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312  n  NATIONAL INSTITuTe OF NuRSING ReSeARCH



           100 people, including scientists, administra-  home- and community-based use; and devel-
           tors, and support staff.                 oping future research and clinical workforce
   N          NINR  supports  clinical  and  basic   at a time of increased demand across numer-
           research to build the scientific foundation for   ous sectors of the health care system.
           clinical practice, prevent disease and disabil-  A fundamental part of NINR’s mission is
           ity, manage and eliminate symptoms caused   developing the next generation of scientists.
           by illness, and enhance end-of-life and pallia-  The  percentage  of  NINR’s  budget  allocated
           tive care. NINR’s research portfolio is greater   to training is nearly twice the NIH average.
           than 90% clinically focused. Although NINR   under  its  training  programs,  NINR  sup-
           does support basic research, which has his-  ports  graduate  and  postgraduate  research
           torically  comprised  a  large  proportion  of   fellowships and career development awards,
           the NIH research portfolio, the institute has   including awards to trainees from underrep-
           always been a leader at NIH, and across the   resented  and  disadvantaged  backgrounds.
           broader  biomedical  community,  in  clinical   Many NINR-trained scientists will also serve
           research and research translation.       as faculty in schools of nursing, responsible
              Over the past 25 years, NINR-supported   for educating future nurses that are vital to
           scientists have addressed clinical and policy   improving  patient  health  and  the  effective-
           deficiencies across the health and health care   ness of the nation’s health care.
           spectrum, improving—often transforming—      NINR  supports  a  number  of  special-
           practice guidelines and public policies on the   ized  training  programs  designed  to  pro-
           basis of their research findings. NINR grant-  mote  career  advancement  and  provide  the
           ees  have  led  the  way  in  bringing  person-  next  generation  of  scientists  with  the  skills
             centered, point-of-care translational research   necessary  to  address  today’s  most  press-
           to  the  forefront  of  the  health  sciences  by   ing issues. For example, the NINR Summer
           investigating all dimensions of health includ-  Genetics  Institute  is  an  intensive  summer
           ing fundamental issues of quality of care and   training  program  that  provides  graduate
           quality of life in disparate settings from the   students  and  faculty  with  a  foundation  in
           neonatal intensive care unit (NICu) to nurs-  molecular genetics to enhance their research
           ing  homes;  preventative  interventions  and   and clinical practice. Along with supporting
           symptom management in acute critical care   numerous  other  predoctoral  and  postdoc-
           settings and in the realm of chronic disease;   toral research opportunities, NINR also par-
           and  health  promotion  for  individuals,  fam-  ticipates  in  the  NIH  Graduate  Partnerships
           ilies,  and  communities  across  the  life  span   Program, a doctoral fellowship training pro-
           and across generations.                  gram that coordinates training and funding
              NINR’s focus on science that spans the   for  doctoral  students  attending  schools  of
           full  disease  spectrum  and  all  stages  of  life   nursing  with  established  NINR-supported
           enables the institute to explore and address   training  programs.  Another  program,  the
           some  of  the  most  important  challenges   K22  Career  Transition  Award,  funds  post-
           affecting the health of the American people.   doctoral research in two phases: an intramu-
           These issues include improving management   ral  phase  at  NIH  and  an  extramural  phase
           of chronic illness, including in persons with   to aid the transition to tenure-track research
           comorbid conditions; developing new strate-  and faculty positions. In addition, the BNC
           gies for preventive health that are culturally   Fellowship,  supported  by  the  Bravewell
           relevant at a time of increasing ethnic, racial,   Collaborative,  NINR,  and  the  NIH  Clinical
           and cultural diversity and in the face of per-  Center, trains individuals on how to address
           sistent  health  disparities;  enhancing  the   key issues in integrative health research.
           ability to translate emerging patient manage-  In NINR’s role as the lead NIH institute
           ment technologies into clinical practice and   for end-of-life research, an area of increasing
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