University of Virginia School of Nursing.

Injury Patterns After Sexual Assault

Intimate partner violence, Sexual assault, Rural communities, Post-traumatic stress

Community, hospital, and nursing unit characteristics influence on quality of care and clinical outcomes in rural hospitals

Grief related topics

Investigating the effects of complementary and alternative therapies on symptoms (pain, fatigue, sleep disturbances, stress, and mood), inflammation, and brain activation (using fMRIs) in persons with rheumatoid arthritis and fibromyalgia.

Impact of Newborn Hospitalization on Parent-Infant bonding & lactation

Nurse and Physician Collaborative Education and Practice; Clinical Indicators of Erythema in Darkly Pigmented Skin

History of health care and health professionals

Health Promotion and Prevention, Perspectives of Persons with Chronic Hepatitis C Virus, Use of Herbal Therapies, Massage Therapy

Known for work in the area of mechanical ventilation, weaning and clinical research. Publishes and lectures widely on these and other related topics.

End-of-life decision making

Clinical Simulation, Nephrology

Medical device and product evaluation through the Health Care Product Evaluation Center

Health Services Reseach, Outcomes Research, Quality, Impact of Nursing Practice Environment on Outcomes, Instrumentation, Conflict in Organizations

Using a Standardized Japanese Herbal Formula in Persons Infected with Chronic Hepatitis C Virus; Perspectives of Persons Diagnosed with Chronic Hepatitis C Virus who Cannot Take Conventional Medical Treatment; Treatment of Elevated Plasma Lipoprotein(a) with a Standardized Blend of L-Carnitine/Niacin, a Nutritional Supplement.

Clinical Faculty and Clinician Nursing Education Resources and Teaching; Oncology and Palliative Care Nursing

research interest in ethics, and health disparity

high-risk pregnancy, breastfeeding, maternal responsivness and attachment, postpartum depression, instrument development, technology

Bioethics, clinical decision making for the decisionally incapacitated, frail elders, theoretical and empirical enquiry, critical theory

End of Life Issues, Ethics, Pediatrics

Cancer Symptom Management

Mentoring and social justice interventions for at risk young people to support their healthy transition to adulthood; developing community collaborations to provide mental health services for vulnerable populations; intervention fidelity; measure development; and social information processing.

Exploring innovative uses of emerging technology in the application of screening, educating and treating mental disorders; Improving mental health outcomes and developing the subsequent policy and procedural implications for action

Use of Advanced Practice Nurses to improve the care of the elderly in acute and long term care settings, Enhancing the quality of care in acute and long term care through education

Community development, access to care, utilization of services, cultural aspects of breastfeeding, Global Health.

Pathophysiology of lower urinary tract function, continence nursing, evidence based practice

Current Research Interests: My current research focus includes neurological urology, quality assurance in the urodynamic laboratory and moisture associated skin damage.

Advanced Practice Psychiatric Nursing

Moral Distress and ethical behavior of healthcare providers, research integrity and research ethics, and advanced practice nursing role issues.

Severe and persistent mental illness, History of psychiatric nursing, Patient teaching

Patient safety, Quality Nursing care, Oncology Nursing Care

Major depressive disorder, women’s mental health, Rural mental health services research, alternative care systems, rural mental health, mental health in primary care.

Quality of Life in Chronic Heart Failure: Older Adults and Underserved Populations

Understanding the effect of intervention on quality of life for different high-risk populations. My intervention for adolescents — both healthy and those with chronic diseases such as cancer — concentrates on refining decision-making skills to reduce risk behaviors. Cancer-surviving adolescents are essentially well adolescents, exhibiting typical teen risk behaviors (such as smoking and alcohol use). But, they are often at greater risk when engaging in risk behaviors than those in the general population because of treatment late effects on body organs and the potential for second malignancies. For adults with lung cancer and malignant pleural mesothelioma, my program of research centers on measuring quality of life as an endpoint for testing new therapies during clinical trials.

Mind-body therapies for the prevention and management of cardiovascular disease and related insulin resistance conditions; reproductive/perinatal and chronic disease epidemiology

Quality improvement, content development, distance learning, diffusion of innovation, breast cancer screening and treatment.

My primary research interest is in health disparities among minority/vulnerable populations, particularly the relationship between prostate cancer and African Americans. In addition, I have an interest in psychosocial behaviors of patients with cancer as it relates to screening behaviors and treatment decision making, including the use of complementary and alternative therapies.

Serious Mental Illness; Schizophrenia; Rural Community Services; Alternative Care Delivery Models; Family Caregiving; Psychoeducation

Cardiac nursing, History of Nursing, History of Prescriptive Authority

Complementary and Alternative Modalities to treat ADHD symptoms in children; Primary Care of Children; Risk behaviors in adolescents with Diabetes

History of Nursing and Healthcare; nursing as a labor force.

Theoretical and Empirical Inquiry, Health Promotion, Health Behavior of Young People, and Youth Tobacco Prevention

Public health, Change, Leadership

identifying and preventing poor health outcome associated with violence against women, The relationship between women’s experiences of violence and their increased risk for sexually transmitted infections.

Care of vulnerable and minority elder adults. Particular emphasis on chronic care issues -- pressure ulcer prevention and management, perineal dermatitis, urinary incontinence, medication adherence, elder safety. Research methods of interests - descriptive, experimental and health services research.

Presently, I`m involved with two studies. The first study (Principal Investigator), examines quality of wound care in the U.S. This multi-site study follows 560 patients with chronic wounds as they interface with a variety of health care systems (hospitals, skilled nursing facilities and ambulatory centers). Data related to best practices in chronic wound care and costs will be examined. My second study (Co-Investigator) examines patient safety issues for elder adult Medicare beneficiaries in U.S. hospitals. This Medicare funded study will examine 360,000 medical records to determine patient safety issues for these elder adult beneficiaries.

Mental Health, Rurality

Shortages of Mental Health Providers, Nurses and Primary Care Providers; Effectiveness of Rural Health and Rural Mental Health Care; Community and Translational Sciences Research with a focus on rural communities.

Fetal Pelvic Index, HIV in women, HIV & infertility, nurse practitioner & medical student education

research ethics, prevention of complications of ESRD

Pediatric Asthma

Evidence based Practice, community Nursing clinics,

Violence against women; women`s health, Homicide survivors, methodological and measurement issues

Medical surgical nursing

Pediatric Cardiology: Electrophysiology

Wound healing and factors that effect healing such as infection as well as topical dressings and adjunctive wound therapies (e.g. HBO), and the effect of aging on wound healing.

Chronic disease management, Health behavior, Coaching, Nursing education

Advanced ECG interpretation, nursing ethics, Heart Failure, Cardiac dysrhythmias and Physical Restraints.

Health promotion in culturally diverse populations, family, and strategic management in nursing education.

Health outcomes of caregivers of persons with dementia

Statistical applications, with a special interest in survey analysis

Issues in undergraduate education.

Pediatric nursing, community health nursing, rural nursing, school health.

Adults who experienced the homicide of one parent by the other when they were children.

Violence against women, STIs/HIV, rural health

Nursing Education

My disciplined line of research over two decades was in pain management and in the last decade expanded to include assessment of the efficacy, safety, and cost effectiveness of selected complementary therapies with particular emphasis on symptom management and control.

I am Director of the Center for the Study of Complementary and Alternative Therapies at the University of Virginia ( http://www.med.virginia.edu/cscat ). My research has included studies in the CAM program areas of energy medicine, mind-body medicine, body-based practices, and biologically-based practices. My research commitment is to foster the nursing perspective in future efforts that test the effectiveness, cost, and safety of complementary therapies in reducing pain and related symptoms and enhancing patient comfort.

Family, Community and Geriatric Mental Health/Illness.Transition of psychiatric patients to community care, Geropsychiatric nursing, Care of vulnerable populations. Clinical research focus

Delirium in Critically Ill Older Adults; Long-term Outcomes of Delirium

Health Behavior & Chronic Illness. Cultural Aspects of Care. Interventions to Promote Self-Management of Diabetes & Cardiovascular Disease

Nutrition in the critically ill patient, Nutrition screening and assessment.

Family Caregiving of Older Adults with Dementia; Health Care Access and Treatment of Aging, Rural and Minority Populations; Recuitment

Women’s Health, Obstetrics, and Neonatology.