- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Nursing Roles and Practices
- Global Health Workforce Issues
- Substance Abuse Treatment and Outcomes
- Healthcare professionals’ stress and burnout
- Nursing education and management
- Cardiac, Anesthesia and Surgical Outcomes
- Job Satisfaction and Organizational Behavior
- Anesthesia and Pain Management
- Primary Care and Health Outcomes
- Prenatal Substance Exposure Effects
- HIV, Drug Use, Sexual Risk
- Pharmaceutical Practices and Patient Outcomes
- Genetics, Bioinformatics, and Biomedical Research
- Diversity and Career in Medicine
- Meta-analysis and systematic reviews
- Homelessness and Social Issues
- Health and Medical Research Impacts
- Palliative Care and End-of-Life Issues
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Genetic Associations and Epidemiology
- Maternal Mental Health During Pregnancy and Postpartum
- Osteoarthritis Treatment and Mechanisms
- Retirement, Disability, and Employment
Vanderbilt University
2017-2025
ORCID
2023
National Center for Advancing Translational Sciences
2018
Columbia University Irving Medical Center
2018
University of Miami
2015
Importance Individuals whose chronic pain is managed with opioids are at high risk of developing an opioid use disorder. Electronic health records (EHR) allow large-scale studies to identify a continuum problematic use, including Traditionally, this done through diagnostic codes, which often unreliable and underused. Objective To determine whether regular expressions, interpretable natural language processing technique, could automate validated clinical tool (Addiction Behaviors Checklist)...
Barriers in advanced practice nurses’ work environment impede effective use acute care settings, reduce job satisfaction, and increase intent to leave. Fostering psychological ownership for through improved design has increased motivation, productivity, lowered turnover other fields, may have similar effects nurses. This multilevel cross-sectional survey study examined the relationship between nurse using data from a of nurses executives Florida hospitals. scope exclusion hospital governance...
Aim This study explored traditional and accelerated Bachelor of Science nursing students' expectations work the workforce. Background Role transition difficulty is blamed for much 15–60% newly licensed registered nurse turnover in their first 3 years employment. Method qualitative consisted 14 focus groups (n = 98) to determine as nurses. Results Two overriding themes students emerged: stressors coping strategies. Students believe four will affect progression into role have developed...
ABSTRACT Background: Genetics-informed nursing is essential to personalized health care. Advanced practice nurses will increasingly encounter genomic information in clinical care and are expected have competency. Purpose: To examine competency of advanced students faculty a graduate school. Methods: A convenience sample were electronically sent survey assessing knowledge. In total, 13.98% (33/236) 9.87% (82/831) completed demographic questionnaire, perceived items, Genomic Nursing Concept...
Aim To examine work environment differences between hospital certified nurse practitioners (CNPs) and registered anaesthetists (CRNAs). Background Nurse environments impact patient outcomes. How differing advanced practice (APRN) roles influence is unknown. Methods Multi-level cross-sectional survey design. APRNs (n = 490) completed the APRN Organizational Climate Questionnaire Psychological Ownership Questionnaire. executives (N 24) reported on Scope of Practice Institutional Voice....
Objective: To examine the value of data obtained outside regular healthcare visits (clinical communications) to detect problematic opioid use in electronic health records (EHRs).Design: A retrospective cohort study.Participants: Chronic pain patient a large academic medical center.Interventions: We compared evidence for (1) clinic notes, (2) clinical communications, and (3) full EHR data. analyzed keyword counts calculated concordance Cohen’s κ between sources.Main outcome measure: Evidence...
Individuals whose chronic pain is managed with opioids are at high risk of developing an opioid use disorder. Large data sets, such as electronic health records, required for conducting studies that assist identification and management problematic use.Determine whether regular expressions, a highly interpretable natural language processing technique, could automate validated clinical tool (Addiction Behaviors Checklist1) to expedite the in record.This cross-sectional study reports on...
People living with dementia (PLWD) experience pain like other older adults, but changes due to dementia, they rely more on family caregivers for assessment. Many different elements contribute a Changes in characteristics of PLWD may be associated the use these assessment elements. The current study reports associations between PLWD's agitation, cognitive function, and severity frequency which In sample (N = 48), statistically significant were found worsening function greater rechecking after...
Importance In response to the growing opioid crisis, states implemented prescribing limits reduce exposure analgesics. Research in other clinical contexts has found that these are relatively ineffective at changing analgesic prescribing. Objective To examine association of state-level with within 30-day postpartum period, as disaggregated by type delivery (vaginal vs cesarean) and naivete. Design, Setting, Participants This retrospective, observational cohort study used commercial claims...