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

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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

Stephens, C. E., Halifax, E., David, D., Bui, N., Lee, S. J., Shim, J., & Ritchie, C. S. (2020). Clinical Nursing Research, 29(3), 157-168. 10.1177/1054773819835015
Abstract
Abstract
In this descriptive, qualitative study, we conducted eight focus groups with diverse informal and formal caregivers to explore their experiences/challenges with nursing home (NH) to emergency department (ED) transfers and whether telehealth might be able to mitigate some of those concerns. Interviews were transcribed and analyzed using a grounded theory approach. Transfers were commonly viewed as being influenced by a perceived lack of trust in NH care/capabilities and driven by four main factors: questioning the quality of NH nurses’ assessments, perceptions that physicians were absent from the NH, misunderstandings of the capabilities of NHs and EDs, and perceptions that responses to medical needs were inadequate. Participants believed technology could provide “the power of the visual” permitting virtual assessment for the off-site physician, validation of nursing assessment, “real time” assurance to residents and families, better goals of care discussions with multiple parties in different locations, and family ability to say goodbye.

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

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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.

Self-care in Heart Failure Hospital Discharge Instructions—Differences Between Nurse Practitioner and Physician Providers

David, D., Howard, E., Dalton, J., & Britting, L. (2018). Journal for Nurse Practitioners, 14(1), 18-25. 10.1016/j.nurpra.2017.09.013
Abstract
Abstract
Patients with heart failure (HF) are at risk for frequent readmission potentially due to self-care deficits. Medical doctors (MDs) and nurse practitioners (NPs) both provide discharge instructions. However, each type of provider may emphasize different elements of care. The aim of this study was to analyze and compare the content of the documentation of 50 discharge instructions of heart failure patients written by NPs and MDs. Compared with MDs, NPs placed greater emphasis on symptom identification, and were more likely to advise and schedule follow-up appointments with primary care and cardiology providers rather than advising an appointment was needed without scheduling one.