Natalie Purcell, PhD, MPA

Title(s)Associate Professor, Social Behavioral Sciences
SchoolSchool of Nursing
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    Collapse Education and Training
    Department of Veterans Affairs, San Francisco, CAPresidential Management Fellowship2013Public Administration
    University of California, Santa Cruz, CAPhD2011Sociology
    University of California, Santa Cruz, CAMA2008Sociology
    Seton Hall University, South Orange, NJMPA2003Public Administration

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    Collapse Overview
    I am a sociologist who specializes in the study of violence, trauma, and pain across healthcare contexts. My work uses mixed methods drawn from the social sciences and the humanities, as well as program-evaluation and implementation-science techniques. Since joining the VA in 2011, my research has centered on understanding the impact of violence and combat trauma in the lives of US military veterans, identifying and evaluating care interventions to address violence-related trauma and pain among veterans, and identifying ways to reduce violence against healthcare workers. My work at VA involves not only violence and trauma-related research, but also transformation of the institutional culture to promote organizational health and patient centered care.

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    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Impact of the COVID-19 pandemic on participants in pragmatic clinical trials for chronic pain: implications for trial outcomes and beyond. Pain Med. 2024 Nov 01; 25(Supplement_1):S17-S27. Sellinger JJ, Gilstad-Hayden K, Lazar C, Seal K, Purcell N, Burgess DJ, Martino S, Heapy A, Higgins D, Rosen MI. PMID: 39514885; PMCID: PMC11548862.
      View in: PubMed   Mentions:
    2. Implementation of Virtual, Livestream Yoga Classes for Veterans at Home During the COVID-19 Pandemic: A Mixed-Methods Pilot Program Evaluation. Glob Adv Integr Med Health. 2024 Jan-Dec; 13:27536130241268107. Pham C, Hildebrand C, Tarasovsky G, Purcell N, Seal K, Nicosia F. PMID: 39429898; PMCID: PMC11489906.
      View in: PubMed   Mentions:
    3. Transitioning into trauma-focused evidence-based psychotherapy for posttraumatic stress disorder from other treatments: a qualitative investigation. Cogn Behav Ther. 2024 Oct 03; 1-17. Holder N, Ranney RM, Delgado AK, Purcell N, Iwamasa GY, Batten A, Neylan TC, Shiner B, Maguen S. PMID: 39360572.
      View in: PubMed   Mentions:    Fields:    
    4. Evaluation of a New Integrative Health and Wellness Clinic for Veterans at the San Francisco VA Health Care System: A Mixed-Methods Pilot Study. Glob Adv Integr Med Health. 2024 Jan-Dec; 13:27536130241260034. Nicosia FM, Purcell N, Bertenthal D, Usman H, Seidel I, McGrath S, Hildebrand C, McCarthy B, Seal KH. PMID: 38867941; PMCID: PMC11168048.
      View in: PubMed   Mentions:
    5. Natural Product Use Among Veterans with Chronic Pain: A Qualitative Study of Attitudes and Communication with Healthcare Providers. J Gen Intern Med. 2024 Sep; 39(12):2206-2214. Moore LC, Woodruff NA, Seal KH, Feinberg T, Purcell N. PMID: 38689119; PMCID: PMC11347536.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    6. Moral Injury Awareness and Prevention in Healthcare Organizations: A Blueprint Informed by the COVID-19 Pandemic. 2024. Purcell, N., Bertenthal, D., Usman, H., Maguen, S., Griffin, B., Mehlman, H., McGrath, S., Spetz, J., Hysong, S., & Seal, Karen. Health Force at UCSF: https://healthforce.ucsf.edu/publications/moral-injury-awareness-and-prevention-healthcare-organizations-blueprint-informed-covid. View Publication.
    7. Tobacco Cessation Prescription Utilization Rates Among Veterans with Cancer Who Smoke. J Gen Intern Med. 2023 Dec; 38(16):3644-3647. Herbst E, Hoggatt KJ, Leonard S, Purcell N, Rossi N, Bialous S. PMID: 37715093; PMCID: PMC10713503.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    8. Developing and testing a COVID-19 vaccination acceptance intervention: A pragmatic trial comparing vaccine acceptance intervention vs usual care - Rationale, methods, and implementation. Contemp Clin Trials. 2023 Oct; 133:107325. Pyne JM, Seal KH, Manuel JK, DeRonne B, Oliver KA, Bertenthal D, Esserman D, Purcell N, Petrakis BA, Elwy AR. PMID: 37652356.
      View in: PubMed   Mentions:    Fields:    
    9. Virtual Worlds Technology to Enhance Training for Primary Care Providers in Assessment and Management of Posttraumatic Stress Disorder Using Motivational Interviewing: Pilot Randomized Controlled Trial. JMIR Med Educ. 2023 Aug 28; 9:e42862. Manuel JK, Purcell N, Abadjian L, Cardoos S, Yalch M, Hill C, McCarthy B, Bertenthal D, McGrath S, Seal K. PMID: 37639299; PMCID: PMC10495852.
      View in: PubMed   Mentions:    Fields:    
    10. Advancing health equity by understanding race disparities and other factors associated with PTSD symptom improvement following evidence-based psychotherapy. J Anxiety Disord. 2023 08; 98:102747. Maguen S, Batten A, Hubbard A, Holder N, Burkman K, Cottonham D, Purcell N, Mehlman H, Shiner B. PMID: 37515867.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    11. Integration of Health Coaches in a Whole Health Team Model of Chronic Pain Care: a Qualitative Study. J Gen Intern Med. 2023 Dec; 38(16):3574-3580. Denneson LM, Purcell N, McGrath SL, Abadjian LR, Becker WC, Seal KH. PMID: 37464147; PMCID: PMC10713909.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansCTClinical Trials
    12. Lung Cancer Screening Among U.S. Military Veterans by Health Status and Race and Ethnicity, 2017-2020: A Cross-Sectional Population-Based Study. AJPM Focus. 2023 Jun; 2(2):100084. Rustagi AS, Byers AL, Brown JK, Purcell N, Slatore CG, Keyhani S. PMID: 37790642; PMCID: PMC10546514.
      View in: PubMed   Mentions: 2  
    13. Barriers to positive airway pressure adherence among veterans with sleep apnea: a mixed methods study. Transl Behav Med. 2022 08 17; 12(8):870-877. Goldstein LA, Purcell N, Sarmiento KF, Neylan TC, Maguen S. PMID: 35640475.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    14. Assessing the impact of the COVID-19 pandemic on pragmatic clinical trial participants. Contemp Clin Trials. 2021 12; 111:106619. Coleman BC, Purcell N, Geda M, Luther SL, Peduzzi P, Kerns RD, Seal KH, Burgess DJ, Rosen MI, Sellinger J, Salsbury SA, Gelman H, Brandt CA, Edwards RR. PMID: 34775101; PMCID: PMC8585559.
      View in: PubMed   Mentions: 9     Fields:    Translation:HumansPHPublic Health
    15. "Then COVID happened…": Veterans' Health, Wellbeing, and Engagement in Whole Health Care During the COVID-19 Pandemic. Glob Adv Health Med. 2021; 10:21649561211053828. Purcell N, Sells J, McGrath S, Mehlman H, Bertenthal D, Seal KH. PMID: 35174002; PMCID: PMC8842446.
      View in: PubMed   Mentions: 7  
    16. Women Veterans' Experiences with Integrated, Biopsychosocial Pain Care: A Qualitative Study. Pain Med. 2021 09 08; 22(9):1954-1961. Nicosia FM, Gibson CJ, Purcell N, Zamora K, Tighe J, Seal KH. PMID: 33547797.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    17. How VA Whole Health Coaching Can Impact Veterans' Health and Quality of Life: A Mixed-Methods Pilot Program Evaluation. Glob Adv Health Med. 2021; 10:2164956121998283. Purcell N, Zamora K, Bertenthal D, Abadjian L, Tighe J, Seal KH. PMID: 33747639; PMCID: PMC7940726.
      View in: PubMed   Mentions: 15  
    18. Reducing Barriers to Behavioral Treatments for Insomnia: A Qualitative Examination of Veterans' Perspectives of BBTI. Behav Sleep Med. 2022 Jan-Feb; 20(1):37-49. Holder N, Kanady JC, Straus LD, Khan AJ, Purcell N, Huggins J, Gloria R, Neylan TC, Lujan C, Maguen S. PMID: 33502265.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    19. Whole Health Options and Pain Education (wHOPE): A Pragmatic Trial Comparing Whole Health Team vs Primary Care Group Education to Promote Nonpharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans-Rationale, Methods, and Implementation. Pain Med. 2020 12 12; 21(Suppl 2):S91-S99. Seal KH, Becker WC, Murphy JL, Purcell N, Denneson LM, Morasco BJ, Martin AM, Reddy K, Iseghem TV, Krebs EE, Painter JM, Hagedorn H, Pyne JM, Hixon J, Maguen S, Neylan TC, Borsari B, DeRonne B, Gibson C, Matthias MS, Frank JW, Krishnaswamy A, Li Y, Bertenthal D, Chan A, Nunez A, McCamish N. PMID: 33313734; PMCID: PMC7825011.
      View in: PubMed   Mentions: 11     Fields:    Translation:HumansCTClinical Trials
    20. An Integrated Pain Team Model: Impact on Pain-Related Outcomes and Opioid Misuse in Patients with Chronic Pain. Pain Med. 2020 09 01; 21(9):1977-1984. Gibson CJ, Grasso J, Li Y, Purcell N, Tighe J, Zamora K, Nicosia F, Seal KH. PMID: 32100002.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    21. Tailored to Fit: How an Implementation Framework Can Support Pragmatic Pain Care Trial Adaptation for Diverse Veterans Affairs Clinical Settings. Med Care. 2020 09; 58 Suppl 2 9S:S80-S87. Purcell N, Becker WC, Zamora KA, McGrath SL, Hagedorn HJ, Fabian ER, McCamish N, Seal KH. PMID: 32826776; PMCID: PMC7444583.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansCTClinical Trials
    22. Profiles of moral distress and associated outcomes among student veterans. Psychol Trauma. 2020 Oct; 12(7):669-677. Griffin BJ, Williams CL, Shaler L, Dees RF, Cowden RG, Bryan CJ, Litz B, Purcell N, Burkman K, Maguen S. PMID: 32352806.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    23. Patient Experiences With Integrated Pain Care: A Qualitative Evaluation of One VA's Biopsychosocial Approach to Chronic Pain Treatment and Opioid Safety. Glob Adv Health Med. 2019; 8:2164956119838845. Purcell N, Zamora K, Gibson C, Tighe J, Chang J, Grasso J, Seal KH. PMID: 31041143; PMCID: PMC6480990.
      View in: PubMed   Mentions: 7  
    24. Moral Injury: An Integrative Review. J Trauma Stress. 2019 06; 32(3):350-362. Griffin BJ, Purcell N, Burkman K, Litz BT, Bryan CJ, Schmitz M, Villierme C, Walsh J, Maguen S. PMID: 30688367.
      View in: PubMed   Mentions: 135     Fields:    Translation:Humans
    25. Provider perspectives on a novel moral injury treatment for veterans: Initial assessment of acceptability and feasibility of the Impact of Killing treatment materials. J Clin Psychol. 2019 01; 75(1):79-94. Burkman K, Purcell N, Maguen S. PMID: 30368815.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    26. "Opening a Door to a New Life": The Role of Forgiveness in Healing From Moral Injury. Front Psychiatry. 2018; 9:498. Purcell N, Griffin BJ, Burkman K, Maguen S. PMID: 30405451; PMCID: PMC6203131.
      View in: PubMed   Mentions: 6  
    27. The Integrated Pain Team: A Mixed-Methods Evaluation of the Impact of an Embedded Interdisciplinary Pain Care Intervention on Primary Care Team Satisfaction, Confidence, and Perceptions of Care Effectiveness. Pain Med. 2018 09 01; 19(9):1748-1763. Purcell N, Zamora K, Tighe J, Li Y, Douraghi M, Seal K. PMID: 29040715.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    28. Healing from Moral Injury: A Qualitative Evaluation of the Impact of Killing Treatment for Combat Veterans. Journal of Aggression Maltreatment & Trauma. 2018 Jul 3; 27(6):1-29. Purcell PN, Burkman BK, Keyser KJ, Fucella FP, Maguen MS. .
      View in: Publisher Site   Mentions:
    29. Behavioral threat assessment and management: Lessons learned in one VA health care system. Journal of Threat Assessment and Management. 2018 Mar 1; 5(1):42-62. Purcell PN, Drexler DM. .
      View in: Publisher Site   Mentions:
    30. Violence in a U.S. Veterans Affairs healthcare system: worker perspectives on prevalence, causes, and contributors. Policy and Practice in Health and Safety. 2017 Jan 2; 15(1):1-19. Purcell PN, Shovein SE, Hebenstreit HC, Drexler DM. .
      View in: Publisher Site   Mentions:
    31. Veterans’ Perspectives on the Psychosocial Impact of Killing in War. The Counseling Psychologist. 2016 Oct 1; 44(7):1062-1099. Purcell PN, Koenig KC, Bosch BJ, Maguen MS. .
      View in: Publisher Site   Mentions:
    32. Violence and the Pornographic Imaginary: The Politics of Sex, Gender, and Aggression in Hardcore Pornography. 2012. Purcell, N. View Publication.
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