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Margaret (Midge) T. Bowers, DNP, RN, FNP-BC, CHFN, CHSE, A.A.C.C., FAANP

Associate Professor
Phone: 
(919) 684-1932, (919) 681-3244
Office: 
2033 Pearson Building

Margaret (Midge) Bowers is MSN Assistant Program Director and Lead Faculty of the Adult Nurse Practitioner-Cardiovascular specialty in the School of Nursing MSN program. She is an Associate in the American College of Cardiology, and has over 30 years of experience in cardiac patient care. She holds a secondary appointment in the Department of Medicine as a Nurse Practitioner in Cardiovascular Medicine.

She earned her BSN from Binghamton University in 1981 and her MSN as a Clinical Nurse Specialist in critical care at the Duke University School of Nursing in 1990. She completed a Post-Master’s Certificate as a Family Nurse Practitioner at Duke in 1998 and joined the faculty of the School of Nursing in 1998. She earned the DNP degree from the University of Colorado-Denver in 2012.

Midge Bowers focuses her clinical practice on congestive heart failure. She also has extensive clinical experience in cardiology and critical care transport. She is a member of Sigma Theta Tau, the American Association of Critical Care Nurses, the National Organization of Nurse Practitioner Faculty, the Heart Failure Society of America, the American Association of Heart Failure Nurses, and the American Association of Nurse Practitioners.

Bowers is principal investigator on a Duke Translational Nursing Institute funded grant for the WEIGH-IN Study, which aims to identify the relationship between daily weights and early symptom recognition in patients with systolic and diastolic heart failure and evaluate the relationship of social support, medication and weight monitoring adherence, and symptom perceptions with heart failure-related hospital readmission and mortality.

Academic Program Affiliations

  • Doctor of Nursing Practice Program
  • Master of Science in Nursing Program

Education

  • DNP - University of Colorado-Denver
  • MSN - Duke University School of Nursing

Research Interests

Heart Failure
Innovative Teaching Tools
Online Education

Awards and Honors

  • 2015 || Named as one of "16 Great Acute Care Nursing Professors", AACN publication BOLD Voices
  • 2014 || AANP State Award for Nurse Practitioner Excellence - North Carolina, American Academy of Nurse Practitioners
  • 2012 || Outstanding Master of Science in Nursing (MSN) Faculty Award, Duke University School of Nursing
  • 2011 || Associate, American College of Cardiology
  • 2010 || Campus Technology Innovators Award presented to DUSON iNet Team for SimSoap: A Twitter Soap Opera, (Category: Teaching & Learning)
  • 2009 || Distinguished Teaching Award, Duke University School of Nursing
  • 2009 || Individual Recognition Award Nominee, Glaxo Smith Kline
  • 2006 || Outstanding Faculty Member of the Year, Duke University School of Nursing
  • 1986 || Sigma Theta Tau, Beta Epsilon chapter

Areas of Expertise

  • Acute / Critical Care
  • Cardiovascular

Representative Publications

  • 2015 -- PubMed # : 26333603 Bowers, M. T. Cardiovascular Health Among an Underserved Population: Clinical Implications. Nurs Clin North Am. September, 2015 50(3); 457-64
  • 2015 -- Carpenter, J. E. and Short, N. and Williams, T. E. and Yandell, B. and Bowers, M. T. Improving congestive heart failure care with a clinical decision unit. Nursing Economic$. Sep-Oct, 2015 33(5); 255-262
  • 2015 -- PubMed # : 25819861 Granger, B. B. and Ekman, I. and Hernandez, A. F. and Sawyer, T. and Bowers, M. T. and DeWald, T. A. and Zhao, Y. and Levy, J. and Bosworth, H. B. Results of the Chronic Heart Failure Intervention to Improve MEdication Adherence study: A randomized intervention in high-risk patients. Am Heart J. April, 2015 169(4); 539-48
  • 2015 -- Bowers, M. T. Professional issues in heart failure nursing (Chapter 11). In Heart Failure Nursing Certification: Core Curriculum Review edited by Paul, S. and Kirkwood, P.. 2015; pp. 263-270. : . 2015 263-270
  • 2014 -- Bowers, M. T. and Baas, L. Setting up systems of care. In Heart Failure Disease Management: From Planning to Implementation edited by Paul, S.. 2014; : American Association of Heart Failure Nurses. 2014
  • 2013 -- Bowers, M. T. Managing patients with heart failure. The Journal for Nurse Practitioners. November, 2013 9(10); 634-642
  • 2012 -- Bowers, M. T. Managing arrhythmias in patients with heart failure. The Connection (American Association of Heart Failure Nurses Newsletter). Winter, 2012
  • 2012 -- Bowers, M. T. Letter from Guest Editor and Research Corner: Atrial and ventricular arrythmias in heart failure. The Connection: American Association of Heart Failure Nurses Newsletter. Winter, 2012
  • 2012 -- Bowers, M. T. Professional issues in heart failure nursing (Chapter 11). In Heart Failure Nursing Certification - Core Curriculum Review edited by Paul, S.. February, 2012; pp. 265-276. : American Association of Heart Failure Nurses. February, 2012 265-276
  • 2012 -- PubMed # : 22147884 Reed, S. D. and Li, Y. and Kamble, S. and Polsky, D. and Graham, F. L. and Bowers, M. T. and Samsa, G. P. and Paul, S. and Schulman, K. A. and Whellan, D. J. and Riegel, B. J. Introduction of the Tools for Economic Analysis of Patient Management Interventions in Heart Failure Costing Tool: a user-friendly spreadsheet program to estimate costs of providing patient-centered interventions. Circ Cardiovasc Qual Outcomes. January, 2012 5(1); 113-9 PMC3261318

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Grant Funding (Selected)

  • The Relationship Between Daily Weight Monitoring and Early Symptom Recognition in Patients with Chronic Systolic and Diastolic Heart Failure (Weigh-In CHF)

    American Association of Critical Care Nurses
    03/2008 to 02/2010
    Role: PI

    Project Goal: To identify the relationship between daily weights and early symptom recognition in patients with systolic and diastolic heart failure. Secondary objectives include evaluating the relationship of social support, medication and weight monitoring adherence, and symptom perceptions with heart failure related hospital readmission and mortality.

  • Tools for Economic Analysis of Patient Management Interventions in Heart Failure

    National Institutes of Health; National Institute of Nursing Research
    09/2009 to 09/2011
    Role: Co-PI

    Project Goals: To develop tools to allow investigators to conduct high-quality economic evaluations of healthcare interventions, particularly those that involve patient-focused education or behavioral modification. To develop a disease simulation model designed to evaluate short- and long-term costs and health outcomes associated with patient-focused interventions. To build a disease simulation model that can be used by other research groups or healthcare managers to evaluate the cost-effectiveness of specific interventions aimed at patients with heart failure. The model will be designed specifically to allow users to define their patient cohort at baseline and integrate the observed effect(s) of the intervention. The model will apply these inputs and run simulations to project expected short-term and long-term effects on costs and health outcomes, including quality-adjusted life-years.

  • Creating a National Model for Nurse Educator Preparation at the Master’s Level

    HRSA Advanced Education Nursing Program
    07/2009 to 06/2012
    Role: Consultant

    Project Goals: To prepare graduates as advanced generalists capable of teaching prelicensure personnel. Consultant for development of acute care course content.

  • Durham Health Innovations: VIP (Vascular Improvement Project)

    Duke Translational Institute
    07/2009 to 06/2010
    Role: Steering committee member

    Duke Translational Institute: Grants to Plan Innovative Duke-Durham Partnered Approaches to Specific Health Problems in Durham County
    Project Goals (PIs K. Thomas & S. Elliott-Bynum): We will identify specific Durham locales that display a high prevalence of cxhronic cardiac disease, hypertension and kidney disease, and we will construct community-based programs to aggressively manage hypertension in the targeted areas to improve the health of residents.

  • Expecting Success in Cardiac Care: Reducing Racial Disparities

    Robert Wood Johnson Foundation
    07/2005 to 06/2008
    Role: Leader of Community Demonstration Project

    Project Goal: Evaluate racial disparities in cardiac care in the Durham community. Goals focus on inpatient and outpatient cardiac care for African American and Latino population.
    Community Demonstration Project Leader role encompassed acting as liaison with medical and nursing leadership at the community health center. Provided care as a nurse practitioner in the Lincoln Community Health Clinic October 2005-July 2007. Participate in twice monthly Heart Failure Consult clinic at this site in the Durham community.

  • Adult Physical Exam Video Project

    Duke Center for Instructional Technology Jump Start grant
    04/2006 to 04/2007
    Role: Project faculty

    This project created video series that demonstrate a specific adult physical examination taught in N332 Physical Assessment. The various formats of the videos were integrated to online courses posted in Blackboard, to self-paced web tutorials for online learning and to video iPods for mobile learning.

  • STARBRITE

    American Heart Assoc., American College of Cardiology, Duke Clinical Research Institute, Biosite Diagnostics, Inc.
    4389/03/12R1
    07/2003 to 06/2006
    Role: Co-PI

    Project Goal: To evaluate strategies for tailoring heart failure regimens in the outpatient setting comparing BNP levels with Clinical Congestion Score.

  • Simulation in Critical Decision Making: Train the Trainer

    National League for Nursing
    01/2001 to 01/2004
    Role: Co-PI

    Project Goal: To identify alternate methods of providing preceptor education to rural preceptors in the Nurse Practitioner and CRNA specialties using clinical simulation.

Tuesday, June 12, 2018

Midge Bowers recently presented "An Evidence Based approach to Managing Heart Failure" at the 12th Oriental Congress of Cardiology. The event was organized by the Shanghai Society of Cardiology, Shanghai Medical Association in Shanghai, China.

The theme of the event was "Open, Cooperative and Creative." The scientific program featured specific forums including hypertension, heart failure, coronary heart diseases and intervention, heart rhythm, structural heart diseases, lipid-atherosclerosis and many more. 

Thursday, May 3, 2018

Congratulations to the 2017-2018 DUSON cohort of Teaching for Equity Fellows Health Professions Educators: Nancy Crego, Valerie Sabol, Brigit Carter, Jennie De Gagne, Midge Bowers, Michelle Hartman, Jill Brennan-Cook, Sharron Rushton, Jen Graf-Perkins and Lisa Lewis!

Wednesday, April 25, 2018

Midge Bowers and Bradi Granger recently published an article entitled "Making Sense of Hypertension Guidelines" in the Journal of Cardiovascular Nursing. Co-authors include Tracy DeWald. 

Abstract

Wednesday, March 7, 2018

Several faculty and staff recently presented at the Society for Simulation in Healthcare at The International Meeting on Simulation in Healthcare (IMSH) conference in Los Angeles, CA. IMSH is the world's largest conference dedicated to healthcare simulation learning, research and scholarship, offering 250 sessions in various formats, from large plenary sessions to small, interactive immersive courses. It is also considered to be the educational and networking event for the simulation world.

Oral presentations include:

Monday, October 9, 2017

Midge Bowers recently presented multiple presentations at the Geriatric Advanced Practice Nursing (GAPNA) conference in Nashville, TN. Her presentations at the Pharmacology Preconference included: "New Heart Failure Medications," "Direct Oral Anticoagulants: Making the Best Decision on How to Anticoagulate" and "Diastolic Heart Failure." 

Monday, February 27, 2017

Duke University School of Nursing (DUSON) and its Institute for Educational Excellence will host the 7th annual Pursuing Radical Transformation in Nursing Education Conference March 30 and 31. This year’s theme is “Promoting Deeper Learning.”

Friday, February 10, 2017

Margaret "Midge" Bowers was recently the guest speaker for the DUSON Conversations with Duke Nurse Practitioners Women's Health Series held at the Prestonwood Country Club. Bowers spoke to attendees on heart wellness.

Friday, October 7, 2016

Michael Relf was recently featured in a news release from the American Association of Critical-Care Nurses (AACCN) for an article entitled "Cardiovascular Disease and HIV: Pathophysiology, Treatment Considerations, and Nursing Implications" in the Journal of Critical Care Nurse.

Friday, August 19, 2016

Margaret "Midge" Bowers recently passed the certification exam for the Certified Healthcare Simulation Educator (CHSE) program and is now a Certified Healthcare Simulation Educator. The CHSE certification adds value to DUSON by improving health care simulation education through the identification of best practices. Recognition in this area strengthens patient safety efforts through support of simulation modalities and encourages performance improvement and knowledge expansion of the individual educator.

Wednesday, August 3, 2016

Margaret “Midge” Bowers, DNP, RN, FNP-BC, CHFN, A.A.C.C., FAANP, associate professor and faculty coordinator of the Adult Nurse Practitioner major and lead faculty of the Cardiovascular specialty for Duke University School of Nursing (DUSON), received an award of nearly $200,000 to carry out her research project titled “Nurse-led Models of Care” from July 1, 2016, to June 30, 20

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