Cristina C. Hendrix, DNS, GNP-BC, FNP, FAAN
Dr. Hendrix completed her BSN at the University of Santo Tomás in Manila, Philippines. She earned an MSN-FNP at the University of Alabama and a DNS from Louisiana State University. She also completed a Post-Master's GNP (Gerontological Nurse Practitioner) at the Duke University School of Nursing. Dr. Hendrix’s background includes experience as a critical care nurse, followed by practicing as a family nurse practitioner. She presently practices as a Gerontological Nurse Practitioner.
Dr. Hendrix's program research focuses on developing interventions to support the family caregivers of chronically ill patients. She is presently funded by the NIH-National Institute of Nursing Research to investigate the effects of an individualized, experiential training about home care for family caregivers given before hospital discharge of their loved ones suffering from cancer. Dr. Hendrix is also a nurse investigator at the Geriatrics Research, Education, and Clinical Center at the Durham VA. She has been selected to serve on the Nursing Research Advisory Group (NRAG) of the Department of Veterans Health Affairs, Office of Nursing Services. Dr. Hendrix and her VA Transitional Care Partners team were one of the 10 recipients of the 2012 VA Office of Nursing Services Innovations Award, a national award mechanism that recognizes nursing leadership in quality improvement.
Dr. Hendrix is also a member of Sigma Theta Tau, the American Association of Nurse Practitioners, the Gerontological Society of America, and the Southern Nursing Research Society in Nursing, and is President-Elect of the Philippine Nurses Association of North Carolina.
Academic Program Affiliations
- PhD in Nursing Program
- Doctor of Nursing Practice Program
- Master of Science in Nursing Program
- DNS - Louisiana State University Health Sciences Center
- MSN - University of Alabama- Birmingham
- BSN - University of Santo Tomas, Manila, Philippines
Research InterestsDr. Hendrix’ program of research deals with the older adult population. Her dissertation investigated improving ways to assess for elderly depression in institutionalized settings. During her doctoral work, Dr. Hendrix was also involved in providing for an experiential training program for Alzheimer’s caregivers. In her present pilot, Dr. Hendrix investigates the feasibility of offering the individualized experiential training approach to enhance self-efficacy in symptom management skills of caregivers of older cancer patients. Dr. Hendrix is also a co-investigator in a study investigating the effects of interdisciplinary geriatric-based interventions on older cancer patients.
Awards and Honors
- 2015 || Fellow, American Academy of Nursing
- 2012 || VA Office of Nursing Services Innovations Award, U.S. Department of Veterans Affairs
- 2009 || Best Research Poster, Gerontological Advanced Practice Nurses Association Annual Educational Conference and Business Meeting
- 2009 || Nurse Researcher of the Year, Philippine Nurses Association of America
- 2006 || End-of-Life Nursing Education Consortium (ELNEC) - Graduate Teaching Award Winner, American Association of Colleges of Nursing (AACN) Masters Education Conference
- 2002 || Distinguished Graduate Award, Epsilon Nu Sigma Theta Tau International Honor Society of Nursing
- 2002 || Dr. Linda Corson Jones Nursing Research Abstract Award, 12th Annual Nursing Research Day, Sigma Theta Tau International – Epsilon Nu Chapter
- 2001 || FA Davis Award for Writing Excellence, LSUHSC School of Nursing
- 2000 || Who’s Who Among Students in American Universities & Colleges
- 1995 || Finalist – Academic Excellence Award GPA 4.0 (Graduate School), Linn-Henley International Awards at University of Alabama at Birmingham
- 1995 || Sigma Theta Tau International Honor Society of Nursing, Beta Epsilon Chapter
- 1991 || Sixth Place among 20,000 Examinees in the Philippine Nurses Board Examination
- 1991 || Best in Clinical Practice (Gold Medal), University of Santo Tomas
- 1991 || Cum Laude – Bachelor of Science in Nursing, University of Santo Tomas School of Nursing
Areas of Interest
Self-efficacy among caregivers and patients
Chronic illness management in the elderly
Hospital to home transition of care
- 2010 -- PubMed # : 21035034 -- Payne, J. K. and Hendrix, C. C. Clinical trial recruitment challenges with older adults with cancer. Appl Nurs Res. November, 2010 23(4); 233-7.
- 2010 -- PubMed # : 19954468 -- Hendrix, C. C. In pursuit for a more perfect union between nursing academia and practice: a reflection from a nursing faculty. Nurs Forum. February, 2010 44(4); 283-5.
- 2010 -- PubMed # : 20100666 -- Lekan, D. and Hendrix, C. C. and McConnell, E. S. and White, H. The Connected Learning Model for disseminating evidence-based care practices in clinical settings. Nurse Educ Pract. July, 2010 10(4); 243-8.
- 2009 -- PubMed # : 19448494 -- Hendrix, C. C. and Abernethy, A. and Sloane, R. and Misuraca, J. and Moore, J. A pilot study on the influence of an individualized and experiential training on cancer caregiver's self-efficacy in home care and symptom management. Home Healthc Nurse. May, 2009 27(5); 271-8.
- 2009 -- PubMed # : 19452736 -- McConnell, E. S. and Lekan, D. and Bunn, M. and Egerton, E. and Corazzini, K. N. and Hendrix, C. C. and Bailey, D. E. Jr. Teaching evidence-based nursing practice in geriatric care settings: the geriatric nursing innovations through education institute. J Gerontol Nurs. April, 2009 35(4); 26-33; quiz 34-5.
- 2009 -- PubMed # : 19999427 -- Gray, A. and Hendrix, C. Cross communication. Avoiding device interference in pacemakers and ICDs. Adv Nurse Pract. February, 2009 17(2); 57-8.
- 2008 -- Hendrix, C. C. and Heflin, M. T. and Twersky, J. and Knight, C. and Payne, J. and Bradford, J. Y. and Schmader, K. E. Post-hospital clinic for older patients and their family caregivers. Annals of Long-Term Care: Clinical Care and Aging. May, 2008 16(5); 20-24.
- 2008 -- Hays, J. C. and Hendrix, C. C. The role of religion in bereavement. 2008 327-348.
- 2006 -- PubMed # : 17027606 -- Holston, E. C. and Schweitzer, R. and Meeker, M. E. and Hendrix, C. C. and Gaspar, P. M. and Kossman, S. and Piamjariyakul, U. Preparing junior investigators to develop gerontological research. Nurs Outlook. Sep-Oct, 2006 54(5); 287-93.
- 2006 -- PubMed # : 16858461 -- Hendrix, C. and Ray, C. Informal caregiver training on home care and cancer symptom management prior to hospital discharge: a feasibility study. Oncol Nurs Forum. July, 2006 33(4); 793-8.
- 2006 -- Bruce, S. D. and Hendrix, C. C. and Gentry, J. H. Palliative sedation in end-of-life care. Journal of Hospice and Palliative Nursing. Nov-Dec, 2006 8(6); 320-327.
- 2006 -- Goldsmith, B. and Hendrix, C. C. and Gentry, J. Providing end-of-life palliative care for the developmentally disabled and their families. Journal of Hospice and Palliative Nursing. Sep-Oct, 2006 8(5); 270-275.
- 2005 -- PubMed # : 15982246 -- Hendrix, C. C. and Wojciechowski, C. W. Chronic care management for the elderly: an opportunity for gerontological nurse practitioners. J Am Acad Nurse Pract. July, 2005 17(7); 263-7.
- 2004 -- PubMed # : 14613597 -- Hendrix, C. C. and Sakauye, K. M. and Karabatsos, G. and Daigle, D. The use of the Minimum Data Set to identify depression in the elderly. J Am Med Dir Assoc. January, 2004 4(6); 308-12.
- 2001 -- PubMed # : 11915119 -- Hendrix, C. C. and Sakauye, K. M. Teaching elderly individuals on computer use. J Gerontol Nurs. 27(6); 47-53.
- 2000 -- PubMed # : 10740912 -- Hendrix, C. C. Computer use among elderly people. Comput Nurs. April, 2000 18(2); 62-8; quiz 69-71.
- 2002 -- Couvillon, J. S. and Hendrix, C. C. and Donlon, B. D. The transitional experience of faculty in a school of nursing in online teaching. Syllabus. 2002 16(1); 35-36.
- 2011 -- PubMed # : 21565590 -- Hendrix, C. C. and Matters, L. and West, Y. and Stewart, B. and McConnell, E. S. The Duke-NICHE Program: An academic-practice collaboration to enhance geriatric nursing care. Nurs Outlook. May-June, 2011 59(3); 149-57.
- 2011 -- PubMed # : 21643547 -- Bailey Jr, D. E. and Steinhauser, K. and Hendrix, C. and Tulsky, J. A. Pairing Self-Management with Palliative Care: Intervening in Life-Limiting Illness. J Nurs Healthc Chronic Illn. March, 2011 3(1); 1-3. PMC3107002
- 2011 -- PubMed # : 21747305 -- Davis, N. J. and Hendrix, C. C. and Superville, J. G. Supportive approaches for Alzheimer Disease. Nurse Pract. August, 2011 36(8); 22-9.
- 2013 -- PubMed # : 21949091 -- Hendrix, C. C. and Landerman, R. and Abernethy, A. P. Effects of an individualized caregiver training intervention on self-efficacy of cancer caregivers. West J Nurs Res. May, 2013 35(5); 590-610.
- 2012 -- PubMed # : 22211755 -- Powell, D. L. and Price, A. J. and Burns, F. A. and McConnell, E. S. and Hendrix, C. C. and McWhinney-Dehaney, L. and Lombardi, M. M. Pillars for the Care of Older Persons in the Caribbean. Public Health Nurs. January, 2012 29(1); 80-90.
- 2011 -- PubMed # : 22067595 -- Hendrix, C. C. and Hastings, S. N. and Van Houtven, C. and Steinhauser, K. and Chapman, J. and Ervin, T. and Sanders, L. and Weinberger, M. Pilot study: individualized training for caregivers of hospitalized older veterans. Nurs Res. 60(6); 436-41.
- 2012 -- PubMed # : 22653429 -- Day, J. R. and Ramos, L. C. and Hendrix, C. C. Fall prevention through patient partnerships. Nurse Pract. July, 2012 37(7); 14-9; quiz 19-20.
- 2011 -- Hendrix, C. and Tepfer, S. and Forest, S. and Ziegler, K. and Fox, V. and Ba, J. and Oakley, M. and Stein, J. TransitionaL Care (TLC) Partners for Older Veterans at Home GRECC Forum on Aging. Spring-Summer, 2011 5(1); 5.
- 2012 -- Hendrix, C. C. and Tepfer, S. and Forest, S. and Fox, V. and Stein, J. and Schmader, K. Supporting older veterans after hospital discharge: The TransitionaL Care (TLC) Partners Program. Federal Practitioner. August, 2012 29(8); 17-21.
- 2013 -- PubMed # : 23481875 -- Simmons, K. R. and Sinning, M. A. and Pearson, J. A. and Hendrix, C. Implementing a home-based exercise prescription for older patients with peripheral arterial disease and intermittent claudication: a quality improvement project. J Vasc Nurs. March, 2013 31(1); 2-8.
- 2013 -- PubMed # : 24048348 -- Shin, J. Y. and Hendrix, C. C. Management of patients with Parkinson disease. Nurse Pract. October, 2013 38(10); 34-43; quiz 44.
- 2013 -- PubMed # : 24170636 -- Hendrix, C. and Tepfer, S. and Forest, S. and Ziegler, K. and Fox, V. and Stein, J. and McConnell, E. S. and Hastings, S. N. and Schmader, K. and Colon-Emeric, C. Transitional Care Partners: A hospital-to-home support for older adults and their caregivers. J Am Assoc Nurse Pract. August, 2013 25(8); 407-14.
- 2013 -- Shaw, R. J. and McDuffie, J. R. and Hendrix, C. C. and Nagi, A. and Edie, A. and Lindsey-Davis, L. and Williams, J. W. Jr. A Systematic Review: Effects of Nurse-Managed Protocols in the Outpatient Management of Adults with Chronic Illness (VA-ESP Project #09-010) August, 2013 .
- 2014 -- PubMed # : 25023250 -- Shaw, R. J. and McDuffie, J. R. and Hendrix, C. C. and Edie, A. and Lindsey-Davis, L. and Nagi, A. and Kosinski, A. S. and Williams Jr, J. W. Effects of nurse-managed protocols in the outpatient management of adults with chronic conditions: a systematic review and meta-analysis. Ann Intern Med. July, 2014 161(2); 113-21.
- 2014 -- PubMed # : 25390367 -- Orto, V. and Hendrix, C. C. and Griffith, B. and Shaikewitz, S. T. Implementation of a smart pump champions program to decrease potential patient harm. J Nurs Care Qual. Apr-Jun, 2014 30(2); 138-43.
- 2014 -- PubMed # : 25445314 -- Hastings, S. N. and Betts, E. and Schmader, K. E. and Weinberger, M. and Van Houtven, C. H. and Hendrix, C. C. and Coffman, C. J. and Stechuchak, K. M. and Weiner, M. and Morris, K. and Kessler, C. and Oddone, E. Z. Discharge information and support for veterans Receiving Outpatient Care in the Emergency Department: study design and methods. Contemp Clin Trials. November, 2014 39(2); 342-50.
- 2015 -- PubMed # : 26062925 -- Hendrix, C. C. and Bailey Jr, D. E. and Steinhauser, K. E. and Olsen, M. K. and Stechuchak, K. M. and Lowman, S. G. and Schwartz, A. J. and Riedel, R. F. and Keefe, F. J. and Porter, L. S. and Tulsky, J. A. Effects of enhanced caregiver training program on cancer caregiver's self-efficacy, preparedness, and psychological well-being. Support Care Cancer. June, 2015 .
- 2014 -- PubMed # : 24837544 -- Van Houtven, C. H. and Oddone, E. Z. and Hastings, S. N. and Hendrix, C. and Olsen, M. and Neelon, B. and Lindquist, J. and Weidenbacher, H. and Boles, J. and Chapman, J. and Weinberger, M. Helping Invested Families Improve Veterans' Experiences Study (HI-FIVES): study design and methodology. Contemp Clin Trials. July, 2014 38(2); 260-9.
Grant Funding (Selected)
Building International Relationship and Collaborative Work in Informal Caregiving: A Partnership between Duke University School of Nursing and University of Santo Tomas College of NursingDuke School of Nursing, Office of Research Affairs (ORA)
03/2015 to 02/2017
Project Goal: (a) to promote research partnership between UST-College of Nursing and DUSON through collaborative endeavors such as mentoring and (b) to conduct a pilot that explores the needs of family and friends in caring for their loved ones at home during the first week of hospital discharge.
Enhancing AGNP and FNP Curricula to Address the Needs of Individuals with Multiple Chronic Conditions (Advanced Nursing Education Grant)Health Resources and Service Administration
07/2013 to 06/2016
Project Goal: The purpose of the proposed project is to improve the competency of Adult-Gerontological Nurse Practitioner and Family Nurse Practitioner (AGNP and FNP) students at Duke University School of Nursing (DUSON) in managing the primary care needs of adults with multiple chronic conditions (MCC), including their mental health (MH) needs.
Discharge Information and Support for Patients receiving Outpatient care in the Emergency Department [DISPO ED]VA HSR&D
01/2013 to 06/2016
Project Goal: To examine the impact of a primary care-based nurse telephone support program for Veterans treated and released from the ED who are at high risk for repeat visits.
Cultural Influences on the Needs of Older Informal Cancer CaregiversThe Reed Foundation
09/2014 to 08/2015
Project Goal: To explore the needs of older cancer caregivers during the hospital to home transition, and determine how these needs vary based on caregiver spirituality and relationship with the care recipient.
IPA - Loretta MattersDurham Veterans Affairs Medical Center
02/2014 to 09/2014
IPA - Loretta MattersDurham Veterans Affairs Medical Center
02/2013 to 09/2013
Training Informal Caregivers of Frail Older Veterans Before Hospital DischargeVeterans Affairs Health Services Research and Development (HSR&D) Pilot
03/2010 to 02/2011
Project Goal: The specific aims of the study are to (1) determine the feasibility of conducting an individualized, tailored training program for informal caregivers of frail older veterans prior to their hospital discharge and (2) determine the impact of this training program on self-efficacy and caregiving preparedness on informal caregivers of frail older veterans. As a secondary aim, data will be collected on patients’: physical symptom intensity and distress and use of emergency services (ED) or rehospitalization within 14 and 30 days of hospital discharge.
TransitionaL Care (TLC) Partners for Older Veterans at HomeVeterans Affairs Medical Center – Geriatric Education Center
01/2010 to 09/2012
Project Goal: The TLC program is an NP/PA-led transitional program that supports the hospital-to-home transition of older veterans who are at high risk for rehospitalization, emergency department visits, or institutionalization. Based on Naylor’s Transitional Care model, the TLC program will identify hospitalized older adults at high risk for complicated home discharge. Thereafter, the TLC NP/PA will conduct hospital visit prior to discharge as well as home visits after hospital discharge. Other TLC partners for home visit include social worker and occupational therapist. Through the TLC program, we aim to reduce rate of rehospitalization, hospital days of care, emergency department visits and institutional care of patients; and promote preparedness and reduce burden among informal caregivers. We also intend to increase patient’s and caregiver’s satisfaction towards the VA health care.
CONNECT for Better Falls Prevention in Community Living Centers (CLCs)Veterans Affairs Health Services Research & Development
08/2009 to 07/2012
Role: Safety Officer
Project Goal: This is a randomized, controlled, single-blind study testing whether facilities receiving CONNECT (educational intervention that teaches staff to improve connections within and between disciplines, improve information flow,a and seek out cognitive diversity in problem-solving) plus a falls QI educational intervention (FALLS) will result in: 1) improved fall-related process measures; and 2) decreased fall rates compared to facilities receiving FALLS alone.
Enhanced Self-Efficacy Training for Informal Cancer CaregiversNational Institutes of Health
09/2008 to 07/2013
Role: Project Director
Project Goal: The overall goal of this study is to examine the effects of an enhanced caregiver training protocol that not only teaches informal caregivers knowledge and skills for managing patient symptoms, but also provides strategies for managing their own psychological distress. We anticipate this training will increase caregivers’ self-efficacy and improve important caregiver outcomes (depression, anxiety, burden, quality of life) and patient outcomes (symptom distress/intensity, depression, anxiety, and quality of life). Our study will compare the effects of this protocol to an education control condition that equates for interventionist time and attention.
Palliative and End-of-Life Care in Advanced Nursing PracticeHealth Resources and Service Administration (HRSA)
07/2008 to 06/2011
Role: Education Coordinator
Project Goal: The goals are to 1) Strengthen the existing MSN curriculum with respect to palliative and end of life care; 2) Raise the level of understanding of the advanced practice nursing students as well as clinical preceptors who are ethnically, racially, and gender diverse concerning issues at the end of life so that competent end of life care can be delivered to underserved populations; 3) Establish affiliation with clinical sites in rural and underserved areas of NC and assist in educating and evaluating clinical preceptors and staff at these sites; 4) Evaluate the proposed project, refine, and make revisions so that the project is sustainable.
Duke University Geriatrics Education Center (GEC): Interdisciplinary Team TrainingBureau of Health Professions
09/2007 to 08/2010
Project Goal: To improve the quality and safety of medical care for older adults in America, health care providers must learn to work in interdisciplinary teams across a spectrum of settings and systems. The Duke Geriatrics Education Center (GEC) will address this challenge by creating an interdisciplinary faculty teaching team, which will implement and disseminate a curriculum to teach students from multiple disciplines about care of the elderly in a variety of settings.
Mentor Program: Refining the Caregiver Training in Cancer Symptom ManagementGNIRC and HCGNE School of Nursing University of Iowa
03/2006 to 08/2008
Role: PI and Mentee (Mentor: Toni Tripp-Reimer)
Mentoring goal: Refine the caregiver intervention and psychometric properties of the Cancer Caregiver Self-Efficacy Scale in Symptom Management.
Informal Caregiver Training in Cancer Symptom ManagementNational Institutes of Health
03/2006 to 08/2009
Project Goal: The purpose of this study is to examine the effects of experiential ymptom management training on self-efficacy and psychological well-being of informal cancer caregivers, and on symptom distress and emergency care use for cancer-related symptoms of their patients.
Improving Skills & Psychological Status of CaregiversNational Institutes of Health, National Institute of Nursing Research
09/2004 to 08/2005
Study Aim: The purpose of this pilot study therefore is to examine the role of an experiential training program for symptom management in enhancing caregivers’ self-efficacy and psychological well-being (depression, anxiety, quality of life).
Summer Scholars SeminarGNIRC//Hartford Center for Geriatric Nursing Excellence/Univ. Iowa School of Nursing
05/2004 to 09/2004
Seminar goal: To assist junior nursing faculty in developing their program of research in gerontology
PF #5 Improving Skills & Psychological Status of CaregiversNational Institutes of Health- NINR for P20 Center
07/2004 to 06/2007
Role: Pilot Study PI
2004-2005: Improving Skills & Psychological Status of Caregivers. Project Goal: The purpose of this pilot study was to examine the role of an experiential training program for symptom management in enhancing caregivers’ self-efficacy and psychological well-being (depression, anxiety, quality of life).
Evidence-Based Nursing in Geriatric Care SettingsHealth Resources and Service Administration (HRSA)
09/2003 to 06/2006
Project Goal: The purpose of this project is to enhance the knowledge, skills, and clinical leadership potential of registered nurses (RNs) who care for older adults in geriatric care settings, by developing, implementing, and evaluating a semi-annual continuing education (CE) series for RNs practicing in geriatric care settings entitled “Evidence-Based Geriatric Nursing Update.”
Experiential Training for Cancer Caregivers: A Feasibility StudyNational Institutes of Health, National Institute of Nursing Research
10/2003 to 09/2004
Study Aim: Investigate the feasibility of conducting an experiential training program for symptom management to informal cancer caregivers at the bedside of care-recipients during acute care admission.
Geriatric Evaluation and Management (GEM) Unit and Geriatric Outpatient Interventions to Improve Care in Older Veterans with CancerRAND Hartford Foundation – Building Interdisciplinary Geriatric Health Care Research Centers
01/2003 to 12/2004
Study Aim: nvestigate the effects of geriatric based interventions on psychological and psychical well-being of elderly veterans with cancer.
Clinical Drug Trial for GalantamineJohnson & Johnson Pharmaceutical Research & Development Trial
01/2001 to 01/2002
Project Goal: Clinical drug trial
Evidence-Based Nursing in Geriatric Care SettingsHealth Resources and Service Administration (HRSA)
07/2006 to 12/2008
Project Goal: This proposal addresses the FY 2006 Comprehensive Geriatric Education Program, focused on training individuals who will provide geriatric care for the elderly by enhancing the knowledge, skills and leadership potential of registered nurses (RNs), through offering a 6-session continuing education CE series focused on implementation of evidence-based clinical practice protocols for common geriatric syndromes.