Scholars@Duke
Nancy Crego

Nancy Crego

Associate Clinical Professor in the School of Nursing
School of Nursing
nancy.crego@duke.edu
307 Trent Drive, Pearson 3118, Durham, NC 27710

Selected Publications

Adherence to and factors associated with hydroxyurea use in children ages 2 to 16 years old with sickle cell disease in North Carolina

Journal Article Journal of Sickle Cell Disease · January 17, 2025 AbstractObjectivesHydroxyurea (HU) is a disease modifying therapy approved for use in children 9 months and older with sickle c ... Full text Cite

Prevalence of Malignancies in Patients with Sickle Cell Disease in North Carolina

Conference Blood · November 5, 2024 Introduction:Significant advancements in sickle cell disease (SCD) management in recent decades have increased the life expectancy of patients. While r ... Full text Cite

Efficacy of technology-based mental health interventions in minimizing mental health symptoms among in immigrants, asylum seekers or refugees; systematic review.

Journal Article Archives of psychiatric nursing · August 2024 Digital health technologies may offer an alternate approach to augmenting the established mental health care delivery systems for migrants and promoting their mental well-being. This review aims to provide a broad examination of literature, to determine th ... Full text Cite

Association of hydroxyurea adherence with transcranial Doppler screenings in children with sickle cell disease.

Journal Article Pediatr Blood Cancer · July 2024 BACKGROUND: National sickle cell disease (SCD) guidelines recommend oral hydroxyurea (HU) starting at 9 months of age, and annual transcranial Doppler (TCD) screenings to identify stroke risk in children aged 2-16 years. We examined prevalence and proporti ... Full text Link to item Cite

Opioid Use Among Children and Adults With Sickle Cell Disease in North Carolina Medicaid Enrollees in the Era of Opioid Harm Reduction.

Journal Article J Pediatr Hematol Oncol · May 1, 2024 Adults and children with sickle cell disease (SCD) are predominantly African American, with pain-related health disparities. We examined opioid prescription fill patterns in adults and children with SCD and compared factors associated with fills in North C ... Full text Link to item Cite

Characteristics of Older Adults with Alzheimer's Disease Who Were Hospitalized during the COVID-19 Pandemic: A Secondary Data Analysis.

Journal Article International journal of environmental research and public health · May 2024 We aim to investigate the relationships between the population characteristics of patients with Alzheimer's Disease (AD) and their Healthcare Utilization (HU) during the COVID-19 pandemic. Electronic health records (EHRs) were utilized. The study sample co ... Full text Cite

Prevalence and Proportion of Transcranial Doppler Screenings in a Population Children with Sickle Cell Disease and Association with Hydroxyurea Adherence

Conference Blood · November 2, 2023 Sickle cell disease (SCD) is an inherited or genetic hemoglobinopathy in the United States and approximately 100,000 Americans are affected. The prevalence of stroke in unscreened children with sickle cell anemia (SCA) ... Full text Cite

Caregiver Perspectives on Telemedicine for Postdischarge Care for Children With Medical Complexity: A Qualitative Study.

Journal Article J Pediatr Health Care · 2023 INTRODUCTION: The objectives of this study were to describe the perspectives of caregivers of children with medical complexity on telemedicine video visits (TMVV) for posthospitalization care and determine whether TMVV may be a viable alternative to in-per ... Full text Link to item Cite

Patient-reported neurocognitive symptoms influence instrumental activities of daily living in sickle cell disease.

Journal Article American journal of hematology · November 2021 Individuals with sickle cell disease (SCD) experience neurocognitive decline, low medication adherence, increased unemployment, and difficulty with instrumental activities of daily living (IADL). The relationship between self-perceived cognitive difficulti ... Full text Cite

Redesigning clinical education to transition pre-licensure students from all-virtual to in-person clinical

Journal Article Teaching and Learning in Nursing · July 1, 2021 At the start of the COVID-19 pandemic, pre-licensure nursing programs swiftly adapted the curriculum to accommodate the cessation of in-person clinical and transition to all-virtual clinical education. Once in-person clinical resumed, a re-design of clinic ... Full text Cite

Patient Perspectives of Sickle Cell Management in the Emergency Department.

Journal Article Crit Care Nurs Q · April 2021 Sickle cell disease (SCD) is a common genetic blood disorder predominantly affecting African Americans in the United States. The objective of this study was to use a multimethods approach to describe how patients with SCD in North Carolina perceive the car ... Full text Link to item Cite

Using Clinical Data to Improve the Quality of Health Care.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · April 2021 Full text Cite

Dissemination of Evidence-Based Recommendations for Sickle Cell Disease to Primary Care and Emergency Department Providers in North Carolina: A Cost Benefit Analysis.

Journal Article J Health Econ Outcomes Res · April 1, 2021 Background: Sickle cell disease (SCD) is a genetic condition affecting primarily individuals of African descent, who happen to be disproportionately impacted by poverty and who lack access to health care. Individuals with SCD are at high likelihood of high ... Full text Open Access Link to item Cite

A Needs Assessment of Persons With Sickle Cell Disease in a Major Medical Center in North Carolina.

Journal Article N C Med J · 2021 BACKGROUND Sickle cell disease (SCD) is a complex disease associated with many complications and a shortened lifespan. In 2016, the National Heart, Lung and Blood Institute funded 8 centers in the United States to form the Sickle Cell Disease Implementatio ... Full text Link to item Cite

Communication Challenges in Korean Families Coping With Adolescent Cancer.

Journal Article Oncology nursing forum · November 2020 PurposeTo examine the family communication experience of Korean adolescents with cancer and their parents, including how adolescents and their parents verbally share feelings and concerns related to the adolescent's cancer diagnosis with one anoth ... Full text Cite

Sickle-Cell Disease Co-Management, Health Care Utilization, and Hydroxyurea Use.

Journal Article J Am Board Fam Med · 2020 BACKGROUND: Sickle-cell disease (SCD) causes significant morbidity, premature mortality, and high disease burden, resulting in frequent health care use. Comanagement may improve utilization and patient adherence with treatments such as Hydroxyurea. The pur ... Full text Link to item Cite

Nursing Considerations

Chapter · January 1, 2020 Sedation is administered for a wide variety of procedures and in multiple locations. Nurses are integral to the provision of safe and efficient sedation care and are involved in all aspects of the sedation continuum. This chapter presents information on nu ... Full text Cite

Hydroxyurea Prescription Fills and Adherence, Among Pediatric and Adult Medicaid Eligible Patients with Sickle Cell Disease in North Carolina

Conference Blood · November 13, 2019 Introduction: Sickle cell disease (SCD) is a complex disease for which pain is the hallmark. Hydroxyurea (HU) is the standard of care for treatment for most patients with SCD and reduces the frequency of pain episodes, acute chest syndrome, need fo ... Full text Cite

Emergency Department Encounters, Hospitalizations and ED Reliance Among Medicaid Eligible Patients with Sickle Cell Disease in North Carolina

Conference Blood · November 13, 2019 Introduction: Sickle cell disease (SCD) is a complex disease for which pain is the hallmark. Pain from vaso-occlusive episodes is the number one reason for ED visits and hospital admissions. This paper reports Medicaid claims data from NC for indiv ... Full text Cite

Hospital Readmission and Costs of Total Knee Replacement Surgery in 2009 and 2014: Potential Implications for Health Care Managers.

Journal Article Health Care Manag (Frederick) · 2019 The purpose of this article is to describe changes in hospital readmissions and costs for US hospital patients who underwent total knee replacement (TKR) in 2009 and 2014. Data came from the Healthcare Cost and Utilization Project net-Nationwide Readmissio ... Full text Link to item Cite

Outpatient Healthcare Utilization and Rates of Co-Management Among Medicaid Patients with Sickle Cell Disease in North Carolina

Conference Blood · November 29, 2018 AbstractIntroduction: Sickle cell disease (SCD) is a complex disease for which pain is the hallmark, often results in end-organ failure, and is associated with early death. Primary care providers (PCP's), he ... Full text Cite

Nursing Perspective

Chapter · October 2018 AbstractThe nursing process can be used in the safe and effective delivery of pediatric sedation care. Nurses contribute to the direct care of sedated patients by developing competency and expanding knowledg ... Full text Cite

Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014.

Journal Article Arch Phys Med Rehabil · June 2018 OBJECTIVE: To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients. DESIGN: Retrospective cross-sectional descriptive design. SETTING: Community-based acute care hospitals. PARTICIPANTS: To ... Full text Link to item Cite

Improving Quality and Safety Through Use of Secondary Data: Methods Case Study.

Journal Article Western journal of nursing research · November 2017 Researchers need to evaluate the strengths and weaknesses of data sets to choose a secondary data set to use for a health care study. This research method review informs the reader of the major issues necessary for investigators to consider while incorpora ... Full text Cite

Differences in Pediatric Non-Interventional Radiology Procedural Sedation Practices and Adverse Events by Registered Nurses and Physicians.

Journal Article Journal of pediatric nursing · July 2017 PurposeThe purpose of this study was to determine differences in sedation-related adverse events according to the type of provider monitoring and delivering sedation.Design and methodsA retrospective, cross-sectional, correlational design ... Full text Cite

Integrating Telepresence Robots Into Nursing Simulation.

Journal Article Nurse educator · March 2017 This article provides an overview of the use of telepresence robots in clinical practice and describes an evaluation of an educational project in which distance-based nurse practitioner students used telepresence robots in clinical simulations with on-camp ... Full text Cite

The Evolution of Pediatric Nurse Sedation Practice

Journal Article Journal of Radiology Nursing · June 2016 Full text Cite

Procedural Sedation Practice: A Review of Current Nursing Standards.

Journal Article Journal of nursing regulation · April 2015 Although administration of procedural sedation is a common practice among nurses, at present a unified consensus statement on Registered Nurse (RN) sedation core competencies or a consistent way in which RN sedation practice is regulated in the United Stat ... Full text Cite

Pediatric Sedation: Using Secondary Data to Describe Registered Nurse Practice in Radiology.

Journal Article Journal of radiology nursing · December 2014 Children, often require sedation for procedures due to their developmental level and difficulty complying with positioning. There are few studies that describe nurse sedation practices or adverse events. Studies of pediatric sedation care have small sample ... Full text Cite

The Synergy Model and the Role of Clinical Nurse Specialists

Journal Article American journal of critical care : an official publication, American Association of Critical-Care Nurses · September 1, 2002 Link to item Cite

Using Secondary Data to Describe Registered Nurse Sedation Practices and Adverse Events in Radiology

Conference Using Secondary Data to Describe Registered Nurse Sedation Practices and Adverse Events in Radiology Author:Nancy Crego PhD, RN, CCRN Affiliation: Duke University School of Nursing Introduction: Few studies describe registered nurse (RN) sedation practic ... Cite