Caroline Stephens, PhD, GNP, FAAN
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Title(s) | Associate Professor, Community Health Systems |
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School | School of Nursing |
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Address | 2 Koret Way San Francisco CA 94143
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Phone | 415-502-6340 |
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vCard | Download vCard |
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Biography
University of California, San Francisco | Ph.D. | 2010 | Gerontological Nursing & Health Policy |
University of Pennsylvania | Post-Master's Certificate, Gerontological Nurse Practitioner | 2001 | School of Nursing |
University of Pennsylvania | MSN, Geropsychiatric Advanced Practice Nursing (CNS) | 2000 | School of Nursing |
University of Pennsylvania | BSN | 1999 | School of Nursing |
University of California, Davis | BS, Biological Psychology with Minor in Human Development & Aging | 1995 | College of Letters & Sciences |
UCSF | 2013
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| 2018 | Clinical Translational Sciences Institute (CTSI) KL2 Scholar |
San Francisco VA Medical Center | 2010
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| 2012 | National Veteran's Administration Quality Scholar (VAQS) |
UCSF | 2010
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| 2012 | John A. Hartford Foundation/Atlantic Philanthropies Claire M. Fagin Fellow |
Alpha Eta Chapter - UCSF | 2010 | | Sigma Theta Tau International Nursing Honors Society Research Award |
UCSF | 2008 | | 9th Annual UCSF Outstanding Health Policy Paper Award |
UCSF | 2007
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| 2009 | John A. Hartford Foundation Building Academic Geriatric Nursing Capacity Scholar |
UCSF | 2006
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| 2007 | Cota Robles Fellow |
University of Pennsylvania | 2002 | | University of Pennsylvania Dean's Award |
University of Pennsylvania | 1999 | | University of Pennsylvania Nightingale Award |
Xi & Alpha Eta Chapters | 1999 | | Sigma Theta Tau, International Nursing Honors Society |
Overview
My program of research focuses on vulnerable populations at high risk for poor care transitions, particularly in the long term care setting. Using national CMS claims and resident assessment data, I recently completed a series of studies examining key factors associated with Emergency Department (ED) use by high risk nursing home residents, such as those with cognitive impairment, a history of falls and feeding tubes. While much of my work to date has involved large data set analyses, I am currently looking at innovative ways we can use emerging health technologies to promote greater interdisciplinary collaborative work processes across care settings and more actively engage nursing home residents, families, nursing home staff and EDs to reduce unnecessary acute care transfers and promote better care coordination.
Clinically, I am a Gerontological Nurse Practitioner and Geropsychiatric Advanced Practice Nurse, and I have cared for frail older adults across the care continuum, including the provision of geropsychiatric consultations in over 100 nursing homes in 3 states. I still maintain a geropsychiatric faculty practice in the nursing home setting.
From a teaching perspective, I am passionate about, and locally and nationally involved in, figuring out innovative ways to infuse more gerontological and geropsychiatric content into the generalist APN curriculum and across disciplines.
Research
Bibliographic
Altmetrics Details
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High-Quality Nursing Home and Palliative Care-One and the Same. J Am Med Dir Assoc. 2022 02; 23(2):247-252.
Ersek M, Unroe KT, Carpenter JG, Cagle JG, Stephens CE, Stevenson DG. PMID: 34953767; PMCID: PMC8821139.
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Postimplementation Evaluation of a Machine Learning-Based Deterioration Risk Alert to Enhance Sepsis Outcome Improvements. Nurs Adm Q. 2020 Oct/Dec; 44(4):336-346.
Linnen DT, Hu X, Stephens CE. PMID: 32881805.
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Humans
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Advances in geropsychiatric nursing: A decade in review. Arch Psychiatr Nurs. 2020 10; 34(5):281-287.
Stephens CE, Massimo L, Harris M, Evans LK, Buckwalter KC. PMID: 33032747; PMCID: PMC7547149.
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Humans
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Patterns of Home Health and Hospice Service Use in the Last Year of Life among Community-Dwelling Older Adults with and without Dementia (GP774). Journal of Pain and Symptom Management. 2020 Jul 1; 60(1):289-290.
Oh OA, Patel PK, Max MW, Stephens SC, Ritchie RC, Smith SA. .
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Transitioning to Life in a Nursing Home: The Potential Role of Palliative Care. J Palliat Care. 2021 Jan; 36(1):61-65.
Halifax E, Bui NM, Hunt LJ, Stephens CE. PMID: 32106767; PMCID: PMC8127871.
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Humans
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"They Don't Trust Us": The Influence of Perceptions of Inadequate Nursing Home Care on Emergency Department Transfers and the Potential Role for Telehealth. Clin Nurs Res. 2020 03; 29(3):157-168.
Stephens CE, Halifax E, David D, Bui N, Lee SJ, Shim J, Ritchie CS. PMID: 31007055.
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3 Fields:
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Humans
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USING THE CONSOLIDATED FRAMEWORK FOR IMPLEMENTATION RESEARCH (CFIR) TO GUIDE THE IMPLEMENTATION OF IMPACTT. Innovation in Aging. 2018 Nov 1; 2(suppl_1):776-776.
David DD, Wertz WV, Barrientos BP, Allison AT, Flint FL, Lee LS, Ritchie RC, Stephens SC. .
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LESSONS LEARNED IMPROVING PALLIATIVE CARE ACCESS THROUGH TECHNOLOGY (IMPACTT) IN NURSING HOMES. Innovation in Aging. 2018 Nov 1; 2(suppl_1):775-776.
Stephens SC, David DD, Hunt HL. .
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IMPROVING PALLIATIVE CARE ACCESS THROUGH TECHNOLOGY (IMPACTT): PRELIMINARY FINDINGS FROM A PILOT STUDY. Innovation in Aging. 2018 Nov 1; 2(suppl_1):776-776.
Stephens SC, David DD, Wertz WV, Allison AT, Flint FL, Barrientos BP, Lee LS, Ritchie RC. .
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UNDERSTANDING NURSING HOME STAFF ATTITUDES TOWARDS DEATH AND DYING. Innovation in Aging. 2018 Nov 1; 2(suppl_1):776-777.
Bui BN, Halifax HE, Uy UE, Hunt HL, David DD, Lee LS, Ritchie RC, Stephens SC. .
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ASSESSING TECHNICAL FEASIBILITY AND ACCEPTABILITY OF PROVIDING TELEHEALTH PALLIATIVE CARE IN NURSING HOMES. Innovation in Aging. 2018 Nov 1; 2(suppl_1):777-777.
Wertz WV, Bui BN, Uy UE, Barrientos BP, David DD, Lee LS, Ritchie RC, Stephens SC. .
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PAIN AND EMERGENCY DEPARTMENT USE IN THE LAST MONTH OF LIFE BY OLDER ADULTS WITH DEMENTIA. Innovation in Aging. 2018 Nov 1; 2(suppl_1):635-635.
Hunt HL, Ritchie RC, Patel PK, Stephens SC, Cataldo CJ, Smith SA. .
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Pain and Emergency Department Use in the Last Month of Life Among Older Adults With Dementia. J Pain Symptom Manage. 2018 12; 56(6):871-877.e7.
Hunt LJ, Ritchie CS, Cataldo JK, Patel K, Stephens CE, Smith AK. PMID: 30223013; PMCID: PMC6289599.
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PubMed Mentions:
4 Fields:
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Humans
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Nurse practitioner and physician assistant oncology workforce for older adults. Journal of Clinical Oncology. 2018 May 20; 36(15_suppl):e18514-e18514.
Coombs CL, Stephens SC, Kolevska KT, Max MW. .
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Challenges in Aging, Dementia, and Mental Health: New Knowledge and Energy to Inform Solutions. J Am Geriatr Soc. 2018 04; 66 Suppl 1:S1-S3.
Stephens CE, Evans LK, Bradway C, Buckwalter K. PMID: 29659007; PMCID: PMC6526043.
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1 Fields:
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Humans
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Emergency Department Use by Community-Dwelling Individuals With Dementia in the United States: An Integrative Review. J Gerontol Nurs. 2018 Mar 01; 44(3):23-30.
Hunt LJ, Coombs LA, Stephens CE. PMID: 29355877; PMCID: PMC5982587.
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PubMed Mentions:
5 Fields:
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Humans
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Palliative Care Eligibility, Symptom Burden, and Quality-of-Life Ratings in Nursing Home Residents. JAMA Intern Med. 2018 01 01; 178(1):141-142.
Stephens CE, Hunt LJ, Bui N, Halifax E, Ritchie CS, Lee SJ. PMID: 29159368; PMCID: PMC5833507.
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9 Fields:
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Humans
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The Current State of U.S. Geropsychiatric Graduate Nursing Education: Results of the National Geropsychiatric Graduate Nursing Education Survey. J Am Psychiatr Nurses Assoc. 2015 Nov-Dec; 21(6):385-94.
Stephens CE, Harris M, Buron B. PMID: 26597905; PMCID: PMC7486864.
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2 Fields:
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Humans
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13 Fields:
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Humans
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Advance Care Planning: A Community-Based Initiative in San Francisco. SFMS Journal: San Francisco Medicine. 2015.
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Pain in Community-Dwelling Older Adults with Dementia: Results from the National Health and Aging Trends Study. J Amer Geriatr Soc, in press. 2015.
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The effects of cognitive impairment on nursing home residents' emergency department visits and hospitalizations. Alzheimers Dement. 2014 Nov; 10(6):835-43.
Stephens CE, Newcomer R, Blegen M, Miller B, Harrington C. PMID: 25028060; PMCID: PMC6528828.
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5 Fields:
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Humans
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In C.S. Landefeld, A. Chang, & B. Williams (Eds.), Current Geriatrics Diagnosis & Treatment. 2014.
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Emergency department visits and hospitalizations by tube-fed nursing home residents with varying degrees of cognitive impairment: a national study. BMC Geriatr. 2014 Mar 20; 14:35.
Stephens CE, Sackett N, Govindarajan P, Lee SJ. PMID: 24650076; PMCID: PMC3994482.
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3 Fields:
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Humans
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Long Term Services and Supports Policy Issues. In D.J. Mason, J.K. Leavitt, M.W. Chaffee (Eds.), Policy & Politics in Nursing and Healthcare (7th ed.). Elsevier. In press. 2014.
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Emergency department use by nursing home residents: effect of severity of cognitive impairment. Gerontologist. 2012 Jun; 52(3):383-93.
Stephens CE, Newcomer R, Blegen M, Miller B, Harrington C. PMID: 22056961.
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12 Fields:
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Humans
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Evolving Case Studies as a Learning Resource - Evaluating Acute Confusion: A CNS Perspective. In "Transitioning to the New Model for Regulation of APRNs: Ensuring the APRN Workforce is Prepared to Care for Older Adults". 2011.
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Impact of California's Medi-cal Long Term Care Reimbursement Act on Access, Quality & Costs. Report Prepared for the California HealthCare Foundation. San Francisco, CA: University of California. 2008.
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Care coordination for cognitively impaired older adults and their caregivers. Home Health Care Serv Q. 2007; 26(4):57-78.
Naylor MD, Hirschman KB, Bowles KH, Bixby MB, Konick-McMahan J, Stephens C. PMID: 18032200; PMCID: PMC2504359.
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22 Fields:
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Humans
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Cognitively impaired older adults: from hospital to home. Am J Nurs. 2005 Feb; 105(2):52-61; quiz 61-2.
Naylor MD, Stephens C, Bowles KH, Bixby MB. PMID: 15674058.
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PubMed Mentions:
30 Fields:
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Humans
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Year | Publications |
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2005 | 1 |
2007 | 1 |
2008 | 1 |
2011 | 2 |
2014 | 4 |
2015 | 4 |
2018 | 11 |
2019 | 1 |
2020 | 4 |
2021 | 1 |
This graph shows the number and percent of publications by field.
Fields are based on how the National Library of Medicine (NLM) classifies the publications' journals and might not represent the specific topics of the publications.
Note that an individual publication can be assigned to more than one field. As a result, the publication counts in this graph might add up to more than the number of publications the person has written.
To see the data as text,
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This graph shows the number and percent of publications by field.
Fields are based on how the National Library of Medicine (NLM) classifies the publications' journals and might not represent the specific topics of the publications.
Note that an individual publication can be assigned to more than one field. As a result, the publication counts in this graph might add up to more than the number of publications the person has written.
To see the data as text,
click here.
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