Sharon Y Irving, PhD, CRNP, FCCM, FAAN, FASPEN

Sharon Y. Irving, PhD, CRNP, FCCM, FAAN, FASPEN

Miriam Stirl Endowed Term Chair in Nutrition

Associate Professor of Pediatric Nursing

Vice-Chair, Department of Family and Community Health

Through my clinical practice, inquiry and program of research, I strive to improve clinical outcomes and enhance nutrient delivery for critically ill infants and children. This includes educating providers to the importance of good nutrition and providing such, to even the most critical pediatric patients.

Through my clinical practice, inquiry and program of research, I strive to improve clinical outcomes and enhance nutrient delivery for critically ill infants and children. This includes educating providers to the importance of good nutrition and providing such, to even the most critical pediatric patients.

Education

  • PhD, University of Pennsylvania, 2011
  • MSN, University of Pennsylvania, 1993
  • BSN, Marquette University, 1980

Teaching

Dr. Irving teaches in the undergraduate pediatric nursing course and guest lectures in the clinical tract of the school’s Pediatric Critical Care Nurse Practitioner Program. She also participates in the ongoing education of clinicians in the Pediatric Intensive Care Unit at the Children’s Hospital of Philadelphia (CHOP).

Research

As standing faculty on the Clinician Educator track, Dr. Irving uses her hands-on clinical experience to guide her research and uses insights from her research to inform clinical care delivery, particularly nutrition care delivery for critically ill infants and children at CHOP. In one project, for example, she is evaluating outcomes of the nutrition pathway, exploring questions such as: When in the course of illness is enteral nutrition (EN) initiated?, When and how well are target nutritional goals achieved in this population? and Is there a direct association between nutrient delivery and overall outcomes for critically ill pediatric patients?

Clinical Practice

Dr. Irving practices as a pediatric nurse practitioner at The Children’s Hospital of Philadelphia (CHOP), where she provides patient care in the pediatric intensive care and pediatric progressive care units. She led a multi-disciplinary ICU-Pediatric Nutrition Team (ICU - PNuTs) in designing and implementing a nutrition pathway to improve the way infants and children receive nutrition during and immediately following critical illness. This pathway has been fundamental in identifying the need for similar feeding and nutrition initiatives at CHOP, targeting specific populations. The ICU-PNuT includes physicians, registered dieticians, advance practice and clinical nurses, and a clinical pharmacist.

Opportunities to Learn and Collaborate at Penn Nursing

Dr. Irving entered Penn Nursing as a graduate nursing student in 1991, and later returned to the PhD program in 2006. She joined the faculty in 2012. As Dr. Irving has experienced, Penn Nursing offers students the opportunity to immerse themselves in cutting-edge clinical practice. She mentors students in their research inquiry, quality improvement initiatives, and clinical work.

Selected Career Highlights

  • Fellow of American Society for Parenteral and Enteral Nutrition, 2021
  • Distinguished Nutrition Support Nurse, American Society for Parenteral and Enteral Nutrition, 2019
  • Fellow, American Academy of Nursing, 2016
  • Fellow, American College of Critical Care Medicine, Society of Critical Care Medicine, 2014
  • Distinguished Alumna in Service to Nursing Award, Marquette University, 2013
  • Dean’s Award for Exemplary Professional Practice, University of Pennsylvania, 2013

Accepting Mentees?

  • Yes

Accepting Fellows?

  • No

Selected Publications

  • Raina, R., Suchan, A., Sethi, S. K., Soundararajan, A., Vitale, V. S., Keller, G. L., Brown, A. M., Davenport, A., Shih, W. V., Nada, A., Irving, S. Y., Mannemuddhu, S. S., Crugnale, A.S., Myneni, A., Berry, K. G., Zieg, J., Alhasan, K., Guzzo, I., Lussier, N. H., Yap, H. K., … Bunchman, T. E. (2024). Nutrition in Critically Ill Children with AKI on Continuous RRT: Consensus Recommendations. Kidney360, 5(2), 285–309. 

  • Honarmand, K., Sirimaturos, M., Hirshberg, E.L., Bircher, N.G., Agus, M.S.D., Carpenter, D.L., Downs, C.R., Farrington, E.A., Freire, A.X., Grow, A., Irving, S.Y., Krinsley, J.S., Lanspa, M.J., Long, M.T., Nagpal, D., Preiser, JC., Srinivasan, V., Umpierrez, G.E., Jacobi, J. (2024) Society of Critical Care Medicine Guidelines on Glycemic Control for Critically Ill Children and Adults 2024: Executive Summary. Critical Care Medicine.

  • Irving, S.Y., Berry, K.G., Morgan, S.E., Seiple, S.M., Nagle, M.L., Stetzer, M., Tabatabaei, N., Murphy, S., Srinivasan, V., Mascarenhas, M. Nutrition considerations for skin integrity and pressure injury in critically ill pediatric patients. Nutrition in Clinical Practice, (2023); 38, S125-S138.

  • VanDamme, D.M., McRae, E.M., Irving, S.Y., Kelley, S.P., Tarquinio, K.M., Giuliano J.S., Ruppe, M.D., Kierys, K.L., Breuer, R.K., Parsons, S.J., Mallory, P.P., Sheoni, A.N., Swain, K.A., Polifoff, L.A., Lee, A., Adu-Darko, M.A., Napolitano N., Shults, J., Nishisaki, A., Berkenbosch, J.W., National Emergency Airway Registry for Children (NEAR4KIDS) and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Tracheal intubation by advanced practice registered nurses in pediatric critical care: Retrospective study from the National Emergency Airway for Children Registry (2015-2019). Pediatric Critical Care Medicine.

  • Kaplan, S., Jalloul, M., Akbari E., White, A.M., Flowers, C., Srinivasan, V., Xiaowei, Z., Irving, S.Y. (2023). Development and clinical use of a reduced-dose radiograph for feeding tube placement. PediatricRadiology.

  • Raina, R., Suchan, A., Soundararajan, A. Brown A.M., Davenport, A., Shih, W.V., Nada, A., Irving, S.Y., Mannemuddhu, S.S., Vitale, V.S., Crugnalem A.S., Keller, G.L., Berry, K.G., Zieg, J., Bunchman, T.E., Sethi, S.K. Executive Summary: Nutrition in critically ill children with acute kidney injury on continuous kidney replacement therapy: An integrative review and clinical practice points 2023. Nutrition, 2023.

  • Typpo, K.V., Irving, S.Y., Prince, J.M., Pathan, N., Brown, AM. (2022). Gastrointestinal Dysfunction Criteria in Critically Ill Children: The PODIUM Consensus Conference. Pediatrics. 2022 Jan1; 149(Supplement_1): S53-S58.

  • Tjoeng, Y.L, Myers, C., Irving, S.Y., Esangbedo, I., Wheeler, D., Musa, N. The current state of workforce diversity and inclusion in pediatric critical care. Critical Care Clinics. (2022); 39(2).

  • Browne, N.T., Hodges, E., Small, L., Snethen, J., Frenn, M., Irving, S.Y., Gance-Cleveland, B., Greenberg, C. (2021). Childhood obesity within the lens of racism. Pediatric Obesity, 17(5) e12878. 

  • Brown, AM., Irving, S.Y., Pringle, C., Allen, C., Brown, M.F., Nett, S., Singleton, M.N., Mikhailov, T.A., Madsen, E., Srinivasan, V., Anthony, H., Forbes, M.L. (2021). Bolus gastric feeds improve nutritional delivery to mechanically ventilated pediatric medical patients: Results of the COntinuous vs BOlus (COBO2) Multi-Center Trial. JPEN Journal of Parenteral and Enteral Nutrition.

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