Daniel David

Faculty

Daniel David headshot

Daniel David

PhD RN

Assistant Professor

1 212 992 5930

433 First Avenue
Room 422
New York, NY 10010
United States

Daniel David's additional information

Daniel David, RN, PhD, is an assistant professor at NYU Rory Meyers College of Nursing and National Palliative Care Center Kornfeld Scholar. His research investigates older adults and their informal caregivers in the context of serious illness. He is particularly interested in technology-based interventions that improve caregiving, communication, palliative care, and advance care planning.

David is the principal investigator of the PC-CRAFT Assisted Living Project (Palliative Care – Connecting Residents And Family through Technology), which uses video technology to support palliative care consultation between providers, residents of assisted living, and their informal caregivers.

Prior to joining the faculty at NYU, David was an adjunct assistant professor in the Department of Community Health Systems at the University of California, San Francisco (UCSF) School of Nursing and a postdoctoral fellow in the VA Quality Scholar Program in the UCSF Division of Geriatrics.

David received his PhD in nursing from Northeastern University, MS from the University of Colorado, and BSN from the University of Virginia.

PhD - Northeastern University
BSN - University of Virginia
MS - University of Colorado

Gerontology
Palliative care

American Geriatrics Society
Gerontological Society of America
Hospice and Palliative Nurses Association
Palliative Care Research Cooperative
Sigma Theta Tau

Faculty Honors Awards

VA Quality Scholar, VA Medical Center, San Francisco (2018)
Junior Investigator, Palliative Care Research Consortium (2018)
Scholarship, End of Life Nursing Education Consortium (2017)
Sigma Theta Tau, Scholar Research Award, Northeastern University (2016)
Kaneb Foundation Research Award, Regis College (2015)
Scholar, Summer Genetics Institute, NINR, National Institute of Health (2014)
Scholar, Jonas Center for Nursing Excellence (2014)
Sigma Theta Tau, Beta Kappa (2004), Gamma Epsilon Chapter (2013)
Sigma Theta Tau, Rising Star Award, Northeastern University (2013)
Distinguished Nursing Student Award, University of Virginia (2005)
Raven Society, University of Virginia (2005)

Publications

Anxious, Depressed, and Planning for the Future: Advance Care Planning in Diverse Older Adults

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Family Communication in Long-Term Care During a Pandemic: Lessons for Enhancing Emotional Experiences

Monin, J. K., Ali, T., Syed, S., Piechota, A., Lepore, M., Mourgues, C., Gaugler, J. E., Marottoli, R., & David, D. (2020). American Journal of Geriatric Psychiatry, 28(12), 1299-1307. 10.1016/j.jagp.2020.09.008
Abstract
Abstract
Objective: Family visits with residents at long-term care (LTC) facilities have been restricted during the COVID-19 pandemic. The objective was to examine what communication methods, other than in-person visits, during the pandemic were associated with greater positive and lower negative emotional experiences for LTC residents and their family members and friends. Design: Cross-sectional. Setting: Nationally targeted online survey. Participants: One hundred sixty-one community-dwelling adults who had a family member or friend in a LTC facility. Measurements: The Positive and Negative Affect Scale was used to assess participant's own emotions and perceived resident emotions during the pandemic. Questions were asked about nine communication methods other than physical visits (e.g., phone, video-conference, e-mail, and letters) in terms of frequency of use during the pandemic. Sociodemographics, resident health, and facility factors were assessed and used as covariates where indicated. Results: During the pandemic, greater phone frequency was associated with less participant negative emotions (β = −0.17). Greater e-mail frequency was associated with more perceived resident positive emotions (β = 0.28). Greater frequency of letters delivered by staff was associated with more participant negative emotions (β = 0.23). Greater frequency of letters delivered by staff and the postal service were associated with more perceived resident negative emotions (β = 0.28; β = 0.34, respectively). Conclusion: These findings highlight the importance of synchronous, familiar methods of communication like the phone and email between families and LTC residents to maintain their emotional well-being when in-person visits are restricted.

Family- And person-centered interdisciplinary telehealth: Policy and practice implications following onset of the COVID-19 pandemic

Brody, A. A., Sadarangani, T., Jones, T. M., Convery, K., Groom, L., Bristol, A. A., & David, D. (2020). Journal of Gerontological Nursing, 46(9), 9-13. 10.3928/00989134-20200811-03
Abstract
Abstract
With the onset of the COVID-19 pandemic, telehealth was thrust to the forefront, becoming one of the most predominant forms of care almost overnight. Despite years of research, practice, and policymaking, tenets for providing telehealth in an interdisciplinary, family- and person-centered fashion, and across a wide breadth of settings remain underdeveloped. In addition, although telehealth has the potential to increase equity in care, it can also further exacerbate disparities. The current article discusses the opening created by the pandemic and provides recommendations for how to make permanent changes in telehealth policy and practice to allow for interdisciplinary, person- and family-centered care while also taking care to address issues of equity and ethics and privacy issues related to telehealth and remote monitoring. [Journal of Gerontological Nursing, 46(9), 9-13.]

Original Research: Understanding Nursing Home Staff Attitudes Toward Death and Dying: A Survey

Bui, N., Halifax, E., David, D., Hunt, L., Uy, E., Ritchie, C., & Stephens, C. (2020). American Journal of Nursing, 120(8), 24-31. 10.1097/01.NAJ.0000694336.19444.5a
Abstract
Abstract
Background:Nearly 70% of nursing home residents are eligible for palliative care, yet few receive formal palliative care outside of hospice. Little is known about nursing home staff attitudes, knowledge, skills, and behaviors related to palliative care.Methods:We administered a modified survey measuring attitudes toward death to 146 nursing home staff members, including both clinical and nonclinical staff, from 14 nursing homes.Results:Nursing home staff generally reported feeling comfortable caring for the dying, but half believed the end of life is a time of great suffering. Pain control (63%), loneliness (52%), and depression (48%) were the most important issues identified with regard to these patients, and there was ambivalence about the use of strong pain medications and the utility of feeding tubes at the end of life. Top priorities identified for improving palliative care included greater family involvement (43%), education and training in pain control (50%) and in management of other symptoms (37%), and use of a palliative care team (35%) at their facility.Conclusions:Findings show there is a need for more palliative care training and education, which should be built on current staff knowledge, skills, and attitudes toward palliative care.

“They Don’t Trust Us”: The Influence of Perceptions of Inadequate Nursing Home Care on Emergency Department Transfers and the Potential Role for Telehealth

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Living Wills: One Part of the Advance Care Planning Puzzle

David, D., McMahan, R. D., & Sudore, R. L. (2019). Journal of the American Geriatrics Society, 67(1), 9-10. 10.1111/jgs.15688

The quality of family relationships, diabetes self-care, and health outcomes in older adults

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Rehabbed to death

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Rehabbed to Death: Breaking the Cycle

Flint, L. A., David, D., Lynn, J., & Smith, A. K. (2019). Journal of the American Geriatrics Society, 67(11), 2398-2401. 10.1111/jgs.16128
Abstract
Abstract
Many older adults transfer from the hospital to a post-acute care (PAC) facility and back to the hospital in the final phase of life. This phenomenon, which we have dubbed “Rehabbing to death,” is emblematic of how our healthcare system does not meet the needs of older adults and their families. Policy has driven practice in this area including seemingly benign habits such as calling PAC facilities “rehab.” We advocate for practice changes: (1) calling PAC “after-hospital transitional care,” rather than “rehab”; (2) adopting a serious illness communication model when discussing new care needs at the end of a hospitalization; and (3) policies that incentivize comprehensive care planning for older adults across all settings and provide broad support and training for caregivers. In realigning health and social policies to meet the needs of older adults and their caregivers, fewer patients will be rehabbed to death, and more will receive care consistent with their preferences and priorities. J Am Geriatr Soc 67:2398–2401, 2019.

Patient Activation: A Key Component of Successful Advance Care Planning

David, D., Barnes, D. E., McMahan, R. D., Shi, Y., Katen, M. T., & Sudore, R. L. (2018). Journal of Palliative Medicine, 21(12), 1778-1782. 10.1089/jpm.2018.0096
Abstract
Abstract
Background: Patient activation - or knowledge, confidence, and skill managing overall health - is associated with improved health behaviors such as exercise; it is unknown whether it is associated with advance care planning (ACP). Objective: To determine whether patient activation is associated with ACP. Design: This is a cross-sectional study. Setting/Subjects: A total of 414 veterans (≥60 years) with serious and chronic illness enrolled in an ACP trial. Measures: Patient characteristics and self-report surveys included the validated 13-item patient activation measure (PAM, five-point Likert) (e.g., "Taking an active role in your own healthcare is the most important factor⋯") categorized into four levels (e.g., Level 1: "disengaged and overwhelmed" to Level 4: "maintaining behaviors"). ACP was measured with the ACP Engagement Survey including 57-item process scores (i.e., knowledge, contemplation, self-efficacy, readiness, 5-point Likert scale) and 25-item action scores (i.e., surrogate designation, yes/no items). Associations were determined with linear regression. Results: Participants were 71.1 ± 7.8 years of age, 43% were non-white, 9% were women, and 20% had limited health literacy. Higher PAM levels were associated with higher finances, having adult children, lower comorbidity, and more social support (p < 0.05). After adjusting for these characteristics, higher PAM (Level 4 vs. Level 1) was associated with higher ACP engagement (ACP process scores, 2.8 ± 0.7 vs. 3.8 ± 0.7 and action scores 9.7 ± 4.4 vs. 15.1 ± 6.0, p < 0.001). Conclusions: Higher patient activation to manage one's overall healthcare is associated with higher engagement in ACP. Interventions designed to foster general patient activation and self-efficacy to engage in health behaviors and disease management may also improve engagement in the ACP process.