Christine K. Bradway, PhD, CRNP, FAAN, AGSF
Living with her grandfather as a child and working as a nurse’s aide in a nursing home during high school and college led Christine K. Bradway to her life’s work: caring for and studying older adults. She focuses on continence care, long-term care of people with morbid obesity, and care transitions for hospitalized older adults.
“My clinical practice informs my research and teaching and my research informs my clinical practice, enabling me to enhance the quality of care for older adults.”
- PhD, University of Pennsylvania, 2004
- MSN, University of Pennsylvania, 1984
- BSN, Wilkes College, 1979
In every aspect of my work and personal life, I strive to focus on transcultural similarities and the common humanity we all share.
As a clinician educator, Dr. Bradway mentors nurses and other healthcare professionals at the Hospital of the University of Pennsylvania on gerontology and urologic issues. One goal of this work is to help nurses learn how to present and publish their work, such as a quality improvement project to minimize post-op urinary retention carried out by the nurses on the post-anesthesia care unit.
Questions from colleagues and patients often form the basis of Dr. Bradway’s research. When colleagues asked whether she had seen bowel and bladder problems in older adults with morbid obesity living in nursing homes, she decided to study this. Dr. Bradway found that morbid obesity is not the only factor impacting these problems, but lack of daily self-care ability also plays a significant role. This question came from her clinical practice as a urology nurse consultant for two Genesis Physician Services skilled nursing and long-term care facilities. Impact on Policy and Practice as a Clinician Educator Dr. Bradway was part of a multi-disciplinary team at the University of Pennsylvania, led by Penn Nursing’s Mary D. Naylor, PhD, FAAN, RN, who developed the Transitional Care Model. Her collaborative work with Dr. Mary Naylor’s team helped persuade policymakers to include transitional care in the Affordable Care Act of 2010. Dr. Bradway and colleagues’ qualitative analysis of advanced practice nurses using the Transitional Care Model highlighted how these nurses were providing important care that, at the time, was not reimbursed by traditional insurance models. As a co-investigator on the Keystone Geriatrics Center for Enhancing Primary Care and Community Education, funded by the Health Resources and Services Administration, she helps educate primary care providers and students about caring for older adults. The grant, led by researchers at Penn’s Perelman School of Medicine, is a partnership with the University of the Sciences, the Health Promotion Council, Lancaster General Health, and the Philadelphia VA Medical Center. Dr. Bradway’s role includes providing simulation training for nursing, medical, and social work students on team-based care for older adults and a webinar series on issues in geriatric health. In 2015, Dr. Bradway received the Rodney Appell Continence Care Champion Award from the National Association for Continence for her contributions to clinical practice, research, and advocacy for older people with continence issues. Along with her recent work, those contributions include founding the Penn Nursing Network Continence Program, which provided care for frail older adults with continence issues living in the community from1988 to 2000.
Opportunities to Learn and Collaborate at Penn Nursing
Dr. Bradway teaches graduate courses related to health care and aging and qualitative empirical nursing research. She mentors graduate students on research, such as a meta-synthesis of the literature on qualitative descriptive methodology, and also involves them in her research.
Selected Career Highlights
American Journal of Nursing Book of the Year Award, Nursing Care of Geriatric Emergencies Norma M. Lang Distinguished Award for Scholarly Practice and Policy, Penn School of Nursing Barbara J. Lowery Doctoral Student Organization Faculty Award
Hoke, N. & Bradway, C. (2016). A clinical nurse specialist–directed initiative to reduce postoperative urinary retention in spinal surgery patients. American Journal of Nursing, 116(8), 47-52.
Dy, S., Major-Joynes, B., Pegues, D., & Bradway, C. (2016). A nurse-driven protocol for removal of indwelling urinary catheters across a multi-hospital academic healthcare system. Urologic Nursing, 36, 243-249.
Bradway, C., Cotter, V.T., Darrah, N.J., Gibbs, V. D., Hadley, D., Kim, E.H., LaMarra, D., Packel, L., & Westcott, A.M. (2018). An interprofessional education simulation workshop: Health professions learning palliative care communication. Journal of Nursing Education, 57(8), 493-497.
Bradway, C., Felix, H.C., Whitfield, T., & Li, X. (2017). Barriers in transitioning patients with severe obesity from hospitals to nursing homes. Western Journal of Nursing Research, 39(8), 1151-1168.
Bradway, C., Moriarty, H., Bunting-Perry, L., & Robinson, J.P. (2018). Caring for men with lower urinary tract symptoms and Parkinson’s disease: Coping experiences of female spouses. Urologic Nursing, 38(3), 113-120.
Pauly, M.V., Hirschman, K.B., Hanlon, A.L., Huang, L., Bowles, K.H., Bradway, C., McCauley, K. & Naylor, M.D. (2018). Cost impact of the transitional care model for hospitalized cognitively impaired older adults. Journal of Comparative effectiveness Research, 7, 913-922.
Kim, E., Gellis, Z.D., Bradway, C., & Kenaley, B. (2019; epub ahead of print, Nov 24, 2018). Depression care services and telehealth technology use for homebound elderly in the United States. Aging and Mental Health, 23, 1164-1173.
Kim, H., Bradway, C., Hickman, S., & Ersek, M. (2019; epub ahead of print, April 2, 2018). Exploring surrogate-provider communication during POLST discussions for individuals with advanced dementia. Aging and Mental Health, 23(6), 781-791.
Sowicz, T. J. & Bradway, C. K. (2018). Factors affecting sexual history taking in a health center serving homeless persons. Qualitative Health Research, 28, 1395-1405.
Travers, J.L., D’Arpino, S., Bradway, C., Kim, J.W., Naylor, M.D. (2021). Minority older adults’ access to and use of Programs of All-Inclusive Care for the Elderly. Journal of Aging and Social Policy.