Scholars@Duke
Amie Koch

Amie Koch

Associate Clinical Professor in the School of Nursing
School of Nursing
amie.koch@duke.edu
Duke School of Nursing, Box 3322, Durham, NC 27710
Duke School of Nursing, 307 Trent Drive, 3216 Ipe Bldg, Durham, NC 27710

Selected Publications

Navigating Health When Sudden Blindness Occurs: The Experience of Leber Hereditary Optic Neuropathy.

Journal Article Creative nursing · November 2025 Millions of Americans are affected by vision loss. Individuals diagnosed with Leber hereditary optic neuropathy face unique challenges due to the sudden and severe nature of vision loss. This genetic condition often results in difficulty obtaining a timely ... Full text Cite

Advanced Clinical Activities in Primary Care Nurse Practitioner Majors

Journal Article Journal for Nurse Practitioners · May 1, 2025 The purpose of this project was to identify how frequently nurse practitioner (NP) students in primary care clinical experiences performed advanced clinical activities. We conducted a 5-year retrospective analysis of clinical logs from students in 4 popula ... Full text Cite

Identifying predictors of spatiotemporal variations in residential radon concentrations across North Carolina using machine learning analytics.

Journal Article Environ Pollut · February 15, 2025 Radon is a naturally occurring radioactive gas derived from the decay of uranium in the Earth's crust. Radon exposure is the leading cause of lung cancer among non-smokers in the US. Radon infiltrates homes through soil and building foundations. This study ... Full text Link to item Cite

LGBTQ+ disclosure: challenges and possibilities.

Journal Article Culture, health & sexuality · February 2025 This paper uses Ambiguous Loss Theory to explore the anticipatory and ambiguous losses and stressors surrounding the decision to come out as Lesbian, Gay, Bisexual, Transgender or Queer. Purposive sampling was used to administer a survey to 429 individuals ... Full text Cite

Top Ten Tips Palliative Care Clinicians Should Know About Caring for Patients with Myeloproliferative Neoplasms.

Journal Article J Palliat Med · February 2025 Myeloproliferative neoplasms (MPNs) are a group of rare chronic progressive blood cancers that vary widely in clinical presentation, yet all patients have a risk of disease progression and thrombotic complications. Diseases include primary myelofibrosis, p ... Full text Link to item Cite

Coming Out as LGBTQ+: A Qualitative Study on the Mental Health Impact of Religious Responses to Disclosure.

Journal Article Journal of homosexuality · January 2025 Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ+) individuals may experience judgment, exclusion, and rejection by religious environments. This mixed methods study focused on the impact of religion on sexual orientation disclosure/coming out. Through ... Full text Cite

Adolescent mental health in rural settings: the role of artificial intelligence and community engagement.

Journal Article Frontiers in public health · January 2025 Adolescents in rural communities face persistent mental health disparities due to provider shortages, social isolation, and stigma. Traditional care models remain insufficient. This perspective explores how artificial intelligence (AI) tools combined with ... Full text Cite

Closing the Gap: Foster Parents' Lived Experiences and Recommendations for Interdisciplinary Health-Care Providers.

Journal Article Creat Nurs · November 2024 Purpose: This study explored barriers and facilitators to utilizing health-care services for foster youth, from the perspective of foster parents. Background: There are nearly 437,283 youths in the United States foster care system. Youths living in locatio ... Full text Link to item Cite

Neighborhood-level socioeconomic disparities in Radon testing in North Carolina from 2010 to 2020.

Journal Article J Environ Radioact · July 2024 Radon is a naturally occurring radioactive gas that poses significant health risks to humans, including increased risk of lung cancer. This study investigates the association of neighborhood-level socioeconomic variables with radon testing and radon exposu ... Full text Link to item Cite

Topical Steroid Withdrawal Syndrome Caused by Short-term Steroid Use

Journal Article Journal for Nurse Practitioners · May 1, 2024 Topical and oral steroids are commonly prescribed to patients of all ages for inflammatory skin conditions. Cessation of long-term topical steroid use can result in topical steroid withdrawal syndrome (TSWS), also known as red skin syndrome, but TSWS can a ... Full text Cite

Implementing a clinical checklist for pregnant patients with opioid use disorder.

Journal Article Journal of the American Association of Nurse Practitioners · January 2024 BackgroundOpioid use disorder (OUD) has been increasing in pregnant patients over the past two decades. Best practice guidelines that are available for these patients, must now be implemented by health care teams. Clinical checklists have been use ... Full text Cite

Exploring the Challenges of Sexual Orientation Disclosure Among Lesbian, Gay, Bisexual, Transgender, Queer Individuals

Journal Article Journal for Nurse Practitioners · November 1, 2023 This qualitative study sought to understand lesbian, gay, bisexual, transgender, queer (LGBTQ) individuals’ experiences of sexual orientation disclosure in health care settings and ways health care providers (HCPs) can create supportive and inclusive relat ... Full text Cite

Crossroads of parental decision making: Intersections of hope, communication, relationships, and emotions.

Journal Article Journal of child health care : for professionals working with children in the hospital and community · June 2023 Parents of children born with complex life-threatening chronic conditions (CLTCs) experience an uncertain trajectory that requires critical decision making. Along this trajectory, hope plays an influential but largely unexplored role; therefore, this quali ... Full text Cite

Pediatric Goals of Care Communication: A Socioecological Model to Guide Conversations.

Journal Article Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · February 2023 The purpose of this article is to explore factors that influence pediatric patients and their parents during provider-led goals-of-care conversations. Our framework can help providers enhance holistic communication by approaching difficult topics (ie, qual ... Full text Cite

Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2023 AbstractStigma is a fundamental cause of health inequities. Guided by the Adaptive Leadership Framework for Chronic Illness (ALFCI), this descriptive qualitative study explored the challenges of stigma and disclosure experienced by women with HIV ... Full text Cite

Learner Response to an Activity Introducing Adverse Childhood Experiences as a Social Determinant of Health.

Journal Article The Journal of nursing education · November 2022 BackgroundThreading content on the social determinants of health into the nursing curricula is a best practice recommended by certifying bodies; however, introducing content on social determinants of health can overwhelm learners, who may have dif ... Full text Cite

Teach About Heat: Rising Temperature From Climate Change Is a Nursing Issue

Journal Article The Journal of Continuing Education in Nursing · October 2022 Deaths attributed to rising temperatures and heat waves represent a continuing public health concern. Climate change affects social determinants of health and local and global health inequities, especially those negatively impacted by high temperat ... Full text Cite

Adultification of Black children negatively impacts their health: Recommendations for health care providers.

Journal Article Nursing forum · September 2022 Adultification is the term used to define how Black children are viewed as older than they are. Systemic racism has forced Black children into social, emotional, and physical adult roles before they are adults, contributing to adultification. Pediatric and ... Full text Cite

The Power of a Story: Enhancing Students' Empathy for Transgender Pregnant Men.

Journal Article The Journal of nursing education · August 2022 BackgroundTransgender individuals continue to face stigma and discrimination within the health care system. Sharing the lived experience of transgender pregnant men can increase awareness, understanding, and empathy for this underrepresented popul ... Full text Cite

Addressing Adultification of Black Pediatric Patients in the Emergency Department: A Framework to Decrease Disparities.

Journal Article Health promotion practice · July 2022 Systematic racism and structural discrimination in the United States are factors that have negatively affected the health of Black individuals and families. One form of racism that often goes unrecognized and yet has a profound negative impact on the healt ... Full text Cite

Adaptive leadership in clinical encounters with women living with HIV.

Journal Article BMC women's health · June 2022 BackgroundWomen living with HIV (WLWH) report low engagement in health care, missed office visits, and less engagement in the clinical encounter. Strengthening the clinical encounter for WLWH may improve health outcomes and quality of life. The Ad ... Full text Cite

Adaptive Challenges, Adaptive Work, and Adaptive Leadership Among Women Living With HIV in the Southern United States: Findings From a Qualitative Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2022 AbstractWomen living with HIV have a higher burden of non-AIDS comorbidities and prevalence of chronic conditions. The Adaptive Leadership Framework for Chronic Illness clarifies living with complex health challenges by delineating the technical w ... Full text Cite

Exploring Resilience Among Black Women Living With HIV in the Southern United States: Findings From a Qualitative Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2022 AbstractBlack women living with HIV (WLWH) face individual and sociostructural challenges. Despite these challenges, many exemplify remarkable levels of resilience and coping. Yet, research on resilience and coping in this population is limited. T ... Full text Cite

Multiple Roles of Parental Caregivers of Children with Complex Life-Threatening Conditions: A Qualitative Descriptive Analysis.

Journal Article Journal of pediatric nursing · November 2021 PurposeChildren born with Complex Life-Threatening Conditions (CLTCs) often require complex and specialized services. Parents of children with CLTCs balance the role of caregiver with other responsibilities of employment, education, relationships, ... Full text Cite

Role-play simulation to teach nursing students how to provide culturally sensitive care to transgender patients.

Journal Article Nurse education in practice · July 2021 ObjectiveIncrease student knowledge and comfort with caring for a transgender individual and confronting colleagues when exhibiting poor cultural intelligence.BackgroundTransgender patients often experience health care inequities, includi ... Full text Cite

Generational Hand-Holding at the End of Life

Journal Article AJN, American Journal of Nursing · April 2021 Full text Cite

Missing the Care in Health Care

Journal Article AJN, American Journal of Nursing · March 2021 ABSTRACT:This article describes the case of a chronically ill patient whose care was grossly mismanaged as a result of the policies and practices of a dysfunctional health system. This case illustrates the import ... Full text Cite

Rooting Out White Supremacy and Implementing Antiracism in Nursing Education

Journal Article Creative Nursing · February 2021 Discussing racism is challenging for nurse educators and nursing students, because White privilege and racial inequities are deeply embedded and normalized in our societal structures. Avoiding the topic of racism in nursing education renders White ... Full text Cite

Nurses' Role in Providing Comprehensive Communication, Prognostication, and Palliative Care During the COVID-19 Pandemic.

Journal Article Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · December 2020 This article presents the case of a mother of young children who has terminal stage IV cancer with whom providers had not discussed goals of care and prognostication. Communications about prognostication and goals of care are commonly initiated by physicia ... Full text Cite

Communication and Cultural Sensitivity for Families and Children With Life-Limiting Diseases: An Informed Decision-Making Ethical Case in Community-Based Palliative Care.

Journal Article Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · August 2020 Featured Publication The health care decisions of families of children who have life-limiting genetic diseases are impacted by multiple factors including religious and ethical values, education and knowledge, emotional trauma, availability of support, and accessibility of care ... Full text Cite

Cross communication. Avoiding device interference in pacemakers and ICDs.

Journal Article Advance for nurse practitioners · February 2009 Cite