Skip to Main Content

Author Details

Mary D Naylor
NewCourtland Center for Transitions and Health at the University of Pennsylvania
1978
166
42
Sarah J Ratcliffe (CM4AI)
PMIDPaper TitleJournal TitlePublished Year
37207352Hospitalizations, Emergency Department Visits, and Home Health Use Among Older Adults With Sensory Loss.J Aging Health2024
36709563The study protocol to evaluate implementation of the transitional care model in four U.S. healthcare systems during the Covid-19 pandemic.Arch Gerontol Geriatr2023
37042730Faith-based organizations can support dementia caregivers in a post-pandemic world.Res Nurs Health2023
36625769Connect-Home transitional care from skilled nursing facilities to home: A stepped wedge, cluster randomized trial.J Am Geriatr Soc2023
36650926Changes in Tangible Social Support Over Time Among Older Adults Receiving Long-Term Services and Supports.J Appl Gerontol2023
34315240Older Adults' Goals and Expectations When Using Long-Term Services and Supports.J Appl Gerontol2022
35679175Caregiver Engagement Enhances Outcomes Among Randomized Control Trials of Transitional Care Interventions: A Systematic Review and Meta-analysis.Med Care2022
35472750Predictors of change over time in satisfaction with outdoor activities ratings among long-term care services and supports recipients.Geriatr Nurs2022
35576444Medical Complexity Mediates Healthcare Resource Use in the Socially Vulnerable.J Healthc Manag2022
36449287Association of Perceived Benefit or Burden of Research Participation With Participants' Withdrawal From Cancer Clinical Trials.JAMA Netw Open2022
36286501Older Adult and Family Caregiver Perspectives on Engagement in Primary Care.J Gerontol Nurs2022
35183870Examining spoken words and acoustic features of therapy sessions to understand family caregivers' anxiety and quality of life.Int J Med Inform2022
35125064Minority Older Adults' Access to and Use of Programs of All-Inclusive Care for the Elderly.J Aging Soc Policy2022
35329797The Diabetes Transition of Hospital Care (DiaTOHC) Pilot Study: A Randomized Controlled Trial of an Intervention Designed to Reduce Readmission Risk of Adults with Diabetes.J Clin Med2022
34961345A Systematized Approach to Advancing the Quality of Community-Based Palliative Care.Am J Hosp Palliat Care2022
34785306MIRROR-TCM: Multisite Replication of a Randomized Controlled Trial - Transitional Care Model.Contemp Clin Trials2022
32888197Self-efficacy of family caregivers of older adults with cognitive impairment: A concept analysis.Nurs Forum2021
33546737Transitional care from skilled nursing facilities to home: study protocol for a stepped wedge cluster randomized trial.Trials2021
33827107Demographic Characteristics Driving Disparities in Receipt of Long-term Services and Supports in the Community Setting.Med Care2021
33674100Opportunities and challenges presented by recent pedagogical innovations in doctoral nursing education.J Prof Nurs2021
35118349Patients, Families, and Communities COVID-19 Impact Assessment: Lessons Learned and Compelling Needs.NAM Perspect2021
34764689Impact of Cannabis Use on Least Pain Scores Among African American and White Patients with Cancer Pain: A Moderation Analysis.J Pain Res2021
34374772Experiences of Patients After Withdrawal From Cancer Clinical Trials.JAMA Netw Open2021
34418376Implementation of a Coronavirus Disease 2019 Vaccination Condition of Employment in a Community Nursing Home.J Am Med Dir Assoc2021
32608313Satisfaction With Outdoor Activities Among Northeastern U.S. Newly Enrolled Long-Term Services and Supports Recipients.J Appl Gerontol2021
30819004What Predicts Health Care Transitions for Older Adults Following Introduction of LTSS?J Appl Gerontol2020
36218608Stemming the Rising Toll of People Living with Complex Care Needs.JAMA Health Forum2020
32059643Adapting Andersen's expanded behavioral model of health services use to include older adults receiving long-term services and supports.BMC Geriatr2020
31994424Factors Associated With Perceived Worsened Physical Health Among Older Adults Who Are Newly Enrolled Long-term Services and Supports Recipients.Inquiry2020
31804243Factors Affecting Patient Prioritization Decisions at Admission to Home Healthcare: A Predictive Study to Develop a Risk Screening Tool.Comput Inform Nurs2020
33267559Patient Factors Linked with Return Acute Healthcare Use in Older Adults by Discharge Disposition.J Am Geriatr Soc2020
32685704Reported Needs and Depressive Symptoms Among Older Adults Entering Long-Term Services and Supports.Innov Aging2020
32476586Meeting the Transitional Care Needs of Older Adults with COVID-19.J Aging Soc Policy2020
32524932Predictors of change over time in subjective daytime sleepiness among older adult recipients of long-term services and supports.Int Psychogeriatr2020
32497467"We are Alone in This Battle": A Framework for a Coordinated Response to COVID-19 in Nursing Homes.J Aging Soc Policy2020
32374378Spoken words as biomarkers: using machine learning to gain insight into communication as a predictor of anxiety.J Am Med Inform Assoc2020
32197775Use of individual development plans for nurse scientist training.Nurs Outlook2020
31420181High-value care for older adults with complex care needs: Leveraging nurses as innovators.Nurs Outlook2020
30414821Using a Decision Support Algorithm for Referrals to Post-Acute Care.J Am Med Dir Assoc2019
31274814Policy Flight Simulators: Accelerating Decisions to Adopt Evidence-Based Health Interventions.J Healthc Manag2019
30853130Association of health related quality of life domains with daytime sleepiness among elderly recipients of long-term services and supports.Geriatr Nurs2019
30696252End-of-life Health-Care Utilization Patterns Among Chronically Ill Older Adults.Am J Hosp Palliat Care2019
28038504"In Our Corner": A Qualitative Descriptive Study of Patient Engagement in a Community-Based Care Coordination Program.Clin Nurs Res2018
30055423Adaptations of the evidence-based Transitional Care Model in the U.S.Soc Sci Med2018
29805921Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention.IEEE J Transl Eng Health Med2018
29854111Nurse Generated EHR Data Supports Post-Acute Care Referral Decision Making: Development and Validation of a Two-step Algorithm.AMIA Annu Symp Proc2018
30203668Cost impact of the transitional care model for hospitalized cognitively impaired older adults.J Comp Eff Res2018
30302751Changing the Care System Long Before the "End Game".J Am Geriatr Soc2018
29633436A qualitative study of older adults' and family caregivers' perspectives regarding their preoperative care transitions.J Clin Nurs2018
29685323Strategic partnerships to address adverse social determinants of health: Redefining health care.Nurs Outlook2018
  • 1 - 50 of 166

Recommended Authors

Ellen McCreedy
Department of Health Services, Brown University School of Public Health
Career Start Year 2014
Number of shared co-authors 0
Laurence M Solberg
Geriatric Research and Education Clinical Center (GRECC)
Career Start Year 2009
Number of shared co-authors 0
Scott R Greysen
Section of Hospital Medicine, Hospital of the University of Pennsylvania
Career Start Year 2009
Number of shared co-authors 7
Andrea Gilmore-Bykovskyi
University of Wisconsin-Madison.
Career Start Year 2009
Number of shared co-authors 2
Valerie Danesh
Center for Applied Health Research, USA and 12330University of Texas at Austin
Career Start Year 2008
Number of shared co-authors 0
Michael P Cary
Duke University
Career Start Year 2008
Number of shared co-authors 0
Nina R Sperber
Durham Veterans Affairs Medical Center
Career Start Year 2006
Number of shared co-authors 1
Susan N Hastings
Duke University School of Medicine
Career Start Year 2005
Number of shared co-authors 1
Karen M Rose
College of Nursing, The Ohio State University
Career Start Year 2005
Number of shared co-authors 0
Christine W Hartmann
Zuckerberg College of Health Sciences, University of Massachusetts Lowell
Career Start Year 2003
Number of shared co-authors 0
Lori M Rhudy
Winona State University
Career Start Year 2002
Number of shared co-authors 1
Denys T Lau
37345National Center for Health Statistics
Career Start Year 2000
Number of shared co-authors 1
Joseph E Gaugler
University of Minnesota
Career Start Year 1999
Number of shared co-authors 2
Julie C Lima
Department of Health Services, Brown University School of Public Health
Career Start Year 1999
Number of shared co-authors 0
Leslie A Curry
Yale School of Public Health
Career Start Year 1999
Number of shared co-authors 1
Pamela Parsons
Virginia Commonwealth University
Career Start Year 1997
Number of shared co-authors 0
Julie P W Bynum
Institute for Healthcare Policy and Innovation, University of Michigan ann arbor
Career Start Year 1996
Number of shared co-authors 4
Susan L Mitchell
Hebrew SeniorLife Hinda and Arthur Marcus Institute for Aging Research (S.S.
Career Start Year 1995
Number of shared co-authors 1
Alan B Stevens
Texas A&M College of Medicine
Career Start Year 1993
Number of shared co-authors 0
Neil S Wenger
University of California los angeles
Career Start Year 1990
Number of shared co-authors 1
Eugenia L Siegler
University of California san francisco
Career Start Year 1989
Number of shared co-authors 1
Catherine A Sarkisian
University of California los angeles
Career Start Year 1988
Number of shared co-authors 0
Alice Bonner
Institute for Healthcare Improvement
Career Start Year 1986
Number of shared co-authors 2
Lorraine C Mion
College of Nursing, The Ohio State University
Career Start Year 1986
Number of shared co-authors 0
Bonnie L Westra
University of Minnesota
Career Start Year 1984
Number of shared co-authors 1
Jerry C Johnson
14640Perelman School of Medicine, University of Pennsylvania
Career Start Year 1983
Number of shared co-authors 7
Elizabeth A Swanson
College of Nursing, The University of Iowa
Career Start Year 1981
Number of shared co-authors 2
Lois K Evans
University of Pennsylvania School of Nursing
Career Start Year 1979
Number of shared co-authors 5
Neville E Strumpf
University of Pennsylvania School of Nursing,Philadelphia
Career Start Year 1978
Number of shared co-authors 6
Terry Fulmer
The John A. Hartford Foundation
Career Start Year 1977
Number of shared co-authors 1

Collaborators

Kathryn H Bowles
University of Pennsylvania, University of Pennsylvania School of Nursing
Co-authored papers 29
Alexandra L Hanlon
Virginia Tech
Co-authored papers 22
Liming Huang
NewCourtland Center for Transitions and Health at the University of Pennsylvania
Co-authored papers 11
Sarah J Ratcliffe (CM4AI)
University of Virginia
Co-authored papers 10
M Brian Bixby
University of Pennsylvania School of Nursing
Co-authored papers 8
John H Holmes
University of Pennsylvania Perelman School of Medicine
Co-authored papers 8
Janice B Foust
University of Massachusetts Boston
Co-authored papers 7
Barbara Riegel
University of Pennsylvania
Co-authored papers 6
Connie M Ulrich
Huntsman Cancer Institute, University of Utah
Co-authored papers 5
Susan K Keim
University of Pennsylvania
Co-authored papers 4
Maxim Topaz
Columbia University School of Nursing
Co-authored papers 4
George Demiris
University of Pennsylvania Perelman School of Medicine.
Co-authored papers 4
Nai-Wei Shih
University of Pennsylvania School of Nursing
Co-authored papers 3
Mark V Williams
Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences
Co-authored papers 3
Jason Karlawish
University of Pennsylvania Perelman School of Medicine
Co-authored papers 3
Robert Nydick
Co-authored papers 3
John Q Trojanowski
University of Pennsylvania
Co-authored papers 3
Harlan M Krumholz
Yale School of Medicine
Co-authored papers 3
Matthew Liberatore
Villanova University
Co-authored papers 3
Virginia M-Y Lee
Perelman School of Medicine at the University of Pennsylvania
Co-authored papers 3
Steven E Arnold
Massachusetts General Hospital
Co-authored papers 3
Elizabeth Mauer
NewYork-Presbyterian/Weill Cornell Medical Center.
Co-authored papers 3
Sheryl Potashnik
Drexel University
Co-authored papers 3
Therese S Richmond
University of Pennsylvania School of Nursing
Co-authored papers 2
Christina R Whitehouse
M. Louise Fitzpatrick College of Nursing, Villanova University
Co-authored papers 2
Harleah G Buck
College of Nursing, University of Iowa
Co-authored papers 2
Erik Magnus Ohman
Duke University Medical Center-Duke Clinical Research Institute
Co-authored papers 2
Christopher P Cannon
Brigham and Women's Hospital
Co-authored papers 2
Kathleen A Knafl
University of North Carolina at Chapel Hill
Co-authored papers 2
Christine Grady
National Institutes of Health Clinical Center
Co-authored papers 2
Release 1.2