Allison P Squires
FAAN PhD RN
Professor
aps6@nyu.edu
1 212 992 7074
Professor
433 First Ave
New York, NY 10010
United States
Accepting PhD students
Allison P Squires's additional information
-
-
Allison P Squires, Ph.D., FAAN, RN, is a professor and the Director of the Global Consortium of Nursing and Midwifery Studies, or GCNMS. The GCNMS is an 82-country research consortium collaborating on research capacity-building projects in nursing and midwifery globally. The consortium's current research study is examining the long-term effects of the COVID-19 pandemic on the nursing and midwifery workforces globally to understand how to improve global pandemic response implementation protocols for the largest frontline workforce cadre. Domestically, her research focuses on improving immigrant and refugee health outcomes with a special interest in addressing inequities in health outcomes resulting from language discordance during a healthcare encounter. For both, she is an expert in contextual considerations of global health care services implementation.
Prof. 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. A prolific writer, Squires has authored over 200 publications, including 140+ in peer-reviewed journals. She serves as an associate editor of the top-ranked International Journal of Nursing Studies since 2012. She was the 2019–2020 Distinguished Nurse Scholar in Residence for the National Academy of Medicine where she worked on the consensus study "Future of Nursing 2020–2030: Charting a Path to Achieve Equity". In 2023, she received the Outstanding Mentor Award from the Interdisciplinary Research Group on Nursing Issues interest group of Academy Health.
Prior to entering academia full-time, Squires worked as a staff nurse in solid organ transplant and as a staff educator for 11 years in the U.S. healthcare system. Her practice has since shifted largely to community-based nursing roles as a volunteer.
Prof. Squires received her Ph.D. at Yale University, MSN at Duquesne University, and BSN with a minor in Latin American Studies at the University of Pennsylvania. She completed a Post-Doctoral Fellowship in Health Outcomes Research at the University of Pennsylvania. In addition to her primary appointment at the Rory Meyers College of Nursing at NYU, she holds affiliated faculty appointments/affiliations with the Department of General Internal Medicine at the Grossman School of Medicine, the Center for Latin American Studies, and the Center for Drug Use and HIV Research.
She is currently accepting Ph.D. students and/or post-doctoral fellows/associates with interests in the following areas: 1) global health, 2) migration & immigrant health, and 3) health services and workforce research.
-
-
Post-Doctoral Fellowship - University of PennsylvaniaPhD - Yale UniversityMSN - Duquesne UniversityBSN - University of Pennsylvania
-
-
GlobalImmigrantsGerontologyHealth Services Research
-
-
Academy HealthAmerican Nurses AssociationConsortium of Universities for Global HealthInterdisciplinary Research Group on Nursing Issues (Academy Health)National Council for Interpreting in Health CareSigma Theta Tau International
-
-
Faculty Honors Awards
Chair of the Nursing Section of the New York Academy of Medicine (2022)Co-Chair, American Academy of Nursing's Global Health Expert Panel (2021)Chair of the Nursing Section of the New York Academy of Medicine (2021)Vice-Chair, Global Health and Health Care Interest Group for Academy Health (2020)Co-Chair, American Academy of Nursing's Global Health Expert Panel (2020)Chair, Interdisciplinary Research Group on Nursing Issues for Academy Health (2020)Chair of the Nursing Section of the New York Academy of Medicine (2020)Distinguished Nurse Scholar in Residence, National Academy of Medicine (2020)Vice-Chair, Global Health and Health Care Interest Group for Academy Health (2019)Co-Chair, American Academy of Nursing's Global Health Expert Panel (2019)Chair, Interdisciplinary Research Group on Nursing Issues for Academy Health (2019)Chair of the Nursing Section of the New York Academy of Medicine (2019)Distinguished Nurse Scholar in Residence, National Academy of Medicine (2019)Chair, Global Health and Health Care Interest Group for Academy Health (2019)Outstanding Scholarly Contribution to Gerontological Nursing Practice, International Journal for Older People Nursing (2018)Chair of the Nursing Section of the New York Academy of Medicine (2018)Chair, Global Health and Health Care Interest Group for Academy Health (2018)Prose Award, “A New Era in Global Health” (W. Rosa, Ed.) (2018)Vice Chair, Interdisciplinary Research Group on Nursing Issues for Academy Health (2018)Fellow Ambassador to the Media, New York Academy of Medicine (2017)Distinguished Alumna, Duquesne University (2015)Fellow, American Academy of Nursing (2015)Fellow, New York Academy of Medicine (2014)Fellow, Yale World Fellows Program (2003) -
-
Publications
Awareness of Disease Status among Patients with Cancer: An Integrative Review
AbstractFinlayson, C. S., Rosa, W. E., Mathew, S., Applebaum, A., Squires, A., & Fu, M. R. (2024). Cancer Nursing, 47(3), 189-197. 10.1097/NCC.0000000000001170AbstractBackground As the quality of cancer care improves, oncology patients face a rapidly increasing number of treatment options. Thus, it is vital that they are full and active partners in the treatment decision-making process. Awareness of disease status has been investigated in the literature; it has been inconsistently conceptualized and operationalized. Objective The aim of this integrative review was to develop a conceptual definition and model of the awareness of disease status among patients with cancer. Methods Whittemore and Knafl's integrative review methodology guided this article. We obtained data through a systematic search of 8 databases. Key terms utilized were awareness, perception, truth disclosure, diagnosis, prognosis, terminal illness, status, neoplasm, and metastasis. Dates through January 2020 were searched to capture all relevant articles. Sixty-nine articles met inclusion criteria. Results The integrative review methodology guided the development of a conceptual definition and model. The concept of "awareness of disease status"was defined as the individual patient's understanding of being diagnosed and treated for cancer based on the multifactorial components of individual patient characteristics and contextually driven communication practices of healthcare providers. This understanding is dynamic and changes throughout the disease trajectory. Conclusion These findings will inform consistency in the literature. Such consistency may improve person-centered clinical communication, care planning practices, and, ultimately, cancer-related outcomes. Implications for Practice With a greater understanding of the complexity of patients' awareness of disease status, nurses will be able to guide their patients to make informed decisions throughout their disease trajectory.A comprehensive view of adolescent sexual health and family planning from the perspective of Black and Hispanic adolescent mothers in New York city
AbstractGerchow, L., Lanier, Y., Fayard, A. L., & Squires, A. (2024). SSM - Qualitative Research in Health, 6. 10.1016/j.ssmqr.2024.100460AbstractBlack and Hispanic adolescents in New York City experience high rates of pregnancy and sexually transmitted infections. A comprehensive understanding of the complexity of adolescent sexual health and family planning decisions and experiences can provide insights into the sustained disparities and inform practice, policy, and future research. The goal of this study was to explore and analyze this complexity, centering Black and Hispanic adolescent mothers as the experts on sexual and reproductive experiences from pre-pregnancy through parenting. As part of formative research for a human-centered design study, we interviewed 16 Black and Hispanic adolescent mothers living in New York City. Using situational analysis, we mapped relationships, discourse, and social structures to explore the various factors that inform adolescent sexual health decisions, in particular choices about contraception. Situational analysis found that, besides interpersonal factors, organizations and non-human elements like social media and physical birth control devices affected adolescent family planning in three social arenas: home, healthcare, and school. Within and across these arenas, adolescents lacked consistent sexual health education and contraceptive counseling and faced gendered expectations of their behaviors. Participants described parents and healthcare providers as most responsible for providing sexual health counseling yet described parents as uncomfortable or overreactive and healthcare workers as paternalistic and biased. A consideration of the many factors that inform sexual health decision-making and recognition of adolescents’ desire for parents and healthcare providers to be a source of education can address health disparities and promote adolescent sexual health and wellbeing.Impact of Patient-Clinician Relationships on Pain and Objective Functional Measures for Individuals with Chronic Low Back Pain: An Experimental Study
AbstractVorensky, M., Squires, A., Jones, S., Sajnani, N., Castillo, E., & Rao, S. (2024). Journal of Health Care for the Poor and Underserved, 35(4), 1229-1257. 10.1353/hpu.2024.a943987AbstractPurpose. To compare the effects of enhanced and limited patient-clinician relationships during patient history taking on objective functional measures and pain appraisals for individuals with chronic low back pain (CLBP). Methods. Fifty-two (52) participants with CLBP, unaware of the two groups, were randomized using concealed allocation to an enhanced (n=26) or limited (n=26) patient-clinician relationship condition. Participants shared their history of CLBP with a clinician who enacted either enhanced or limited communication strategies. Fingertip-to-floor, one-minute lift, and Biering-Sorensen tests, and visual analogue scale for pain at rest were assessed before and after the patient-clinician relationship conditions. Findings. The enhanced condition resulted in significantly greater improvements in the one-minute lift test (F(1,49)=7.47, p<.01, ηp2 =0.13) and pain at rest (F(1,46)=4.63, p=.04, ηp2 =0.09), but not the fingertip-to-floor or Biering-Sorensen tests, compared with the limited group. Conclusions. Even without physical treatment, differences in patient-clinician relationships acutely affected lifting performance and pain among individuals with CLBP.Influence of the work environment of nurses on the 30-day mortality of patients hospitalized in Polish hospitals. cross-sectional studies
AbstractMalinowska-Lipień, I., Put, D., Maluchnik, M., Gabryś, T., Kózka, M., Gajda, K., Gniadek, A., Brzostek, T., & Squires, A. (2024). BMC Nursing, 23(1). 10.1186/s12912-024-01762-xAbstractBackground: An optimal work environment for nurses is characterized primarily by appropriate staffing, good team relations, and support from the management staff. These factors are consistently associated with a positive assessment of patient safety by a hospital’s employees and a reduction in hospital mortality rates. Aim: To understand the relationships between the work environment as perceived by nurses on the 30-day mortality of patients treated in Polish hospitals. Background: An optimal work environment for nurses is characterized primarily by appropriate staffing, good team relations, and support from the management staff. These factors are consistently associated with a positive assessment of patient safety by a hospital’s employees and a reduction in hospital mortality rates. Material and methods: The analysis used discharge data from 108,284 patients hospitalized in internal medicine and surgery departments in 21 hospitals (with 24/7 operations) in Poland. Administrative data included coded data to estimate 30-day mortality. A Nurses’ satisfaction questionnaire, including the PES-NWI scale and the SAQ questionnaire, was used to assess the work environment of nurses (n = 1,929). Correlations between variables were assessed using the Pearson coefficient. The analysis used a Poisson regression model, which belongs to the class of generalized linear models. Results: A lower 30-day mortality rate amongst patients was found among those treated in hospitals where the personnel feel that they may question the decisions or actions of their superiors regarding the care provided (r = − 0.50); nurses are informed about changes introduced on the basis of reports about negligence and mistakes (r = − 0.50); the ward nurse is a good manager (r = − 0.41); nurses receive timely information from the head of the department that may have an impact on their work (r = − 0.41). Conclusions: Factors related to care during hospital stay such as the organization of care at the ward level, analysis of care errors, the number of staff providing direct patient care, informing nurses about mistakes without punishment, and the possibility of nurses challenging the decisions or actions of superiors, which concerns care providing, affect the 30-day mortality of patients after the end of hospitalization in Polish hospitals.Language Barriers in School Health: Addressing Health Equity in the U.S. Educational System
AbstractMcCabe, E., Bennett, S., Lowrey, K. M. G., & Squires, A. (2024). Journal of School Nursing. 10.1177/10598405241263953AbstractFederal law requires school health leaders to ensure meaningful access to language resources to promote optimal health and education outcomes. This paper aims to inform all stakeholders, including decision-makers, about the importance of developing language access plans and policies. Multiple sources and legal guidelines provide a comprehensive overview of the issue. Including an examination of current practices and challenges that school nurses encounter, specifically regarding language resources, guidance is offered to elucidate meaningful language access policies that ensure equitable access to school health services. Supporting meaningful language access includes providing school nurses with qualified interpretation and translation services to care for those who do not speak, read, or write in English or have limitations with the English language. Additionally, local and state agencies may implement language access services requirements and enforce compliance with a language access plan to meet federal funding requirements.Making the invisible visible: The importance of applying a lens of Intersectionality for researching Internationally Educated Nurses
Thompson, R. A., Lewis, K. R., Curtis, C. A., Olanrewaju, S. A., & Squires, A. (2024). Nursing Outlook, 72(1). 10.1016/j.outlook.2023.102086Moral Distress, Burnout, Turnover Intention, and Coping Strategies among Korean Nurses during the Late Stage of the COVID-19 Pandemic: A Mixed-Method Study
AbstractLee, J. J., Ji, H., Lee, S., Lee, S. E., & Squires, A. (2024). Journal of Nursing Management, 2024. 10.1155/2024/5579322AbstractThe COVID-19 pandemic has exacerbated the difficulties nurses face, resulting in higher turnover rates and workforce shortages. This study investigated the relationships between nurses' moral distress, burnout, and turnover intention during the last stage of the COVID-19 pandemic. It also explored the coping strategies nurses use to mitigate moral distress. Utilizing a mixed-method approach, this study analyzed data from 307 nurses caring for patients with COVID-19 in acute care hospitals through an online survey conducted in November 2022. Our data analysis encompassed quantitative methods, including descriptive statistics and path analysis, using a generalized structural equation model. For the qualitative aspect, we examined open-ended responses from 246 nurses using inductive content analysis. The quantitative findings revealed that nurses' moral distress had a significant direct effect on turnover intention. In addition, burnout significantly mediated the relationship between moral distress and turnover intention. Qualitative analyses contextualized the relationships uncovered in the quantitative analyses. The qualitative analysis identified various positive and negative coping strategies. Positive strategies included a commitment to minimize COVID-19 transmission risks, adopting a holistic approach amidst the challenges posed by the pandemic, voicing concerns for patient safety, engaging in continuous learning, and prioritizing self-care. Conversely, negative strategies involved adopting avoidance behaviors stemming from feelings of powerlessness and adopting a passive approach to one's role. Notably, some participants shifted from positive to negative coping strategies because of institutional barriers and challenges. The findings underscore the importance for hospital administrators and nurse managers to acknowledge the impact of the pandemic-related challenges encountered by nurses and recognize the link among moral distress, burnout, and turnover intention. It highlights the essential role of organizational and managerial support in fostering effective coping strategies among nurses to address moral distress.Patient-related decisional regret: An evolutionary concept analysis
AbstractChehade, M., Mccarthy, M. M., & Squires, A. (2024). Journal of Clinical Nursing, 33(11), 4484-4503. 10.1111/jocn.17217AbstractBackground: Health-related decision-making is a complex process given the variability of treatment options, conflicting treatment plans, time constraints and variable outcomes. This complexity may result in patients experiencing decisional regret following decision-making. Nonetheless, literature on decisional regret in the healthcare context indicates inconsistent characterization and operationalization of this concept. Aim(s): To conceptually define the phenomenon of decisional regret and synthesize the state of science on patients' experiences with decisional regret. Design: A concept analysis. Methods: Rodgers' evolutionary method guided the conceptualization of this review. An interdisciplinary literature search was conducted from 2003 until 2023 using five databases, PubMed, CINAHL, Embase, PsycINFO and Web of Science. The search informed how the concept manifested across health-related literature. We used PRISMA-ScR checklist to guide the reporting of this review. Results: Based on the analysis of 25 included articles, a conceptual definition of decisional regret was proposed. Three defining attributes underscored the negative cognitive-emotional nature of this concept, post-decisional experience relating to the decision-making process, treatment option and/or treatment outcome and an immediate or delayed occurrence. Antecedents preceding decisional regret comprised initial psychological or emotional status, sociodemographic determinants, impaired decision-making process, role regret, conflicting treatment plans and adverse treatment outcomes. Consequences of this concept included positive and negative outcomes influencing quality of life, health expectations, patient-provider relationship and healthcare experience appraisal. A conceptual model was developed to summarize the concept's characteristics. Conclusion: The current knowledge on decisional regret is expected to evolve with further exploration of this concept, particularly for the temporal dimension of regret experience. This review identified research, clinical and policy gaps informing our nursing recommendations for the concept's evolution. No Patient or Public Contribution: This concept analysis examines existing literature and does not require patient-related data collection. The methodological approach does not necessitate collaboration with the public.Perceptions of healthcare workers on linkage between depression and hypertension in northern Ghana: a qualitative study
AbstractAdu-Amankwah, D., Babagoli, M. A., Aborigo, R. A., Squires, A. P., Nonterah, E., Jones, K. R., Alvarez, E., Anyorikeya, M., Horowitz, C. R., Weobong, B., & Heller, D. J. (2024). Global Mental Health, 11. 10.1017/gmh.2024.86AbstractHypertension and depression are increasingly common noncommunicable diseases in Ghana and worldwide, yet both are poorly controlled. We sought to understand how healthcare workers in rural Ghana conceptualize the interaction between hypertension and depression, and how care for these two conditions might best be integrated. We conducted a qualitative descriptive study involving in-depth interviews with 34 healthcare workers in the Kassena-Nankana districts of the Upper East Region of Ghana. We used conventional content analysis to systematically review interview transcripts, code the data content and analyze codes for salient themes. Respondents detailed three discrete conceptual models. Most emphasized depression as causing hypertension: through both emotional distress and unhealthy behavior. Others posited a bidirectional relationship, where cardiovascular morbidity worsened mood, or described a single set of underlying causes for both conditions. Nearly all proposed health interventions targeted their favored root cause of these disorders. In this representative rural Ghanaian community, healthcare workers widely agreed that cardiovascular disease and mental illness are physiologically linked and warrant an integrated care response, but held diverse views regarding precisely how and why. There was widespread support for a single primary care intervention to treat both conditions through counseling and medication.A Pilot Study Toward Development of the Digital Literacy, Usability, and Acceptability of Technology Instrument for Healthcare
AbstractGroom, L. L., Feldthouse, D., Robertiello, G., Fletcher, J., & Squires, A. (2024). CIN - Computers Informatics Nursing, 42(12), 879-888. 10.1097/CIN.0000000000001156AbstractElectronic health record proficiency is critical for health professionals to deliver and document patient care. There is scarce research on this topic within undergraduate nursing student populations. The purpose of this study is to describe the psychometric evaluation of the Digital Literacy, Usability, and Acceptability of Technology Instrument for Healthcare. A cross-sectional pilot study for psychometric evaluation of the instrument was conducted using data collected through an emailed survey. Exploratory factor analysis, inter-item and adjusted item-total correlations, and Cronbach's α calculated subscale reliability. A total of 297 nursing students completed the survey. A seven-factor structure best fit the data: technology use - engagement, technology use - confidence, technology use - history, electronic health record - ease of use, electronic health record - comparability, and electronic health record - burden. Cronbach's α indicated good to very good internal consistency (α =.68 to.89). The instrument effectively measured digital literacy, acceptance, and usability of an electronic health record and may be implemented with good to very good reliability across varied healthcare simulation and training experiences. -
-
Media