Eleanor S. McConnell, PhD, MSN, RN, GCNS, BC

Dr. McConnell is Director of the Center of Excellence in Geriatric Nursing Education (CoE-GNE) and Lead Faculty for the gerontology specialties (Adult NP-Gerontology and Gerontological Clinical Nurse Specialist) in the MSN Program. She has a joint appointment at the Geriatric Research, Education and Clinical Center (GRECC) of the Department of Veterans Affairs Medical Center, where she is both clinical nurse specialist and nurse scientist. Dr. McConnell is also a Senior Fellow at the Duke Center for the Study of Aging and Human Development.


She earned her Master's in Nursing at Duke University and her PhD in Nursing at the University of North Carolina at Chapel Hill. Dr. McConnell's academic interests include frailty in the aged, the role of the physical environment in promoting function, and implementation of evidence-based practices in care of older adults.
Her research identifies factors that influence functional decline in very frail older adults, with a particular interest in improving care for older adults with cognitive impairment.


Dr. McConnell received a Fulbright Specialists grant in public and global health for an educational partnership with the University of the West Indies (UWI) School of Nursing in Mona, Jamaica. As a Fulbright Senior Specialist, McConnell is assisting with faculty and curriculum development and refinement of clinical nurse specialist (CNS) and nurse practitioner (NP) geriatric advanced practice nursing programs at UWI-Mona. She is also providing consultation on clinical practice sites.

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 - Duke University School of Nursing
Research Interests
Dr. McConnell's research interests include frailty in the aged, the role of the physical environment in promoting function, and the conduct and testing of interventions to prevent decline in those with chronic illness. Her current program of research focuses on factors that influence implementation of evidence-based care practices to prevent functional decline in very frail older adults.
Awards and Honors
  • 2014 || Selected participant, Geriatric Nursing Leadership Academy (GNLA) Cohort IV, Geriatric Nursing Leadership Academy
  • 2013 || Distinguished Alumna Award, Duke University School of Nursing
  • 2010 || Fulbright Senior Specialist Grantee
  • 2007 || Congressional Medallion, Distinguished Practitioner in Nursing
  • 2007 || Ewald W. Busse Award, North Carolina Department of Health and Human Services Division on Aging and Adult Services
  • 2007 || Inducted, National Academy of Practice in Nursing
  • 2000 || Administrator’s Award for Excellence in Advanced Practice Nursing, Durham Veterans Affairs Medical Center
  • 1996 || Outstanding Dissertation Award, Sigma Theta Tau, Alpha Alpha Chapter, University of North Carolina, Chapel Hill, NC
  • 1991 || National Research Service Award: Pre-Doctoral Study, National Institute for Nursing Research, National Institutes of Health
  • 1990 || Merit Assistantship, Graduate School, University of North Carolina at Chapel Hill
  • 1985 || Gerontological Nurse of the Year Award, North Carolina Nurses Association
  • 1976 || Sidney Aaronson Award (Scholastic Achievement), Duke University School of Nursing
  • 1975 || Inducted, Sigma Theta Tau, International Honor Society of Nursing
Areas of Interest
• Interprofessional education
• Care of older adults with cognitive impairment
• Diffusion of Innovation
Representative Publications
  • 1987 -- Snow, T. L. and Giduz, E. H. and McConnell, E. S. and Sanchez, C. J. and Wildman, D. E. Handbook of Geriatric Practice Essentials. Rockville, MD: Aspen Publishing Co. 1987 .
  • 1987 -- Snow, T. and McConnell, E. S. Prevention and management of pressure sores: New techniques for an old problem. In 1987 .
  • 1988 -- Matteson, M. A. and McConnell, E. S. [Eds.] Gerontological Nursing: Concepts and Practice. Philadelphia, PA: W. B. Saunders Co. 1988 .
  • 1988 -- McConnell, E. S. Toward a conceptual framework for gerontological nursing (Chapter 1). 1988 .
  • 1989 -- PubMed # : 2794374 -- Harrell, J. S. and McConnell, E. S. and Wildman, D. S. and Samsa, G. P. Do nursing diagnoses affect functional status? J Gerontol Nurs. October, 1989 15(10); 13-9.
  • 1990 -- McConnell, E. S. and Neelon, V. J. and Champagne, M. T. The relationship between nutrition and cognitive impairment in the hospitalized elderly. In 1990 171-182.
  • 1997 -- McConnell, E. S. Conceptual bases for gerontological nursing practice: Models, trends, and issues. Chapter 1 in Matteson, M.A., McConnell, E.S. & Linton, A.D. (Eds.) 1997 2-73.
  • 2008 -- PubMed # : 18350742 -- Anderson, R. and McConnell, E. and Gilliss, C. Tribute: Elizabeth C. Clipp, PhD, RN, FAAN. J Gerontol Nurs. 34(3); 7-9.
  • 2007 -- McConnell, E. S. Box 4-3: Reflections on using nursing theory. In 2007 85.
  • 2007 -- McConnell, E. S. Box 4-4: The Nagi Disablement Model. In 2007 85.
  • 2002 -- Matteson, M. A. and McConnell, E. S. and Linton, A. D. [Eds.] Gerontological Nursing: Concepts and Practice (Authorized Chinese translation) 2002 .
  • 1992 -- McConnell, E. S. Gerontological Nursing, Concepts and Practice, Vol. 1 (First Japanese translation). Tokyo: Igaku-Shoin Ltd. 1992 .
  • 1992 -- Neelon, V. J. and Champagne, M. T. and McConnell, E. and Carlson, J. and Funk, S. G. Effectiveness of the NEECHAM Scale in assessing the cognitive status of hospitalized older patients. In 1992 278-299.
  • 1993 -- Matteson, M. A. and McConnell, E. S. [Eds.] Gerontological Nursing; Concepts and Practice, Vol. 3 (First Japanese translation). Tokyo: Igaku-Shoin Ltd. 1993 .
  • 1993 -- Matteson, M. A. and McConnell, E. S. [Eds.] Gerontological Nursing; Concepts and Practice, Vol. 2. (First Japanese translation). Tokyo: Igaku-Shoin Ltd. 1993 .
  • 1994 -- Matteson, M. A. and McConnell, E. S. [Eds.] Gerontological Nursing: Concepts and Practice, Vol. 4 (First Japanese translation). Tokyo: Igaku-Shoin Ltd. 1994 .
  • 1995 -- Matteson, M. A. and McConnell, E. S. [Eds.] Gerontological Nursing: Concepts and Practice. Vol. 5 (First Japanese translation). Tokyo: Igaku-Shoin Ltd. 1995 .
  • 1993 -- Hogue, C. and Cullinan, S. and McConnell, E. S. Exercise interventions for the chronically Ill: Review and prospects. In 1993 .
  • 1995 -- PubMed # : 7655253 -- McConnell, E. Human warmth is a form of nutrition. Contemp Nurse. 4(2); 81-2.
  • 1996 -- PubMed # : 8702373 -- Kochersberger, G. and McConnell, E. and Kuchibhatla, M. N. and Pieper, C. The reliability, validity, and stability of a measure of physical activity in the elderly. Arch Phys Med Rehabil. 77(8); 793-5.
  • 1996 -- PubMed # : 8951942 -- Weiner, D. and Pieper, C. and McConnell, E. and Martinez, S. and Keefe, F. Pain measurement in elders with chronic low back pain: traditional and alternative approaches. Pain. 67(2-3); 461-7.
  • 1997 -- Matteson, M. A. and McConnell, E. S. and Linton, A. D. [Eds.] Gerontological Nursing: Concepts and Practice (2nd Ed.) Philadelphia: W. B. Saunders Co. 1997 .
  • 1999 -- PubMed # : 10326921 -- Purser, J. L. and Pieper, C. F. and Duncan, P. W. and Gold, D. T. and McConnell, E. S. and Schenkman, M. S. and Morey, M. C. and Branch, L. G. Reliability of physical performance tests in four different randomized clinical trials. Arch Phys Med Rehabil. 80(5); 557-61.
  • 1999 -- PubMed # : 10382922 -- Weiner, D. and Peterson, B. and Ladd, K. and McConnell, E. and Keefe, F. Pain in nursing home residents: An exploration of prevalence, staff perspectives, and practical aspects of measurement. Clin J Pain. 15(2); 92-101.
  • 1999 -- White, H. and McConnell, E. and Clipp, E. and Bynum, L. and Teague C. and Navas L. and Craven S. and Halbrecht H. Surfing the net in later life: A review of the literature and pilot study of computer use and quality of life. Journal of Applied Gerontology. September, 1999 18(3); 358-378.
  • 2000 -- PubMed # : 10798476 -- Connell, B. R. and McConnell, E. S. Treating excess disability among cognitively impaired nursing home residents. J Am Geriatr Soc. 48(4); 454-5.
  • 2001 -- PubMed # : 11244674 -- Olson, D. M. and Borel, C. O. and Laskowitz, D. T. and Moore, D. T. and McConnell, E. S. Quiet time: a nursing intervention to promote sleep in neurocritical care units. Am J Crit Care. 10(2); 74-8.
  • 2001 -- PubMed # : 11915155 -- Culp, K. and Mentes, J. C. and McConnell, E. S. Studying acute confusion in long-term care: clinical investigation or secondary data analysis using the minimum data set? J Gerontol Nurs. 27(4); 41-8.
  • 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.
  • 2010 -- PubMed # : 20387023 -- Hall, K. S. and Crowley, G. M. and McConnell, E. S. and Bosworth, H. B. and Sloane, R. and Ekelund, C. C. and Morey, M. C. Change in goal ratings as a mediating variable between self-efficacy and physical activity in older men. Ann Behav Med. June, 2010 39(3); 267-73. PMC2904848
  • 2010 -- Corazzini, K. N. and Anderson, R. A. and Rapp, C. G. and Mueller, C. and McConnell, E. and Lekan, D. Delegation in long-term care: Scope of practice or job description? Online Journal of Issues in Nursing. May, 2010 15(2); Manuscript 4.
  • 2010 -- PubMed # : 20481420 -- Egerton, E. O. and McConnell, E. S. and Corazzini, K. and Kitzmiller, R. R. and Crook, J. O. Birds of a feather: introducing a virtual learning community for geriatric nurse educators. J Contin Educ Nurs. May, 2010 41(5); 203-8; quiz 209-10.
  • 2010 -- McConnell, E. S. and Corazzini, K. N. and Lekan, D. and Bailey, D. C. and Sloane, R. and Zimmerman, S. and Mitchell, C. M. and Landerman, L. R. and Champagne, M. T. Staff perception of new pain care practices in dementia care: Psychometric properties of the Duke Diffusion of Innovation in Long-Term Care Battery. Alzheimer’s Care Today. Apr.-Jun., 2010 11(2); 122-133.
  • 2010 -- Corazzini, K. N. and McConnell, E. S. and Anderson, R. A. and Reed, D. and Champagne, M. T. and Lekan, D. and Preisser, J. S. and Bailey, D. and Zimmerman, S. The importance of organizational climate to training needs and outcomes in long-term care. Alzheimer’s Care Today. Apr.-Jun., 2010 11(2); 109-121.
  • 2010 -- Zimmerman, S. and Mitchell, C. M. and Reed, D. and Preisser, J. S. and Fletcher, S. and Beeber, A. S. and Reed, P. S. and Gould, E. and Hughes, S. and McConnell, E. S. and Corazzini, K. N. and Lekan, D. and Sloane, P. D. Outcomes of a dementia care training program for staff in nursing homes and residential care/assisted living settings. Alzheimer’s Care Today. Apr.-Jun., 2010 11(2); 83-99.
  • 2010 -- PubMed # : 20552768 -- McConnell, E. S. and Lekan, D. and Corazzini, K. N. Assuring the adequacy of staffing of long-term care, strengthening the caregiving workforce, and making long-term care a career destination of choice: from mission impossible to mission critical? N C Med J. Mar-Apr, 2010 71(2); 153-7.
  • 2009 -- PubMed # : 19467149 -- Morey, M. C. and Peterson, M. J. and Pieper, C. F. and Sloane, R. and Crowley, G. M. and Cowper, P. A. and McConnell, E. S. and Bosworth, H. B. and Ekelund, C. C. and Pearson, M. P. The Veterans Learning to Improve Fitness and Function in Elders Study: a randomized trial of primary care-based physical activity counseling for older men. J Am Geriatr Soc. 57(7); 1166-74. PMC2757328
  • 2009 -- PubMed # : 19182546 -- Corazzini, K. and Rapp, C. G. and McConnell, E. S. and Anderson, R. A. Use of a handheld computer observational tool to improve communication for care planning and psychosocial well-being. J Nurses Staff Dev. 25(1); E1-7.
  • 2009 -- PubMed # : 19452736 -- McConnell, E. S. and Lekan, D. and Bunn, M. and Egerton, E. and Corazzini, K. N. and Hendrix, C. D. and Bailey Jr, D. E. 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.
  • 2008 -- PubMed # : 18410318 -- Whitson, H. E. and Hastings, S. N. and Lekan, D. A. and Sloane, R. and White, H. K. and McConnell, E. S. A quality improvement program to enhance after-hours telephone communication between nurses and physicians in a long-term care facility. J Am Geriatr Soc. June, 2008 56(6); 1080-6.
  • 2008 -- PubMed # : 18566924 -- Morey, M. C. and Peterson, M. J. and Pieper, C. F. and Sloane, R. and Crowley, G. M. and Cowper, P. and McConnell, E. and Bosworth, H. and Ekelund, C. and Pearson, M. and Howard, T. Project LIFE--Learning to Improve Fitness and Function in Elders: methods, design, and baseline characteristics of randomized trial. J Rehabil Res Dev. 45(1); 31-42.
  • 2007 -- PubMed # : 18081673 -- Hastings, S. N. and Whitson, H. E. and White, H. K. and Sloane, R. and MacDonald, H. and Lekan, D. A. and McConnell, E. S. After-hours calls from long-term care facilities in a geriatric medicine training program. J Am Geriatr Soc. 55(12); 1989-94.
  • 2007 -- PubMed # : 17386313 -- McConnell, E. S. and Lekan, D. and Hebert, C. and Leatherwood, L. Academic-practice partnerships to promote evidence-based practice in long-term care: oral hygiene care practices as an exemplar. Nurs Outlook. 55(2); 95-105.
  • 2007 -- PubMed # : 17349947 -- Hastings, S. N. and Whitson, H. E. and White, H. K. and Sloane, R. and MacDonald, H. and Lekan-Rutledge, D. A. and McConnell, E. S. Development and implementation of the TrAC (Tracking After-hours Calls) database: a tool to collect longitudinal data on after-hours telephone calls in long-term care. J Am Med Dir Assoc. 8(3); 178-82.
  • 2006 -- PubMed # : 16979082 -- Whitson, H. E. and Hastings, S. N. and McConnell, E. S. and Lekan-Rutledge, D. A. Inter-disciplinary focus groups on telephone medicine: a quality improvement initiative. J Am Med Dir Assoc. 7(7); 407-11.
  • 2006 -- PubMed # : 16970651 -- Colón-Emeric, C. and Schenck, A. and Gorospe, J. and McArdle, J. and Dobson, L. and Deporter, C. and McConnell, E. Translating evidence-based falls prevention into clinical practice in nursing facilities: Results and lessons from a quality improvement collaborative. J Am Geriatr Soc. 54(9); 1414-8. PMC1839839
  • 2006 -- PubMed # : 17090809 -- Morey, M. C. and Ekelund, C. and Pearson, M. and Crowley, G. and Peterson, M. and Sloane, R. and Pieper, C. and McConnell, E. and Bosworth, H. Project LIFE: a partnership to increase physical activity in elders with multiple chronic illnesses. J Aging Phys Act. 14(3); 324-43.
  • 2005 -- PubMed # : 15871887 -- Ouslander, J. G. and Griffiths, P. and McConnell, E. and Riolo, L. and Schnelle, J. Functional Incidental Training: applicability and feasibility in the Veterans Affairs nursing home patient population. J Am Med Dir Assoc. 6(2); 121-7.
  • 2005 -- PubMed # : 16108924 -- Ouslander, J. G. and Griffiths, P. C. and McConnell, E. and Riolo, L. and Kutner, M. and Schnelle, J. Functional incidental training: a randomized, controlled, crossover trial in Veterans Affairs nursing homes. J Am Geriatr Soc. 53(7); 1091-1100.
  • 2004 -- PubMed # : 15331081 -- Garman, K. S. and McConnell, E. S. and Cohen, H. J. Inpatient care for elderly cancer patients: the role for Geriatric Evaluation and Management Units in fulfilling goals for care. Crit Rev Oncol Hematol. 51(3); 241-7.
  • 2004 -- PubMed # : 14984619 -- White, H. K. and McConnell, E. S. and Bales, C. W. and Kuchibhatla, M. A 6-month observational study of the relationship between weight loss and behavioral symptoms in institutionalized Alzheimer's disease subjects. J Am Med Dir Assoc. 5(2); 89-97.
  • 2004 -- PubMed # : 14974517 -- McConnell, E. S. and Lekan-Rutledge, D. and Nevidjon, B. and Anderson, R. Complexity theory: a long-term care specialty practice exemplar for the education of advanced practice nurses. J Nurs Educ. 43(2); 84-7.
  • 2004 -- Corazzini, K. and McConnell, E. S. and Rapp, C. G., Anderson, R. A. A conceptual framework for understanding decision-making processes of nursing assistants in providing dementia care. Alzheimer’s Care Quarterly. July/September, 2004 5(3); 197-206.
  • 2003 -- PubMed # : 12657987 -- McConnell, E. S. and Branch, L. G. and Sloane, R. J. and Pieper, C. F. Natural history of change in physical function among long-stay nursing home residents. Nurs Res. 52(2); 119-26.
  • 2002 -- Connell, B.R. and McConnell, E. S. and Francis, T. Tailoring the environment of oral health care to the needs and abilities of nursing home residents with dementia. Alzheimer’s Care Quarterly. Winter, 2002 3(1); 19-25.
  • 2002 -- PubMed # : 12456736 -- McConnell, E. S. and Pieper, C. F. and Sloane, R. J. and Branch, L. G. Effects of cognitive performance on change in physical function in long-stay nursing home residents. J Gerontol A Biol Sci Med Sci. 57(12); M778-84.
  • 2002 -- PubMed # : 12217089 -- White, H. and McConnell, E. and Clipp, E. and Branch, L. G. and Sloane, R. and Pieper, C. and Box, T. L. A randomized controlled trial of the psychosocial impact of providing internet training and access to older adults. Aging Ment Health. 6(3); 213-21.
  • 2002 -- McConnell, E.S. Geriatric nursing research digest: Essay review. Contemporary Gerontology. 2002 8(4); 131-133.
  • 2012 -- PubMed # : 21702425 -- McConnell, E. S. and Corazzini, K. N. and Lekan, D. and Bailey, D. E. and Sloane, R. and Landerman, L. R. and Champagne, M. T. Diffusion of innovations in long-term care measurement battery. Res Gerontol Nurs. Winter, 2012 5(1); 64-76.
  • 2010 -- PubMed # : 21234104 -- Hall, K. S. and Sloane, R. and Pieper, C. F. and Peterson, M. J. and Crowley, G. M. and Cowper, P. A. and McConnell, E. S. and Bosworth, H. B. and Ekelund, C. C. and Morey, M. C. Long-term changes in physical activity following a one-year home-based physical activity counseling program in older adults with multiple morbidities. J Aging Res. December 26, 2010 2011 308407. PMC3014677
  • 2012 -- PubMed # : 21216555 -- Horney, C. and Schmader, K. and Sanders, L. L. and Heflin, M. and Ragsdale, L. and McConnell, E. and Hocker, M. and Hastings, S. N. Health care utilization before and after an outpatient ED visit in older people. Am J Emerg Med. January, 2012 30(1); 135-42. PMC3136637
  • 2011 -- Corazzini, K. N. and Anderson, R. A. and Mueller, C. and McConnell, E. S. and Landerman, L. R. and Thorpe, J. M. and Short, N. M. Regulation of LPN scope of practice in long-term care. Journal of Nursing Regulation. July, 2011 2(2); 31-36.
  • 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.
  • 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.
  • 2012 -- PubMed # : 22166907 -- Corazzini, K. N. and Anderson, R. A. and Mueller, C. and Thorpe, J. M. and McConnell, E. S. Jurisdiction over nursing care systems in nursing homes: latent class analysis. Nurs Res. January, 2012 61(1); 28-38.
  • 2012 -- Mueller, C. and Anderson, R. A. and McConnell, E. S. and Corazzini, K. N. Licensed nurse responsibilities in nursing homes: a scope of practice issue. Journal of Nursing Regulation. April, 2012 3(1); 1-8.
  • 2012 -- PubMed # : 22929379 -- Toles, M. and Barroso, J. and Colón-Emeric, C. and Corazzini, K. and McConnell, E. and Anderson, R. A. Staff interaction strategies that optimize delivery of transitional care in a skilled nursing facility: a multiple case study. Fam Community Health. October, 2012 35(4); 334-44.
  • 2012 -- PubMed # : 22316015 -- White, H. K. and Corazzini, K. and Twersky, J. and Buhr, G. and McConnell, E. and Weiner, M. and Colón-Emeric, C. S. Prioritizing culture change in nursing homes: perspectives of residents, staff, and family members. J Am Geriatr Soc. March, 2012 60(3); 525-31.
  • 2013 -- PubMed # : 22824910 -- Madden-Baer, R. and McConnell, E. and Rosati, R. J. and Rosenfeld, P. and Edison, I. Implementation and evaluation of a depression care model for homebound elderly. J Nurs Care Qual. Jan.-March 2013 28(1); 33-42.
  • 2013 -- PubMed # : 23281623 -- Simpson, K. M. and Porter, K. and McConnell, E. S. and Colón-Emeric, C. and Daily, K. A. and Stalzer, A. and Anderson, R. A. Tool for evaluating research implementation challenges: A sense-making protocol for addressing implementation challenges in complex research settings. Implement Sci. 8(1); 2.
  • 2013 -- PubMed # : 23496191 -- Downey, C. L. and Heflin, M. and McConnell, E. and Patton, L. L. and Afshari, H. The tipping point: prolonged hospital course as a result of dental infection in a nonagenarian. J Am Geriatr Soc. March, 2013 61(3); 472-3.
  • 2012 -- PubMed # : 23126548 -- Whitson, H. E. and Whitaker, D. and Sanders, L. L. and Potter, G. G. and Cousins, S. W. and Ansah, D. and McConnell, E. and Pieper, C. F. and Landerman, L. and Steffens, D. C. and Cohen, H. J. Memory deficit associated with worse functional trajectories in older adults in low-vision rehabilitation for macular disease. J Am Geriatr Soc. November, 2012 60(11); 2087-92.
  • 2013 -- PubMed # : 23629815 -- Lee, K. H. and Algase, D. L. and McConnell, E. S. Relationship between observable emotional expression and wandering behavior of people with dementia. Int J Geriatr Psychiatry. April, 2013 .
  • 2013 -- PubMed # : 23704219 -- Colón-Emeric, C. S. and Pinheiro, S. O. and Anderson, R. A. and Porter, K. and McConnell, E. and Corazzini, K. and Hancock, K. and Lipscomb, J. and Beales, J. and Simpson, K. M. Connecting the Learners: Improving Uptake of a Nursing Home Educational Program by Focusing on Staff Interactions. Gerontologist. May, 2013 .
  • 2013 -- PubMed # : 23619914 -- Whitson, H. E. and Whitaker, D. and Potter, G. and McConnell, E. and Tripp, F. and Sanders, L. L. and Muir, K. W. and Cohen, H. J. and Cousins, S. W. A Low-Vision Rehabilitation Program for Patients With Mild Cognitive Deficits. JAMA Ophthalmol. April, 2013 1-8.
  • 2013 -- PubMed # : 23623522 -- White, H. K. and Buhr, G. and McConnell, E. and Sullivan Jr, R. J. and Twersky, J. and Colon-Emeric, C. and Heflin, M. and Cutson, T. M. and Logan, W. and Lyles, K. and Pinheiro, S. O. An Advanced Course in Long Term Care for Geriatric Medicine Fellows. J Am Med Dir Assoc. April, 2013 .
  • 2013 -- PubMed # : 23817279 -- Lee, K. H. and Algase, D. L. and McConnell, E. S. Daytime observed emotional expressions of people with dementia. Nurs Res. Jul-Aug, 2013 62(4); 218-25.
  • 2013 -- McConnell, E. S. and Matters, L. and Bunn, M. and Egerton, E. and Welch, A. and Summner, T. and Devarayshamudram, S. and Mitchell, M. and Carthron, D. and Day, L. and Corazzini, K. Creating a "world without woe" for people who have dementia: A Grand Challenge approach. The Director. Summer, 2013 21(3); 22-26.
  • 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 -- PubMed # : 24279686 -- Colon-Emeric, C. S. and McConnell, E. and Pinheiro, S. O. and Corazzini, K. and Porter, K. and Earp, K. M. and Landerman, L. and Beales, J. and Lipscomb, J. and Hancock, K. and Anderson, R. A. CONNECT for better fall prevention in nursing homes: results from a pilot intervention study. J Am Geriatr Soc. December, 2013 61(12); 2150-9. PMC3965191
  • 2013 -- PubMed # : 23995465 -- Corazzini, K. N. and Anderson, R. A. and Mueller, C. and Thorpe, J. M. and McConnell, E. S. Licensed practical nurse scope of practice and quality of nursing home care. Nurs Res. Sept.-Oct., 2013 62(5); 315-24.
  • 2015 -- PubMed # : 24451896 -- Corazzini, K. and Twersky, J. and White, H. K. and Buhr, G. T. and McConnell, E. S. and Weiner, M. and Colón-Emeric, C. S. Implementing Culture Change in Nursing Homes: An Adaptive Leadership Framework. Gerontologist. August, 2015 55(4); 616-27. PMC4542586
  • 2014 -- PubMed # : 24279889 -- Heflin, M. T. and Pinheiro, S. O. and Konrad, T. R. and Egerton, E. O. and Thornlow, D. K. and White, H. K. and McConnell, E. S. Design and evaluation of a prelicensure interprofessional course on improving care transitions. Gerontol Geriatr Educ. 2014 35(1); 41-63.
  • 2014 -- Buhr, G. T. and Konrad, T. and Pinheiro, S. and Pruitt, J. and Poer, C. and Shock, L. and Yanamadala, M. and Bailey, D. and White, H. K. and Devarayasamudram, S. and Day, L. and Aselage, M. and Egerton, E. O. and Matters, L. and McConnell, E. and Heflin, M. T. An interprofessional education collaborative (IPEC) competency-focused workshop to enhance team performance. Journal of the American Medical Directors Association. March, 2014 15(3); B10–B11.
  • 2014 -- PubMed # : 24802165 -- Pavon, J. M. and Zhao, Y. and McConnell, E. and Hastings, S. N. Identifying risk of readmission in hospitalized elderly adults through inpatient medication exposure. J Am Geriatr Soc. June, 2014 62(6); 1116-21.
  • 2014 -- Day, L. and Turner, K. and Anderson, R. A. and Mueller, C. and McConnell, E. S. and Corazzini, K. N. Teaching Delegation to RN Students. Journal of Nursing Regulation. July, 2014 5(2); 10-15.
  • 2014 -- PubMed # : 25237882 -- McConnell, E. S. Improving dementia care through behavioral interventions. N C Med J. September/October, 2014 75(5); 355-8.
  • 2013 -- PubMed # : 25383063 -- Corazzini, K. N. and Anderson, R. A. and Day, L. and McConnell, E. S. and Mueller, C. and McKinney, S. H. When a situation is "not black or white": Using adaptive leadership to address complex challenges in nursing home care. Director. Fall, 2013 21(4); 34-37. PMC4220552
  • 2015 -- PubMed # : 25647829 -- Anderson, R. A. and Bailey Jr, D. E. and Wu, B. and Corazzini, K. and McConnell, E. S. and Thygeson, N. M. and Docherty, S. L. Adaptive leadership framework for chronic illness: framing a research agenda for transforming care delivery. ANS Adv Nurs Sci. April-June, 2015 38(2); 83-95. PMC4417005
  • 2015 -- De Gagne, J. C. and So, A. and Wu, B. and Palmer, M. H. and McConnell, E. S. The effect of a urinary incontinence self-management program for older women in South Korea: A pilot study International Journal of Nursing Sciences. March, 2015 2(1); 39-46.
  • 2015 -- PubMed # : 25800276 -- Lee, K. H. and McConnell, E. S. and Knafl, G. J. and Algase, D. L. Pain and psychological well-being among people with dementia in long-term care. Pain Med. June, 2015 16(6); 1083-9. PMC4478238
  • 2015 -- PubMed # : 25856452 -- De Gagne, J. C. and Park, S. and So, A. and Wu, B. and Palmer, M. H. and McConnell, E. S. A urinary incontinence continuing education online course for community health nurses in South Korea. J Contin Educ Nurs. April, 2015 46(4); 171-8.
  • 2015 -- PubMed # : 26185155 -- Karel, M. J. and Teri, L. and McConnell, E. and Visnic, S. and Karlin, B. E. Effectiveness of Expanded Implementation of STAR-VA for Managing Dementia-Related Behaviors Among Veterans. Gerontologist. July, 2015 .
  • 2015 -- Corazzini, K. N. and Vogelsmeier, A. and McConnell, E. S. and Day, L. and Kennerly, S. and Mueller, C. and Flanagan, J. T. and Hawkins, K. and Anderson, R. A. Perceptions of nursing practice: capacity for high-quality nursing home care Journal of Nursing Regulation. October, 2015 6(3); 17-24.
Grant Funding (Selected)
  • Regulating Licensed Nursing Practice in Nursing Homes: How RN and LPN Scopes of Practice Are Enacted
    National Council for State Boards of Nursing
    NCSBN R30010
    10/2010 to 09/2012
    Role: Co-Investigator
    To describe practice patterns of RNs and LPNs used to implement their scope of practice, to compare these practice patterns between two states, and to develop a facility-level tool to measure these patterns.
  • Implementing a Home Safety Toolkit for Veterans with Dementia
    VA Quality Enhancement Research Initiative
    VA QUERI- Number SDP 13-216
    09/2013 to 09/2016
    Role: Site PI
    Project Goals: The purpose of this project is to study the processes necessary to make a Home Safety Toolkit (HST) for Veterans with dementia of the Alzheimer’s type or a related disorder accessible to these patients and their caregivers; and to gather additional information about the effectiveness of the HST intervention when implemented in Veteran Health Administration (VHA) clinics. The project is a Type 3 Implementation –Effectiveness Hybrid Research Design.
  • Cognitive Impairment in Low Vision Rehabilitation: Prevalence and Consequences
    VA Rehabilitation Research & Development
    1 I21 RX001721-01
    05/2015 to 04/2017
    Role: Co-Investigator
    Project Goals: The objective of this pilot study is to characterize the prevalence and consequences of cognitive impairment among Veterans receiving inter-disciplinary, outpatient low vision rehabilitation (LVR). This is a necessary first step toward future intervention and implementation research aimed at improving outcomes for Veterans with dual vision and cognitive impairments.
  • Evidence Based Practice in Geriatric Care: A Grand Challenge Approach
    Health Resources and Service Administration
    2D62-HP01909-10-00
    09/2003 to 06/2015
    Role: Principal Investigator
    Project goal: 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 will acquire geriatric clinical and leadership skills needed to implement significant evidence-based solutions to improve health outcomes among older adults in each community.
  • Implementing a Deliberate Practice Approach to Support Adaptive Dementia Care: A Comparison study between the U.S. and China
    DUSON Office of Research Affairs International Research Award
    12/2014 to 12/2016
    Role: Principal Investigator
    Purpose: This study examines the feasibility of using deliberate practice to teach adaptive cueing for dementia care to master trainers in both the US and China, as a strategy for large-scale workforce development in dementia care. The study is a critical step in preparation for an international PCORI application that will compare an adaptive leadership approach to basic dementia skills implementation to the deployment of task-specific workers (technical approach) in reducing neuropsychiatric symptoms of dementia during basic care.
  • Adaptive Leadership for Person-Directed Care in Nursing Homes
    Duke-RTI FLARE Seed Fund
    03/2015 to 02/2016
    Role: Co-investigator
    Purpose: This new alliance between Duke and RTI launches an innovative program of research with the aim of a project to develop a theoretical and an operational framework for person-directed assessment and care planning, which will be amenable to intervention development for future studies.
  • IPA Markedia Mason
    Durham Veterans Affairs Medical Center
    05/2014 to 04/2016
  • IPA Kyung Hee Lee
    Durham Veterans Affairs Medical Center
    04/2014 to 07/2014
  • IPA, Markedia Mason
    Durham Veterans Affairs Medical Center
    558/05
    07/2013 to 09/2013
  • IPA- Kyung Hee Lee
    Durham Veterans Affairs Medical Center
    07/2013 to 09/2013
  • Evaluation of Dementia-specific Oral Hygiene Program
    VA Office of Nursing Services Strategic Funding 2013
    03/2013 to 09/2013
    Project Goals: To evaluate a dementia-specific oral hygiene program on Veteran’s psychological well-being and oral health using the RE-AIM format.
  • Regulating Licensed Nursing Practice in Nursing Homes: Enacted RN and LPN Scopes of Practice and Care Outcomes
    National Council of State Boards of Nursing
    R50007
    01/2013 to 12/2014
    Role: Co-investigator
    Project Goals: To identify the set of behaviors and strategies that RN Directors of Nursing (DONs) in nursing homes and their licensed nursing staff can use to enact their full scope of practice to improve quality of care, accounting for between state differences in Nurse Practice Acts (NPAs).
  • Enhanced Geriatric Nursing Content for Family Nurse Practitioners
    Health Resources and Services Administration, Bureau of Health Professions
    D09HP18991-01-00
    07/2010 to 06/2013
    Role: Co-Investigator
    Project goals: To expand and revise the existing Master of Science in Nursing family nurse practitioner (FNP) curriculum at the Duke University School of Nursing (DUSON), to address the critical shortage of primary care providers in rural and underserved areas who are skilled in providing primary care of older adults.
  • CONNECT for Better Falls Prevention in VA Community Living Centers
    Department of Veterans Affairs, Health Services Research and Development
    EDU 08-417
    08/2009 to 07/2012
    Role: Co-Investigator
    Project Goal: This project will evaluate the effectiveness of two different approaches to provide education on falls prevention and also evaluate impact on resident-level outcomes.
  • Uniform Senior Assessment: Development of a Risk Assessment Instrument to Target Interventions to Improve Elder Care Transitions.
    Duke Translational Nursing Institute
    05/2010 to 06/2011
    Role: PI
    Project goals: The goal of this project is to develop specifications for an electronic medical record-based risk identification system to identify older adults at risk for rehospitalization or repeated emergency department use, based on statistical models Duke University and VA Health system data.
  • Implementation of Gerontology Nurse Specialist Curriculum
    Fulbright Specialists Grant
    01/2010 to 02/2010
    Role: PI and Fulbright Senior Specialist
    Project goals To train individuals providing geriatric care for the elderly by enhancing the knowledge, skills and leadership potential of registered nurses (RNs), through consultation with faculty at the University of the West Indies.
  • Durham Health Innovations Healthy Aging in Place (HIP)-Seniors Project
    National Institutes of Health
    04/2009 to 04/2010
    Role: Project PI
    This project seeks to develop innovative, evidence-based models of care to improve one or more public health indicators in Durham County. The project is one of 10 planning grants approved as part of the Duke Clinical Translational Science Award’s Community Research Initiative.
  • Evidence Based Nursing Practice in Geriatric Settings
    Health Resources and Service Administration
    5D62-HP01909-07-00
    09/2009 to 06/2012
    Role: PI
    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.
  • Regulating licensed nursing practice in nursing homes: RN delegation, LPN practice, and care outcomes
    National Council for State Boards of Nursing
    P19004
    07/2008 to 09/2010
    Role: Co-investigator
    Project Goal: To measure the relationships between state Nurse Practice Acts codification of RN delegation and LPN practice, and facility-level outcomes of care.
  • Partner Team for the NC New Organizational Vision Award (NC NOVA)
    North Carolina Foundation for Advanced Health Programs, Inc.
    03/2007 to 07/2007
    Role: Co-PI
    Project goals: Participate in partner team to assist in development of administrative rules, public education, and program evaluation metrics to promote sustained implementation of workforce improvement in LTC Project goals: To provide perspective of university-based School of Nursing on workforce development initiative.
  • Center of Excellence in Geriatric Nursing Education
    The Duke Endowment
    01/2008 to 12/2010
    Role: PI
    Project goals: This project seeks to expand the capacity for developing nursing faculty with expertise in geriatric nursing, through expanding career pathways, developing new models of clinical instructor development, and establishing a virtual community of nursing educators who share expertise in geriatric nursing education techniques.
  • Geriatric Education Center
    Health Resources and Services Administration, Bureau of Health Professions
    UB4HP19203-01-00
    09/2007 to 09/2010
    Role: Co-Director
    This project seeks to increase the ability of interdisciplinary health professions faculty to engage in interdisciplinary faculty development and coursework in geriatrics in the acute and long-term care through continuing education and mini-fellowship activities. A core component of the curriculum development includes a focus on cognitive dysfunction. In addition to standard educational evaluation methods, quality improvement at the patient care level will be evaluated.
  • Evidence Based Nursing Practice in Geriatric Settings
    Health Resources and Service Administration
    2-D62HP01909-04-00
    09/2006 to 06/2009
    Role: PI
    Project goals To train individuals providing 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. In this CE series RNs will focus on developing both the clinical geriatric knowledge and the leadership skills for working effectively with culturally diverse LPN and CNA staff to implement evidence-based clinical practice protocols for common geriatric syndromes such as prevention of dehydration, recognition and management of delirium, acute pain, infections, falls and dysmobility. The leadership skills component includes communication with a culturally diverse paraprofessional staff, effective staff motivation, task delegation, supervision, quality management, bedside teaching and team building. RN trainees will also be expected to plan and conduct a clinical practice improvement projected related to the geriatric syndromes in their sponsoring facility.
  • Creating Careers in Geriatric Advanced Practice Nursing
    John A. Hartford Foundation & American Association of Colleges of Nursing
    07/2005 to 06/2008
    Role: PI
    Project goals: To support nine matched scholarships for students pursuing full-time advanced practice gerontological nursing studies. Our goal, through these scholarships, is to graduate gerontological advanced practice nurses who are ideally poised to reshape the delivery of clinical care to older adults throughout the United States -- either through further study leading to careers in nursing science or education, or through leadership in the development and implementation of clinical improvements.
  • Diffusion of Innovations Measures for Translational Science in LTC: LPNs and CNAs
    University of Iowa
    NIH: P30-NR03979, Sub-Award No. 4000532306
    09/2005 to 03/2009
    Role: Subcontract PI
    Project goals: This study will develop and test a set of measures representing three domains within the Diffusion of Innovation (DOI) framework to assess readiness for adoption of evidence-based practices by LPNs and nursing assistants in long-term care (LTC). The study complements a study submitted to the Duke University TRAC Center to develop DoI measures for use by RNs. The measures developed will serve as a template for studying EBPs not yet widely used in long-term care and will accommodate diverse perspectives of each level of nursing personnel involved in direct care.
  • TRAC Pilot: Diffusion of Innovations Measurement for Translational Science in LTC: RNs
    National Institutes of Health / National Institute of Nursing Research
    2P20NR07795-01
    07/2005 to 12/2007
    Role: Pilot Study PI
    Project goals: This study will develop and test a set of measures representing three domains within the Diffusion of Innovation (DOI) framework to assess readiness for adoption of evidence-based practices by RNs in long-term care (LTC). The study complements a study submitted to the University of Iowa GNIRC to develop DoI measures for use by LPNs and CNAs. The measures developed will serve as a template for studying EBPs not yet widely used in long-term care and will accommodate diverse perspectives of each level of nursing personnel involved in direct care.
  • Leisure Time Activity Counseling to Improve Function in Elders (Project LIFE).
    Department of Veterans Affairs Rehabilitation Research & Development
    E2788-RA
    07/2004 to 06/2007
    Role: Co-investigator
    Project goals: The overall goal of this project is to determine, among older veterans followed by our primary care and geriatric clinics, whether physical activity counseling compared to usual care improves physical performance and related psychological outcomes. We also will examine the effects of physical activity counseling on health care costs.
  • Evidence Based Nursing Practice in Geriatric Settings
    Department of Health and Human Services
    1D62 HP01909-01
    09/2003 to 06/2006
    Role: PI
    Project goals: This proposal addresses the FY 2003 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. In this CE series RNs will focus on developing both the clinical geriatric knowledge and the leadership skills for working effectively with culturally diverse LPN and CNA staff to implement evidence-based clinical practice protocols for common geriatric syndromes such as prevention of dehydration, recognition and management of delirium, acute pain, infections, falls and dysmobility. The leadership skills component includes communication with a culturally diverse paraprofessional staff, effective staff motivation, task delegation, supervision, quality management, bedside teaching and team building. RN trainees will also be expected to plan and conduct a clinical practice improvement projected related to the geriatric syndromes in their sponsoring facility.
  • Content Validity of the MDS Med Guide
    American Society for Consulting Pharmacists Research and Education Foundation
    05/2001 to 09/2004
    Role: PI
    Project goals: (1) Assess content validity of the MDS-Med Guide (MMG) – a tool designed to better integrate knowledge of relationships between drug therapy and side effects and functional status of elderly patients into patient care planning process to enhance benefits realized from medication use while minimizing adverse effects, (2) Develop a process to routinely update the drugs, side effects, and functional status indicators on the MMG.
  • Bedside Clinical Direction in Long-Term Care Settings
    GlaxoSmithKline
    06/2003 to 05/2004
    Role: PI
    Project goals: To improve clinical outcomes for residents in long-term care (LTC) facilities through: (1) developing and evaluating an innovative model of bedside clinical direction in LTC, and (2) developing a new, interdisciplinary clinical rotation for geriatric medicine, nursing, and pharmacy students, to promote student involvement in implementing the bedside clinical direction model. In the Bedside Clinical Direction model, a gerontological advanced practice nurse (GAPN) links interdisciplinary specialty consultants (geriatric medicine, and pharmacy), supervisors of direct care workers in the residential care setting, and the caregivers themselves, to implement evidence-based care routines for residents with selected high prevalence problems such as infections, persistent pain, congestive heart failure, and diabetes mellitus.
  • Trajectories of Aging and Care in Nursing Science: TRAC Center Administrative Core
    National Institutes of Health - National Institute of Nursing Research
    2P20 NR07795-01
    09/2004 to 06/2008
    Role: Director, Administrative Core
    Project goals: Competing continuation application to continue the Trajectories of Aging and Care (TRAC) Center which is designed to enhance the capacity for nurse investigators to examine patterns of health, illness, and care among the elderly over time and across diverse settings, including home and institution. Sub-project goals: To expand the capacity for nurse scientists to conduct nurse-led interdisciplinary studies through providing longitudinal methods consultation, research support for pilot projects, and administrative support for the Duke Long Term Care Consortium.
  • Affective Responses to Prevention among Nursing Home Residents with Dementia
    RAND/Hartford Foundation Geriatric Interdisciplinary Research Center
    01/2003 to 12/2005
    Role: PI of Pilot Project
    Pilot Project Goals: This pilot study will develop methods to determine how affective status of elderly nursing home (NH) residents with dementia is influenced by daily nursing care directed at increasing daily physical activity to prevent decline in physical function. We also seek to learn how affective states (as viewed from patient, family, and clinician perspectives) influence NH residents’ responses to preventive care routines.
  • Creating Careers in Geriatric Advanced Practice Nursing
    John A. Hartford Foundation & American Association of Colleges of Nursing
    07/2002 to 06/2005
    Role: PI
    Project goals: To support nine matched scholarships for students pursuing full-time advanced practice gerontological nursing studies. Our goal, through these scholarships, is to graduate gerontological advanced practice nurses who are ideally poised to reshape the delivery of clinical care to older adults throughout the United States -- either through further study leading to careers in nursing science or education, or through leadership in the development and implementation of clinical improvements
  • Geriatric Interdisciplinary Team Training
    John A. Hartford Foundation
    09/2002 to 08/2003
    Role: Co-Investigator
    Project goals: Collaborate with colleagues in the Geriatrics Division to plan and implement an internet based curriculum on geriatric interdisciplinary care planning for aggregates of older adults, using palliative care as the model case.
  • Validation and Refinement of the MDS-Med Guide
    American Society of Consultant Pharmacists Research and Education Foundation
    08/2001 to 12/2002
    Role: PI
    Project goals: (1) Assess content validity of the MDS-Med Guide (MMG) – a tool designed to better integrate knowledge of relationships between drug therapy and side effects and functional status of elderly patients into patient care planning process to enhance benefits realized from medication use while minimizing adverse effects, (2) Develop a process to routinely update the drugs, side effects, and functional status indicators on the MMG.
  • Abilities-Focused Care Environments for Veterans with Dementia
    Veterans Administration Central Office: New Clinical Initiative Program
    NPI-01-002-1
    09/2001 to 12/2003
    Role: PI
    Project goals: This project will establish and evaluate innovations in dementia care practices and environments that are designed to improve demented patients’ function, behavior, and quality of life. The program will be implemented in existing VA nursing home care units (NHCUs), within the framework of the NHCUs’ current staffing levels. Specific objectives include (1) Establish an abilities-focused care program for veterans with dementia, consisting of changes in nursing care techniques and modifications to the physical environment of care, in 4 VA nursing home care units (NHCUs). (2) Evaluate the impact of the abilities-focused care program on veterans’ function and behavior, on veterans’ and their families’ satisfaction with care, and on NHCUs’ profiles on long-term care performance indicators. (3) Describe staff time requirements and environmental modification costs to implement the abilities-focused care program in VA NHCUs. (4) Facilitate dissemination of the abilities-focused care program to other NHCUs by compiling materials and procedures used to implement the program, and summarizing the evaluation of its impact and costs.
  • Distance-Based Gerontological Nursing Education in Exemplary Long-Term Care Settings
    Helene Fuld Health Trust
    07/2001 to 06/2003
    Role: PI
    Project goals: A two-year project implemented in four long-term care sites in both the eastern and western regions of NC to: (1) establish meaningful clinical collaboration among Duke faculty, LTC administrators, staff, and advanced practice nurses serving as preceptors; (2) adapt the curriculum in the gerontological nursing for distance-based delivery, complementing the core MSN courses already available online; (3) educate gerontological nurse practitioners in evidence-based practice through a web-based curriculum and supervised clinical placements in LTCC facilities; and (4) collaborate with nursing home staff in each facility to develop and implement a clinical care program which addresses a problem identified by the nursing home, and which utilizes an evidence-based practice approach.
  • Long-Term Care Consortium Scholars-in-Residence Program
    Dr. Scholl Foundation
    10/2001 to 09/2002
    Role: PI
    Project goals: Under the auspices of the School of Nursing’s Long-Term Care Consortium (LTCC), establish (1) a Scholar-in-Residence program, implemented on-site at LTCC facilities demonstrating the utility and benefit of conducting on-site research into topics of mutual interest to LTC providers and university faculty and (2) establish LTCC Fellowships for graduate nursing students specializing in geriatric care.
  • Gerontological Leadership and Outcomes Management Program
    Teagle Foundation
    07/1999 to 06/2000
    Role: Co-Investigator
    Project goals: To develop a innovative approach to preparing nurses for leadership positions in community-based, long term care settings
  • Effects of Functional Incidental Training (‘FIT’) in VA Nursing Home Care Unit Residents
    VA Rehabilitation Research & Development
    E98-1368RA
    09/1998 to 12/2003
    Role: Co-Investigator
    Project goals: To test an innovative rehabilitation intervention called functional incidental training (FIT) on functional status (transfer abilities, continence, ambulation or wheelchair mobility, balance, falls risk, strength and endurance) among older VA nursing home care unit residents. FIT is an individualized rehabilitation protocol that combines low intensity functionally oriented exercises (strength and endurance exercises) with prompted voiding, an approach to managing incontinence that has previously been shown to be successful in non-VA nursing homes.
  • Disability In Nursing Home Residents With Dementia
    National Institutes of Health / National Institute of Nursing Research
    1R29-NR04765-01
    09/1998 to 05/2004
    Role: PI
    Project goals: To increase understanding of how disability progresses, and to determine whether risk factors for worsening disability can be modified by existing nursing home staff, slowing the rate of functional decline in cognitively impaired residents. Specific aims include (1) analyzing trajectories of decline in functional status in long-stay nursing home residents with cognitive impairment to determine whether modifiable clinical and care factors influence decline; (2) identifying subgroups of nursing home residents with cognitive impairment who have atypical patterns of decline, characterized by either frequent fluctuations in ADL status or steeper than average slope of decline, and (3) examining the feasibility and preliminary effects of an intervention designed to reduce risk factors for disability progression in cognitively impaired long-stay nursing home residents.
  • Behavioral & Functional Problem in Dementia Patients with Sensory loss
    Department of Veterans Affairs Rehabilitation Research and Development
    E-2044
    07/1997 to 06/1999
    Role: Co-Investigator
    Project goals: (1) To describe the functional and behavioral problems experienced by nursing home patients with co-existing dementia and sensory loss. (2) To examine the independent and interactive effects of vision loss, hearing loss, and cognitive status on dependence in activities of daily living and behavioral disturbance. (3) To identify intervention strategies that may be feasible to reduce sensory impairment in nursing home residents with dementia.
  • Exercise, Axial Mobility and Function in Chronically Institutionalized Nursing Home Patient –Intervention Development Study of Claude D. Pepper Older Americans Independence Center
    National Institute on Aging
    P60-AG11268
    07/1992 to 06/1996
    Role: Co-Principal Investigator
    Project goals: (1) To develop a physical performance instrument to serve as a basis for exercise prescription in the frail elderly nursing home resident, (2) To examine the effects of a nurse-led group low intensity strength and flexibility exercise training program on disability and limitations in function among elderly long-stay nursing home residents.
  • Motor Activity and Nursing Care in Alzheimer’s Disease
    National Institute for Nursing Research
    F31-NR06673
    10/1991 to 05/1994
    Role: PI
    Project goals: To provide pre-doctoral training support and to examine the effects of motor activity patterns as a risk factor for decline in older adults with Alzheimer’s Disease.
  • Acute Confusion in Hospitalized Elderly: Patterns and Factors
    National Institute for Nursing Research
    R01 NR 3390
    07/1986 to 06/1988
    Role: Co-Investigator
    Project goals: To identify factors associated with the development of acute confusion (delirium) in older adults hospitalized on a general medical unit.
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