Allison P Squires, PhD, FAAN, RN, is an associate professor at NYU Rory Meyers College of Nursing. She is the 2019–2020 Distinguished Nurse Scholar in Residence for the National Academy of Medicine, working on the consensus study for the next Future of Nursing 2020–2030 report. She is a global health workforce capacity-building researcher with a special interest in improving immigrant and refugee health outcomes. To date, she has led or participated in studies covering 34 countries, with current active projects in the Czech Republic, Mexico, and Uganda. Her methods expertise lies in cross-language research, both qualitative and quantitative. She recently completed an Agency for Health Care Research and Quality funded R01 level study that examined how language barriers affect home healthcare outcomes. That study was the first to find how a patient’s language preference affects their risk for adverse outcomes and how organizations respond to mitigate those risks.
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 150 publications, including 100+ in peer-reviewed journals. She serves as an associate editor of the International Journal of Nursing Studies (the top-ranked nursing journal in the world), the research editor for the Journal of Nursing Regulation, and academic editor of PLoS One.
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 US healthcare system.
Squires completed her PhD at Yale University, MSN at Duquesne University, and BSN at the University of Pennsylvania. She completed a Post-Doctoral Fellowship at the University of Pennsylvania.
Squires is currently accepting PhD students and/or post-doctoral fellows/associates with interests in the following areas: 1) global health, 2) migration & immigrant health, and 3) health services research.
Post-Doctoral Fellowship - University of PennsylvaniaPhD - Yale UniversityMSN - Duquesne UniversityBSN - University of Pennsylvania
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
Honors and awards
Faculty Honors AwardsChair, New York Academy of Medicine (2021)Co-Chair, American Academy of Nursing's Global Health Expert Panel (2021)Vice-Chair, Global Health and Health Care Interest Group for Academy Health (2020)Chair, New York Academy of Medicine (2020)Co-Chair, American Academy of Nursing's Global Health Expert Panel (2020)Chair, Interdisciplinary Research Group on Nursing Issues for Academy Health (2020)Distinguished Nurse Scholar in Residence, National Academy of Medicine (2020)Chair, Interdisciplinary Research Group on Nursing Issues for Academy Health (2019)Distinguished Nurse Scholar in Residence, National Academy of Medicine (2019)Chair, Global Health and Health Care Interest Group for Academy Health (2019)Vice-Chair, Global Health and Health Care Interest Group for Academy Health (2019)Chair, New York Academy of Medicine (2019)Co-Chair, American Academy of Nursing's Global Health Expert Panel (2019)Outstanding Scholarly Contribution to Gerontological Nursing Practice, International Journal for Older People Nursing (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)
Medication literacy and Somali older adults receiving home careAbstractMedication literacy is the ability of individuals to access and understand medication information and then use that information to act and take their medication in a safe and appropriate way. The purpose of this study was to explore medication literacy in a group of Somali older adults and their families using qualitative secondary analysis. We conducted an analytic expansion of an existing qualitative study that explored the home healthcare perceptions of Somali older adults and their families. Qualitative data collected from 14 Somali families about home healthcare were reviewed and analyzed for material related to medication literacy. Data analysis revealed a number of important findings related to medication literacy and resulted in the discovery of four themes: Medication literacy is needed among Somali older adults and their families, Using home healthcare (HHC) to improve medication literacy, Better communication is essential to improving medication literacy, and Medication literacy is an intersecting family and social issue. The results of this study indicate that HHC has a role to play in improving the health and medication literacy of these families. They also highlight the need to further explore what techniques, tools, and/or supports HHC professionals need to care for non-English speaking populations. Future research needs to address how to meet the needs of diverse and vulnerable patients like Somali older adults, and how best to prepare HHC providers to do this.
Physician resilience: A grounded theory study of obstetrics and gynecology residentsWinkel, A. F., Honart, A. W., & Squires, A. (2018). Medical Education.
Qualitative Research in Nursing and Health Professions RegulationAbstractQualitative research is critical for studies about regulatory issues in nursing and across all health professions. When in-depth stakeholder perspectives are needed, qualitative approaches are often the best methodological choice to ensure their viewpoints and experiences are captured when evaluating the consequences of policy implementation or when informing regulation design. Unlike traditional qualitative health care studies that involve patients or providers in single settings, regulatory studies often have complex challenges related to the available sample sizes, sampling strategies, and data collection approaches. Reporting qualitative findings in ways that are informative, useful, and dialogue provoking about regulatory issues must go beyond inserting long quotes with a single sentence explanation. Artfully capturing the participants’ stories within the regulatory matter under study is vital for understanding potential and actual consequences of regulations. This article provides an overview of common methodological challenges researchers encounter when conducting qualitative research on professional regulation issues and offers solutions to enhance the quality, rigor, and trustworthiness of the findings. The recommendations may prove useful to researchers examining regulatory issues in nursing and other health professions.
Strategies for overcoming language barriers in healthcare
Thriving in scrubs: a qualitative study of resident resilienceAbstractBACKGROUND: 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.
Un estudio piloto de los ambientes laborales de Enfermeras mexicanas/A pilot study of the Mexican nurses work environments
Un Estudio Piloto del Clima Laboral de las Enfermeras Mexicanas: A Pilot Study of Mexican Nurses’ Work EnvironmentsAbstractIntroduction: We conducted a pilot study to examine the work environments of Mexican nurses using an internationally comparable instrument. Methods: We used the Spanish version of the Practice Environment Scale of the Nurses Work Index for the cross-sectional pilot study. Using both online and paper-based data collection methods, we recruited Mexican nurses from five sites around the country to participate. The study took place betwen 2011 and 2013. Principal component analysis analyzed the reliability and validity of the instrument in the Mexican context. Results: The Mexican Spanish translation of the instrument produced five factors which differed from the original factor loadings. Nonetheless, the instrument proved capable of differentiating problematic from non-problematic areas of the work environments of Mexican nurses. Conclusions: The Mexican Spanish verison of the instrument can be successfully used to evaluate nurses’ work environments in Mexican hospitals.
Bayesian multilevel mimic modeling for studying measurement invariance in cross-group comparisonsAbstractBackground: 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 MexicoSquires, 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 implementationAbstractOjemeni, 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/s12912-017-0252-0Background: 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.