CHOPR Meet Our Alumni
|Sean Clarke, PhD, CRNP, FAAN|
After completing his doctoral degree in nursing from McGill University, Dr. Sean Clarke completed his postgraduate clinical and research training at the University of Pennsylvania. He joined the standing faculty at the University of Pennsylvania School of Nursing in 2001, and became the Associate Director of the Center for Health Outcomes and Policy Research at that time as well. Currently, Dr. Clarke holds the RBC Chair in Cardiovascular Nursing Research at the University of Toronto and the University Health Network in Toronto. In 2012, Dr. Clark became the Susan E. French Chair in Nursing Research and Innovative Practice and Director of of the McGill Nursing Collaborative for Education and Innovation. He was the Deputy Director for the University of Toronto site of the Nursing Health Services Research Unit funded by the Ministry of Health and Long-Term Care. Dr. Clarke's research deals primarily with organizational aspects of acute care nursing (with a particular emphasis on staffing levels, work environment factors, patient outcomes and nurse occupational health) and nurse workforce issues. He has authored or co-authored over 80 articles, 15 book chapters and co-edited a volume on medication safety for nurses. A fellow of the American Academy of Nursing, he holds an adjunct appointment at the Université de Montréal and visiting appointments at University College Dublin and the University of Hong Kong.
- Meyer, R. M., & Clarke, S. P. (2011). Shifts with nurse understaffing and high patient churn linked to heightened inpatient mortality risk in a single site study. Commentary on: Needleman, J., Buerhaus, P., Pankratz, V.S., Leibson, C.L., Stevens, S.R., & Harris, M. (2011). Nurse staffing and inpatient hospital mortality. New England Journal of Medicine 64: 1037-1045. Evidence Based Nursing. Advance online publication. doi: 10.1136/ebn.2011.100052:
- Aiken, L.H., Sloane, D.M., Clarke, S.P., Poghosyan, L., Cho, E., You, L., Finlayson, M., Kanai-Pak, M., Aungsuroch, Y. (2011). Importance of work environments on hospital outcomes in 9 countries. International Journal of Quality in Health Care 23:357-64.
- Moreno-Casbas, T., Funtelsaz-Gallego, C., Gil de Miguel, A., González-María, E., Clarke, S.P. (2011). Spanish nurses' attitudes towards research and perceived barriers and facilitators of research utilization: A comparative survey of nurses with and without experience as principal investigators. Journal of Clinical Nursing 20:1936-1947.
- Doran, D., Mildon, B., Clarke, S. (2011). Towards a national report card in nursing: A knowledge synthesis. Nursing Leadership 24: 38-57.
|Linda Flynn, PhD, RN|
Completing her postdoctoral fellowship at the Center for Health Outcomes and Policy Research, Dr. Linda Flynn is currently a Professor & Director of the PhD Program and Interim Chair in the Division of Adult and Senior Health in the College of Nursing, University of Colorado, Denver. She was previously the Professor and Associate Dean for Graduate Education in the College of Nursing at Rutgers University. Her program of funded research, which was among the first to extend nursing outcomes research into non-acute settings, focuses on the effects of nursing systems and practice environment on patient outcomes across health care delivery systems including home health, nursing homes, outpatient dialysis centers, and hospitals. Her research has been cited as evidence for practice standards and as the evidence base for changes in federal healthcare regulations. Due to the policy implications of her work she received the 2008 New Jersey Governor’s Merit Award for excellence in research and was inducted as a Fellow in the American Academy of Nursing in 2009. Dr. Flynn has published her research findings in many scientific journals, is co-editor of the textbook “Nursing Policy Research: Turning Evidence-Based Research into Health Policy” and serves on peer review panels for the Journal of Nursing Scholarship, Western Journal of Nursing Research, and other journals.
- Flynn, L., Liang, Y., Dickson, G., & Aiken, L. (2010). Effects of nursing practice environments on quality outcomes in nursing homes. Journal of the American Geriatric Society, 58(12), 2401-2406.
- Dickson, G. & Flynn, L. (in press). Key care processes identified by nurses to reduce medication errors. Qualitative Health Research.
- Flynn, L., Thomas-Hawkins, C., & Clarke, S.P. (2009). Organizational traits, care processes, and burnout among chronic hemodialysis nurses. Western Journal of Nursing Research, 31(5), 569-582.
- Thomas-Hawkins, C., Flynn, L, & Clarke, S.P. (2008). Relationships between registered nurse staffing, processes of nursing care, and nurse-reported patient outcomes in chronic hemodialysis units. Nephrology Nursing Journal, 35(2), 123-131, 145.
- Flynn, L. (2007). Extending work environment research into home health settings. Western Journal of Nursing Research, 29(2), 200-212, 2007.
- Flynn, L. (2007). Managing care when discharged from home health: A quiet threat to patient safety? Home Healthcare Nurse, 25(3), 184-190.
- Flynn, L., Carryer, J., & Budge, C. (2005). Organizational attributes valued by hospital, home care, and district nurses. Journal of Nursing Scholarship, 37(1), 67-72
- Flynn, L. & Deatrick, J. (2003). Home care nurses’ descriptions of important agency attributes. Journal of Nursing Scholarship, 35(4), 385-390.
- Flynn, L., & Aiken, L.H. (2000). Does international nurse recruitment influence practice values in U.S. hospitals? Journal of Nursing Scholarship, 34(1), 67-73, 2002.
Christopher Friese, PhD, RN, AOCN
Dr. Christopher Friese received his PhD from the University of Pennsylvania in 2005, during which time he was a fellow in the Center for Health Outcomes and Policy Research. After graduation he completed a post-doctoral fellowship at the Dana-Farber Cancer Institute and Harvard University, where his research focused on measurement and improvement of quality of care for patients with cancer. Currently, Dr. Friese serves as Assistant Professor in the Division of Nursing Business & Health Systems at the University of Michigan School of Nursing. In 2008, he was awarded a Pathway to Independence K99/R00 research grant to study outcomes of care for patients with cancer from the National Institute of Nursing Research. His research has been published in Medical Care, Cancer, Health Services Research, Nursing Research, and has been presented at national and international meetings. He was one of the original authors of the Oncology Nursing Society’s Putting Evidence into Practice (PEP) summaries of evidence-based interventions to prevent infection. Dr. Friese holds advanced certification as an oncology nurse, and continues to practice clinically as a staff nurse in medical oncology, hematological malignancies, and stem cell transplantation.
Friese, C.R., Himes-Ferris, L., Frasier, M.N., McCullagh, M.C., Griggs, J.J. (2011). Structures and processes of care in ambulatory oncology settings and nurse-reported exposure to chemotherapy. BMJ Qual Saf.
Kalisch, B.J., Friese, C.R., Choi S.H., Rochman, M. (2011). Hospital nurse staffing: choice of measure matters. Med Care, 8, 775-9.
Kalisch, B.J., Tschannen, D., Lee. H., Friese, C.R. (2011). Hospital variation in missed nursing care. Am J Med Qual 4, 291-9.
Friese, C.R., Earle, C.C., Magazu, L.S., Brown, J.R., Neville, B.A., Hevelone, N.D., Richardson, L.C., Abel, G.A. (2011). Timeliness and quality of diagnostic care for medicare recipients with chronic lymphocytic leukemia. Cancer 7, 1470-7.
|Lesly Kelly, PhD, RN|
Dr. Lesly Kelly joined the Center for Health Outcomes and Policy Research in 2009 as a post-doctoral fellow after graduating from the University of Arizona. While at CHOPR, Dr. Kelly worked on several projects and manuscripts analyzing nurse outcomes, the impact of California nurse staffing legislation, and the effect of Magnet hospitals on patient outcomes. Dr. Kelly's research interests include the role of nursing in patient outcomes in acute care, nursing workforce issues, and the influence of system and technology on nursing and patient outcomes. Dr. Kelly is currently an Assistant Professor at Arizona State University and Clinical Research Program Director at Banner Good Samaritan Medical Center in Phoenix, Arizona. She serves as the principle investigator of the Margretta M. Styles Scholar/American Nurse Foundation grant funded research project entitled, "Are Patient Outcomes Better in Magnet Hospitals?" Other honors and awards include receipt of the 2010 Arizona Nurses Association Graduate Recognition Award, the 2008 Arizona Nurses Foundation Award, and the 2005 Mary F. Jefferies Achievement Award.
- Kelly, L.A., McHugh, M.D. & Aiken, L.A. (2011). Nurse Outcomes in Magnet(r) and Non-Magnet Hospitals. Journal of Nursing Administration, in press.
- McHugh, M.D., Brooks-Carthon, J., Kelly, L.A., Wu, E., Sloane, D.M. & Aiken, L.H. (2011). Nursing Staff Mandates and the Impact of Safety-Net Hospitals: Lessons from California. Millbank Quarterly, in press.
- McHugh, M.D., Kelly, L.A., Sloane, D.M. & Aiken, L.H. (2011). Contradicting Fears, California's Nurse-To-Patient Mandate Did Not Reduce The Skill Level Of The Nursing Workforce In Hospitals. Health Affairs, 30(7), 1299-1306.
- Kelly, L.A. & Vincent, D. (2010). Nursing surveillance: A multi-dimensional concept analysis. Journal of Advanced Nursing, 67(3), 652-661.
|Robert J. Lucero PhD, MPH, RN |
Dr. Robert J. Lucero is Assistant Professor of Nursing and Co-Director of Training Nurse Scientists in Interdisciplinary & Translational Research in the Underserved at Columbia University in the City of New York. Dr. Lucero began his nursing career in 1995 after receiving an Associate of Applied Science in Nursing from Arizona Western College. He received a Bachelor and Master of Science in Nursing from Arizona State University and a Master of Public Health from the University of Arizona. He became the first Hispanic/Latino to obtain a Doctor of Philosophy from the University of Pennsylvania School of Nursing in 2008. As a Pre-Doctoral Fellow in the Center for Health Outcomes and Policy Research, he investigated the link between patient outcomes and the quality of nursing care. In 2010, Dr. Lucero completed research training in health informatics as Post-doctoral Fellow in the Center for Evidence-based Practice in the Underserved at the Columbia University School of Nursing. Dr. Lucero is an elected Fellow of the New York Academy of Medicine and an appointed member of the Columbia University Community Engagement Resource Center Executive Committee. Dr. Lucero’s research efforts include utilizing large clinical and administrative data sets, survey development and implementation, community-based clinical research, and the development of novel approaches for understanding consumer’s needs of health information technology. His research focuses on the quality of care and patient safety for hospitalized patients as well as the development, evaluation, implementation, and testing of web-based health information- and self-management decision support systems among predominately Hispanic/Latino communities. An area of special interest to Dr. Lucero is the Hispanics/Latino nursing workforce.
- Lucero, R. & Sousa, K. H. (2007). Participation and change in the nurse work environment. Visions: The Journal of Rogerian Nursing Science, 14(2): 48-59.
- Lucero, R. J., Lake, E. T., & Aiken, L.H. (2009). Variations in nursing care quality across hospitals. Journal of Advanced Nursing, 65(11): 2299-310. **Editor’s Choice, Publication**
- Lucero, R. J., Lake, E. T., & Aiken, L.H. (2010). Nursing care quality and adverse events in U.S. hospitals. Journal of Clinical Nursing, 19(15): 2185-2195.
- Lucero, R. J., Jia, H., de Cordova, P. B., & Stone, P. (2011). Information technology, nurse staffing, and patient needs. Nursing Economics, 29(4): 189-194.
- Lucero, R. J., & Poghosyan, L. (2012). The Future of the Hispanic Registered Nurse Workforce: Improving the Quality of Care and Patient Outcomes. In Villaruel, A., & Torres, S. (Eds). Hispanic Voices: Progreso, Poder, y Promesa.
|Lusine Poghosyan, PhD, MPH, RN |
|Dr. Lusine Poghosyan, RN, MPH, PhD, completed her post-doctoral research fellowship at CHOPR from January to August 2008. She had received her BSN from Erebuni State Medical College and her MPH from the American University of Armenia. She continued to receive her PhD from the University of Pennsylvania in 2008, and defended her doctoral dissertation, Cross National Exploration of Nurse Burnout: Predictors and Consequences in Eight Countries. Her most recent research focuses on the organizational climate of primary care nurse practitioners. She is currently an Assistant Professor of Nursing at Columbia University School of Nursing teaching Evaluation & Application of Research, a graduate level class, as well as a Visiting Faculty member in the College of Health Sciences at the American University of Armenia. Dr. Poghosyan has received numerous honors including the PhD award from Sigma Theta Tau International, Xi Chapter in 2008 and the New Investigator Award in Interdisciplinary Research Group on Nursing Issues from AcademyHealth in 2012. |
Kanai-Pak, M., Aiken, L. H., Sloane, D. M., & Poghosyan, L. (2008). Poor work environments and nurse inexperience are associated with burnout, job dissatisfaction, and quality deficits in Japanese hospitals. Journal of Clinical Nursing, 17(24), 3324-3329.
Poghosyan, L., Aiken, L. H., & Sloane, D. M. (2009). Factor structure of the Maslach Burnout Inventory: An analysis of data from large scale cross-sectional surveys of nurses from eight countries. International Journal of Nursing Studies, 46(7), 894-902.
Poghosyan, L., Clarke, S. P., Finlayson, M., & Aiken, L. H. (2010). Nurse burnout and quality of care: Cross-national investigation in six countries. Research in Nursing & Health, 33(4), 288-298. [Research in Nursing & Health, Number 9 most downloaded paper for the first 6 months of 2011. Cited by the American Nurses Associations in its “Principles for Nurse Staffing”]
Aiken, L. H., Sloane, D. M., Clarke, S. P., Poghosyan, L., Cho, E.; You, L., …Aungsuroch, Y. (2011). Importance of work environments on hospital outcomes in nine countries. International Journal for Quality in Health Care, 23(4), 357–364. [An honorable mention at 2012 ISQUA conference in Geneva].
Poghosyan, L., Poghosyan, H., Berlin, K., Truzyan, N., Danielyan, L., & Khourshudyan, K. (2012). Nursing practice in a Post-Soviet country from the perspectives of Armenian nurses: A qualitative exploratory study. Journal of Clinical Nursing, 21(17-18), 2599-2608.
Poghosyan, L., Lucero, R., Rauch, L., & Berkowitz, B. (2012). Nurse practitioner workforce: A substantial supply of primary care providers. Nursing Economic$, 30(5), 268-294.
Poghosyan, L., Nannini, A., Smaldone, A., Clarke, S. P., O'Rourke, N., Rosato, B., & Berkowitz, B. (2013). Revisiting scope of practice facilitators and barriers for primary care nurse practitioners: a qualitative investigation. Policy, Politics & Nursing Practice, in press.
Poghosyan, L., Nannini, A., Stone, P., & Smaldone, A. (2013). Nurse practitioner organizational climate in primary care settings: Implications for professional practice. Journal of Professional Nursing, July/August
Jingjing Shang PhD, RN, OCN
Dr. Jingjing Shang
(BSN Peking Union Medical College, Beijing China, 1996; MSN University of Delaware, 2001; PhD Johns Hopkins University, 2009) completed her post-doctoral fellowship in the Center for Health Outcomes and Policy Research in 2011. Her research focuses on cancer patient outcome research and nursing workforce. Her Doctoral Dissertation titled, "Exercise Adherence and Contamination in a RCT among Patients Receiving Active Cancer Treatment" examined issues surrounding exercise adherence and contamination among cancer patients in a randomized controlled clinical trial. Dr. Shang is currently an Assistant Professor at the Columbia University School of Nursing, where she teaches a master level research class. She is an Oncology Certified Nurse and her other research interests include symptom management and exercise adherence among cancer patients. Accomplishments while at CHOPR include an ANF grant, several manuscripts, and national presentations on the nursing workforce.
- Shang, J., Wenzel, J., Allen, J., Krumm, S., Stewart, S. (In press). Who will Drop Out & Who will Drop In: Correlates to Exercise Adherence and Contamination in a RCT among Patients Receiving Active Cancer Treatment, Cancer Nursing
- McHugh, M., Shang, J., Sloane, D.M., Aiken, L.H. (2011). Patient and Organizational Risk Factors for Hospital-Acquired Poor Glycemis Control: A Case-control Study. International Journal for Quality in Health Care. 23 (1) 44-51
- Lake, E., Shang, J., Klaus, S., Dunton, N. (2010). Organizing nursing resources to reduce the risks of patient falls. Research in Nursing & Health, 33(5), 413-425.
- Patrician, P., Shang, J., Lake, E. (2010) Organizational Determinants of Nurse Work Outcomes and Quality Care Ratings among Army Medical Department Registered Nurses. Research in Nursing & Health, 33(2), 99-110.
- Griffith, K., Wenzel, J., Shang, J., Thompson, C., Stewart, K., Mock, V. (2009). Impact of a walking intervention on cardiorespiratory fitness, self-reported physical function, and pain in patients undergoing treatment for solid tumors. Cancer, 115(20), 4874-4884.
|Allison Squires, PhD, RN|
|Dr. Allison Squires completed her postdoctoral fellowship at the Center for Health Outcomes and Policy Research at the University of Pennsylvania between 2007-2009. She received her BSN with a minor in Latin American Studies from the University of Pennsylvania. Graduate level work began with an MSN in Nursing Education from Duquesne University and followed with a post-MSN certificate in Nursing Administration from Villanova University. She then earned her PhD from Yale University in 2007. At New York University, Dr. Squires is an Assistant Professor of Nursing with affiliated faculty appointments at NYU School of Medicine and Center for Latin American & Caribbean Studies. In 2011, she was promoted to Deputy Director for International Education & Visiting Scholars. Dr. Squires also maintains an active consulting role, most recently in International Nursing Workforce Development for the Migration Policy Institute in Washington, DC. Her program of research centers on healthcare human resources development, both domestically and abroad. Current studies include a nursing education capacity assessment in the western region of Ghana, a nursing workforce survey in Mexico, and an interprofessional research capacity building project in the Republic of Georgia. With 47 publications to date, her research can be found in the International Journal of Healthcare Quality, Health Policy and Planning, the International Journal of Nursing Studies, and the Journal of Advanced Nursing to name a few. She has presented her work around the US and abroad, most recently at the American Association of Colleges of Nursing, the Pan American Nursing Research Colloquium, and the Migration Policy Institute. |
- Squires, A., Bruyneel, L., Aiken, L., et al. (2012). Cross-cultural validation of the HCAHPS patient satisfaction survey in Europe. International Journal for Quality in Healthcare, 24(5): 470-75. http://intqhc.oxfordjournals.org/content/24/5/470.abstract
- Squires, A. & O’Brien, M. (2012). Becoming a promotora: A transformative process for female community health workers.Hispanic Journal of Behavioral Sciences, 34(3): 457-473. http://hjb.sagepub.com/content/34/3/457.abstract
- Squires, A., Aiken, L.H., Van den Heede, K., Sermeus, W et al. (2012). A systematic survey instrument translation process for multi-country, comparative health workforce studies. International Journal of Nursing Studies – Special Issue. http://www.sciencedirect.com/science/article/pii/S0020748912000600
- Squires, A. & Juarez, A.X. (2012). A qualitative study of the work environments of Mexican nurses. International Journal of Nursing Studies, 49(7): 793-802. http://www.sciencedirect.com/science/article/pii/S0020748912000466
- Squires, A. & Beltrán Sánchez, H. (2011). Exploring the links between macro-level contextual factors and their influence on nursing workforce composition. Policy & Politics in Nursing Practice, 12(4): 218-26.
- Squires, A. (2011). NAFTA and Mexican Nursing. Health Policy & Planning, 26: 124-32. http://heapol.oxfordjournals.org/content/26/2/124.full.pdf+html (First published online in July 2010).
- Liu, K., Squires, A., & You, L.M. (2011). A pilot study of a systematic method for translating patient satisfaction questionnaires. Journal of Advanced Nursing, 67(5): 1012-1021. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2010.05569.x/abstract
Heather Tubbs Cooley, PhD, RN
Dr. Heather Tubbs Cooley received her PhD from the University of Pennsylvania in 2010, where she studied in the Center for Health Outcomes and Policy Research. Dr. Tubbs Cooley is currently completing a fellowship at Cincinnati Children’s Hospital Medical Center, where she is a Nurse Scientist, Quality Scholar, and Assistant Professor of Clinical Nursing at the University of Cincinnati. Her research focuses on relationships between the delivery of inpatient care and patient, nurse, and systems outcomes. She is the Cincinnati Children's site principal investigator for the STAR-2 Network Study through the Improvement Science Research Network. Dr. Tubbs Cooley received a Dissertation Award from the Agency for Healthcare Research and Quality in 2010 for her doctoral research examining the impact of nurses’ working conditions on length of stay and readmission for hospitalized children. In 2011, she received the New Investigator Award from the AcademyHealth Interdisciplinary Research Group on Nursing Issues.
|Selected Publications: |
Tubbs Cooley, H., Santucci, G., Kang, T.I., Feinstein, J.A., Hexam, K.R., & Feudtner, C. Pediatric nurses’ individual and group assessments of palliative, end-of-life, and bereavement care. Journal of Palliative Medicine. 2011; 14(5): 631-637.
Tubbs Cooley, H., Aiken, L.H., Cimiotti, J., Silber, J.H., & Sloane, D.M. Nurses’ working conditions and hospital readmission among pediatric surgical patients. (In progress)
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