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Bradi B. Granger, PhD, MSN, RN, FAAN

Professor
Phone: 
(919) 684-1622
Office: 
3150 Pearson Building

Dr. Granger, Professor in the School of Nursing, is also Director of the Duke Heart Center Nursing Research Program and adjunct faculty at the University of Gothenburg, Sweden. Dr. Granger received her doctorate in nursing from the University of North Carolina at Chapel Hill, her MSN from Duke University, and her BSN from the University of Tennessee at Knoxville.

Dr. Granger has extensive clinical experience in cardiovascular nursing, and her clinical work as a Clinical Nurse Specialist has been dedicated to overcoming barriers to the use and conduct of research in the service setting through development of pragmatic tools that change the way nurses learn about, apply, and conduct nursing science. She has developed an innovative model for clinical inquiry and research in the hospital setting, which has been adopted in clinical settings across the U.S. and abroad. Dr. Granger is an active member of the American Association of Critical Care Nurses, the American Heart Association and the European Society for Patient Adherence, Compliance and Persistence.

Academic Program Affiliations

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

Education

  • PhD - University of North Carolina-Chapel Hill School of Nursing
  • MSN - Duke University School of Nursing
  • BSN - University of Tennessee–Knoxville

Research Interests

Dr. Granger's research interests include the impact of nursing and the effects of behavioral interventions on medication adherence in patients with chronic illness. Her research on patient adherence has influenced the design of future international clinical trials through consultation to identify measures for symptom recognition, adherence, and response to treatment.

Awards and Honors

  • 2009 || Circle of Excellence Award, American Association of Critical Care Nurses
  • 2007 || Fellow, American Academy of Nursing (FAAN)
  • 2000 || Fellow, Cardiovascular Nursing Council of the American Heart Association (FAHA)
  • 1999 || Inducted, Sigma Theta Tau, Beta chapter, Duke University School of Nursing
  • 1997 || Research Mentor Award, Duke Friends of Nursing Foundation

Areas of Expertise

  • Cardiovascular
  • Translational Research

Representative Publications

  • 2015 -- PubMed # : 26484998 Pokorney, S. D. and Taft, C. and Granger, B. B. Blending Quality Improvement and Research Methods for Implementation Science, Part II: Analysis of the Quality of Implementation. AACN Adv Crit Care. Oct-Dec, 2015 26(4); 366-71
  • 2015 -- PubMed # : 25743938 Granger, B. B. Self-reported medication adherence for heart failure is associated with lower risk of all-cause hospitalisation and death. Evid Based Nurs. October, 2015 18(4); 123
  • 2015 -- PubMed # : 26200736 Granger, B. B. and Shah, B. R. Blending Quality Improvement and Research Methods for Implementation Science, Part I: Design and Data Collection. AACN Adv Crit Care. Jul-Sept., 2015 26(3); 268-74
  • 2015 -- PubMed # : 25567758 Edelman, D. and Dolor, R. J. and Coffman, C. J. and Pereira, K. C. and Granger, B. B. and Lindquist, J. H. and Neary, A. M. and Harris, A. J. and Bosworth, H. B. Nurse-led behavioral management of diabetes and hypertension in community practices: a randomized trial. J Gen Intern Med. May, 2015 30(5); 626-33 PMC4395596
  • 2015 -- PubMed # : 25898884 Heidenfelder, B. L. and Granger, B. B. Tools for improving the quality of data capture for clinical inquiry. AACN Adv Crit Care. Apr-Jun, 2015 26(2); 168-72
  • 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 -- PubMed # : 25830618 Vesterlund, M. and Granger, B. and Thompson, T. J. and Coggin 3rd, C. and Oermann, M. H. Tailoring your heart failure project for success in rural areas. Qual Manag Health Care. Apr-Jun, 2015 24(2); 91-5
  • 2015 -- PubMed # : 26306240 Granger, B. B. and Staton, M. and Peterson, L. and Rusincovitch, S. A. Prevalence and Access of Secondary Source Medication Data: Evaluation of the Southeastern Diabetes Initiative (SEDI). AMIA Jt Summits Transl Sci Proc. March 25, 2015 2015 66-70 PMC4525251
  • 2015 -- Spratt, S. E. and Batch, B. C. and Davis, L. P. and Dunham, A. A. and Easterling, M. and Feinglos, M. N. and Granger, B.B. and Harris, G. and Lyn, M. J. and Maxson, P. J. and Shah, B. R. and Strauss, B. and Thomas, T. and Califf, R. M. and Miranda, M. L. Methods and initial findings from the Durham Diabetes Coalition: Integrating geospatial health technology and community interventions to reduce death and disability Journal of Clinical & Translational Endocrinology. March, 2015 2(1); 26-36
  • 2015 -- PubMed # : 25670885 Zullig, L. L. and Gellad, W. F. and Moaddeb, J. and Crowley, M. J. and Shrank, W. and Granger, B. B. and Granger, C. B. and Trygstad, T. and Liu, L. Z. and Bosworth, H. B. Improving diabetes medication adherence: successful, scalable interventions. Patient Prefer Adherence. January, 2015 9 139-49

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Grant Funding (Selected)

  • Durham Diabetes Coalition

    Bristol-Myers Squibb Foundation
    01/2012 to 12/2016
    Role: Faculty Mentor and Co-PI

    Project Goal: 1) To improve health outcomes of diagnosed and undiagnosed adults living with uncontrolled type 2 diabetes in Durham County, NC; and 2) To implement a county-wide population level suite of interventions that are sustainable and replicable in other American communities.

  • A Model to Prevent Re-hospitalization Employing Community Embedded Care Coordinators

    The Duke Endowment
    07/2011 to 06/2014
    Role: PI

    Project Goal: This two-year project will evaluate the implementation of a coordinated care model and will demonstrate the care structure and processes needed to prevent re-hospitalization of Durham-area residents with heart failure (HF). An innovative approach to management of hospital discharge and home-based support using an integrated, multidisciplinary team including community-based health care coordinators will be used.

  • Investigating Illness in Older Persons with Chronic Heart Failure – A Mixed Methods Case Study

    Duke University School of Nursing
    07/2011 to 06/2012
    Role: PI

    Project Goal: The purpose of this study is (a) to describe the nature of reported symptoms in a cohort (n=6000) of older patients (≥75 years) diagnosed with chronic heart failure (CHF) in an acute hospital setting, (b) to describe older patients’ (n=12), their family members’ (n=12) and healthcare professionals’ (n=12) explanatory models (EM) of symptoms in CHF in a community setting; and (c) to describe self-care ability in older patients with CHF and mild cognitive impairment (MCI) in a community setting.

  • Person Centered Care Research Center Grant

    National Swedish Research Council
    07/2009 to 06/2014
    Role: Methods Core Steering Committee

    Project Goal: To establish a Research Core Center designed to build infrastructure in the area of PCC research on long term illness management to strengthen and increase research productivity and generate new ideas through organized interdisciplinary collaborative efforts.The overall goals of the Center are to:
    • Foster research in a supportive, integrative, collaborative and multidisciplinary manner.
    • Enhance the basic research capabilities of established investigators.
    • Encourage investigators not involved in PCC-related research to become interested in pursuing problems related to this important area of investigation.
    • Develop and implement programs for training and establishment of young investigators in PCC-related research.
    • Develop, refine and implement methodologies supporting and compatible with the complexities of PCC research, including research designs, data collection/ capture methods, and data analysis and interpretation methods ;
    • Integrate research with undergraduate and master’s education;
    • Develop information models/systems supporting a patient centric view for managing enhanced patient interaction with medical care & clinical research.
    • Facilitate the transfer of new research findings to the clinical arena.
    • Inform others in both professional and lay settings of the accomplishments, opportunities, and advances in PCC-related research.
    • Act as a platform to test and validate eHealth applications and solutions in small as well as large scale projects.

  • A Randomized, Controlled Pilot Study of an Intervention for Medication Adherence

    National Institutes of Health / National Institute for Nursing Research
    1R03-NR011500-01
    09/2009 to 07/2011
    Role: PI

    Purpose: To evaluate the efficacy of an intervention to improve adherence in patients with heart failure.

  • Medication Adherence in Heart Center Patients Discharged to Home

    Duke Hospital Auxiliary
    Pro00003422
    07/2009 to 06/2010
    Role: Co-PI

    Project Goal: To assess health literacy using pillbox refill/fill patient assessments and a family member questionnaire.

  • Tailored Nurse Intervention in Diabetes and Hypertension. A Nurse-Driven Telephone Contact Intervention Study

    NIH/NHLBI
    Pro00002325
    07/2008 to 06/2013
    Role: Co-Investigator

    Project Goal: To decrease hypertension and improve glycemic control in Duke primary care settings.

  • Durham Health Innovations: Vascular Intervention Project (the VIP Initiative)

    CTSA – Duke University
    01/2009 to 12/2009
    Role: Investigator

    Project Goal: To decrease hypertension and hypertensive kidney disease in Durham County, NC.

  • The Relationship Between Daily Weights and Early Symptom Recognition in Patients With Systolic and Diastolic Heart Failure [Weigh-In CHF]

    American Association of Critical Care Nurses
    Pro00001168
    07/2008 to 06/2010
    Role: Co-PI

    Project Goal: To assess differences in symptom recognition and adherence to daily weights in patients with heart failure.

  • A Pilot Study to Examine the Effects of Ultrafiltration on Fatigue in Acute Heart Failure

    North Carolina Nurses Association
    Pro00002032
    07/2008 to 06/2009
    Role: Co-PI

    Project Goal: Assess symptom response to ultrafiltration in heart failure patients.

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Tuesday, March 28, 2017

Bradi Granger was awarded a $10,000 small grant for her proposal entitled "Impact of Office Guidelines Applied to Practice Intervention in Patients Diagnosed with Hypertension at Federally Qualified Health Centers in North Carolina." The funding amount of $20,000 is a shared grant between Duke University School of Nursing (DUSON) and Winston-Salem State University (WSSU). The award began April 1 and will run through March 31, 2018.

Friday, September 23, 2016

Bradi Granger, Katherine Pereira and Rachel Richesson recently published an article entitled "Assessing electronic health record phenotypes against gold-standard diagnostic criteria for diabetes mellitus" in the September issue of the Journal of the American Medical Informatics Association.

Friday, March 18, 2016

The Duke Institute for Health Innovation (DIHI) recently announced that it will fund care delivery innovation projects that will help Duke Health lead in the areas of population health and analytics, novel patient interactions, new and team-based models of care, and to optimize patient flow. This is the third year that the institute has funded projects through a call for innovation applications from Duke University. This year DIHI has continued to increase its projects and investments through the RFA process, supporting 12 projects in 2016.

Friday, February 12, 2016

Margaret Midge Bowers along with Catherine Gilliss, Bradi Granger, MSN student Sarah Baxt, and MSN alumni Carilin Meggitt publish article entitled "Implementing Electronic Tablet-based Education of Acute Care Patients" in the February issue of Critical Care Nurse.

Friday, April 24, 2015

Marilyn Oermann, Bradi Granger and DNP student Martha Vesterlund published an article entitled "Tailoring your heart failure project for success in rural areas" in the Quality Management in Healthcare journal.

Friday, February 13, 2015

From the the AHA / ASA Newsroom

DALLAS (Feb. 10, 2015) – The American Heart Association’s Mission: Lifeline Program and Duke University’s School of Medicine and School of Nursing announced today the receipt of a quality improvement grant of $3.5 million from the AstraZeneca Medical Education Grants Office to improve systems of care for quickly treating heart attacks.
Friday, February 6, 2015

Kathy Pereira and Bradi Granger coauthored an article entitled "Nurse-led behavioral management of diabetes and hypertension in community practices: A randomized trial" in the Journal of Internal Medicine.

Wednesday, November 12, 2014

The research findings of several faculty members and a PhD student will be presented at the American Heart Association's Scientific Sessions 2014 in Chicago, Ill., November 15-19, 2014.

Monday, July 14, 2014

PhD student Hannah Anderson Hughes and faculty member Bradi Granger have published an article entitled "Racial disparities and the use of technology for self-management in Blacks with heart failure: A literature review" in Current Heart Failure Reports.

Friday, February 21, 2014

The Triangle Business Journal recently revealed the 55 people who are finalists for the 2014 Health Care Heroes awards. Bradi Granger, PhD, RN, is one of the finalists. The winners will be revealed at the awards dinner on March 20.

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