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Queen Utley-Smith

Associate Clinical Professor Emerita in the School of Nursing
School of Nursing
Box 3322 DUMC, School of Nursing, Durham, NC 27710
307 Trent Drive, 3148, Durham, NC 27710

Selected Publications


The aging veteran population: Promoting awareness to influence best practices.

Journal Article Geriatric nursing (New York, N.Y.) · July 2020 The older adult population is the most rapidly growing population in the United States. It is projected that by 2035, the population of adults older than 65 years is expected to be greater than the population of children. The projected number of Veterans a ... Full text Cite

An online education approach to population health in a global society.

Journal Article Public health nursing (Boston, Mass.) · July 2017 BackgroundHealth professions education content must keep pace with the ever-evolving and changing health care system. Population-based health care is advocated as a way to improve health outcomes, particularly in a technologically advanced health ... Full text Cite

Meeting a Growing Need: An Online Approach to Cultural Competence Education for Health Professionals.

Journal Article Nursing education perspectives · May 2017 AbstractPrelicensure education may inadvertently lead to a belief that learning about different cultures is an end point, whereas cultural competency is an ongoing process. An online cultural competency education module incorporating organizationa ... Full text Cite

Routine 24-Hour Computed Tomography Brain Scan is not useful in stable patients Post Intravenous Tissue Plasminogen Activator.

Journal Article J Stroke Cerebrovasc Dis · March 2016 BACKGROUND: Obtaining a routine computed tomography (CT) brain scan 24 hours after treatment with intravenous tissue plasminogen activator (IV-tPA) is included in the American Heart Association/American Stroke Association acute stroke guidelines. The usefu ... Full text Link to item Cite

Regulation and mindful resident care in nursing homes.

Journal Article Qual Health Res · September 2010 Regulatory oversight is intended to improve the health outcomes of nursing home residents, yet evidence suggests that regulations can inhibit mindful staff behaviors that are associated with effective care. We explored the influence of regulations on mindf ... Full text Link to item Cite

The Nature of Staff - Family Interactions in Nursing Homes: Staff Perceptions.

Journal Article J Aging Stud · August 2009 Each year thousands of older adults are admitted to nursing homes. Following admission, nursing home staff and family members must interact and communicate with each other. This study examined relationship and communication patterns between nursing home st ... Full text Link to item Cite

Barriers to and facilitators of clinical practice guideline use in nursing homes.

Journal Article J Am Geriatr Soc · September 2007 OBJECTIVES: To identify barriers to and facilitators of the diffusion of clinical practice guidelines (CPGs) and clinical protocols in nursing homes (NHs). DESIGN: Qualitative analysis. SETTING: Four randomly selected community nursing homes. PARTICIPANTS: ... Full text Link to item Cite

Avoiding socialization pitfalls in accelerated second-degree nursing education: the returning-to-school syndrome model.

Journal Article The Journal of nursing education · September 2007 Second-degree students are highly motivated and tend to excel academically. However, nurse educators in accelerated programs face challenges in socializing these students to the nursing role. One pitfall is the hostility that may develop if students percei ... Full text Cite

Exit interview-consultation for research validation and dissemination.

Journal Article West J Nurs Res · December 2006 Featured Publication Dissemination of research findings to practice and maintenance of rigor and validity in qualitative research are continuing challenges for nurse researchers. Using three nursing home case studies as examples, this article describes how exit interview-consu ... Full text Link to item Cite

MDS coordinator relationships and nursing home care processes.

Journal Article West J Nurs Res · April 2006 Featured Publication This study describes how Minimum Data Set (MDS) coordinators' relationship patterns influence nursing home care processes. MDS coordinators interact with nursing home staff to coordinate resident assessment and care planning, but little is known about how ... Full text Link to item Cite

Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.

Journal Article Qual Health Res · February 2006 Featured Publication Complexity science teaches that relationships among health care providers are key to our understanding of how quality care emerges. The authors sought to compare the effects of differing patterns of medicine-nursing communication on the quality of informat ... Full text Link to item Cite

Connection, regulation, and care plan innovation: a case study of four nursing homes.

Journal Article Health Care Manage Rev · 2006 Featured Publication We describe how connections among nursing home staff impact the care planning process using a complexity science framework. We completed six-month case studies of four nursing homes. Field observations (n = 274), shadowing encounters (n = 69), and in-depth ... Full text Link to item Cite

Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents.

Journal Article Qual Health Res · October 2005 Featured Publication In a nursing home case study using observation and interview data, the authors described two mental models that guided certified nurse assistants (CNAs) in resident care. The Golden Rule guided CNAs to respond to residents as they would want someone to do ... Full text Link to item Cite

The power of relationship for high-quality long-term care.

Journal Article J Nurs Care Qual · 2005 Featured Publication Full text Link to item Cite

"The Golden Rule": Only a starting point for quality care.

Journal Article Director · 2005 Featured Publication The Golden Rule guides people to choose for others what they would choose for themselves. The Golden Rule is often described as 'putting yourself in someone else's shoes', or 'Do unto others as you would have them do unto you'(Baumrin 2004). The viewpoint ... Link to item Cite

5 competencies needed by new baccalaureate graduates.

Journal Article Nursing education perspectives · July 2004 Featured Publication As nurse educators prepare new graduates for practice, part of the challenge is to ensure that these nurses are capable of functioning in a broad continuum of care with increased responsibilities. To identify competencies needed by new baccalaureate gradua ... Cite

Needed by new baccalaureate graduates

Journal Article Nursing Education Perspectives · July 1, 2004 As nurse educators prepare new graduates for practice, part of the challenge is to ensure that these nurses are capable of functioning in a broad continuum of care with increased responsibilities. To identify competencies needed by new baccalaureate gradua ... Cite

The impact of work rewards on radiographers' organizational commitment.

Journal Article Radiology management · January 1995 Featured Publication Organizational commitment is an affective work outcome that has been used to predict work-related behaviors such as turnover, absenteeism and intent-to-leave. There has been little research in organizational commitment for the allied health professions and ... Cite

Using a conceptual model for practice in a nursing wellness centre for seniors.

Journal Article Perspectives (Gerontological Nursing Association (Canada)) · January 1993 Featured Publication The use of a conceptual model to guide practice is critical to the maturation of the profession. Distinguishing between nursing and other health care professions rests, in part, on nursing's ability to articulate what it offers to clients. The nursing para ... Cite

Nurse-managed approach to care.

Journal Article Geriatric nursing (New York, N.Y.) · January 1989 Featured Publication Full text Cite

Giving and getting support at the Wellness Center.

Journal Article Journal of gerontological nursing · June 1988 Featured Publication Full text Cite

An intradisciplinary team in a nurse managed center.

Journal Article Nursing management · April 1988 Featured Publication Cite

Caring for older adults in a nursing wellness centre.

Journal Article Geriatric nursing and home care · July 1987 Featured Publication Full text Cite

Wellness center.

Journal Article Journal of gerontological nursing · December 1986 Featured Publication Full text Cite

Coping with loss: a group experience with elderly survivors.

Journal Article Journal of gerontological nursing · August 1984 Featured Publication Full text Cite

A nursing center for ambulatory well, older adults.

Journal Article Nursing & health care : official publication of the National League for Nursing · April 1984 Featured Publication Cite