Research Center for Symptom Management

Overview

RCSM Logo
School of Nursing
University of California, San Francisco
San Francisco, CA  94143-0606
Leadership
Kathryn A. Lee, RN, CBSM, PHD, FAAN, Co-Director, Research Center
Christine Miaskowski, RN, PhD, FAAN, Co-Director, Research Center
 

The goal of the Research Center for Symptom Management (RCSM) is to advance the knowledge in the field of symptom management and, thereby, improve health care providers' practice and individuals' symptom outcomes.

Symptoms are the most common reason people seek health care. Symptoms are a major problem for individuals and their families since their management and resulting outcomes are often their own responsibility. Many people wonder if they are "doing the right thing" and if their symptom management strategies are appropriate.

If symptom control is not achieved, frequently individuals' valued activities are disrupted and their quality of life adversely affected. At the same time, health care providers have difficulty developing symptom management strategies that can be applied in the acute care, ambulatory care, and home care settings because there are few tested models of symptom management.

SYMPTOM MANAGEMENT MODEL
(See Note Below)
Symptom Management Model II
Note for Symptom Management Model          

Permission to Use Model (shown above). The most recent presentation of the Symptom Management Model appears as Humphreys, J., et. al., in Smith, M.J. and Liehr, P.R. (eds., 2008). Middle Range Theory for Nursing. Chapter 8. Theory of Symptom Management. New York: Springer Publishing Company.

Please feel free to use the model in your own work, however, if you wish to use the model in a published work, all issues concerning permissions should be directed to the following e-mail address: journalsrights@oxon.blackwellpublishing.com, using the following citation:
Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, Lee K, Miaskowski C, Puntillo K, Rankin S, Taylor D. (2001). Advancing the Science of Symptom Management. Journal of Advanced Nursing, 33(5), 668-676.

RCSM Overall Aims

The overall aims of the RCSM are to:

  1. Develop the subdiscipline of symptom management across health science disciplines and across health care settings by elucidating and testing a Model of Symptom Management;
  2. Improve individuals' health status, by decreasing symptom morbidity and thereby enhance their quality of life, with particular emphasis on specific cultural and ethnic groups;
  3. Prepare scientists in Nursing and other disciplines by interdisciplinary training in the area of symptom management; and
  4. Create mechanisms for synergy, cooperation, and collaboration among interdisciplinary clinical investigators working in the area of symptom management.

The immediate strategies to achieve these aims are to:

  1. establish the organizational unit of administrative, support, and research development and dissemination cores; to facilitate the ongoing work of the eleven currently funded grants and the three pilot studies already underway; -->
  2. to formally link clinical research efforts in symptom management; and
  3. to provide accessible central resources to RCSM affiliated faculty.

For more information about the RCSM:

RCSM Faculty Contacts

RCSM Faculty Group Member Area of Interest Email address
Brad Aouizerat, PhD Genetics Email    Brad.Aouzierat@nursing.ucsf.edu
Christina Baggott, RN, PhD
Symptoms Email    Christina.Baggott@nursing.ucsf.edu
Mary Barger, CNM, PhD Symptoms Email    Mary.Barger@nursing.ucsf.edu
Virginia Carrieri-Kohlman, RN, DNSc, FAAN Dyspnea Email    Ginger.Carrieri-Kohlman@nursing.ucsf.edu
Janine Cataldo, RN, PhD Symptoms Email    Janine.Cataldo@nursing.ucsf.edu
Marylin Dodd, RN, PhD, FAAN Self-Care, Mucositis & Fatigue Email    Marylin.Dodd@nursing.ucsf.edu
Glenna Dowling, RN, PhD Sleep Disruptions in Parkinson's & Alzheimer's Diseases Email    Glenna.Dowling@nursing.ucsf.edu
Kathy Dracup, RN, DNS, FAAN Congestive Heart Failure Email    Kathy.Dracup@nursing.ucsf.edu
Jill Howie-Esquivel, RN, PhD Symptoms Email    Jill.Howie-Esquivel@nursing.ucsf.edu
Linda Franck, RN, PhD, FAAN Symptoms Email    Linda.Franck@nursing.ucsf.edu
Janice Humphreys, RN, CS, PhD, PNP Battered Women & Their Children, Sleep & Fatigue Email    Janice.Humphreys@nursing.ucsf.edu
Susan Janson, RN, NP, DNSc, FAAN Asthma Symptoms, Dyspnea Email    Susan.Janson@nursing.ucsf.edu
Christine Kennedy, RN, PhD, FAAN Symptoms Email    Christine.Kennedy@nursing.ucsf.edu
Kathryn A. Lee, RN, CBSM, PhD, FAAN Sleep & Fatigue Email    Kathryn.Lee@nursing.ucsf.edu
Soo-Jeong Lee, RN, PhD
Symptoms Email    Soo-Jeong.Lee@nursing.ucsf.edu
Heather Leutwyler, RN, PhD Symptoms Email    Heather.Leutwyler@nursing.ucsf.edu
Christine Miaskowski, RN, PhD, FAAN Pain Email    Christine.Miaskowski@nursing.ucsf.edu
Kathleen Puntillo, RN, DNSc Pain Email    Kathleen.Puntillo@nursing.ucsf.edu
Sally Rankin, RN-C, PhD, FAAN Cardiovascular Health, Behavioral Interventions Email    Sally.Rankin@nursing.ucsf.edu
Nancy Stotts, RN, EdD, FAAN Wound Healing Email    Nancy.Stotts@nursing.ucsf.edu
David Vlahov, RN, PhD, FAAN Symptoms Email    David.Vlahov@nursing.ucsf.edu

Postdoctoral Trainees:

  • Melinda Bender (PhD 2011 from University of San Diego) – Mentor: Christine Kennedy
  • Ji-Won Choi (PhD 2005 from University of Illinois at Chicago) – Mentor: Kathryn Lee
  • Pamela Miller (PhD 2009 from University of California, Los Angeles) – Mentor: Kathleen Dracup
  • Rosa Maria Sternberg (PhD 2009 from Florida Atlantic University) – Mentor: Kathryn Lee

Symptom Management Faculty Scholars Program

Christine Miaskowski, Program Director,
      National Institute of Nursing Research, P30 NR011934 (2010-2012)

P30 Faculty Scholars:

  • Christina Baggott, RN, PhD, Assistant Professor, Department of Physiological Nursing
  • Mary Barger, RN, CNM, PhD, Assistant Professor, Department of Family Health Care Nursing
  • Janine Cataldo, RN, PhD, Assistant Professor, Department of Physiological Nursing
  • Jill Howie-Esquivel, RN, PhD, Assistant Professor, Department of Physiological Nursing
  • Soo-Jeong Lee, RN, PhD, Assistant Professor, Department of Community Health Systems
  • Heather Leutwyler, RN, PhD, Assistant Professor, Department of Physiological Nursing  

 

Nursing Research Training Program in Symptom Management
- Predoctoral & Postdoctoral Fellowships

This program is supported by an Institutional National Research Service Award from the National Institute of Nursing Research
NINR Grant No. T32 NR07088 (2011-2016)

Kathryn A. Lee, RN, PhD, Director
Bradley Aouizerat, PhD, Co-Director
Susan Janson, RN, DNSc, Co-Director;
Research Center for Symptom Management
UCSF School of Nursing

RESEARCH TRAINING OPPORTUNITIES

This program centers on symptom experience, intervention strategies, and outcomes related to pain, dyspnea, or fatigue and sleep disturbance. Symptom clusters and mental health symptoms are also addressed.

Emphasis is placed on dimensions of the symptom, biological and genetic markers, qualitative and quantitative methods, and designing studies using therapeutic strategies to improve outcomes. Outcomes can include reduced symptoms, improved quality of life, and economic cost savings.

Trainees have the opportunity to pursue research training with faculty in the School of Nursing, faculty throughout the University and clinical service agencies in the San Francisco area.

The University and the diverse populations of the San Francisco area offer unique opportunities for the pursuit of research with minority populations. The School of Nursing is building a culturally diverse faculty and student body to address the health care needs of our society. We are committed to underrepresented populations.

TRAINING GRANT OBJECTIVES
  • Prepare trainees with the knowledge and skills necessary to conduct research and scholarly activities related to symptom experience, management, and health-related outcomes,
  • Mentor trainees to develop and implement programs of research on these symptoms in diverse populations across the illness trajectory in a variety of health care settings,
  • Prepare trainees with grantsmanship skills that include writing, conducting, and administering a funded grant, and
  • Increase the number of ethnically diverse nurse scholars prepared to conduct research on symptom management.
Predoctoral Training Program

The training program includes the approved PhD curriculum and quarterly ProSeminars dealing specifically with critical analysis of research issues related to symptoms. ProSeminars include (Fall) biopsychosocial and cultural influences on perception, evaluation and response to symptoms, (Winter) management strategies for individuals and families, and (Spring) valid and reliable measures of outcomes such as quality of life, health care utilization, and cost (Spring). These ProSeminars may be repeated for credit during the trainee's program of study. More involvement and higher expectations are required as trainees advance in the program.

In addition to the required courses in the School of Nursing, trainees will have an opportunity to take courses at the Berkeley campus of the University of California, and at Stanford University. They also have the opportunity to participate in courses and weekly conferences and specialty grand rounds offered through the Schools of Medicine, Dentistry, and Pharmacy at UCSF.

Predoctoral trainees do research residencies with funded research teams on aspects of symptom management. The residencies focus on learning skills related to data collection and management, assessment, measurement in human and animal models, and grant management. These experiences are facilitated by active involvement in a core faculty member's research. After predoctoral students have passed their qualifying examination, ProSeminars also offer an opportunity to complete a teaching residency.

Postdoctoral Training Program

Postdoctoral training is tailored to individual needs focused on complex issues and advanced methodologies related to symptoms. In addition to Fall, Winter, and Spring ProSeminars, Summer Quarter offers a seminar on grants management and grant writing activities that include abstracts, progress reports, and final reports.

Additional time is spent in weekly scholarly dialogue to develop papers and grant proposals. Clinical and teaching residencies are optional.

Throughout the 2-year postdoctoral program, research residency experiences will be tailored to individual goals. Since many of the faculty have overlapping projects, trainees have opportunities to observe how different research teams function and how investigators from a variety of disciplines collaborate.

RCSM Nursing Research Training Program
Application Requirements Application Process Core Faculty
There are six predoctoral positions. All applicants to the predoctoral program must meet the general admission requirements for the PhD program of both the UCSF Graduate Division and the School of Nursing.
There are four postdoctoral positions. All applicants to the postdoctoral program must hold an earned doctorate. Either the Master's or Doctorate degree must be in nursing.
Applicants must be a U.S. citizen or permanent U.S. resident. Applications are accepted at any time. Positions are filled on an availability basis. Preference is given to applicants who demonstrate experience with, knowledge of, and sensitivity to the needs of underrepresented populations.
To apply, please submit:
 ·  Letter of Application
 ·  Curriculum vitae / Résumé
 ·  Goal statement
 ·  Two faculty references
 ·  Samples of scholarly work
 
Send materials to:
Kathryn.Lee@nursing.ucsf.edu
Kathryn A. Lee
T32 NR07088
Nursing Research
Training Program Director
 
Bradley Aouizerat, PhD
Christina Baggott, RN, PhD
Mary Barger, CNM, PhD
Janine Cataldo, RN, PhD
Glenna Dowling, RN, PhD, FAAN
Kathleen Dracup, RN, DNSc, FAAN
Jill Howie-Esquivel, RN, PhD
Linda Franck, RN, PhD, FAAN
Janice Humphreys, RN, PhD
Susan Janson, RN, NP, DNSc, FAAN
Christine Kennedy, RN, PhD, FAAN
Kathryn A. Lee, RN, PhD, FAAN
Soo-Jeong Lee, RN, PhD
Heather Leutwyler, RN, PhD
Christine Miaskowski, RN, PhD, FAAN
David Vlahov, RN, PhD