERY CHALLENGING TOPIC FOR 3146 02:14:32,633 --> 02:14:34,802 ME TO ADDRESS. THE STATISTICS 3147 02:14:34,802 --> 02:14:40,208 ARE ALARMING. THE FACT THAT ONE 3148 02:14:40,208 --> 02:14:41,409 IN TWO WOMEN EXPERIENCE SOME 3149 02:14:41,409 --> 02:14:43,211 FORM OF VIOLENCE IS 3150 02:14:43,211 --> 02:14:44,412 UNACCEPTABLE. THERE IS AGREEMENT 3151 02:14:44,412 --> 02:14:45,947 IN STUDIES THAT YOU PRESENTED 3152 02:14:45,947 --> 02:14:49,016 HERE THAT A LOT OF THE EVIDENCE 3153 02:14:49,016 --> 02:14:50,685 IS ALSO AN UNDERESTIMATION. 3154 02:14:50,685 --> 02:14:53,454 SEEING THAT GRAPH AND SEEING WHO 3155 02:14:53,454 --> 02:14:55,323 REPORTS LESS OR WHERE WE SEE 3156 02:14:55,323 --> 02:14:59,227 LESS VIOLENCE BEING REPORTED OR 3157 02:14:59,227 --> 02:15:01,295 OBSERVED IS NOT INCONSISTENT 3158 02:15:01,295 --> 02:15:03,231 WITH POPULATIONS IN TERMS OF 3159 02:15:03,231 --> 02:15:05,032 REPORTING ON WHAT'S HAPPENING, 3160 02:15:05,032 --> 02:15:10,671 PARTICULARLY WITHIN THE FAMILY. 3161 02:15:10,671 --> 02:15:15,710 SO IT CLEARLY SHOWS EVIDENCE 3162 02:15:15,710 --> 02:15:18,112 THIS DOES NOT OCCUR IN ISOLATION 3163 02:15:18,112 --> 02:15:23,217 OF TH OTHER FACTORS. USING 3164 02:15:23,217 --> 02:15:25,319 ECONOMICS AS AN EXAMPLE, THE 3165 02:15:25,319 --> 02:15:26,854 ECONOMIC CONDITIONS OF THE 3166 02:15:26,854 --> 02:15:28,189 NEIGHBORHOOD IN COMMUNITY HAVE 3167 02:15:28,189 --> 02:15:31,325 BEEN IDENTIFIED AS A STRESSER, 3168 02:15:31,325 --> 02:15:34,662 INCLUDING CRIME IN THE 3169 02:15:34,662 --> 02:15:35,763 NEIGHBORHOOD. SO HAVE ECONOMIC 3170 02:15:35,763 --> 02:15:37,832 CONDITIONS OF HOUSEHOLDS, SUCH 3171 02:15:37,832 --> 02:15:39,967 AS LIVING IN POVERTY. WHERE WE 3172 02:15:39,967 --> 02:15:41,002 SEE A BRIGHT LIGHT IS THERE IS 3173 02:15:41,002 --> 02:15:42,670 ALSO A GROWING BODY OF EVIDENCE 3174 02:15:42,670 --> 02:15:45,172 THAT SHOWS THE POSITIVE IMPACTS 3175 02:15:45,172 --> 02:15:46,374 OF IMPROVING THOSE CONDITIONS. 3176 02:15:46,374 --> 02:15:48,476 IMPACT THAT IS GOING TO HAVE ON 3177 02:15:48,476 --> 02:15:50,578 PREVENTING AND CONTROLLING THE 3178 02:15:50,578 --> 02:15:52,914 CYCLE OF VIOLENCE AGAINST WOMEN. 3179 02:15:52,914 --> 02:15:56,551 AS YOU NOTED IN YOUR 3180 02:15:56,551 --> 02:15:57,351 PRESENTATION, THERE ARE MANY 3181 02:15:57,351 --> 02:15:59,120 GAPS. I WILL START WITH THE 3182 02:15:59,120 --> 02:16:00,955 MEASUREMENT ONE FIRST. HOW TO 3183 02:16:00,955 --> 02:16:04,458 BETTER MEASURE, COLLECT AND 3184 02:16:04,458 --> 02:16:07,762 SHARE DATA ABOUT VIOLENCE 3185 02:16:07,762 --> 02:16:09,497 AGAINST WOMEN FURTHER INFLUENCES 3186 02:16:09,497 --> 02:16:17,171 OUR ABILITY TO UNDERSTAND AND 3187 02:16:17,171 --> 02:16:18,673 ADDRESS THIS ISSUE. WITHOUT DATA 3188 02:16:18,673 --> 02:16:22,977 ACROSS EFFORTS KCHALLENGES OUR 3189 02:16:22,977 --> 02:16:25,580 ABILITY TO PRODUCE SOLUTIONS. 3190 02:16:25,580 --> 02:16:26,681 CONSIDERING FACTORS TO PREVENT 3191 02:16:26,681 --> 02:16:30,451 AND CONTROL WILL HELP US BETTER 3192 02:16:30,451 --> 02:16:34,188 DESIGN INTERVENTIONS TO, AGAIN, 3193 02:16:34,188 --> 02:16:37,658 PREVENT IN FUTURE. ESPECIALLY 3194 02:16:37,658 --> 02:16:40,661 CRITICAL IS THAT TRANSFER OF 3195 02:16:40,661 --> 02:16:42,096 VIOLENCE FROM PARENTS TO 3196 02:16:42,096 --> 02:16:45,333 CHILDREN. REALLY IMPORTANT YOU 3197 02:16:45,333 --> 02:16:50,371 MENTIONED IS STOP OF REPEATED 3198 02:16:50,371 --> 02:16:53,040 VICTIMIZATION. THE FACT IT WILL 3199 02:16:53,040 --> 02:16:54,408 CONTINUE AND POTENTIALLY GETS 3200 02:16:54,408 --> 02:16:56,043 WORSE IS SOMETHING THAT NEEDS TO 3201 02:16:56,043 --> 02:16:57,745 BE ADDRESSED. FINALLY, AS I 3202 02:16:57,745 --> 02:16:59,614 MENTIONED EARLIER, IDENTIFYING 3203 02:16:59,614 --> 02:17:01,115 PROTECTIVE FACTORS WILL I THINK 3204 02:17:01,115 --> 02:17:02,750 HELP US MOVE THE NEEDLE IN 3205 02:17:02,750 --> 02:17:06,387 REDUCING THE ALARMING RATES YOU 3206 02:17:06,387 --> 02:17:08,889 PRESENTED EARLY ON. I THINK 3207 02:17:08,889 --> 02:17:10,625 NURSING RESEARCH IS CRITICAL FOR 3208 02:17:10,625 --> 02:17:12,760 ADDRESSING THIS ISSUE. 3209 02:17:12,760 --> 02:17:13,594 PARTICULARLY GIVEN THE TRUST WE 3210 02:17:13,594 --> 02:17:15,162 HAVE DISCUSSED AMONG NURSES. 3211 02:17:15,162 --> 02:17:19,300 THEY ARE, I THINK, IN IDEAL 3212 02:17:19,300 --> 02:17:29,810 SITUATION, TO COLLECT AND USE 3213 02:17:30,277 --> 02:17:31,412 DATA FOR VIOLENCE AGAINST WOMEN. 3214 02:17:31,412 --> 02:17:32,947 I ENCOURAGE EVERYBODY TO READ 3215 02:17:32,947 --> 02:17:35,116 THE REPORT. IT MAY BE BECAUSE OF 3216 02:17:35,116 --> 02:17:36,517 THE DIFFERENT STAKEHOLDERS AND 3217 02:17:36,517 --> 02:17:38,653 VOICES YOU ARE ABLE TO AND INTO 3218 02:17:38,653 --> 02:17:40,554 I THINK THE COMMENTS HAVE MUCH 3219 02:17:40,554 --> 02:17:42,089 MORE GENERAL IZABILITY TO SO 3220 02:17:42,089 --> 02:17:48,729 MANY OTHER HOUSE ISSUES THAT ARE 3221 02:17:48,729 --> 02:17:50,364 JUST AS IMPORTANT FOR VIOLENCE 3222 02:17:50,364 --> 02:17:52,400 AGAINST WOMEN. I HOPE IT UP FOR 3223 02:17:52,400 --> 02:17:53,968 DISCUSSION AMONG OTHERS. 3224 02:17:53,968 --> 02:17:56,804 >> THANK YOU, DR. AYALA FOR 3225 02:17:56,804 --> 02:17:59,173 THOSE COMMENTS. YOU KNOW, ONE IN 3226 02:17:59,173 --> 02:18:06,681 TWO WOMEN, 50% OF WOMEN, I 3227 02:18:06,681 --> 02:18:09,016 AGREE, SHOCKING TO MY SYSTEM TO 3228 02:18:09,016 --> 02:18:13,788 SEE. WE KNOW THAT IT IS 3229 02:18:13,788 --> 02:18:15,489 UNDERREPORTED AND THAT NUMBER 3230 02:18:15,489 --> 02:18:19,360 ALONE IN GUESSING THAT IT IS 3231 02:18:19,360 --> 02:18:25,399 MUCH HIGHER BUT UNDERSTANDING 3232 02:18:25,399 --> 02:18:26,500 THE CAPACITY ISN'T QUITE THERE 3233 02:18:26,500 --> 02:18:29,670 SO WE KNOW MUCH MORE ABOUT IPV 3234 02:18:29,670 --> 02:18:30,905 BUT VIEW LESSON AGAINST WOMEN IN 3235 02:18:30,905 --> 02:18:35,576 GENERAL AND THE CONTEXT, THERE 3236 02:18:35,576 --> 02:18:38,112 IS FAR LESS THERE. SO ANOTHER 3237 02:18:38,112 --> 02:18:41,515 COMMENT THAT YOU MADE ABOUT 3238 02:18:41,515 --> 02:18:44,518 CRITICAL TIME POINT SO WE KNOW 3239 02:18:44,518 --> 02:18:48,823 AFTER A FIRST EXPOSURE TO IPV 3240 02:18:48,823 --> 02:18:56,330 THAT THE SECOND IS POTENTIALLY 3241 02:18:56,330 --> 02:18:59,867 MORE SEVERE IN INTIMATE PARTNER 3242 02:18:59,867 --> 02:19:00,301 H 3243 02:19:00,301 --> 02:19:01,035 HOMICIDE. THAT IS CRITICAL 3244 02:19:01,035 --> 02:19:02,503 DURING PREGNANCY AND AFTER THE 3245 02:19:02,503 --> 02:19:04,939 FIRST EXPOSURE. THOSE ARE 3246 02:19:04,939 --> 02:19:06,373 CRITICAL TIME POINTS WHERE 3247 02:19:06,373 --> 02:19:08,409 INTERRUPT ING THAT PATHWAY IN 3248 02:19:08,409 --> 02:19:17,251 INTERVENTION DURING THOSE TIME 3249 02:19:17,251 --> 02:19:22,690 POINTS IN TERMS OF REDUCTION FOR 3250 02:19:22,690 --> 02:19:25,693 THESE WOMEN. ANOTHER COMMUNITY 3251 02:19:25,693 --> 02:19:26,627 ABOUT COMMUNITY, COMMUNITY 3252 02:19:26,627 --> 02:19:27,962 ENGAGEMENT IS IMPORTANT HERE, WE 3253 02:19:27,962 --> 02:19:29,764 OFTEN LOOK AT THE DEFICITS OF 3254 02:19:29,764 --> 02:19:31,966 COMMUNITY, RIGHT. BUT THERE ARE 3255 02:19:31,966 --> 02:19:34,502 COLLECTIVE STRENGTHS THAT CAN BE 3256 02:19:34,502 --> 02:19:37,538 LEVERAGED TO COMBAT THIS ISSUE. 3257 02:19:37,538 --> 02:19:39,607 THERE IS A TINY BIT OF 3258 02:19:39,607 --> 02:19:40,908 LITERATURE ALLUDING TO THAT. BUT 3259 02:19:40,908 --> 02:19:43,410 WE NEED MUCH MORE. WE KNOW THAT 3260 02:19:43,410 --> 02:19:45,846 THERE ARE THINGS WITHIN 3261 02:19:45,846 --> 02:19:47,715 INDIVIDUALS, WITHIN FAMILIES AND 3262 02:19:47,715 --> 02:19:51,852 WITHIN COMMUNITIES THAT CAN BE 3263 02:19:51,852 --> 02:19:54,622 MAXIMIZED THAT JUST HAVEN'T BEEN 3264 02:19:54,622 --> 02:20:00,594 TAPPED INTO. THANK YOU. YES, DR. 3265 02:20:00,594 --> 02:20:03,531 BEKEMEIER. 3266 02:20:03,531 --> 02:20:06,333 >> THANK YOU. I THINK THIS IS 3267 02:20:06,333 --> 02:20:07,635 ENORMOUSLY IMPORTANT AND I LOVE 3268 02:20:07,635 --> 02:20:10,337 THIS IS A CONCEPT EMPHASIZED. 3269 02:20:10,337 --> 02:20:11,939 SOME THOUGHTS I HAVE IS THERE'S 3270 02:20:11,939 --> 02:20:13,374 WAY MORE RESEARCH THAT NEEDS TO 3271 02:20:13,374 --> 02:20:16,110 P DONE IN THIS AREA. BUT I 3272 02:20:16,110 --> 02:20:20,214 REALLY WANT TO EMPHASIZE THE 3273 02:20:20,214 --> 02:20:23,484 PRIMARY PREVENTION PIECE BECAUSE 3274 02:20:23,484 --> 02:20:25,553 THERE'S SO MANY WE KNOW ABOUT 3275 02:20:25,553 --> 02:20:28,856 PREVENTING THIS IN THE FIRST 3276 02:20:28,856 --> 02:20:32,593 PLACE. WE KNOW MORE ABOUT 3277 02:20:32,593 --> 02:20:33,928 CRITICAL TIME POINTS THAN SOME 3278 02:20:33,928 --> 02:20:38,032 OF THESE OTHER FACTORS YOU 3279 02:20:38,032 --> 02:20:41,468 BROUGHT UP BUT THE PRIMARY 3280 02:20:41,468 --> 02:20:43,070 PREVENTION PIECE IS HARD TO DO 3281 02:20:43,070 --> 02:20:45,339 THAT KIND OF RESEARCH. BUT, 3282 02:20:45,339 --> 02:20:48,375 AGAIN, IF IT WASN'T SO HARD, WE 3283 02:20:48,375 --> 02:20:53,080 WOULD HAVE DONE IT ALREADY. SO 3284 02:20:53,080 --> 02:20:56,083 REALLY WANT TO EMPHASIZE THAT 3285 02:20:56,083 --> 02:20:57,384 PART TO THE RELATIONSHIP. I 3286 02:20:57,384 --> 02:20:58,552 DON'T THINK I SAW OR HEARD 3287 02:20:58,552 --> 02:21:00,688 ANYTHING ABOUT IMPLEMENTATION 3288 02:21:00,688 --> 02:21:04,425 SCIENCE, ABOUT HOW TO IMPLEMENT, 3289 02:21:04,425 --> 02:21:07,528 HOW TO DO -- MAKE THIS WHAT WE 3290 02:21:07,528 --> 02:21:10,130 DO KNOW IT IS EVIDENCE-BASED OR 3291 02:21:10,130 --> 02:21:11,565 EVIDENCE-INFORMED, HOW TO 3292 02:21:11,565 --> 02:21:13,534 IMPLEMENT THAT IN COMMUNITIES. 3293 02:21:13,534 --> 02:21:16,904 LASTLY, I WANT TO JUST EMPHASIZE 3294 02:21:16,904 --> 02:21:18,672 OR RAISE THE CONNECTION BETWEEN 3295 02:21:18,672 --> 02:21:22,676 SCHOOL HEALTH WE HAVE BEEN 3296 02:21:22,676 --> 02:21:25,546 TALKING ABOUT AND IPV. SCHOOLS 3297 02:21:25,546 --> 02:21:28,082 ARE A PLACE TOO FOR PRIMARY 3298 02:21:28,082 --> 02:21:32,219 PREVENTION, RIGHT. WHERE WE CAN 3299 02:21:32,219 --> 02:21:33,320 ESTABLISH HEALTHY RELATIONSHIPS 3300 02:21:33,320 --> 02:21:36,023 AND NURTURING ENVIRONMENTS THAT 3301 02:21:36,023 --> 02:21:37,758 CAN BE SOURCES OF PRIMARY 3302 02:21:37,758 --> 02:21:41,629 PREVENTION IN THE FIRST PLACE SO 3303 02:21:41,629 --> 02:21:42,096 THANK YOU . 3304 02:21:42,096 --> 02:21:43,664 >> ABSOLUTELY. SO WHAT I DID 3305 02:21:43,664 --> 02:21:46,367 NOT MENTION, I MENTIONED YOUNGER 3306 02:21:46,367 --> 02:21:50,304 WOMEN ARE AT INCREASED RISK BUT 3307 02:21:50,304 --> 02:21:52,773 REALLY THE FIRST EXPOSURE TO 3308 02:21:52,773 --> 02:21:53,874 VIOLENCE HAPPENS DURING HIGH 3309 02:21:53,874 --> 02:21:56,143 SCHOOL. THAT IS WHY SCHOOL-BASED 3310 02:21:56,143 --> 02:22:00,447 SETTINGS WERE BROUGHT IN TO THE 3311 02:22:00,447 --> 02:22:01,815 CONCEPT BECAUSE IT REALLY DOES 3312 02:22:01,815 --> 02:22:05,019 PREVENT AN OPPORTUNITY, IF WE 3313 02:22:05,019 --> 02:22:06,387 CAN INTERRUPT THAT FIRST 3314 02:22:06,387 --> 02:22:12,626 EXPOSURE EVENT. BOTH ON THE 3315 02:22:12,626 --> 02:22:13,260 VICTIMIZATION AND PERPETRATION 3316 02:22:13,260 --> 02:22:15,162 IS IMPORTANT AND COINCIDE BUT 3317 02:22:15,162 --> 02:22:17,197 THE SCHOOL SETTING DOES OFFER 3318 02:22:17,197 --> 02:22:18,599 THAT OPPORTUNITY FOR KIDS THAT 3319 02:22:18,599 --> 02:22:21,435 ARE IN THE NINTH, TENTH GRADE TO 3320 02:22:21,435 --> 02:22:22,970 START THINKING ABOUT STRATEGIES 3321 02:22:22,970 --> 02:22:25,940 AND WAYS TO ADDRESS IT SO THAT 3322 02:22:25,940 --> 02:22:28,442 IT DOESN'T HAPPEN IN THE 11TH 3323 02:22:28,442 --> 02:22:30,511 AND 12TH GRADE. I THINK THE 3324 02:22:30,511 --> 02:22:32,746 FIRST EXPOSURE IS SOMETHING LIKE 3325 02:22:32,746 --> 02:22:35,816 16, WHICH IT IS SHOCKING. IT IS 3326 02:22:35,816 --> 02:22:38,652 PRETTY YOUNG. VERY UNFORTUNATE. 3327 02:22:38,652 --> 02:22:42,957 BUT THAT SETTING DOES ALLOW, YOU 3328 02:22:42,957 --> 02:22:48,562 KNOW, OPPORTUNITY TO INCREASE -- 3329 02:22:48,562 --> 02:22:51,298 IMPACT THAT YOUNGER AGE. SO 3330 02:22:51,298 --> 02:22:53,934 IMPLEMENTATION SCIENCE, IT IS 3331 02:22:53,934 --> 02:22:56,704 ALSO EQUALLY IMPORTANT. MUCH OF 3332 02:22:56,704 --> 02:22:58,072 WHAT WE KNOW IS AT THE 3333 02:22:58,072 --> 02:22:59,807 INDIVIDUAL LEVEL, SO THERE HAVE 3334 02:22:59,807 --> 02:23:02,276 BEEN STRATEGIES THAT HAVE WORKED 3335 02:23:02,276 --> 02:23:03,377 BUT THEY HAVE BEEN 3336 02:23:03,377 --> 02:23:04,545 INDIVIDUAL-LEVEL STRATEGIES 3337 02:23:04,545 --> 02:23:08,582 LOOKING AT BEHAVIORS, 3338 02:23:08,582 --> 02:23:09,416 AGGRESSION, ET CETERA. SO 3339 02:23:09,416 --> 02:23:12,486 COUPLING THOSE, WHAT WE KNOW 3340 02:23:12,486 --> 02:23:13,787 WITH THESE HIGHER LEVEL 3341 02:23:13,787 --> 02:23:17,925 STRATEGIES ARE LIKELY TO PROVIDE 3342 02:23:17,925 --> 02:23:21,128 GREATER IMPACT SO WE KNOW SOME 3343 02:23:21,128 --> 02:23:23,897 BUT THINKING ABOUT BROADER 3344 02:23:23,897 --> 02:23:25,666 IMPACT, THERE'S FAR LESS THERE, 3345 02:23:25,666 --> 02:23:28,535 BUT DOES ALLOW AN OPPORTUNITY 3346 02:23:28,535 --> 02:23:30,771 FOR COMBINED INTERVENTIONS THAT 3347 02:23:30,771 --> 02:23:32,973 LOOK AT INDIVIDUAL-LEVEL 3348 02:23:32,973 --> 02:23:34,875 STRATEGIES, SCHOOL-BASED 3349 02:23:34,875 --> 02:23:36,744 STRATEGIES, COMMUNITY-BASED 3350 02:23:36,744 --> 02:23:38,645 STRATEGIES, ET CETERA, SO WE ARE 3351 02:23:38,645 --> 02:23:40,581 CAPTURING AS MUCH AS POSSIBLE, 3352 02:23:40,581 --> 02:23:43,384 OR AS MUCH AS CAN BE CAPTURED IN 3353 02:23:43,384 --> 02:23:46,220 THE CONTEXT OF ONE STUDY. ALL 3354 02:23:46,220 --> 02:23:49,990 ARE EQUALLY IMPORTANT. I THINK 3355 02:23:49,990 --> 02:23:55,462 THERE ARE A LOT OF DIFFERENT 3356 02:23:55,462 --> 02:23:58,098 UNTAPPED WAYS TOWARDS THIS ISSUE 3357 02:23:58,098 --> 02:23:59,733 THAT WE ARE HOPING TO MOVE 3358 02:23:59,733 --> 02:24:03,070 FORWARD SO THANK YOU FOR THOSE 3359 02:24:03,070 --> 02:24:06,206 COMMENTS. MR. HERRINGTON. 3360 02:24:06,206 --> 02:24:08,342 >> YES. WITH THE MENTION OF 3361 02:24:08,342 --> 02:24:16,617 PRIMARY PREVENTION, I WAS 3362 02:24:16,617 --> 02:24:17,951 REMINDED OF THE TERM 3363 02:24:17,951 --> 02:24:19,253 CARDIOVASCULARS CALL MORAL 3364 02:24:19,253 --> 02:24:21,021 PROTECTION. THIS GROWS OUT OF 3365 02:24:21,021 --> 02:24:21,955 CONTEXT. THE MORE WE CAN INFORM 3366 02:24:21,955 --> 02:24:24,058 PEOPLE OUT OF THE CONTEXT WHICH 3367 02:24:24,058 --> 02:24:25,926 THIS GROWS, THE MORE LIKELY WE 3368 02:24:25,926 --> 02:24:27,795 WILL BE TO STEM THAT TIDE. AS 3369 02:24:27,795 --> 02:24:30,264 YOU POINTED OUT, IT HAPPENS 3370 02:24:30,264 --> 02:24:31,698 EARLIER THAN PEOPLE REALLY 3371 02:24:31,698 --> 02:24:33,700 THINK. THERE MAY BE SOME 3372 02:24:33,700 --> 02:24:35,469 EFFORTS, JUST IN TERMS OF THIS 3373 02:24:35,469 --> 02:24:42,676 CONCEPT OF PRIMORDIAL PROTECTION 3374 02:24:42,676 --> 02:24:44,678 TO HAVE A SIGNIFICANT IMPACT ON 3375 02:24:44,678 --> 02:24:46,880 THE FRONT END AS OPPOSED TO 3376 02:24:46,880 --> 02:24:47,414 WAITING. 3377 02:24:47,414 --> 02:24:50,417 >> ABSOLUTELY AGREE. THANK 3378 02:24:50,417 --> 02:24:55,689 YOU FOR THAT COMMENT. ANY 3379 02:24:55,689 --> 02:24:58,125 OTHERS? OKAY. WELL, THANK YOU 3380 02:24:58,125 --> 02:25:01,695 VERY MUCH FOR YOUR TIME. 3381 02:25:01,695 --> 02:25:08,469 >> THANK YOU SO MUCH. MORE TO 3382 02:25:08,469 --> 02:25:10,270 COVER. BEFORE WE WRAP UP THE 3383 02:25:10,270 --> 02:25:11,405 OPEN SESSION THIS AFTERNOON I 3384 02:25:11,405 --> 02:25:12,806 WOULD LIKE TO OPEN FOR 3385 02:25:12,806 --> 02:25:16,343 ADDITIONAL QUESTIONS, COMMENTS 3386 02:25:16,343 --> 02:25:24,218 OR COMMENTS FROM COUNCILMEMBERS. 3387 02:25:24,218 --> 02:25:26,653 OKAY. HEARING NONE, THIS IS THE 3388 02:25:26,653 --> 02:25:29,423 COMPLETION OF OUR OPEN COUNCIL 3389 02:25:29,423 --> 02:25:31,391 FOR TODAY. PLEASE, 3390 02:25:31,391 --> 02:25:32,593 COUNCILMEMBERS, BE PREPARED TO 3391 02:25:32,593 --> 02:25:34,361 JOIN US FOR CLOSED SESSION. YOU 3392 02:25:34,361 --> 02:25:35,696 SHOULD HAVE THE LINK AVAILABLE 3393 02:25:35,696 --> 02:25:40,167 TO YOU. WE WILL JOIN BACK AT 3394 02:25:40,167 --> 02:25:50,167 12:00 P.M. THANK YOU VERY MUCH.