Foxwell Anessa



Ms. Foxwell is a palliative care and oncology nurse practitioner and alumnae of the Penn Nursing Palliative Care Minor. She has devoted her nursing career to improving palliative nursing through clinical work, education, and research. Ms. Foxwell was a founding member of the Palliative Care Inpatient Consult Service at the Hospital of the University of Pennsylvania. She then went on to a pursue a research career and is currently a PhD candidate at Penn Nursing where she focuses on clinician distress trajectories when caring for seriously ill hospitalized patients in collaboration with mentors Dr. Connie Ulrich, Dr. Salimah Meghani and Dr. Kate Courtright. Ms. Foxwell was named one of the 2022 Hospice and Palliative Nurses Foundation Emerging Leaders and was recently honored as a Fellow in Palliative Care Nursing by the Hospice and Palliative Nurses Association in 2023.

To me, nursing care is palliative care as so many core values overlap from holistic care, to patient and family-centered care to expert symptom management.


  • MSN with Minor in Palliative Care, University of Pennsylvania, School of Nursing, 2012
  • MSN, DePaul University, 2008
  • BA, Fairfield University, 2005


Ms. Foxwell has been the course director for “An evidence-based approach to managing symptoms in advanced illness,” a core course in the palliative care minor at Penn Nursing since 2022. Ms. Foxwell has contributed to Penn Nursing undergraduate and graduate education through academic guest lectures since 2013. Additionally, in her clinical role Ms. Foxwell has devoted over 1000 hours to precepting undergraduate and graduate nursing student, both acute care and primary care tract.


Ms. Foxwell’s research focuses on clinician distress trajectories while caring for hospitalized seriously ill patients. She began her predoctoral work with Penn Nursing’s NewCourtland Center for Transitions and Health through an NIH-funded T32 fellowship. Her doctoral studies were also supported as a research assistant to Dr. Connie Ulrich on her AHRQ R01 looking at nursing workforce moral distress and ethical issues during and after the COVID-19 pandemic. Ms. Foxwell’s doctoral distress is funded by a grant through the Office of Nursing Research and is a mixed methods study looking at clinician distress trajectories using ecological momentary assessment and semi-structured interviews from each distress typology to better understand the clinician distress and its association with patient outcomes. Ultimately, Ms. Foxwell’s long-term goal is to learn more about clinician distress to undertake interventional work and become a leading nurse scientist in the field of palliative nursing.

Clinical Practice

  • Oncology Nurse, Hospital of the University of Pennsylvania, 2008-2012
  • Nurse Practitioner, Hospital of the University of Pennsylvania Palliative Care Inpatient Consult Service, 2012-2019
  • Nurse Practitioner, Perelman Center for Advanced Medicine Oncology Evaluation Center, 2019-Present

Selected Career Highlights

  • Fellow in Palliative Care Nursing, 2023
  • Hospice & Palliative Nurse Foundation Emerging Leader, 2022
  • Penn Medicine Advanced Practice Education Award, 2018
  • Advanced Certified Hospice & Palliative Nurse, since 2014
  • Penn Medicine Advanced Practice Education Committee, Co-Chair, 2018-2021
  • Graduate of the Harvard Medical School Palliative Care Education and Practice (PCEP Course, 2017-2018
  • Primary Palliative Care for the Oncology Advanced Practice Provider Lecture Series, Developer
  • Institute for Healthcare Improvement Conversation Ready, Educator
  • End-of-Life Nursing Education Consortium, Educator

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