A5039707000- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Patient Dignity and Privacy
- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- Grief, Bereavement, and Mental Health
- Childhood Cancer Survivors' Quality of Life
- Geriatric Care and Nursing Homes
- Mobile Health and mHealth Applications
- ECG Monitoring and Analysis
- Electronic Health Records Systems
- Nursing Diagnosis and Documentation
- Health Literacy and Information Accessibility
- Disaster Response and Management
- Healthcare Technology and Patient Monitoring
- Smoking Behavior and Cessation
- Intensive Care Unit Cognitive Disorders
- Nursing Education, Practice, and Leadership
- Musculoskeletal pain and rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Safety and Medication Errors
- Ethics in medical practice
- Innovations in Medical Education
- Cardiac Arrest and Resuscitation
- Participatory Visual Research Methods
University of Massachusetts Boston
2017-2025
University of Massachusetts Chan Medical School
2025
Brigham and Women's Hospital
2013-2023
Boston College
2018-2019
National Patient Safety Foundation
2017
Simmons University
2002-2016
Boston University
2016
University of Massachusetts Amherst
2009
Massachusetts Bay Community College
1997-2000
Practical Action
2000
Injuries from falls are major contributors to complications and death in older adults. Despite evidence efficacy trials that many can be prevented, rates of resulting injury have not declined.
Abstract Background Structurally marginalized groups experience disproportionately low rates of advance care planning (ACP). To improve equitable patient-centered end-of-life care, we examine barriers and facilitators to ACP among clinicians as they are central participants in these discussions. Method In this national study, conducted semi-structured interviews with purposively selected from 6 diverse health systems between August 2018 June 2019. Thematic analysis yielded themes...
Abstract Objectives The purpose of this study is to understand the relationship between documentation burden and clinician burnout syndrome in nurses working direct patient care. Office National Coordinator considers a high priority problem. However, presence care not well known. Furthermore, has been linked development syndrome. Methods This paper reports that results cross-sectional survey comprised three tools: (1) for mid-wives survey, (2) system usability scale, (3) Maslach's inventory...
Objectives: Studies comprehensively assessing interventions to improve team communication and engage patients care partners in ICUs are lacking. This study examines the effectiveness of a patient-centered engagement program medical ICU. Design: Prospective intervention study. Setting: Medical at large tertiary center. Patients: Two thousand one hundred five patient admissions (1,030 before 1,075 during intervention) from July 2013 May 2014 2015. Interventions: Structured training web-based...
In response to the epidemic of falls and serious falls-related injuries in older persons, 2014, Patient Centered Outcomes Research Institute (PCORI) National on Aging funded a pragmatic trial, Strategies Reduce Injuries Develop confidence Elders (STRIDE) compare effects multifactorial intervention with those an enhanced usual care intervention. The STRIDE consists five major components that registered nurses deliver role managers, co-managing fall risk partnership patients their primary...
There is a significant body of research demonstrating that many hospitalized patients exhibit signs clinical deterioration prior to experiencing cardiopulmonary arrest (CPA).This qualitative study used the critical decision method describe cues and factors employed by nurses identify interrupt potentially preventable CPA. The in identifying patient at risk for CPA were altered level consciousness other selected triggers from Early Warning Scoring System (EWSS) combined with knowledge...
In 2016 Medicare introduced advance care planning Current Procedural Terminology (CPT) codes to reimburse clinicians for time spent providing the service. Despite recent increases, use of these remains low reasons incompletely captured by quantitative research. To further identify barriers and facilitators code fee-for-service enrollees, we conducted case studies at eleven health systems, including 272 interviews with clinicians, administrators, key leadership. Five themes related new...
Family engagement is crucial for achieving successful outcomes both patients and hospitals. It supports safe transitions between care settings, providers, ultimately, as illness progresses. However, in the hospital setting, family poorly operationalized. While existing literature acknowledges its benefits, it does not adequately define specific domains of engagement, roles families play during inpatient care, or whether these factors differ across patient populations. This research aims to...
Abstract Background Persons with dementia (PWD) and their carepartners must often make complex medical decisions, weighing the benefits of (surgical non-surgical) interventions uncertainty regarding outcomes, both dementia- non-dementia related, in short-term long-term. This study informs gaps clinical guidance for patient-centered decision-making about surgical PWD advancecare planning. Methods We conducted a qualitative using thematic analysis based on semi-structured interviews...
An ever-increasingly complex health care environment requires practitioners who can solve clinical problems from a range of perspectives and synthesize multiple sources knowledge. Narrative pedagogy was the framework for digital story assignment senior-level synthesis decision making course. This article describes how use stories enhanced students' thinking strategies narrative perspective.
Aims and objectives To describe the cues factors that nurses use in their decision‐making when responding to clinical alarms. Background Alarms are designed be very sensitive, as a result, they not specific. Lack of adherence practice standards for electrocardiographic monitoring hospital settings has been observed, resulting overuse monitoring. Monitoring without consideration indicators uses scarce healthcare resources may even produce untoward circumstances because alarm fatigue. With so...
Advance care planning (ACP) can promote patient-centered end-of-life (EOL) and is intended to ensure that medical treatments are aligned with patient's values. Sexual gender minority (SGM) people face greater discrimination in health settings compared heterosexual, cisgender people, but it unknown whether such occurs ACP how might affect the experiences of SGM people.To increase understanding barriers facilitators facing individuals.This mixed-methods national study included a telephone...
The literature and research on nursing ethics advocacy has shown that generally very few nurses other clinicians will speak up about an issue they have witnessed regarding a patient concern often in is not learned until after students graduated begun working.To evaluate the effectiveness of narrative pedagogy development student nurses, as measured by Protective Nursing Advocacy Scale.We tested hypothesis use assignment related to would improve nurse's perception their role Scale using...
BACKGROUND/OBJECTIVES In the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study, a multifactorial intervention was associated with nonsignificant 8% reduction time first serious fall injury but significant 10% self‐reported relative enhanced usual care. The effect of on other outcomes important patients has not yet been reported. We aimed evaluate patient well‐being including concern about falling, anxiety, depression, physical function, disability. DESIGN...
Abstract Background/Objectives Evaluations of complex models care for older adults may benefit from simultaneous assessment intervention implementation. The STRIDE (Strategies To Reduce Injuries and Develop confidence in Elders) pragmatic trial evaluated the effectiveness a multifactorial to reduce serious fall injuries adults. We conducted multi‐level stakeholder interviews identify barriers implementation understand efforts taken mitigate these barriers. Design Qualitative with key...
<h3>Importance</h3> Advance care planning (ACP) is intended to maximize the concordance of preferences with end-of-life (EOL) and assumed lead less intensive use health services. The Centers for Medicare & Medicaid Services began reimbursing clinicians ACP discussions patients in 2016. <h3>Objective</h3> To determine whether billed visits are associated services at EOL. <h3>Design, Setting, Participants</h3> This prospective patient-level cohort analysis seriously ill included...
Although advance care planning (ACP) for persons with dementia (PWD) can promote patient-centered by aligning future healthcare patient values, few PWD have documented ACPs reasons incompletely understood. The objective of this paper is to characterize the perceived value of, barriers to, and successful strategies completing ACP as reported frontline clinicians.