Scholars@Duke
AnnMarie Walton

AnnMarie Walton

Dorothy L. Powell Term Chair of Nursing
School of Nursing
annmarie.walton@duke.edu
DUMC 3322, 307 Trent Drive, Durham, NC 27710
307 Trent Drive, Durham, NC 27710

Selected Publications

The Impact of Independent Chemotherapy Prescribing by Advanced Practice Providers on Patient Safety and Clinician Satisfaction.

Journal Article Clinical journal of oncology nursing · July 2024 BackgroundLiterature on advanced practice providers (APPs) prescribing chemotherapy independently, without physician cosignature, is limited.ObjectivesThis project assessed safety and provider satisfaction for an existing independent APP ... Full text Cite

Personal Protective Equipment Use and Surface Contamination With Antineoplastic Drugs: The Impact of the COVID-19 Pandemic.

Journal Article Clinical journal of oncology nursing · July 2024 BackgroundSurface contamination with antineoplastic drugs (ADs) is persistent. The use of personal protective equipment (PPE) is recommended to reduce exposure to ADs.ObjectivesThis study explored the impact of the COVID-19 pandemic on nu ... Full text Cite

An exploration of language: How nurses describe social factors that contribute to health.

Journal Article Nursing outlook · March 2023 BackgroundOver the last two centuries nurses have been practicing, teaching, and conducting research on social factors that contribute to health and the language has evolved over this time.PurposeTo explore how social factors that contrib ... Full text Cite

The Potential for Total Worker Health® Approaches in State and Territorial Health Departments : A National Mixed-Methods Study.

Journal Article Journal of occupational and environmental medicine · January 2023 ObjectiveTo document the extent to which state and territorial health departments (SHDs) integrate their occupational safety and health (OSH) and workplace health promotion (WHP) activities consistent with a Total Worker Health (TWH) approach. ... Full text Cite

The Limits of 'Social Determinants of Health' Language.

Journal Article The American journal of nursing · January 2023 A less restrictive term allows more room for our shared humanity. ... Full text Cite

Population health in a global society: Preparing nurses for the future.

Journal Article Public health nursing (Boston, Mass.) · September 2022 BackgroundThe COVID-19 pandemic has reinforced awareness that the health of populations is inextricably linked around the globe. Nurses require increased knowledge and preparation in global health. Nursing educators need examples of how to improve ... Full text Cite

An Interdisciplinary Collaboration for Environmental Education

Journal Article Journal for Nurse Practitioners · April 1, 2022 Climate change education in advanced practice registered nursing curricula prepares nurse practitioners to respond to the health effects of climate change. Knowledge of the relationship between human and environmental health is essential for nurse practiti ... Full text Cite

A Comparison of Pesticide Risk Beliefs between Farmers and Farmworkers: Implications for Risk Communication and Education.

Journal Article Journal of agromedicine · October 2021 Understanding the multi-dimensional risk beliefs of agricultural audiences allows risk communicators and educators to target those beliefs to improve practices. This study was designed to assess pesticide risk beliefs among English-speaking farmers and Spa ... Full text Cite

Colorectal Cancer Screening: A Quality Improvement Initiative Using a Bilingual Patient Navigator, Mobile Technology, and Fecal Immunochemical Testing to Engage Hispanic Adults.

Journal Article Clinical journal of oncology nursing · August 2021 BackgroundFecal immunochemical tests (FITs) are an effective screening method to detect and prevent colorectal cancer (CRC) when done in appropriate intervals. The use of bilingual patient navigators (PNs) and secure short message service (SMS) ha ... Full text Cite

Cultural Awareness: Ensuring High-Quality Care for Limited English Proficient Patients.

Journal Article Clinical journal of oncology nursing · October 2020 BackgroundCancer hospitals throughout the United States have seen an increase in the number of adults who are considered limited English proficient (LEP); such individuals do not speak English as their primary language and have a limited ability t ... Full text Cite

Encouragement: The key to increasing the number of nurses serving on boards.

Journal Article Nursing forum · July 2020 Nurses have a lot of knowledge about health and health systems but are not yet adequately represented on boards and commissions that influence health and healthcare in our country. The majority of nurses are women and the hesitancy of women to seek board a ... Full text Cite

Surface Contamination With Antineoplastic Drugs on Two Inpatient Oncology Units.

Journal Article Oncol Nurs Forum · May 1, 2020 OBJECTIVES: To measure surface contamination with antineoplastic drugs on inpatient oncology units and to characterize nursing staff personal protective equipment (PPE) use and factors that predict this use. SAMPLE & SETTING: A descriptive pilot study ... Full text Link to item Cite

Nursing Assistants' Use of Personal Protective Equipment Regarding Contact With Excreta Contaminated With Antineoplastic Drugs.

Journal Article Oncology nursing forum · November 2019 PurposeTo examine the feasibility of observing and interviewing nursing assistants about handling of antineoplastic drugs contaminated with excreta, acceptability of a measure of personal protective equipment (PPE) use with nursing assistants, and ... Full text Cite

Workplace health promotion and safety in state and territorial health departments in the United States: a national mixed-methods study of activity, capacity, and growth opportunities.

Journal Article BMC public health · March 2019 BackgroundState and Territorial Health Departments (SHDs) have a unique role in protecting and promoting workers' health. This mixed-methods study presents the first systematic investigation of SHDs' activities and capacity in both Occupational Sa ... Full text Cite

A handwashing educational toolkit: The product of a dynamic partnership among a student, faculty member, and community organization

Journal Article Journal of Higher Education Outreach and Engagement · January 1, 2019 Pesticide exposure represents a significant occupational health hazard for farmworkers, and handwashing is one strategy to reduce exposure via the dermal route. After learning about recent research findings regarding the lack of handwashing utilized by Nor ... Cite

Engaging outreach workers in the development of a farmworker health research agenda.

Journal Article Environmental research · August 2018 Farmworker health outreach workers have not traditionally been involved in the prioritization and design of research studies. This report from the field shares the results of a survey administered to outreach workers providing health services to farmworker ... Full text Cite

From the bedside to the boardroom: Are you ready to serve?

Journal Article DNA Reporter · February 1, 2018 Cite

Social Media: Support for Survivors and Young Adults With Cancer

Journal Article Clinical journal of oncology nursing · October 2017 Social media use is ubiquitous among young adults. Young adults with cancer must make important decisions about where, what, and how to share information on social media. Oncology nurses are in a unique position to start conversations about the risks and b ... Full text Cite

Perceived Benefits and Barriers to Exercise for Recently Treated Adults With Acute Leukemia

Journal Article Oncology nursing forum · July 2017 Purpose/objectivesTo explore perceived exercise benefits and barriers in adults with acute leukemia who recently completed an inpatient exercise intervention during induction therapy.
.Research approachDescriptive, exploratory design usin ... Full text Cite

Benefits, Facilitators, Barriers, and Strategies to Improve Pesticide Protective Behaviors: Insights from Farmworkers in North Carolina Tobacco Fields.

Journal Article International journal of environmental research and public health · June 2017 Pesticide exposure is associated with deleterious health effects. Prior studies suggest Latino farmworkers perceive little control over their occupational health. Using the Health Belief Model as a theoretical guide, we explored the perceptions of Latino f ... Full text Cite

Workplace Hazards Faced by Nursing Assistants in the United States: A Focused Literature Review.

Journal Article International journal of environmental research and public health · May 2017 Nursing assistants (NAs) make up a large share of the healthcare provider workforce and their numbers are expected to grow. NAs are predominantly women who earn a low wage and report financial, work, and family demands. Working as a NA is hazardous; this m ... Full text Cite

Hazardous Drugs: Legislative and Regulatory Efforts to Improve Safe Handling

Journal Article Clinical journal of oncology nursing · April 2017 Several organizations have safety guidelines regarding handling of hazardous drugs. That said, only Washington and California have enforceable laws that regulate these practices. This article shares the experiences of three states-Washington, Michigan, and ... Full text Cite

Pesticides: Perceived Threat and Protective Behaviors Among Latino Farmworkers.

Journal Article Journal of agromedicine · January 2017 ObjectivesThe purpose of this study was to assess the knowledge and beliefs of 72 Latino farmworkers in North Carolina about the threat of health effects of pesticides, including cancer. It sought to explore relationships between threat perception ... Full text Cite

Increasing the Number of Oncology Nurses Serving on Boards

Journal Article Clinical journal of oncology nursing · August 2016 Nurses have knowledge about quality, safety, and the patient experience that is valuable to governing boards. In 2011, the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine recommended that nurses be prepared and ... Full text Cite

Observed and self-reported pesticide protective behaviors of Latino migrant and seasonal farmworkers.

Journal Article Environmental research · May 2016 Agricultural pesticide exposure has potential adverse health effects for farmworkers that may be reduced by pesticide protective behaviors (PPBs). The Environmental Protection Agency's (EPA) Worker Protection Standard (WPS) requires PPBs be taught to farmw ... Full text Cite

A Systematic Review of Psychometric Properties of Health-Related Quality-of-Life and Symptom Instruments in Adult Acute Leukemia Survivors.

Journal Article Cancer Nurs · 2016 BACKGROUND: Acute leukemia represents 4% of cancer cases in the United States annually. There are more than 302 000 people living with acute and chronic leukemia in the United States. Treatment has been shown to have both positive and negative effects on h ... Full text Link to item Cite

Cancer-related fatigue: scientific progress has been made in 40 years

Journal Article Clinical journal of oncology nursing · April 2015 Cancer-related fatigue (CRF) is a distressing, persistent symptom that is experienced by survivors during and after treatment. Unsurprisingly, many early CRF studies were conducted by nurses. These studies included a look at patients receiving localized ra ... Full text Cite

Use of ED and hospital services for patients with acute leukemia after induction therapy: one year follow-up.

Journal Article Leukemia research · April 2015 Previous studies have documented use of health care services by oncology patients in the Emergency Department (ED), but little is known about the utilization of health services of patients with acute leukemia after induction therapy. The aim of this study ... Full text Cite

Enabling nurses to lead change: the orientation experiences of nurses to boards.

Journal Article Nursing outlook · March 2015 ObjectivesNurses need to be full partners in shaping health care and health care policy. One way to do this is to be present and active on boards at all levels. The purpose of this study is to examine the orientation experiences of nurses to board ... Full text Cite

Patient-reported symptoms and quality of life 
in adults with acute leukemia: a systematic review.

Journal Article Oncol Nurs Forum · March 2015 PURPOSE/OBJECTIVES: Systematically summarize findings from research conducted on adult acute leukemia survivors as they relate to symptoms and quality of life (QOL). 
 DATA SOURCES: Systematic review of the literature from 1990–2013 found in the PubMed, Ps ... Full text Link to item Cite

The unique supportive care needs of a mother with acute myeloid leukemia during treatment.

Journal Article Clinical journal of oncology nursing · February 2015 Acute myeloid leukemia (AML) is an aggressive cancer of the blood that is linked with poor survival. The disease requires immediate intensive chemotherapy treatment that leaves patients hospitalized for at least one month and often longer, depending on the ... Full text Cite

Voices of Oncology Nursing Society members matter in advocacy and decisions related to U.S. Health Policy

Journal Article Clinical journal of oncology nursing · December 2014 The Oncology Nursing Society (ONS), a member of the Nursing Organizations Alliance, invests in advocating for health and public policy decisions by sending members to the Nurse in Washington Internship (NIWI) program annually. NIWI provides a forum to educ ... Full text Cite

Management of febrile neutropenia in a patient with acute leukemia.

Journal Article Journal of emergency nursing · July 2014 Full text Cite

Implementing survivorship care plans for colon cancer survivors

Journal Article Oncology nursing forum · May 2014 Purpose/objectivesTo evaluate the feasibility, usability, and satisfaction of a survivorship care plan (SCP) and identify the optimum time for its delivery during the first 12 months after diagnosis.DesignProspective, descriptive, single- ... Full text Cite

A Better balance: Sharing the nurse manager role

Journal Article Nurse Leader · December 1, 2012 It is widely understood that the nurse manager is a crucial member of a healthcare system's leadership team. He or she is responsible for the cultivation of staff nurse development and retention, and is at the center of high-quality care and patient satisf ... Full text Cite

The impact of education on caregiver burden on two inpatient oncology units.

Journal Article Journal of cancer education : the official journal of the American Association for Cancer Education · June 2012 Providing standardized education can alleviate the burden felt by the caregiver and improve health outcomes for both the patient and caregiver. Four disease groups were included in this study that represent a significantly longer hospital stay than other c ... Full text Cite

Safe handling: implementing hazardous drug precautions

Journal Article Clinical journal of oncology nursing · June 2012 Occupational exposure to chemotherapy is a significant and ubiquitous danger to oncology nurses. The Oncology Clinical Nurse III/IV leadership group at the University of North Carolina Hospitals embarked on the challenge of a comprehensive standards review ... Full text Cite

A win-win situation

Journal Article Clinical journal of oncology nursing · December 2011 Full text Cite

Imagine: compassion fatigue training for nurses.

Journal Article Clinical journal of oncology nursing · August 2010 Full text Cite

Recognition: a key retention strategy for the mature nurse.

Journal Article The Journal of nursing administration · March 2010 Recognition of staff can be one of the easiest, cost-effective strategies to retain experienced mature nursing staff. The authors discuss the Senior and Generational Excellence initiative that identifies strategies and brings attention to the unique skills ... Full text Cite

Serving compassion

Journal Article Clinical Journal of Oncology Nursing · February 1, 2010 Full text Cite

Using community-based participatory research methods to reach women with health messages: results from the North Carolina BEAUTY and Health Pilot Project.

Journal Article Health promotion practice · April 2005 This pilot study used a community-based participatory research approach to recruit and train five licensed cosmetologists from two beauty salons to deliver health promotion messages to their customers. Stylists attended a 4-hr workshop to develop skills fo ... Full text Cite

Planning and the Professional Preparation of Health Educators: Implications for Teaching, Research, and Practice

Journal Article Health Promotion Practice · January 1, 2005 Planning skills are one of the seven essential responsibilities of health educators, according to the National Commission of Health Education Credentialing program; yet little information is available about who provides training in planning, what type of t ... Full text Cite

Observational study in ten beauty salons: results informing development of the North Carolina BEAUTY and Health Project.

Journal Article Health education & behavior : the official publication of the Society for Public Health Education · December 2004 Researchers from the North Carolina BEAUTY and Health Project conducted an observational study in 10 North Carolina beauty salons to gain insight into naturally occurring conversations between cosmetologists and customers, and to assess features of the sal ... Full text Cite

Racial differences in influenza vaccination among older Americans 1996-2000: longitudinal analysis of the Health and Retirement Study (HRS) and the Asset and Health Dynamics Among the Oldest Old (AHEAD) survey

Journal Article BMC public health · December 16, 2003 BACKGROUND: Influenza is a common and serious public health problem among the elderly. The influenza vaccine is safe and effective. METHODS: The purpose of the study was to determine whether frequencies of receipt vary by race, age group, gender, and time ... Cite

Evaluation of an infrared/radiofrequency equipment-tracking system in a tertiary care hospital.

Journal Article J Med Syst · August 2003 Optimal management of assets in large hospitals is important to both cost control and patient care. A prospective controlled evaluation was conducted to determine whether an asset-tracking system using combined radiofrequency and infrared signals could inc ... Full text Link to item Cite

Screening mammography and Pap tests among older American women 1996-2000: results from the Health and Retirement Study (HRS) and Asset and Health Dynamics Among the Oldest Old (AHEAD).

Journal Article Ann Fam Med · 2003 BACKGROUND: We wanted to determine the frequency of self-reported receipt of screening mammography and Papanicolaou (Pap) tests in older women and investigate important predictors of utilization, based on 2 national longitudinal surveys. METHODS: This coho ... Full text Link to item Cite

Working with licensed cosmetologists to promote health: results from the North Carolina BEAUTY and Health Pilot Study.

Journal Article Preventive medicine · December 2001 BackgroundBeauty salons are located in all communities and represent a promising channel for delivering health promotion programs. No previous salon-based health promotion program has assessed the needs, interests, and preferences of licensed cosm ... Full text Cite