Debra H. Brandon, PhD, RN, CCNS, FAAN

Debra Brandon, Associate Professo joined the faculty of the Duke University School of Nursing in 1999. She has practiced as a Neonatal Clinical Nurse Specialist in the Intensive Care Nursery of Duke University Medical Center since 1994. She has extensive clinical experience in neonatology, pediatrics, and child development. She received her BSN and MSN from the University of North Carolina at Chapel Hill, and earned her PhD in Nursing at UNC-Chapel Hill in 2000.


Before joining the Duke faculty, Dr. Brandon was a pediatric clinical nurse specialist at the Mary Imogene Bassett Hospital in Cooperstown, NY, and a developmental clinical nurse specialist at the Center for Development and Learning in Chapel Hill, NC. She was also on the faculty in the nursing and medical schools of the University of North Carolina at Chapel Hill. Dr. Brandon is an active member of the National Association of Neonatal Nurses (NANN) and the International Society for Infant Studies ISIS), and is a co-editor for the journal Advances in Neonatal Care. Her research interests include the effects of the intensive care environment on the growth and development of pre-term infants.

Academic Program Affiliations
  • PhD in Nursing Program
  • Master of Science in Nursing Program
  • Doctor of Nursing Practice Program
Education
  • PhD - University of North Carolina at Chapel Hill
  • MSN - University of North Carolina at Chapel Hill
  • BSN - University of North Carolina at Chapel Hill
Research Interests

Dr. Brandon’s research focuses on the health and development of high-risk infants and young children with an overall goal of improving the short- and long-term outcomes of high-risk preterm infants and their families. Dr. Brandon has conducted two longitudinal studies with preterm infants (F-31 NR07180; R01 NR008044), which compared the effects of day-night cycling of light to continuous near darkness in preterm infants using a randomized longitudinal design. These studies have evaluated the effects of early and late cycled light on short- and long-term health and developmental outcomes including sleep-wake state development, weight gain, lung maturation, length of hospitalization, auditory and visual development, and neurodevelopmental outcomes (NR008044).

Dr. Brandon was also co-investigator on an RO1 evaluating the relationship between preterm infant sleep and their long-term outcomes (R29 NR01894, D. Holditch-Davis, PI). These studies have led to her expertise in infant sleep and the development of a new instrumented measure of sleep-wake assessment. Most recently Dr. Brandon completed two pilot studies evaluating palliative and end-of-life care for infants and children with life-threatening conditions, and is now engaged in research examining decision-making for infants with complex life-threatening conditions (R01 1R01NR010548-01A1, S. Docherty, PI, Brandon Co-PI). These decisions include whether to initiate treatment, how to alter the treatment to respond to a medical crisis, whether to shift from aggressive curative care to symptom-focused palliative care, and whether to withdraw treatment.

Awards and Honors
  • 2015 || Oustanding PhD Faculty Award, Duke University School of Nursing
  • 2012 || Jonas Nurse Leaders Scholar Program Award, Jonas Center for Nursing Excellence
  • 2011 || Junior Researcher Mentee, Senior and Junior Researcher Dyad Program, National Institute of Nursing Research / Summit, the Science of Compassion: Future Directions in End-of-Life and Palliative Care
  • 2009 || Fellow, American Academy of Nursing
  • 2008 || Donna Wong Pediatric Nursing Writing Award, Pediatric Nursing
  • 2007 || Abstract Award, National Association of Neonatal Nurses
  • 2002 || Nurse Research Mentor Award, Duke University Hospital
  • 2001 || Research Dissertation Award, Sigma Theta Tau International, Region 7
  • 1980 || Inducted, Sigma Theta Tau (Alpha Alpha Chapter)
Areas of Interest
Environmental effects on health and development of preterm infants (cycled light, noise)
Infant sleep
Neonatal/pediatric palliative care
Decision making for infants and children with life-threatening conditions
Maternal distress with high risk infants
Neonatal care practices: Effectiveness of skin care interventions
Representative Publications
  • 2004 -- Turner, B. S. and Brandon, D. H. and Cornwell, M. K. Continuous versus bolus gavage feeding in premature Infants: The evidence (Chapter Reviews: Review 22-6). June, 2004 .
  • 1989 -- Brandon, D. H. The Toll Control System University of North Carolina at Chapel Hill, Center for Development and Learning, Chapel Hill, NC. 1989 .
  • 1999 -- Brandon, D. H. Special section: neonatal nursing... Commentary on Blackburn S (1998: Environmental impact of the NICU on developmental outcomes. Journal of Pediatric Nursing, 13 (5), 279-289. Journal of Child & Family Nursing. May-Jun, 1999 2(3); 172.
  • 2005 -- Brandon, D. H. Cycled Lighting in the NICU. E-Neo Reviews. June, 2005 2(9); .
  • 2010 -- PubMed # : 19890343 -- Brandon, D. H. and Coe, K. and Hudson-Barr, D. and Oliver, T. and Landerman, L. R. Effectiveness of No-Sting skin protectant and Aquaphor on water loss and skin integrity in premature infants. J Perinatol. June, 2010 30(6); 414-9.
  • 2010 -- PubMed # : 20379916 -- Barfield, R. C. and Brandon, D. and Thompson, J. and Harris, N. and Schmidt, M. and Docherty, S. Mind the child: using interactive technology to improve child involvement in decision making about life-limiting illness. Am J Bioeth. April, 2010 10(4); 28-30.
  • 2010 -- PubMed # : 19915420 -- Buffum, A. R. and Brandon, D. H. Mentoring new nurses in the neonatal intensive care unit: impact on satisfaction and retention. J Perinat Neonatal Nurs. February, 2010 23(4); 357-62.
  • 2009 -- PubMed # : 19865004 -- Cox, C. E. and Docherty, S. L. and Brandon, D. H. and Whaley, C. and Attix, D. K. and Clay, A. S. and Dore, D. V. and Hough, C. L. and White, D. B. and Tulsky, J. A. Surviving critical illness: acute respiratory distress syndrome as experienced by patients and their caregivers. Crit Care Med. October, 2009 37(10); 2702-8. PMC2771584
  • 2009 -- PubMed # : 18997575 -- Smith, K. J. and Brandon, D. The hospital-based adoption process: a primer for perinatal nurses. MCN Am J Matern Child Nurs. February, 2009 33(6); 382-8.
  • 2008 -- PubMed # : 18818542 -- Brandon, D. H. and Ryan, D. J. and Barnes, A. H. Effect of environmental changes on noise in the NICU. Adv Neonatal Care. October, 2008 8(5 Suppl); S5-10.
  • 2008 -- Harbaugh, K. E. and Brandon, D. H. Family-centered care: An essential component of neonatal care. Early Childhood Services. March, 2008 2(1); 33-42.
  • 2007 -- PubMed # : 17907734 -- Docherty, S. L. and Miles, M. S. and Brandon, D. Searching for "the dying point:" providers' experiences with palliative care in pediatric acute care. Pediatr Nurs. November, 2007 33(4); 335-41.
  • 2007 -- PubMed # : 17710954 -- Brandon, D. H. and Ryan, D. J. and Barnes, A. H. Effect of environmental changes on noise in the NICU. Neonatal Netw. Jul.-Aug., 2007 26(4); 213-8.
  • 2007 -- PubMed # : 17803413 -- Brandon, D. and Docherty, S. L. and Thorpe, J. Infant and child deaths in acute care settings: implications for palliative care. J Palliat Med. August, 2007 10(4); 910-8.
  • 2007 -- PubMed # : 17489937 -- Long, M. and Brandon, D. H. Induced hypothermia for neonates with hypoxic-ischemic encephalopathy. J Obstet Gynecol Neonatal Nurs. May-Jun., 2007 36(3); 293-8.
  • 2007 -- PubMed # : 17844777 -- Woods, A. G. and Brandon, D. H. Prune belly syndrome. A focused physical assessment. Adv Neonatal Care. June, 2007 7(3); 132-43; quiz 144-5.
  • 2007 -- PubMed # : 18069428 -- Harrell, S. N. and Brandon, D. H. Retinopathy of prematurity: the disease process, classifications, screening, treatment, and outcomes. Neonatal Netw. Nov-Dec., 2007 26(6); 371-8.
  • 2007 -- PubMed # : 17536329 -- Snow, T. M. and Brandon, D. H. A nurse's guide to common mechanical ventilation techniques and modes used in infants. Nursing implications. Adv Neonatal Care. February, 2007 7(1); 8-21.
  • 2006 -- PubMed # : 16750804 -- Alton, M. and Frush, K. and Brandon, D. and Mericle, J. Development and implementation of a pediatric patient safety program. Adv Neonatal Care. June, 2006 6(3); 104-11.
  • 2006 -- PubMed # : 16750805 -- Alton, M. and Mericle, J. and Brandon, D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. June, 2006 6(3); 112-9.
  • 2006 -- PubMed # : 16292137 -- Turner, B. S. and Bradshaw, W. and Brandon, D. Neonatal lung remodeling: structural, inflammatory, and ventilator-induced injury. J Perinat Neonatal Nurs. February, 2006 19(4); 362-76; quiz 377-8.
  • 2006 -- Brandon, D. H. Guest editorial: Sharing our stories Advances in Neonatal Care. June, 2006 6(3); 98-100.
  • 2005 -- Brandon, D. H. and Holditch-Davis, D. Validation of an instrumented sleep-wake assessment against a biobehavioral assessment. Newborn and Infant Nursing Reviews. September, 2005 5(3); 109-115.
  • 2005 -- Brandon, D. H. and Holditch-Davis, D. and Winchester, D. M. Factors affecting early neurobehavioral and sleep outcomes in preterm infants. Infant Behavior and Development. June, 2005 28(2); 206-219.
  • 2003 -- PubMed # : 14501545 -- Holditch-Davis, D. and Brandon, D. H. and Schwartz, T. Development of behaviors in preterm infants: relation to sleeping and waking. Nurs Res. Sep.-Oct., 2003 52(5); 307-17.
  • 2002 -- PubMed # : 11865270 -- Brandon, D. H. and Holditch-Davis, D. and Belyea, M. Preterm infants born at less than 31 weeks' gestation have improved growth in cycled light compared with continuous near darkness. J Pediatr. February, 2002 140(2); 192-9.
  • 1999 -- PubMed # : 10344702 -- Brandon, D. H. and Holditch-Davis, D. and Belyea, M. Nursing care and the development of sleeping and waking behaviors in preterm infants. Res Nurs Health. June, 1999 22(3); 217-29.
  • 1997 -- PubMed # : 9087083 -- Frauman, A. C. and Brandon, D. H. Toilet training for the child with chronic illness. Pediatr Nurs. Nov.-Dec., 1997 22(6); 469-72.
  • 1995 -- PubMed # : 8697377 -- Miner, D. C. and Gibbons, B. and Jeffres, C. and Brandon, D. Self-in-relation theory and the role of the clinical nurse specialist. Part II: Application to advanced nursing roles in a professional practice model. Clin Nurse Spec. November, 1995 9(6); 322-325.
  • 1993 -- PubMed # : 10171473 -- Huber, C. and Holditch-Davis, D. and Brandon, D. High-risk preterm infants at 3 years of age: parental response to the presence of developmental problems. Child Health Care. Spring, 1993 22(2); 107-24.
  • 1987 -- PubMed # : 3104801 -- Brandon, D. H. and Huber, C. J. Evaluating cost-effectiveness of preevaluation client contacts. Nurs Econ. May, 1987 5(2); 65-9, 76.
  • 2011 -- PubMed # : 21605319 -- Kelley, T. F. and Brandon, D. H. and Docherty, S. L. Electronic nursing documentation as a strategy to improve quality of patient care. J Nurs Scholarsh. June, 2011 43(2); 154-62.
  • 2011 -- PubMed # : 21927583 -- Allen, K. A. and Brandon, D. H. Hypoxic Ischemic Encephalopathy: Pathophysiology and Experimental Treatments. Newborn Infant Nurs Rev. September, 2011 11(3); 125-133. PMC3171747
  • 2011 -- PubMed # : 21909236 -- Elser, H. E. and Holditch-Davis, D. and Brandon, D. H. Cerebral oxygenation monitoring: A strategy to detect IVH and PVL Newborn Infant Nurs Rev. September, 2011 11(3); 153-159. PMC3168549
  • 2011 -- PubMed # : 21960127 -- Tillman, S. and Brandon, D. H. and Silva, S. G. Evaluation of human milk fortification from the time of the first feeding: effects on infants of less than 31 weeks gestational age. J Perinatol. September, 2011 .
  • 2011 -- PubMed # : 22092914 -- Brandon, D. H. and Tully, K. P. and Silva, S. G. and Malcolm, W. F. and Murtha, A. P. and Turner, B. S. and Holditch-Davis, D. Emotional responses of mothers of late-preterm and term infants. J Obstet Gynecol Neonatal Nurs. November, 2011 40(6); 719-31.
  • 2012 -- Docherty, S.L. and Barfield, R. and Thaxton, C. and Brandon, D. Quality of life for children living with chronic or complex diseases (Chapter 18) 2012 .
  • 2010 -- Catlin, A. and Brandon, D. H. Palliative care for newborns and infants. NANN Position Statement 3051. June 20, 2010 .
  • 2012 -- PubMed # : 22512806 -- Tan, J. S. and Docherty, S. L. and Barfield, R. and Brandon, D. H. Addressing parental bereavement support needs at the end of life for infants with complex chronic conditions. J Palliat Med. May, 2012 15(5); 579-84.
  • 2013 -- PubMed # : 22889879 -- Hawks, S. J. and Brandon, D. and Uhl, T. Nurse perception of Bispectral Index monitoring as an adjunct to sedation scale assessment in the critically ill paediatric patient. Intensive Crit Care Nurs. February, 2013 29(1); 28-39.
  • 2013 -- PubMed # : 23237615 -- Waldrop, J. B. and Anderson, C. K. and Brandon, D. H. Guideline-based educational intervention to decrease the risk for readmission of newborns with severe hyperbilirubinemia. J Pediatr Health Care. January, 2013 27(1); 41-50.
  • 2013 -- PubMed # : 23316896 -- Uhl, T. and Fisher, K. and Docherty, S. L. and Brandon, D. H. Insights into patient and family-centered care through the hospital experiences of parents. J Obstet Gynecol Neonatal Nurs. January, 2013 42(1); 121-31.
  • 2012 -- PubMed # : 22968001 -- Elser, H. E. and Holditch-Davis, D. and Levy, J. and Brandon, D. H. The effects of environmental noise and infant position on cerebral oxygenation. Adv Neonatal Care. 12 Suppl 5(1); S18-27.
  • 2014 -- PubMed # : 23860267 -- Lucas, R. and Gupton, S. and Holditch-Davis, D. and Brandon, D. A case study of a late preterm infant's transition to full at-breast feedings at 4 months of age. J Hum Lact. February, 2014 30(1); 28-30.
  • 2014 -- PubMed # : 24169113 -- Kelley, T. and Docherty, S. and Brandon, D. Information needed to support knowing the patient. ANS Adv Nurs Sci. July, 2014 36(4); 351-63. PMC4000752
  • 2013 -- Brandon, D. H. (moderator) and Santa-Donato, A. and Yan, A. Safety of Topical Skin Care Options for Newborns and Infants (Medscape Video) June 28, 2013 .
  • 2010 -- McGann, E. and Brandon, D. H. Development of Neonatal Sleep -- Importance to Nurse Caregiving and Impact on Infant Outcomes: An Expert Interview With Debra Brandon, PhD, RN, CCNS. Medscape Medical News. September 27, 2010 .
  • 2014 -- PubMed # : 24674794 -- Stamper, M. J. and Hawks, S. J. and Taicher, B. M. and Bonta, J. and Brandon, D. H. Identifying pediatric emergence delirium by using the PAED Scale: a quality improvement project. AORN J. April, 2014 99(4); 480-94.
  • 2014 -- PubMed # : 24487768 -- Brandon, D. H. and Collins-McNeil, J. and Onsomu, E. O. and Powell, D. L. Winston-Salem State University and Duke University's Bridge to the Doctorate Program. N C Med J. Jan-Feb, 2014 75(1); 68-70.
  • 2014 -- PubMed # : 24472890 -- Newberry, D. M. and Young, T. E. and Robertson, T. and Levy, J. and Brandon, D. Evaluation of neonatal peripherally inserted central catheter tip movement in a consistent upper extremity position. Adv Neonatal Care. February, 2014 14(1); 61-8.
  • 2014 -- PubMed # : 24759312 -- Brandon, D. and Ryan, D. and Sloane, R. and Docherty, S. L. Impact of a pediatric quality of life program on providers' moral distress. MCN Am J Matern Child Nurs. May-June, 2014 39(3); 189-97.
  • 2014 -- PubMed # : 25102209 -- Kelley, T. and Docherty, S. and Brandon, D. Letter to the editor. ANS Adv Nurs Sci. July, 2014 37(3); 192.
  • 2014 -- PubMed # : 25054525 -- Waterhouse, J. and Bandisode, V. and Brandon, D. and Olson, M. and Docherty, S. L. Evaluation of the use of a stabilization device to improve the quality of care in patients with peripherally inserted central catheters. AACN Adv Crit Care. Jul-Sep, 2014 25(3); 213-20.
  • 2014 -- PubMed # : 25341195 -- Younge, N. and Smith, P. B. and Goldberg, R. N. and Brandon, D. H. and Simmons, C. and Cotten, C. M. and Bidegain, M. Impact of a palliative care program on end-of-life care in a neonatal intensive care unit. J Perinatol. October, 2014 .
  • 2015 -- PubMed # : 25626714 -- Tully, K. P. and Holditch-Davis, D. and Brandon, D. The Relationship Between Planned and Reported Home Infant Sleep Locations Among Mothers of Late Preterm and Term Infants. Matern Child Health J. January, 2015 .
  • 2014 -- Allen, K. A. and Brandon, D. H. and Holditch-Davis, D. and Cotton, C. M. and Docherty, S. L. Parent and provider decision-making for infants with hypoxic-ischemic encephalopathy Journal of Pregnancy and Child Health. August, 2014 1 106.
  • 2015 -- PubMed # : 26155011 -- Costa, P. and Kimura, A. F. and Brandon, D. H. and Paiva, E. D. and Camargo, P. P. The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns. Rev Lat Am Enfermagem. June, 2015 23(3); 475-82. PMC4547071
  • 2015 -- PubMed # : 26134427 -- Costa, P. and Kimura, A. F. and Brandon, D. H. and Damiani, L. P. Predictors of Nonelective Removal of Peripherally Inserted Central Catheters in Infants. Biol Res Nurs. July, 2015, Epub ahead of print .
  • 2015 -- PubMed # : 25932696 -- Park, J. and Knafl, G. and Thoyre, S. and Brandon, D. Factors associated with feeding progression in extremely preterm infants. Nurs Res. July, 2015 64(3); 159-67. PMC4418036
  • 2014 -- PubMed # : 25422920 -- McGrath, J. M. and Brandon, D. Whether writing alone or with others, authorship requires thoughtfulness. Adv Neonatal Care. December, 2014 14(6); 363-5.
  • 2014 -- PubMed # : 25137596 -- Brandon, D. and McGrath, J. M. Writing an abstract to sell your scholarly work. Adv Neonatal Care. October, 2014 14(5); 301-2.
  • 2014 -- PubMed # : 25075918 -- McGrath, J. M. and Brandon, D. Searching the literature is not for the faint of heart! Adv Neonatal Care. August, 2014 14(4); 229-31.
  • 2013 -- PubMed # : 25309745 -- Neglia, E. and Anderson, R. A. and Brandon, D. and Docherty, S. L. Communication about life-sustaining therapy: insights from the Adaptive Leadership Framework. Eur J Pers Cent Healthc. 2013 1(2); 417-424. PMC4193540
  • 2014 -- Brandon, D. H. and Simmons, C. and Lumsden, L. Environment of care 2014 .
  • 2015 -- PubMed # : 26340035 -- Hartz, L. E. and Bradshaw, W. and Brandon, D. H. Potential NICU Environmental Influences on the Neonate's Microbiome: A Systematic Review. Adv Neonatal Care. October, 2015 15(5); 324-35. PMC4583357
Grant Funding (Selected)
  • Future of Nursing Scholars 2015
    Robert Wood Johnson Foundation
    72576
    04/2015 to 08/2018
    Project Goal: The goal of the RWJ grant is to increase the number of PhD nurses with a broad perspective on science and its application to solving challenging health problems facing our nation, particularly those related to chronic illness and care systems; experience with common and emerging research designs and methods; rigorous training in statistics; and mentored research and teaching practica to reinforce knowledge acquisition and skill development. Program graduates will assume roles in academic and research settings.
  • Future of Nursing Scholars 2014
    Robert Wood Johnson Foundation
    72099
    09/2014 to 08/2017
    Role: PD
    Project Goal: The goal of the RWJ grant is to increase the number of PhD nurses with a broad perspective on science and its application to solving challenging health problems facing our nation, particularly those related to chronic illness and care systems; experience with common and emerging research designs and methods; rigorous training in statistics; and mentored research and teaching practica to reinforce knowledge acquisition and skill development. Program graduates will assume roles in academic and research settings.
  • MSN Nursing Program Partnership for Bridges to the Doctorate
    National Institutes of Health
    1R25-GM102739-01
    09/2012 to 06/2017
    Role: Project Director
    Project Goal: The objectives of this new Bridges to the Doctorate program are to: (1) graduate seven WSSU underrepresented minority MSN students admitted to the Research Honors track on time; (2) increase the number of WSSU underrepresented minority MSN graduates who seamlessly transition to PhD programs in nursing and related biomedical/behavioral science disciplines from a historical six year total of 2 students to 4 students over four years; and (3) demonstrate that four Bridges Scholars enrolled for at least one year in nursing and other related biomedical/behavioral science PhD programs are progressing on time and in a satisfactory manner.
  • Cultural Understandings about Food among Black Mothers and Adolescent Daughters
    Philip D. Reed Foundation, Inc.
    Reed Fdn Fellow
    10/2014 to 07/2017
    Project Goal: To explore the interactions between cultural understandings about food, their intergenerational transfer, the mother-daughter relationship, and dietary practices among Black adolescent girls and their mothers.
  • Trajectories of Parental Bereavement Challenges and their Health Risks; A Case-based Mixed Methods Study
    American Nurses Foundation, Inc.
    09/2014 to 08/2015
    Project Goal: To describe parental bereavement trajectory, beginning just prior to the death of a chronically ill child (0-5 years) through 6 months post-death of their child, and to identify the co-occurrence of the challenges, work, and physical, psychological, and social health risk indicators.
  • Sleep-Wake State and Feeding Competency in Very Preterm Infants
    American Nurses Foundation, Inc.
    09/2014 to 08/2015
    Project Goal: The purpose of this study is to examine the relationships between sleep-wake states prior to, during, and after feeding and feeding regulation in very preterm infants while the infants are transitioning from half to full oral feeding.
  • Mother-Daughter Relationship Influences on Daughters' Dietary Practices
    National Institutes of Health
    1F31-NR014960-01
    09/2014 to 06/2017
    Project Goal: To explore the relationship between Black mothers and adolescent daughters and examine how the relationship might contribute to the daughter’s dietary practices.
  • Parental Bereavement Trajectories: Relationship to Health Risk Indicators
    National Association of Indian Nurses of America
    09/2014 to 08/2015
  • Microbial succession and adaptive immune responses in premature infant
    National Institutes of Health
    1R01GM108494-01
    03/2014 to 12/2017
    Role: Co-investigator
    The goal of this project is to evaluate the changes in preterm infant immune responses across the development of the microbiome until one year of age.
  • Microbiome of Preterm Infants
    DUSON ORA Small Grant Program
    06/2013 to 05/2014
    Role: Co-PI
    Project Goal: To examine the development of the preterm infant microbiome over the first two weeks of life and evaluate the impact of neonatal skin care.
  • Jonas Scholars Program 2012
    Jonas Center for Nursing Excellence
    07/2012 to 06/2014
  • Decision-Making for Infants with Complex Life-Threatening Conditions
    NIH-NINR
    1R01 NR010548-01A1
    10/2008 to 09/2013
    Project Goal: This longitudinal multiple case study will examine the trajectory of decision-making for infants undergoing life-sustaining treatments for complex life-threatening conditions and factors influencing parent’s decision-making.
  • Maternal Assessment of Infant Breastfeeding Behaviors
    American Nurses Foundation, Inc. (American Nurse Foundation Council for the Advancement of Nursing Science)
    09/2012 to 08/2013
    Project Goal: To describe maternal perceptions of infant breastfeeding behaviors weekly from birth to 1 month of age (birth, 1-, 2-, 3- weeks, and 1 month) during a semi-structured interview and to trial a maternal self-report instrument of their infant’s type of breastfeeding behavior.
  • Preterm Infants Breastfeeding Behavior
    National Association of Neonatal Nurses Research Institute Small Grants Award Program
    08/2012 to 07/2013
    Role: Co-Principal Investigator
    Project Goal: To examine maternal descriptions of late preterm infant’s breastfeeding behavior and maternal categorization of late preterm infant’s breastfeeding behavior using a maternal report instrument of infant breastfeeding behavior types.
  • Maternal and Infant Behaviors During Breastfeeding
    Association of Women's Health, Obstetric and Neonatal Nurses Hill-Rom, Celeste Phillips Family-Centered Maternity Care Award
    07/2012 to 06/2013
    Role: Co-Principal Investigator
    Project Goal: To determine the reliability of maternal assessment of infant breastfeeding behaviors and to test the feasibility of comparing maternal assessment of infant breastfeeding behaviors to observed infant behaviors.
  • Microbiome of Preterm Infants
    Duke University School of Nursing ORA Small Grants Award Program
    06/2012 to 05/2013
    Role: Co-PI
    Project Goal: To examine the development of the preterm infant microbiome over the first two weeks of life and evaluate the impact of neonatal skin care.
  • Data Visualization using a Case Browser Software Program: Phase I-b
    Duke University School of Nursing ORA Small Grant Project
    11/2011 to 04/2012
    Project Goals: This administrative supplement is to develop a flexible data exploratory visualization software program that will allow for the graphic display of multiple layers and varying configurations of different levels of data from a currently funded R01 study.
  • Nurses' Information Needs While Using Paper and Electronic Nursing Documentation: A Mixed-Methods Study
    Sigma Theta Tau International
    05/2011 to 04/2012
    Role: Co-Principal Investigator
    Project Goal: The purpose of this case-based exploratory study is to understand what information nurses need to care for children and the information sources used to collect and communicate this information. This study will investigate two pediatric intermediate care units while using paper-based nursing documentation.
  • Nurses’ Information Needs While Caring for Hospitalized Children.
    AHRQ
    R36 HS021075
    09/2011 to 05/2012
    Role: Sponsor
    Project Goal: Nurses’ collected and communicated patient information needs through verbal, written and electronic information sources while using paper-based nursing documentation will be compared to needs following implementation of electronic nursing documentation.
  • Information Use with Electronic Nursing Documentation by Nurses Caring for Hospitalized Children
    Sigma Theta Tau International
    06/2011 to 05/2012
    Project Goal: This exploratory descriptive mixed-method study will directly observe and interview nurses in two pediatric intermediate care units currently using paper nursing documentation to understand what information nurses need to care for children and the sources of that information.
  • Nurses' Information Exchange for the Provision of Care to Hospitalized Children
    Sigma Theta Tau International
    05/2011 to 04/2012
    Role: co-PI
    Project Goal: The purpose of this case-based exploratory study is to understand what information nurses need to care for children and the information sources used to collect and communicate this information. This study will investigate two pediatric intermediate care units while using paper-based nursing documentation.
  • Administrative Supplement to Decision Making for Infants with Complex Life Threatening Conditions
    NIH-NINR
    3R01 NR010548-02S1
    09/2010 to 08/2011
    Role: Co-PI
    Project Goals: This administrative supplement is to develop a flexible data exploratory visualization software program that will allow for the graphic display of multiple layers and varying configurations of different levels of data from a currently funded R01 study.
  • AWHONN: Late Preterm Evidence Based Practice Project
    Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
    01/2009 to 12/2010
    Role: Duke Site PI
    Project Goal: This study will evaluate the outcomes of the implementation of an evidenced based practice protocol for the late preterm infant (born between 34 and 36 completed weeks of gestation). * Notice of the grant approval has been received, but the project period and total costs are not yet known.
  • The Compass Project: Bridging Medicine, Design, and Ethics to Enable Advance Care Planning and Meaningful Assent in Pediatric Phase I Trials
    Greenwall Foundation: The Kornfield Program in Bioethics
    COG ANUR0631
    12/2008 to 11/2010
    Role: Co-Investigator
    Project Goal: This study will design and pilot test an instrument that can be used by children with life-threatening illnesses to express their ideas, goals, priorities, and desires, related to quality of life planning, in the context of Phase I trials.
  • Pilot Study of Decision-making For Infants with Complex Life-Threatening Conditions
    Duke University School of Nursing Office of Research Affairs; DUSON Personal Discretionary Fund
    09/2007 to 09/2008
    Role: Co-PI
    Project Goal: This longitudinal multiple case study will examine feasibility of study procedures and refine study methods for a larger study of the trajectory of decision-making for infants undergoing life-sustaining treatments for complex life-threatening conditions and factors influencing parent’s decision-making.
  • Characteristics of Infants and Children Who Die in the Inpatient Settings
    Duke School of Nursing Personal Discretionary Fund
    09/2004 to 09/2005
    Role: PI
    Project Goal: The purpose of this pilot study is to define the population of infants and children who die in acute care hospitals.
  • Maternal Adjustment to Caregiving for Premature Infants
    Duke School of Nursing Personal Discretionary Fund
    07/2004 to 01/2009
    Role: PI
    Project Goal: The overall purpose of this study is to explore the effects of a preterm infant intervention currently under study (“Preterm Infants: Light Effects on Health and Development” (5R01NR008044-02) IRB # 4211-03-11R1) on maternal adjustment to the hospitalization and post discharge caregiving of a preterm infant.
  • Pediatric Health Care Provider Attitudes Regarding Palliative Care in the Acute Care Setting
    Duke School of Nursing Personal Discretionary Fund
    09/2004 to 09/2005
    Role: Co-PI
    Project Goal: The purpose of this study is to describe the experiences of physicians, nurses, and social workers in providing palliative care to infants, children, and adolescents who have undergone intensive therapies for life threatening illnesses. The study will identify aids and barriers to the provision of palliative care in the pediatric acute care setting.
  • The Effects of No-Sting® Skin Protectant and Aquaphor® in Maturation of Preterm Infant Skin
    Departmental (Duke SON; Neonatal Perinatal Research Institute)
    09/2003 to 05/2005
    Role: PI
    Project Goal: The purpose of the proposed study is to evaluate the effects of No-Sting® skin protectant and Aquaphor®, a water-based emollient, on transepidermal water loss (TEWL) and skin integrity in premature infants.
  • Preterm Infants: Light Effects on Health and Development
    National Institutes of Health
    1R01-NR08044-01A1
    02/2003 to 01/2008
    Role: PI
    Project Goal: To evaluate the appropriate time for instituting cycled light for the youngest preterm infants (< 28 weeks gestation at birth) and the effects of early (28 weeks) and late (36 weeks) cycled light on short- and long-term health and developmental outcomes including sleep-wake state development, weight gain, lung maturation, length of hospitalization (LOS), auditory and visual development, and neurodevelopmental outcomes.
  • Combined NNP/PNP Program for Rural Health
    HRSA
    D09-HP00189-01
    07/2001 to 06/2004
    Role: Investigator
    Project Goal: Three year grant to educate nurses at the Master’s level in NNP/PNP in Rural Health.
  • Effects on Cycled Light Versus Near Dark in Preterm Infants; Follow Up at 2 Years
    Neonatal-Perinatal Research Institute
    01/2001 to 12/2004
    Role: PI
    Project Goal: Evaluate long-term effects of cycled light on growth and development. F/U from dissertation
  • Three Year Study on Cycled Light Versus Continuous Darkness in Neonates
    NIH/NINR, NRSA
    F-31 NINR-NIH # NR07180
    01/1996 to 01/1999
    Role: PI
    Project Goal: Evaluate the timing and short term effects of cycled light on preterm infants
  • One Year Study on the Efficacy of Heparin Use in Peripheral Intravenous Catheters
    Glaxo Research Fund
    07/1994 to 06/1995
    Role: PI
    Project Goal: Determine the necessity for heparin in peripheral intravenous catheters of preterm infants
  • Enhancing Support for Families of Developmentally Disabled Persons
    Administration on Developmental Disbilities
    07/1987 to 06/1988
    Role: Co-PI
    Project Goal: Evaluate the effectiveness of support programs for families of DD persons.
  • Study on the Toll Control Project: A Service System and Training Model for the Developmental Surveillance and Care of Preschool Children with Chronic Illness
    Administration on Developmental Disabilities
    01/1988 to 12/1990
    Role: Co-PI
    Project Goal: Develop and evaluate a method to evaluate children with chronic illness.
  • Two Year Study on The Long-Term Outcomes of Very Low Birth Weight Infants
    Maternal Child Health, NICHD, and the Robert Wood Johnson Foundation
    07/1987 to 06/1989
    Role: UNC Project Coordinator
    Project Goal: Evaluate long-term outcomes of low birth weight infants
  • Two Year Study on Sleep-Wake State in Preterms: Relation to Outcome at Three Years
    NIH, NINR
    NR01894
    01/1987 to 06/1989
    Role: Co-PI
    Project Goal: Evaluate long term outcomes of preterm infants in relation to the development of sleep as preterm infants.
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