My research has included the conceptualization and implementation of an interventional study to deploy Early Warning Score dashboards to accelerate nurse-led identification of patients at risk for an emergent ICU admission. Earlier recognition and intervention could result in stabilizing patients in non-ICU settings. I implemented one of the first Proactive Rapid Response Team models to enable earlier deployment of nursing expertise to address physiologic decline, resulting in a decrease in the odds of unplanned ICU transfers by 40%. My current research is examining interhospital escalations in care, to evaluate the risks and benefits of interhospital transfers for patients requiring non-surgical critical care (e.g., sepsis).
Critical Care Nursing. (2022). “Eye-movement tracking glasses are used to evaluate mental stress in first naturalistic study of critical care nurses”. ScienceDaily, https://www.sciencedaily.com/releases/2022/05/220531140125.htm
Many of these publications are freely accessible via PubMed. Full-text PDFs of publications are provided here for personal use and not for distribution. Publications are posted with the intent to increase accessibility to science.
Communication strategies and patient care transitions in the early ICU aftercare period, in Critical Care Medicine (PMID: 36227036)
A systematic review of the facilitators and barriers to rapid response activation in Worldviews on Evidence-Based Nursing (PMID: ##)
Systematic review of interruptions in the emergency department work environment in International Emergency Nursing (PMID: 35843150)
Clinician perceptions of acute care nurse practitioner nighttime surveillance rounding in medical-surgical units in MEDSURG Nursing
When duty to care causes collective sorrow and shame: Assessing and addressing moral distress in intensive care unit clinicians in Canadian Journal of Anesthesia (PMID: 35997857)
Quantifying workload and stress in intensive care unit nurses: Preliminary evaluation using continuous eye-tracking in Human Factors (PMID: 35511206)
Quantifying occupational stress in intensive care unit nurses: An applied naturalistic study of correlations between stress, heart rate, electrodermal activity and skin temperature in Human Factors (PMID: 34478340)
Real-time stress monitoring for intensive care unit nurses in Proceedings of the Human Factors and Ergonomics Society Annual Meeting
ABCDEF bundle implementation: The influence of access to bundle-enhancing supplies and equipment in Critical Care Explorations (PMID: 34549188)
Early psychological health outcomes among United States health care professionals, essential workers, and the general population during the COVID-19 pandemic: The influence of occupational status in Psychiatry Research Communications (PMID: 34977910)
A concept analysis of role ambiguity experienced by hospital nurses providing bedside nursing care in Nursing & Health Sciences (PMID: 34689398)
Can proactive rapid response team rounding improve surveillance and reduce unplanned escalations in care? A controlled before and after study in International Journal of Nursing Studies (PMID: 30690288)
Technology-enhanced surveillance: Can facial expression analysis add predictive power to EWS? in Critical Care Medicine (PMID: 29912098)
Escalations in care: Do interhospital transfers lead to greener pastures? in Critical Care Medicine (PMID: 29252952)
The relationship between nurse staffing and 30-day readmission for adults with heart failure in Journal of Nursing Administration (PMID: 26579974)
Timing is everything: Do we need to redesign the afferent limb in rapid response? in Critical Care Medicine (PMID: 26376248)
A controlled trial of electronic automated advisory vital signs monitoring in general hospital wards in Critical Care Medicine (PMID: 22809908)
Hidden workplace violence: What your nurses may not be telling you in The Health Care Manager (PMID: 19011419)