Margaret (Midge) T. Bowers, DNP, RN, FNP-BC, CHFN, CHSE, A.A.C.C., FAANP

Margaret (Midge) Bowers is MSN Assistant Program Director and Lead Faculty of the Adult Nurse Practitioner-Cardiovascular specialty in the School of Nursing MSN program. She is an Associate in the American College of Cardiology, and has over 30 years of experience in cardiac patient care. She holds a secondary appointment in the Department of Medicine as a Nurse Practitioner in Cardiovascular Medicine.


She earned her BSN from Binghamton University in 1981 and her MSN as a Clinical Nurse Specialist in critical care at the Duke University School of Nursing in 1990. She completed a Post-Master’s Certificate as a Family Nurse Practitioner at Duke in 1998 and joined the faculty of the School of Nursing in 1998. She earned the DNP degree from the University of Colorado-Denver in 2012.


Midge Bowers focuses her clinical practice on congestive heart failure. She also has extensive clinical experience in cardiology and critical care transport. She is a member of Sigma Theta Tau, the American Association of Critical Care Nurses, the National Organization of Nurse Practitioner Faculty, the Heart Failure Society of America, the American Association of Heart Failure Nurses, and the American Association of Nurse Practitioners.


Bowers is principal investigator on a Duke Translational Nursing Institute funded grant for the WEIGH-IN Study, which aims to identify the relationship between daily weights and early symptom recognition in patients with systolic and diastolic heart failure and evaluate the relationship of social support, medication and weight monitoring adherence, and symptom perceptions with heart failure-related hospital readmission and mortality.

Academic Program Affiliations
  • Doctor of Nursing Practice Program
  • Master of Science in Nursing Program
Education
  • DNP - University of Colorado-Denver
  • MSN - Duke University School of Nursing
Research Interests
Heart Failure
Innovative Teaching Tools
Online Education
Awards and Honors
  • 2015 || Named as one of "16 Great Acute Care Nursing Professors", AACN publication BOLD Voices
  • 2014 || AANP State Award for Nurse Practitioner Excellence - North Carolina, American Academy of Nurse Practitioners
  • 2012 || Outstanding Master of Science in Nursing (MSN) Faculty Award, Duke University School of Nursing
  • 2011 || Associate, American College of Cardiology
  • 2010 || Campus Technology Innovators Award presented to DUSON iNet Team for SimSoap: A Twitter Soap Opera, (Category: Teaching & Learning)
  • 2009 || Distinguished Teaching Award, Duke University School of Nursing
  • 2009 || Individual Recognition Award Nominee, Glaxo Smith Kline
  • 2006 || Outstanding Faculty Member of the Year, Duke University School of Nursing
  • 1986 || Sigma Theta Tau, Beta Epsilon chapter
Representative Publications
  • 2009 -- PubMed # : 19114412 -- Blood-Siegfried, J. and Bowers, M. T. and Lorimer, M. Is shock a key element in the pathology of sudden infant death syndrome (SIDS)? Biol Res Nurs. October, 2009 11(2); 187-94. PMC2989240
  • 2008 -- PubMed # : 18523222 -- Allen, L. A. and Yager, J. E. and Funk, M. J. and Levy, W. C. and Tulsky, J. A. and Bowers, M. T. and Dodson, G. C. and O'Connor, C. M. and Felker, G. M. Discordance between patient-predicted and model-predicted life expectancy among ambulatory patients with heart failure. JAMA. 299(21); 2533-42.
  • 2008 -- PubMed # : 18371490 -- Shah, M. R. and Whellan, D. J. and Peterson, E. D. and Nohria, A. and Hasselblad, V. and Xue, Z. and Bowers, M. T. and O'Connor, C. M. and Califf, R. M. and Stevenson, L. W. Delivering heart failure disease management in 3 tertiary care centers: key clinical components and venues of care. Am Heart J. April, 2008 155(4); 764.e1-5.
  • 2005 -- PubMed # : 16290955 -- Shah, M. R. and Claise, K. A. and Bowers, M. T. and Bhapkar, M. and Little, J. and Nohria, A. and Gaulden, L. H. and McKee, V. K. and Cozart, K. L. and Mancinelli, K. L. and Daniels, H. and Kinard, T. and Stevenson, L. W. and Mancini, D. M. and O'Connor, C. M. and Califf, R. M. Testing new targets of therapy in advanced heart failure: the design and rationale of the Strategies for Tailoring Advanced Heart Failure Regimens in the Outpatient Setting: BRain NatrIuretic Peptide Versus the Clinical CongesTion ScorE (STARBRITE) t Am Heart J. November, 2005 150(5); 893-8.
  • 2004 -- Bowers, M.T. Diuretics and nitrates (Chapter 30). 2004 341-348.
  • 2004 -- Bowers, M.T. Heart failure (Chapter 11). 2004 115-126.
  • 2002 -- Champagne, M. T. and Hewitt, D. and Short, N. and Brown, S. and Bowers, M. Access to opportunity: The Duke-East Carolina Partnership for Training Program. Journal of Asynchronous Learning Networks-Special Nursing Edition. August, 2002 6(2); .
  • 2000 -- PubMed # : 11072275 -- DeWald, T. and Gaulden, L. and Beyler, M. and Whellan, D. and Bowers, M. Current trends in the management of heart failure. Nurs Clin North Am. December, 2000 35(4); 855-75.
  • 2011 -- PubMed # : 21795935 -- Holt, J. E. and Flint, E. P. and Bowers, M. T. Got the picture? Using mobile phone technology to reinforce discharge instructions. Am J Nurs. August, 2011 111(8); 47-51.
  • 2011 -- PubMed # : 21251581 -- Sherwood, A. and Blumenthal, J. A. and Hinderliter, A. L. and Koch, G. G. and Adams Jr, K. F. and Dupree, C. S. and Bensimhon, D. R. and Johnson, K. S. and Trivedi, R. and Bowers, M. and Christenson, R. H. and O'Connor, C. M. Worsening depressive symptoms are associated with adverse clinical outcomes in patients with heart failure. J Am Coll Cardiol. January 25, 2011 57(4); 418-23.
  • 2011 -- Bowers, M. T. and Gilliss, C. L. and Davis, L. L. Acute and primary care advanced practice nursing: Past, present and future. 2011 114-145.
  • 1991 -- Bowers, M. T. The Hamlet disaster: a nursing perspective. Nursing Matters. 1991 2 .
  • 2011 -- PubMed # : 21362527 -- Sherwood, A. and O'Connor, C. M. and Routledge, F. S. and Hinderliter, A. L. and Watkins, L. L. and Babyak, M. A. and Koch, G. G. and Adams Jr, K. F. and Dupree, C. S. and Chang, P. P. and Hoffman, B. M. and Johnson, J. and Bowers, M. and Johnson, K. S. and Blumenthal, J. A. Coping effectively with heart failure (COPE-HF): design and rationale of a telephone-based coping skills intervention. J Card Fail. March, 2011 17(3); 201-7. PMC3073538
  • 2012 -- PubMed # : 22147884 -- Reed, S. D. and Li, Y. and Kamble, S. and Polsky, D. and Graham, F. L. and Bowers, M. T. and Samsa, G. P. and Paul, S. and Schulman, K. A. and Whellan, D. J. and Riegel, B. J. Introduction of the Tools for Economic Analysis of Patient Management Interventions in Heart Failure Costing Tool: a user-friendly spreadsheet program to estimate costs of providing patient-centered interventions. Circ Cardiovasc Qual Outcomes. January, 2012 5(1); 113-9. PMC3261318
  • 2012 -- Bowers, M. T. Managing arrhythmias in patients with heart failure. The Connection (American Association of Heart Failure Nurses Newsletter). Winter, 2012 .
  • 2011 -- PubMed # : 21807321 -- Shah, M. R. and Califf, R. M. and Nohria, A. and Bhapkar, M. and Bowers, M. and Mancini, D. M. and Fiuzat, M. and Stevenson, L. W. and O'Connor, C. M. The STARBRITE trial: a randomized, pilot study of B-type natriuretic peptide-guided therapy in patients with advanced heart failure. J Card Fail. August, 2011 17(8); 613-21.
  • 2012 -- Bowers, M. T. Professional issues in heart failure nursing (Chapter 11). February, 2012 265-276.
  • 2012 -- Bowers, M. T. Letter from Guest Editor and Research Corner: Atrial and ventricular arrythmias in heart failure. The Connection: American Association of Heart Failure Nurses Newsletter. Winter, 2012 .
  • 2010 -- Barzee, M. and Bowers, M. and Molloy, M. and Lanier, N. Love in the CND: Mistakes and Missed Connections [a SimSoap Opera] February 8-14, 2010 .
  • 2010 -- Barzee, M. and Bowers, M. and Molloy, M. and Lanier, N. A SimSoap: Using a Twitter narrative in nursing education. February 8-14, 2010 .
  • 2013 -- Bowers, M. T. Managing patients with heart failure. The Journal for Nurse Practitioners. November, 2013 9(10); 634-642.
  • 2015 -- PubMed # : 25819861 -- Granger, B. B. and Ekman, I. and Hernandez, A. F. and Sawyer, T. and Bowers, M. T. and DeWald, T. A. and Zhao, Y. and Levy, J. and Bosworth, H. B. Results of the Chronic Heart Failure Intervention to Improve MEdication Adherence study: A randomized intervention in high-risk patients. Am Heart J. April, 2015 169(4); 539-48.
  • 2011 -- Reed, S. D. and Li, Y. and Kamble, S. and Graham, F. and Polsky, D. E. and Bowers, M. T. and Paul, S. and Whellan, D. J. and Riegel, B. Development of a user-friendly cost estimation tool for heart failure patient-centered interventions: The TEAM-HF costing tool Heart and Lung The Journal of Acute and Critical Care. July, 2011 40(4); 387-388.
  • 2015 -- PubMed # : 26333603 -- Bowers, M. T. Cardiovascular Health Among an Underserved Population: Clinical Implications. Nurs Clin North Am. September, 2015 50(3); 457-64.
  • 2015 -- Carpenter, J. E. and Short, N. and Williams, T. E. and Yandell, B. and Bowers, M. T. Improving congestive heart failure care with a clinical decision unit. Nursing Economic$. Sep-Oct, 2015 33(5); 255-262.
  • 2014 -- Bowers, M. T. and Baas, L. Setting up systems of care. 2014 .
  • 2015 -- Bowers, M. T. Professional issues in heart failure nursing (Chapter 11). 2015 263-270.
Grant Funding (Selected)
  • The Relationship Between Daily Weight Monitoring and Early Symptom Recognition in Patients with Chronic Systolic and Diastolic Heart Failure (Weigh-In CHF)
    American Association of Critical Care Nurses
    03/2008 to 02/2010
    Role: PI
    Project Goal: To identify the relationship between daily weights and early symptom recognition in patients with systolic and diastolic heart failure. Secondary objectives include evaluating the relationship of social support, medication and weight monitoring adherence, and symptom perceptions with heart failure related hospital readmission and mortality.
  • Tools for Economic Analysis of Patient Management Interventions in Heart Failure
    National Institutes of Health; National Institute of Nursing Research
    09/2009 to 09/2011
    Role: Co-PI
    Project Goals: To develop tools to allow investigators to conduct high-quality economic evaluations of healthcare interventions, particularly those that involve patient-focused education or behavioral modification. To develop a disease simulation model designed to evaluate short- and long-term costs and health outcomes associated with patient-focused interventions. To build a disease simulation model that can be used by other research groups or healthcare managers to evaluate the cost-effectiveness of specific interventions aimed at patients with heart failure. The model will be designed specifically to allow users to define their patient cohort at baseline and integrate the observed effect(s) of the intervention. The model will apply these inputs and run simulations to project expected short-term and long-term effects on costs and health outcomes, including quality-adjusted life-years.
  • Creating a National Model for Nurse Educator Preparation at the Master’s Level
    HRSA Advanced Education Nursing Program
    07/2009 to 06/2012
    Role: Consultant
    Project Goals: To prepare graduates as advanced generalists capable of teaching prelicensure personnel. Consultant for development of acute care course content.
  • Durham Health Innovations: VIP (Vascular Improvement Project)
    Duke Translational Institute
    07/2009 to 06/2010
    Role: Steering committee member
    Duke Translational Institute: Grants to Plan Innovative Duke-Durham Partnered Approaches to Specific Health Problems in Durham County Project Goals (PIs K. Thomas & S. Elliott-Bynum): We will identify specific Durham locales that display a high prevalence of cxhronic cardiac disease, hypertension and kidney disease, and we will construct community-based programs to aggressively manage hypertension in the targeted areas to improve the health of residents.
  • Expecting Success in Cardiac Care: Reducing Racial Disparities
    Robert Wood Johnson Foundation
    07/2005 to 06/2008
    Role: Leader of Community Demonstration Project
    Project Goal: Evaluate racial disparities in cardiac care in the Durham community. Goals focus on inpatient and outpatient cardiac care for African American and Latino population. Community Demonstration Project Leader role encompassed acting as liaison with medical and nursing leadership at the community health center. Provided care as a nurse practitioner in the Lincoln Community Health Clinic October 2005-July 2007. Participate in twice monthly Heart Failure Consult clinic at this site in the Durham community.
  • Adult Physical Exam Video Project
    Duke Center for Instructional Technology Jump Start grant
    04/2006 to 04/2007
    Role: Project faculty
    This project created video series that demonstrate a specific adult physical examination taught in N332 Physical Assessment. The various formats of the videos were integrated to online courses posted in Blackboard, to self-paced web tutorials for online learning and to video iPods for mobile learning.
  • STARBRITE
    American Heart Assoc., American College of Cardiology, Duke Clinical Research Institute, Biosite Diagnostics, Inc.
    4389/03/12R1
    07/2003 to 06/2006
    Role: Co-PI
    Project Goal: To evaluate strategies for tailoring heart failure regimens in the outpatient setting comparing BNP levels with Clinical Congestion Score.
  • Simulation in Critical Decision Making: Train the Trainer
    National League for Nursing
    01/2001 to 01/2004
    Role: Co-PI
    Project Goal: To identify alternate methods of providing preceptor education to rural preceptors in the Nurse Practitioner and CRNA specialties using clinical simulation.
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