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FY 2014-2015
ANNUAL REPORT
OFFICE OF
RESEARCH AND
SCHOLARSHIP
2
ORS. Nursing research
powers nursing practice.
TABLE OF CONTENTS
ASSOCIATE DEAN’S ADDRESS 4
I. ORS OVERVIEW
ORS Staff 6
ORS Events 7
ORS Publications 11
ORS WINs! 19 II. ORS STATISTICAL/RESEARCH SUPPORT CORE
ORS Review Panel 21
Center for Research and Nursing Scholarship 23
III. COLORADO COLLABORATIVE FOR NURSING
RESEARCH (CCNR)
CCNR Overview 31
CCNR Scholarship 32
CCNR Summit 33
CCNR Projects 37
CCNR Outreach 38 IV. FACULTY RESEARCH COMMITTEE
Summary of Activities 40
The mission of the Office of Research and
Scholarship is to champion College of Nursing
faculty and students in converting research to
nursing knowledge. This mission is carried out
through (a) consultation, (b) location of funding
sources, (c) grant development and management,
(d) data analysis, and (e) research publication.
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To assess the efficacy of ORS efforts in FY14-15,
I will reiterate, in the column below, the final
part of last year’s State of the ORS Address:
A popular philosophy in the world of bodybuilding goes like this: pack it on; carve it up. In other words, first, you build mass; next, you sculpt that shapeless mass into well-defined muscle. But first things first—you need to add mass as raw material for muscle creation. In calendar year 2010, the CON’s number of funding submissions peaked at 36. After that spike, however, yearly submission totals consistently settled into the low 20s. Therefore, a primary goal for FY2013-14 was to get that submission number back up—and we have nailed that goal, projecting to smash our record of 36 submissions by the end of calendar year 2014. This is excellent news. The hit rate on our submissions...that’s another story. In short, then, we spent FY 2013-14 packing on scholarly mass; we will spend FY 2014-15 sharpening up and perfecting that scholarship. An ORS submission process will be introduced soon. Another recently launched ORS initiative is the OSKJ Panel, which serves to vet ORS products. More details about integrating OSKJ into the grant submission process will follow.
ORS is active and purposeful. In the past year, we have stockpiled talent, energy, and scholarly products. In FY14-15, we will continue to develop the valuable materials we have accumulated. Let the mandate for the upcoming year read as follows: “Carve it up!”
The preceding section from last year’s State of the
ORS Address signaled the primary objective for
FY14-15. So, in retrospect, did we “carve it up”?
Last year’s Address talked about the rollouts
of the new ORS Pre-submission Timeline and
the OSKJ Panel. And yes, both of these
instruments were rolled out successfully in
FY14-15. The introduction of the new Timeline
coincided with marked progress in the success of
our submissions. The introduction of the OSKJ
Panel—now the ORS Review Panel—also
coincided with marked progress in the success
of our submissions.
Therefore, as we kick off this year’s ORS
Annual Report, I am pleased to say that we have
met the objective spelled out at the kickoff of last
year’s ORS Annual Report. Not only have we
continued to step up our volume of grant
submissions, but we have also shifted many those
submissions from the unscored to the scored
column, and, most significantly, we have secured
funding, in the form of 2 PCORI grants
(Krause-Parello, Jones), 1 CCTSI Community
Engagement grant (Harpin), and 1 STTI grant
(Gorton). Furthermore, we have made it past the
first reviewers’ cut for both an AHRQ grant
(Ozkaynak) and an EDM Forum grant (Reeder/
Sousa). These are great individual and
institutional accomplishments!
We have a clear picture of where we
ultimately want to be. We have developed a
roadmap for getting there. And we have
embarked.
STATE OF THE ORS ADDRESS: ORS ON THE MOVE
Karen Sousa, PhD, RN, FAAN
Professor, Associate Dean of Research and
Scholarship
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I. ORS OVERVIEW
ORS Staff 6
ORS Events 7
ORS Publications 11
ORS WINs! 19
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Karen H. Sousa, RN, PhD, FAAN, Professor
Associate Dean for Research and Scholarship
Fanta Kuhlman
Post-award Grants and
Contracts Specialist
Barbara Creswell
Pre-award Grants and
Contracts Specialist
Sarah Schmiege, PhD,
Statistician and Assistant
Research Professor
Oliwier Dziadkowiec,
PhD, Director of the
Center for Research
and Nursing
Scholarship
Jason Weiss
ORS Innovation and
Quality Program
Manager
Fanta Kuhlman, MPH, MBA, CRA joined the
ORS staff in June 2015, bringing valuable
experience at Denver Health, the University of
Kansas, and here at Anschutz Medical Campus.
She has expertise not only in handling the
entire lifecycle of funded projects but also in
crafting grants pre-submission. Fanta is a gifted
person and a wonderful addition to ORS!
I. ORS OVERVIEW
ORS
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I. ORS OVERVIEW
ORS
CNR-to-CRNS Open House
August 25, 2014
The name change from Center for Nursing Research
(CNR) to Center for Research and Nursing Scholarship
(CRNS) reflects expanding ORS inclusivity in that
(a) de-coupling “Research” from “Nursing”
acknowledges that not all CON research is nursing research and (b) adding “Scholarship” to the CRNS
name acknowledges that valuable academic work
comes in variegated forms. And the inclusivity push is
not just nominal: renovations have made Room 4224 a
place where ideas collide and partnerships form. The
Open House gave the CON a chance to see the new
CRNS logo and thank CNR RAs Tiffany Callahan and
Alex Schneider for their outstanding work.
The purpose of the College of Nursing Research
Scholarship and Seminar Series is to provide a
regular forum of research and scholarly
presentation and dialogue in the College of
Nursing and with the larger campus community.
The Series goals are to (a) promote the
development of a scholarly community
characterized by active engagement, mutual
accountability, and individual accomplishment;
(b) foster continued advancement of research/
scholarship programs of faculty and graduate
students through scholarly critique and
dialogue; and (c) provide a forum for
presentation of faculty and graduate student
research and scholarship within both the
College and the larger campus community.
Research Scholarship & Seminar Series/
Jennifer Disabato
October 28, 2014
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I. ORS OVERVIEW
ORS
Doris Kemp Smith Award Presentation/
Carol Crisp-Micsunescu & Marie Hastings-Tolsma
January 28, 2015
ORS Fall Research Mini-Retreat
October 31, 2014
Through mechanisms like the Doris Kemp Smith Award, the ORS
Faculty Research Committee contributes to the development and
progress of CON research. Specific Research Committee functions in
support of the ORS research mission include (a) collaborating with
the Associate Dean of Research and Scholarship in convening review
panels for proposals and ensuring adequate review of proposals;
(b) overseeing the conduct of intramural research, managing the
Intramural Scholarship Program, and allocating Intramural
Scholarship Program funds; (c) providing funds for attending
conferences, obtaining software, and compensating external
reviewers; (d) making recommendations to the Associate Dean for
Research and Scholarship regarding allocation of funds to support
faculty research travel and scholarly endeavors; and (e), most
broadly, promoting CON nursing research and scholarly endeavors
in the healthcare community through inter-disciplinary and
inter-professional outreach.
ORS Research (Mini) Retreat Agenda, October 31, 2014
AMC Health and Wellness Center
8:00-9:00 From Five Years Ago to Today: Putting Our Research in Context (Karen Sousa)
9:00-10:00 Instituting Creativity via the Creative Institution: Lessons from the Book, “Creativity, Inc.” (Paul Cook)
10:00-noon From Today to Five Years from Today: Putting Our Research in High Gear
(Several Presenters)
Noon-1:00 Lunch: Lemon Chicken and Parmesan Vegetable Risotto (Community)
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I. ORS OVERVIEW
ORS
ORS Lunch for Clinical/Teaching-track Faculty
February 20, 2015
Building further on the 2014-
2015 incorporation of clinical/
teaching-track faculty into the
CON’s research mission, ORS
hosted a lunch event expressly
for clinical/teaching-track faculty
members. And the theme of this
gathering was as follows: this
event is not a one-off event. The
opportunities and support
services that ORS promoted on
that day—at that event—are the
same opportunities and support
services that are always available
to anyone in the CON. In short,
ORS will always marshal all of its
resources and direct them at any
CON research project. That is
why ORS is here. This targeted
lunch event sought to spread
awareness of ORS’s ability and
willingness to help.
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I. ORS OVERVIEW
ORS
Applied Structural Equation Modeling Intensive
June 23-26, 2015
ORS Tea
June 29, 2015
This event served to (a) welcome Fanta
Kuhlman to the CON and (b) thank
Barbara Creswell for majorly stepping
up in a post-award capacity prior to
Fanta’s arrival. Along with the
eponymous drink, pastries were served. And thank you to everyone who came
to the Tea and made it such a success!
Attendance fluctuated, of course, but at
its peak, 36 people were crowded into
the CRNS, welcoming Fanta and
thanking Barbara. This number includes
Mary Burman, Dean of the University of
Wyoming School of Nursing, who was
in town. Again, thank you all for
celebrating with us!
The 2015 SEM Intensive took place
from June 23rd to June 26th. This
year’s event had 10 attendees, some
of whom received course credit for
their participation—the first time the
Intensive has offered that option
through Nexus. Thank you to Karen
Sousa, Paul Cook, Oli Dziadkowiec,
and Sarah Schmiege for making this
an event that draws inquiries and
attendees from around the country
and around the world.
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I. ORS OVERVIEW
ORS Publications, FY14-15
Aldrich, H., Gance-Cleveland, B., Schmiege, S. J., & Dandreaux, D. (2014). Identification and assessment of childhood obesity
by school-based health center providers. Journal of Pediatric Health Care, 28, 526-533.
Aldrich, H., Gance-Cleveland, B., Schmiege, S. J., & Dandreaux, D. (2014). School-based health center providers’ treatment
of childhood overweight. Journal of Pediatric Nursing, 29, 521-527.
Allshouse, A. A., MaWhinney, S., Jankowski, C. M., Kohrt, W. M., Campbell, T. B., & Erlandson, K. M. (2015). The impact of
marijuana use on the successful aging of HIV-infected adults. J Acquir Immune Defic Syndr, 69(2), 187-192.
Armstrong, G. E., Barton, A. J., Nuffer, W., & Yancey, L. (2014). Patient and family-centered care and the interprofessional
team. In J. Barnsteiner, J. Disch, & M. K. Walton (Eds), Person and Family-Centered Care. (Chapter 20). Indianapolis,
IN: Sigma Theta Tau International.
Baggett, M., Batcheller, J., Blouin, A. S., Behrens, E., Bradley, C., Brown, M. J., Welton, J. M., & Yendro, S. (2014).
Excellence and evidence in staffing: A data-driven model for excellence in staffing (2nd edition). Nursing Economics, 32(3 Suppl), 3-35.
Banzett RB, O'Donnell CR, Guilfoyle TE, Parshall MB, Schwartzstein RM, Meek PM, Gracely RH, & Lansing RW. (2015).
Multidimensional Dyspnea Profile: An instrument for clinical and laboratory research. Eur Respir J, 45(6), 1681-1691.
Barbour, L. A., Hernandez, T. L., Reynolds, R. M., Reece, M. S., Chartier-Logan, C., Anderson, M. A.,…& Van Pelt, R. E. (in
press, 2015). Striking differences in estimates of infant adiposity by new and old DXA software, PEAPOD and skinfolds
at two weeks and one year of life. Pediatr Obesity.
Barker, G. T., Cook, P. F., Schmiege, S. J., Kahook, M. Y., Kammer, J. A., & Mansberger, S. L. (2015). Psychometric properties
of the Glaucoma Treatment Compliance Assessment Tool in a multicenter trial. American Journal of Ophthalmology, 159, 1092-1099.
Barton, A. J. (2015). eHealth national priorities. Clinical Nurse Specialist, 29(2), 66-67.
Barton, A. J. (2014). Helping patients improve their health through the use of technology. Clinical Nurse Specialist, 28(6),
310-311.
Barton, A. J. (2015). Informatics and the healthcare industry. In V.K. Saba & K.A. McCormick (Eds.), Essentials of nursing informatics (6th ed., Chapter 22, pp. 333-343). New York: McGraw Hill.
Barton, A. J. (2014). Preparing a collaborative, practice-ready workforce. Journal of Nursing Education, 53(7), 367-368.
Barton, A. J., & Makic, M. B. F. (2015). Technology and patient safety. Clinical Nurse Specialist, 29(3), 129-130.
Barton, A. J. (2015). Wearable technology to enhance remote monitoring and self-management. Clinical Nurse Specialist, 29(1), 6-7.
Barton, A. J., Armstrong, G., & Foss, K. (2015). Colorado QSEN faculty workshops – An excellent adventure. In G. D. Sherwood & S. Horton-Deutsch (Eds.), Reflective organizations: On the frontlines of QSEN and reflective practice implementation, (Chapter 13, pp. 269-285). Indianapolis: Sigma Theta Tau International.
Barton, A. J., Armstrong, G. E., & Valdez, C. (in press, 2015). Interprofessional teams for high reliability organizations. In C.
Oster (Ed), Achieving High Reliability through Patient Safety and Quality – A Practical Handbook. Indianapolis, IN:
Sigma Theta Tau International.
Barton, A. J., Armstrong, G. E., & Foss, K. (2015). Colorado QSEN faculty workshops: Facilitating reflection for curricular
development. In G. Sherwood & S. Horton-Deutsch (Eds), Reflective Organizations. (Chapter 12). Indianapolis, IN:
Sigma Theta Tau International.
Barton, A. J., & Makic, M. B. F. (2015). Technology and patient safety. Crit Nurse Specialist, 29(3), 129-130.
Bekelman, D. B., Hooker, S., Nowels, C. T., Main, D. S., Meek, P., McBryde, C., . . . & Heidenreich, P. A. (2014). Feasibility
and acceptability of a collaborative care intervention to improve symptoms and quality of life in chronic heart failure:
Mixed methods pilot trial. Journal of Palliative Medicine, 17(2), 145-151.
Bessesen, D. H., Cox-York, K. A., Hernandez, T. L., Erickson, C. B., Wang, H., Jackman, M. R., & Van Pelt, R. E. (2015).
Postprandial triglycerides and adipose tissue storage of dietary fatty acids: Impact of menopause and estradiol. Obesity, 23(1), 145-153.
Bornemann-Shepherd, M., LeLazar, J., Makic, M. B. F., Devine, D., McDevitt, K., & Paul, M. (2015). Caring for inpatient
boarders in the emergency department: Improving safety and patient and staff satisfaction. Journal of Emergency Nursing, 41(1), 23-29.
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Boyle, K. E., Hwang, H., DeVente, J. M., Barbour, L. A., Hernandez, T. L., Mandarino, L. J.,…& Friedman, J. E.
(2014). Gestational diabetes is characterized by reduced mitochondrial protein expression and altered
calcium signaling proteins in skeletal muscle. PLoS One, 9(9), e106872.
Burcham, J., & Rosenthal, L. (2015). Lehne’s Pharmacology for Nursing Care (9th ed). St. Louis, MO: Elsevier.
Burchett, P., Harpin, S. B., Peterson-Smith, A., & Emery, K.D. (in press, 2015). Improving a urine culture callback
follow-up system in a pediatric emergency department. Journal of Pediatric Health Care. Burhansstipanov, L. Harjo, L., Krebs, L. U., Marshall, A, & Lindstrom, D. (2015). Cultural roles of native patient
navigators for American Indian cancer patients. Frontiers in Oncology, 5, 79-80.
Burhansstipanov, L., Krebs, L. U., Dignan, M. B., Jones, K., Harjo, L. D., Watanabe-Galloway, S., Petereit, D. G.,
Pingatore, N. L., & Isham, D. (2014). Findings from the Native Navigators and the Cancer Continuum (NNACC)
study. Journal of Cancer Education, 29(3), 420-427.
Burhansstipanov, L., Krebs, L. U., Harjo, L., Watanabe-Galloway, S., Pingatore, N., Isham, D., Duran, F. T., Denny,
L., Lindstrom, D., & Crawford, K. (2014). Providing community education: Lessons learned from native patient
navigators Journal of Cancer Education, 29(3), 596-606.
Carlson, N. S., & Lowe, N. K. (2014). A concept analysis of “watchful waiting” among providers caring for women in
labor. Journal of Advanced Nursing, 70, 511-522.
Carlson, N. S., & Lowe, N. K. (2014). Intrapartum management associated with obesity in nulliparous women.
Journal of Midwifery & Women’s Health, 59(1), 43-53. Carr, K. L., Johnson, F. E., Kenaan, C. A., & Welton, J. M. (2015). Effects of p6 stimulation on postoperative nausea
and vomiting in laparoscopic cholecystectomy patients. J Perianesth Nurs, 30(2), 143-150.
Celli, B. R., Decramer, M., Wedzicha, J. A., Wilson, K. C., Agustí, A. A., Criner, G. J., & Meek, P.M.. . .ZuWallack,
R. L. (2015). An official American Thoracic Society/European Respiratory Society statement: Research
questions in COPD. European Respiratory Review, 24(136), 159-172.
Clancy, T. R., Bowles, K. H., Gelinas, L., Androwich, I., Delaney, C., Matney, S., Welton, J., & Westra, B. L. (2014).
A call to action: Engage in big data science. Nursing Outlook, 62(1), 64-65.
Clark, B. J., Jones, J., Cook, P., Tian, K., & Moss, M. (in press, 2015). Facilitators and barriers to initiating change in
medical intensive care unit survivors with alcohol use disorders: A qualitative study. Journal of Critical Care.
Cook, P. F., Schmiege, S. J., Mansberger, S., Kammer, J., Fitzgerald, T., & Kahook, M. Y. (2015). Predictors of
adherence to glaucoma treatment in a multisite study. Annals of Behavioral Medicine., 49, 29-39.
Corwin, E. J., Berg, J. A., Armstrong, T. S., DeVito Dabbs, A., Lee, K. A., Meek, P., & Redeker, N. (2014).
Envisioning the future in symptom science. Nursing Outlook, 62(5), 346-351.
Dreifuerst, K., & Horton-Deutsch, S. (2014). Meaningful debriefing and other approaches. In P. Jeffries (Eds.).
Simulation Clinical Simulations in Nursing Education. Baltimore, MD: National League of Nursing.
Dziadkowiec, O., Cook, P., & Fink, R. M. (2014). Research instrument and survey development: Reliability, validity,
and measurement issues. In R. M. Fink, K. S. Oman, & M. B. F. Makic (Eds.), Research & Evidence-based Prac-
tice Manual, 3rd Edition. Aurora, CO: University of Colorado Hospital.
Edinburgh L. D., Pape-Blabolil, J., Harpin, S. B., & Saewyc, E. M. (2015). Assessing exploitation experiences of girls
and boys seen at a child advocacy center. Child Abuse & Neglect, 39. Erlandson, K. M., Allshouse, A. A., Jankowski, C. M., MaWhinney, S., Kohrt, W. M., & Campbell, T. B. (2014).
Relationship of physical function and quality of life among persons aging with HIV infection. AIDS, 28(13),
1939-1943.
Erlandson, K. M., Schrack, J. A., Jankowski, C. M., Brown, T. T., & Campbell, T. B. (2014). Functional impairment,
disability, and frailty in adults aging with HIV infection. Curr HIV/AIDS Rep, 11(3), 279-290.
Estes, K. (2014) Skin infections in high school wrestlers: A nurse practitioner’s guide to diagnosis, treatment and
return to participation. Journal of the American Association of Nurse Practitioners.
Estes, K., & Weber, M. (2015). Anxiety and depression. Pharmacotherapeutics for Advanced Practice Nurse Prescribers.
Ferranti, E. P., Jones, E. J., & Hernandez, T. L. (in press, 2015). Pregnancy reveals evolving risk for cardiometabolic
disease in women. J Gynecol Neonat Nurs. Fink, R. M., Makic, M. B. F., Poteet, A. & Oman, K. S. (in press, 2015). The ventilated patient’s experience.
visualizations for older adults. Telemedicine and e-Health, 21(1), 9-15.
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Fan, V., & Meek, P.M. (2014). Anxiety, depression and cognitive function in patients with chronic respiratory
disease. Pulmonary Clinics in North America, 35(2), 399-409.
Francomano J., & Harpin, S. B. (2015). Utilizing social networking sites to promote adolescents’ health: A pragmatic
review of the literature. Computers, Informatics, and Nursing, 33(1). Furfari, K., Rosenthal, L., Tad-y, D., Wolfe, B., & Glasheen, J. (2014). Nurse practitioners as inpatient providers: A
hospital medicine fellowship program. JNP, 10(6), 425-429.
Gance-Cleveland, B., Aldrich, H., Schmiege, S. J., Coursen, C., Dandreaux, D., Shaibi, G., & Gilbert, L. (2015).
Clinician adherence to childhood overweight and obesity recommendations by race/ethnicity of the child. Journal for Specialists in Pediatric Nursing, 20, 115-122.
Gance-Cleveland, B., Dandreaux, D., Aldrich, H., & Kamal, R. (2015). Challenges conducting multicenter
translational research: promoting adherence to childhood obesity guidelines. IRB: Ethics & Human Research, 37(1), 6-11.
Gance-Cleveland, B., Gilbert, K., Gilbert, L., Dandreaux, D., & Russell, N. (2014). Decision support to promote healthy
weights in children. Journal for Nurse Practitioners, 10(10), 803-812. Gauthier, K., & Gance-Cleveland, B. (2015). Hispanic parental perception of overweight and health related behaviors
in preschoolers: an integrated review. Childhood Obesity, 11, 1-11.
Giese, K. K., & Cook, P. (in press, 2015). Improving manufacturing plant obesity: Translating the Diabetes Prevention
Program into the workplace. American Association of Occupational Health Nurses Journal.
Golightly, L. & Oman, K. S. (2014). Writing a proposal. In R. M. Fink, K. S. Oman, & M. B. F. Makic (Eds.), Research
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Gorton, K. L., & Hayes, J. (2014). Challenges of assessing critical thinking and clinical judgment in nurse practitioner
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Gorton, K. L., & LaSala, K. B. (2015) Forming atypical partnerships to help alleviate the clinical placement crisis.
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Green, A., Gance-Cleveland, B., Smith, A., Toly, V., Ely, E., & McDowell, E. (2014). Charting the course of pediatric
nursing research: The SPN Delphi Study. Journal of Pediatric Nursing, 29(5), 401-409.
Guerrasio, J., Furfari, K., Rosenthal, L., Nogar, C., Wray, K., & Aagaard, E. (2014). Failure to fail: The institutional
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Harpin, S. B., Ezeanochie, N., & Bull, S. (2014). Adolescent mobile phone use and health promotion. Adolescent Medicine: State of the Art Reviews, 25(3), 621-642.
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middle school adolescents. Health Behavior & Policy Review, 1(5), 351-361.
Hernandez, T. L. (2015) Glycemic targets in pregnancies affected by diabetes: Historical perspective and future
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Hernandez, T. L., Bessesen, D. H., Cox-York, K. A., Erickson, C. G., Law, C. K., Anderson, M.A.,…& Van Pelt, R.
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Horton-Deutsch, S. (2015). Knowing what must be done: A caring and effective response to the Ebola virus. Archives of Psychiatric Nursing, 29(1), 1-2.
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Horton-Deutsch, S., & Fitzpatrick, J. (2014). New beginnings...a partnership to advance psychiatric–mental
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Horton-Deutsch, S., Kuehn, K., & Sherwood, G. (2015). Partnering to create sustainable futures: organizational
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Jankowski, C. M., Ory, M. G., Friedman, D. B., Dwyer, A., Birken, S. A., & Risendal, B. (2014). Searching for
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Jankowski, C. M., Shea, K., Barry, D. W., Linnebur, S. A., Wolfe, P., Kittelson, J., Schwartz, R. S., & Kohrt,
W. M. (2015). Timing of ibuprofen use and musculoskeletal adaptations to exercise training in older adults.
Bone Rep, 1, 1-8.
Jarrin, O., Flynn, L., Lake, E., & Aiken. L. (2014). Home health agency work environments and hospitalizations.
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Jayawardhana, J., & Welton, J. M. (in press, 2015). Diagnostic imaging services in Magnet and non-Magnet
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Krause-Parello, C. A. (2015). Nurses answer the call to enhance veteran and military health. American Nurse Today, 10(5).
Krause-Parello, C. A., & Friedmann, E. (2014). The use of animal-assisted intervention to examine the effects of
salivary Alpha-amylase, Immunoglobulin A, and heart rate during forensic interviews in child sexual
assault cases. Anthrozoos, 27(4), 581-590.
Krause-Parello, C. A., & Gulick, E. (in press, 2015). Examining demographic and psychosocial predictors of
well-being in older pet owners. International Journal of Nursing. Krause-Parello, C. A., Wesley, Y., & Campbell, M. (2014). Examining pet attitude in relation to loneliness and
parenthood motivation in pet-owning adults. Health, 6, 598-606.
Lange P, Celli B, Agustí A, Boje Jensen G, Divo M, Faner R,...Meek P,...& Vestbo J. (2015). Lung-Function
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Langness, J., Cook, P., Gill, J., Boggs, R., & Netsanet, N. (2014). Comparison of adherence rates for antiretroviral
medications, blood pressure medications, and mental health medications for HIV-positive patients at
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Lay, K., McNelis, A., & Horton-Deutsch, S. (2015). Interprofessional education in mental health: Developing
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15
Levine, M. S., & Lowe, N. K. (2014). Nurse attitudes toward childbirth: A concept clarification. Nursing Forum, 49, 88-99.
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McCallum, C. A., Oman, K. S., & Makic, M. B. (2015). Improving the assessment and treatment of pelvic
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16
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Niitsu, K., Watanabe-Galloway, S., Sayles, H., Houfek, J., & Rice, M. (2014). The great east Japan earthquake and
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Oman, K. S., & Fink, R. (2014). Intradermal lidocaine or bacteriostatic normal saline to decrease pain prior to intrave-
nous catheter insertion: A meta-analysis. Journal of PeriAnesthesia Nursing, 29, 367-376.
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& M. B. F. Makic (Eds.), Research & Evidence-based Practice Manual, 3rd Edition. Aurora, CO: University of Col-
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multi-level fit between work and technology in a secure messaging implementation. Proceedings of the American
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Ozkaynak, M., Johnson, S. A, Tulu, B., Donovan J. L., Kanaan, A. O., & Rose, A. J. (2015). Using a work systems
framework to explore the effect of complex patients on care delivery tasks in anticoagulation clinics.
Ozkaynak, M., Unertl, K., Johnson, S., Brixey, J., & Haque, S. (in press, 2015). Clinical workflow analysis, process
redesign, and quality improvement. In J. T. Finnell and B. E. Dixon (Eds.), Clinical Informatics Study Guide.
Boston: Springer.
Padula, W. V., Makic, M. B. F., Mishra, M. K., Campbell, J. D., Nair, K. V., Wald, H. L., & Valuck, R. J. (2015).
Comparative effectiveness of quality improvement interventions for pressure ulcer prevention in academic
medical centers in the United States. Jt Comm J Qual Patient Saf, 41(6).
Padula, W. V., Makic, M. B. F., & Wald, H. M. (2015). Hospital-acquired pressure ulcer incidence and variance at US
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Padula, W. V., Mishra, M. K., Makic, M. B. F., & Valuck, R. J. (2014) A framework of quality improvement
interventions to implement evidence-based practices for pressure ulcer prevention. Adv Skin Wound Care, 27(6),
280-284.
17
Pappas, S., Davidson, N., Woodard, J., Davis, D., & Welton, J. M. (2015). Risk adjusted staffing to improve patient
value. Nursing Economics, 33(2), 74-78.
Pappas, S., & Welton, J. M. (2015). Nursing: Essential to health care value. Nurse Leader, 13(3), 26-29.
Pearsall, C., Purdue, K., Horton-Deutsch, S., Young, P., Halstead, J., Nelson, K., & Morales, M. L. (2014). Becoming a
nurse faculty leader: Doing your homework to minimize risk taking. Journal of Professional Nursing, 30(1), 26-33.
Pell, J. M., Mancuso, M., Limon, S., Oman K. S., & Lin, C. T. (2015). Patient access to electronic health records during
hospitalization. JAMA Internal Medicine. Petersen, H., Sood, A., Meek, P. M., Shen, X., Cheng, Y., Belinsky, S. A., . . . & Tesfaigzi, Y. (2014). Rapid lung
function decline in smokers is a risk factor for COPD and is attenuated by angiotensin-converting enzyme
inhibitor use. Chest, 145(4), 695-703.
Reeder, B., Chung, J., Le, T., Thompson, H., & Demiris, G. (2014) Assessing older adults’ perceptions of sensor data
and designing visual displays for ambient environments. An exploratory study. Methods of Information in Medicine, 53(3), 152-159.
Reeder, B., Richard, A., & Crosby, M. Technology-supported health measures and goal-tracking for older adults in
everyday living. Accepted for presentation August 6, 2015 at HCII 2015. August 4-7, 2015.
Reeder, B., & Whitehouse, K. (2015). Sensor-based detection of gait speed for older adults: An integrative review.
Research in Gerontological Nursing, 8(1), 12-27.
Rice, M. J. (2014). Telepsychiatry. In K. Wheeler (Ed.), Psychotherapy for the Advanced Practice Psychiatric Nurse, 2nd Edition. New York: Springer.
Rice, M. J., & Cunningham, P. (2014). Psychiatric nurse researchers: Canaries in the gold mine. Journal of the American Psychiatric Nurses Association, 20, 328-339.
Rice, M., & Malkary, G. (2014). ACO driven remote patient monitoring: Trends and concepts. Proceedings of the
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Robinson, M. (2014). A pilot for learning interprofessional physical assessment skills. Journal for Nurse Practitioners. Robinson, M., Estes, K., & Knapfel, S. (2014). Use of technology in the classroom to increase professional preparation.
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Ryan-Wenger, N. A., & Lowe, N. K. (2015). Evaluation of training methods required for accurate use of a self-
diagnosis and self-treatment kit for vaginal and urinary symptoms by military women. Military Medicine, 180, 559-564.
Scott, R., Oman, K., Makic, M. B. F., Fink, R, Hulett, T. M., Braaten, J. S., Severyn, F., & Wald, H. (2014). Reducing
indwelling urinary catheter use in the emergency department: A successful quality improvement initiative.
Journal of Emergency Nursing, 40(3), 237-244.
Shapiro, A. L. B., Schmiege, S. J., Brinton, J. T., Glueck, D., Crume, T. L., Friedman, J. E., & Dabelea, D. (2015). Testing
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I. ORS OVERVIEW
ORS Publications, FY14-15
ORS Publication Totals, FY14-15
Journal Articles: 139
Books/Book Chapters: 29
Conference Papers: 4
19
I. ORS OVERVIEW
ORS
Paula Meek (left) and PhD
student Nora Flucke have a
nice—and knowing Paula,
very direct—conversation.
PhD student Andrea
LeClaire (left) sees
things eye-to-eye with
Madalynn Neu.
From left to right are
Cheryl Krause-Parello,
PhD student Lucy Graham,
Linda Flynn, and batting
cleanup, Michael Rice.
Kristine Gauthier (left) and
Nora Flucke stand at the
stellar foreground of a stellar
wall of stellar CU posters.
PhD student Jamie Mignano
(left) appears happy to have
been taken under the wing
of Karen Sousa.
Yes, CU nursing research has a global impact. But more specifically, in the
Mountain Time Zone, we are the center of research gravity. And with
Albuquerque hosting WIN 2015, ORS did what ORS does: show up and
make our presence felt.
20
II. ORS STATISTICAL
AND RESEARCH
SUPPORT CORE
ORS Review Panel 21
Center for Research and
Nursing Scholarship
(CRNS) 23
21
Pro
ject
s R
egis
tere
d/C
omp
lete
d, 9
/25/
14 (
Ince
ptio
n o
f O
RS
Rev
iew
Pan
el)
to 5
/30/
15 Date
Registered Person Who Registered Type of Project
5/28/15 Ozkaynak NIH R01 Grant Submission
5/26/15 Sousa PPT Presentation
5/20/15 Reeder EDM Forum Grant Submission
5/14/15 Sousa Promotional Document
5/7/15 Sousa PPT Presentation
5/1/15 Sousa Journal Article Submission
4/30/15 Dziadkowiec PCOEI Grant Submission
4/14/15 Ozkaynak Responses to Reviewer Feedback
4/11/15 Sousa Journal Article Submission
4/9/15 Armstrong Textbook Chapter
4/3/15 Nelson-Marten Poster
3/18/15 Dziadkowiec QI Project Review
3/5/15 Hilgendorf (Student) WIN Poster
3/2/15 Thumm (Student) WIN Poster
3/2/15 Sousa PPT Presentation
3/1/15 Ozkaynak Develop Figure for Article
2/20/15 Graham (Student) WIN Poster
2/10/15 Sousa PPT Presentation
2/9/15 Nicol Faculty Profile
2/9/15 Manthey (Student) WIN Poster
2/5/15 Robinson Develop Figure for Article
2/4/15 Rice HRSA Grant Submission
2/4/15 Shaw Poster Development
1/21/15 Grubaugh (Student) WIN Poster
1/20/15 Ozkaynak Develop Branding for Grant/Program of Research
1/20/15 Warren (Student) WIN Poster
1/8/15 Henrichs Poster Development
1/8/15 Mignano (Student) WIN Poster
II. ORS STATISTICAL AND RESEARCH SERVICES CORE
ORS Review Panel
22
Date
Registered Person Who Registered Type of Project
11/25/14 Ozkaynak Journal Article
11/13/14 Sousa Journal Article
11/8/14 Neu CCTSI Grant Submission
10/26/14 Sousa WIN Symposium Submission
10/24/14 Dziadkowiec Journal Article
10/16/14 Ozkaynak NIH R21 Grant Submission
10/15/14 Cook Center Grant Submission
10/12/14 Nelson Journal Article
10/10/14 Pedro Journal Article
10/9/14 Harpin NIMH R34 Grant Submission
10/7/14 Horton-Deutsch Textbook Chapters
10/6/14 Reeder NSF Title Proposal
10/6/14 Dziadkowiec AHRQ R03 Grant Submission
10/2/14 Ozkaynak AHRQ R03 Grant Submission
9/29/14 Sousa Online Registration Page/Process Flowchart
ORS Review Panel Mission The primary goal of the ORS Review Panel is to improve the quality of grant
submissions, publications, and presentations (poster and podium) that come
out of and represent the College of Nursing. The secondary goal is to
contribute to a collegial scholarly culture that allows for
open-review processes.
ORS Review Panel Services The Panel can help with everything from layout to cohesion to format to
language to methods to targeting specific agencies, mechanisms, or journals.
Data from FY 2014-15 Number of projects registered through the ORS Review Panel webpage,
9/25/14 (launch of panel) to 5/30/15: 43
Number of hours worked in support of registered projects: 221
II. ORS STATISTICAL AND RESEARCH SERVICES CORE
ORS Review Panel
23
II. ORS STATISTICAL AND RESEARCH SUPPORT CORE
CRNS: Staff
Oliwier Dziadkowiec, PhD
CRNS Director Oli oversees the functions of the CRNS, supervising the research
assistants and coordinating the activities of the computer laboratory.
He assists with data analysis/interpretation and provides guidance to
students and faculty in statistical/research design.
Maria Butler, CRNS RA
Chanmi Lee, CRNS RA
Madeline Morris, CRNS RA
Goals: Become a successful global health epidemiologist
On AMC: “I appreciate the emphasis on multidisciplinary collaborations between
the faculty, students, and all of the CU campuses.”
Miscellany: Enjoys snowboarding and soccer
Goals: Become an FNP
On AMC: "I really love it here because people can see potential in me and bring it
out, especially Dr. (Diane) Skiba and Dr. Oli (Dziadkowiec)."
Miscellany: Enjoys classical music and playing cello
Goals: Continue education in epidemiology, studying genetics
On AMC: “There are so many ways to continue learning by expanding on what’s
learned in the classroom. The professors are invested in their students’
futures and also active in guiding us.”
Miscellany: Enjoys snowboarding, camping, hiking, snowshoeing, climbing
24
CRNS Mission/Key CRNS Functions
The mission of the CRNS is to share scientific skills that promote research at the CON as well as provide our technical skills and expertise to the CCNR, with a focus on research methods and statistics.. Services
offered by the CRNS include (a) consultation, (b) teaching support for methodology courses, (c) statistical
analysis, (d) data entry, (e) peer review, (f) survey development and implementation, (g) educational
programs for students, faculty, and nursing researchers in the community, and (h) maintenance of the
college’s research reference library, equipment, and computer lab.
II. ORS STATISTICAL AND RESEARCH SUPPORT CORE
CRNS: Summary of FY14-15 Activities
CRNS Consultation Activities for College of Nursing Students and Faculty
The CRNS Director (1 FTE) and the CRNS RAs (total of 1 FTE) provided a total of 444 consultations—
amounting to 796 hours of consultation time—to College of Nursing faculty and students between May 1,
2014 and June 30, 2015. Consultations included analysis plan creation, grant submission assistance
(Methods section and responses to reviewer comments), cleaning and screening data, data restructuring,
statistical analysis, data management, transcription, peer review, proof reading, review of DNP and PhD
methods and analysis, results interpretation, final report preparation, outside presentations (e.g., “Ask a
Statistician” booth at the EBP Conference), power analysis, database design, online survey construction
and administration, one–on-one SPSS tutorials, WIN poster submission assistance, and student
classroom-project assistance.
CRNS CON-related consultation activities fall into 3 categories:
1. DNP capstone project consultations
2. PhD dissertation project consultations
3. Faculty research project consultations
In FY14-15, CRNS provided a wider variety of services than in FY13-14.
In FY14-15, CRNS provided more total consultations and consultation hours than in FY13-14
(Table 1).
CRNS Mission, Part 1: Promoting CON Research
Table 1. Faculty and Student Appointments, Total, FY13-14 v. FY14-15
FY13-14 FY14-15 Total Change % Change
Total Consultations 297 406 +109 +37%
Total Consultation Hours 490 714 +224 +46%
25
Table 3. PhD Dissertation Project Support, FY13-14 v. FY14-15
FY13-14 FY14-15 Total Change
Total Consultations 40 36 -4
Total Consultation Hours 65 64 -1
Longest Consultation 6 hours 4 hours -2
Shortest Consultation 25 min 30 min 5
Table 4. Faculty Research Project Support, FY13-14 v. FY14-15
FY13-14 FY14-15 Total Change
Total Consultations 130 234 +102
Total Consultation hours 299 472 +173
Longest Consultation 7 hours 10 hours +3
Shortest Consultation 15 min 20 min +5
Table 2. DNP Capstone Project Support, FY13-14 v. FY14-15
FY13-14 FY14-15 Total Change
Total Consultations 127 138 +11
Total Consultation Hours 126 178 +52
Longest Consultation 4 hours 4 hours 0
Shortest Consultation 20 min 10 min -10
II. ORS STATISTICAL AND RESEARCH SUPPORT CORE
CRNS: Summary of FY14-15 Activities
CRNS Mission, Part 1, Continued: Promoting CON Research
Breaking CON research-promotion activities into categories: DNP capstone project
support (Table 2), PhD dissertation project support (Table 3), and faculty research
project support (Table 4)
26
II. ORS STATISTICAL AND RESEARCH SUPPORT CORE
CRNS: Summary of FY14-15 Activities
CRNS Mission, Part 1, Continued: Promoting CON Research
CRNS papers and presentations, FY14-15
Published Peer-reviewed Manuscripts
Dziadkowiec, O., Wituk, S., & Franklin, D. (2015). A social network analysis of South Central Kansas Workforce
Innovations in Regional Economic Development. Journal of Place Management and Development, 8(1), 6-22.
Dziadkowiec, O., Cook, P., & Fink, R. M. (2014). Research instrument and survey development: Reliability, validity,
and measurement issues. In R. M. Fink, K. S. Oman, & M. B. F. Makic (Eds.), Research & Evidence-based Practice
Manual, 3rd Edition. Aurora, CO: University of Colorado Hospital.
Lee, K. A., Dziadkowiec, O., & Meek, P. (2014). A systems science approach to fatigue management in research and
health care. Nursing Outlook, 62(5), 313-321.
Poster and Podium Presentations
Dziadkowiec O., Callahan, T., & Ozkaynak, M. (2015). Using Markov Models to examine asthma patient flow in an
ED, The Western Institute of Nursing's 48th Annual Communicating Nursing Research Conference, Albuquerque,
NM, Apr 22-25 (Poster).
Ozkaynak, M., Dziadkowiec, O., Deakyne, S., & Tham, E. (2014). Differences in occurrence and recorded times of
care delivery events as documented in electronic health records. AMIA 2014 Annual Symposium, Nov 15-19,
Washington, DC (Poster).
Ozkaynak M., Ayer T., Sills, M., Vlachy, J., & Dziadkowiec, O. (2015). Combining visualization and Markov Models
to characterize workflow in emergency departments, IIE 2015 Annual Conference & Expo, Nashville, TN, May 30t–
Jun 2 (Podium).
Ozkaynak, M., Willer, J., Dziadkowiec, O., Callahan, T., & Zane R. (2015) Transforming triage: Findings from
redesigning workflow in an ED. IIE 2015 Annual Conference & Expo, Nashville, TN, May 30–Jun 2 (Podium).
Rothman, K., Neu, M., Callahan, T., & Dziadkowiec. O. (2015). Early ambulation in the pediatric postoperative
appendectomy patient. The Western Institute of Nursing's 48th Annual Communicating Nursing Research
Conference, Albuquerque, NM, Apr 22-25 (Podium).
Manuals
Dziadkowiec, O., Cook, P., & Fink, R. M. (2015). Research instrument and survey development: Reliability, validity,
and measurement issues. Research & Evidence-Based Practice Manual, 131.
Invention/Discovery (pending)
Reeder, B., Dziadkowiec, O., & Callahan T. An overhead sensing approach to identify unique individuals and
measure gait speed.
27
CRNS Participation in the Colorado Collaborative for Nursing Research (CCNR)
CRNS director Dr. Oliwier Dziadkowiec has been serving as the main analyst for CCNR external
stakeholders, in particular, University of Colorado Hospital and Children’s Hospital Colorado. He has also
been collaborating with the signature CCNR initiatives: the CU Nursing Informatics and Collaborative
E-Health (NICE) Research Core and the CU Patient-Initiated Data (CUPID) project.
In FY14-15, CRNS provided more total consultations and consultation hours than in FY13-14 (Table 5).
II. ORS STATISTICAL AND RESEARCH SUPPORT CORE
CRNS: Summary of FY14-15 Activities
CRNS Mission, Part 2: Providing Technical Skills and Expertise to the CCNR
Table 5. CRNS Technical Skill and Expertise Provision to CCNR, FY13-14 v. FY14-15
FY 13-14 FY 14-15 Total Change % Change
Total Consultations 44 101 +57 +130%
Total Consultation Hours 129 177 +48 +37%
Shortest Consultation 15 minutes 25 minutes +10 n/a
Longest Consultation 8 hours 3 hours -5 n/a
II. CENTER FOR RESEARCH AND NURSING SCHOLARSHIP
From CNR to CRNS, 8/25/14
Converting the “Center for Nursing Research” into the “Center for Research and Nursing
Scholarship (CRNS)” acknowledges that not all research conducted through ORS is nursing
research—there is also research in pedagogical theory, public health, and more. Insertion of the word
“Scholarship” into the CRNS name serves the same purpose: it recognizes that valuable academic work
comes in variegated forms. And CRNS Director Oliwier Dziadkowiec is always working to make Room
4224 a more inviting gathering place, where ideas can collide and partnerships can form.
28
II. ORS STATISTICAL AND RESEARCH SUPPORT CORE
CRNS: FY14-15 Accomplishments
Overall, CRNS has been used more in FY14-15 than FY13-14 (Table 1). Highlights once again include
the large number of DNP students and PhD students supported in QI projects and dissertation projects.
Additionally, the CRNS director and CRNS RAs have developed more long-lasting partnerships with
faculty through repeat consultations and manuscript/presentation co-authorship. CRNS has also become
more involved in Colorado Collaborative for Nursing Research (CCNR) projects, where the CRNS director
is assisting with statistical analysis and the setup of federated data systems/databases.
Last year’s CRNS annual report identified three major challenges: (a) RA staffing, (b) DNP project support,
and (c) keeping up with new statistical methods through continuing education. The following paragraphs
capture the accomplishments CRNS has made in addressing those challenges.
ColoradoSPH Connect. In order more efficiently to recruit research assistants from the Colorado School
of Public Health, CRNS has established an employer profile on the ColoradoSPH Connect website.
ColoradoSPH Connect is “the centralized hub for all job, practicum, internship, and volunteer postings.”
This allows CRNS job postings to be viewed by all interested CSPH graduate students, which has helped
in maintaining a larger applicant pool and hiring higher quality RAs.
New DNP Project Guidelines. In an effort to improve the quality of the DNP consultations, CRNS staff has
created a set of guidelines for using statistical tests, power analyses, and Microsoft Excel (to create control
charts for analysis). In collaboration with Drs. Cook and Nelson, Dr. Dziadkowiec has helped to create a
new set of instructions for DNP related analysis, which includes the use of an expanded number of Run/
Control chart methods.
Missing and “Dirty” EHR Data Research . The past year’s work with data from electronic health records
(EHR) has helped the CRNS director in starting a research area dedicated to dealing with missing and
“dirty” data extracted from the EHR. Along with his colleagues from the CU School of Medicine and
University of Iowa, Dr. Dziadkowiec has pursued PCORI funding, aiming to develop new statistical
software and framework for dealing with missing and “dirty” EHR data. The first product of this work
is a manuscript under review in eGEMs, an open source journal from Academy Health.
New CRNS-related Manuscripts. In addition to two new peer-reviewed published manuscripts, the
CRNS director and a former CRNS RA have co-authored 6 manuscripts currently under review. These
manuscripts are based on projects undertaken in FY13-14 with CCNR hospital partners and CON faculty
members.
New RA Time Tracking System Improvements. We have made improvements to our time-tracking system
in order to be able to track a larger number of work-associated variables. The major changes include a
drop-down task menu and an invoice/charging system. The task menu allows us to track more consistent-
ly the type of work we do, and the invoice/charging system allows us to keep track of our fee-for-service
work through one software application, which makes our financial tracking more reliable and organized.
29
FY15-16 Challenges
II. ORS STATISTICAL AND RESEARCH SUPPORT CORE
CRNS: FY15-16 Challenges and Opportunities
FY15-16 Opportunities
Staffing. As in the previous two years, maintaining RA staffing is an
ongoing challenge for the CRNS. We have made great strides in training
and recruiting new RAs, but due to high natural turnover of our RAs (as
they graduate) and an increasing number of consultation requests, it has
become difficult to find the required amount of time to fully train new RAs.
This has been especially difficult as consultation requests are becoming more
statistically complex and require a higher time commitment.
Keeping up with New Statistical Methods through Continuing Education. As the CON evolves and new statistical methods become necessary to
analyze EHR-embedded Big Data, the CRNS Director and CRNS RAs will
need to find time to learn new statistical techniques in order to meet the
more statistically demanding requests from our faculty and hospital
partners.
Expansion of CRNS Services. As CCNR moves closer to realizing its mission,
CRNS will likely expand the volume and complexity of services. Improving
RA training and securing funding for another part-time statistician will be
important.
Statistical Training Seminar Series. We will launch in Fall 2015/Spring 2016
a statistical training series, and we will also provide opportunities for CON
colleagues to present their research and scholarship at CRNS. We hope that
this will provide a forum for idea generation, networking, and collaboration.
Additional CRNS Scholarship. With our expanded training plans, we hope
to contribute to a larger number of funded CON grants and high quality
peer-reviewed manuscripts and presentations.
30
III. COLORADO
COLLABORATIVE
FOR
NURSING
RESEARCH
(CCNR)
CCNR Overview 31
CCNR Scholarship 32
CCNR Summit 33
CCNR Projects 37
CCNR Outreach 38
31
III. CCNR
Overview
The Future of Health Care and the Future of Nursing
Because the future of the US healthcare system will be
written in the electronic health record (EHR), if nurses
today acquiesce to being represented simply as “box
checkers” in EHR—if nurses’ accept this non-substantive,
not-representative-of-nursing presence in the EHR—they
consign themselves to eventual obsolescence. After all,
automated systems already can assign tasks, provide
instructions, and record data. Robots can check boxes.
So to remain relevant and viable, today’s nurses must find
their voice in the language of the healthcare future: data.
And to be compelling in that language, today’s nurses must
produce and use data that isolate and capture the high
impact of quality nursing on patient outcomes. And these
data must appear in the germinal record of the evolving
future of healthcare: the EHR. In short, quantifying
nursing care in discrete data metrics and then integrating
those nursing care metrics into the EHR constitute an
existential necessity for the nursing profession.
The Colorado Collaborative for Nursing Research
The Colorado Collaborative for Nursing Research (CCNR)
is addressing nursing’s need for nursing-centered data. The
objective of the CCNR is to champion nursing by
(a) extracting nursing-specific data from the proprietary
EHR systems of multiple stakeholders; (b) importing,
harmonizing, and processing those data; and (c) returning
high-quality nursing-centered analytics to acute care
facilities in near-real-time to inform the decisions and
best practices of nurse leaders and nurse clinicians.
The CCNR has a three-arm structure: (1) a forum where
nurse scientists and nurse clinicians can share fresh
perspectives and leverage their collective weight in
contributing to broader healthcare conversations; (2) a
support services arm where nurse scientists can get
modeling, statistical, data-management, and writing help
in promotion of their nursing visions/projects; and
significantly, (3) a first-of-its-kind, multi-system, nursing-
focused, federated data-sharing network.
32
III. CCNR
FY14-15 Scholarship
CCNR Publication:
“The Colorado Collaborative for
Nursing Research: Nurses shaping
nursing’s future” appeared in the
March/April 2015 issue of
Nursing Outlook.
CCNR Symposium, WIN Conference 2015:
“Colorado Collaborative for Nursing
Research: Nurses, Trailblazers, Pioneers”
was the title of the WIN symposium
presented by Karen Sousa,
Kathy Oman,
CU CON alum Cindy Oster,
Blaine Reeder,
Mustafa Ozkaynak,
and John Welton.
33
Regina Alexander-Reis, RN, MS-BC
Supervisor, Health Informatics, VA Eastern Colorado HCS
Jessica Bondy, MSHA
Director, Research Informatics, University of Colorado Cancer Center
Associate Professor, Biostatistics & Informatics, CU School of Public Health
Jo Comstock
Director, Nursing Informatics/Float Pool, Kaiser Permanente Colorado
Oliwier Dziadkowiec, PhD
Director, Center for Research and Nursing Scholarship, CU College of Nursing
Carsten Gorg, PhD
Instructor, Computational Bioscience, CU School of Medicine
Katrina Lawrence, RN
Admit-Discharge Team, Poudre Valley Hospital
Michael G. Kahn, MD, PhD
Professor, Pediatrics; Director, Research Informatics, CHCO
Core Director, Biomedical Informatics, CCTSI
Associate Director, Center for Biomedical Informatics & Personalized Medicine
Sharon B. Kirby, MSN, RN-BC
VP/Chief Nursing Informatics Officer, Centura Health
Cindy Larson, RN, BSN
Manager, Clinical Informatics, University of Colorado Health
Mustafa Ozkaynak, PhD
Assistant Professor, CU College of Nursing
Martha Stone Palmer, PhD
Professor, Linguistics and Computer Science, CU-Boulder
Alice Pekarek, RN-BSN
Director of Clinical Informatics, University of Colorado Health
Tzu Lip Phang, PhD
Associate Professor, CU Denver
Blaine Reeder, PhD
Assistant Professor, Health Care Informatics, CU College of Nursing
Bob Schell
Director, Research & Shared Services, OIT, CU Denver
Kathy Smith, RN, MS, PMC
Informatics Nurse Specialist, University of Colorado Hospital
SU
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III. CCNR
CCNR Summit, February 19, 2015: Technical/Informatics Group
34
III. CCNR
CCNR Summit, February 19, 2015: Technical/Informatics Group
SU
MM
IT T
AK
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WA
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TE
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Governance issues need to be resolved before technical and resource
requirements can be defined. Specifically, we must have buy-in
from C-suite executives and legal issues must be resolved.
We must be a little further along in resolving governance issues
before addressing technical implementation issues (note: CCNR *is*
further along with the governance with 7 DUAs signed for the
30-day readmission project and requests for EHR data outstanding
in 3 organizations. All data sets should be delivered by end of
summer 2015).
Having an example implementation success story is important to
getting buy-in (CHORDS implementation of PopMedNet serves as
an example success story).
Emphasize Quality Improvement. De-emphasize the use of
“research” and research-related language in the academic sense.
Specify a simple QI/research question that is important to
organizations to incentivize participation (example from Michael
Kahn): "We hypothesize that the last pain score recorded before
discharge is related to likelihood of re-admission.
Implementation processes will be similar but must be contextualized
to each organization.
Even if outside funding is provided for technical hires,
organizational resources are constrained and access to them may
be delayed.
Anticipate a years-long process. Less than two years may be quick.
(The CCNR experience with 30-day readmission project exemplifies
this).
There is a need for a system to uniquely identify patients
across settings (master patient index for patient record linkage)
Build algorithm to get information from health record.
By getting executive buy-in, ramp up priority level among analytics
teams for pulling CCNR data .
35
Bonnie Adrian, PhD, RN
Manager, Nursing Outcomes, Research, & EBP, Denver Health
Marthie Baker, MS, MA, BSN, RN
Department of Professional Development & Quality for Nursing, KPCO
Cathy Battaglia, PhD, RN
Nurse Investigator, Denver/Seattle Center of Innovation
Diane K. Boyle, PhD, RN, FAAN
Wyoming Excellence Chair in Nursing
Professor, University of Wyoming School of Nursing
Peggy Budai, RN, MS, NP-C, CNS
Clinical Nurse Specialist, UCHealth
Deborah Campbell, ND, RN, CNS, NEA-BC
Director, Professional Nursing Practice, Saint Joseph Hospital
KC Clevinger, PhD, CPNP, CCRP
Director of Research, Children’s Hospital Colorado
Bonnie Clipper, DNP, RN, MA, MBA
CNO, Medical Center of the Rockies
Ric Detlefsen, MSN, RN, CPHQ
Director, Clinical Quality & Risk Management, PVH & MCR
Anthony Disser
Sr. Vice-President, Clinical Operations, Kindred Healthcare
Ann Henderson, PhD, RN-BC
Education Nurse Specialist, Clinical Education & Innovation Center, UCHealth
Kelly M. Johnson, PhD, RN, NEA-BC
Dr. Dori Biester Chair in Pediatric Nursing, SVP, CNO
Children’s Hospital Colorado
Cathy Kleiner, PhD, RN, CNS
National Director of Nursing Research, Catholic Health Initiatives
Mary Beth Flynn Makic, RN, PhD, CNS, CCNS, FAAN
Research Nurse Scientist, Critical Care, University of Colorado Hospital
Kathy Oman, PhD, RN, FAEN, FAAN
Research Nurse Scientist/CNS, University of Colorado Hospital
Melanie F. Sandoval, PhD, RN
Nurse Scientist, Perioperative/Obstetric Research, University of Colorado Hospital
Cynthia A. Oster, PhD, MBA, APRN, CNS-BC, ANP
Nurse Scientist, Clinical Nurse Specialist, Critical Care/Cardiovascular
Centura Porter Adventist Hospital
Emily J. Tremlett, RN, BSN, CCRC
Clinical Research Supervisor, SCL Health/Saint Joseph Hospital
SU
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III. CCNR
CCNR Summit, February 19, 2015: Nurse Scientist Group
36
III. CCNR
CCNR Summit, February 19, 2015: Nurse Scientist Group
SU
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WA
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,
NU
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Discussion of components of health (e.g., ability to concentrate, pursuit of
goals, memory, sense of control, positive change in symptom status) and
ways they could be captured in EHR. Each group (3) had its own way of
organizing the outcomes they thought could be used.
Group 1: “Our idea is to get the ‘low-hanging fruit.’” “Facilities
should allow patients to do—even in the hospital—what makes
them happy. If they smoke and eat potato chips on the weekend,
they should be able to that in the hospital.”
Group 2: “We struggled to understand what could be measured in a
meaningful way in the acute care setting.” “We recognize that
health has many components, but our collection and
measurement are limited to what is quantifiable.”
Group 3: “A lot of the items we discarded were actually very
important to the patient but weren’t necessarily measureable.”
Decisions about which components of health should be targeted, as
indicative of quality nursing, for inclusion in the EHR and subsequent
tracking: independently, the nurse groups reached 100% unanimity based
on feasibility of quantification and, therefore, of collection
Mobility
Sleep
Pain
Form a question up front (e.g., Does the pain score have any association with
the likelihood of being readmitted? Can we show that? And then, you can
start to ask, “What about the trend?”). “Quick, easy wins—descriptive—
1 screen rather than 15 in EHR.” “If you could get some external funding
for a pilot study, that would help validate it. Need to show some proof of
concept.”
Engage CNOs at the right time (i.e., be able to answer the following
questions: “What specific information do you want? What is the value
of the proposal? How will it be different from the data we have today?”
Short-term, get the CNOs together. Work with Linda Roan, Associate CNO
(MCA), and ask if she could convene the CNO table.
37
III. CCNR
Projects in Progress
CU Patient Initiated Data (CUPID) Initiative
Hospital 30-day Readmission and Nursing-sensitive Process Indicators
Symptom Trajectory throughout Patient Length of Stay as a Nursing-sensitive
Process Indicator
Karen Sousa, Blaine Reeder, Jessica Bondy (CHORDS project), and
Bryant Doyle (Senior Software Developer, CHORDS project) met with
UCHealth CIO Steve Hess and UCHealth Epic/Nursing Informatics
Specialist Alice Pekarek to discuss an EHR-data-extraction dry run
involving all 5 hospitals in the UCHealth System and using a PopMedNet
(PMN) platform. The meeting was a success. Karen Sousa then met with
CHCO CNO Kelly Johnson and secured Children’s Hospital Colorado’s
participation as well. The demo is expected to happen in Fall 2015.
External stakeholders/Data Use Agreements signed: University of
Colorado Hospital (UCH), Children’s Hospital Colorado (CHCO), Porter
Adventist Hospital (Centura Health), Poudre Valley Hospital (PVH),
Medical Center of the Rockies (MCR), Denver Health and Hospital
Authority (DHHA), and Veteran’s Administration Eastern Colorado Health
Care System (VA). Data collection has begun. Stakeholders are engaged in every-
other-month meetings. Project will sync with the CUPID initiative.
External stakeholder: University of Colorado Hospital (UCH)
Funding status: Funded for FY15-16 and FY16-17
COMIRB status: Approved
Data-collection status: Now (a) hiring student RAs and (b) preparing
patient questionnaire
Projected launch of study: Fall 2015
38
III. CCNR
FY14-15 Outreach to External Stakeholders
7/22/14 Kai Larsen/Natural Language Processing group
7/24/14 Nurse Scientist Research Group, (Catherine Battaglia, VA; Bradley Howard, KPSC; KC Clevinger, CHC;
Deborah Campbell, ESJ; Bonita Shviraga, HO-MCA; Catherine Kleiner, CHI; Kathy Oman, UCH; Cynthia Oster,
Centura; John Welton, CU-CON)
8/4/14 Kindred Healthcare/Tony Disser
8/5/14 University of Wyoming, Mary Burman
9/3/14 Denver Health, Bonnie Adrian
9/4-5/14 AONE/CONL Conference (Amy Garcia, Cerner)
9/11-12/14 Presentation at CHCO
9/23/14 CU School of Medicine, Drs. Heidi Wald and Mark Gritz
9/25/14 Nurse Scientist Research Group at Centura Porter Adventist Hospital (Catherine Battaglia, VA; Bradley
Howard, KPSC; KC Clevinger, CHC; Deborah Campbell, ESJ; Bonita Shviraga, HO-MCA; Catherine Kleiner, CHI;
Kathy Oman, UCH; Cynthia Oster, Centura; John Welton, CU-CON)
10/1/14 University of Wyoming, Mary Burman
10/2/14 Catholic Health Initiatives, Data-use meeting
10/13/14 University of Colorado Health North (PVH and MCR) (Janet Craighead, Peggy Budai, Ann Henderson)
10/27/14 Presentation for VA/VISN 19 (Norlynn Nelson)
11/20/14 Nurse Scientist Research Group (Catherine Battaglia, VA; Bradley Howard, KPSC; KC Clevinger, CHC;
Deborah Campbell, ESJ; Bonita Shviraga, HO-MCA; Catherine Kleiner, CHI; Kathy Oman, UCH; Cynthia Oster,
Centura; John Welton, CU-CON)
11/21/14 Penrose/St. Francis, Colorado Springs
1/29-31/15 AACN Doctoral Conference, San Diego, CA (Sue Bakken)
2/19/15 First CCNR Summit, AMC
3/31/15 UCHealth (Carolyn Sanders, CNO)
4/25/15 CCNR Symposium, WIN Conference, Albuquerque, NM (participation in Symposium presentation by
Catherine Battaglia, VA and Cynthia Oster, Centura)
4/30/15 VA Eastern Colorado Healthcare System (Cory Ramsey, Associate Director of Patient Care Services)
5/26/15 CIVHC (Kristin Paulson, Director of Health Care Programs)
6/9/15 PopMedNet (Jessica Bondy, CHORDS Director)
6/10-12/15 AONE/CONL Conference (Amy Garcia, Cerner; Emily Barey, Epic)
6/19/15 Nurse Scientist Research Group meeting (Catherine Battaglia, VA; Bradley Howard, KPSC; KC Clevinger,
CHC; Deborah Campbell, ESJ; Bonita Shviraga, HO-MCA; Catherine Kleiner, CHI; Kathy Oman, UCH; Cynthia
Oster, Centura; John Welton, CU-CON)
6/28/15 Centura Porter Adventist about CUPID/federated data demo (Sharon Pappas, CNO)
39
IV. FACULTY RESEARCH
COMMITTEE
Summary of Activities 40
40
IV. FACULTY RESEARCH COMMITTEE
Summary of Activities The 2014-2015 CON Faculty Research Committee elected members were Chair Dr. Paul Cook, general
members Dr. Linda Krebs and Dr. Jacqueline Jones, and PhD student Brie Thumm (selected). Also in
attendance were the following ex-officio non-voting members: Associate Dean for Research Dr. Karen
Sousa and Grant Specialist Barbara Creswell.
FACULTY RESEARCH COMMITTEE GOALS (as established in FY2010)
The Research Committee provides oversight, review, and recommendations related to the development
and progress of research conducted by the faculty and students of the College. The Research Committee
supports CON Strategic Priority #3: Conduct outstanding research and creative work for the public good.
The FY14 Research Committee took the following actions towards meeting College of Nursing goals:
Goal 3.1— Be a global leader in translation & application of discovery, innovation, & creativity for societal
good
Goal 3.2— Enhance our reputation for nationally and internationally recognized research for translating
discovery into clinical practice
Goal 3.3— Foster risk-oriented, leading-edge ideas that may forge the next new frontier
Goal 3.4— (n/a)
Goal 3.5— Recruit, retain, and reward an outstanding workforce to achieve our vision for research and
creative work
Goal 3.6— Provide superior core research facilities to enhance discovery, innovation, and creative
activities
Research Committee Activity
Goals that the activities support
Goal
3.1
Goal
3.2
Goal
3.3
Goal
3.5
Goal
3.6
Areas of Excellence X X X X X
CTSI participation X X X
Elisabeth H. Boeker Award X X X
Doris Kemp Smith Award X X X
Intramural Small Research Grant Awards X X X
Intramural Travel Awards X X
Intramural Research Assistant and Software Awards X X
Research Seminars X
Research Retreats X X
SEM Workshop Student Scholarship X X
ORS Policies and Procedures X
41
IV. FACULTY RESEARCH COMMITTEE
Summary of Activities
Areas of Excellence (AE): Areas of Excellence (AE) were created and funded in FY13. Their composition
and structure were carefully reviewed at a Fall 2014 research faculty retreat, and various Research
Committee and ORS policies and procedures were revised this year to emphasize the Areas of Excellence.
Each area gave a monthly report, which was reviewed at the subsequent Research Committee meeting.
CCTSI Participation: CCTSI funds again supported faculty development and conference presentations.
Elisabeth H. Boeker Award: The Boeker Award was conferred in FY13. The Boeker award guidelines
were revised in FY14 to emphasize fit of the research with the Areas of Excellence. A decision was made
to issue additional student-faculty research grants (modeled on the Boeker Award) using unexpended
Areas of Excellence funding. The call for proposals went out in April 2015, with a due date in September.
Two letters of intent were received in June.
Doris Kemp Smith Award: The Doris Kemp Smith Award guidelines were also revised in 2015 to
emphasize fit of the research with the Areas of Excellence.
Intramural Travel Awards, RA Awards, and Software License Awards: One faculty received funds in
FY14-15 to support an RA. Travel funding was extended on many occasions to both faculty and
students—for travel to WIN alone, the Research Committee provided funds to 15 faculty members
and 14 students.
Research Seminar Series: The Research Committee sponsored Jennifer Disabato’s presentation,
“Improving Transition from Pediatric to Adult Neurology Care: Outcomes of a Funded QI Project
Supporting the Expansion of Best Practices.”
Research Retreats: A half-day research retreat was held in November 2014 and another half-day update
was held in February 2015. Both retreats focused on the Areas of Excellence and research faculty needs.
The CON’s new Associate Dean for Finance, John Moore, attended the February retreat to discuss
research funding. The Dean attended a research session at a CON-wide mini-retreat in April 2015 to
discuss research funding and priorities. The research faculty forwarded a list of priorities for new faculty
hires to the Dean, with the idea of recruiting researchers who fit well with existing Areas of Excellence.
ORS Policies and Procedures:
ORS policies about peer-reviewed grant submissions which were reviewed with faculty who are
planning a grant submission. The new policies emphasize both internal and external review to
improve the quality of grant submissions and the likelihood of funding.
Research faculty merit evaluation guidelines, focused on the criteria for “exceptional” versus
“expected” performance in areas such as grant funding and publications.
CON strategic plan metrics related to research, with feedback provided to the leadership team.
Other Actions: The Research Committee updated its membership rules in the Bylaws, with changes
approved at the June 2015 faculty meeting. Changes focused on the definition of “research faculty” and
ensuring that at least 50% of the committee membership, which was increased from 3 to 4, are tenured
or tenure-track faculty.