Ruth Anderson, RN, PhD, FAAN

Dr. Anderson served as the Associate Dean for Research in the UNC School of Nursing until July 2021. Her research focuses on chronic illness and care outcomes for older adults. Her research expertise includes using complexity science and the adaptive leadership framework in research about trajectories of chronic illness and care systems. She employs quantitative, qualitative, and mixed method study designs in her research program. She has been funded by numerous agencies to support her work and is in her 13th year of continuous funding from the National Institutes of Health. Her major accomplishments have been to:

• Pioneer use of complexity theory and management science in nursing for analysis of relationships and management practices needed to provide high quality care to older adults in long-term care.
• Develop and test the CONNECT for Quality intervention to reduce falls in nursing homes (NIH/NINR; R01NR003178 ).
• Pioneer application of adaptive leadership theory, derived from complexity science, in studying the intersection of chronic illness and care systems to improve symptom management in chronic illness, particularly for older adults and their families.

Dr. Anderson has significant experience developing research infrastructure for supporting research development. She was Director of the Pilot-Feasibility Core of the NINR funded P20 Center (P20NR07795, Clipp PI) from 2001-2007, Trajectories of Aging and Care and was MPI (with Docherty) and Director of the NINR funded P30 Center (P30NR014139), Center for Adaptive Leadership in Symptom Science from 2012 – 2015.

BIBLIOGRAPHY and products of scholarship (as applicable):

Books and Chapters, including pages

Book Chapters

Refereed Papers/Articles

In Press/Submitted (for refereed articles only) 

Published abstracts

Other, including book reviews and other products of scholarship  (with electronic links displayed, if relevant)

 Editorials

Research Grants

• • • Project Number: 1 R15 NR016088-01
      Status on Grant: Co-I
      Proposed Project Period:09/01/2015 – 08/31/2017
      MPIs: Corazzini/Vogelsmeier
      Source: NIH/NINR
      Annual Direct Costs: $150,000
      Title of Project: PRACTICE to Improve Quality of Care in Nursing Homes
      Purpose. The purpose of this study is to estimate effects of an intervention to improve assessment and care planning in nursing homes on avoidable hospitalizations of residents, and the nursing management of three, common conditions related to avoidable hospitalizations, including congestive heart failure, urinary tract infections, and aspiration pneumonitis.
    • Project Number: N/A
      Status on Grant: Co-I
      Proposed Project Period: 06/01/2015 – 12/31/2018
      PI: Estabrooks, C.A.; Wagg, A. Co-PI
      Source: Canadian Institutes of Health Research, Open Operating Grant
      Annual Direct Costs: $756,827 (total)
      Title of Project: Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM)
      Purpose. To systematically evaluate a tailored intervention targeting the leaders of clinical microsystems (care units) in nursing home settings. The intervention is designed to feedback performance data for improvement.

ACTIVE

• • • Project Number: N/A
      Status on Grant: Investigator
      Proposed Project Period: 4/1/15-3/31/16
      MPI: Plassman
      Source: Psychiatry Research Incentive Development (PRIDe) Program Pilot
      Annual Direct Costs: $14,587
      Title of Project: Pilot Study to develop a caregiver-assisted oral health intervention for individuals with memory problems
      Purpose The purpose of this study is to pilot an intervention designed to prepare care partners of individuals with mild dementia to adapt oral care strategies and to lead the partner with dementia in addressing challenges arising from mild dementia that interfere with accomplishing good oral hygiene. This grant funds personal hours and equipment not covered in the ORA small grant below.
    • Project Number: N/A
      Status on Grant: Co-I
      Proposed Project Period: 03/01/15 – 02/28/16
      MPIs: Corazzini/Lepore
      Source: Duke-RTI FLARE Seed Fund™.
      Annual Direct Costs: $100,000
      Title of Project: Adaptive Leadership for Person-Directed Care in Nursing Homes
      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.
    • Project Number: N/A
      Status on Grant: MPI
      Proposed Project Period: 1/1/15-12/31/15
      MPI: Ruth Anderson (Wu and Plassman)
      Source: Duke University School of Nursing Annual Direct Costs: $10,000
      Title of Project: Dementia Care Partners as Adaptive Leaders for Improving Oral Health: Intervention Development
      Purpose The purpose of this study is to pilot an intervention designed to prepare care partners of individuals with mild dementia to adapt oral care strategies and to lead the partner with dementia in addressing challenges arising from mild dementia that interfere with accomplishing good oral hygiene.
    • Project Number: N/A
      Status on Grant: MPI
      Proposed Project Period: 1/1/15-12/31/15
      MPI: Bei Wu (Plassman and Anderson)
      Source: Duke University School of Nursing Annual Direct Costs: $10,000
      Title of Project: Development of an Intervention to Improve Oral Health for Individuals with Mild Dementia
      Purpose The purpose of this study is to pilot an intervention designed to prepare care partners of individuals with mild dementia to adapt oral care strategies and to lead the partner with dementia in addressing challenges arising from mild dementia that interfere with accomplishing good oral hygiene.
    • Project Number: 1 R34 DE023881-01
      Status on Grant: Co-I.
      Proposed Project Period: 8/1/14-7/31/15
      PIs: Wu and Plassman
      Source: National Institute of Dental and Craniofacial Research, NIH
      Annual Direct Costs: $242,000
      Title of Project: Developing an Oral Health Intervention for Individuals with Mild Dementia
      Purpose: The goal of this project is to plan for a randomized clinical trial to improve oral health in individuals with mild dementia through implementation of a care-giver assisted behavioral intervention. The proposed future clinical trial will use an Adaptive Leadership Framework and Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) model as the basis for the intervention.
    • Project Number: RPG 14-002
      Status on Grant: Co-I
      Proposed Project Period:
      07/01/14 – 06/30/15
      PI: Corazzini
      Source: National Harford Centers of Gerontological Nursing Excellence
      Annual Direct Costs: $10,000
      Title of Project: Practical nurse Registered nurse and Aide, Collaborative Team in CarE (PRACTICE) Intervention Planning Grant
      Purpose: To develop the team infrastructure and intervention materials of the PRACTICE intervention to reduce avoidable nursing home resident hospitalizations by targeting how assessment and care planning, delegation and supervision occur in nursing homes.
    • Project Number: 3R01NR003178-11S1
      Status on Grant: MPI
      Proposed Project Period: 09/26/13-06/30/15
      MPI: Ruth Anderson (with Colón-Emeric)
      Source: National Institute of Nursing Research, National Institutes of Health
      Annual Direct Costs: $47,663
      Title of Project: Supplement to Outcomes of Nursing Management Practice in Nursing Homes
      Purpose: This grant supports the research development of Michael Cary, RN, PhD who will examine trajectories of function and falls in short stay-residents in nursing homes, thus contributing to the work of the parent grant.
    • Project Number: 1P30NR014139-01
      Status on Grant: MPI
      Proposed Project Period: 09/26/12-06/30/17
      MPI: Ruth Anderson (with Sharron Docherty)
      Source: National Institute of Nursing Research, National Institutes of Health
      Annual Direct Costs: $312,000 ($2,313,409 total)
      Title of Project: Center for Adaptive Leadership in Symptom Science
      Purpose: The Center of Excellence (P30), “Adaptive Leadership for Cognitive/Affective Symptom Science (ADAPT) at Duke University School of Nursing (DUSON), will promote biobehavioral research to advance symptom science using a new lens—the Adaptive Leadership (AL) framework—to conceptualize and study cognitive/affective symptoms, and/or intervene in ways that promote patients’ and their family caregivers’ adaptive abilities.
    • Project Number: 1R21NR013461 – 01
      Status on Grant: Co-I
      Proposed Project Period: 04/01/12 to 03/31/14; NCE
      PI: Donald E. Bailey
      Source: National Institute of Nursing Research, National Institutes of Health
      Annual Direct Costs: $150,000
      Title of Project: Patient self-management and gene guided therapy for CHC
      Purpose: This 2 year exploratory mixed-methods longitudinal case study will describe the patients’ and providers’ explanations of how and why they engage in technical work, adaptive work, and/or adaptive leadership and how these strategies promote or pose barriers to patients’ self-management of chronic hepatitis C in the context of new genetic marker and treatments.
    • Project Number: R01NR003178
      Status on Grant: MPI
      Proposed Project Period: 08/05/11-06/30/16
      MPI: Ruth Anderson (with Colón-Emeric)
      Source: National Institute of Nursing Research, National Institutes of Health
      Annual Direct Costs: $526,341 ($3,482,926 total)
      Title of Project: Outcomes of Nursing Management Practice in Nursing Homes
      Purpose: This research will test the benefit of a new staff interaction intervention (CONNECT) over and above a falls quality improvement intervention in reducing patient fall rates in nursing homes.

PAST (recent, selected)

• • • Project Number: NCSBN-R500073
      Status on Grant: Co-I
      Proposed Project Period: 12/01/12 – 11/31/14
      PI: Corazzini
      Source: National Council for State Boards of Nursing
      Annual Direct Costs: $125,000
      Title of Project: Regulating Licensed Nursing Practice in Nursing Homes: Enacted RN and LPN scope of practice and care outcomes
      Purpose: 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).
    • Project Number: NCSBN P19004
      Status on Grant: Co-I
      Approved Project Period: 10/01/10-9/31/12
      PI: Corazzini
      Source: National Council for State Boards of Nursing
      Annual Direct Costs: $125,000
      Title of Project: Regulating Licensed Nursing Practice in Nursing Homes: How RN and LPN scopes of practice are enacted
      Project Goals: To: 1) describe practice patterns that RNs and LPNs used to implement their scope of practice in relation to five core practice components, including assessment, care planning, delegation, evaluation, and supervision; 2) compare these practice patterns between two states which have different regulations concerning the core practice components; and 3) develop a facility-level tool to measure these licensed nursing practice patterns.
    • Project Number: R56NR003178 – 09SI
      Status on Grant: PI
      Proposed Project Period: 05/13/10-08/31/10, NCE 01/28/11
      PI: Ruth Anderson (with Colón-Emeric)
      Source: National Institute of Nursing Research, National Institutes of Health
      Annual Direct Costs: $16,924
      Title of Project: Supplement to Outcomes of Nursing Management Practice in Nursing Homes
      Project aims. To fund four, 2nd-degree Bachelor of Science in Nursing students to enhance or accelerate achievement of parent study aims by assisting in collecting follow-up measures, assessing reliability and validity; assisting in administering the FALLS intervention, and assisting in describing baseline differences in the staff interaction measures between nursing homes across study arms.
    • Project Number: 1R01HS017532-01A1
      Status on Grant: PI-Subcontract
      Proposed Project Period: 04/01/10 – 01/31/12
      PI: Nicholas Castle
      Source: Agency for Healthcare Research and Quality
      Annual Direct Costs: $15,675
      Title of Project: Agency Staffing and Nursing Home Quality
      Project aims are to: (1) examine association between use of agency staff and quality indicators in nursing homes; (2) determine at what points use of agency staff are most negatively associated with quality indicators; (3) determine whether effect of use of agency staff on quality varies across different categories of caregivers (i.e., RNs, LPNs, and NAs); and (4) examine whether the association between agency use and quality is influenced by the interaction with other staffing factors such as caregiver staffing levels.
    • Project Number: R56NR003178
      Status on Grant: PI
      Proposed Project Period: 09/01/09-08/31/10, NCE -7/31/11
      PI: Ruth Anderson (with Colón-Emeric)
      Source: National Institute of Nursing Research, National Institutes of Health
      Annual Direct Costs: $445,000
      Title of Project: Outcomes of Nursing Management Practice in Nursing Homes
      This research will test the benefit of a new staff interaction intervention (CONNECT) over and above a falls quality improvement intervention in reducing patient fall rates in nursing homes.
    • Project Number: EDU 08-417
      Status on Grant: Co-I
      Proposed Project Period: 8/1/09 – 07/31/12
      PI: Cathleen Colon-Emeric/
      Source: VA Health Services Research and Development
      Annual Direct Costs: $300,000
      Title of Project: CONNECT for Better Falls Prevention in VA Community Living Centers.
      Longitudinal, randomized, controlled trial to compare the uptake of fall risk factor reduction practices and patient falls in nursing homes, under two approaches to education: (1) FALLS, which is delivered using content-focused approaches to education (standard quality improvement) and (2) FALLS as described above, plus CONNECT, which is delivered using learner-centered approaches and is intended to increase information exchange among staff, increase direct care nursing providers’ participation in decision-making, and increase cognitive diversity when implementing evidence-based care practices.
    • Project Number: NCSBN P19004
      Status on Grant: Co-I
      Proposed Project Period: 7/01/08-6/30/10, NCE 09/30/10
      PI: Corazzini
      Source: National Council for State Boards of Nursing
      Annual Direct Costs: $125,000
      Title of Project: Regulating Licensed Nursing Practice in Nursing Homes: Enacted RN and LPN scope of practice and care outcomes
      Purpose: To measure the relationships between State Nurse Practice Acts codification of RN delegation and LPN practice, and facility-level outcomes of care.
    • Project Number: NA
      Status on Grant:
      PI Proposed Project Period: 4/01/08 – 4/30/09
      PI: Ruth Anderson
      Source: DUSON Small Grant
      Annual Direct Costs: $10,000
      Title of Project: Manualizing an intervention to improve quality of care in nursing homes
      Project aims: This project goal is to develop and test the CONNECT intervention manual.
    • Project Number: R01 HS16808
      Status on Grant: PI-Subcontract
      Proposed Project Period: 04/01/07 – 03/31/09
      PI: Nicholas Castle
      Source: Agency for Healthcare Research and Quality, National Institutes of Health
      Annual Direct Costs:
      Subcontract $15,885
      Title of Project: Staffing Characteristics of Nursing Homes and Quality
      Project aims: to examine the associations between staffing levels, turnover, stability, and use of agency staff and quality, not only for licensed practical nurses (LPNs), and registered nurses (RNs), but also for nurse aides (NAs).
    • Project Number: R01 AG027896
      Status on Grant: PI-Subcontract
      Project Period: 07/01/06 to 04/30/07
      PI: Nicholas Castle
      Source: National Institute of Aging, National Institutes of Health
      Annual Direct Costs: Subcontract $15,000
      Title of Project: The Influence of Staff Turnover on Quality
      Project aims: To examine whether turnover of RNs, LPNs, and NAs influence quality of care.
    • Project Number: None assigned
      Status on Grant Co-PI
      Approved Project Period: 7/1/06-6/30/07
      PI: Corazzini
      Source: University of Iowa GNIRC/Hartford Center Annual Direct Costs: $10,000
      Title of Project: Translating Nursing Systems Science into Practice in LTC: The PALS Intervention
      Project Goal: To develop a culturally relevant, feasible and acceptable methodology for translating systems-level empirical findings into practice which will serve as the basis for an intervention amenable to testing in a randomized-controlled trial design
    • Project Number: 2P20NR07795-04
      Status on Grant: Director, Pilot/Feasibility Studies Core
      Proposed Project Period: 9/15/04 to 6/07
      PI: Elizabeth Clipp
      Source: National Institute of Nursing Research
      National Institutes of Health
      Annual Direct Costs: $199,742 ($924,000)
      Title of Project: Trajectories of Aging and Care in Nursing Science
      Project goals: Establish the Trajectories of Aging and Care (TRAC) Center 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 Title: TRAC Center Pilot/Feasibility Studies Core
      Sub-project goals: To encourage and support research in gerontological nursing, facilitate effective use of funds for expanding our knowledge of trajectories of aging and care.
    • Project Number: K23AG24787-01
      Status on Grant: Co-Mentor
      Proposed Project Period: 7/1/04-6/30/09
      PI: Cathleen S. Colón-Emeric, MD, MHSc
      Source: National Institutes of Health, National Institute on Aging
      Annual Direct Costs: $143,998 ($775,409)
      Title of Project: Evidence-Based Medicine in Skilled Nursing Facilities
      Project goals: The purpose of this project is to explore the impact of systems and provider factors on clinical practice guideline implementation in the SNF.
    • Project Number: K23AG24787-01
      Status on Grant: Co-Mentor
      Proposed Project Period: 7/1/04-6/30/09
      PI: Cathleen S. Colón-Emeric, MD, MHSc
      Source: National Institutes of Health, National Institute on Aging
      Annual Direct Costs: $143,998 ($775,409)
      Title of Project: Evidence-Based Medicine in Skilled Nursing Facilities
      Project goals: The purpose of this project is to explore the impact of systems and provider factors on clinical practice guideline implementation in the SNF. Specific aims are to, 1) describe the impact of systems factors (relationship patterns, management practices, and information flow) and provider factors (knowledge, attitudes, and beliefs) on the use of two different clinical practice guidelines in selected SNFs; 2) compare the barriers and facilitators to guideline use between higher and lower-quality SNFs; and 3) develop a model of systems and provider factors that foster clinical practice guideline use.
    • Project Number: 3 R01 NR03178-05S1
      Status on Grant: PI
      Proposed Project Period: 7/15/03 to 03/31/07
      PI: Ruth Anderson
      Source: National Institute of Nursing Research
      National Institutes of Health
      Annual Direct Costs: $64,500 ($360,000)
      Title of Project: Minority Supplement: Outcomes of Nursing Management Practice in Nursing Homes
      Project goals: This grant will support Dr. Utley-Smith who will support the existing grant, particularly in areas of data analysis and interpretation. The existing grant, in turn, will provide her with opportunities to advance her own research skills and enhance her potential to develop a significant, independent research program.
    • Project Number: 2 RO1 NR03178-04A2
      Status on Grant: PI
      Proposed Project Period: 05/01/02 to 01/31/08
      PI: Ruth Anderson
      Source: National Institute of Nursing Research
      National Institutes of Health Annual Direct Costs: $310,244 ($1,694,354)
      Title of Project: Outcomes of Nursing Management Practice in Nursing Homes
      Project goals: To describe and explain how relationship patterns and nursing management practices lead to behaviors that result in high quality or poor quality outcomes in nursing homes. Specific aims are to: 1) describe relationship patterns; 2) explore staff’s and managers’ understanding of relationship patterns and nursing management practices in use; 3) compare relationship patterns and nursing management practices between homes with high-quality and poor-quality resident outcomes; and 4) develop a model of the relationship patterns and nursing management practices that foster better outcomes.
    • Project Number: 1P20NR07795-01
      Status on Grant: Co-PI
      Proposed Project Period: 9/15/01 to 9/14/02
      PI: Kirsten Corazzini-Gomez
      Source: National Institute of Nursing Research
      National Institutes of Health Annual Direct Costs:
      Captured in P20 grant
      Title: Facility level influences on trajectories of physical function in long-stay nursing home residents
      Project goals: 1) to examine stability of organizational attributes of management structure, staffing, unit specialization and risk-adjusted quality indicators of care processes (as developed by Zimmerman et al 1995) across a 2-year time period; and 2) to identify subgroups of nursing home residents by disability risk factors of pathology, impairments, and limitations, that experience more rapid decline in ADL performance as a result of facility structure and care processes using multilevel modeling.
    • Project Number: 1P20NR07795-01
      Status on Grant: Director, Pilot/Feasibility Studies Core
      Proposed Project Period: 9/15/01 to 9/14/04
      PI: Elizabeth Clipp
      Source: National Institute of Nursing Research
      National Institutes of Health
      Annual Direct Costs: $150,000 ($692,766)
      Title of Project: Trajectories of Aging and Care in Nursing Science
      Project goals: Establish the Trajectories of Aging and Care (TRAC) Center to enhance the capacity for nurse investigators to examine patterns of health, illness, and care among the elderly over time.
      Sub-project Title: TRAC Center Pilot/Feasibility Studies Core
      Sub-project goals: To encourage and support research in gerontological nursing, facilitate effective use of funds for expanding our knowledge of trajectories of aging and care.
    • Project Number:
      Status on Grant: Co-PI
      Approved Project Period: 12/01/98 to 11/30/00, NCE to 11/01
      PI: Frank Sloan
      Source: Robert Wood Johnson Foundation
      Annual Direct Costs: $135,000 ($349,998)
      Title of Project: Hospital Ownership Conversion
      Project goals: To study why hospitals choose to convert and why they change ownership and how conversion affects hospitals’ internal decision making processes.
    • Project Number: MDA-905-98-Z-0032
      Status on Grant: Co-PI 11/98 – 11/00 PI 12/00 – 8/31/02
      Approved Project Period: 7/01/98 to 6/30/01
      No cost extension to 8/31/02
      PI: Anderson (assumed from Allred 12/00)
      Source: TriService Nursing Research Program
      Annual Direct Costs: $100,608 ($442,805)
      Title of Project: A Randomized Trial of RN Coordinated Prevention Services
      Project Goal: The goals are to: 1) Determine if a Primary Care Nurse Liaison model of health promotion/disease prevention coordination increases quality outcomes significantly over usual care for active duty soldiers and 2) Determine the risk factor and chronic disease profile of active duty soldiers.
    • Project Number: RO1 NR03178
      Status on Grant: PI
      Approved Project Period: 09/01/94 to 06/30/97, NCE to 06/98
      PI: Ruth Anderson
      Source: National Institute of Nursing Research
      National Institutes of Health
      Annual Direct Costs: $160,000 ($748,298)
      Title of Project: Outcomes of Nursing Management Practice in Nursing Homes
      Project goals: To explore relationships between nursing management practices and contextual factors and examine independent and joint influences on patient, staff, and financial outcomes in nursing homes.

Other Past Research Grants

• • • Anderson, R. Principal Investigator. “Case-Study on Outcomes of Nursing Management Practice in Nursing Homes.” The University of Texas at Austin, Faculty Development Program, Faculty Research Assignment, 9/1/96-5/31/97, $25,852.
    • Anderson, R. Principal Investigator. “Patient and Provider Perspectives on Outcomes in Home Health Care.” Biomedical Research Support Grant (BRSG), The University of Texas at Austin, School of Nursing, 3/10/93-8/31/94, $1,890.
    • Anderson, R. Principal Investigator. “Creation of a Database for Evaluating Nursing Home Outcomes.” Biomedical Research Support Grant (BRSG), The University of Texas at Austin, School of Nursing, 1/15/93-8/31/94, $3,037.
    • Anderson, R. Principal Investigator. “Influence of Contextual Factors and Decision Making on Nursing Home Performance Outcomes.” Summer Research Award, Funded by the University Research Institute, The University of Texas at Austin, 6/1/91-8/31/91, $9,972.
    • Anderson, R. Principal Investigator. “Impact of External Environments on Urban Nursing Homes in Texas.” Funded by the Policy Research Institute, The University of Texas at Austin, 7/16/90-8/2/90, $3,304.
    • Anderson, R. Principal Investigator. “Establishing the Validity and Reliability of the Nursing Participation in Decision Making Instrument and the Environment Turbulence Scale.” Support for data entry. Funded by the University Research Institute, The University of Texas at Texas, July-August, 1990, $720.
    • Anderson, R. Principal Investigator. “Establishing the Validity and Reliability of the Nursing Participation in Decision Making Instrument.” Funded by the American Nurses’ Foundation, 10/89-9/90, $2,166.
    • Anderson, R. Principal Investigator. “Establishing the Validity and Reliability of the Nursing Participation in Decision Making Instrument and the Environmental Turbulence Scale.” Funded by BRSG, School of Nursing, University Research Institute, University of Texas at Austin, 7/89-3/90, $1,488.
    • Anderson, R. Principal Investigator. “Preliminary work in a study of decision making in nursing homes.” University Research Institute, The University of Texas at Austin, January 1989, $300.

Training Grants:

ACTIVE

• • • Project Number: N/A
      Status on Grant Mentor
      Approved Project Period: 5/-01/15-07/31/15
      PI: Yuting Song
      Source: Duke Global Health Institute
      Annual Direct Costs: $ 5,000
      Title: Resident Challenges with Daily Life in Chinese Nursing Homes: A Mixed Methods Study
      Project Goal: This award will support international travel and research support for Ms. Song to conduct her dissertation data collection in Mainland China.

PAST

• • • Project Number: 1F31NR013327-01A1
      Status on Grant Co-Mentor
      Approved Project Period: 08/01/12-07/31/13
      PI: Judith Adams
      Source: NIH, National Institute of Nursing Research Annual Direct Costs: $ 32,000
      Title of Project: Family Perceptions of Strategies to Facilitate End-of-Life Decisions.
      Project Goal: Pre-doctoral study to explore how family members respond to nursing strategies to support EOL decision-making.
    • Project Number: n/a
      Status on Grant
      Primary Mentor Approved Project Period: 07/01/12-06/30/14
      PI: Tracey Yap
      Source: John A. Hartford Foundation Building Academic Geriatric Nursing Capacity
      Annual Direct Costs: $ 60,000
      Title of Project: Evaluation of the Nursing Culture Assessment Tool as a basis for improving prevention of pressure ulcers in long-term care.
      Project Goal: Post-Doctoral Study At Duke University School of Nursing to explore nursing
      culture and its measurement in nursing homes.
    • Project Number: n/a
      Status on Grant Co- Mentor
      Approved Project Period: 07/01/12-06/30/14
      PI: Melissa Aselage
      Source: John A. Hartford Foundation Building Academic Geriatric Nursing Capacity
      Annual Direct Costs: $ 60,000
      Title of Project: Comparison of careful hand-feeding techniques for older persons with dementia.
      Project Goal: Post-Doctoral Study At Duke University School of Nursing to test hand-feeding techniques in nursing homes with cognitively impaired residents.
    • Project Number: DUSON Post Doc
      Status on Grant: Co-Mentor
      Approved Project Period: 10/01/11 – 09/29/13
      PI: Selina Hunt McKinney
      Source: DUSON
      Annual Direct Costs: DUSON
      Title of Project: Director of Nursing Leadership and Quality of Nursing Home Care: The impact
      of DON turnover and practice patterns on care quality over time.
      Project Goal: To describe the relationships between nursing practice environments, DON turnover, and quality of care outcomes over time in NC nursing homes, controlling for contextual and market factors.
    • Project Number: 5 F31 NR012870-02
      Status on Grant: Primary Sponsor
      Approved Project Period: 09/01/11-08/31/13
      PI: Jennifer Day
      Source: National Institute of Nursing Research Annual Direct Costs: $41,380
      Title of Project: Compassion Fatigue in Adult Daughter Caregivers
      Project Goal: Pre-Doctoral Study At Duke University School of Nursing to train in research methods and conduct a qualitative study of compassion fatigue in adult daughter caregivers.
    • Project Number: n/a
      Status on Grant: Co-Mentor
      Approved Project Period: 07/01/11-06/30/13
      PI: Mark Toles
      Source: T32NR009356, University of Pennsylvania School of Nursing, Individualized Care for At Risk Older Adults
      Annual Direct Costs: $ 59,712
      Title of Project: Variations in Transitional Care in Skilled Nursing Facilities
      Project Goal: Post-Doctoral Study At University of Pennsylvania.
    • Project Number: n/a
      Status on Grant: Primary Mentor
      Approved Project Period: 07/01/11-06/30/13
      PI: Mark Toles
      Source: John A. Hartford Foundation Building Academic Geriatric Nursing Capacity
      Annual Direct Costs: $ 59,712
      Title of Project: Variations in Transitional Care in Skilled Nursing Facilities
      Project Goal: Post-Doctoral Study At Duke University School of Nursing to explore post-acute transitional care in nursing homes.
    • Project Number: 1R36HS020161-01
      Status on Grant: Faculty Sponsor
      Approved Project Period: 3/01/11 – 02/29/12
      PI: Rebecca Kitzmiller
      Source: Agency for Healthcare Research and Quality
      Annual Direct Costs: $33,738
      Title of Project: Making Sense of Health Information Technology in an Academic Medical Center
      Project Goal: Explore the role of project teams’ sensemaking during the implementation of new information technology in a tertiary care hospital.
    • Project Number: n/a
      Status on Grant: Primary Mentor
      Approved Project Period: 09/01/10-08/31/12
      PI: Thornlow, Deirdre
      Source: John A. Hartford Foundation Building Academic Geriatric Nursing Capacity, Claire M. Fagin Postdoctoral Fellowship in Geriatric Nursing Annual Direct Costs: $ 60,000
      Title: Cascade Iatrogenesis: Postoperative Respiratory Failure in Hospitalized Older Adults.
      Project Goal: To examine factors associated with the development of adverse events in hospitalized older adults, especially those factors that contribute to cascade iatrogenesis, the serial development of multiple medical complications
    • Project Number: n/a
      Status on Grant Primary Mentor
      Approved Project Period: 07/01/10-06/30/12
      PI: Carthron, Dana
      Source: John A. Hartford Foundation Building Academic Geriatric Nursing Capacity, Claire M. Fagin Postdoctoral Fellowship in Geriatric Nursing
      Annual Direct Costs: $ 60,000
      Title of Project: Trajectories of Self-Management and Provider Support in African-American Primary Caregiving Grandmothers
      Project Goal: To explore the trajectory of self-management activities and provider support in diabetic African American primary caregiving grandparents (AA-PCGs).
    • Project Number: n/a
      Status on Grant: Mentor
      Approved Project Period: 09/01/08-08/31/10
      PI: Mark Toles
      Source: John A. Hartford Foundation Building Academic Geriatric Nursing Capacity
      Annual Direct Costs: $ 44,500
      Title of Project: Effective Team Interactions in the Care of Dependent Elders in Long Term Care
      Project Goal: Doctoral Study At Duke University School of Nursing from September 2008 to August 2010.
    • Project Number:
      Status on Grant: Faculty Sponsor
      Proposed Project Period: 06/01/08 to 10/01/08
      PI: Rebecca Kitzmiller
      Source: Predoctoral Clinical Research Training Programs of the NIH Roadmap for Medical Research (Califf, PI).
      Annual Direct Costs: $5,000
      Title of Project: Organizational sensemaking during the strategic change experienced during an information technology implementation
      Project goals: Establish baseline measurements, including a baseline for current patient quality care indicators, nursing unit climate, and collecting data on staff / managers’ descriptions of sensemaking.
    • Project Number:
      Status on Grant: Faculty Sponsor
      Proposed Project Period: 06/01/08 to 10/01/08
      PI: Patrick Palmieri
      Source: Predoctoral Clinical Research Training Programs of the NIH Roadmap for Medical Research (Califf, PI).
      Annual Direct Costs: $5,000
      Title of Project: Organizational Safety Survey Reliability and Validity
      Project goals: To pilot two measures of organizational safety culture, the Safety Attitude Questionnaire (SAQ) and the Safety Organization Scale (SOS).
    • Project Number:
      Status on Grant: Faculty Sponsor
      Proposed Project Period: 06/01/08 to 10/01/08
      PI: Mark Toles
      Source: Predoctoral Clinical Research Training Programs of the NIH Roadmap for Medical Research (Califf, PI).
      Annual Direct Costs: $5,000
      Title of Project: Nursing Home Coordination and Dependent Elders’ Perceptions of Quality of Life
      Project goal: To explore relationship between nursing home team processes and resident quality of life.
    • Project Number:
      Status on Grant: Co-Director
      Proposed Project Period: 01/01/08 to 12/31/10
      PI: Eleanor McConnell
      Source: The Duke Endowment
      Annual Direct Costs: $250,000 ($500,000)
      Title of Project: Pathways to Sustained Careers in Academic Geriatric Nursing
      Project goals: The goal of this geriatric nursing initiative is to increase the number and quality of geriatric nursing faculty available to educate future generations of nurses that understand and provide effective geriatric nursing care.
    • Project Number:
      Status on Grant: Faculty Sponsor
      Proposed Project Period: 06/01/07 to 10/01/07
      PI: Rebecca Kitzmiller
      Source: Predoctoral Clinical Research Training Programs of the NIH Roadmap for Medical Research (Califf, PI).
      Annual Direct Costs: $5,200
      Title of Project: Organizational sensemaking during the strategic change experienced during an information technology implementation
      Project goals: Collecting data on staff / managers’ descriptions of sensemaking and relate these to a major organization wide change project.
    • Project Number: NA
      Status on Grant: Faculty
      Proposed Project Period: 9/01/03 to 6/30/06
      PI: Brenda Nevidjon
      Source: HRSA – DON
      Annual Direct Costs: ~$220,000
      Title of Project: Nursing and Healthcare Leadership
      Project goals: To increase access and revise the existing program at the Duke University School of Nursing, to address the critical shortage of nursing leaders in rural and underserved areas by preparing advanced practice nurses who practice as nurse executives in health system’s leadership positions.
    • Project Number: N/A
      Status on Grant: Scholar-in-Residence
      Proposed Project Period: 10/01/01 to 09/30/02
      PI: Eleanor McConnell
      Source: Scholl Foundation
      Annual Direct Costs: $25,000
      Title of Project: Long-Term Care Consortium Scholars-in-Residence Program
      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 students specializing in geriatric care.
    • Project Number: NA
      Status on Grant: Program evaluator
      Proposed Project Period: 7/01/01 to 6/30/03
      PI: Eleanor McConnell
      Source: Fuld Trust
      Annual Direct Costs: $150,000
      Title: Distance-Based Gerontological Nursing Education in Exemplary Long-Term Care Settings
      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.
    • Project Number:
      Status on Grant: Co-PI
      Approved Project Period: 07/1/99 – 06/30/00
      PI: Charlene Allred and Ruth Ouimette
      Source: Teagle Foundation
      Annual Direct Costs: $150,000
      Title of Project: Gerontological Leadership and Outcomes Management Program
      Project goals: To develop a innovative approach to preparing nurses for leadership positions in community-based, long term care settings

Other Program and Training Grants

• • Anderson, R. and McDaniel, R., Co-Project Directors. Henry, B. Project Faculty. Graduate Joint Degree Program in Nursing and Management. Funded by the Commonwealth Fund, 9/15/89-9/15/90, $100,000.

• Outcomes of nursing and health care management practices
• Intersection of care systems and chronic illness adaptation
• Aging families and chronic illness management