You are here

Queen Utley-Smith, EdD, RN, CNE, ANEF

Associate Professor Emeritus
Pearson Building

Dr. Utley-Smith, Associate Professor in the School of Nursing served as MSN Program Chair from from 2008-2011. She earned her BSN at North Carolina Central University, her MSN at the University of Connecticut, and her doctorate in Health Occupations Education at North Carolina State University. In a career spanning more than 30 years, she has worked as a staff nurse, a charge nurse, a certified Family Nurse Practitioner specializing in wellness care of older adults, and an educator of traditional undergraduate students, RN-to-BSN students, accelerated BSN students, and graduate students.

Before joining the Duke University School of Nursing faculty in 2002, she implemented a number of educational innovations including: developing a clinical education site in an environmentally at-risk minority community and a clinical practicum site for graduate students in a nurse-managed clinic; developing and launching online courses on aging and women’s health; and initiating and coordinated two RN-to-BSN distance education programs involving partnerships of medical centers and community colleges.

Dr. Utley-Smith's research interests include healthcare workforce competencies; staff-family interactions in long-term care, health promotion and aging; and utilizing technology and distance learning strategies in classroom and clinical practice to improve learning outcomes.

Academic Program Affiliations

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


  • EdD - North Carolina State University
  • MS - University of Connecticut
  • BSN - North Carolina Central University

Research Interests

Dr. Utley-Smith has centered her research efforts in two areas; 1) healthcare workforce competency and 2) health promotion and aging. She is concerned with matching the competencies of nurse graduates with the expectations of employers in various work settings-hospitals, home health and long-term care. Her research in this area indicates the demand for new nurse graduates who possess expanded competencies in the area of "people skills" (i.e., interpersonal communication, teamwork, supervision, and patient teaching). Dr. Utley-Smith is also investigating interaction patterns of staff and families in nursing homes and the impact of these interactions on staff time management, quality of care, and patient safety.

Awards and Honors

  • 2014 || Inducted as Fellow, National League for Nursing Academy of Nursing Education
  • 2010 || Beverly Koerner Outstanding Alumni Award for Education in Nursing, University of Connecticut School of Nursing
  • 2006 || CIT Technology Award, Duke University Center for Instructional Technology
  • 2004 || Great 100 Nurses in North Carolina
  • 2003 || Nurses’ Recognition Day Award, Fayetteville Veterans Administration Medical Center
  • 2002 || Community Service Award, College of Arts and Sciences, Fayetteville State University
  • 1995 || Inducted, Phi Delta Kappa (International Educator's Society)
  • 1980 || Inducted, Sigma Theta Tau International

Areas of Expertise

  • Gerontology
  • Nursing Education

Areas of Interest

Health Promotion

Representative Publications

  • 2013 -- Dickens, A. T. and Utley-Smith, Q. and Stott, G. and Relf, M. V. Evaluation of communication techniques used by HIV specialty providers caring for patients with low health literary in an outpatient HIV clinical setting. Journal of Nursing Education and Practice. January, 2013 3(7);
  • 2010 -- PubMed # : 20479137 Colón-Emeric, C. S. and Plowman, D. and Bailey, D. and Corazzini, K. and Utley-Smith, Q. and Ammarell, N. and Toles, M. and Anderson, R. Regulation and mindful resident care in nursing homes. Qual Health Res. September, 2010 20(9); 1283-94 PMC2918733
  • 2009 -- PubMed # : 19649311 Utley-Smith, Q. and Colón-Emeric, C. S. and Lekan-Rutledge, D. and Ammarell, N. and Bailey, D. and Corazzini, K. and Piven, M. L. and Anderson, R. A. The nature of staff-family interactions in nursing homes: Staff perceptions J Aging Stud. August, 2009 23(3); 168-177 PMC2711636
  • 2007 -- PubMed # : 17710200 Piven, M. L. and Ammarell, N. and Lekan-Rutledge, D. and Utley-Smith, Q. and Corazzini, K. N. and Colón-Emeric, C. S. and Bailey, D. and Anderson, R. A. Paying attention: A leap toward quality care. Director. Winter, 2007 15(1); 58-60, 62-3 PMC1948878
  • 2007 -- PubMed # : 17767682 Colón-Emeric, C. S. and Lekan, D. and Utley-Smith, Q. and Ammarell, N. and Bailey, D. and Corazzini, K. and Piven, M. L. and Anderson, R. A. Barriers to and facilitators of clinical practice guideline use in nursing homes. J Am Geriatr Soc. September, 2007 55(9); 1404-9 PMC2276683
  • 2007 -- PubMed # : 17912995 Utley-Smith, Q. and Phillips, B. and Turner, K. Avoiding socialization pitfalls in accelerated second-degree nursing education: the returning-to-school syndrome model. J Nurs Educ. September, 2007 46(9); 423-6
  • 2007 -- PubMed # : 17077708 Colón-Emeric, C. S. and Lekan-Rutledge, D. and Utley-Smith, Q. and Ammarell, N. and Bailey, D. and Piven, M. L. and Corazzini, K. and Anderson, R. A. Connection, regulation, and care plan innovation: a case study of four nursing homes. Health Care Manage Rev. Oct.-Dec., 2006 31(4); 337-46 PMC1952654
  • 2006 -- PubMed # : 17099107 Utley-Smith, Q. and Bailey, D. and Ammarell, N. and Corazzini, K. and Colón-Emeric, C. S. and Lekan-Rutledge, D. and Piven, M. L. and Anderson, R. A. Exit interview-consultation for research validation and dissemination. West J Nurs Res. December, 2006 28(8); 955-73 PMC1636585
  • 2006 -- PubMed # : 16585806 Piven, M. L. and Ammarell, N. and Bailey, D. and Corazzini, K. and Colón-Emeric, C. S. and Lekan-Rutledge, D. and Utley-Smith, Q. and Anderson, R. A. MDS coordinator relationships and nursing home care processes. West J Nurs Res. April, 2006 28(3); 294-309 PMC1472871
  • 2006 -- PubMed # : 16394208 Colón-Emeric, C. S. and Ammarell, N. and Bailey, D. and Corazzini, K. and Lekan-Rutledge, D. and Piven, M. L. and Utley-Smith, Q. and Anderson, R. A. Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science. Qual Health Res. February, 2006 16(2); 173-88 PMC1474048


Grant Funding (Selected)

  • Advancing the Number of Primary Care Clinicians Through Nurse Practitioner Education

    Health Resources and Service Administration
    09/2010 to 09/2015
    Role: Project Director

    Project Goals: (1) increase the number of Adult Nurse Practitioner–Primary Care (ANP) and Family Nurse Practitioner (FNP) students who enroll full-time and graduate from our Master’s program within 2 years, and (2) accelerate the graduation completion rate of part-time students in both the ANP and FNP specialty tracks.

  • Designing a Contemporary Online Learning Environment: Population Health in a Global Society

    Duke University SON CONCEPT Office CATALYST Award
    01/2014 to 06/2015
    Role: PI

    This project will serve as a test-case for the CATALYST Instructional Design Process – a streamlined approach to the complex task of developing an effective, engaging, clearly organized and technologically-enhanced online course. In this instance, the focus is on a new course in DUSON’s revised curriculum, N582: Population Health in a Global Society.

  • The Duke University Nursing Education Program (Advanced Education Nursing Grant)

    Health Resources and Service Administration (HRSA) Advanced Education Nursing Program
    07/2008 to 06/2011
    Role: Consultant/Educator

    Project Goal: To expand and strengthen the current program to prepare Nursing Education Faculty at Duke University School of Nursing by: 1. Expanding minority enrollment in the program through the recruitment, enrollment, retention and graduation of 05 additional students in the 01 and 02 years and 7 students in the 03 year. 2. The development of salient, innovative coursework in the areas of clinical and educational technologies to enhance the current course of study, 3. Refining the educational delivery model by focusing on a blended approach of traditional, distance-based and simulation methodologies and infusing and strengthening graduates’ competencies in the arenas of clinical knowledge, leadership, and cultural competence within the nursing faculty role.

  • Innovation in Nursing Education and Technology

    Health Resources and Service Administration (HRSA)
    01/2009 to 12/2012
    Role: Consultant/Educator

    The major goals are to infuse innovative education technologies in three nursing education programs in three universities in North Carolina.

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

    Health Resources and Service Administration (HRSA) Advanced Education Nursing Program
    07/2009 to 06/2012
    Role: Consultant/Educator
  • Evidence Based Nursing Practice in Geriatric Settings

    Health Resources and Service Administration (HRSA)
    09/2009 to 06/2012
    Role: Consultant/Educator

    Project goals: To engage registered nurses (RNs) across the spectrum of elder care from five targeted communities in North Carolina (NC) in an in-depth Continuing Education (CE) Institute. Participating RNs (n = 150) will acquire geriatric clinical and leadership skills needed to implement significant evidence-based solutions to improve health outcomes among older adults in each community. Specific project goals are to: (1) Refine, implement, and operate the innovative “Geriatric Nursing Education Innovations” (GNIE) CE Institute, with a focus on reducing health disparities in elder care at the community level, (2) Recruit, enroll and retain a diverse RN workforce into the GNIE Institute from across the care spectrum in each of five communities, and (3) Evaluate and disseminate results from participant, employer, and community health perspectives. The five communities targeted in this proposal each contains a substantial portion of rural or underserved older adults in NC.

  • Measuring Staff-Family Communication and Selected Variables in Nursing Homes

    TRAC Pilot-Duke University School of Nursing P20
    10/2005 to 10/2006
    Role: PI

    Goal of study is to explore factors that impact the staff-family relationship in nursing homes, identify strategies that promote positive staff-family relationships and devise simple, practical intervention strategies that promote positive staff-family relationships and better resident outcomes at the point of care.

Wednesday, September 20, 2017

Several faculty recently attended the 2017 National League for Nursing Education Summit in San Diego, Cali. In attendance were: Beth Phillips, Marilyn Oermann Terry Valiga, Janice Humphreys, Margie Molloy, Helen Gordon, Angela Richards-Eaglin, Queen Utley-Smith and Jennie De Gagne.

Friday, April 21, 2017

Queen Utley-Smith recently published an article entitled "Meeting a Growing Need: An Online Approach to Cultural Competence Education for Health Professionals" for the May/June 2017 issue of the Nursing Education Perspectives.

Friday, March 10, 2017

Queen Utley-Smith was recently featured in a Duke Center for Instructional Technology (CIT) blog article entitled "Globalizing an Online Nursing Course at Duke." The article discusses the partnership between CIT and Utley-Smith to redesign and implement a cross-cultural perspective to N502: Health Promotion and Disease Prevention, a graduate online course.

Friday, May 27, 2016

Queen Utley-Smith was one of six Duke University faculty members selected for Duke support for their faculty-led projects that reflect the state of online education on campus and beyond. Online Duke, along with Provost Sally Kornbluth and the Office of Global Strategy and Programs, issued a call for proposals for projects that would add a global component to an instructor's teaching.

Utley-Smith was selected for her course "Health Promotion and Disease Prevention." 

Wednesday, April 13, 2016

Duke University School of Nursing (DUSON) was more than glad to partner with the Duke University Global Health Graduate Program in a pilot program that allowed five students from the Duke Kunshan University (DKU) campus in Kunshan, China to enroll in DUSON’s Health Promotion and Disease Prevention course.

Friday, March 25, 2016

Queen Utley-Smith was recently notified that Online Duke accepted her proposal to redesign the School of Nursing Health Promotion and Disease Prevention course. Redesigning the course would make the course more cross-cultural, interprofessional and provide technological updatses. The award will also support course pedagogical redesign, incorporation of new approaches to discussion, collaboration and media production.

Friday, January 15, 2016

DNP alumni Mary Guhwe published an article entitled "Routine 24-Hour Computed Tomography Brain Scan is not useful in stable patients Post Intravenous Tissue Plasminogen Activator" in the Journal of Stroke and Cerebrovascular Diseases. Queen Utley-Smith who served as Guhwe's capstone committee chair, and Guhwe's other committee members from Duke Health Robert Blessing and Larry Goldstein are co-authors of the publication.

Friday, October 16, 2015

DUSON and its faculty, students and staff were very visible throughout the National League for Nursing (NLN) annual Education Summit in Las Vegas, Nevada this month. Here are the highlights: 

Friday, March 13, 2015

Queen Utley-Smith was the keynote speaker for the North Carolina Central University Department of Nursing's 19th Annual Helen Miller Lectureship on March 5, 2015. The title of her talk was "Staff-Family Interactions in Nursing Homes: A Quality and Safety Issue."

Friday, November 21, 2014

Several of our faculty members presented posters at the Duke AHEAD event "Celebration of Education: Cultivating Meaningful Collaboration" spotlighting health professions educators and their remarkable innovations and achievements: