Margaret Therese Bowers | Scholars@Duke

Margaret Therese Bowers
Clinical Professor in the School of Nursing

Midge Bowers is a Clinical Professor and Lead Faculty for the cardiovascular specialty at Duke University School of Nursing in Durham, NC. She holds a secondary appointment in the Department of Medicine as a nurse practitioner and is a faculty consultant at the School of Medicine. Dr. Bowers earned her BSN from Binghamton University, her MSN as a Clinical Nurse Specialist in critical care at Duke University School of Nursing and completed a Post-Master’s Certificate as a Family Nurse Practitioner at Duke. Subsequently she joined the faculty in 1999. She earned the Doctor of Nursing Practice degree from the University of Colorado-Denver. Her clinical practice focuses on patients with heart failure and her scholarly work is focused on a DNP Led Model of Care for patients with heart failure. As an Associate in the American College of Cardiology and a certified health simulation educator she is the only nurse practitioner on the leadership team of the ACC simulation council. She is actively involved in the American Association of Nurse Practitioners as the Chair of the Cardiology Special Practice group and is on the research committee for the Geriatric Advanced Practice Nurses Association. She received the American Association of Nurse Practitioners State Award for Excellence in 2014 and was inducted as an AANP Fellow the same year. Her expertise in cardiovascular care was acknowledged as the recipient of the Faculty Clinical Practice Excellence award in 2017. Her contributions to the nursing profession were recognized in 2019 when she was inducted as a Fellow in the American Academy of Nursing.

Office Hours

Available by appointment

Current Appointments & Affiliations

Clinical Professor in the School of Nursing, School of Nursing, Duke University 2022

Contact Information

Box 3322 Med Ctr, Durham, NC 27710
School of Nursing, Room 2033, Durham, NC 27710
margaret.bowers@duke.edu (919) 681-3244
Nurse Practitioner in Cardiology

Background
Education, Training, & Certifications
- D.N.P., University of Colorado Denver, School of Medicine 2012
- M.S.N., Duke University 1990
Medical Licensure
- Nurse Practitioner. North Carolina. 1998
- Registered Nurse. North Carolina. 1983
Previous Appointments & Affiliations
- Associate Clinical Professor in the School of Nursing, School of Nursing, Duke University 2021 - 2022
- Associate Clinical Professor in the School of Nursing, School of Nursing, Duke University 2019 - 2021
- Associate Clinical Professor in the School of Nursing, School of Nursing, Duke University 2015 - 2019
- Assistant Clinical Professor in the School of Nursing, School of Nursing, Duke University 2004 - 2015
- Assistant Clinical Professor of Nursing, School of Nursing, Duke University 1999 - 2004
- Clinical Associate in the School of Nursing, School of Nursing, Duke University 1994 - 1999
Recognition
In the News
- SEP 23, 2015
  
  Nursing Professor Leads Effort to Speed Care for Heart Failure Patients
Awards & Honors
Expertise
Subject Headings
Research
Selected Grants
- Advanced Nursing Education Program awarded by Health Resources and Service Administration 2013 - 2017
- Tools for Economic Analysis of Patient Management Interventions in Heart Failure awarded by National Institutes of Health 2009 - 2013
External Relationships
- American Association of Nurse Practitioners
- American College of Cardiology
- Geriatric Advanced Practice Nurses Association
- Nurse Practitioner Associates for Continuing Education
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Kreider, K. E., J. V. Rowell, M. Bowers, K. S. McGee, and B. I. Padilla. “Effective interprofessional precepting in a specialty clinic: Utilizing evidence and lived experiences to optimize the training of diverse learners.” Journal of Interprofessional Education and Practice 26 (March 1, 2022). https://doi.org/10.1016/j.xjep.2021.100490.
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  - Lekavich, Carolyn L., Dennis Abraham, Marat Fudim, Cynthia Green, Robert J. Mentz, Karol Harshaw-Ellis, Margaret Bowers, et al. “Early Identification of Patients at Risk for Incident Heart Failure With Preserved Ejection Fraction: Novel Approach to Echocardiographic Trends.” J Card Fail 27, no. 9 (September 2021): 942–48. https://doi.org/10.1016/j.cardfail.2021.03.013.
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  - Kuszajewski, Michele L., Jacqueline Vaughn, Margaret T. Bowers, Benjamin Smallheer, Rémi M. Hueckel, and Margory A. Molloy. “Embracing Disruption: Measuring Effectiveness of Virtual Simulations in Advanced Practice Nurse Curriculum.” Clinical Simulation in Nursing 57 (August 2021): 41–47. https://doi.org/10.1016/j.ecns.2021.04.017.
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  - Vernon-Platt, T., M. Bowers, J. Ikonomidis, T. Caranasos, and D. Beer. “Preoperative Home-Based Exercises to Decrease Postoperative Complications: A Clinical Practice Innovation.” Journal for Nurse Practitioners 17, no. 6 (June 1, 2021): 740–43. https://doi.org/10.1016/j.nurpra.2021.01.001.
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  - Shadle, Holly N., Valerie Sabol, Amanda Smith, Heather Stafford, Julie A. Thompson, and Margaret Bowers. “A Bundle-Based Approach to Prevent Catheter-Associated Urinary Tract Infections in the Intensive Care Unit.” Critical Care Nurse 41, no. 2 (April 2021): 62–71. https://doi.org/10.4037/ccn2021934.
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  - Schmidt, Monika M., Joan M. Griffin, Pamela McCabe, Lynette Stuart-Mullen, Megan Branda, Thomas J. OByrne, Margaret Bowers, Kathryn Trotter, and Christopher McLeod. “Shared medical appointments: Translating research into practice for patients treated with ablation therapy for atrial fibrillation.” Plos One 16, no. 2 (January 2021): e0246861. https://doi.org/10.1371/journal.pone.0246861.
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  - Thompson, Shelley L., Cary Ward, Anthony Galanos, and Margaret Bowers. “Impact of a Palliative Care Education Module in Patients With Heart Failure.” Am J Hosp Palliat Care 37, no. 12 (December 2020): 1016–21. https://doi.org/10.1177/1049909120918524.
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  - Charais, Chantel, Margaret Bowers, Olamide Oladipo Do, and Benjamin Smallheer. “Implementation of a Disease Management Program in Adult Patients With Heart Failure.” Professional Case Management 25, no. 6 (November 2020): 312–23. https://doi.org/10.1097/ncm.0000000000000413.
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  - Oliver-McNeil, S., M. Bowers, S. J. LaRue, J. Vader, A. D. DeVore, and B. B. Granger. “Benefits of Optimizing Heart Failure Medication Dosage.” Journal for Nurse Practitioners 16, no. 7 (July 1, 2020): 498–503. https://doi.org/10.1016/j.nurpra.2020.04.018.
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  - Van Beek, Andrea, Margaret Bowers, Bruce Hall, and Barry Meyer. “Implementation of home-based international normalized ratio testing in adult patients treated with warfarin.” Journal of the American Association of Nurse Practitioners 33, no. 7 (November 2019): 563–69. https://doi.org/10.1097/jxx.0000000000000339.
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  - “AANP Forum.” The Journal for Nurse Practitioners 15, no. 2 (February 2019): A8–11. https://doi.org/10.1016/j.nurpra.2018.12.024.
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  - Bowers, M. T. “Chronic Heart Failure: Impact of the Current Guidelines.” Journal for Nurse Practitioners 15, no. 1 (January 1, 2019): 125-131.e2. https://doi.org/10.1016/j.nurpra.2018.10.016.
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  - Champagne, M. T., D. Hewitt, N. Short, S. Pietrangelo-Brown, S. Epstein, and M. Bowers. “Access to opportunity: The duke-east Carolina partnerships for training program.” Online Learning Journal 6, no. 2 (January 1, 2019). https://doi.org/10.24059/OLJ.V6I2.1865.
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  - DeWald, Tracy, Bradi Granger, and Margaret Bowers. “Making Sense of Hypertension Guidelines.” The Journal of Cardiovascular Nursing 33, no. 5 (September 2018): 413–19. https://doi.org/10.1097/jcn.0000000000000461.
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  - Cournoyer, Justin M., Aven P. Garms, Kimberly N. Thiessen, Margaret T. Bowers, Melissa D. Johnson, and Michael V. Relf. “Cardiovascular Disease and HIV: Pathophysiology, Treatment Considerations, and Nursing Implications.” Crit Care Nurse 36, no. 5 (October 2016): 37–46. https://doi.org/10.4037/ccn2016839.
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  - Sawyer, Tenita, Monica J. Nelson, Vickie McKee, Margaret T. Bowers, Corilin Meggitt, Sarah K. Baxt, Delphine Washington, et al. “Implementing Electronic Tablet-Based Education of Acute Care Patients.” Crit Care Nurse 36, no. 1 (February 2016): 60–70. https://doi.org/10.4037/ccn2016541.
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  - Hendrix, Cristina C., Katherine Pereira, Margaret Bowers, Jennifer Brown, Shelly Eisbach, Melvania E. Briggs, Kathleen Fitzgerald, Loretta Matters, Cindy Luddy, and Loretta Braxton. “Integrating Mental Health Concepts in the Care of Adults With Chronic Illnesses: A Curricular Enhancement.” The Journal of Nursing Education 54, no. 11 (November 2015): 645–49. https://doi.org/10.3928/01484834-20151016-06.
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  - Reed, Shelby D., Matthew P. Neilson, Matthew Gardner, Yanhong Li, Andrew H. Briggs, Daniel E. Polsky, Felicia L. Graham, et al. “Tools for Economic Analysis of Patient Management Interventions in Heart Failure Cost-Effectiveness Model: A Web-based program designed to evaluate the cost-effectiveness of disease management programs in heart failure.” Am Heart J 170, no. 5 (November 2015): 951–60. https://doi.org/10.1016/j.ahj.2015.08.015.
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  - Carpenter, Jo Ellen, Nancy Short, Tracy E. Williams, Ben Yandell, and Margaret T. Bowers. “Improving Congestive Heart Failure Care with a Clinical Decision Unit.” Nursing Economic$ 33, no. 5 (September 2015): 255–62.
  - Bowers, Margaret T. “Cardiovascular Health Among an Underserved Population: Clinical Implications.” The Nursing Clinics of North America 50, no. 3 (September 2015): 457–64. https://doi.org/10.1016/j.cnur.2015.05.002.
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  - Granger, B. B., I. Ekman, A. F. Hernandez, T. Sawyer, M. T. Bowers, T. A. Dewald, Y. Zhao, J. Levy, and H. B. Bosworth. “Results of the chronic heart failure intervention to improve medication adherence study: A randomized intervention in high-risk patients.” American Heart Journal 169, no. 4 (April 1, 2015): 539–48. https://doi.org/10.1016/j.ahj.2015.01.006.
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  - Granger, Bradi B., Inger Ekman, Adrian F. Hernandez, Tenita Sawyer, Margaret T. Bowers, Tracy A. DeWald, Yanfang Zhao, Janet Levy, and Hayden B. Bosworth. “Results of the Chronic Heart Failure Intervention to Improve MEdication Adherence study: A randomized intervention in high-risk patients.” Am Heart J 169, no. 4 (April 2015): 539–48. https://doi.org/10.1016/j.ahj.2015.01.006.
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  - Bowers, M. T. “Managing Patients With Heart Failure.” Journal for Nurse Practitioners 9, no. 10 (January 1, 2013): 634–42. https://doi.org/10.1016/j.nurpra.2013.08.025.
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  - Reed, Shelby D., Yanhong Li, Shital Kamble, Daniel Polsky, Felicia L. Graham, Margaret T. Bowers, Gregory P. Samsa, et al. “Introduction of the Tools for Economic Analysis of Patient Management Interventions in Heart Failure Costing Tool: a user-friendly spreadsheet program to estimate costs of providing patient-centered interventions.” Circ Cardiovasc Qual Outcomes 5, no. 1 (January 2012): 113–19. https://doi.org/10.1161/CIRCOUTCOMES.111.962977.
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  - Holt, Jo Ellen, Elizabeth P. Flint, and Margaret T. Bowers. “Got the picture? Using mobile phone technology to reinforce discharge instructions.” The American Journal of Nursing 111, no. 8 (August 2011): 47–51. https://doi.org/10.1097/01.naj.0000403363.66929.41.
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  - Shah, Monica R., Robert M. Califf, Anju Nohria, Manju Bhapkar, Margaret Bowers, Donna M. Mancini, Mona Fiuzat, Lynne W. Stevenson, and Christopher M. O’Connor. “The STARBRITE trial: a randomized, pilot study of B-type natriuretic peptide-guided therapy in patients with advanced heart failure.” J Card Fail 17, no. 8 (August 2011): 613–21. https://doi.org/10.1016/j.cardfail.2011.04.012.
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  - Reed, S. D., Y. Li, S. Kamble, F. Graham, D. E. Polsky, M. T. Bowers, S. Paul, D. J. Whellan, and B. Riegel. “31. Development of a user-friendly cost estimation tool for heart failure patient-centered interventions: The TEAM-HF costing tool.” Heart &Amp; Lung 40, no. 4 (July 2011): 387–88. https://doi.org/10.1016/j.hrtlng.2011.04.047.
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  - Sherwood, Andrew, Christopher M. O’Connor, Faye S. Routledge, Alan L. Hinderliter, Lana L. Watkins, Michael A. Babyak, Gary G. Koch, et al. “Coping effectively with heart failure (COPE-HF): design and rationale of a telephone-based coping skills intervention.” J Card Fail 17, no. 3 (March 2011): 201–7. https://doi.org/10.1016/j.cardfail.2010.11.001.
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  - Sherwood, Andrew, James A. Blumenthal, Alan L. Hinderliter, Gary G. Koch, Kirkwood F. Adams, Carla Sueta Dupree, Daniel R. Bensimhon, et al. “Worsening depressive symptoms are associated with adverse clinical outcomes in patients with heart failure.” J Am Coll Cardiol 57, no. 4 (January 25, 2011): 418–23. https://doi.org/10.1016/j.jacc.2010.09.031.
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  - Blood-Siegfried, Jane, Margaret T. Bowers, and Marcia Lorimer. “Is shock a key element in the pathology of sudden infant death syndrome (SIDS)?” Biological Research for Nursing 11, no. 2 (October 2009): 187–94. https://doi.org/10.1177/1099800408324854.
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  - Allen, Larry A., Jonathan E. Yager, Michele Jonsson Funk, Wayne C. Levy, James A. Tulsky, Margaret T. Bowers, Gwen C. Dodson, Christopher M. O’Connor, and G Michael Felker. “Discordance between patient-predicted and model-predicted life expectancy among ambulatory patients with heart failure.” Jama 299, no. 21 (June 4, 2008): 2533–42. https://doi.org/10.1001/jama.299.21.2533.
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  - Shah, Monica R., David J. Whellan, Eric D. Peterson, Anju Nohria, Vic Hasselblad, Zhenyi Xue, Margaret T. Bowers, Christopher M. O’Connor, Robert M. Califf, and Lynne W. Stevenson. “Delivering heart failure disease management in 3 tertiary care centers: key clinical components and venues of care.” Am Heart J 155, no. 4 (April 2008): 764.e1-764.e5. https://doi.org/10.1016/j.ahj.2007.12.026.
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  - Shah, Monica R., Karen A. Claise, Margaret T. Bowers, Manjushri Bhapkar, Julie Little, Anju Nohria, Laura H. Gaulden, et al. “Testing new targets of therapy in advanced heart failure: the design and rationale of the Strategies for Tailoring Advanced Heart Failure Regimens in the Outpatient Setting: BRain NatrIuretic Peptide Versus the Clinical CongesTion ScorE (STARBRITE) trial.” Am Heart J 150, no. 5 (November 2005): 893–98. https://doi.org/10.1016/j.ahj.2005.01.003.
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  - Champagne, M. T., D. Hewitt, N. Short, S. Pietrangelo-Brown, S. Epstein, and M. Bowers. “Access to opportunity: The Duke-east Carolina partnerships for training program.” Journal of Asynchronous Learning Network 6, no. 2 (August 1, 2002).
  - DeWald, T., L. Gaulden, M. Beyler, D. Whellan, and M. Bowers. “Current trends in the management of heart failure.” The Nursing Clinics of North America 35, no. 4 (December 2000): 855–75.
  - Granger, Bradi B., Susan C. Locke, Margaret Bowers, Tenita Sawyer, Howard Shang, Amy P. Abernethy, Richard A. Bloomfield, and Catherine L. Gilliss. “The Digital Drag and Drop Pillbox: Design and Feasibility of a Skill-based Education Model to Improve Medication Management.” J Cardiovasc Nurs 32, no. 5 (n.d.): E14–20. https://doi.org/10.1097/JCN.0000000000000402.
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- Book Sections
  - Bowers, Margaret. “Supporting the Advanced Practice Registered Nurse (APRN) Student and Faculty/Instructors.” In Clinical Simulations for the Advanced Practice Nurse A Comprehensive Guide for Students, Faculty, and Simulation Staff, 80–80. Springer Publishing Company, 2019.
  - Bowers, Margaret. “Adult Heart Faillure.” In Clinical Simulations for the Advanced Practice Nurse A Comprehensive Guide for Students, Faculty, and Simulation Staff, 214–214. Springer Publishing Company, 2019.
  - Bowers, Margaret, and K. Pereira. “Current Challenges in Complex Health Care Organizations: The Triple Aim.” In Transformational Leadership in Nursing From Expert Clinician to Influential Leader, 2016.
  - Bowers, Margaret. “Professional issues in heart failure nursing.” In Heart Failure Nursing Certification 2nd Edition: Core Curriculum Review, 263–70, 2015.
  - Bowers, Margaret, and L. Baas. “Setting up systems of care.” In Heart Failure Disease Management From Planning to Implementation. Mt. Laurel, NJ: American Association of Heart Failure Nurses, 2014.
  - Bowers, Margaret. “Professional Issues in Heart Failure Nursing.” In Heart Failure Nursing Certification Core Curriculum Review : The Official Study Guide of the American Association of Heart Failure Nurses, 265–76. Mt. Laurel, NJ: American Association of Heart Failure Nurses, 2012.
  - Bowers, Margaret, C. Gilliss, and L. Davis. “Acute and Primary Care Advanced Practice Nursing: Past, Present, and Future.” In Advanced Practice Nursing Emphasizing Common Roles, 114–45. Philadelphia, PA: F A Davis Company, 2011.
  - Bowers, Margaret. “Diuretics and Nitrates.” In Cardiovascular Nursing Secrets, 341–48. St. Louis, MO: Mosby, 2004.
  - Bowers, Margaret. “Heart Failure.” In Cardiovascular Nursing Secrets, 115–26. St. Louis, MO: Mosby, 2004.
- Conference Papers
  - Bowers, Margaret, M. Adamson, G. Trujillo, B. Halstater, C. McBane, L. Bowlby, L. Greenblatt, et al. “Improving heart failure management in primary care,” 138–138, 2013.
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  - Bowers, Margaret, P. Cooper, J. Harmon, W. Scott, C. Hendrix, S. Denman, and E. McConnell. “Integration of concept based learning resources within the FNP curriculum to enhance geriatric competencies,” 2013.
  - Bowers, Margaret, P. Cooper, J. Harmon, W. Scott, C. Hendrix, and E. McConnell. “Student reflections on geriatric topics to enhance transition to nurse practitioner practice,” 2013.
  - Bowers, Margaret, L. Cox, and K. McBroom. “Lost in translation: Engaging nurses in research at the point of care.” In Heart and Lung: The Journal of Acute and Critical Care, 4:373–373. Elsevier, 2010.
  - Allen, Larry A., Jonathan E. Yager, James A. Tulsky, Margaret T. Bowers, Gwen C. Dodson, Wayne C. Levy, Michele Jonsson Funk, Christopher M. O’Connor, and G Michael Felker. “Discordance between patient-predicted and model-predicted life expectancy among outpatient heart failure patients.” In Journal of the American College of Cardiology, 51:A269–A269. ELSEVIER SCIENCE INC, 2008.
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  - Bowers, Margaret. “Dog gone...excluding animals from clinical training.” In Air Medical Journal, 4:A2–4. Elsevier, 1999.
  - Bowers, Margaret, D. Hirst, N. Newark, and M. Bosher. “Standards development for computerized medical charting.” In Air Medical Journal, 3:179–179. Elsevier, 1995.
  - Bowers, Margaret, J. Webster, and N. Newark. “Computerized documentation worksheet.” In Air Medical Journal, 3:172–172. Elsevier, 1995.
  - Bowers, Margaret, K. Johnson, and F. Morrison. “IABP logistics impactin air and ground transports.” In Air Medical Journal, 3:170–170. Elsevier, 1995.
  - Bowers, Margaret, and N. Newark. “Competency based orientation: A tool for work redesign.” In Air Medical Journal, 3:164–164. Elsevier, 1995.
  - Bowers, Margaret, F. Morrison, and N. Newark. “What is a resource nurse?” In Air Medical Journal, Vol. 10. Elsevier, n.d.
  - Bowers, Margaret, H. Hughes, V. McKee, L. Saladino, T. Sawyer, L. Washington, J. Bettger, and B. Granger. “Comparison of health literacy by race and gender among heart failure patients,” n.d.
  - Bowers, Margaret, M. Briggs, K. Pereira, K. Fitzgerald, C. Hendrix, and L. Braxton. “Enhancing the competence of primary care provider learners in collaborative practice,” n.d.
  - Bowers, Margaret, P. L. Cooper, C. Boucher, K. Trotter, K. Pereira, G. Turner, B. Burton, S. Neal, T. Moore, and S. Denman. “A revised approach to teaching health assessment: Minimizing didactic, maximizing learning,” n.d.
  - Bowers, Margaret, and M. Hockenberry. “DNP Led Model of Care,” n.d.
  - Bowers, Margaret, and M. Zychowicz. “Candid conversations with Expert Clinicians,” n.d.
  - Bowers, Margaret. “So far away: Educating nurse practitioners through an on-line curriculum,” n.d.
  - Bowers, Margaret. “The heart of the matter: A disease management program for heart failure,” n.d.
  - Bowers, Margaret. “Beta blocker use in the heart failure patient: Who, what, when, and how?,” n.d.
  - Bowers, Margaret. “Online evaluations on time,” n.d.
Teaching & Mentoring
Recent Courses

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Education, Training, & Certifications

Medical Licensure

Previous Appointments & Affiliations

In the News

Awards & Honors

Subject Headings

Selected Grants

External Relationships

Selected Publications

Academic Articles

Book Sections

Conference Papers

Recent Courses