Faculty

Allison P Squires headshot

Allison P Squires

FAAN PhD RN

Associate Professor

1 212 992 7074

433 First Avenue
Room 656
New York, NY 10010
United States

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Professional overview

Dr. Squires' research focuses on health workforce capacity building around the world. Nurses are the primary focus of her health workforce capacity building research and she has participated in or lead interprofessional studies involving physicians, pharmacists, social workers, physical therapists, and community health workers. The patient focus of her work centers on the studying the intersections of how language preference influences patient outcomes, health services delivery, and patient-provider relationships. Her research methods expertise is in cross-language research. An experienced global health researcher, she has worked in 30 countries to date and has regional expertise in Latin America. Dr. Squires has consulted with the Migration Policy Institute and the World Bank on nursing and health workforce issues and produced several major policy analyses with their teams. Her current funded studies are examining the impact of language concordant encounters between nurses and patients receiving home care. A prolific writer, Dr. Squires has authored over 125 publications including 68 in peer-reviewed journals. Prior to entering academia full time, Dr. Squires worked as a staff nurse in solid organ transplant and as a staff educator for 11 years in the US healthcare system.

Education

Bachelor of Science in Nursing with a minor in Latin American Studies, 1995, University of Pennsylvania
Master of Science in Nursing - Education, 1999, Duquesne University
Post-Master's Certificate in Nursing Administration, 2000, Villanova University
Doctor of Philosophy, 2007, Yale University
Post-Doctoral Fellowship, Center for Health Outcomes Research, 2007-2009, University of Pennsylvania

Specialties

Home care
Immigrants
Nursing workforce
Policy
Global
Research methods
Interprofessionalism
Nursing education
Interprofessionalism

Professional membership

Academy Health
American Nurses Association
American Academy of Nursing
National Council for Interpreting in Health Care
Sigma Theta Tau International Honor Society for Nursing

Publications

Publications

Geriatric Interdisciplinary Team Training 2.0: A collaborative team-based approach to delivering care

Giuliante, M. M., Greenberg, S. A., McDonald, M. V., Squires, A., Moore, R., & Cortes, T. A. (2018). Journal of Interprofessional Care, 1-5. 10.1080/13561820.2018.1457630
Abstract
Interprofessional collaborative education and practice has become a cornerstone of optimal person-centered management in the current complex health care climate. This is especially important when working with older adults, many with multiple chronic conditions and challenging health care needs. This paper describes a feasibility study of the Geriatric Interdisciplinary Team Training 2.0 (GITT 2.0) program focused on providing interprofessional care to complex and frail older adults with multiple chronic conditions. A concurrent triangulation mixed-methods design facilitated program implementation and evaluation. Over three years (2013-2016), 65 graduate students from nursing, midwifery, social work, and pharmacy participated along with 25 preceptors. Participants were surveyed on their attitudes toward interprofessional collaboration pre and post-intervention and participated in focus groups. While attitudes toward interprofessional collaboration did not change quantitatively, focus groups revealed changes in language and enhanced perspectives of participants. Based on the evaluation data, the GITT 2.0 Toolkit was refined for use in interprofessional education and practice activities related to quality initiatives.

Healthcare professionals perceptions of neglect of older people in Mexico: A qualitative secondary analysis

Caceres, B. A., Bub, L., Negrete, M., Giraldo Rodríguez, L., & Squires, A. (2018). International Journal of Older People Nursing, 13(1), e12168. 10.1111/opn.12168

The meaning of “capacity building” for the nurse workforce in Sub-Saharan Africa: An integrative review.

Ridge, L., Klar, R., Witkoski, A., & Squires, A. (2018). International Journal of Nursing Studies. 10.1016/j.ijnurstu.2018.04.019

Strategies for overcoming language barriers in healthcare

Squires, A. (2018). Nursing Management, 49(4), 20-27. 10.1097/01.NUMA.0000531166.24481.15

Thriving in scrubs: a qualitative study of resident resilience

Winkel, A. F., Honart, A. W., Robinson, A., Jones, A.-A., & Squires, A. (2018). Reproductive Health, 15(1), 53. 10.1186/s12978-018-0489-4
Abstract
BACKGROUND: Physician well-being impacts both doctors and patients. In light of high rates of physician burnout, enhancing resilience is a priority. To inform effective interventions, educators need to understand how resilience develops during residency.METHODS: A qualitative study using grounded theory examined the lived experience of resilience in residents. A cohort of obstetrics and gynecology residents were selected as a purposive, intensity sample.. Eighteen residents in all years of training participated in semi-structured interviews. A three-phase process of open coding, analytic coding and thematic analysis generated a conceptual model for resilience among residents.RESULTS: Resilience among residents emerged as rooted in the resident's calling to the work of medicine. Drive to overcome obstacles arose from personal identity and aspiration to professional ideals. Adversity caused residents to examine and cultivate coping mechanisms. Personal connections to peers and mentors as well as to patients and the work helped buffer the stress and conflicts that present. Resilience in this context is a developmental phenomenon that grows through engagement with uncertainty and adversity.CONCLUSION: Resilience in residents is rooted in personal and professional identity, and requires engagement with adversity to develop. Connections within the medical community, finding personal fulfillment in the work, and developing self-care practices enhance resilience.

Bayesian multilevel mimic modeling for studying measurement invariance in cross-group comparisons

Bruyneel, L., Li, B., Squires, A., Spotbeen, S., Meuleman, B., Lesaffre, E., & Sermeus, W. (2017). Medical Care, 55(4), e25-e35. 10.1097/MLR.0000000000000164
Abstract
Background: Recent methodological advancements should catalyze the evaluation of measurement invariance across groups, which is required for conducting meaningful cross-group comparisons. Objective: The aim of this study was to apply a state-of-the-art statistical method for comparing latent mean scores and evaluating measurement invariance across managers' and frontline workers' ratings of the organization of hospital care. Methods: On the 87 nursing units in a single institution, French-speaking and Dutch-speaking nursing unit managers' and staff nurses' ratings of their work environment were measured using the multidimensional 32-item practice environment scale of the nursing work index (PES-NWI). Measurement invariance and latent mean scores were evaluated in the form of a Bayesian 2-level multiple indicators multiple causes model with covariates at the individual nurse and nursing unit level. Role (manager, staff nurse) and language (French, Dutch) are of primary interest. Results: Language group membership accounted for 7 of 11 PES-NWI items showing measurement noninvariance. Cross-group comparisons also showed that covariates at both within-level and between-level had significant effects on PES-NWI latent mean scores. Most notably, nursing unit managers, when compared with staff nurses, hold more positive views of several PES-NWI dimensions. Conclusions: Using a widely used instrument for measuring nurses' work environment, this study shows that precautions for the potential threat of measurement noninvariance are necessary in all stages of a study that relies on survey data to compare groups, particularly in multilingual settings. A Bayesian multilevel multiple indicators multiple causes approach can accommodate for detecting all possible instances of noninvariance for multiple covariates of interest at the within-level and between-level jointly.

A case example of a transitional education program for internationally educated nurses from Mexico

Squires, A. (2017). Nursing Economic$, 35(1), 30-38.

A case study on building capacity to improve clinical mentoring and maternal child health in rural Tanzania: The path to implementation

Ojemeni, M. T., Niles, P., Mfaume, S., Kapologwe, N. A., Deng, L., Stafford, R., Voeten, M. J., Theonestina, K., Budin, W., Chhun, N., & Squires, A. (2017). BMC Nursing, 16(1). 10.1186/s12912-017-0252-0
Abstract
Background: Tanzania is a low income, East African country with a severe shortage of human resources for health or health workers. This shortage threatens any gains the country is making in improving maternal health outcomes. This paper describes a partnership between Touch Foundation and NYU Rory Meyers College of Nursing - Global, aimed at improving clinical mentorship and capacity among nurses and midwives at two rural hospitals in the Tanzanian Lake Zone Region. Clinical mentoring capacity building and supportive supervision of staff has been shown to be a facilitator of retaining nurses and would be possible to acquire and implement quickly, even in a context of low resources and limited technology. Methods: A case study approach structures this program implementation analysis. The NYU Meyers team conducted a 6-day needs assessment at the two selected hospitals. A SWOT analysis was performed to identify needs and potential areas for improvement. After the assessment, a weeklong training, tailored to each hospitals' specific needs, was designed and facilitated by two NYU Meyers nursing and midwifery education specialists. The program was created to build on the clinical skills of expert nurse and midwife clinicians and suggested strategies for incorporating mentoring and preceptorship as a means to enhance clinical safety and promote professional communication, problem solving and crisis management. Results: Nineteen participants from both hospitals attended the training. Fourteen of 19 participants completed a post training, open ended questionnaire for a 74% response rate. Fifty-seven percent of participants were able to demonstrate and provide examples of the concepts of mentorship and supervision 4 and 11 months' post training. Participants indicated that while confidence in skills was not lacking, barriers to quality care lay mostly in understaffing. Implementation also offered multiple insights into contextual factors affecting sustainable program implementation. Conclusions: Three recommendations from this training include: 1) A pre-program assessment should be conducted to ascertain contextual relevance to curriculum development; 2) flexibility and creativity in teaching methods are essential to engage students; and 3) access to participants a priori to program implementation may facilitate a more tailored approach and lead to greater participant engagement.

Creating new knowledge: Nursing and midwifery led research to drive the global goals

Squires, A. (2017). In A New Era in Global Health. Springer.

The Drivers of Demand for Language Services in Healthcare

Squires, A. (2017). In Providing Healthcare in the Context of Language Barriers: International Perspectives (pp. 1-19). Multilingual Matters.