A SPECIAL
THANK YOU TO MEMBERS AND NIR
COMMUNITY. THIS WILL BE WEBCAST
AND THANK YOU FOR JOINING US.
BEFORE WE GET STARTED, I WILL
TURN THE MEETING OVER TO DR.
EXCELLENCIES EXCELLENCIES, OUR
EXECUTIVE SECRETARY, TO WALK US
THROUGH THE MEETING LOGISTICS.
GOOD MORNING, WELCOME. I
WILL DO A ROLL CALL TO ENSURE WE
HAVE A QUORUM FOR TODAY'S
MEETING. PLEASE SAY PRESENT OR
HERE WHEN I CALL YOUR NAME. DR.
ATK
ATKINS. DR. AYALA.
>> PRESENT.
>> DR. BEKEMEIER.
>> PRESENT.
>> PROFESSOR DAS.
>> PRESENT.
>> DR. FITZPATRICK.
>> PRESENT.
>> DR. RAMOS. PRESENT.
>> DR. HERRINGTON.
>> PRESENT.
>> DR. MIRANDA. DR. STONE.
DR. WAYNE.
>> PRESENT.
>> DR. SULLIVAN IS UNABLE TO
JOIN US TODAY.
>> SULLIVAN IS HERE, SORRY.
>> AH. WELCOME, DR. SULLIVAN.
>> THANK YOU.
>> DR. STONE IS HERE. I
COULDN'T GET MY MIC OFF.
>> GOOD MORNING, DR. STONE.
DR. AKLIN, WE HAVE A QUORUM FOR
THIS MEETING. I'LL NOW TURN TO A
VOTE ON THE MINUTES FROM THE
LAST COUNCIL MEETING, MINUTES OF
SEPTEMBER 2024 MEETING WERE MADE
AVAILABLE IN THE COUNCIL BOOK
FOR YOUR REVIEW. MAY I HAVE A
MOTION TO APPROVE, PLEASE?
>> SO MOVED.
>> A SECOND?
>> SECOND.
>> IS THERE ANY DISCUSSION?
ANY OPPOSED TO THE MINUTES?
MOTION CARRIES. THANK YOU. NOW
ON MEETING LOGISTICS. THIS IS A
ONE-DAY MEETING. AS ALWAYS, A
RECORDING OF THIS MEET LOG BE
AVAILABLE AT THE ADDRESS SHOWN.
CLOSED SESSION WILL BEGIN
APPROXIMATELY TEN MINUTES
FOLLOWING THE END OF OPEN
SESSION. DATES FOR FUTURE
COUNCIL MEETINGS ARE LISTED ON
THE NINR WEBPAGE AND THE
ELECTRONIC COUNCIL BOOK. PLEASE
ADD THESE TO YOUR CALENDAR. A
SUMMER MEET LOG BE ADDED WHEN A
COMMONLY ACCEPTABLE DATE CAN BE
FOUND. THIS WILL BE A VIRTUAL
MEETING. AS SOON AS WE HAVE
FINALIZED A DATE, WE WILL LET
YOU KNOW. I WANT TO REMIND
COUNCILMEMBERS, OTHERWISE THAN
EX OFFICIO, YOU ARE SPECIAL
GOVERNMENT EMPLOYEES. AS SUCH,
YOU MAY NOT ENGAGE IN LOBBYING
ACTIVITIES WHILE RECEIVING PAY
FROM THE FEDERAL GOVERNMENT.
FURTHER INFORMATION REGARDING
CONFLICT OF INTEREST AND
CONFIDENTIALITY REQUIREMENTS ARE
POSTED IN THE ELECTRONIC COUNCIL
BOOK, SO PLEASE REVIEW THOSE IF
YOU HAVE NOT DONE SO ALREADY. I
WILL GIVE MORE SPECIFIC
INSTRUCTIONS ABOUT CONFLICT OF
INTEREST AND CONFIDENTIALITY AT
THE BEGINNING OF THE CLOSED
SESSION THAT FOLLOWS. NOW I WILL
TURN IT BACK TO DR. AKLIN FOR
THE NINR ACTING DIRECTOR'S
REPORT.
>> THANK YOU, DR. TARLOV.
COULD WE GO BACK TO THE
BEGIN ING?ENTER I'M DR.
COURTNEY AKLIN, THE DIRECTOR OF
THE RESEARCH. I HAVE BEEN
SERVING AS A DEPUTY DIRECTOR
PRIOR IN OCTOBER OF 2023. BEFORE
WE GET STARTED I WANT TO TAKE A
MOMENT TO EXPRESS MY
APPRECIATION AND GRATITUDE FOR
DR. SHANNON FINK WHO LEAD NINR
PRIOR. THE DOCTOR SET US ON OUR
CURRENT TRAJECTORY, WHICH WE
WILL DISCUSS IN MORE DETAIL
LATER. NEXT SLIDE, PLEASE. TODAY
MARKS OUR FIRST COUNCIL OF 2025.
AS WE PAUSE THE COUNCIL TO ALLOW
TIME FOR THE PRESIDENTIAL
TRANSITION TO OCCUR, WE ARE
PLANNING TO ADD ANOTHER COUNCIL
THIS SUMMER, AS DR. TARLOV
MENTIONED, TO MAKE UP FOR THE
JANUARY COUNCIL WE MISSED AND IN
COMPLIANCE WITH THREE FISCAL
MEETINGS THIS YEAR. YOU CAN
EXPECT THE REGULARLY-SCHEDULED
MEETING TO FOLLOW FOR THE
SUMMER, THEN BACK ON TRACK WITH
REGULAR JANUARY, MAY AND
SEPTEMBER COUNCILS IN 2026. I'M
LOOKING FORWARD TO LOOKING WITH
YOU TO ADVANCE NURSING SCIENCE
AGAIN. NEXT SLIDE, PLEASE. (?)
AS COUNCILMEMBERS IS CRUCIAL TO
ABILITY TO SUPPORT THE WORK
NECESSARY TO ADVANCE. I'M
DELIGHTED TO BRING A NEW MEMBER
TO OUR COUNCIL. I'M EXCITED TO
INTRODUCE AND WELCOME DR. MARIE
LYNNE MIRANDA TO THE COUNCIL.
DR. MIRANDA IS A NATIONAL KNOWN
LEADER IN GEO SPACE (?) AND TOOK
POSITION IN 2023 AND BRINGS
ACCESS AND EXCELLENCE AT SCALE
ACROSS EDUCATIONAL RESEARCH AND
CLINICAL ENTERPRISE. SHE
CHAMPIONS A VISION THAT
PRIORITIZES SUCCESS OF STUDENTS
AND SEEKS TO ENHANCE
SCHOLARSHIPS AND THE 500 BILLION
RESEARCH PROGRAM. DR. MIR MIR
RAN /* MIRANDA WILL BE A
VALUABLE ASSET TO OUR DISCUSSION
AND WE WELCOME DR. MIRANDA. WE
LOOK FORWARD TO YOUR
CONTRIBUTION. NEXT SLIDE,
PLEASE. WITH ALL THE TRANSITIONS
THAT ARE OCCURRING AND HAVE BEEN
OCCURRING, I WOULD BE REMISS IF
I DID NOT ACKNOWLEDGE THAT NIH
AND NINR ARE GOING THROUGH
ADJUSTMENT. WE HAVE EXPERIENCED
STAFF CHANGES OVER THE LAST FEW
MONTHS THAT HAVE LEFT AN
INDELIBLE MARK. AS A RESULT OF
REDUCTION IN FORCE, SEVERAL
LEADERS, (?) AND COLLEGES ACROSS
THE SUBSTITUTE HAVE BEEN
SEPARATED. WE ARE GRATEFUL FOR
THE YEARS OF SERVICE FROM THESE
INDIVIDUALS AND IMPACT THEY HAVE
MADE AT NINR. NEXT SLIDE,
PLEASE. WE ALSO HAVE WELCOMED A
NEW LEADER TO THE STAFF AND LIKE
TO JOIN (?) AS OUR EXECUTIVE
OFFICER. SHE'S QUICKLY TAKEN
CONTROL OF OUR OPERATIONS, MORE
EFFICIENT AND EFFECTIVE
PROCEDURES. NEXT SLIDE, PLEASE.
WHILE FOCUSING ON INTRODUCTION I
WANT TO NOTE THE NEW LEADERSHIP
WITH THE PRESIDENTIAL
TRANSITION. AS IS USUAL WE SEE
CHANGES AT THE AGENCY LEVEL. ON
FEBRUARY 13TH, ROBERT F.
KENNEDY , JR. WAS CONFIRMED AS
SECRETARY OF DEPARTMENT OF
HEALTH AND HUMAN SERVICES. THEN
MARCH 25TH DR. JAY BONACARIA AT
THE NATIONAL INSTITUTES OF
HEALTH THERE HAVE BEEN OTHER
CASCADING LEADERSHIPS WITHIN THE
NIH. DR. MAGNUMLY IS PRINCIPLE
DIRECTOR AFTER SERVING FOR
JANUARY 22ND THROUGH MARCH 31ST.
MS. SHAWNA CRANSO IN IS THE NEW
CHIEF OF STAFF. MR. JAMES ROY IS
DEPUTY CHIEF STAFF. MR. ERIC
SCHNABEL IS NEW CHIEF OPERATING
OFFICER. NEXT SLIDE, PLEASE.
SWITCHING TO BUDGET AND POLICY
NEWS, WITH RESPECT TO BUDGET,
MARCH 15, 2025, THE PRESIDENT
SIGNED A FULL-YEAR RESOLUTION
FOR FISCAL YEAR 2025 WHICH
PROVIDES NIH WITH 48.5 BILLION.
197.7 MILLION OF THAT FUNDING IS
DEDICATED TO NINR, CONSISTENT
WITH FY24 LEVEL. WE ARE
COMMITTED TO CONTINUING AS WE
USUALLY DO. THE RESPONSIBLE
STEWARDSHIP OF THESE FUNDS TO
MAXIMIZE THE IMPACT OF WORK AND
OUR RESEARCH. NEXT SLIDE,
PLEASE. IN THE PAST FEW MONTHS,
SEVERAL POLICIES HAVE BEEN
ISSUED OR UPDATED. I WILL TAKE A
MOMENT TO HIGHLIGHT A FEW.
PUBLIC ACCESS, REQUIRING PEER
REVIEW JOURNAL ARTICLES FROM
FEDERALLY FUNDED RESEARCH BE
MADE AVAILABLE TO ENSURE PUBLIC
HAS ACCESS TO PUBLISHED RESULTS
OF NIH FUNDED WORK NECESSARILY
TO ADVANCE THE SCIENCE. NIH
RELEASED UPDATED PUBLIC ACCESS
POLICY IN DECEMBER, WILL BE
EFFECTIVE FOR MAN SCRIPTS
ACCEPTED FOR PUBLICATION ON OR
AFTER JULY 1ST OF THIS YEAR.
CENTRALIZING PEER REVIEW. THE
NIH HAS ANNOUNCED PLANS TO
CENTRALIZE PEER REVIEW FOR ALL
APPLICATIONS FOR GRANT,
COOPERATIVE AGREEMENTS AND
RESEARCH AND DEVELOPMENT
CONTRACTS. THE CENTRALIZATION
WILL APPLY TO FIRST STAGE OF THE
PROCESS. THE PROPOSED
CONSOLIDATION WOULD ELIMINATE
INSTITUTE-BASED STUDY SESSIONS
TO CHR CONDUCTS ALL INTERVIEWS
AND IS IN MOTION AS THEY PREPARE
FOR THE COUNCIL EVENT. NEW FORMS
AWARD STRUCTURE. NIH IS
IMPLEMENTING A NEW AWARDS
STRUCTURE TO ENHANCE
TRANSPARENCY AND TRACKING OF
FUNDS FOR INTERNATIONAL RESEARCH
COLLABORATION .
THE NEW AWARD STRUCTURE WILL
PROHIBIT (?) WORKS FROM BEING
NESTED UNDER PARENT AND
INDEPENDENT AWARDS LINKED TO
THIS. EFFECTIVE MAY 1ST OF 2025,
NIH WILL NOT ISSUE AWARDS TO THE
(?) FOREIGN ENTITY, NEW RENEWAL
OR NON-COMPETING CONTINUATION
THAT INCLUDE AWARD TO A FOREIGN
ENTITY. NIH WILL NO LONGER
ACCEPT PRIOR APPROVAL REQUESTS,
FORMER COMPONENT OR SUB AWARD TO
THE PROJECT. IMPLEMENTATION OF
THIS STRUCTURE IS ANTICIPATED NO
LATER THAN SEPTEMBER 30, 2025,
BEFORE END OF THE FISCAL YEAR.
WE WILL ALSO UPDATE NEW COST
EXTENSION POLICY. NIH'S
TEMPORARILY DISABLED THE
FUNCTIONALITY, WHICH ALLOWED THE
EXTENSION WITHOUT PRIOR
APPROVAL. CURRENTLY ALL COST
EXTENSION REQUESTS MUST BE
SUBMITTED FOR PRIOR APPROVAL.
PROCESSES WILL ALIGN TO ENSURE
TRANSPARENCY AND INTEGRITY. FOR
MORE INFORMATION ON RECENT
POLICY CHANGES REFERENCE LINKS
ON THE SLIDE AT GRANTS @
NIH.GOV. NEXT SLIDE, PLEASE. AS
I NOTE AT THE BEGINNING, DR. B.
IS NOW THE NIH DIRECTOR. IN HIS
ROLE HE'S CLARIFIED FIVE
PRIORITIES FOR NIH. THE DOCTOR
HAS OUTLINED THE ROLL NIH CAN
AND SHOULD PLAY IN ADDRESSING
CHRONIC DISEASE S SUCH AS
DIABETES, HEART DISEASE,
OBESITY, THE IMPACT ON AMERICAN
LIVES. THIS FOCUS INCLUDES
EMPHASIS ON CUTTING-EDGE
RESEARCH FOR NEW TREATMENT BUT
SCALING AND INCREASING
ACCESSIBILITY OF NEW FUNDING TO
TREATMENT. DR. B. HAS EMPHASIZED
THE IMPORTANT ROLE NIH HAS IN
PRODUCING SCIENTIFIC RESEARCH
THAT IS REPRODUCIBLE, THEREFORE
INCREASES PUBLIC TRUST IN TIME.
INNOVATION WILL BE KEY,
INVESTING IN NEW IDEA AND
PROBLEMS TO TRANSFORM BOLD AND
TRANSFORMATIVE IDEA. THIS IS AN
AREA AT NINR HAVE STARTED TO TAP
INTO AND YOU WILL SEE MORE AS
OUR RESEARCH ACTIVITIES EVOLVE.
PROMOTING OPEN COMMUNICATION
ABOUT RESEARCH PROCESSES,
FINDING AND DATA IS ESSENTIAL TO
BUILDING TRUST AND SCIENCE AND
FACILITATING SCIENTIFIC PROCESS
AND VITAL TO HAVE THE HIGHEST
STANDARDS OF INTEGRITY. LASTLY,
DR. B. CONTINUES TO EXPLAIN TO
ALL OF US WE NEED TO CULTIVATE
AN ENVIRONMENT WHERE DIVERSE
VIEWPOINTS CAN BE EXPRESSED
FREELY, ENCOURAGING OPEN,
SCIENTIFIC DISCOURSE AND
RESPECTABLE DISAGREEMENT
ESSENTIAL TO ADVANCING OUR
KNOWLEDGE AND DISCOVERY. NEXT
SLIDE, PLEASE. NEXT ONE. THE
CHANGES AND NEW PRIORITIES, OUR
MISSION AT NINR REMAINS STEAD
FAST. WE ARE COMMITTED TO LEAD
NURSING RESEARCH, HEALTH
CHALLENGES FOR SYSTEM, PRACTICES
AND PROGRAMS. TRANSLATING TO
IMPROVED CLINICAL AND HEALTH
OUTCOMES FOR INDIVIDUALS,
COMMUNITIES AND ENTIRE
POPULATION. THIS FOCUS INCLUDES
ADVANCING PROGRAMS AND RESEARCH
THAT VIEW HEALTH AND WELL-BEING
FROM NURSE'S HOLISTIC
PERSPECTIVE. A LARGE PERCENTAGE
OF OUR PORTFOLIO ADDRESSES THIS
INCLUDING RESEARCH ON LEADING
CAUSES OF MORTALITY, SUCH
AS ENTER[HOUSE AT EASE]ENTER AND
NUTRITION. WE DRIVE INNOVATION
THROUGH OUR PERSPECTIVE AND
HOLISTIC AND THAT COMMUNITY IS
IMPORTANT PARTNER AND
RESOLUTIONS THAT TRANSLATE AND
ARE SUSTAINABLE. LATER TODAY YOU
WILL HEAR ABOUT INNOVATIVE
SOLUTIONS WE SUPPORT AND
RESEARCH AREAS WE HOPE TO
ADVANCE AND EXPAND . AS YOU MAY
KNOW, EARLIER THIS YEAR, WE
ANNOUNCED SCHOOL HELP IS AN
IMPERATIVE AND BELIEVE NURSING
IS SUITED TO ADVANCE THIS AREA
AND FILL THE GAP TO INTERRUPT
THE CHRONIC DISEASE PATHWAY. YOU
WILL HEAR MORE LEVERAGING
NURSING RESEARCH THROUGH HEALTHY
SCHOOL ENVIRONMENTS FOR ALL.
NUTRITION IS A LEADING RISK
FACTOR FOR CHRONIC BEING DISEASE
DEVELOPMENT AND SUBSEQUENT
MORBIDITY AND MORTALITY.
IDENTIFYING BEST APPROACHES IS A
CONTINUED FOCUS OF NINR. GIVEN
THIS, MOVING FORWARD THE
CONCEPT, ADVANCING
NUTRITION-RELATED RESEARCH
ACROSS THE LIFE SPAN. WE LOOK
FORWARD TO THE DISCUSSION. IN
2023 WE PRESENTED THIS COUNCIL A
REPORT FOR VIOLENCE AGAINST
WOMEN OR RFI. FROM THIS REQUEST
WE RECEIVED INNOVATIVE
STRATEGIES. TODAY YOU WILL HEAR
HOW WE PLAN TO USE THIS
INFORMATION TO ADDRESS THE
IMPORTANT PUBLIC HEALTH
CHALLENGE, WHICH IS CHRONIC
DISEASE AND OTHER HEALTH IMPLY
IMPLICATIONS VIOLENCE AGAINST
WOMEN AND THE WE CARE
INITIATIVE. FROM DR. P. TRAINING
NEXT GENERATION TO CARRY FORTH
BE BOLD IDEAS IS CRUCIAL TO THE
FIELD OF RESEARCH. I'M HAPPY TO
REPORT WE ARE ALREADY DOING
QUITE WELL IN THIS AREA. WHEN
NIH TO PORTION OF THE BUDGET
SUPPORTING RESEARCH TRAINING.
HOWEVER WE THINK WE CAN DO
BETTER AND REIMAGINE TRAINING IN
A NEW AND INNOVATIVE WAY. ONE
STEP YOU WILL HEAR ABOUT DURING
THE TRAINING AND NINR RESOURCES
AND ACTIVITY. IN ADDITION WE ARE
VISITING WITH SEVERAL OTHER
SCIENTIFIC ACTIVITY, MANY OF
WHICHLY DISCUSS NEXT. NEXT
SLIDE, PLEASE. WE HAVE SEVERAL
UPCOMING EVENTS AND ACTIVITIES
WE ARE SO EXCITED TO FACILITATE.
FIRST WE HAVE AN UPCOMING
ARTIFICIAL INTELLIGENCE VIRTUAL
BOOTCAMP JUNE 2ND AND 3. THIS
WILL EXPLORE THE IMPACT
ARTIFICIAL INTELLIGENCE HAS.
OVER TWO DAYS THIS WILL ENABLE
ATTENDEES TO UNDERSTAND
FOUNDATIONAL PRINCIPLES OF AI,
ACTIONABLE STEP, EXEMPLARY
RESEARCH AND CLINICAL
APPLICATIONS F AI AND ETHICAL
CONSIDERATIONS WE NEED TO
CONSIDER SURROUNDING AI ADOPTION
FOR NURSING SCIENCE AND HEALTH
RESEARCH. NINR, IN COLLABORATION
WITH THE NIH OFFICE OF
BEHAVIORAL AND SOCIAL SCIENCES
RESEARCH, IS HOSTING A VIRTUAL
ONE-DAY MEETING JUNE 11TH,
DESIGNED TO SUPPORT OUR FOCUS ON
SCHOOL HEALTH. ADVANCING
RESEARCH TO SUPPORT HEALTHY
SCHOOL ENVIRONMENTS FOR ALL WERE
TOP. FROM KEYNOTES TO PANELS
FOCUSED ON COORDINATING CARE AND
ADDRESSING HEALTH CHALLENGES IN
SCHOOLS, PARTICIPANTS WILL
ENGAGE IN EXPERTS AND FELLOW
RESEARCHERS IN LEARNING HOW TO
ADVANCE NURSING SCIENCE. THIS
AIMS TO IDENTIFY GAPS AND
OPPORTUNITIES FOR NURSING
RESEARCH TO ADVANCE THE SCIENCE
AND PRACTICE, ELEVATING THE POE
TEN ROLE OF SCHOOL NURSES IN THE
PROCESS. FINALLY WE ARE PLEASED
TO ANNOUNCE THE SOCIAL
DETERMINANTS OF HEALTH RESEARCH
INSTITUTE CONVENING AND EARLY
STAGE INVESTIGATORER WORKSHOP IN
SEPTEMBER 16TH AND 17. THIS WILL
BE IN CONJUNCTION WITH 14TH
ANNIVERSARY. NEXT SLIDE. 40
YEARS AGO CONGRESS PASSED
LEGISLATION CALLED THE NATIONAL
CENTER FOR NURSING RESEARCH AND
RECOGNIZED THE TIRELESS EFFORTS
THAT NURSING BRINGS A NECESSARY
PERSPECTIVE TO HEALTH RESEARCH.
STUFF AT NINR HAS BEEN AT THE
FOREFRONT OF CHAMPIONING AND
IMPROVING HEALTH OUTCOMES FOR
ALL AMERICANS THROUGH INNOVATIVE
RESEARCH THAT EXAMINES THE FULL
PICTURE. AS WE GATHER TO
CELEBRATE OUR 40TH ANNIVERSARY
WE WILL SHOW CASE WHERE WE'VE
BEEN, WHAT WE ARE DOING NOW AND
WHERE WE PLAN TO HEAD. WE WILL
EXAMINE HOW NINR LEVERAGES THE
UNIQUE HOLISTIC PERSPECTIVE OF
NURSING TO SUPPORT
SOLUTIONS-ORIENTED RESEARCH THAT
ADDRESSES CONDITIONS OF PEOPLE'S
LIVES. THIS EZ ADVANCE
REAL-WORLD HEALTH CHALLENGES AND
DRIVE MAXIZATIONS TO DRIVE
IMPACTS ACROSS INDIVIDUALS,
FAMILIES AND COMMUNITIES. WITH A
FOCUS ON SOLUTIONS-ORIENTED
RESEARCH, NINR FUNDED
INVESTIGATORS SCIENTIFIC
DISCODISLEVEL
SYSTEMS AND PROMOTION AND TO
OPTIMIZE THEIR OWN HEALTH AND
WELL-BEING. TO PREVENT ENTRY OF
CHRONIC TO DISEASE, WORKING
ALONGSIDE COMMUNITIES AND
PARTNERS TO PROMOTE
HEALTH-PROMOTING BEHAVIOR S,
NINR IS ADVANCING RESEARCH THAT
TACKLES CHALLENGES THAT MATTER
TO PEOPLE AND THEIR HEALTH. NOW
MORE THAN EVER, NURSES, NURSING
RESEARCH -- NURSING AND NURSING
RESEARCH ARE ESSENTIAL TO THE
CHALLENGES. WHAT SETS NURSING
APART IS PRACTICES THAT LOOKS
BEYOND DISEASE TO INCORPORATE
CONDITIONS OF PEOPLE'S LIVES,
WHERE PEOPLE LIVE, LEARN, WORK
AND PLAY. THIS EMPHASIS
PRIORITIZES ATTENTION TO FACTORS
THAT HAVE THE GREATEST IMPACT ON
HEALTH. NEXT SLIDE, PLEASE.
THANK YOU FOR YOUR TIME AND
PARTICIPATION IN THIS COUNCIL.
UNLESS THERE ARE QUESTIONS, I
WILL NOW TURN THE MEETING OVER
TO DR. ELIZABETH TARLOV, NINR'S
EXECUTIVE SECRETARY. WE WILL
PROCEED WITH THE MEETING.
>> PARDON ME WHILE I GET TO
WHERE I'M GOING. THANK YOU, DR.
AKLIN FOR THE DELAY.
COUNCILMEMBERS, WE ARE NOW
PROCEEDING TO REVIEW OF COUNCIL
PROCEDURE Y
PROCEDURE S. EACH IS
ESTABLISHING PROCEDURES FOR
GRANT APPLICATIONS AND MUST BE
IN WRITING AND REVIEWED EVERY
YEAR. THEY COVER PROCEDURES FOR
THE SECOND LEVEL YEAR REVIEW,
EXPEDITED REVIEW, CERTAIN
DELEGATED AUTHORITIES AND
CONCEPT CLEARANCE. THE OPERATING
PROCEDURES DOCUMENT WAS MADE
AVAILABLE IN ADVANCE OF THIS
MEETING ON THE ELECTRONIC
COUNCIL BOOK. I WILL NOW PAUSE
TO ALLOW DISCUSSION OF THE
OPERATING PROCEDURES.
HEARING NONE, I THANK YOU
FOR YOUR REVIEW AND NOTE
NORMALLY THIS HAPPENS A T THE
JANUARY MEETING OF COUNCIL AND
RESUME WITH A JANUARY SCHEDULE
NEXT YEAR. NOW TURN IT BACK NOW
TO DR. AKLIN.
>> THANK YOU DR. TARLOV. NOW
WELCOME THE DEPUTY DIRECTOR FOR
EXTRA MURAL SCIENCE PROGRAM, DR.
(?) WHO WILL SHARE AN UPDATE ON
THE INCLUSION REPORT. THANK YOU
DR. DUVAL.
>> THANK YOU DR. AKLIN. GOOD
MORNING, THANKS FOR THE
OPPORTUNITY TO BE WITH YOU. MY
NAME IS BILL DUVAL, DEPUTY
DIRECTOR OF MY PROGRAM. I WILL
SPEAK ABOUT THE EXTRA-MURALLY
FINISHEDED RESEARCH BY THE NIH.
NIH IS REQUIRED TO REPORT TO
CONGRESS ON ENROLLMENT OF
PARTICIPANTS IN CLINICAL
RESEARCH. WE BREAK THIS DOWN BY
SEX, RACE AND ETHNICITY TO
MONITOR ADHERENCE TO NIH
POLICIES. MOST SPECIFICALLY, THE
NIH POLICY ON THE INCLUSION OF
WOMEN AND MINORITIES. THIS IS
ELIZABETH -- DR. TARLOV
MENTIONED, THIS IS ANOTHER ONE
OF THOSE THINGS THAT WOULD HAVE
BEEN AND ALSO USED REPORTED BY
(?) EVERY TWO YEARS BUT WITH THE
21ST CENTURY CURES ACT, THAT'S
CHANGED THE FREQUENCY TO
TRIENNIAL REPORTING SO NEW DATA
IS GOING TO BE FROM THE PAST
THREE YEARS, 2022, 2023 AND
2024. EACH NIH INSTITUTE AND
CENTER, INCLUDING NINR, IS
REQUIRED TO SUBMIT A REPORT TO
NIH CENTRAL. A SINGLE REPORT IS
COMPILED AND SUBMITTED TO
CONGRESS. SO ADDITION TO SLIDES
HERE WE HAVE A REPORT
SUMMARIZING THESE REPORTS THAT
IS AVAILABLE TO COUNCILMEMBERS
ON THE ECB. I WOULD ALSO LIKE TO
SAY THE DATA AND EFFORTS
PRESENTED HERE TODAY HAVE BUILT
ON NINR'S SCIENTIFIC OVERSIGHT
AND MANAGEMENT, AS WELL AS THE
2023 NINR COUNCIL WORKING GROUP
ON INCLUSION AND NINR-SUPPORTED
STUDIES. NEXT SLIDE, PLEASE. WE
WILL GO AHEAD AND DIVE RIGHT
INTO THE DATA. THIS FIRST TABLE
SHOWS THE DATA FOR -- EXCUSE ME,
BY SEX AND BY YEAR. THIS IS FOR
NINR-SUPPORTED EXTRA-MURAL
RESEARCH, DEFINED BY THE NIH AND
THE NIH DEFINITION .
THE MOST RECENT DATA, 2022, 2023
AND 2024 IS ON THE RIGHT SIDE OF
THIS TABLE. WE ARE ALSO
INCLUDING THE PREVIOUS TRIENNIAL
REPORT, 2015 THROUGH 2021 TO
GIVE AN IDEA OF THE FULLER
PICTURE OF THE CONTEXT IN WHICH
THESE RECRUITMENT EFFORTS ARE
HAPPENING. THE 2019 TO 2021 DATA
WAS PRESENTED THIS COUNCIL IN
JANUARY OF' 22. SO YOU CAN SEE
THAT IN NINR FUNDED EXTRA-MURAL
FUNDED RESEARCH THE RESEARCH OF
FEMALE PARTICIPANTS HAVE
FLUCTUATED IN UPPER TO MID 50 TO
LOW 60 PERCENT, FAIRLY
REPRESENTATIVE OF THE U.S. AS A
WHOLE. I'LL POINT OUT IT IS NOT
A DATA POINT REFERENCED BUT IN
2016 NINR HAD HIGH OF 83% FEMALE
PARTICIPANTS, SO THIS IS
CERTAINLY A FOR BALANCED TREND
FOR US AS AN INSTITUTE. THE
OTHER THING I WILL POINT OUT, IF
YOU LOOK IN TOTAL ENROLLMENT
FROM 2023 TO 2024 THERE IS A
SIGNIFICANT JUMP, 54,000 TO
94,000. WE HAVE LOOKED AT THE
DATA, DRIVEN BY ONE PARTICULARLY
LARGE SURVEY STUDY. NOTE THAT AS
WE MOVE FORWARD. NEXT SLIDE,
PLEASE. SO THIS TABLE SHOWS
ENROLLMENT BY RACE ACROSS THE
YEARS. I'LL POINT OUT A COUPLE
OF THINGS. AGAIN, REMIND FOLKS
THE FULL REPORT, THE DRAFT
REPORT IS AVAILABLE ON THE ECB
FOR FURTHER READING. AMERICAN
INDIAN, ALASKAN NATIVE
ENROLLMENT HAS DECREASED TO
BELOW 1% IN 2024. WE ARE AT.9%,
DOWN FROM A HIGH WATER OF 2.4%
IN 2021 AND BELOW U.S.
POPULATION ESTIMATE OF ROUGHLY
1.3%. ANOTHER ITEM TO NOTE,
ALTHOUGH ON A DIFFERENT END OF
IT, IS BLACK AND
AFRICAN-AMERICANS COMPRISE
ANYWHERE BETWEEN 20 AND LOW 30%
AND NINR RESEARCH DURING THIS
PERIOD. THIS IS UP FROM 17 TO
20% IN THE PREVIOUS THREE-YEAR
PERIOD AND SUBSTANTIALLY HIGHER
RELATIVE TO THE U.S.
POPULATION, ABOUT 14% IN 2013.
I WILL ALSO POINT OUT IN THAT
VERY, VERY LAST ROW ON THE
BOTTOM RIGHT WE HAVE HAD A JUMP,
INCREASE IN NUMBER OF
PARTICIPANTS WHO EITHER ARE
UNKNOWN OR CHOSE NOT TO REPORT.
WHICH IS AN INTERESTING JUMP TO
MAKE INFERENCES TO UNDERSTAND
TRENDS OVER TIME .
THE MORE PEOPLE, THE MORE
PARTICIPANT WHO'S ARE IN THIS
CATEGORY. NEXT SLIDE, PLEASE.
LASTLY, THIS TABLE SHOWS BY YEAR
ENROLLMENT BY ETHNICITY.
ENROLLMENT HAS GROWN SLIGHTLY
OVER THE SIX-YEAR PERIOD, FROM
10.1% IN 2019 TO 11.6% IN 2024.
THIS DOES REMAIN
UNDERREPRESENTATIVE --
UNDERREPRESENTED IN NINR EXTRA
MURAL CLINICAL RESEARCH RELATIVE
TO THE U.S. POPULATION SO
CERTAINLY SOMETHING TO KEEP IN
MIND. NEXT SLIDE, PLEASE. THANK
YOU. WITH THAT I'LL TAKE ANY
QUESTIONS.
>> HEARING NONE, I WILL ASK
IF THERE ARE CONCERNS SUBMITTING
TO TO NIH CENTRAL AS PART OF THE
REQUIRED REPORTING PROCESS.
ALL RIGHT. THANK YOU VERY
MUCH. I'LL HAND IT BACK TO DR.
AKLIN.
>> THANK YOU, DR. DUVAL, FOR
YOUR PRESENTATION. NEXT SLIDE,
PLEASE. THE WORKING GROUP IS
COMPRISED OF EXPERTS IN DATA
SCIENCE AND AI AND HEALTH
RESEARCH AND RELATE FIELDS FROM
BOTH WITHIN AND OUTSIDE THE
NURSING AND SCIENCE COMMUNITY.
CHARGED WITH RECOMMENDED FUTURE
DIRECTIONS FOR NINR SUPPORTED
SCIENCE AND TRAINING SCIENCE AND
AI, THE GROUP ASSESSED PRESSING
RESEARCH QUESTIONS AND TRAINING
NEEDS AND OPPORTUNITIES IN THE
NURSING SCIENCE FIELD WITH AN
EYE TO RECOMMENDING RESEARCH AND
TRAINING WHERE NURSING SCIENCE
CAN POTENTIALLY HAVE THE BIGGEST
IMPACT. CO -CHAIRS DR. YVONNE
BRYAN AND PAT /* PATRICIA STONE
ARE HERE WITH A PRESENTATION. I
WILL TURN IT OVER TO THEM.
>> GOOD MORNING. NEXT SLIDE,
PLEASE. THE CHARGE WAS NINR'S
INTEREST IN NINR AND DATA
SCIENCE AND INTERSECTS WITH
SOCIOECONOMIC FACTORS SHAPING
THE CONDITIONS OF DAILY LIFE.
ALSO WE ARE THINKING ABOUT
HEALTH FOR ALL, HOW IS AI
INFLUENCING UP STREAM FACTORS
CRITICAL FOR HEALTH FOR ALL. WE
WERE CHARGED WITH ONE RESEARCH
AND TRAINING ACTIVITY SHOULD BE
DONE, WHAT AI RESEARCH AND
TRAINING SHOULD NINR SUPPORT,
TOPICS IDEALLY SUITED TO THIS
ARMED NURSING SCIENTIFIC
PERSPECTIVE AND BIG QUESTIONS
THAT AREN'T BEING ADDRESSED
RIGHT NOW THAT NURSING SCIENCE
CAN TAKE ON AND THE SCIENCE THAT
CAN BE USED TO ANSWER THOSE
QUESTIONS. NEXT SLIDE, PLEASE. A
LITTLE BIT ABOUT THE WORKING
GROUP. NEXT SLIDE. AS WE JUST
HEARD, WE WERE ESTABLISHED IN
SEPTEMBER 2024. WE HAD EXPERTS
FROM THE COUNCIL AND OTHER
NURSING SCIENTISTS AS WELL AS
THOSE THAT -- OUTSIDE OF THE
COMMUNITY. AS I ALREADY SAID,
CHARGED WITH RECOMMENDING FUTURE
DIRECTIONS FOR NINR SUPPORTED
SCIENCE AND TRAINING. I'M
EXCITED TO SAY SOME OF THE
TRAIN ING IS ALREADY HAPPENING.
I THINK WE ALREADY SAID THE
SLIDE SO I DON'T THINK I NEED TO
REPEAT IT. NEXT SLIDE, PLEASE.
WE MET THREE TIMES BETWEEN
SEPTEMBER AND OCTOBER 2024. WE
AGREED ON -- WHICH WAS VERY
IMPORTANT WHAT WAS OUR WORKING
DEFINITION OF AI. WE DISCUSSED
THE PRESSING RESEARCH QUESTIONS
IN NURSING SCIENCE AND FORMED
FOUR PRIORITY RESEARCH
RECOMMENDATIONS AND SEVEN
ADDITIONAL RESEARCH
RECOMMENDATIONS AND TWO PRIORITY
TRAINING RECOMMENDATIONS. NEXT
SLIDE, PLEASE. OUR WORKING
DEFINITION OF AI IS THE SCIENCE
OF MAKE MAGAZINES TO THINGS THAT
WOULD REQUIRE INTELLIGENCE IF
DONE BY HUMANS. NEXT SLIDE,
PLEASE. THIS IS WHO WAS ON IT. I
WAS HAPPY TO CHAIR WITH DR.
YVONNE BRYAN, DR. WANG AND
FITZPATRICK -- SHERUSH, NOT
GOING TO TRY TO SAY THE LAST
NAME, MICHAEL CARRY FROM DUKE,
GEORGE S. FROM PENNSYLVANIA AND
MOLLY COUPLE MINUTES, UN -- CUM
FROM UNIVERSITY OF UTAH. WE DID
RANK THESE IN ORDER OF PRIORITY.
NEXT SLIDE. NINR SUPPORT SHOULD
NURSES AND OTHER INTER
DISCIPLINARY SCIENTISTS TO LEAD
AI RESEARCH AGENDAS ADDRESSING
DIFFERENCES IN HEALTH AND
DISEASE DISTRIBUTIONS AND
CONDITIONS OF LIFE. TO MEET THIS
GOAL NINR SHOULD SUPPORT
RESEARCH THAT LEVERAGING AI
TOOLS TO DEVELOP HEALTH
INTERVENTIONS THAT ADDRESS THESE
NEEDS AND CONDITION S OF DAILY
LIFE, IDENTIFY METHODOLOGIES AND
COLLECTION STRATEGIES TO
MINIMIZE DIFFERENCES AND
OUTCOMES AND DEVELOP AI-DRIVEN
STRATEGY, INTEGRATING CONDITIONS
OF DAILY LIFE AND IDENTIFIES AND
MITIGATES DIFFERENCES IN HEALTH
FOR ALL AND TESTS THESE
INNOVATIONS WHILE ENSURING ALL
POPULATIONS ARE ADEQUATELY
REPRESENTED. NEXT SLIDE, PLEASE.
NINR SHOULD -- RESEARCH
RECOMMENDATION #, NINR SHOULD
PROMOTE RESEARCH SYSTEMS AND
ORGANIZATIONAL LEVEL INITIATIVES
TO IMPROVE DIGITAL
INFRASTRUCTURE IN SHARING EQUAL
ACCESS TO AI TECHNOLOGIES AND TO
MEET THIS GOAL NINR SHOULD
SUPPORT RESEARCH THAT, ONE,
DEVELOPS AND TESTS SYSTEMS AND
ORGANIZATIONAL INTERVENTIONS FOR
DIGITAL DIFFERENCES AND PROMOTES
AI TECHNOLOGIES WHILE EXPLORING
HEALTH SYSTEMS IN RURAL AND
URBAN AREAS CAN LEVERAGE THESE
TOOLS TO ADDRESS CONDITIONS OF
DAILY LIFE, REDUCE DIFFERENCES
IN CARE AND IMPROVE HEALTH
OUTCOMES FOR ALL. THEN ADDRESS
SYSTEM-LEVEL CHANGES SUCH AS
INFRASTRUCTURE, WORKFORCE
CAPACITY, INTERNET CONNECTIVITY
THAT HINDER RURAL AND URBAN
AREAS AND DEVELOP STRATEGIES TO
IMPROVE EQUITABLE ACCESS TO
THESE TECHNOLOGY THREE, EXAMINES
APPROACHES AND PRACTICES FOR
IMPLEMENTING AI SOLUTIONS IN
RURAL AND URBAN AREAS FOCUSING
ON DEVELOPING DIGITAL
INFRASTRUCTURE AND STRATEGIES TO
PROMOTE SUSTAINABLE, EQUITABLE
AND INCLUSIVE ACCESS TO AI TOOLS
AND APPLICATIONS. FOURTH,
DESIGNS AND ADAPTS AI
TECHNOLOGIES THAT SUPPORTS
INDIVIDUALS IN RURAL AND URBAN
AREAS THAT WITH VARYING LEVELS
OF DIGITAL LITERACY AND DIGITAL
ACCESS. OUR THIRD RECOMMENDATION
WAS THAT NINR SHOULD ENCOURAGE
ENGAGEMENT OF PATIENTS AND
FAMILIES IN ALL STAGES OF
ALGORITHM DEVELOPMENT AND
EVALUATION TO ENSURE
ACCEPTABILITY AND USE OF THE
DESIGN AND IMPROVE MODEL
ACCURACY. TO MEET THIS GOAL,
NINR SHOULD SUPPORT RESEARCH
THAT DEVELOPS AND TESTS METHODS
AND MODELS TO MEANING FULLY
ENGAGED PATIENTS, FAMILIES AND
COMMUNITIES IN AI INNOVATION,
FOCUSING ON BUILDING TRUST,
EXAMINING HOW EARLY
PARTICIPATION OF COMMUNITY
STAKEHOLDERS INFLUENCES THE
LONG-TERM SUCCESS AND EFFICACY
OF AI-DRIVEN HEALTH CARE
SOLUTION AND ESTABLISH
SYSTEMATIC FRAMEWORKS TO
FACILITATE THIS ENGAGEMENT. ALSO
DEVELOPS AND IMPLEMENTS AND
EVALUATES STRATEGIES TO ENGAGE
PATIENT'S, FAMILIES, CONDITIONS
AND COMMUNITIES IN THE
CO -DESIGN AND EVALUATION OF AI
TOOLS WITH A FOCUS ON BUILDING
TRUST AND ENSURING TRANSPARENCY
IN THE PERFORMANCE LIMITATIONS
AND FAIRNESS. SUCH
COLLABORATIONS TO PROMOTE
INTERVENTIONS TAYLORED TO LOCAL
POPULATIONS AND IMPROVE ACCURACY
AND FAIRNESS OF PREDICTIVE
HEALTH MODELS, ACHIEVE ING THIS
CAN BE DONE BY EMBEDDING USER
CENTERED DESIGN AND DECISION
SUPPORT INTO AI INNOVATIONS.
NEXT SLIDE. OUR FOURTH
RECOMMENDATION, NINR SHOULD
ENCOURAGE NURSES AND
INTERDISCIPLINARY SCIENTIST TO
USE PERSPECTIVES THAT ACCOUNT
FOR DAILY LIFE TO MITIGATE BIAS
AND MINIMIZE DIFFERENCES IN
HEALTH AND DISEASE DISTRIBUTION.
TO MEET THIS GOAL, NINR SHOULD
SUPPORT RESEARCH THAT
ESTABLISHES OR ENHANCES
GOVERNANCE STRUCTURES AND
RELATED MODELS SUCH AS
THEORETICAL, CLINICAL AND
ETHICAL FRAMEWORKS BY
SYSTEMATICALLY INTEGRATING
THROUGH CONTINUOUS MONITORING
AND REDICTION OF DISEASE
DISTRIBUTION DIFFERENCES.
DESIGNS INVALIDATES AI MODELS
INCORPORATING CONDITIONS OF
DAILY LIFE UP INCLUDING SPECIFIC
STRATEGIES TO INTEGRATE SUCH
FACTORS INTO MODELS. EFFORTS AIM
TO IMPROVE FAIRNESS, PERFORMANCE
AND BIAS MITIGATION WHILE
CONTRIBUTING TO MORE ACCURATE
OUTCOMES ACROSS A VARIETY OF
PATIENT POPULATIONS. FOURTH,
INNOVATES METHODS TO ASSIMILATE
-- AND INTEGRATE CONDITIONS OF
DAILY LIFE DATA WITH NURSING
DATA INCORPORATING MULTI -MODAL
AND WIDE RANGE OF REAL-WORLD
DATA SOURCES. NEXT SLIDE. IO
YVONNE, DO I GO ON? OUR TRAINING
RECOMMENDATIONS, THEY WERE TIED
FOR PRIORITY. THE FIRST UP WITH
WAS DEVELOP TARGETED AI TRAINING
PROGRAMS TO ADVANCE NURSE
SCIENTIST COMPETENCY AND
CONDUCTING AI FOCUSED RESEARCH
THROUGH A LENS THAT ACKNOWLEDGES
CONDITIONS OF DAILY LIFE THAT
RESULT IN DIFFERENCES IN HEALTH
AND DISEASE DISTRIBUTION AND
INCLUDED DEDICATED FORMAL
EDUCATION AND INFORMATICS,
CLINICAL DECISION SUPPORT AND
AI. TO MEET THIS GOAL NINR
SHOULD INVEST IN TRAINING
PROGRAMS THAT INCREASE AWARENESS
AND COMPETENCY IN AREAS SUCH AS
AI LITERACY. ETHICAL AI USE.
BIASSED MITIGATION. DATA
INTERPRETATION AND CLINICAL
APPLICATIONS OF AI TOOLS. IN THE
SECOND TRAINING RECOMMENDATION,
NINR SHOULD ENCOURAGE ALL
TRAINING PROGRAMS SO THAT ALL
THE T-32s TO PROVIDE STUDENTS
WITH FOUNDATIONAL EDUCATION IN
AI TO PREPARE THEM FOR
INTEGRATION INTO NURSING SCIENCE
AND PRACTICE. TO MEET THIS GOAL
NINR SHOULD INVEST IN TRAINING
PROGRAMS THAT PROVIDE FORMAL
EDUCATION IN INFORMATICS,
CLINICAL DECISION SUPPORT AND AI
-- BUILD AI EDUCATION UPON
FOUNDATIONAL INFORMATICS
EDUCATION, INCORPORATING
TRAINING SOURCES O F BIAS IN THE
AI AND STRATEGY FOR PREVENTING
AND EDADDRESSING BIAS. YOU ARE
TAKING OVER, YVONNE?
>> YES, THANKS PAT. THE
FORWARD ARE ADDITIONAL
RECOMMENDATIONS. NEXT SLIDE,
PLEASE. NINR SHOULD FACILITATE
PARTNERSHIPS BETWEEN NURSE
SCIENTISTS AND INDUSTRY TO
DEVELOP INNOVATIVE
PATIENT-CENTERED TECHNOLOGISTS
AND SHOULD SUPPORT DEVELOPMENT
AND ADOPTION OF STANDARDIZED
NURSING STRUCTURES TO FACILITATE
LARGE-SCALE DATA HARMIZATION AND
INTEGRATION INTO NATIONAL HEALTH
ANALYSES. NINR SHOULD FACILITATE
A SYSTEMATIC APPROACH TO
INTEGRATING AI APPLICATIONS IN
NURSING, INCLUDING CLINICAL
DECISION SUPPORT, PATIENT
EDUCATION, DOCUMENTATION AND
PREDICTIVE ANALYTICS. NINR
SHOULD PRIORITIZE RESEARCH ON
IDENTIFYING AND MITIGATING
BIASES IN AI TOOLS TO PROMOTE
HEALTH CARE OUTCOMES FOR ALL
PEOPLES. NEXT SLIDE, PLEASE.
NINR SHOULD SUPPORT THE
DEVELOPMENT OF STANDARDIZED
FRAMEWORKS FOR BIAS ASSESSMENT
AND CONTINUOUS MONITORING OF AI
ALGORITHMS IN HEALTH CARE AND
SHOULD FOSTER NURSE'S CRITICAL
EVALUATION OF AI-GENERATED DATA
TO ENSURE PROFESSIONAL JUDGMENT
AND RESEARCH APPROACHES THAT
PRODUCE ENDURING, ADAPTABLE
SOLUTIONS, TO KEEP PACE WITH
RAPID AI ADVANCEMENTS IN HEALTH
CARE. NEXT SLIDE. WE THANK YOU
SO VERY MUCH. I THINK THERE IS A
DISCUSSION, I'M NOT SURE. SO I
WILL TURN IT OVER TO EITHER THE
DISCUSSANT OR FOR Q&A, THANK
YOU.
>> THANK YOU, DR. STONE AND
BRYANT. WE HAVE TIME FOR
QUESTIONS. SO I WILL OPEN IT UP
TO COUNCIL, IF YOU ALL HAVE ANY
QUESTIONS.
>> I JUST WANTED TO THANK THE
WORKING GROUP MEMBERS,
ESPECIALLY THE ONES WHO ARE
HERE. IT WAS REALLY A PLEASURE
TO WORK WITH YOU ON DEVELOPING
THESE RECOMMENDATIONS.
>> AND I CONCUR WHOLE
HEARTEDLY.
>> THANK YOU FOR YOUR WORK.
>> GO AHEAD, DANIEL.
>> OKAY, THANK YOU. I DON'T
NECESSARILY HAVE A QUESTION. I
JUST HAVE A COMMENT. I WANT TO
ECHO DR. STONE'S COMMENTS, YOU
KNOW, THANK THE WORKING GROUP
FOR PUTTING TOGETHER SUCH A
THOUGHTFUL LIST OF
RECOMMENDATIONS. I APPRECIATE
THE PRIORITIZATION OF THESE,
WHICH I THOUGHT -- YOU KNOW, IN
CON GREENS WITH WHAT I HAVE READ
ARE BEST PRACTICES. I REALLY
APPRECIATE THE APPROACH TO
INTERDISCIPLINARY COLLABORATION.
I APPRECIATED THE FACT YOU ALL
LOOKED AT ALL STAGES OF AI
ALGORITHM DEVELOPMENT AND
EVALUATION, ENSURING FOLKS WHO
ARE CLOSE TOST TO PAIN AND PROBS
ARE INCORPORATED, FOLKS FROM THE
COMMUNITY ARE INCORPORATED IN
DESIGN AND EVALUATION. OF COURSE
THE TRAINING COMPONENT REALLY
HIT ME AS WELL AS ONE THAT I
THOUGHT WAS ON THE MARK, SO
THANK YOU ALL FOR YOUR HARD WORK
ON THAT.
>> YOU'RE WELCOME. IT WAS A
REAL PLEASURE.
>> DR. -- MR. RANKIN.
>> YES, I WANT TO COMMEND YOU
ALL ON TAKING THE LEAD. IT IS
SOMETHING THAT IS ON THE MINDS
OF A LOT OF PEOPLE. AI AND WHAT
IT MAY BE, MOVING FORWARD IN THE
FUTURE. I DON'T THINK WE
ACTUALLY KNOW. BUT ARE WE
TALKING ABOUT ACTUALLY INCURRING
PEOPLE TO DO RESEARCH USING AI
OR EXPECTING THAT IT IS GOING TO
COME AND BEING PROACTIVE WITH
THIS APPROACH?
>> I THINK THAT WE ARE
ENCOURAGING -- MAKING
RECOMMENDATIONS THAT THERE
SHOULD BE RESEARCH ON THE
DEVELOPMENT AND EVALUATION OF
AI. THAT IT IS HAPPENING, YOU
KNOW. I KNOW THAT NINR SUPPORTED
AI APPROACH TO PUTTING AN
INDICATOR IN HOSPITAL ELECTRONIC
MEDICAL RECORDS THAT BRINGS IN A
LOT OF -- AN ALGORITHM THAT
BRINGS IN NARRATIVE NURSING
NOTES AS WELL AS LABORATORY
THINGS, YOU KNOW, TO SAY AS A
CONDITION THAT THIS PATIENT
MIGHT BE DOING POORLY IN THE
ICU. IT'S ACTUALLY SAVED LIVES.
WE NEED TO CONTINUE TO DEVELOP
THESE SORT OF THINGS, YOU KNOW,
IN ALL DIFFERENT SETTINGS AND DO
THEM ETHICALLY AND MAKE SURE
THAT PEOPLE ARE -- UNDERSTAND
THEM.
>> THANK YOU. IT CAN BE A
TOOL FOR GOOD OR FOR BAD, THAT
IS A CONCERN.
>> YEAH. IT COULD BE. BUT THE
TOOL IS THERE.
>> ANY OTHER QUESTIONS,
COMMENTS? DO YOU WANT TO SAY
ANYTHING ABOUT IT?
>> THANK YOU. FIRST I WANT TO
ACKNOWLEDGE -- THANK BOTH OF OUR
CHAIR'S EFFORTS IN LEADING US IN
THIS WORKING GROUP. AS ALL OF
YOU KNOW, AI'S ALREADY
TRANSFORMING HEALTH CARE. BANKS
REPRESENTING THE LARGEST
PROFESSIONALS, NURSING, WE NEED
TO UP OUR GAME IN EDUCATING AND
TRAINING OUR NURSE, NURSE
SCIENTISTS IN AI SO WE CAN
UNDERSTAND NOT ONLY THE PRO 'S,
WHERE WE CAN SAVE LIVES AND THEY
ARE ALREADY VALIDATED RESEARCH
TOOLS THAT ARE ALREADY AI TOOLS
PROVEN TO SORT OF IMPROVE CARE
OR SAVING LIVES, IMPROVE
MORTALITY, BUT ALSO
UNDERSTANDING, YOU KNOW, THE
BIAS WE MENTION IN THESE
RECOMMENDATIONS. IT IS IMPORTANT
FOR NURSES, NURSE SCIENTISTS TO
RECOGNIZE THE BIASES AND HOW CAN
WE MITIGATE THOSE RISKS AND
BIASES FROM DEVELOPMENT TO THE
IMPLEMENTATION, SO I APPRECIATE
ALL THE QUESTIONS BECAUSE WE DO
RECOGNIZE AND UNDERSTAND ALL
PRO-AI, ANYTHING AI, BUT WITH
APPROACH TO UNDERSTAND THE
PRO 'S AND CON'S AND ED A
ADVANTAGES AND DISADVANTAGES IT
BRINGS TO HEALTH CARE, THANK
YOU.
>> THANK YOU. DR. WANG. DID
YOU HAVE COMMENTS OR ANYTHING?
>> I JUST ECHO YOUR COMMENTS
ALREADY. AI IS ALREADY BEING
USED. IT IS RUNNING IN THE
BACKGROUNDS OF ALL THE
ELECTRONIC HEALTH REPORT
SYSTEMS. DOING THINGS LIKE
IDENTIFYING SEPSIS RISK,
IDENTIFYING ACUTE KIDNEY INJURY.
THOSE THINGS, THERE IS REALLY
GOOD EVIDENCE IT IS IDENTIFYING
VITAL SIGN CHANGES, SUBTLE
THINGS WE MIGHT DISMISS AS
NURSES IN OUR PRACTICE .TAB
IT IS POWERFUL AND THE CHALLENGE
IS IMPLEMENTING IT FROM ONE
MODEL TO ANOTHER. SYSTEMS ARE
VERY DIFFERENT. THAT IS WHERE
NURSES COME IN UNDERSTANDING HOW
THE SYSTEMS ARE DIFFERENT, WHY
ARE PATIENTS DIFFERENT, WHY ARE
PROVIDERS NOT RESPONDED TO FLAG
GENERATED THAT SAYS THIS PATIENT
IS -- SO THE QUESTIONS, AT THIS
POINT, ARE ENDLESS. BUT AI IS
HERE. I THINK BY US NOT
ADDRESSING IT, WE ARE MISSING A
HUGE OPPORTUNITY TO HELP
PATIENTS.
>> THANK YOU.
>> WE THANK YOU FOR THE
COMMENTS. WE LOOK FORWARD TO
MOVING THE FINAL REPORT FORWARD.
>> THANK YOU VERY MUCH FOR
THE DISCUSSION AND TO THE
CO -CHAIRS AND MEMBERS OF THE
WORKING GROUP. THE WORK YOU ARE
LAYING OUT IS DIRECTLY IN LINE
WITH THE PRIORITIES YOU HEARD ME
TALK ABOUT EARLIER, AS WELL AS
OUR UPCOMING WORKSHOP FOR THE AI
BOOT CAMP SO ENCOURAGE ALL OF
YOU TO DO THAT, AS WELL. WE HAVE
A FEW MINUTES BEFORE WE
TRANSITION TO INTERNAL
CONVERSATIONS TO OUR STAFF.
WANTED TO MAKE SURE THERE ARE
ADDITIONAL QUESTIONS FROM
COUNCIL BEFORE WE BREAK FOR A
FEW MINUTES.
SEEING NONE, WE ARE GOING TO
TAKE A QUICK BREAK. I'LL ASK
EVERYONE TO COME BACK AT 10:05.
THANK YOU VERY MUCH.
-- NINR SOLUTIONS OR RESEARCH.
>> THANKS, DR. AKLIN. NEXT
SLIDE, PLEASE. MANY OF YOU ARE
FAMILIAR WITH OUR MISSION
STATEMENT BUT I THINK IT IS
IMPORTANT AGAIN TO EMBED THIS
FRAMING AS I MOVE THROUGH THE
PRESENTATION. NINR IS STEADFAST
-- I AM NOT -- OKAY. MY
APOLOGIES. OKAY. NINR IS
STEADFAST IN ADVANCING OUR
MISSION OF LEADING NURSING
RESEARCH TO SOLVE CHALLENGES AND
INFORM PRACTICE AND POLICY,
OPTIMIZING HEALTH FOR ALL. THIS
IS WITH THE END GOAL OF
INFORMING HOW WE ENGAGE IN
CLINICAL SETTINGS, PEOPLE IN
COMMUNITY SETTINGS AND CONSIDER
FULL POPULATIONS TO ADVANCE
RESEARCH TO BE TRANSLATED INTO
THE MANY SETTINGS IN WHICH
NURSES WORK. MOVING FROM WHAT WE
KNOW ABOUT FACTORS THAT
INFLUENCE HEALTH TO WHAT WE DO
TO ADVANCE HEALTH FOR ALL REMAIN
ASCII FOCUS FOR US AT NINR. WE
REMAIN COMMITTED TO OUR MISSION
AND ARE CONTINUING TO MOVE
FORWARD SCIENTIFIC ACTIVITIES IN
PURSUIT OF THIS CONTINUED GOAL,
AS YOU HEARD EARLIER FROM DR.
AKLIN. NEXT SLIDE, PLEASE. AT
NINR WE'VE BEEN BUSY ADVANCING
SCIENTIFIC ACTIVITIES THAT ARE
SOLUTIONS-ORIENTED. OVER THE
PAST SEVERAL YEARS TO ACCELERATE
PROGRESS AND IMPROVING THE
HEALTH OF OUR NATION WE HAVE
EXPANDED OUR COMMITMENT TO
INTERVENTION RESEARCH THAT
FOCUSES ON SYSTEMS, PROGRAMS,
PRACTICES AND POLICIES. IN FACT,
NINR RANKS SECOND AT NIH IN
SUPPORTING INTERVENTION RESEARCH
AND ALSO SECOND IN ENCOURAGING
RESEARCH THAT CENTERS THE
CONSIDERATION OF PEOPLE'S LIVES
AND LIVING CONDITIONS AS THE
CONTEXT IN WHICH HEALTH IS
DEVELOPED, MAINTAINED AND
IMPROVED. NEXT SLIDE, PLEASE. IN
RECENT YEARS NINR HAS LED
SEVERAL RESEARCH INITIATIVES
THAT ADVANCE THIS BODY OF
RESEARCH, WITH THE GOAL OF
MOVING US ALONG TO ACTIONABLE
STRATEGIES TO IMPROVE HEALTH FOR
ALL. THESE INITIATIVES HAVE
INCLUDED A FOCUS ON BRIDGING THE
DIVIDE BETWEEN CLINICAL CARE AND
COMMUNITY SERVICES AND RESOURCES
TO MAKE CARE MORE EFFECTIVE AND
EFFICIENT FOR ALL POPULATIONS
ACROSS DISEASE Z AND CONDITIONS
AND THE LIFE COURSE. ANOTHER
INITIATIVE AIMS TO SUPPORT
HOUSING INSTABILITY AS IT IS
IMPORTANT TO MAINTAINING OPTIMAL
HEALTH. NINR IS ALSO ADVANCING
SOLUT
SOLUTIONS TO SUPPORT RESEARCH TO
DEVELOP INNOVATIVE CARE MODELS
BUILT AROUND CONTEXT OF PEOPLE'S
LIVES AND LIVING CONDITIONS. OUR
INITIATIVE ON NURSE BURNOUT
ADVANCES RESEARCH TO DEVELOP
ORGANIZATIONAL INTERVENTIONS TO
PREVENT AND MITIGATE NURSE
BURNOUT AND INCREASE NURSE
WELL-BEING IN THE VERY SETTINGS
WHERE NURSES PRACTICE. NOW THAT
I'VE HIGHLIGHTED A FEW OF OUR
SOLUTIONS-ORIENTED RESEARCH
EFFORTS I WILL BRIEFLY MENTION A
FEW STUDIES WE CURRENTLY
SUPPORT. NEXT SLIDE, PLEASE. OUR
INNOVATIVE SOLUTIONS ADVANCE
SOLUTIONS TO ADVANCE MULTIPLE
CHRONIC DISEASES ANDOVER THE LI
COURSE, ONE IS DIABETES OUTCOMES
AMONG HOSPITALIZED ADULTS. THIS
STUDY, WHICH COUPLES SDOH
SCREENING INTERVENTION TOOL WITH
A PATIENT NAVIGATION PROTOCOL,
LEVERAGES HOSPITALIZATION AS AN
OPPORTUNITY TO RESOLVE UNMET
SDOH NEEDS THAT PLACE PATIENTS
AT ELEVATED RISK OF FOUR
POST-DISCHARGE OUTCOMES. NEXT
SLIDE, PLEASE. RESIDENTS SUFFER
CHRONIC PAIN COMPARED TO
NON-RURAL AND IMPACTED BY
NURSING SHORTAGES. THIS PROJECT
USES A HYBRID EFFECTIVENESS
IMPLEMENTATION DESIGN TO
IMPLEMENT A NURSE CARE
MANAGEMENT MODEL IN A RURAL
HEALTH CARE SYSTEM IN PRIMARY
CARE CLINICS FOR PATIENTS WITH
CHRONIC PAIN. THE PROJECT IS
IMPLEMENTED ON A SYSTEM-WIDE
LEVEL WITH ATTENTION TO
IMPLEMENTATION NEEDS AT
DIFFERENT RURAL PRIMARY CARE
SITES, BASED ON POPULATION,
STAFFING AND OTHER FACTORS. THE
NEXT STUDY, THE DEMANDS OF
MANAGING CHRONIC CONDITIONS SUCH
AS DIABETES AND HYPERTENSION
SOMETIMES CANNOT BE MET WITH
USUAL CARE. THIS PROJECT
ADDRESSES MANAGING THE PROJECT
OF DIABETES AND HYPERTENSION NOT
RESPONSIVE TO MANAGEMENT AND TO
ADDRESS MONITORING COMBINED WITH
TEL HEALTH, WHICH MAY IMPROVE
MANAGEMENT BECAUSE IT
FACILITATES PATIENT PROVIDER
CONTEXT THAT SUPPORT PROJECT
MANAGEMENT. THIS FOCUSES ON
ADDRESSING BARRIERS AND EVIDENCE
GAPS THAT PROVIDE WIDESPREAD
IMPLEMENTATION OF MOBILE
MONITORING COMBINED WITH
TELEHEALTH. IF YOU CAN IS
ACCESSFUL THIS APPROACH CAN BE
USED FOR OTHER HIGH-RISK,
DIFFICULT-TO-MANAGE CONDITIONS
LIKE HEART FAILURE, CHRONIC
BLOOD AND DISEASE AND OTHERS IN
OTHER CONTEXT. NEXT SLIDE,
PLEASE. COMMUNITY PARTNERSHIP IS
ESSENTIAL TO MOVING FORWARD
SOLUTIONS-ORIENTED RESEARCH IN A
WAY THAT MAXIMIZES IMPACT AND
RESONATES WITH COMMUNITY AND
THAT IS SUSTAINABLE OVER TIME.
AUTHENTIC AND MEANINGFUL
COMMUNITY PARTNERSHIP ALLOWS
RESEARCHERS TO AMPLIFY COMMUNITY
VOICES AND INFLUENCE LEVERAGING
COMMUNITY STRENGTHS AND SHARE
DECISION MAKING AND RESOURCES TO
PROMOTE HEALTH GAINS. NINR
INITIATIVES INVITE THAT
COMMUNITY VOICE IN THE RESEARCH
PROCESS. NEXT SLIDE, PLEASE.
PROVIDING HEALTH SOLUTIONS IS
NOT NEW TO NINR. WE HAVE LONG
OPERATED IN THIS SPACE AND
CONTRIBUTED TO MANY NIH-WIDE
EFFORTS TO MOVE THIS RESEARCH
FORWARD. MOST RECENTLY, WE
CO -CHAIRED THE SDOH RESEARCH
COORDINATING COMMITTEE, WHICH
PROVIDES A UNIFORM WAY TO THINK
ABOUT SOLUTIONS-ORIENTED
RESEARCH BY PROMOTING AN
NIH-WIDE RESEARCH AGENDA THAT
CONSIDERS THE CONTEXT OF
PEOPLE'S LIVES AND LIVING
CONDITIONS AS PRINCIPLE
CONTRIBUTORS TO HEALTH. NINR
PLAYS A CRUCIAL ROLE IN
IMPLEMENTING A MATERNAL HEALTH
AND PREGNANCY OUTCOMES VISION
FOR EVERYONE FOR IMPROVED
INITIATIVE, WHICH AIMS TO REDUCE
PREVENTABLE CALLS OF MATERNAL
DEATH AND IMPROVE HEALTH FOR
WOMEN BEFORE, DURING AND AFTER
PREGNANCY, RECOGNIZING THE
CRITICAL IMPORTANCE OF
UNDERSTANDING DAILY CONDITIONS
AFFECTING WOMEN'S LIVES, NINR
CHAMPION ED A SOLUTIONS-ORIENTED
APPROACH THAT EMPHASIZED
COMMUNITY ENGAGEMENT AND
ADDRESSING SOCIAL DETERMINANTS
OF HEALTH. THIS APPROACH ENSURED
THAT THE IMPROVED STUDIES
ENCOMPASSED A WIDE RANGE OF
POPULATIONS AND GEOGRAPHICAL
AREAS ACROSS THE U.S. ,
PROVIDING A COMPREHENSIVE VIEW
OF MATERNAL HEALTH CHALLENGES.
NINR WAS INSTRUMENTAL IN
ADVOCATING FOR MEANFULFUL
INTEGRATION OF EFFECTIVE
COMMUNITY VOICES THROUGHOUT THE
RESEARCH PROCESS. THIS EMPHASIS
ON COMMUNITY INVOLVEMENT WAS
VITAL IN IDENTIFYING EFFECTIVE
AND SUSTAINABLE SOLUTIONS TO
IMPROVE MATERNAL HEALTH OUTCOMES
WITHIN THESE COMMUNITIES. BY
PRIORITIZING AND EXAMINATION OF
CONDITIONS THAT AFFECT DAILY
LIFE AND COMMUNITY ENGAGEMENT,
NINR IS HELPING TO SHAPE BUT
ALSO WORKS TOWARD PRACTICAL
COMMUNITY-DRIVEN SOLUTIONS TO
THESE PRESSING HEALTH
CHALLENGES. NINR LEADS, THROUGH
THE INITIATIVES I JUST
DESCRIBED, AND SUPPORT FOR ITS
AWARDS AND OTHERS AND NINR WILL
CONTINUE TO LEAD THROUGH NEW
INITIATIVES YOU WILL HEAR ABOUT
NEXT ON THE AGENDA. NEXT SLIDE,
PLEASE. FOR MANY PRESSING AND
PERSISTENT HEALTH CHALLENGES
AMERICANS FACE REQUEERS THE
RESEARCH COMMUNITY TO MOVE MORE
QUICKLY INTO ACTION. SHIFTING
FROM KNOWLEDGE TO SOLUTIONS ON
PROGRESS ON ADVANCING HEALTH FOR
ALL IS CRITICALLY IMPORTANT TO
THE HEALTH OF THIS NATION. NINR
HAS AND WILL CONTINUE TO PAVE A
PATH TOWARD THIS GOAL THROUGH
SUPPORTING INNOVATIVE IDEAS AND
RIGOROUS RESEARCH TO SUPPORT
THEM. NEXT SLIDE, PLEASE. THANK
YOU FOR YOUR ATTENTION. I WILL
JUST PAUSE FOR QUESTIONS OR
DISCUSSION. MR. HERRINGTON.
>> THANK YOU DR. TARLOV. I
KNOW IN ILLINOIS THEY HAVE A
TO
TASKS FOR IN PLACE MAYBE THREE,
FOUR YEARS. IS THERE OPPORTUNITY
TO GET INFORMATION YOU SHARED OR
OPPORTUNITIES FOR THEM MAYBE TO
GET INVOLVED OR HELP COMMUNICATE
AND ALSO STILL HAVE
RELATIONSHIPS WITH MOST LOCAL
HEALTH DIRECTORS IN COOK COUNTY
BUT I KNOW IT IS A BIG ISSUE.
WE'D BE HAPPY TO, YOU KNOW,
ENGAGE SOME PEOPLE FROM PUBLIC
HEALTH TO GET INVOLVED IN THIS.
>> WONDERFUL. THANK YOU FOR
THAT. WE SHOULD TOUCH BASE AFTER
THE MEETING. THAT WOULD BE
GREAT, THANK YOU SO MUCH. DR.
GUILAMO-RAMOS. WE CAN'T HEAR
YOU.
[AUDIO DIFFICULTIES]
>> ANY OTHER COMMENTS OR
QUESTIONS? DR. VINCENT
GUILAMO-RAMOS, LET'S TRY THAT
AGAIN.
>> MAYBE HE COULD PUT HIS
COMMENT IN THE CHAT FUNCTION.
>> YEAH, CERTAINLY YOU COULD
TRY THE CHAT. THEN OUR SUPPORT
-- TECH SUPPORT IS TELLING US
YOU MIGHT WANT TO DISCONNECT AND
REJOIN.
>> TIME FOR DISCUSSION SO WE
MAY COME BACK AFTER WE GO
THROUGH OUR CONCEPTS.
>> ADDITIONAL COMMENTS OR
QUESTIONS?
>> THANK YOU DR. TARLOV. WE
WILL MOVE TO THE CONCEPT. IN
YOUR CAPACITY YOU ARE SOURCE OF
ADVICE ON RESEARCH DIRECTION AND
SCIENTIFIC PRIORITIES. NINR
SEEKS COUNCIL ADVICE FOR
LONG-TERM PLANNING BY PRESENTING
CONCEPTS. THE CONCEPT IS THE
EARLIEST PLANNING STEP OF AN
INITIATIVE. ANY IMPROVED CONCEPT
MAY OR MAY NOT BECOME FUNDING
INITIATIVES BASED ON ANY NUMBER
OF FACTORS INCLUDING THE
AVAILABILITY. A SUMMARY OF
TODAY'S CONCEPTS REMAIN
AVAILABLE IN EACH OF YOUR
COUNCIL BOOKS FOR REVIEW IN
ADVANCE OF THE MEETING. SO I
WILL NOW TURN IT OVER TO AN NINR
STAFF MEMBER ACROSS SPANNING A
LIFETIME.
>> GOOD MORNING. MY NAME IS
COMMANDER MAJOR TIAS IN THE
BRANCH WITHIN THE NINR, OOI'M
DELIGHTED TO PRESENT ADVANCING
NUTRITION-RELATED RESEARCH
ACROSS THE LIFE SPAN. NEXT
SLIDE, PLEASE. TO ESTABLISH
CONTEXT FOR THIS CONCEPT IT IS
IMPORTANT TO KNOW ADVERSE
NUTRITION-RELATED HEALTH ACROSS
THE LIFE SPAN IS A MAJOR PUBLIC
HEALTH PROBLEM ASSOCIATED WITH
GROWING RATES OF CHRONIC
DISEASES SUCH AS OBESITY, TYPE 2
DIABETES, CANCER,
CARDIOVASCULAR. OUTCOMES STILL
REMAIN UNFAVORABLE ACROSS AND
OVERALL AMONG POPULATIONS THERE
ARE MULTIPLE FACTORS
CONTRIBUTING TO THE RISE OF
NUTRITION-RELATED CHRONIC
DISEASE. WITH THE GROWING
RECOGNITION OF THE PIVOTAL ROLE
AND IMPACT OF THE FOOD
ENVIRONMENT AND OTHER CONDITIONS
IN WHICH PEOPLE ARE BORN, GROW,
LEARN, WORK, PLAY, LIVE AND ALSO
AGE. THERE'S ALSO WIDER SET OF
FACTORS SHAPING THE CONDITIONS
OF DAILY LIFE. RESEARCH,
HOWEVER, ADDRESSING DIFFERENCES
IN DIET AND NUTRITION HAS
PRIMARILY FOCUSED ON INFLUENCES
AT THE INDIVIDUAL AND INTER
PERSONAL LEVELS. GIVEN THE
PROFOUND IMPACT OF THE SOCIAL,
ENVIRONMENTAL, ORGANIZATIONAL
COMMUNITY FACTORS ON NUTRITIONAL
HEALTH THERE IS AN URGENT NEED
TO BROAD EN THE FOCUS FROM
INDIVIDUAL CHANGE TO EFFECTIVE
APPROACHES TO ADDRESS THE
CONDITIONS OF DAILY LIFE THAT
INFLUENCE ACCESS, AFFORDABILITY
AND PROMOTION OF HEALTHY FOOD
AND BEVERAGE OPTIONS. THIS
INCLUDES EVIDENCE ON THE IMPACT
OF PROGRAMS AT THE FEDERAL,
STATE AND LOCAL LEVELS THAT
AFFECT ACCESS TO NUTRITIONAL
RESOURCES. SO I'D LIKE TO POINT
OUT THE DATA IS DEPICTING THE
AGE-ADJUSTED MORTALITY RATE PER
100,000 OF THE OVERALL
POPULATION. ALSO AMONG MALES AND
FEMALES IN THE UNITED STATES.
ALSO SHOWS RISING RATES OF
CARDIOVASCULAR DISEASE AND
OBESITY ALONG WITH CRUEL
MORTALITY RATE ACROSS THE LIFE
SPAN. YOU CAN SEE THE RISE FOR
THIS OVERALL POPULATIO POPULATI
FOR NUTRITION-RELATED RESEARCH
THAT'S BEEN SHOWN TO BE
EFFECTIVE IN IMPROVING OUTCOMES,
SCIENTIFIC GAPS REMAIN
CONCERNING EVIDENCE-BASED
STRATEGIES AND PRACTICETIES THAT
ADDRESS CONDITIONS OF DAILY LIFE
AND FACTORS THAT ENHANCE THEIR
IMPLEMENTATION IN A WIDE RANGE
OF REAL-WORLD SETTINGS INCLUDING
CLINICS, SCHOOLS AND WORKPLACES.
HOW NUTRITION-RELATED PROGRAMS
AND PRACTICES INFLUENCE
EFFECTIVENESS OF BEHAVIORAL,
PHARMALOGICAL, CLINICAL AND
OTHER INNOVATIVES REMAINS
UNDERSTOOD AND INFORM CREATION
OF HEALTH CARE SYSTEMS THAT
INTEGRATE THOSE FACTORS, SOCIAL
AND ENVIRONMENTAL ORGANIZATION
AND COMMUNITY FACTORS AND
CONDITIONS AND DELIVERY OF CARE.
THIS IS PARTICULARLY CRITICAL TO
FOSTER HEALTH CARE SYSTEM'S
EFFECTIVENESS IN RESPONDING TO
THE CONSEQUENCES OF
NUTRITION-RELATED CHRONIC
DISEASE. CUMULATIVELY, THESE
FACTORS IMPACT THE CAPACITY TO
IMPROVE NUTRITIONAL HEALTH AND
PREVENT, MANAGE AND TREAT
NUTRITION-RELATED CHRONIC
DISEASES. NEXT SLIDE, PLEASE.
GIVEN THE CLINICAL RESEARCH GAPS
I JUST DISCUSSED, THE PURPOSE OF
THIS SCIENTIFIC CONCEPT IS TO
ADVANCE RESEARCH, IMPROVE
NUTRITION-RELATED OUTCOMES FOR
ALL PEOPLE ACROSS THE LIFE SPAN.
NINR WORK ON THESE FACTORS AND
INFLUENCES TO IMPROVE OUTCOMES
FOR ALL PEOPLE INCLUDING BUT NOT
LIMITED TO PRENATAL, EARLY
CHILDHOOD, ADOLESCENT, ADULT AND
AGING POPULATIONS. NEXT SLIDE,
PLEASE. SO YOU ASK WHY NURSING
RESEARCH FOR THIS CONCEPT.
NURSING BRINGS A BIG PICTURE
UNDERSTANDING THAT IMPROVING
HEALTH AND HEALTH CARE REQUIRES
TO THE CONDITIONS OF DAILY LIFE.
NURSING RESEARCH ALSO LEVERAGES
NURSING'S HOLISTIC PERSPECTIVE
AND PRIORITIZES FACTORS THAT
WILL ACCELERATE PROGRESS IN
IMPROVING NUTRITIONAL HEALTH FOR
ALL. IN SUMMARY, THIS CONCEPT
AIMS TO HARNESS NURSING SCIENCE
TO NARROW CRITICAL GAPS BY
ADVANCING RESEARCH IN THIS
IMPORTANT SCIENTIFIC AREA. NEXT
SLIDE. SO A FEW AREAS OF
SCIENTIFIC INTEREST FROM NINR
INCLUDE EXAMINES FOOD
ENVIRONMENTS ON DIETARY PATTERNS
ON CHRONIC DISEASE RISK AND
OUTCOMES AMONG VARIOUS
POPULATIONS SUCH AS PREGNANT
MOTHERS, SCHOOL CHILDREN, YOUTH,
RURAL AND TRIBAL COMMUNITIES,
HOUSING INSECURE INDIVIDUALS AND
AGING ADULTS IN CONGREGATE
SETTINGS. WE ARE INTERESTED IN
STUDIES THAT EXAMINE COMMUNITY
ORGANIZATIONAL INNOVATIONS TO
ENHANCE ACCESS THE QUALITY,
NUTRITION-RELATED CHRONIC
DISEASE PREVENTION AND
TREATMENT. FOOD NUTRITION
SUPPORT AND HEALTH CARE
SERVICES. WE ALSO ARE INTERESTED
IN LOOKING AT THE DEVELOPMENT
AND IMPLEMENTATION OR THE
EVALUATION OF NUTRITION-RELATED
CHRONIC DISEASE PREVENTION
INTERVENTIONS THAT PRIORITIZE
INTERVENING ON CONDITIONS OF
DAILY LIFE AMONG POPULATIONS
ACROSS THE LIFE SPAN. STUDIES
THAT LOOK AT THE IMPLEMENTATION
STRATEGIES TO ADDRESS CONDITIONS
OF DAILY LIFE THAT ENHANCE
ADOPTION OF EVIDENCE-BASED,
NUTRITION-RELATED MULTI -LEVEL
INTERVENTIONS IS OF KEEN
INTEREST. LASTLY TO INVESTIGATE
NEW NURSING AND ENHANCE
NUTRITION-RELATED HEALTH
OUTCOMES FOR ALL. LAST SLIDE. SO
AGAIN, THANK YOU FOR THE
OPPORTUNITY TO PRESENT THIS
EXCITING CONCEPT. WE LOOK
FORWARD TO YOUR THOUGHTS ON THIS
MAJOR PUBLIC HEALTH ISSUE. I
ALSO WOULD LIKE TO ACKNOWLEDGE
MY COLLEAGUES WITHIN BEST WHO
SUPPORT ED THIS . DR. LONG, DR.
MCNAMARA AND OTHER PROGRAM
DIRECTORS WITH VIN DESK, THANK
YOU. I LOOK FORWARD TO YOUR
QUESTIONS. DR. FITZPATRICK, DID
YOU WANT TO PROVIDE YOUR
FEEDBACK?
>> YES, THANK YOU. I WAS
REALLY EXCITED TO HEAR THIS
CONCEPT BECAUSE EVERY PATIENT
UNDER MEDICAL CARE HAS A NEW
TRADITION ORDER. WHETHER IT IS
(?), CERTAIN DIET LIKE DASH DIET
FOR HYPERTENSION. SO THIS
CROSSES NURSING IN ANY ROLE,
WHETHER IT IS THE COMMUNITY,
ACUTE CARE, PRIMARY CARE. SO IT
IS SO RELEVANT TO NURSING. I
LIKE THAT YOUR APPROACH TO THIS,
BECAUSE PREVENTION IS OBVIOUSLY
THE ULTIMATE GOAL BUT THERE IS
DISEASE MODIFICATION, WHICH YOU
HAVE ALLUDED TO WITH TYPE 2
DIABETES AND OBESE OBESITY.
THERE IS POTENTIAL. OBVIOUSLY
NURSING IS COMMITTED TO
IMPLEMENTATION. BUT THERE IS
IMPLEMENTATION ACROSS MULTIPLE
PRACTICE AREAS. THE ACUTE CARE
SETTING, PRIMARY CARE SETTING,
THE COMMUNITY, AS YOU HAVE
LISTED. THE POTENTIAL IS HUGE.
IF WE COULD IMPROVE THINGS LIKE
SURGICAL OUTCOMES, IF WE COULD
IMPROVE THE CARE OF CRITICALLY
ILL CHILDREN AND ADULTS, IF WE
COULD IMPROVE THE OPPORTUNITIES
FOR CHILDREN BORN PREMATURELY,
IN-PATIENT, OUT-PATIENT, IT
REALLY DOES JUST CROSS THE LIFE
SPAN. SO, YOU KNOW, ONE OF THE
THINGS I JUST WANTED TO MENTION
IS I LOVE THE FOCUS ON
IMPLEMENTATION. YOU CAN BE
CREATIVE IN MULTIPLE SETTINGS
WITH THAT. IT ALSO OPENS UP THE
OPPORTUNITY TO ALSO THINK ABOUT
SOME MECHANISMS SO MIGHT BE SOME
STUDIES THAT WE NOT ONLY
IMPLEMENT SOMETHING BUT WE CAN
THEN UNDERSTAND WHY IT WORKS. I
THINK NUTRITION RESEARCH IS SO
LACKING. THERE'S SO MUCH WE
DON'T KNOW THERE'S A LOT OF
CONTROVERSY OUT THERE. JUST
ENDLESS SCIENTIFIC QUESTIONS, SO
THANK YOU FOR THIS. I'M QUITE
EXCITED ABOUT IT.
>> THANK YOU SO MUCH. TOTALLY
AGREE. IN ADDITION TO LOOKING AT
IMPLEMENTATION STRATEGIES, WE
ARE VERY MUCH INTERESTED IN
LOOKING AT THE EVALUATION AND
BEST PRACTICES. DR. AYALA.
>> YOU HEAR ME?
>> YES.
>> GREAT. THANK YOU FOR THE
PRESENTATION, THE DISCUSSION AND
DR. TIAS AND DR. FITZPATRICK. I
WAS EXCITED TO SEE THIS, HAVING
THE OPPORTUNITY TO WORK WITH
MANY PUBLIC HEALTH NURSES WHO
WORK IN SCHOOLS, COMMUNITY
CENTERS AND OTHER PLACES IN THE
COMMUNITY. IT IS REALLY ONE AREA
WHERE THEY BOTH THEMSELVES AND
FAMILIES SEEM TO GRAVITATE. I
DON'T THINK WE HAVE CAPITALIZED
ON THIS ENOUGH TO IMPROVE THE
NUTRITIONAL HEALTH OUTCOMES
ASSOCIATED WITH NUTRITION. I
STUDY OBESITY AND PREVENTION AND
CONTROL OF CHRONIC DISEASES.
THIS IS AN AREA THAT MORE ARE
INTER TESTED IN STUDYING, SO I'M
VERY HOPEFUL THAT WE WILL GET
SOME GOOD APPLICATIONS IN
RESPONSE TO THIS CALL ONCE
RELEASED SO THAT WE CAN ADVANCE
THE SCIENCE AND IN RURAL AREAS
WHERE SO MANY OF THEM DO NOT
HAVE ACCESS TO HEALTHY FOOD AND
THE PROLIFERATION OF STORES THAT
OFFER MORE PROCESSED FOODS HAS
JUST INCREASED SIGNIFICANTLY
OVER THE YEARS. THANK YOU VERY
MUCH. REALLY EXCITED ABOUT THIS.
>> THANK YOU, DR. AYALA.
THOSE ARE EXCELLENT POINTS. AND
VERY MUCH NOTED, THANK YOU. I
BELIEVE -- LET'S SEE, DR.
MIRANDA.
>> THANK YOU. THANKS FOR THE
GREAT PRESENTATION AND CON
SECHLT I THINK IT IS EXCITING. I
MIGHT NOT BE QUICK ENOUGH TO
PROCESS ALL THE POINTS ON THE
SLIDE BEFORE THE THANK YOU THAT
SORT OF OUTLINED THINGS. I'M
JUST WONDERING, I REMEMBER
SEEING A NUMBER OF STUDIES. THIS
WAS A NUMBER OF YEARS AGO. IT
MIGHT BE UPDATED. DR. AYALA
PROBABLY HAS BETTER INSIGHTS
THAN I DO THAT SHOW THAT GETTING
ACCESS TO FRESH ROOTS AND
VEGETABLES INCREASED THE
UNDERSTANDING OF THE IMPORTANCE
OF FRESH ROOTS AND VEGETABLES
BUT DID NOT INCREASE THE C
CONSUMPTION OF FRESH FRUITS AND
VEGETABLES. I'M WONDERING, IN
THAT LIST OF FIVE DO YOU
ANTICIPATE THIS WOULD INCLUDE
BEHAVIORAL HEALTH KINDS OF
STUDIES SO WE -- WE'RE LOOKING
AT WHAT INDUCES BEHAVIOR CHANGE
OR AT WHAT POINTS IN PEOPLE'S
LIVES ARE THEY MORE SUSCEPTIBLE
TO BEHAVIOR CHANGE SO WE KNOW
THAT WOMEN ARE MORE LIKELY TO
STOP SMOKING WHEN THEY GET
PREGNANT. SO I JUST -- I WASN'T
FAST ENOUGH IN MY PROCESSING TO
LOOK AT THAT SECOND-TO-LAST
SLIDE TO SEE IF THIS FITS IN OR
PART OF YOUR CONCEPT AT ALL.
>> DR. MIRANDA, THANK YOU FOR
THAT QUESTION. I THINK IT IS
CENTRAL TO WHAT WE ARE LOOKING
FOR IN TERMS OF THE SCIENTIFIC
INTEREST. SO ON THAT PARTICULAR
SLIDE, THERE IS ABOUT -- REALLY
A FOCUS ON LOOKING AT VARIOUS
ADOPTION OF EVIDENCE-BASED
MULTI -LEVEL INTERVENTIONS, SO
EXACTLY WHAT YOU JUST SAID. IN
ADDITION TOEN -- TO ENHANCING
THIS, WE ARE INTERESTED IN THAT
MODIFICATION OR CHANGE, WHETHER
IT BE BEYOND INDIVIDUAL INTER
PERSONAL LEVEL BUT DEFINITELY IN
A COMMUNITY ORGANIZATIONAL
ENVIRONMENTAL IMPACT, AS YOU
MENTIONED. SO YES THAT, IS THE
TURNING POINT FOR NINR, LOOKING
AT THAT ADOPTION OF CHANGE.
>> THANK YOU.
>> THANK YOU SO MUCH. DR.
VINCENT GUILAMO-RAMOS.
>> YOU HEAR ME NOW?
>> I CAN'T HEAR YOU WELL. BUT
I CAN TRY, WILL READ LIPS.
[AUDIO ISSUES]
>> IF YOU ALREADY PUT YOUR
QUESTION IN THE CHAT, I CAN READ
THAT.
DR. WANG.
>> HI DOCTORS. THANK YOU
FIRST FORT THIS IMPORTANT TOPIC
AND WANT TO ECHO THE PREVIOUS
COMMENTS ON SUCH AN IMPORTANT
TOPIC FOR NURSES, NURSE
PRACTITIONER, SCIENTISTS AND
HIGHLIGHT THE ROLE OF NURSE
PRACTITIONERS, ACTUALLY
DELIVERING FOCUSED NUTRITION
INTERVENTION IN A WAY THAT CAN
BE REIMBURSED SO I THINK I WANT
TO MAKE SURE WE RECOGNIZE THIS
IMPLEMENTATION AND INNOVATIVE
CARE MODELS LED BY TRANSITIONING
RESEARCH INTO THE PRACTICE, SUCH
AS NURSE PRACTITIONERS
DELIVERING LESS MEDICINE,
INCLUDING NUTRITION, EXERCISE,
MINDFULNESS AND OTHERS. SECOND,
I AM CURIOUS ABOUT HOW THIS
LEVEL OF NUTRITIONAL RESEARCH
INTER SECT WITH SOME OF THE
" ALL OF US " PROGRAM, THE
NUTRITION BY PRECISION HEALTH
INITIATIVE, THAT WAS SORT OF OF
A LARGE INITIATIVE IN THE NIH
PART OF ALL OF US PROGRAM. AS WE
KNOW CURRENTLY IT IS SO
IMPORTANT TO RECOGNIZE THE
ACCESS TO HOPE FOODS AND
NUTRITIOUS FOODS BUT ALSO TAKING
IT TO ANOTHER LEVEL EMPOWERED BY
DIGITAL HEALTH AND AI
TECHNOLOGY, WE CAN REALLY
ELEVATE NUTRITION RESEARCH TO
THE PRECISION LEVEL, ADVANCEMENT
IN THESE TECHNOLOGIES. I'M
CURIOUS ABOUT YOUR THOUGHTS IN
THIS AREA, ADVANCING TO THE
PRECISION PERSONALIZED NUTRITION
APPROACH, THANK YOU.
>> THANK YOU, DR. WANG. FIRST
I DO WANT TO NOTE THE
IMPORTANCE, AS YOU MENTIONED, ON
NURSE PRACTITIONERS AND VARIOUS
CLINICIANS IN TREATING AND
WORKING WITH VARIOUS POPULATIONS
ON THE PREVENTION, MANAGEMENT
AND ALSO TREATMENT ASSOCIATED
WITH NUTRITION-RELATED CHRONIC
DISEASE AND OTHER FACTORS. THANK
YOU FOR POINTING THAT OUT. I
KNOW FOOD IS MEDICINE AND
IMPACTFUL, LOOKING AT VARIOUS
W
WAYS IN TREATING CLIENTS AND
PATIENTS AND THANKS FOR THE
BEHAVIORAL ASPECT YOU MENTIONED.
WE ARE VERY MUCH INTERESTED IN
MULTI -COMPONENT, AS WELL AS
VARIOUS INNOVATIONS IN THE
SPACE. AS YOU MENTIONED, USE OF
DATA, USE OF PRECISION MEDICINE
AND VERY MUCH DIGITAL AI
TECHNOLOGIES DOES GO ALONG WITH
INNOVATIONS WE ARE HOPING TO SEE
WITH, YOU KNOW, VARIOUS
INVESTIGATORS IN THIS SPACE.
THANK YOU FOR POINTING THAT OUT
AND NOTING THAT SO THAT OR
AUDIENCE IS FULLY AWARE OF THE
IMPACTFUL -- REALLY ARRAY OF
RESEARCH THAT WE'RE INTERESTED
IN. SO THANK YOU. MR.
HERRINGTON, SIR.
>> THANK YOU VERY MUCH. I
WANTED TO MAKE A COMMENT AND
OBSERVATION. ONE OF THE THINGS
THAT'S HAPPENED IN THIS COUNTRY,
NOW MORE FOODS ARE EATEN AWAY
FROM HOME THAN AT HOME. PEOPLE
ARE NOT COOKING. THEY ARE GOING
TO GROCERY STORE BUT NOT BUYING
HEALTHY FOODS; THEY ARE BUYING
FOODS THAT CAN BE PREPARED
QUICKLY. WHEN THEY ARE EATING
AWAY FROM HOME THEY REALLY DON'T
KNOW WHAT THEY ARE EATING. THERE
IS THIS IDEA, AND I KNOW
RESEARCH IS DONE LOCALLY, NOT
MAJOR, THAT THEY DID A FOOD
RECOGNITION STUDY. IT IS
ENTERINTER
INTERESTING TO SEE WHAT PEOPLE
CONSUME THAT HAS NO NUTRITIONAL
VALUE. SO THERE ARE A LOT OF
PEOPLE EATING HIGH-CALORIE,
HIGH-SODIUM FOODS THAT BELIEVE
THEY ARE EATING GOOD FOOD BUT
NOT REAL FOOD. I ENCOURAGE
RESEARCH TO SEE HOW WE CAN SHIFT
BACK TO THE NORM, WHICH USED TO
BE PEOPLE EATING AT HOME, BUYING
THEIR FOOD, PREPARING THEIR FOOD
AND SO I'M A BIG PROPONENT OF
THAT. I THINK THAT IS SOMETHING
WE NEED TO ENCOURAGE AS MUCH AS
POSSIBLE.
>> THANK YOU. THAT GOES ALONG
WITH IMPROVING THE FOOD
ENVIRONMENT, WORKING WITH
VARIOUS AND DIFFERENT
POPULATIONS TO HAVE AN
UNDERSTANDING WHAT IS NUTRITION
BUT ALSO IMPROVING THE FOOD
SECURITY AS WELL AS ACCESS AND
KNOWLEDGE ON DIETARY EATING
PATTERNS AND ALSO THE COOKING OF
FOOD, AS YOU MENTIONED. SO THAT
IS DEFINITELY OF INTEREST AS
PART OF THIS PARTICULAR
SCIENTIFIC CONCEPT. THANK YOU
FOR POINTING THAT OUT AND YOUR
COMMENTS. DR. AYALA, PLEASE. I
THINK I PROBABLY HAVE ENOUGH
TIME FOR ONE MORE. I SEE DR.
TARLOV HERE. SO DR. AYALA THEN
DR. MIRANDA, THANK YOU.
>> I WILL BE VERY QUICK . I
WAS RESPONDING TO DR. MIRANDA'S
COMMENT THAT I COMPLETELY
AGREEMENT WITH YOU THAT THERE
ISN'T ENOUGH EVIDENCE SHOWING
ACTUAL CONSUMPTION WHICH
ULTIMATELY LEADS TO IMPROVED
HEALTH OUTCOMES. I THINK THAT IS
ONE OF THE THING I APPRECIATED
ABOUT THIS INITIATIVE, IS ONE OF
THE FLAWS IN PREVIOUS RESEARCH
IS THE SENSITIVITY OF MEASURES
THAT HAVE BEEN USED IN MORE FOOD
ENVIRONMENT TYPE RESEARCH. SO IT
DOESN'T ALLOW FOR REALLY
EXAMINING THE EXTENT TO WHICH IT
LOOKS AT HEALTH. BUT
OPPORTUNITIES TO REALLY
INTEGRATE COMMUNITY AND CLINICAL
INTERVENTIONS MAY AFFORD THE
OPPORTUNITY TO ACTUALLY USE SOME
OF THE ELECTRONIC HEALTH RECORD
DATA AND OTHER MORE CLINICAL
DATA THAT MAY BE AVAILABLE
WITHIN THAT SETTING TO BETTER
UNDERSTAND WHAT IS ACTUALLY
HAPPENING WITH THESE FOOD
ENVIRONMENT INTERVENTIONS.
>> THANK YOU, DR. AYALA.
>> -- THOUGHT MAY BE A BIT OF
A BUMMER BUT I REALLY, REALLY
LIKE THIS CONCEPT. I'M REALLY
WORRIED THAT THE GIGANTIC
INVESTMENT THE FOOD INDUSTRY
PUTS INTO MARKETING. LIKE I
REMEMBER THAT WHOLE THING WELL
PARENTS SHOULD JUST SAY NO TO
THEIR CHILDREN CH I USED TO SAY
ALL THE TIME, I CAN SAY NO AS
WELL AS ANY PARENT YOU HAVE EVER
MET. I JUST WISH THERE WEREN'T A
MULTI BILLION DOLLAR SCREAMING
YES AT MY KIDS ALL THE TIME. I
JUST -- YOU KNOW, MAY BE PART OF
THE BEHAVIORAL -- THE BEHAVIORAL
HEALTH RESEARCH MIGHT BE AROUND
HOW DO YOU -- HOW DO WE HELP
PEOPLE GET PAST THAT LIKE
INCESSANT, LOUD, WELL-FINANCED
MESSAGING AROUND CONSUMPTION OF
PROCESSED FOODS. I HAVE NO
ANSWER TO THAT QUESTION. BUT I
WORRY ABOUT LIKE WE ARE DOING
ALL THIS STUFF AND WE ARE GOING
TO INVEST, I DON'T KNOW, $8
MILLION INTO IT. THEN ANY ONE OF
THE FOOD MANUFACTURING COMPANIES
HERE IN CHICAGO SPENDS WAY MORE
THAN THAT. ANY ONE COMPANY
SPENDS WAY MORE THAN THAT ON
MARKETING. SO JUST TRYING TO
FIGURE OUT THAT COMPONENT OF THE
PROBLEM.
>> THANK YOU, DOCTOR.
>> MY COLLEAGUE ALSO HAVE
MORE INSIGHTS.
>> THANK YOU, DR. MIRANDA,
FOR THAT FEEDBACK. I THINK WHAT
IS CENTRAL AND VERY IMPORTANT --
AND DR. AKLIN IS VERY INTERESTED
IN MULTI -SECTORIAL INTERVENTION
, SO ACTUALLY COLLABORATING WITH
INDUSTRY AND OTHER ASPECTS IN
THIS SPACE. SO I THINK THAT IS
AN INNOVATION THAT WE WOULD
CHAMPION, THANK YOU. ALL RIGHT.
I KNOW MY TIME IS DUE. THANK YOU
FOR THE ROBUST DISCUSSION AND
FEEDBACK. I LOOK FORWARD TO NEXT
STEPS. THANK YOU DR. AKLIN AND
DR. TARLOV.
>> THANK YOU DR. TIAS AND DR.
FITZPATRICK FOR COVERING THIS
CONCEPT FOR US. REALLY EXCITED
TO HEAR THIS CONVERSATION AND
APOLOGIES WE HAVE TO MOVE ON BUT
WE HAVE THREE MORE CONCEPTS WE
WANT TO PRESENT. NOW WE WILL
CONTINUE ON WITH THE NEXT
CONCEPT, WHICH DR. CAMPBELL WILL
PRESENT ON MENTORING AND DR. --
>> GOOD MORNING, KAREN KALE
FOR THE MODELS OF CARE. I WILL
PRESENT NEW CONCEPTS FOR NINR
RESOURCES AND ACTIVITIES. DR.
TARLOV AND I WOULD LIKE TO THANK
THE MANY PROGRAM AND SCIENTIFIC
STAFF THAT CONTRIBUTED. NEXT,
PLEASE. NEXT SLIDE, PLEASE. WE
HAVE SEEN A RAPID DECLINE IN THE
NUMBER OF NURSES SEEKING
DOCTORAL DEGREES AND ENTERING
THE RESEARCH ENTERPRISE DESPITE
INCREASE IN NUMBER OF PROGRAMS
AVAILABLE. WE KNOW THAT LIMITED
ACCESS TO MENTOR S IS A BARRIER
TO ESTABLISHING A PROGRAM OF
RESEARCH AND ENTERING AN
ACADEMIC CAREER. RESEARCH
TRAINING IS IMPORTANT TO
RESEARCH CAPACITY IN NURSES AND
WE KNOW A STRONGER NURSE
SCIENTIST WORKFORCE IS VITAL TO
ADVANCE THE NINR MISSION. NEXT
SLIDE, PLEASE. THIS CONCEPT
WOULD EXPAND THE LANDSCAPE OF
NINR TRAINING INITIATIVES THERE
ARE INSTITUTIONAL TRAINING
GRANTS. 30, 31, 32 INDIVIDUAL
PRE-DOCTORAL FELLOWSHIPS. THESE
ARE HELPFUL BUT DON'T FOCUS ON
MENTORING, WHICH HAS BEEN SHOWN
TO POSITIVELY INFLUENCE CAREER
CHOICES AND CAREER TRAJECTORIES
FOR NURSE SCIENTISTS. NEXT
SLIDE, PLEASE: THE PURPOSE OF
THIS CONCEPT IS TO SUPPORT
MENTORING ACTIVITIES THAT
EXPAND, PROMOTE AND ACCELERATE
THE DEVELOPMENT OF NURSE
SCIENTIST WORKFORCE TO ADVANCE
THE NINR MISSION. THIS CAN BE
ACCOMPLISHED BY ENCOURAGING
ACTIVITIES THAT PROVIDE CAREER
MENTORING AND APPLY HANDS-ON
MENTORED RESEARCH EXPERIENCES TO
PROMOTE CAREER ADVANCEMENT AMONG
NURSE SCIENTISTS AND EXPAND THE
POPULATION OF NURSE SCIENTISTS
WITH NIH-FUNDED RESEARCH
PROGRAMS. NEXT SLIDE, PLEASE.
SOME EXAMPLES OF INITIATIVES
THAT WOULD BE OF INTEREST UNDER
THIS CONCEPT INCLUDE
COLLABORATIONS BETWEEN
PROFESSIONAL SOCIETIES OR
NURSING SCHOOLS TO FACILITATE
AND PROVIDE SUPPORT FOR THE
DEVELOPMENT OF MENTORING
RELATIONSHIPS BETWEEN SENIOR AND
EARLY CAREER NURSE SCIENTISTS OR
RESEARCH EDUCATION PROGRAMS
BASED AT SCHOOLS WITH A STRONG
HISTORY OF NIH FUNDING THAT
PROVIDE RESEARCH SKILLS BUILDING
AND MENTORING OF NEW
INVESTIGATORS AT INSTITUTIONS
WITH LESS WELL DEVELOPED
RESEARCH INFRASTRUCTURE WITH A
FOCUS ON SUBMISSION OF
APPLICATION TO AN NIH MENTORED
OPPORTUNITY OR ONE OF THE K
AWARDS. NEXT, PLEASE. OTHER
EXAMPLES INCLUDE ENGAGEMENT OF
EXPERTS IN CAPACITY-BUILDING
THROUGH MENTORSHIP TO DEVELOP A
NURSE NETWORK OR ADDITIONAL
FUNDING OPPORTUNITY THAT WOULD
INCENTIVISE EXPERIENCED RESEARCH
MENTORS TO ADD A NEW
INVESTIGATOR FROM ANOTHER
INSTITUTION TO THEIR RESEARCH
TEAM. NEXT, PLEASE. A COUPLE
FINAL SUGGESTION WOULD BE
FUNDAMENTAL OPPORTUNITY THAT
WOU
WOULD ADD ADDITIONAL PLOTS,
DESIGN ED WITH NABILITY TO
ACCOMMODATE THE NEEDS OF A
TRAINEE THAT MIGHT HAVE A
POSITION AT ANOTHER INSTITUTION
OR A RESEARCH EDUCATION PROGRAM
TO TRAIN MID-CAREER
INVESTIGATORS TO BE RESEARCH
MENTORS WITH THE FOCUS ON SKILLS
TO NURSE SCIENTISTS FROM OTHER
INSTITU
INSTITUTIONS. I THANK YOU FOR
YOUR TIME AND ATTENTION AND
LOOKING FORWARD TO THE
DISCUSSION.
>> THANK YOU DR. KALE. I
THINK IT IS NOW TIME FOR ME TO
HAVE A LITTLE DISCUSSANT.
>> I HOPE EVERYONE CAN HEAR
ME, I APOLOGIZE FOR THE EARLIER
VERSION. FOR THIS CONCEPT AND
PRIOR CONCEPT AND MUCH OF THE
DISCUSSION THAT I VERY MUCH
APPRECIATE THE FRAMING AROUND
THE IMPORTANCE OF NURSING
SCIENCE, AS WELL AS THE MOVEMENT
TO SOLUTIONS AND TO REALLY
HAVING IMPACT. FOR ME WHAT IS
EXCITING ABOUT THIS PARTICULAR
CONCEPT IS IT RECOGNIZES THE
NEED TO PAY ATTENTION AND
SUPPORT NURSING SCIENTISTS NOW
AND IN THE FUTURE AND HIGHLIGHTS
CONTRIBUTIONS OF NURSING SCIENCE
AND WHAT WE AS HAVE AND I N
JOYED THINKING OF ALTERNATIVE
MECHANISM, THINKING OUTSIDE OF
THE BOX. THOSE IN TERMS ACROSS
INSTITUTIONS THEN ACROSS
DIFFERENT LEVELS OF CAREERS OF
EARLY TO MID TO LATE-STAGE NURSE
SCIENTISTS. SO, IN MY MIND, THIS
IS A FANTASTIC CONCEPT AND
REFLECTS MANY OF THE PRIORITIES
WE HAVE AS A NATION AND
RECOGNIZES THE VALUE OF NURSING
SCIENCE, THANK YOU.
>> THANK YOU SO MUCH FOR THAT
FEEDBACK. THANK YOU ALSO THAT
YOU SAW THIS REALLY IS GOING
BEYOND WHAT CURRENTLY EXISTS
WITH K CAREER DEVELOPMENT
OPPORTUNITIES BECAUSE THOSE ARE
COMPETITIVE. NOT EVERYONE IS IN
A POSITION TO APPLY FOR THOSE.
YET WE RECOGNIZE THE IMPORTANCE
OF MENTORING. DR. WANG.
>> YES. THANK YOU VERY MUCH.
I THINK IT IS SUCH AN IMPORTANT
CONCEPT SO THANK YOU FOR
BRINGING IT FORWARD. I ALSO KIND
OF -- I'M CURIOUS ABOUT
INITIALLY TALK ABOUT A DOCTORAL
EDUCATION, SO ARE WE FOCUSING ON
THE NURSE SCIENTIST OR THE PHD
SPECIFICALLY DOCTORAL? BECAUSE
ACADEMIC NURSING, THERE IS SORT
OF MORE INCREASE IN DOCTORAL
NURSING PRACTICE THAN OUR PHDS.
I WANT TO MAKE SURE WE ARE KIND
OF CLEAR IN TERMS OF THE PURPOSE
OF THIS PARTICULAR CONCEPT AS
APPLIES TO -- I'M NOT SUGGESTING
ONE OR ANOTHER, BUT I THINK IT
WOULD BE HELPFUL TO CLARIFY THE
PURPOSE. IS MORE IMPLEMENTING
THROUGH DOCTORING NURSING
PRACTICE OR ELEVATING PRE-PAIRED
FACULTY BY INTRODUCING TO DO
RESEARCH OR FOCUSED ON
PHD-TRAINED NURSE SCIENTISTS IN
SUPPORTING THEIR FACULTY ROLE.
THE SECOND IS, I THINK, IS ALSO
INTERESTING TO NOTE THAT WHILE
WE ARE -- WHICH I THINK IS A
BRILLIANT CONCEPT TO INTRODUCE
SUPPLEMENTAL OR CANDIDATE INTO
ALREADY FUNDED TEAMS,
RECOGNIZING THERE MAY BE
INFRASTRUCTURE GAP IN THE
INSTITUTION WHERE THE
SUPPLEMENTAL FUNDED CANDIDATE IS
FROM. WELL, THE FUNDED TEAM MAY
BE IN WELL SUPPORTED RESEARCH
INFRASTRUCTURE WITHIN THE
INSTITUTION, SO HOW DO WE
ADDRESS THE GAP NOW PLACING THE
CANDIDATE OR AWARD DEE OR MEN
TEE OR THE TRAINEE IN AN
ENVIRONMENT WHERE THERE IS NO
WAY FOR THE TRAINEE TO REPLICATE
OR LEARN IMPLEMENTING THEIR OWN
INSTITUTIONS SO THANK YOU FOR
THE OPPORTUNITY TO COMMENT ON
THOSE IMPORTANT ISSUE AND CON P
SEPTEMBERS. PF /* -- CONCEPTS.
>> THANK YOU. OBVIOUSLY WE
ARE THE NATIONAL INSTITUTION OF
NURSING RESEARCH, OBVIOUSLY OUR
FOCUS IS ON RESEARCH BUT THAT
DOES INCLUDE IMPLEMENTATION. SO
THANK YOU VERY MUCH. I
APPRECIATE YOUR COMMENTS. DR.
FITZPATRICK.
>> I THINK YOU MAY HAVE
ANSWERED MY QUESTION. MY FIRST
COMMENT WAS WHAT ABOUT THE K24
BUT COMPETITIVENESS AND
RESTRICTION, I THINK WHAT YOU
ARE TRYING TO DO IS BE MORE
INNOVATIVE. WHAT WE CAN EXPECT
IS ALTERNATIVE APPROACHES TO
IMPROVE MENTORING. IS THAT THE
BASIC GIST?
>> ABSOLUTELY. YOU KNOW, WE
CERTAINLY DON'T WANT TO
DISCOURAGE PEOPLE FROM USING THE
AWARDS THAT CURRENTLY EXIST BUT
K24s HAVE A LOT OF REQUIREMENTS.
AND SOME OF INFRASTRUCTURE TO BE
ABLE TO APPLY FOR THOSE AWARDS.
SIMILARLY, WE FIND THE KO1s, 8s,
23s WHICH ARE FOCUSED ON THE
CANDIDATE, AGAIN, YOU HAVE TO
HAVE THE INFRASTRUCTURE. HAVE TO
HAVE THOSE MENTORING
RELATIONSHIPS ESTABLISHED. SO
THIS IS REALLY LOOKING AT HOW DO
WE GO BEYOND THAT OR BEFORE IT
TO HELP BUILD THOSE MENTORSHIPS.
THANK YOU. DR. STONE. DR. STONE,
I THINK YOU ARE MUTED.
>> I AM. SORRY ABOUT THAT. I
REALLY LOVE THIS CONCEPT. I
THINK SO IT NEEDED. I THINK DR.
WANG'S POINT ABOUT THE MPs AND
SCIENCE NEEDS TO BE WELL THOUGHT
OUT, ONE WAY OR THE OTHER. I
THIS I IT IS A VERY IMPORTANT
POINT. AND I THINK, YOU KNOW,
THERE IS A WAY LIKE TO HAVE --
IF YOU COULD DO SOMETHING LIKE A
YEAR WORKSHOP OR SOMETHING WHERE
PEOPLE COME INTO OR DO A
SUMMER-INTE
SUMMER-INTENSIVE. THEN WHERE
THEY COME INTO A SCHOOL OR
SOCIETY AND BE ABLE TO DEVELOP
THE MENTORING RELATIONSHIP OVER
THE YEAR TO WORK ON DEVELOPING
THEIR OWN K, YOU KNOW, I THINK
THINGS LIKE THAT COULD REALLY
WORK TO GET PEOPLE MOVING ALONG.
SO THEY COULD DO IT IN THEIR OWN
INSTITUTION. YOU KNOW, HAVING
THE MENTORSHIP BOTH WITHIN THEIR
INSTITUTION AND WITHOUT. SO I
THINK THIS IS VERY INNOVATIVE
AND COULD HELP, THANK YOU.
>> DR. KIM, YOU ARE ON MUTE.
>> DR. VINCENT GUILAMO-RAMOS,
DO YOU HAVE A COMMENT?
>> I'M NOT SURE IF IT WAS
YOUR MIC OR MINE. HAPPY IT WAS
NOT MINE. SO I WANT TO
RESPECT FULLY COME BACK TO THIS
QUESTION OF THE FOCUS IN TERMS
OF WHO IT IS WE ARE REALLY
REFERRING TO HERE AROUND
MENTORING AND WHAT THE
PROFESSION NEEDS. SO I REALIZE
THIS IS CHALLENGING TOPIC. BY NO
MEANS DO I WANT TO DISCREDIT OR
MINIMIZE DOCTORATE TRAINED
NURSES BUT MY UNDERSTANDING OF
THE CONCEPT IS WE HAVE LESS THAN
1% OF NURSING WORKFORCE PURSUING
A PHD IN NURSING SCIENCE AND WE
HAVE SIGNIFICANT RETIREMENTS IN
TERMS OF THE MOST EXPERIENCED
NURSING SCIENTISTS WHO WILL
SOON, OVER TIME, IN THE
IMMEDIATE FUTURE, NOT BE IN
THEIR RESPECTIVE POSITIONS WITH
THE ABILITY TO CONTRIBUTE NOT
ONLY THEIR WORK BUT ALSO THE
DEVELOPMENT OF FUTURE CHINA'S
NURSING WORKFORCE. TODAY WE HAVE
HAD A FANTASTIC MEETING WHERE WE
HAVE TALKED ABOUT THE IMPORTANCE
OF NURSING SCIENCE. WE ARE ON
THE MEAL OF THE 40TH ANNIVERSARY
OF NINR. WE ARE REMINDED IN ALL
OF THE DISCUSSIONS THE
IMPORTANCE OF ENVIRONMENTS,
COMMUNITIES, INTERVENTIONS AS
WELL AS ADOPTION, ALL THINGS
THAT CAN BE INFORMED BY SCIENCE.
I GUESS A LONG WAY OF SAYING I
SEE THIS AS BEING A PHD-FOCUSED
INITIATIVE. WE WOULD LOVE TO,
WHEN APPROPRIATE, HAVE MORE
CONVERSATION, IF NOT TODAY,
AROUND THE POINT I'M MAKING,
THANK YOU.
>> THANK YOU. MUCH
APPRECIATED. I WILL SAY, AND I'M
SURE YOU HAVE NOTICED, THIS
CONCEPT IS WRITTEN SO THAT IT
ALLOWS MANY DIFFERENT TYPES OF
ACTIVITIES UNDER THE CONCEPT.
MOST CERTAINLY, WE ARE ACUTELY
AWARE OF THE NEED FOR
PHD-PREPARED NURSE SCIENTISTS
BUT AS WE DEVELOP IT, I THINK WE
CAN VERY MUCH TAKE INTO ACCOUNT
THE COMMENTS AND SEE HOW WE CAN
BUILD THE SCIENCE MORE BROADLY.
MR. HERRINGTON.
>> YEAH, I'M GOING TO MAKE AN
OBSERVATION BASED ON MY ROLE
WITH UNIVERSITY OF ILLINOIS
CHICAGO'S URBAN HEALTH PROGRAM.
THE POOL OF ELIGIBLE CANDIDATES
TO GET THE A PHD IS STARTING TO
SL
SLIN /* -- TO SHRINK AS WELL.
WHATEVER WE CAN DO TO GET PEOPLE
ON THAT TRACK SOONER THAN LATER,
BECAUSE ONCE PEOPLE GET IN THEIR
MINDS WHAT THEY ARE GOING TO DO
THAT, IS THE FOCUS AND WHAT THEY
DO. BEDSIDE NURSING IS CHANGING
DRAMATICALLY BASED ON TECHNOLOGY
AND AI, SO WE NEED TO FIND SOME
WAY TO ACTUALLY EXPOSE PEOPLE TO
THIS IDEA AND CONCEPT EARLIER ON
BECAUSE PEOPLE MAY NOT EVEN
THINK UNTIL THEY ARE FINISHED
NURSING AND GO BACK TO GRADUATE
SCHOOL TO GET A DEGREE BECAUSE
THAT CAN ONLY GO SO FAR. THIS IS
AN OPPORTUNITY TO GET SOME
PEOPLE ENGAGED IN THIS CONCEPT
EARLIER BEFORE THEY EVEN MAKE
THE DECISION ABOUT WHAT THEY ARE
GOING TO DO OR BECOME.
>> THANK YOU, THAT IS A GREAT
POINT. CERTAINLY WE HOPE THAT AS
WE BUILD THIS PROGRAM, ALSO WE
WILL BUILD MENTORS. IN THOSE
INSTITUTIONS THOSE ARE OFTEN
YOUR FACULTY WHO ARE WORKING
WITH UNDERGRADUATES AND HELPING
THEM UNDERSTAND EARLY ON THE
OPTIONS. SO THANK YOU VERY MUCH.
DR. AYALA.
>> I JUST WANT TO ECHO THE
IMPORTANCE OF MENTOR SHIP FROM
EXTERNAL INDIVIDUALS. I HAVE
FOUND THAT IT IS IMPORTANT --
WANT TO ADD TO THAT THE
IMPORTANCE OF TRAINING AND
WORKING IN A TRANSDISCIPLINARY
TEAM. NURSES ALREADY KNOW HOW TO
DO THAT IN A CLINICAL SETTING,
BUT IN A RESEARCH CONTEXT I HAVE
OFTEN SEEN THEIR PERSPECTIVE
SORT OF NARROWED OR THE
PERSPECTIVE OTHER PEOPLE HAVE IN
TERMS OF CONTRIBUTION OF NURSING
SCIENCE BEING VERY NARROW. WHAT
I HAVE EXPERIENCED AND SEEN
ACROSS A NUMBER OF INITIATIVES
IS THEIR ABILITY TO THINK ABOUT
HEALTH AND WELLNESS IN A MUCH
MORE HOLISTIC APPROACH THAT I
THINK HAS POTENTIAL TO HAVE A
BROADER IMPACT, SO HAVING
MENTORS THAT CAN HELP TRAIN NEW
SCIENTISTS ON HOW TO WORK AND
HOW TO HAVE THAT VOICE ON A
TRANSDISPOLLEN NEAR TEAM WOULD
REALLY GO A LONG WAY TO
ENSURE ING THAT NURSING
PERSPECTIVE IS -- INFLUENCES ALL
ASPECTS OF RESEARCH AND
ULTIMATELY PRACTICE, THANK YOU.
>> THANK YOU. IT IS A GREAT
POINT THAT MUCH OF WHAT WE DO IN
NURSING SCIENCE IS NOT -- WELL,
WE KNOW IT IS NOT EXACTLY THE
SAME AS OUR COLLEAGUES IN OTHER
DISCIPLINES, SO HAVING THOSE
MENTORS IN THE DISCIPLINE FROM
VARIOUS SOURCES IS VERY
IMPORTANT, THANK YOU . DR.
BEKEMEIER.
>> YEAH, THANK YOU. I JUST
WANT TO KIND OF UNDERSCORE --
AND DR. KU, YOU REINFORCED THIS
A MINUTE AGO, BUT DR. STONE,
YOUR COMMENT ABOUT BRINGING --
AS WE -- IF WE CAN BUILD MENTOR
SHIP PROGRAMS, I LOVE THIS
BUILDING MORE NURSE SCIENTISTS
BUT ALSO HAVING THEM BRING THEIR
SKILLS AND INTERESTS
INTENTIONALLY BACK TO THEIR
UNIVERSITIES SO WE GET OUT OF
THIS CYCLE MORE QUICKLY, RIGHT,
THAT THIS CAN BUILD MORE
LONG-TERM -- NOT JUST MENTORSHIP
BUT STRENGTHENING OUR
UNIVERSITIES, PARTICULARLY OURS
SCHOOLS OF NURSING, IN TERMS OF
REBUILDING THIS POOL OF NURSE
SCIENTISTS SO THAT SOMEHOW
PROPOSALS OR THE OPPORTUNITIES
HERE REALLY ENCOURAGE PEOPLE TO
NOT JUST GO OUT AND BE PART OF A
COHORT PROGRAM THROUGH AN
ASSOCIATION OR WHAT HAVE YOU,
WHICH SHOUTS FABULOUS AND MIGHT
BE WHAT WE NEED TO DO, BUT THEN
SOMEHOW BUILDING -- HOW THAT IS
GOING TO BE BROUGHT BACK TO
THEIR UNIVERSITY. HOW THAT IS
GOING TO BUILD MORE MENTOR SHIP,
MORE STRENGTH, MORE LOOKING AT
-- AS YOU STATED, THE OTHER
FACULTY THAT CAN IGNITE INTEREST
IN BACHELOR'S PREPARED NURSES TO
BE THINKING ABOUT A CAREER AS A
FUTURE NURSE SCIENTIST, ET
CETERA. SO THINKING LONG-TERM
AND NOT JUST BUILDING NEW
SCIENTISTS, SO THANK YOU.
>> THANK YOU FOR THAT
COMMENT. I THINK YOU BROUGHT
TOGETHER WHAT SEVERAL BROUGHT
UP. IT IS OUR DESIRE THIS WOULD
NOT BE A PROGRAM THAT
INFORMATION BACK TO THEIR
UNIVERSITIES. REMEMBER, THIS IS
DONE IN CONTEXT OF THER
INITIATIVES AND THINGS GOING ON
THAT CAN START TO LOOK AT THINGS
LIKE THE INFRASTRUCTURE, SO
THANK YOU. I ALSO WANT TO
MENTION DR. WANG DID PUT IN A
COMMENT. I THINK YOU ARE CORRECT
-- SHE SAID NOT SURE IF THIS
SHOULD BE A SEPARATE DISCUSSION
BUT OFFERING UNDERGRADUATE
NURSING OPPORTUNITIES TO ENHANCE
THE PIPELINE, SUPPORTING AND
INCENTIVISING PHD PROGRAMS IN
NURSE LOG BE CRITICAL. WE ARE AT
A CRISIS POINT FOR PHD IN
NURSING. ABSOLUTELY. I WOULD
AGREE IT NEEDS A LARGER
DISCUSSION THAN WHAT WE HAVE
NOW. ESPECIALLY SINCE I NEED TO
YIELD THE FLOOR TO COLLEAGUES
WITH OTHER CONCEPTS. THANK YOU
VERY MUCH. THE DISCUSSION HAS
BEEN HELPFUL AS WE MOVE FORWARD
AND HOPE TO BE ABLE TO COME BACK
AND REPORT IN THE FUTURE ON
WHERE THIS IS GOING . THANK YOU.
>> THANK YOU VERY MUCH. WE
ARE GOING TO MOVE ON TO OUR NEXT
CONCEPT, WHICH WILL BE LED BY
DR. DIMNER ON NURSING RESEARCH
TO EXAM MULTI -SCHOOL
ENVIRONMENTS FOR ALL AND DR.
BEKEMEIER WILL LEAD THE
DISCUSSION.
>> GREAT, THANK YOU FOR THE
OPPORTUNITY TO PRESENT THIS
CONCEPT TO YOU TODAY. MY NAME IS
DA
DARABLACKMON-DIMNER WITHIN THE
INTERMURAL PROGRAM. WE
IDENTIFIED THIS AS THE NEXT
IMPERATIVE AND THIS FOLLOWS FROM
THAT IDENTIFY-CATION AND IS
INTENDED TO PROVIDE A FRAMEWORK
FOR FUTURE EFFORTS IN THIS
CRITICAL SPACE. NEXT SLIDE,
PLEASE. SO WE ALL KNOW THAT K-12
SCHOOLS PROVIDE A CRITICAL
CONTEXT FOR CHILDREN AND YOUTH
AS THEY ARE THE PLACE THEY PLAY,
LEARN AND GROW AND CAN IMPACT
HEALTH IN.PATHWAYS IN SHORT AND
LONG-TERM. THEY KNOW WHEN THEY
PROVIDE A SUPPORTIVE ENVIRONMENT
THEY SET UP FOR A HEALTHY LIFE
BUT SCHOOLS VARY IN EDUCATIONAL
QUALITY AND AVAILABILITY OF
RESOURCES AND OVERALL
ENVIRONMENT AND THESE VARIATIONS
CAN CONTRIBUTE TO DIFFERENCES IN
HEALTH OUTCOMES. GIVEN THE
IMPORTANCE OF SCHOOL AND
SURROUNDING ECOSYSTEM, FOR THIS
CONCEPT WHEN WE USE THE TERM
SCHOOL HEALTH WE ARE
ENCOMPASSING BOTH. AGAIN,
PRIMARILY FOCUSING ON K-12
SCHOOLS. NEXT SLIDE, PLEASE. SO
WHEN WE THINK ABOUT SCHOOLS IN
CONTENTION THERETO ARE A NUMBER
OF IMPORTANT FACTORS THAT
INFLUENCE EXPERIENCES CHILDREN
AND YOUTH HAVE AND DRIVE THE
LONG-TERM OUTCOMES. FIRST WITH
RESPECT TO SCHOOL ENVIRONMENT WE
KNOW SCHOOL SAFETY AND
CONNECTION TO SCHOOL CAN REALLY
IMPACT STUDENT ACHIEVEMENT AND
WELL-BEING. ADDITIONAL FACTORS
SUCH AS TEMPERATURE AND NOISE,
THE AVAILABILITY OF NUTRITIOUS
FOOD OPTION, OUTDOOR SPACE FOR
PHYSICAL ACTIVITY CAN IMPACT
LEA
LEARNING, MENTAL HEALTH, DIET,
EXERCISE AND SLEEP. WITHIN THE
SCHOOL HEALTH CARE SYSTEM,
NURSES, AS WE KNOW, ARE OFTEN
THE FRONT-LINE PROVIDERS AND
SERVE STUDENT'S PHYSICAL AND
BEHAVIORAL HEALTH NEEDS AND KNOW
NURSES ARE THE MOST TRUSTED
HEALTH PROFESSIONALS. AS SUCH
THEY ARE OPTIMALLY POSITIONED TO
LEAD NURSING RESEARCH EFFORTS
THAT ARE COLLABORATIVE AND
COMPREHENSIVE AND EMPHASIZE
MODELS O F CARE DELIVERY THAT
CAN BE RESPONSIVE TO A WIDE
RANGE OF STUDENT NEEDSES AND
DIFFERENT CONTEXT THROUGH
RESOURCES. WE KNOW THESE
FUNDAMENTALLY SHAPE STUDENT'S
ACADEMIC ENGAGEMENT, ACHIEVEMENT
AND EDUCATIONAL ATTAINMENT AS
WELL AS IMPACT HEALTH AND
OVERALL WELL-BEING. SO
IDENTIFYING EFFECTIVE SCHOOL
LEVEL INTERVENTIONS THAT CAN
IMPROVE EDUCATIONAL OUTCOMES CAN
ALSO HAVE LASTING IMPACTS ON
HEALTH. FINALLY WHEN WE THINK
ABOUT THE SURROUNDING LARGER
ECOSYSTEM IN WHICH SCHOOLS ARE
CENTERED IT INCLUDES WIDE RANGE
OF SECTORS SUCH AS HOUSING,
FOOD, TRANSPORTATION,
RECREATION, HEALTH CARE, SOCIAL
SERVICES AND JUSTICE SYSTEM. IN
ADDITION, THE ACTUALLY SOCIAL
AND PHYSICAL CONTEXT OF
NEIGHBORHOODS CAN IMPACT THINGS
SUCH AS SAFE ROUTES TO SCHOOL,
AVAILABILITY OF FRESH FOODS AND
GREEN SPACES, NOISE AND LIGHT
POLLUTION AND OTHER POTENTIAL
EXPOSURES. COSTUME TEFLY ALL
THESE FACTORS CAN AFFECT HEALTH
BEHAVIORS SUCH AS NUTRITION,
EXERCISE AND SLEEP AND
ULTIMATELY IMPACT ABILITIES TO
LEARN AND DEVELOP. NEXT SLIDE,
PLEASE. SO EVEN THOUGH WE HAVE
THIS KNOWLEDGE OF THE IMPORTANCE
OF SCHOOLS AND LIFE-LONG HEALTH,
SCHOOL RESEARCH -- SCHOOL HEALTH
RESEARCH HAS YET TO REACH ITS
FULL POTENTIAL. CRITICAL GAPS
REMAIN IN DEVELOPING INNOVATIVE
APPROACHES TO PROMOTE HEALTHY
SCHOOL ENVIRONMENTS AND FOSTER
WELL-BEING FOR REAL WORLD
SUSTAINABILITY AND SCALE UP. IN
NURSING RESEARCH IS WELL
POSSES
POSSESSION POSITIONED AND BREAK
SILOS BETWEEN SCHOOL HEALTH,
SAFETY AND HEALTH CARE SYSTEM AS
WELL AS WITH COMMUNITIES. THESE
HAVE HINDERED PROGRESS IN
INTEGRATION OF MULTI SECTORIAL
SCHOOL HEALTH MODELS. SECOND
THROUGH WORKING DIRECTLY WITH
YOUTH AND COMMUNITIES, WE CAN
HELP TO CULTIVATE TRES IN THE
RESEARCH PROCESS. AS WE HAVE
DISCUSSED, THESE NURSES ARE WELL
SUITED TO ADDRESS RESEARCH AND
COMMUNITY RESEARCH TO IDENTIFY
AREAS OF INTEREST OF STUDENTS,
FAMILIES AND COMMUNITIES. NURSES
ARE WELL-POSITIONED TO BE
PARTNERS IN THIS RESEARCH GIVEN
THEIR POSITION AS THE MOST
TRUSTED HEALTH PROFESSIONAL.
TOGETHER THESE EFFORTS ARE
POISED TO TACKLE THE PRESSING
PUBLIC HEALTH CHALLENGE AND
PROMOTE ACADEMIC SUCCESS, HEALTH
AND WELLNESS FOR ALL YOUTH. NEXT
SLIDE, PLEASE. THE PURPOSE IS
FOSTER MULTI -DISCIPLINARY AND
MULTI -SECTORIAL RESEARCH TO
FILL GAPS IN UNDERSTANDING AND
INTERVENING ON COMPLEX INTER
PLAY BETWEEN ENVIRONMENT,
EDUCATION, HEALTH SERVICES AND
SURROUNDING ECOSYSTEM TO
OPTIMIZE EDUCATIONAL AND HEALTH
OUTCOMES FOR ALL YOUTHS. NEXT
SLIDE, PLEASE. THESE ARE JUST A
COUPLE OF EXAMPLE OS F THE
POTENTIAL TYPES OF SCIENCE THAT
WOULD BE OF INTEREST. SO WE
HEARD EARLIER ABOUT NUTRITION,
FOCUSING ON THE SCHOOL CONTEXT,
ADVANCING KNOWLEDGE ON HEALTH
IMPACT OF AVAILABILITY OF
NUTRIENT-RICH FOOD, AND SPACES
IN THE SCHOOLS AND COMMUNITIES.
OF INTEREST COULD BE IMPACTING
THE NEIGHBORHOOD ENVIRONMENTS
AND INVESTMENT ON STUDENT
HEALTH, WELL-BEING, RETENTION
AND ACADEMIC ACHIEVEMENT.
THINKING ABOUT RESEARCH THAT
EXAMINES PROTECTIVE FACTORS AND
PROMOTE RESILIENCE AND OUTCOMES
FOR ALL STUDENTS AND
COMMUNITIES. THINKING ABOUT
RESEARCH THAT COULD EXPAND
UNDERSTANDING OF IMPACT OF
BEFORE AND AFTER SCHOOL PROGRAMS
ON STUDENT ACHIEVEMENT AND
HEALTH AND IMPLEMENTATION
SCIENCE TO DEVELOP STRATEGIES
FOR OVERCOMING BARRIERS AND
INTERVENTIONS PRACTICES AND
PROGRAMS. NEXT SLIDE, PLEASE. SO
TO RECAP, NURSING'S HOLISTIC --
A HOLISTIC APPROACH TO CHILD
HEALTH NECESSITATES A VISION OF
SCHOOLS AS A CRITICAL PART OF
THIS LARGER ECOSYSTEM IN WHICH
CHILDREN GROW, LEARN AND PLAY.
THE SCHOOL CONTEXT EXTENDS
BEYOND THE PHYSICAL BUILDING TO
INCLUDE THE SOCIAL RELATIONSHIPS
WITHIN SCHOOLS AS WELL AS
BROADER COMMUNITIES IN WHICH
THEY ARE INVESTIGATED. THESE
CONTACTS AND QUALITY OF
EDUCATIONAL RESOURCES AND
SUPPORTS ARE CRITICAL TO
LIFE-LONG HEALTH AND WELL-BEING
AND NURSING RESEARCH IS POISED
TO BUILD ON IDENTIFIED GAPS AND
MOVE SCIENCE AND PRACTICE OF
SCHOOL HEALTH FORWARD IN SERVICE
OF IMPROVING HEALTH AND
WELL-BEING FOR ALL STUDENTS. I
THINK YOU HAVE JUST ADVANCED TO
THE LAST SLIDE. THANK YOU, I
WANT TO GIVE A SPECIAL SOUTH-OUT
TO DR. (?) FOR THEIR HELP IN
PUTTING THIS CONCEPT TOGETHER
AND LOOK FORWARD TO YOUR
QUESTIONS AND DISCUSSION. WAS IT
DR. BEKEMEIER I THINK YOU ARE
GOING TO BE SPEAKING?
>> YEP, SO I THINK I'M UP.
THANK YOU SO MUCH. I'M REALLY
EXCITED ABOUT THIS CONCEPT TOO.
I 100% AGREE SCHOOL HEALTH
RESEARCH HAS TREMENDOUS GAPS
THAT EXIST. FRANKLY, I THINK
SOME OF THOSE GAPS HAVE LIKELY
CHANGED OVER TIME, AS ECOSYSTEMS
HAVE CHANGED AND SCHOOL
NIERMENTS HAVE CHANGED. SO THAT
MEANS THE RESEARCH QUESTIONS ARE
STILL EVOLVING. I LOVE THE FOCUS
THAT INCLUDES CROSS-SECTOR
APPROACHES. FOR EXAMPLE, HOUSING
GREENED SPACES, ET CETERA.
LOOKING UPSTREAM AND NOT RELYING
OR FOCUSING ON INDIVIDUAL
BEHAVIOR CHANGE. ALSO I LOVE THE
EMPHASIS ON SCHOOL NURSES. I'M A
PUBLIC -- I THINK OF MYSELF AS A
PUBLIC HEALTH NURSE, FIRST AND
FOREMOST. AND I SEE SCHOOL
NURSES AS PART -- AS PUBLIC
HEALTH NURSES. NOT FOCUSED ON
CLINICAL CARE TO INDIVIDUAL
KIDS, BUT THEY REALLY COULD BE
AND SHOULD BE ALL ASSURING
HEALTHY ENVIRONMENTS. IDEALLY,
INSIDE AND YOU EMPHASIZED
OUTSIDE OF SCHOOLS. I LOVE THIS
IDEA OF -- IN THE CONCEPT PAPER
IT TAKES ABOUT NURSES SERVING AS
A BRIDGE AMONG THE SILOS BETWEEN
EDUCATION, SCHOOL HEALTH, SCHOOL
SAFETY, THE BROADER HEALTH CARE
ECOSYSTEM AND CULTIVATING
TRUSTING COMMUNITIES. SO -- IN
THAT VEIN I THINK SCHOOL NURSES
ARE CURRENTLY UNDERUTILIZE,
UNDERSUPPORTED AND CLEARLY
UNDERSTUDIED AND NOT NECESSARILY
WORKING TO HIGHEST SCOPE OF
PRACTICE IN TERMS OF HOW THEY
COULD BE CONTRIBUTING EVEN TO
THEIR SCHOOL ENVIRONMENTS, MUCH
LESS TO THESE BROADER
ECOSYSTEMS. TO ME, THAT IS
REALLY EXCITING. AND TO BE ABLE
TO GENERATE RESEARCH THAT CAN
REALLY HOLD UP SCHOOL NURSES TO
THIS -- TO WHAT THEY ARE REALLY
CAPABLE OF AND COULD BE BRINGING
TO SCHOOL ENVIRONMENTS. THIS
TOPIC IS CLOSE TO HIM -- HITS
CLOSE TO HOME WITH ME BECAUSE I
HAD SOME EXPERIENCE WITH A STUDY
THAT WAS FUNDED AND LAUNCHED IN
SEPTEMBER OF 2020 WITH DOCTORS
ABOUT ENVIRONMENTS TO PROMOTE
HEALTHY RELATIONSHIPS AND THAT
WERE PROTECTIVE AGAINST
INTERPERSONAL VIOLENCE. WE DID
THAT RESEARCH WITH C D C FUNDING
AND FOCUSED ON NON-HERB AND
MIDDLE SCHOOLS. BUT FRANKLY, WE
HIT SERIOUS BARRIERS. CLEARLY,
IT WAS DURING COVID SO SUDDENLY
SCHOOLS CLOSED DOWN FOR A PERIOD
OF TIME. BUT ALSO LOTS OF
SETBACKS REGARDING INDIVIDUAL
PARENTS, SUPERINTENDENTS.
FRANKLY, THE SCHOOL NURSES WERE
KEY TO ADVANCING OUR RESEARCH IN
THESE COMMUNITIES, AS THEY
REALLY HAD THE CONNECTIONS TO
NOT JUST THE STUDENTS BUT TO THE
PRINCIPAL AND THE SUPERINTENDENT
AND SOME OF THE PARENTS, ET
CETERA. BUT IT WAS STILL,
FRANKLY, A BIG HILL TO CLIMB. SO
IN THAT VEIN I THINK PART OF AS
WE THINK ABOUT THIS RESEARCH, IT
REALLY HAS TO BE VERY
PRACTICE-ENGAGED. IT REALLY HAS
TO INCLUDE ENGAGEMENT WITH
SUPERINTENDENTS AND PRINCIPALS
AND EVEN PARENTS -- AND ALSO
PARENTS, I SHOULD SAY. IN THE
CONCEPT PAPER IT TALKS ABOUT
YOUTH, PARTICIPATORY ACTION
APPROACH, WHICH I THINK IS
FABULOUS. I THINK IT SHOULD ALSO
INCLUDE SOMETHING BROADER CBPR
APPROACH THAT REALLY INVOLVES
THESE OTHER PRETTY INFLUENTIAL
FIGURES WITH SCHOOLS THAT CAN
REALLY ADVANCE THE RESEARCH OR
BECOME A BARRIER. FRANKLY, IT IS
HARD. THIS RESEARCH TAKES TIME
AND A LOT OF ENGAGEMENT. YOU
KNOW, IF IT WERE EASY, IT WOULD
HAVE BEEN DONE ALREADY. BUT ONE
MORE THING REGARDING -- I LIKE
THAT YOU ARE ALSO HIGHLIGHTING
RESEARCH AROUND EDUCATIONAL
OUTC
OUTCOMES AND I'M THINKING -- IT
MAKE MES THINK ABOUT DOES THIS
MEAN INTER VEPGSS -- INTERVENTI
APPROACHES AFFECTING STUDENT
LEARNING, LIKE SOCIAL-EMOTIONAL,
TRAUMA-INFORMED, ET CETERA. OR
IS THAT KIND OF BEYOND THE SCOPE
OF WHAT THIS KIND OF RESEARCH
WOULD SUPPORT. IN ANY CASE IT
REALLY ALSO RINGS TO THE NOTION
OF MULTI SECTORIAL INTERVENTIONS
THAT DR. AKLIN HAS BEEN
EMPHASIZING. SO I WILL STOP
THERE AND INTERESTED TO HEAR
WHAT OTHERS HAVE TO SAY.
>> THANK YOU SO MUCH FOR YOUR
COMM
COMMENTS. YOU HIT ON WHAT WE
AGREE ARE SOME OF THE KEY
COMPONENTS IN TERMS OF
CENTRALITY OF COMMUNITY
PARTNERSHIPS AND PARTICIPATORY
RESEARCH, THE MULTI SECTOR
INVOLVEMENT TO GAIN AT MULTIPLE
LEVELS AND ABSOLUTELY THE ROLE
OF SCHOOL NURSES. TO YOUR POINT,
JUST ECHOING THAT, YEAH,
SCHOOL-BASED RESEARCH WAS
CHALLENGING BEFORE COVID. IT IS
POTENTIALLY MORE CHALLENGING NOW
IN JUST RECOGNIZING THE
DIFFERENT CHALLENGES,
RECOGNIZING THAT AND LEVERAGING
THOSE RELATIONSHIPS SCHOOL
NURSES BRING. TO YOUR QUESTION
ABOUT SOME OF THE OTHER TYPES OF
INTERVEN
INTERVENTIONS, ALL F OUR
CONCEPT S IS WRITTEN
INTENTIONALLY BROAD, SO AS WE
MOVE FORWARD, YOU KNOW, WE WILL
CERTAINLY THINK ABOUT WHAT ARE
THE DIFFERENT POTENTIAL
COMPONENTS OF WHAT SOME OF THOSE
INTERVENTIONS COULD LOOK LIKE,
SO THANK YOU FOR THAT. OTHER
QUESTIONS? YES, DR. AYALA.
>> THANK YOU, DR. BEKEMEIER.
YOU MADE A LOT OF POINTS I WAS
GOING TO MAKE SO I APPRECIATE
THAT. TWO THINGS FROM THE
PERSPECTIVE OF THE SCHOOLS:
CHRONIC ABSENTEEISM AND FAMILY
ENGAGEMENT. REGARDING THE FIRST
ONE WE KNOW CHRONIC ABSENTEEISM
IS A HUGE RISK FACTOR FOR
CHILDREN'S EDUCATIONAL AND
HEALTH OUTCOMES BUT ALSO KNOW
THEY ARE IMPACTED BY HEALTH
CONDITIONS. SO CHILDREN WITH
MULTIPLE CHRONIC DISEASES OR
OTHER ISSUES ARE AMONG THOSE AT
GREATEST RISK BUT NOT THE ONLY
ONES. SO I THINK HAVING THE
FOCUS COULD BENEFIT NOT ONLY THE
HEALTH AND WELLNESS OF CHILDREN
AND FAMILIES, BUT ALSO THE
SCHOOLS, BECAUSE THEY RIM PACTED
ECONOMICALLY BY CHRONIC
ABSENTEEISM. RELATED IS FAMILY
ENGAGEMENT. MANY SCHOOLS SURVIVE
OR FUNDED IN PART BECAUSE OF
THEIR ABILITY TO ENGAGE WITH
FAMILIES -- OR SOME OF THEIR
FUNDING BECAUSE OF THAT. I
REALLY THINK THAT SCHOOL-BASED
INTERVENTIONS COULD REALLY HAVE
AN IMPACT. ESPECIALLY THOSE LED
BY NURSING RESEARCHERS, NURSING
PERSPECTIVES CAN REALLY MOVE THE
NEEDLE, I THINK, IN TERMS OF HOW
DO WE ENGAGE FAMILIES IN THE
SCHOOL SYSTEM, THANK YOU.
>> GREAT, THANK YOU.
ABSOLUTELY AGREE THAT BOTH THOSE
ARE CRITICAL.LY JUST USE THIS
OPPORTUNITY TO PUT IN ANOTHER
PLUG.
FOR ACTUALLY LOOKING AT
INNOVATIVE WAYS TO SUPPORT BOTH
FAMILY ENGAGEMENT AND CHRONIC
ABSENTEEISM. SO THANK YOU FOR
HIGHLIGHTING THAT. HOPEFULLY
YOU'LL ALL BE ABLE TO TUNE IN
FOR THAT. OTHER QUESTIONS?
>> THANK YOU DR. BLACKMON AND
BEKEMEIER FOR THIS ENLIGHTENING
CONVERSATION AND TAKING US
THROUGH THE CONCEPT. IT IS TIME
FOR US TO ENGAGE IN OUR LAST
CONCEPT OF THE MORNING. IT IS
GOING TO BE ON INTERRUPTING
CYBERINGAL OF VIOLENCE AGAINST
WOMEN THROUGH TARGETED
APPROACHES. THE WE CARE
INITIATIVE AND PRESENTED BY DR.
BYNUM.
>> THANKS, DR. AKLIN. MY NAME
IS SHOLANDA BYNUM, A SCIENTIFIC
ADVISOR IN THE OFFICE OF THE
DIRECTOR. MY COLLEAGUE AND I ARE
HAPPY TO HAVE THE OPPORTUNITY TO
FRIEND " WE CARE " CONCEPT
FOCUSED ON VIOLENCE AGAINST
WOMEN. AN ISSUE THAT
UNFORTUNATELY AFFECTS MILLIONS
OF WOMEN BUT IMPACTS OVER YEARS
AND ACROSS GENERATIONS. NEXT
SLIDE. IN FACT, WORLDWIDE AN
ESTIMATED 30% OF WOMEN
EXPERIENCE SOME FORM OF EXPOSURE
TO VIOLENCE, WHICH MAY INCLUDE
DOMESTIC, PARTNER, PEER,
HOMICIDE AND OTHER FORMS. NEXT
SLIDE. IN THE U.S. INTIMATE
PARTNER VIOLENCE IS THE MOST
COMMON FORM OF VIOLENCE THAT
WOMEN EXPERIENCE, AFFECTING ONE
IN TWO WOMEN. THAT IS 50% OF ALL
WOMEN WILL EXPERIENCE INTIMATE
PARTNER VIOLENCE IN THEIR
LIFETIME. THIS IS REALLY A
JARRING STATISTIC. THE PHYSICAL
AND PSYCHOLOGICAL EFFECTS OF IPV
EXPOSURE ARE IMMEDIATE AND
LONG-TERM, CONSTITUTING A MAJOR
CAUSE OF INJURY FOR THE
POPULATION. SO VIOLENCE AGAINST
WOMEN ISN'T AN ISOLATED ISSUE
BUT RATHER IT IS PERVASIVE
ACROSS RACE, INCOME AND
GEOGRAPHICAL LINES, WITH SOME
WOMEN AT INCREASED RISK OF
EXPOSURE, INCLUDING INTIMATE
PARTNER HOMICIDE, ASSOCIATED
WITH 50% OF ALL HOMICIDES AMONG
THE POPULATION. AS YOU SEE ON
THE SCREEN, ON THIS CHART HERE,
MULTI -RACIAL, AMERICAN INDIAN,
ALASKAN NATIVE AND BLACK WOMEN
ARE AT INCREASED RISK OF IPV
EXPOSURE. ADDITIONALLY, WOMEN
LIVING IN RURAL AREAS, YOUNG
WOMEN AND WOMEN WITH FEWER
ECONOMIC RESOURCES ARE ALSO AT
INCREASED RISK. SO THESE
STATISTICS, AGAIN, ARE
STAGGERING AND REALLY
UNACCEPTABLE. THERE IS MUCH THAT
CAN BE DONE AND SHOULD BE DONE
TO ADDRESS THIS LONG-STANDING
PUBLIC HEALTH ISSUE. NINR HOPES
TO CONTRIBUTE TO THE SCIENCE TO
PREVENT AND ULTIMATELY ELIMINATE
VIOLENCE AGAINST WOMEN TO
IMPROVE HEALTH OUTCOMES FOR ALL.
NEXT SLIDE. SO WOMEN'S HEALTH,
IN GENERAL, IS A NATIONAL
PRIORITY. EARLIER THIS YEAR THE
REPORT NEW VISION FOR WOMEN'S
HEALTH WAS RELEASED. THIS REPORT
WAS COMMISSIONED BY CONGRESS AND
LED BY THE NIH OFFICE OF
RESEARCH ON WOMEN'S HEALTH. IN
IT THE ACADEMY'S OUTLINE
PROGRESS MADE ON WOMEN'S
PROGRESS AT NIH AND WHERE THERE
ARE REMAINING GAPS, INEFFICIENCY
OPPORTUNITIES TO DO MORE TO
ACCELERATE PROGRESS IN THIS AREA
IN TERMS OF PEOPLE'S LIVES AND
LIVING CONDITIONS ARE NOTED AS
PRINCIPAL CAUSE OF VIOLENCE
EXPOSURE. NEXT SLIDE. THIS WAS
MENTIONED EARLIER. WOMEN'S
HEALTH AND SPECIFICALLY VIOLENCE
AGAINST WOMEN IS ALSO IMPORTANT
TO NINR. SO IN 2023, PRIOR TO
THE RELEASE OF THE ACADEMY'S
REPORT, NINR PUBLISH ED A
REQUEST FOR INFORMATION TO
GATHER PUBLIC INPUT ON
SCIENTIFIC DIRECTIONS IN THIS
AREA OF RESEARCH IN WHICH WE
RECEIVED A VERY ROBUST RESPONSE
FROM THE SCIENTIFIC COMMUNITY,
COMMUNITY ORGANIZATIONS AND
WOMEN EXPOSED TO VIOLENCE. LATER
THAT YEAR WE PUBLISHED OUR
REPORT AND PRESENTED TO THIS
COUNCIL, WHICH OUTLINES NINE
OVERARCHING SCIENTIFIC AREAS
NEEDED TO MOVE THE FIELD
FORWARD. SO THESE THINGS INCLUDE
STRENGTHENING METHODS AND
MEASURES TO BETTER UNDERSTAND
THE MAGNITUDE OF VIOLENCE
AGAINST WOMEN, LEVERAGING
VARIOUS SETTINGS TO PREVENT AND
INTERRUPT VIOLENCE,
INCORPORATING ON PERPETRATORS,
FAMILY-BASED INTERVENTIONS TO
PREVENT INTER GENERATIONAL
TRANSFER OF VIOLENCE AND MANY
OTHER IMPORTANT AREAS. SO THESE
FINDING INFORM THE CONCEPT THAT
YOU WILL HEAR. NEXT SLIDE. SO WE
BRIEFLY TALKED ABOUT THE STATE
OF THE PROBLEM AND OUR INTEREST
IN VIOLENCE AGAINST WOMEN. LET'S
DISCUSS THE FACTORS DRIVING
THIS. THE THEMES IDENTIFIED IN
THE RFI REPORT I MENTIONED IN
BRIEF TO YOU MIRRORED THOSE IN
LITERATURE AND COINCIDE IN MANY
WAYS WITH FACTORS THAT
PERPETUATE VIOLENCE IN GENERAL.
FACTORS THAT INCREASE RISK OF
VICTIMIZATION, REVICTIMIZATION
AND SURVIVAL INCLUDE SYSTEM LAWS
AND PRACTICES GOVERNING THE
CRIMINAL LEGAL CONSEQUENCES OF
VIOLENCE AGAINST WOMEN SUCH AS
ENFORCEMENT OF RESTRAINING
ORDERS. THOSE ENABLING RIGHT TO
PRIVACY, BELIEF IN WORK PLACE TO
ADDRESS EXPOSURE EVENTS.
ECONOMIC SUPPORT PROVIDE WOMEN
WITH FINANCIAL RESOURCES NEEDED
TO ESCAPE ABUSE. HOUSING
PRACTICES THAT FACILITATE
IMMEDIATE AND LONG-TERM SHELTER
FOR WOMEN AND THEIR CHILDREN.
NEIGHBORHOOD DISADVANTAGES SUCH
AS LIVING IN AN AREA WITH
ELEVATED LEVELS OF ECONOMIC
HARDSHIP REDUCE EMPLOYMENT
OPPORTUNITIES AND HIGH CRIME
ALSO CONTRIBUTE. FACTORS SUCH AS
ECONOMIC INSTABILITY AND
EXPOSURE AS A CHILD ARE
INDIVIDUAL VIB TORS TO VIOLENCE.
PROTECTIVE FACTORS ARE UNDER
STUDY IN THE LITERATURE AND CAN
BE AND SHOULD BE LEVERAGED IN
IDENTIFYING SOLUTIONS TO
PREVENT, ELIMINATE AND BUFFER
AGAINST VIOLENCE EXPOSURE. THESE
INCLUDE THE CREATION OF LAWS,
SYSTEMS AND PRACTICES CONDUCIVE
TO PROTECTING WOMEN, BUILDING
CO. HEE SHUN AND EFFICACY,
DEVELOPING INFRASTRUCTURE TO
SUPPORT COORDINATED CARE TO
ADDRESS VIOLENCE AND BUILDING IN
CULTURAL PRACTICES AND
TRADITIONS, ESPECIALLY AMONG
AMERICAN INDIAN, ALASKAN NATIVE
WOMEN. NEXT SLIDE. SO THREADING
THESE PIECES OF INFORMATION
TOGETHER THIS IS PARTICULARLY
IMPORTANT TO NURSES AND NURSING
RESEARCH. AS NURSES ARE OFTEN ON
THE FRONT LINE OF ASSESSING AND
ADDRESSING VIOLENCE EXPOSURE,
BOTH PSYCHOLOGICAL AND PHYSICAL
HEALTH CONSEQUENCES, COULD BE IN
SCHOOL SETTINGS AND COULD BE IN
OTHER VARIETY OF PLACES AND
SPACES LEVERAGED TO INTERRUPT
THE PATHWAY. SO NURSING RESEARCH
IS UNIQUELY POSITIONED TO
ADVANCE HEALTHCARE SYSTEMS AND
WORK WITH AND THROUGH COMMUNITY
TO ADDRESS PRINCIPLE CAUSES,
ALIGNING WITH THE HOLISTIC
PERSPECTIVE THAT NURSING BRINGS
TO CLINICAL AND COMMUNITY CARE.
NEXT SLIDE. SO THAT LEADS US TO
THE " WE CARE " CONCEPT AIMED AT
ADVANCING CONCEPTS TO PREVENT,
ELIMINATE AND DECREASE VIOLENCE
AND IMPROVE HEALTH OUTCOMES FOR
ALL. NEXT SLIDE. IN THIS CONCEPT
WE ARE CONSIDERING VIOLENCE
AGAINST WOMEN BROADLY TO INCLUDE
INTIMATE PARTNER VIOLENCE,
PHYSICAL AND MENTAL ABUSE,
SEXUAL ASSAULT, DATING VIOLENCE,
PEER VIOLENCE AND HOMICIDE.
ADDITIONALLY, WE LEVERAGE THE
NIH CONCEPTUALIZATION OF SDOH TO
GROUND THIS, INCORPORATING FOCUS
ON CONDITIONS OF PEOPLE'S LIVES
AND LIVING CONDITIONS. NEXT
SLI
SLIDE. SO THE " WE CARE "
CONCEPT EMPLOYS A RANGE OF
DESIGNS AND METHODS INCLUDING
RESEARCH TO ELUCIDATE HEALTH
IMPACTS OF LAWS, SYSTEMS AND
PRACTICES THAT IMPACT VIOLENCE.
INTERVENTION RESEARCH THAT
ADDRESSES THE UNDERLYING CAUSES
OF VIOLENCE AGAINST WOMEN AND
RESEARCH TERM PER DATA
INFRASTRUCTURES TO MORE FULLY
UNDERSTAND THE SCOPE OF THE
PROBLEM. NEXT SLIDE. THIS MIGHT
INCLUDE STUDIES THAT ADVANCE
NURSE-LED RESEARCH TOWARDS
VIOLENCE AGAINST WOMEN IN
COMMUNITY AND SCHOOL SETTINGS,
ADDRESS VIOLENCE EXPOSURES
DURING CRITICAL TIME POINTS,
PARTICULARLY DURING PREGNANCY
AND AFTER A FIRST EVENT WHERE
SUBSEQUENT EXPOSURES ARE LIKELY
TO BE MORE SEVERE. THOSE THAT
AIM TO INTERRUPT THE TRANSFER OF
VIOLENCE, FOCUS ON VIOLENCE
PERPETRATION WHICH HAS RECEIVED
FAR LESS ATTENTION IN THE
LITERATURE AND IMPORTANTLY
STUDIES THAT LEVERAGE STRENGTHS
AND VALUES TO ADDRESS THIS
ISSUE. NEXT SLIDE. SO PREVENTING
AND ELIMINATING VIOLENCE AGAINST
WOMEN IS NOT TOO GRAND OF A
GOAL. IT IS ATTAINABLE. THERE
CAN BE A WORLD WITHOUT VIOLENCE
AGAINST WOMEN. IN THE WE CARE
CONCEPT IT IS NINR'S
CONTRIBUTION TO AWARD THIS GOAL.
THANK YOU FOR LISTENING, LOOKING
FORWARD TO DISCUSSION. I WILL
HAND IT OFF TO DR. AYALA TO LEAD
US IN THE DISCUSSION.
>> THANK YOU DR. BYNUM. THIS
IS A VERY CHALLENGING TOPIC FOR
ME TO ADDRESS. THE STATISTICS
ARE ALARMING. THE FACT THAT ONE
IN TWO WOMEN EXPERIENCE SOME
FORM OF VIOLENCE IS
UNACCEPTABLE. THERE IS AGREEMENT
IN STUDIES THAT YOU PRESENTED
HERE THAT A LOT OF THE EVIDENCE
IS ALSO AN UNDERESTIMATION.
SEEING THAT GRAPH AND SEEING WHO
REPORTS LESS OR WHERE WE SEE
LESS VIOLENCE BEING REPORTED OR
OBSERVED IS NOT INCONSISTENT
WITH POPULATIONS IN TERMS OF
REPORTING ON WHAT'S HAPPENING,
PARTICULARLY WITHIN THE FAMILY.
SO IT CLEARLY SHOWS EVIDENCE
THIS DOES NOT OCCUR IN ISOLATION
OF TH OTHER FACTORS. USING
ECONOMICS AS AN EXAMPLE, THE
ECONOMIC CONDITIONS OF THE
NEIGHBORHOOD IN COMMUNITY HAVE
BEEN IDENTIFIED AS A STRESSER,
INCLUDING CRIME IN THE
NEIGHBORHOOD. SO HAVE ECONOMIC
CONDITIONS OF HOUSEHOLDS, SUCH
AS LIVING IN POVERTY. WHERE WE
SEE A BRIGHT LIGHT IS THERE IS
ALSO A GROWING BODY OF EVIDENCE
THAT SHOWS THE POSITIVE IMPACTS
OF IMPROVING THOSE CONDITIONS.
IMPACT THAT IS GOING TO HAVE ON
PREVENTING AND CONTROLLING THE
CYCLE OF VIOLENCE AGAINST WOMEN.
AS YOU NOTED IN YOUR
PRESENTATION, THERE ARE MANY
GAPS. I WILL START WITH THE
MEASUREMENT ONE FIRST. HOW TO
BETTER MEASURE, COLLECT AND
SHARE DATA ABOUT VIOLENCE
AGAINST WOMEN FURTHER INFLUENCES
OUR ABILITY TO UNDERSTAND AND
ADDRESS THIS ISSUE. WITHOUT DATA
ACROSS EFFORTS KCHALLENGES OUR
ABILITY TO PRODUCE SOLUTIONS.
CONSIDERING FACTORS TO PREVENT
AND CONTROL WILL HELP US BETTER
DESIGN INTERVENTIONS TO, AGAIN,
PREVENT IN FUTURE. ESPECIALLY
CRITICAL IS THAT TRANSFER OF
VIOLENCE FROM PARENTS TO
CHILDREN. REALLY IMPORTANT YOU
MENTIONED IS STOP OF REPEATED
VICTIMIZATION. THE FACT IT WILL
CONTINUE AND POTENTIALLY GETS
WORSE IS SOMETHING THAT NEEDS TO
BE ADDRESSED. FINALLY, AS I
MENTIONED EARLIER, IDENTIFYING
PROTECTIVE FACTORS WILL I THINK
HELP US MOVE THE NEEDLE IN
REDUCING THE ALARMING RATES YOU
PRESENTED EARLY ON. I THINK
NURSING RESEARCH IS CRITICAL FOR
ADDRESSING THIS ISSUE.
PARTICULARLY GIVEN THE TRUST WE
HAVE DISCUSSED AMONG NURSES.
THEY ARE, I THINK, IN IDEAL
SITUATION, TO COLLECT AND USE
DATA FOR VIOLENCE AGAINST WOMEN.
I ENCOURAGE EVERYBODY TO READ
THE REPORT. IT MAY BE BECAUSE OF
THE DIFFERENT STAKEHOLDERS AND
VOICES YOU ARE ABLE TO AND INTO
I THINK THE COMMENTS HAVE MUCH
MORE GENERAL IZABILITY TO SO
MANY OTHER HOUSE ISSUES THAT ARE
JUST AS IMPORTANT FOR VIOLENCE
AGAINST WOMEN. I HOPE IT UP FOR
DISCUSSION AMONG OTHERS.
>> THANK YOU, DR. AYALA FOR
THOSE COMMENTS. YOU KNOW, ONE IN
TWO WOMEN, 50% OF WOMEN, I
AGREE, SHOCKING TO MY SYSTEM TO
SEE. WE KNOW THAT IT IS
UNDERREPORTED AND THAT NUMBER
ALONE IN GUESSING THAT IT IS
MUCH HIGHER BUT UNDERSTANDING
THE CAPACITY ISN'T QUITE THERE
SO WE KNOW MUCH MORE ABOUT IPV
BUT VIEW LESSON AGAINST WOMEN IN
GENERAL AND THE CONTEXT, THERE
IS FAR LESS THERE. SO ANOTHER
COMMENT THAT YOU MADE ABOUT
CRITICAL TIME POINT SO WE KNOW
AFTER A FIRST EXPOSURE TO IPV
THAT THE SECOND IS POTENTIALLY
MORE SEVERE IN INTIMATE PARTNER
H
HOMICIDE. THAT IS CRITICAL
DURING PREGNANCY AND AFTER THE
FIRST EXPOSURE. THOSE ARE
CRITICAL TIME POINTS WHERE
INTERRUPT ING THAT PATHWAY IN
INTERVENTION DURING THOSE TIME
POINTS IN TERMS OF REDUCTION FOR
THESE WOMEN. ANOTHER COMMUNITY
ABOUT COMMUNITY, COMMUNITY
ENGAGEMENT IS IMPORTANT HERE, WE
OFTEN LOOK AT THE DEFICITS OF
COMMUNITY, RIGHT. BUT THERE ARE
COLLECTIVE STRENGTHS THAT CAN BE
LEVERAGED TO COMBAT THIS ISSUE.
THERE IS A TINY BIT OF
LITERATURE ALLUDING TO THAT. BUT
WE NEED MUCH MORE. WE KNOW THAT
THERE ARE THINGS WITHIN
INDIVIDUALS, WITHIN FAMILIES AND
WITHIN COMMUNITIES THAT CAN BE
MAXIMIZED THAT JUST HAVEN'T BEEN
TAPPED INTO. THANK YOU. YES, DR.
BEKEMEIER.
>> THANK YOU. I THINK THIS IS
ENORMOUSLY IMPORTANT AND I LOVE
THIS IS A CONCEPT EMPHASIZED.
SOME THOUGHTS I HAVE IS THERE'S
WAY MORE RESEARCH THAT NEEDS TO
P DONE IN THIS AREA. BUT I
REALLY WANT TO EMPHASIZE THE
PRIMARY PREVENTION PIECE BECAUSE
THERE'S SO MANY WE KNOW ABOUT
PREVENTING THIS IN THE FIRST
PLACE. WE KNOW MORE ABOUT
CRITICAL TIME POINTS THAN SOME
OF THESE OTHER FACTORS YOU
BROUGHT UP BUT THE PRIMARY
PREVENTION PIECE IS HARD TO DO
THAT KIND OF RESEARCH. BUT,
AGAIN, IF IT WASN'T SO HARD, WE
WOULD HAVE DONE IT ALREADY. SO
REALLY WANT TO EMPHASIZE THAT
PART TO THE RELATIONSHIP. I
DON'T THINK I SAW OR HEARD
ANYTHING ABOUT IMPLEMENTATION
SCIENCE, ABOUT HOW TO IMPLEMENT,
HOW TO DO -- MAKE THIS WHAT WE
DO KNOW IT IS EVIDENCE-BASED OR
EVIDENCE-INFORMED, HOW TO
IMPLEMENT THAT IN COMMUNITIES.
LASTLY, I WANT TO JUST EMPHASIZE
OR RAISE THE CONNECTION BETWEEN
SCHOOL HEALTH WE HAVE BEEN
TALKING ABOUT AND IPV. SCHOOLS
ARE A PLACE TOO FOR PRIMARY
PREVENTION, RIGHT. WHERE WE CAN
ESTABLISH HEALTHY RELATIONSHIPS
AND NURTURING ENVIRONMENTS THAT
CAN BE SOURCES OF PRIMARY
PREVENTION IN THE FIRST PLACE SO
THANK YOU .
>> ABSOLUTELY. SO WHAT I DID
NOT MENTION, I MENTIONED YOUNGER
WOMEN ARE AT INCREASED RISK BUT
REALLY THE FIRST EXPOSURE TO
VIOLENCE HAPPENS DURING HIGH
SCHOOL. THAT IS WHY SCHOOL-BASED
SETTINGS WERE BROUGHT IN TO THE
CONCEPT BECAUSE IT REALLY DOES
PREVENT AN OPPORTUNITY, IF WE
CAN INTERRUPT THAT FIRST
EXPOSURE EVENT. BOTH ON THE
VICTIMIZATION AND PERPETRATION
IS IMPORTANT AND COINCIDE BUT
THE SCHOOL SETTING DOES OFFER
THAT OPPORTUNITY FOR KIDS THAT
ARE IN THE NINTH, TENTH GRADE TO
START THINKING ABOUT STRATEGIES
AND WAYS TO ADDRESS IT SO THAT
IT DOESN'T HAPPEN IN THE 11TH
AND 12TH GRADE. I THINK THE
FIRST EXPOSURE IS SOMETHING LIKE
16, WHICH IT IS SHOCKING. IT IS
PRETTY YOUNG. VERY UNFORTUNATE.
BUT THAT SETTING DOES ALLOW, YOU
KNOW, OPPORTUNITY TO INCREASE --
IMPACT THAT YOUNGER AGE. SO
IMPLEMENTATION SCIENCE, IT IS
ALSO EQUALLY IMPORTANT. MUCH OF
WHAT WE KNOW IS AT THE
INDIVIDUAL LEVEL, SO THERE HAVE
BEEN STRATEGIES THAT HAVE WORKED
BUT THEY HAVE BEEN
INDIVIDUAL-LEVEL STRATEGIES
LOOKING AT BEHAVIORS,
AGGRESSION, ET CETERA. SO
COUPLING THOSE, WHAT WE KNOW
WITH THESE HIGHER LEVEL
STRATEGIES ARE LIKELY TO PROVIDE
GREATER IMPACT SO WE KNOW SOME
BUT THINKING ABOUT BROADER
IMPACT, THERE'S FAR LESS THERE,
BUT DOES ALLOW AN OPPORTUNITY
FOR COMBINED INTERVENTIONS THAT
LOOK AT INDIVIDUAL-LEVEL
STRATEGIES, SCHOOL-BASED
STRATEGIES, COMMUNITY-BASED
STRATEGIES, ET CETERA, SO WE ARE
CAPTURING AS MUCH AS POSSIBLE,
OR AS MUCH AS CAN BE CAPTURED IN
THE CONTEXT OF ONE STUDY. ALL
ARE EQUALLY IMPORTANT. I THINK
THERE ARE A LOT OF DIFFERENT
UNTAPPED WAYS TOWARDS THIS ISSUE
THAT WE ARE HOPING TO MOVE
FORWARD SO THANK YOU FOR THOSE
COMMENTS. MR. HERRINGTON.
>> YES. WITH THE MENTION OF
PRIMARY PREVENTION, I WAS
REMINDED OF THE TERM
CARDIOVASCULARS CALL MORAL
PROTECTION. THIS GROWS OUT OF
CONTEXT. THE MORE WE CAN INFORM
PEOPLE OUT OF THE CONTEXT WHICH
THIS GROWS, THE MORE LIKELY WE
WILL BE TO STEM THAT TIDE. AS
YOU POINTED OUT, IT HAPPENS
EARLIER THAN PEOPLE REALLY
THINK. THERE MAY BE SOME
EFFORTS, JUST IN TERMS OF THIS
CONCEPT OF PRIMORDIAL PROTECTION
TO HAVE A SIGNIFICANT IMPACT ON
THE FRONT END AS OPPOSED TO
WAITING.
>> ABSOLUTELY AGREE. THANK
YOU FOR THAT COMMENT. ANY
OTHERS? OKAY. WELL, THANK YOU
VERY MUCH FOR YOUR TIME.
>> THANK YOU SO MUCH. MORE TO
COVER. BEFORE WE WRAP UP THE
OPEN SESSION THIS AFTERNOON I
WOULD LIKE TO OPEN FOR
ADDITIONAL QUESTIONS, COMMENTS
OR COMMENTS FROM COUNCILMEMBERS.
OKAY. HEARING NONE, THIS IS THE
COMPLETION OF OUR OPEN COUNCIL
FOR TODAY. PLEASE,
COUNCILMEMBERS, BE PREPARED TO
JOIN US FOR CLOSED SESSION. YOU
SHOULD HAVE THE LINK AVAILABLE
TO YOU. WE WILL JOIN BACK AT
12:00 P.M. THANK YOU VERY MUCH.