Daniel David

Faculty

Daniel David headshot

Daniel David

PhD RN

Assistant Professor

1 212 992 5930

433 First Ave
New York, NY 10010
United States

Accepting PhD students

Daniel David is a geriatrics and palliative care (PC) nurse researcher and an Assistant Professor at the Rory Meyers College of Nursing at New York University. As an implementation scientist, he seeks to translate nursing research into feasible, effective, and scalable interventions for under-resourced, community-dwelling older adults and their care partners who are on the cusp of needing nursing home care.

His research program addresses the unmet social, emotional, and serious illness needs of low-income residents living in Medicaid-supported assisted living (AL) facilities in New York City. Notably, he developed the “Someone to Talk To” program in partnership with a community advisory board of AL residents. This initiative pairs residents with community health workers to foster serious illness conversations, explore values and care goals, and bridge care gaps for isolated individuals at high risk of nursing home placement. This work has been recognized nationally through the Center to Advance Palliative Care (CAPC) Tipping Point Challenge (Silver Medal) and internationally by the Gerontological Society of America (GSA) Distinguished Nursing Research Manuscript Award.

Prof. David serves on the editorial board of the Journal of the American Geriatrics Society (JAGS), the advisory council of the American Assisted Living Nurses Association (AALNA), and the research core of the Center of Excellence for Assisted Living (CEAL-UNC). He has received career development awards from the Cambia Foundation and the National Palliative Care Research Center (NPCRC).

Beyond his primary research focus in assisted living, David has served as a Co-Investigator on NIH-funded projects, including a study on the experiences of New York City hospice team members during the COVID-19 pandemic (5R01NR019792). He is currently a Site Principal Investigator at NYU Langone Medical Center for a 40-site trial examining a nurse-led intervention aimed at reducing avoidable hospitalizations among patients living with dementia and their care partners (U19AG078105). Collectively, his research promotes person-centered and community-based approaches to improving care for older adults with serious illnesses.

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

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

"SURVIVING AGING”-LOW-INCOME OLDER ADULTS AND THEIR PERSPECTIVES ON THE MEANING OF LIFE: A QUALITATIVE ANALYSIS"

David, D., Kimberly, H., & Brody, A. A. (2024).
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Telemetry discontinuation education for Nurse Practitioners decreases hospital costs-A quality-improvement project

David, D. (2024).
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Towards a Crisis Management Playbook : Hospice and Palliative Team Members’ Views Amid COVID-19

Schulman-Green, D., David, D., Moreines, L. T., Boafo, J., Franzosa, E., Kim, P. E., McDonald, M. V., Brody, A. A., & Aldridge, M. D. (2024). (Vols. 68, Issues 6, pp. 573-582.e1). 10.1016/j.jpainsymman.2024.09.012
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Context: The critical role of hospice and palliative care in response to the COVID-19 pandemic is well recognized, but there is limited evidence to guide healthcare leadership through future crises. Objectives: Our goal was to support future organizational resilience by exploring hospice and palliative team members’ perspectives on crisis leadership during the COVID-19 pandemic in New York City (NYC). Methods: This qualitative descriptive study used individual, semi-structured interviews of purposively sampled interdisciplinary team members. Enrollment sites were two large NYC metro hospice care organizations and one outpatient palliative care practice. We asked participants to complete a demographic form and a 45–60 minute interview. We used descriptive statistics and thematic analysis, respectively, for data analysis. We triangulated the data by presenting preliminary study findings to a group of clinicians (n=21) from one of the referring organizations. Results: Participants (n=30) were professionally diverse (e.g., nurses, physicians, social workers, chaplains, administrators), experienced (mean=17 years; 10 years in hospice), and highly educated (83% ≥ master's degree). About half (n=15) self-identified as white, non-Hispanic, and nearly half (n=13) self-identified as being from a racial/ethnic minoritized group. Two (n=2) did not wish to self-identify. We identified four themes that reflected challenges and adaptive responses to providing care during a crisis: Stay Open and Stay Safe; Act Flexibly; Lead Adaptively; and Create a Culture of Solidarity. Conclusion: While additional work is indicated, findings offer direction for a crisis management playbook to guide leadership in hospice, palliative care, and other healthcare settings in future crises.

“If we don't speak the language, we aren't offered the same opportunities” : Qualitative perspectives of palliative care access for women of color living with advanced breast cancer

Krishnamurthy, N., David, D., Odom, J. N., Mathelier, K., Lin, J. J., Smith, C., Peralta, M., Moorehead, D., & Mazor, M. (2024). (Vols. 5). 10.1016/j.ssmqr.2024.100440
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Context: Despite efforts to enhance equity, disparities in early palliative care (PC) access for historically minoritized patients with advanced breast cancer (ABC) persist. Insight into patient and clinician perspectives are needed to inform future models aimed at improving equity in PC access and outcomes. Objectives: To explore qualitative barriers and facilitators to early PC access in an urban setting with Black and Latina women with ABC. Methods: In this qualitative descriptive study, we conducted one-on-one interviews with Black and Latina women with ABC (N = 20) and interdisciplinary clinicians (N = 20) between February 2022 and February 2023. Participants were recruited from urban academic and community cancer clinics. Transcripts were analyzed using an inductive coding and thematic analysis approach. Results: Barriers identified by both patients and clinicians included lack of communication between oncology, PC, and primary care teams, limited understanding of PC among patients and non-PC clinicians, language and health literacy-related communication challenges, and racism and marginalization, including implicit bias and lack of diverse racial/ethnic representation in the supportive care workforce. Facilitators identified by both patients and clinicians included patient-to-patient referrals, support groups breaking cultural stigma on topics including self-advocacy and PC, referrals from trusted providers, and community organizations’ abilities to overcome challenges related to social determinants of health, most specifically logistical and financial support. Conclusions: Patients and clinicians reported similar barriers and facilitators to PC access, most commonly through the lens of care coordination and communication. These findings will inform future adaptation of a culturally and linguistically care model to improve access to early PC services for Black and Latina women with ABC.

“Who You Are and Where You Live Matters” : Hospice Care in New York City During COVID-19Perspectives on Hospice and Social Determinants: A Rapid Qualitative Analysis

David, D., Moreines, L. T., Boafo, J., Kim, P. E., Franzosa, E., Schulman-Green, D., Brody, A. A., & Aldridge, M. D. (2024). 10.1089/jpm.2024.0124
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Context: Social determinants of health (SDOH) impacted the quality of home hospice care provided during the COVID-19 pandemic. Perspectives from professionals who provided care identify challenges and lessons learned from their experience. Objective: To examine hospice professionals’ perspectives of how SDOH affected the delivery of high-quality home hospice care in New York City (NYC) during the COVID-19 pandemic. Methods: We conducted semistructured interviews with 30 hospice professionals who delivered care to home hospice patients during the COVID-19 pandemic in NYC using a qualitative descriptive design. Purposive sampling was used to recruit professionals from a range of disciplines including physicians, advanced practice providers, nurses, social workers, chaplains, and hospice administration and management. Participants worked for one of two large NYC metro hospices and one outpatient palliative care practice serving the five boroughs of NYC and the surrounding suburbs. Rapid qualitative analysis was used to identify themes. Results: Thirty hospice professionals were interviewed, spanning a variety of clinical and administrative roles. Most (21 out of 30) reported that social determinants affected access and/or delivery of equitable hospice care. Two key themes emerged from interviews: (1) SDOH exist and affect the delivery of high-quality care and (2) disparities were exacerbated during the COVID-19 pandemic resulting in barriers to care. Subthemes outline barriers described by hospice professionals: decreased hospice enrollment, telehealth challenges, resulting in deficient patient/family education, shortages of nursing assistants in some neighborhoods, and diminished overall quality of hospice care for some patients. SDOH created barriers to hospice care through neighborhood factors, resource barriers, and system challenges. Conclusion: SDOH provide a context to understand disparity in the provision of hospice care. COVID-19 exacerbated these conditions. Addressing multidimensional barriers created by SDOH is key in creating high-quality and equitable hospice care, particularly during a crisis.

“WOOP is my safe haven” : A qualitative feasibility and acceptability study of the Wish Outcome Obstacle Plan (WOOP) intervention for spouses of people living with early-stage dementia

Mroz, E. L., Schwartz, A. E., Valeika, S., Oettingen, G., Marottoli, R., David, D., Hagaman, A., Fedus, D., & Monin, J. K. (2024). (Vols. 39, Issues 5). 10.1002/gps.6092
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Objectives: As symptoms emerge and worsen in people living with dementia, their spouses can benefit from behavioral interventions to support their adjustment as a care partner. The Wish Outcome Obstacle Plan (WOOP) intervention improves the well-being of spouses of people living with dementia early in the disease course, but intervention mechanisms and opportunities for improvement are unclear. The present study gave voice to spouses who participated in a trial of WOOP, describing how WOOP was incorporated into their lives and how it could be improved for future implementation. Method: For this qualitative study, we conducted longitudinal semi-structured interviews among 21 spouses of people living with dementia (three interviews over three months; 63 interviews total). Codebook thematic analysis was performed. Results: Three meta-themes were derived: (1) assessing baseline strengths and limitations of WOOP, (2) learning from experience, and (3) fine-tuning and sustaining WOOP. Participants described how WOOP addressed their interpersonal and emotional stressors, their responses to behaviors of the person living with dementia, and their relationship quality. Considerations for future intervention delivery (e.g., solo vs. in group settings) and instructions (e.g., encouraging writing vs. thinking through the four steps of WOOP) were identified as areas of improvement. Conclusions: WOOP was described as a practical, feasible, and desirable intervention for spouses at the early stages of their partner's dementia. Participants made WOOP easier to incorporate in their everyday lives by adapting the design into a mental exercise that they used as needed. Suggestions from participants specified how to make the everyday use of WOOP more feasible, sustainable, and applicable in a variety of contexts. Trial Registration: ClinicalTrials.gov HIC 2000021852.

Community Navigation and Supportive Care Experiences of Low-Income Black and Latina Cancer Survivors: Patient and Navigator Perspectives

David, D. (2023). (Vols. 14, Issues 4).
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Do Residents of Medicaid-Funded Assisted Living Facilities Find Telehealth Acceptable for Palliative Care? 

David, D. (2023).
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A Middle Range Theory of Self- and Family Management of Chronic Illness

David, D., Schulman-Green, D., Shelli, F., & David, D. (2023).
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Navigating older adults’ discomfort with telehealth in Skilled Nursing Facilities

Moreines, L., & David, D. (2023).
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