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Donna J. Biederman

Clinical Professor in the School of Nursing
School of Nursing
DUMC 3322, 311 Trent Dr, Durham, NC 27710
DUMC 3322, 311 Trent Dr, Durham, NC 27710

Selected Publications


Opportunities for Nurses to Decrease the Stigma Associated with Housing Instability and Homelessness.

Journal Article The Nursing clinics of North America · March 2024 The number of people experiencing homelessness (PEH) in the United States has increased in the past 5 years. PEH have a higher disease burden and early mortality compared to people who are housed. Stigma adds to the burden of disease and disease management ... Full text Cite

Protocol of a mixed method research design to study medical respite programs for persons experiencing homelessness.

Journal Article PloS one · January 2024 Medical Respite Programs (MRPs) characterize a care model that has been developed to address the health care and social needs of persons experiencing homelessness by providing post-acute hospital care in a safe environment. Although this model has been sho ... Full text Cite

A personal reflection on an academic health department partnership.

Journal Article Public health nursing (Boston, Mass.) · January 2023 Full text Cite

Promising practices for providing effective tenancy support services: a qualitative case study situated in the southeastern United States

Journal Article Housing Studies · January 1, 2023 Tenancy support services (TSS) allow homeless or institutionalized people with disabilities to obtain and maintain housing in community settings. In the United States, Medicaid is expanding to include coverage for these services. We conducted a comparison ... Full text Cite

Use of health care utilization as a metric of intervention success may perpetuate racial disparities: An outcome evaluation of a homeless transitional care program.

Journal Article Public Health Nurs · November 2022 OBJECTIVE: This study explored race-based differences in disease burden, health care utilization, and mortality for Black and White persons experiencing homelessness (PEH) who were referred to a transitional care program, and health care utilization and pr ... Full text Open Access Link to item Cite

Cost-Effectiveness of a Homeless Care Transition Program: Durham Homeless Care Transitions.

Journal Article North Carolina medical journal · November 2022 BACKGROUND Transitional care and medical respite programs provide assistance to people experiencing homelessness as they move from acute care into community settings. These programs can address issues that may fall outside the reach of traditional m ... Full text Cite

Changes in health and health care utilization following eviction from public housing.

Journal Article Public health nursing (Boston, Mass.) · March 2022 ObjectivesThis study sought to (1) determine the number of persons evicted from the Durham Housing Authority (DHA) over a 5-year period, (2) explore changes in the number of persons with various medical diagnoses and health care utilization patter ... Full text Cite

Using Medicaid to Fund and Shape Tenancy Support Services: Key Considerations From Research in North Carolina and Louisiana

Journal Article Housing Policy Debate · January 1, 2022 Medicaid is expanding funding for tenancy support services (TSS) that help people who have experienced homelessness or lived in institutional settings obtain and maintain housing. To identify critical considerations for Medicaid TSS regulations, we compare ... Full text Cite

Program Outcomes and Health Care Utilization of People Experiencing Homelessness and Substance Use Disorder after Transitional Care Program Engagement.

Journal Article Journal of health care for the poor and underserved · January 2022 People experiencing homelessness (PEH) have a high prevalence of mental illness and substance use disorder (SUD) and substantial acute and chronic disease burden. Transitional care and medical respite programs facilitate a safe transfer for PEH from the ac ... Full text Cite

Perceptions of Glove Use During Vaccination: A Cross-Sectional Study.

Journal Article Creative nursing · November 2021 PurposeTo better understand clinic attendees' perceptions of nonsterile glove (NSG) use during vaccination and their concern for the environment.DesignThis was a cross-sectional, self-administered, in-person survey.MethodsA nonra ... Full text Cite

Increasing physical activity with African-American women using Facebook™ and Pedometers.

Journal Article Public health nursing (Boston, Mass.) · July 2021 More than 80 percent of African American women struggle with overweight and obesity. We implemented a 5-week physical activity intervention using Facebook™ and pedometers with African American women. Twenty-seven African American women participated in a si ... Full text Cite

Outcomes of a holistic admissions process in an Accelerated Baccalaureate Nursing Program.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · July 2021 An accelerated bachelor of science in nursing program adopted holistic admissions practices to increase diversity in the student body. This quality improvement project aimed to compare three cohorts of students accepted before holistic admissions practices ... Full text Cite

A Syringe Service Program Within a Federal System: Foundations for Implementation.

Journal Article Journal of addictions nursing · April 2021 BackgroundDrug use, specifically opioid use, is a public health crisis in the United States. Harm reduction programs, including syringe service programs, show efficacy in improving individual and public health outcomes. Healthcare provider percept ... Full text Cite

Eviction as a Disruptive Factor in Health Care Utilization: Impact on Hospital Readmissions and No-show Rates.

Journal Article J Health Care Poor Underserved · 2021 BACKGROUND: Residential eviction is a component of housing instability that negatively affects physical and mental health, but the effect of eviction on health care utilization, specifically hospital readmissions and outpatient no-show rates, is not known. ... Full text Link to item Cite

Improving the Health of Public Housing Residents Through a Housing Authority and Nursing School Partnership.

Journal Article Prog Community Health Partnersh · 2021 The connection between health and housing is well-established. People who are precariously housed have worse health than those who have stable housing arrangements.- Persons moving into public housing have a higher illness burden than the general populatio ... Full text Link to item Cite

Differences in Clinical Outcomes of Adults Referred to a Homeless Transitional Care Program Based on Multimorbid Health Profiles: A Latent Class Analysis.

Journal Article Frontiers in psychiatry · January 2021 Background: People experiencing homelessness face significant medical and psychiatric illness, yet few studies have characterized the effects of multimorbidity within this population. This study aimed to (a) delineate unique groups of individuals ba ... Full text Cite

Joining Forces: The Benefits and Challenges of Conducting Regulatory Research With a Policy Advocate

Journal Article Housing Policy Debate · May 4, 2019 Community-engaged research (CEnR) is experiencing a resurgence as a way of informing community-level change and policymaking. Yet the rules and regulations that are crucial to policy implementation and success are relatively understudied through CEnR. This ... Full text Cite

Health care utilization following a homeless medical respite pilot program.

Journal Article Public Health Nurs · May 2019 OBJECTIVE: The purpose of this study was to evaluate a homeless medical respite pilot program to determine if program participants had health care utilization pattern changes and improved connection to income, housing, and health care resources post progra ... Full text Link to item Cite

Identifying Patients Experiencing Homelessness in an Electronic Health Record and Assessing Qualification for Medical Respite: A Five-Year Retrospective Review.

Journal Article Journal of health care for the poor and underserved · January 2019 Our team developed a transitional care and medical respite program for people experiencing homelessness and designed a retrospective chart review study to more fully understand the unique needs of this population. Using four independent techniques, we iden ... Full text Cite

Collaborating with Public Housing Residents and Staff to Improve Health: A Mixed-Methods Analysis.

Journal Article Journal of community health nursing · October 2017 This study described the health behaviors and barriers and facilitators of those behaviors in elderly and/or disabled residents of public housing. A mixed-methods design was used. Residents (N = 88) completed a survey with validated measures of health beha ... Full text Cite

Opportunities for Nurses to Decrease the Stigma Associated with Housing Instability and Homelessness.

Journal Article The Nursing clinics of North America · March 2024 The number of people experiencing homelessness (PEH) in the United States has increased in the past 5 years. PEH have a higher disease burden and early mortality compared to people who are housed. Stigma adds to the burden of disease and disease management ... Full text Cite

Protocol of a mixed method research design to study medical respite programs for persons experiencing homelessness.

Journal Article PloS one · January 2024 Medical Respite Programs (MRPs) characterize a care model that has been developed to address the health care and social needs of persons experiencing homelessness by providing post-acute hospital care in a safe environment. Although this model has been sho ... Full text Cite

A personal reflection on an academic health department partnership.

Journal Article Public health nursing (Boston, Mass.) · January 2023 Full text Cite

Promising practices for providing effective tenancy support services: a qualitative case study situated in the southeastern United States

Journal Article Housing Studies · January 1, 2023 Tenancy support services (TSS) allow homeless or institutionalized people with disabilities to obtain and maintain housing in community settings. In the United States, Medicaid is expanding to include coverage for these services. We conducted a comparison ... Full text Cite

Use of health care utilization as a metric of intervention success may perpetuate racial disparities: An outcome evaluation of a homeless transitional care program.

Journal Article Public Health Nurs · November 2022 OBJECTIVE: This study explored race-based differences in disease burden, health care utilization, and mortality for Black and White persons experiencing homelessness (PEH) who were referred to a transitional care program, and health care utilization and pr ... Full text Open Access Link to item Cite

Cost-Effectiveness of a Homeless Care Transition Program: Durham Homeless Care Transitions.

Journal Article North Carolina medical journal · November 2022 BACKGROUND Transitional care and medical respite programs provide assistance to people experiencing homelessness as they move from acute care into community settings. These programs can address issues that may fall outside the reach of traditional m ... Full text Cite

Changes in health and health care utilization following eviction from public housing.

Journal Article Public health nursing (Boston, Mass.) · March 2022 ObjectivesThis study sought to (1) determine the number of persons evicted from the Durham Housing Authority (DHA) over a 5-year period, (2) explore changes in the number of persons with various medical diagnoses and health care utilization patter ... Full text Cite

Using Medicaid to Fund and Shape Tenancy Support Services: Key Considerations From Research in North Carolina and Louisiana

Journal Article Housing Policy Debate · January 1, 2022 Medicaid is expanding funding for tenancy support services (TSS) that help people who have experienced homelessness or lived in institutional settings obtain and maintain housing. To identify critical considerations for Medicaid TSS regulations, we compare ... Full text Cite

Program Outcomes and Health Care Utilization of People Experiencing Homelessness and Substance Use Disorder after Transitional Care Program Engagement.

Journal Article Journal of health care for the poor and underserved · January 2022 People experiencing homelessness (PEH) have a high prevalence of mental illness and substance use disorder (SUD) and substantial acute and chronic disease burden. Transitional care and medical respite programs facilitate a safe transfer for PEH from the ac ... Full text Cite

Perceptions of Glove Use During Vaccination: A Cross-Sectional Study.

Journal Article Creative nursing · November 2021 PurposeTo better understand clinic attendees' perceptions of nonsterile glove (NSG) use during vaccination and their concern for the environment.DesignThis was a cross-sectional, self-administered, in-person survey.MethodsA nonra ... Full text Cite

Increasing physical activity with African-American women using Facebook™ and Pedometers.

Journal Article Public health nursing (Boston, Mass.) · July 2021 More than 80 percent of African American women struggle with overweight and obesity. We implemented a 5-week physical activity intervention using Facebook™ and pedometers with African American women. Twenty-seven African American women participated in a si ... Full text Cite

Outcomes of a holistic admissions process in an Accelerated Baccalaureate Nursing Program.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · July 2021 An accelerated bachelor of science in nursing program adopted holistic admissions practices to increase diversity in the student body. This quality improvement project aimed to compare three cohorts of students accepted before holistic admissions practices ... Full text Cite

A Syringe Service Program Within a Federal System: Foundations for Implementation.

Journal Article Journal of addictions nursing · April 2021 BackgroundDrug use, specifically opioid use, is a public health crisis in the United States. Harm reduction programs, including syringe service programs, show efficacy in improving individual and public health outcomes. Healthcare provider percept ... Full text Cite

Eviction as a Disruptive Factor in Health Care Utilization: Impact on Hospital Readmissions and No-show Rates.

Journal Article J Health Care Poor Underserved · 2021 BACKGROUND: Residential eviction is a component of housing instability that negatively affects physical and mental health, but the effect of eviction on health care utilization, specifically hospital readmissions and outpatient no-show rates, is not known. ... Full text Link to item Cite

Improving the Health of Public Housing Residents Through a Housing Authority and Nursing School Partnership.

Journal Article Prog Community Health Partnersh · 2021 The connection between health and housing is well-established. People who are precariously housed have worse health than those who have stable housing arrangements.- Persons moving into public housing have a higher illness burden than the general populatio ... Full text Link to item Cite

Differences in Clinical Outcomes of Adults Referred to a Homeless Transitional Care Program Based on Multimorbid Health Profiles: A Latent Class Analysis.

Journal Article Frontiers in psychiatry · January 2021 Background: People experiencing homelessness face significant medical and psychiatric illness, yet few studies have characterized the effects of multimorbidity within this population. This study aimed to (a) delineate unique groups of individuals ba ... Full text Cite

Joining Forces: The Benefits and Challenges of Conducting Regulatory Research With a Policy Advocate

Journal Article Housing Policy Debate · May 4, 2019 Community-engaged research (CEnR) is experiencing a resurgence as a way of informing community-level change and policymaking. Yet the rules and regulations that are crucial to policy implementation and success are relatively understudied through CEnR. This ... Full text Cite

Health care utilization following a homeless medical respite pilot program.

Journal Article Public Health Nurs · May 2019 OBJECTIVE: The purpose of this study was to evaluate a homeless medical respite pilot program to determine if program participants had health care utilization pattern changes and improved connection to income, housing, and health care resources post progra ... Full text Link to item Cite

Identifying Patients Experiencing Homelessness in an Electronic Health Record and Assessing Qualification for Medical Respite: A Five-Year Retrospective Review.

Journal Article Journal of health care for the poor and underserved · January 2019 Our team developed a transitional care and medical respite program for people experiencing homelessness and designed a retrospective chart review study to more fully understand the unique needs of this population. Using four independent techniques, we iden ... Full text Cite

Collaborating with Public Housing Residents and Staff to Improve Health: A Mixed-Methods Analysis.

Journal Article Journal of community health nursing · October 2017 This study described the health behaviors and barriers and facilitators of those behaviors in elderly and/or disabled residents of public housing. A mixed-methods design was used. Residents (N = 88) completed a survey with validated measures of health beha ... Full text Cite

Organizational culture and university responses to parenting students: A case study

Journal Article Journal of Student Affairs Research and Practice · January 1, 2017 This case study examines implications of a university’s culture on advocating for supportive policies and programs for parenting students. Four themes illuminated several key tensions within the institution that affected support for parenting students: the ... Full text Cite

U.S.-based short-term public health cultural immersion experience for Chinese undergraduate students

Journal Article Journal of Student Affairs Research and Practice · January 1, 2017 A U.S. and Chinese university developed a short-term student exchange program in public/community health. The program-which consisted of lectures, seminars, field trips, cross-cultural experiences, and a synthesis excursion-resulted in high levels of progr ... Full text Cite

Desired Destinations of Homeless Women: Realizing Aspirations Within the Context of Homelessness.

Journal Article Creative nursing · August 2016 Despite recent decreases, homelessness remains a substantial problem in the United States. Homelessness is associated with poor health, and homeless women experience earlier mortality than their housed counterparts. Understanding the aspirations of homeles ... Full text Cite

Barriers to Care for Transgender People: A Conversation With Dana Hines, PhD, MSN, RN.

Journal Article Creative nursing · May 2016 A public health nurse talks about her career trajectory, her entry into nursing research, and her research career in transgender health. Transgender people encounter many health and social disparities, yet medical and nursing professionals are often ill-pr ... Full text Cite

Transitional care for homeless persons: An opportunity for nursing leadership, innovation, and creativity

Journal Article Creative Nursing · January 1, 2016 Homelessness in the United States is decreasing. However, homeless persons exhibit high levels of illness and frequently move between institutional and community settings. These moves are complicated by a complex health care and service industry landscape ... Full text Cite

Coalition Building for Health: A Community Garden Pilot Project with Apartment Dwelling Refugees.

Journal Article Journal of community health nursing · July 2015 Refugees often experience compromised health from both pre- and post-migration stressors. Coalition theory has helped guide the development of targeted programs to address the health care needs of vulnerable populations. Using the Community Coalition Actio ... Full text Cite

Ending HIV-related stigma: nursing's opportunity to lead.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2015 Full text Cite

Assessing the need for a medical respite: perceptions of service providers and homeless persons.

Journal Article Journal of community health nursing · July 2014 For homeless persons, posthospitalization care is increasingly provided in formal medical respite programs, and their success is now reported in the literature. However, there is a dearth of literature on posthospitalization transitional care for homeless ... Full text Cite

Homeless women's experiences of service provider encounters.

Journal Article Journal of community health nursing · January 2014 Service providers are gatekeepers to health-sustaining services and resources, although little is known about service encounters from the perspective of homeless women. We conducted in-depth semistructured interviews with 15 homeless women to better unders ... Full text Cite

Using research poetics "responsibly": applications for health promotion research.

Journal Article International quarterly of community health education · January 2014 Research poetics, a form of arts-based research methods, has been under-utilized in the field of health promotion. Poetic methods have most commonly been used as a form of re/presentation of the lived experience in qualitative research. For the community-e ... Full text Cite

Homeless women's experiences of social support from service providers

Journal Article Journal of Public Mental Health · September 16, 2013 Purpose: The purpose of this paper is to examine homeless women's interactions with service providers and the degree to which these interactions are perceived as social support. Design/methodology/approach: Using a phenomenological approach, in-depth semis ... Full text Cite

Ethnic and racial differences of baseline stroke knowledge in a "stroke belt" community.

Journal Article Health promotion practice · January 2012 Acute stroke is often a treatable condition; however, intervention is time dependent and typically should ensue within 3 hr from onset of symptoms. The ability of individuals to understand stroke risk factors to reduce individual risk and to recognize warn ... Full text Cite

Maternal navigational strategies: examining mother-daughter dyads in adolescent families of color.

Journal Article Journal of family nursing · November 2010 Mother-daughter relationships are critical to the health and well-being of adolescent girls. Understanding mothers' and daughters' perspectives on the relationship can inform health promotion strategies that may benefit both. In-depth semistructured interv ... Full text Cite

Benefits for Latino, African American, and White children and parents taught together in the same community-based weight management intervention

Journal Article Hispanic Health Care International · December 1, 2009 A secondary data analysis was used to compare 40 Latino (Portugal and Puerto Rico), African American, and White parents and 40 children who received a 12-week nutrition, exercise, and coping skills training weight management intervention. At 6 months, Afri ... Full text Cite