Faculty

Christine T Kovner headshot

Christine T Kovner

Mathy Mezey Professor of Geriatric Nursing

1 212 998 5312

433 First Avenue
Room 644
New York, NY 10010
United States

expand all

collapse all

Professional overview

Christine Tassone Kovner, PhD, RN, FAAN, is the Mathy Mezey Professor of Geriatric Nursing at NYU Rory Meyers College of Nursing and a senior faculty associate at the Hartford Institute for Geriatric Nursing. She is also a professor of medicine at the NYU School of Medicin and an affiliated faculty at NYU College of Global Public Health. She is on the Nurse Faculty at the NYU Langone Medical Center. A highly-respected and widely published nurse educator and researcher, Kovner maintains an active research program involving studies on quality improvement, RN working conditions, and nursing care costs. She is the principal investigator for the TL1 Pre- and Post-Doctoral Program of NYU's Clinical and Translational Science Institute. Kovner was the principal investigator of a grant from the Robert Wood Johnson Foundation studying the career trajectories of newly licensed registered nurses over the first ten years of their careers.

Among her many honors, Kovner received the IRGNI Research Mentorship Award from Academy Health in 2018, the Nursing Outlook Excellence in Policy Award in 2012, the Golden Pen Award from the Journal for Healthcare Quality in 2007, and the Lavinia Dock Distinguished Service Award from the New York Counties Registered Nurses Association.

Kovner completed her PhD at New York University, MSN at the University of Pennsylvania, and BS at Columbia University School of Nursing.

Education

PhD - New York University
MSN - University of Pennsylvania
BS - Columbia University School of Nursing

Specialties

Nursing workforce
Community/population health

Professional membership

American Academy of Nursing Fellow
AcademyHealth
Council for the Advancement of Nursing Science
Sigma Theta Tau

Honors and awards

Faculty Honors Awards

Distinguished Contributions to Nursing Research Award (2018)
IRGNI Research Mentorship Award, Academy Health (2018)
Treasurer, CGFNS International, Inc. (2016)
Distinguished Alumna Award, New York University, College of Nursing (2012)
Nursing Outlook Excellence in Policy Award for “State Mandatory Overtime Regulations and Newly Licensed Nurses’ Mandatory and Voluntary Overtime and Total Work Hours.” (2012)
Vernice Ferguson Faculty Scholar Award, New York University, College of Nursing (2010)
Golden Pen Award for “Exploring the Utility of Automated Drug Alerts in Home Healthcare,” Journal for Healthcare Quality (2007)
Health Policy and Legislation Award, New York University, College of Nursing (2006)
Best of Image Award in Health Policy Scholarship, for “Nurse Staffing Levels and Adverse Events Following Surgery in U. S. Hospitals," Journal of Nursing (1999)
Honorary Recognition Award, New York Counties Registered Nurses Association (1999)
Alumni Award for Distinguished Career in Nursing, Columbia University-Presbyterian Hospital Alumni Association (1996)
Distinguished Nurse Researcher, Foundation of the New York State Nurses Association (1994)
Lavinia Dock Distinguished Service Award, New York Counties Registered Nurses Association (1992)
Martha E. Rogers Scholarship Award, Upsilon Chapter, Sigma Theta Tau (1983)

Publications

Publications

Covid-19 rages on around the world

Kovner, C. (2020). Policy, Politics & Nursing Practice, 21(3), 131. 10.1177/1527154420946993

Does unit culture matter? The association between unit culture and the use of evidence-based practice among hospital nurses

Jun, J., Kovner, C. T., Dickson, V. V., Stimpfel, A. W., & Rosenfeld, P. (2020). Applied Nursing Research, 53. 10.1016/j.apnr.2020.151251

History and the Future

Kovner, C. (2020). Policy, Politics & Nursing Practice, 21(1), 3. 10.1177/1527154420909939

Policy, Politics, Nursing Practice, and COVID-19

Kovner, C. (2020). Policy, Politics, and Nursing Practice, 21(2), 55. 10.1177/1527154420933016

Variables Associated With Nurse-Reported Quality Improvement Participation

Djukic, M., Fletcher, J., Witkoski Stimpfel, A., & Kovner, C. (2020). Nurse Leader. 10.1016/j.mnl.2020.06.009
Abstract
Abstract
Lack of staff engagement in quality improvement (QI) is a persistent challenge in improving quality in health care. In this study, we examined variables associated with nurse-reported participation in QI using data from over 500 registered nurses employed in US hospitals. Of the 16 studied variables, based on the adjusted multivariate regression analysis, the following were positively associated (p < 0.05) with nurse-reported participation in QI: working in advanced practice nursing and manager roles versus staff nurse role, working a full-time work schedule versus a part-time work schedule, and reporting higher levels of procedural justice, quantitative workload, and work motivation.

Bachelor's Degree Nurse Graduates Report Better Quality and Safety Educational Preparedness than Associate Degree Graduates

Djukic, M., Stimpfel, A. W., & Kovner, C. (2019). Joint Commission Journal on Quality and Patient Safety, 45(3), 180-186. 10.1016/j.jcjq.2018.08.008
Abstract
Abstract
Background: Readiness of the nursing workforce in quality and safety competencies is an essential indicator of a health system's ability to deliver high-quality and safe health care. A previous study identified important quality and safety education gaps between associate- and baccalaureate-prepared new nurses who graduated between 2004 and 2005. The purpose of this study was to assess changes in nursing workforce quality and safety education preparedness by examining educational gaps between associate and bachelor's degree graduates in two additional cohorts of new nurses who graduated between 2007–2008 and 2014–2015. Methods: A cross-sectional, comparative design and chi-square tests were used to trend the quality and safety educational preparedness differences between associate and bachelor's degree nurse graduates from 13 states and the District of Columbia licensed in 2007–2008 (N = 324) and 2014–2015 (N = 803). Results: The number of quality and safety educational gaps between bachelor's and associate degree nurse graduates more than doubled over eight years. In the 2007–2008 cohort, RNs with a bachelor's degree reported being significantly better prepared than RNs with an associate degree in 5 of 16 topics. In the 2014–2015 cohort, bachelor's degree RNs reported being significantly better prepared than associate degree RNs in 12 of 16 topics. Conclusion: Improving accreditation and organizational policies requiring baccalaureate education for all nurses could close quality and safety education gaps to safeguard the quality of patient care.

Cardiovascular Risk in Middle-Aged and Older Immigrants: Exploring Residency Period and Health Insurance Coverage

Common predictors of nurse-reported quality of care and patient safety

Stimpfel, A. W., Djukic, M., Brewer, C. S., & Kovner, C. T. (2019). Health Care Management Review, 44(1), 57-66. 10.1097/HMR.0000000000000155
Abstract
Abstract
Background: In the era of the Patient Protection and Affordable Care Act, quality of care and patient safety in health care have never been more visible to patients or providers. Registered nurses (nurses) are key players not only in providing direct patient care but also in evaluating the quality and safety of care provided to patients and families. Purpose: We had the opportunity to study a unique cohort of nurses to understand more about the common predictors of nurse-reported quality of care and patient safety across acute care settings. Approach: We analyzed cross-sectional survey data that were collected in 2015 from 731 nurses, as part of a national 10-year panel study of nurses. Variables selected for inclusion in regression analyses were chosen based on the Systems Engineering Initiative for Patient Safety model, which is composed of work system or structure, process, and outcomes. Results: Our findings indicate that factors from three components of the Systems Engineering Initiative for Patient Safety model-Work System (person, environment, and organization) are predictive of quality of care and patient safety as reported by nurses. The main results from our multiple linear and logistic regression models suggest that significant predictors common to both quality and safety were job satisfaction and organizational constraints. In addition, unit type and procedural justice were associated with patient safety, whereas better nurse-physician relations were associated with quality of care. Conclusion: Increasing nurses' job satisfaction and reducing organizational constraints may be areas to focus on to improve quality of care and patient safety. Practical Implications: Our results provide direction for hospitals and nurse managers as to how to allocate finite resources to achieve improvements in quality of care and patient safety alike.

A comparison of scheduling, work hours, overtime, and work preferences across four cohorts of newly licensed Registered Nurses

Stimpfel, A. W., Fletcher, J., & Kovner, C. T. (2019). Journal of Advanced Nursing, 75(9), 1902-1910. 10.1111/jan.13972
Abstract
Abstract
Aims: To conduct a comparative analysis of four cohorts of newly licensed Registered Nurses and their work schedule, daily shift length, weekly work hours, second job, and weekly overtime hours. Nurses also reported their preferences regarding work schedule and daily shift length. Design: We used a retrospective, comparative design analysing four cross-sectional surveys from new nurses first licensed between 2004–2015. Methods: Using state licensure lists, nurses who were first licensed between 1 August 2004 and 31 July 2005 were randomly sampled using a nested design in 23 geographical areas in 13 states and Washington, DC. The same sampling strategy was conducted for subsequent cohorts in January 2009, 2012, and 2016. We sent a mailed survey measuring demographics, education, work attributes, and attitudes to participants with a $5 incentive, following methods by Dillman. Results: There were no statistically significant differences in average weekly work hours (39.4 hrs) or holding more than one job for pay (11.6–14.6% across all cohorts). There were statistically significant differences in overtime across cohorts and shift length by unit type. The preferred shift length was 12 hrs and day shift was the preferred work schedule. Conclusion: New nurses are predominantly scheduled for 12-hrs shifts and nearly half work weekly overtime, trends that have remained relatively stable over the past 10 years. Nurse managers, policy-makers, and researchers should pay attention to new nurses’ schedule and shift preferences and guard against mandatory overtime hours.

Nurses' sleep, work hours, and patient care quality, and safety

Stimpfel, A. W., Fatehi, F., & Kovner, C. (2019). Sleep Health. 10.1016/j.sleh.2019.11.001
Abstract
Abstract
OBJECTIVES: To describe sleep duration and work characteristics among registered nurses ("nurses") across health care settings and unit types and determine the association between sleep duration and quality of care and patient safety.DESIGN: We used an observational, retrospective design. Survey data were collected from two cohorts of nurses in 2015 and 2016.SETTING: Health care and community settings across the United States, primarily acute care hospitals.PARTICIPANTS: Nurses working in a staff or general duty position (N=1,568).MEASUREMENTS: The independent variable was nurses' sleep duration before work and nonwork days. The two dependent variables were nurse reported quality of care (single item rating) and overall patient safety, measured by the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture.RESULTS: Nurses reported an average of 414 minutes, or just less than 7 hours, of sleep before a work day and 497 minutes, or just over 8 hours, before a nonwork day. Short sleep duration was statistically significantly associated with lower ratings of quality of care (p=.002) and patient safety (p=.000).CONCLUSIONS: Nurses are sleeping, on average, less than recommended amounts before work, which may be impacting their health and performance on the job. Health care managers may consider interventions to support nurses' sleep to improve patient care. Further research is warranted.