Christine K. Bradway, PhD, RN, CRNP, FAAN
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
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
- Member, Board of Directors, Main Line Adult Day Center
- Penn School of Nursing Barbara J. Lowery Doctoral Student Organization Faculty Award
- Kim, H., Ersek, M., Bradway, C., & Hickman, S.E. (in press). Physician orders for life sustaining treatment for nursing home residents with dementia (epub ahead of print). Journal of the American Association of Nurse Practitioners, .10.1002/2327-6924.12258
- Felix, H.C., Bradway, C., Chisholm, L., Pradhan, R., & Weech-Malonado, R. (in press). Prevalence of moderate to severe obesity among US nursing home residents., 2000-2010, (epub ahead of print). Research in Nursing and Health Care, .10.3928/19404921-20150223-01
- Felix, H.C., Bradway, C. Ali, M.M. & Li, X. (2014). Nursing home perspectives on the admission of morbidly obese patients from hospitals to nursing homes. Journal of Applied Gerontology, epub ahead of print, Dec 16, 2014.
- Naylor, M.D., Hirschman, K.B., Hanlon, A.L., Bowles, K.H., Bradway, C., McCauley, K.M., & Pauly, M.V. (2014). Comparison of evidence-based interventions on outcomes of hospitalized, cognitively impaired older adults. Journal of Comparative Effectiveness Research, 3(3), 245-257.
- Chernoff, R., Bradway, C. (2014). Pressure ulcers. In T. L. Griebling (Eds.), Geriatric Urology.. (103-113). New York: Springer Science and Business Media.
- Bradway, C. & Boullata, J. (2014). Pharmacologic therapy for female sexual dysfunction. The Nurse Practioner: The American Journal of Primary Health Care, 39, 16-27.
- Robinson, J. P., Bradway, C. W., Bunting-Perry, L., Avi-Itzhak, T., Mangino, M., Chittams,J., & Duda, J.E. (2013). Lower urinary tract symptoms in men with Parkinson disease. Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses, 45, 382-392.
- Bradway, C., Bixby, M.B., Hirschman, K.B., McCauley, K., & Naylor, M.D. (2013). Case study: Transitional care for a patient with benign prostatic hyperplasia and recurrent urinary tract infections.. Urologic Nursing, 33, 177-179, 200.
- Felix, H.C., Thostenson, J.C., Bursac, Z., & Bradway, C (2013). Effect of weight on indwelling catheter use among long-term care facility residents. Urologic Nursing, 33, 194-200.
- Hensley, D., Driscoll, A., Bradway, C., Wyman, J.F., Sheldon, P., Hooper, G., & Joseph, A (2013). Urologic Nursing: Scope and Standards of Practice (2nd Ed.). . Pitman, NJ: Jannetti Publications, Inc..