Allison P Squires

Faculty

Prof. Allison P Squires headshot

Allison P Squires

FAAN PhD RN

Professor

1 212 992 7074

433 First Ave
New York, NY 10010
United States

Accepting PhD students

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 Pennsylvania
PhD - Yale University
MSN - Duquesne University
BSN - University of Pennsylvania

Global
Immigrants
Gerontology
Health Services Research

Academy Health
American Nurses Association
Consortium of Universities for Global Health
Interdisciplinary Research Group on Nursing Issues (Academy Health)
National Council for Interpreting in Health Care
Sigma Theta Tau International

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)

Changing language, changes lives: Learning the Lexicon of LGBTQ plus health equity

Soled, K., Clark, K., Altman, M., Bosse, J., Thompson, R., Squires, A., & Sherman, A. (2022). Research in Nursing & Health, 45(6), 621-632. 10.1002/nur.22274

Changing language, changes lives: Learning the lexicon of LGBTQ+ health equity

Soled, K. R., Clark, K. D., Altman, M. R., Bosse, J. D., Thompson, R. A., Squires, A., & Sherman, A. D. (2022). Research in Nursing and Health, 45(6), 621-632. 10.1002/nur.22274

Different countries and cultures, same language: How registered nurses and midwives can provide culturally humble care to Russian-speaking immigrants

Amburg, P., Thompson, R., Curtis, C., & Squires, A. (2022). Research in Nursing & Health, 45(4), 405-409. 10.1002/nur.22252

Different countries and cultures, same language: How registered nurses and midwives can provide culturally humble care to Russian-speaking immigrants

Amburg, P., Thompson, R. A., Curtis, C. A., & Squires, A. (2022). Research in Nursing and Health, 45(4), 405-409. 10.1002/nur.22252

Dimensional Analysis of Shared Decision Making in Contraceptive Counseling

Gerchow, L., & Squires, A. (2022). JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 51(4), 388-401. 10.1016/j.jogn.2022.04.005
Abstract
Abstract
Objective: To conduct a dimensional analysis to identify conceptual gaps around shared decision making (SDM) in reproductive health care and to refine the conceptual definition of SDM as related to contraceptive counseling. Data Sources: We identified source data through systematic searches of the CINAHL and PubMed databases. Study Selection: We included peer-reviewed research and nonresearch articles that addressed contraceptive counseling for pregnancy prevention in the United States. We did not consider date of publication as an inclusion criterion. We included 35 articles in the final review. Data Extraction: Using dimensional analysis, we extracted data to clarify the definition of SDM as a socially constructed concept that varies by perspective and context. Data Synthesis: Data synthesis enabled us to compare SDM from patient and provider perspectives and to identify four primary dimensions of SDM that varied by context: Patient Preferences, Relationship, Provider Bias, and Clinical Suitability. Conclusion: The four dimensions we identified illustrate the complexity and depth of SDM in contraceptive counseling encounters and broaden the definition of SDM to more than an encounter in which decision making incorporates clinician expertise and patient participation. We identified several assumptions that indicate the need for improved understanding that SDM is not a universal concept across perspectives and contexts. Most researchers in the included articles addressed the Patient Preferences dimension. Fewer considered the patient–provider relationship, the effect of provider bias, and the effect of specific clinical circumstances on SDM. We propose a conceptual map and model that can be used to refine the concepts that inform SDM and guide providers and researchers. Future research is needed to address the remaining gaps.

Dimensions of Being a Midwife and Midwifery Practice in the United States: A Qualitative Analysis

Thumm, E. B., Stimpfel, A. W., & Squires, A. (2022). International Journal of Childbirth, 12(2), 84-99. 10.1891/IJC-2021-0025
Abstract
Abstract
BACKGROUND: Midwives are a vital component of addressing maternal mortality crisis in the United States (US); however, there is scant understanding of the elements of midwifery practice that affect patient outcomes and the stability of the midwifery workforce in the country. This study investigates US midwives’ perceptions of factors influencing their practice and willingness to stay in the profession. METHODS: We applied a pragmatic qualitative design using summative content analysis techniques to code 1,035 comments from a national sample of 2,887 certified nurse-midwives and certified midwives. Two coders identified categories and themes of midwives’ perceptions of their practice environments, which were confirmed by an independent auditor. RESULTS: Eight themes emerged from the data: I love midwifery but…; feeling valued and respected…or not; workload; time and its consequences; the multilevel geography of midwifery practice; changes at odds with quality midwifery care; midwives withdrawing from practice to cope; and the ambiguity of “I just want to practice like a midwife.” CONCLUSION: Midwives readily identified aspects of their practice environment that negatively impact quality of care and stability of the midwifery workforce, including not valuing midwives, high workload, regulatory restrictions, and moral distress; however, respondents expressed strong commitment to the profession of midwifery. The findings also demonstrated the lack of a universally accepted definition of midwifery care within respondents’ professional communities and among respondents. Initiatives to increase integration of midwifery into the US perinatal health system will benefit from taking these findings into consideration.

Evaluating Polish nurses' working conditions and patient safety during the COVID-19 pandemic

Malinowska-Lipień, I., Wadas, T., Gabryś, T., Kózka, M., Gniadek, A., Brzostek, T., & Squires, A. (2022). International Nursing Review, 69(2), 239-248. 10.1111/inr.12724
Abstract
Abstract
Aim: To study the relationship between Polish nurses' working conditions and their attitudes towards patient safety during the COVID-19 pandemic. Background: Facing the COVID-19 pandemic, caused by the SARS-CoV-2 virus, healthcare worldwide has been reorganised. How these changes affected patient safety for hospitalised persons is not well understood. Introduction: Difficult working conditions related to the outbreak of the COVID-19 pandemic may affect the provision of safe and effective care by healthcare staff. Methods: This observational research was performed on the group of 577 nurses working during the COVID-19 pandemic in isolation infection wards (n = 201) and non-infectious diseases wards (n = 376) in Polish hospitals. The evaluation of working conditions was performed with an author's questionnaire, while the evaluation of factors influencing attitudes towards safety of the hospitalised patients was performed using Safety Attitudes Questionnaire. The STROBE checklist was used to report this study. Results: The procedures developed by management in advance for COVID-19 patient treatment had a statistically significant influence on nurses' ‘evaluation of teamwork climate, safety climate, job satisfaction, perception of management and work conditions’. Providing management with the ability to perform a swab polymerase chain reaction SARS-CoV-2 test for hospital staff in the workplace, and psychological support from professionals and employers were statistically significant for higher ratings of ‘teamwork climate, safety climate, job satisfaction, stress recognition, perception of management and work conditions’ by the Polish nurses. Hospital workload during the COVID-19 pandemic was significantly correlated with lower evaluation of work conditions. Discussion: Our study reinforces the existing literature on many fronts and demonstrates how even when operating under the COVID-19 pandemic conditions, some factors remain critical for fostering a culture of patient safety. Reinforcing patient safety practices is a imperative under these conditions. Conclusions and implications for nursing: Working conditions influence nurses' attitudes towards safety of the hospitalised patients. These are largely modifiable factors related to the workplace and include prior preparation of procedures, restrictions to extending daily work hours and psychological counselling for the staff.

Grouping people by language exacerbates health inequities—The case of Latinx/Hispanic populations in the US

Nava, A., Estrada, L., Gerchow, L., Scott, J., Thompson, R., & Squires, A. (2022). Research in Nursing and Health, 45(2), 142-147. 10.1002/nur.22221

Honoring Asian diversity by collecting Asian subpopulation data in health research

Niles, P. M., Jun, J., Lor, M., Ma, C., Sadarangani, T., Thompson, R., & Squires, A. (2022). Research in Nursing and Health, 45(3), 265-269. 10.1002/nur.22229

The intellectual capital supporting nurse practice in a post-emergency state: A case study

Ridge, L. J., Liebermann, E. J., Stimpfel, A. W., Klar, R. T., Dickson, V. V., & Squires, A. P. (2022). Journal of Advanced Nursing, 78(9), 3000-3011. 10.1111/jan.15282
Abstract
Abstract
Aim: To explore the resources supporting current nurse practice in the post-emergency country of Liberia, using the nursing intellectual capital framework, as nurses work to meet the targets set by Government of Liberia's Essential Package of Health Services. Design: Case study. Methods: Data were collected in Liberia February–June 2019. Direct observation, semi-structured interviews and photographs were used to investigate how nurse practice is supported. Field notes, transcripts and photographs were coded using both directed and conventional content analysis. Reports were then generated by code to triangulate the data. Results: Thirty-seven nurses at 12 health facilities participated. The intellectual capital supporting inpatient and outpatient nurse practice differs in important ways. Inpatient nurse practice is more likely to be supported by facility-based protocols and trainings, whereas outpatient nurse practice is more likely to be supported by external protocols and trainings, often developed by the Liberian government or non-governmental organizations. This can lead to uneven provision of inpatient protocols and trainings, often favouring private facilities. Similarly, inpatient nurses rely primarily on other nurses at their facilities for clinical support while outpatient nurses often have external professional relationships that provided them with clinical guidance. Conclusion: Much has been accomplished to enable outpatient nurses to provide the primary- and secondary-care target services in the Essential Package of Health Services. However, as the Liberian government and its partners continue to work towards providing certain tertiary care services, developing analogous protocols, trainings and clinical mentorship networks for inpatient nurses will likely be fruitful, and will decrease the burden on individual facilities. Impact: Nurses are often expected to meet new service provision targets in post-emergency states. Further research into how best to support nurses as they work to meet those targets has the potential to strengthen health systems.