Faculty

Janet Helen Van Cleave headshot

Janet H Van Cleave

Assistant Professor

1 212 998 5300

433 First Avenue
Room 408
New York, NY 10010
United States

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Professional overview

Dr. Van Cleave’s career goal is to improve the quality of care for patients with cancer. Her program of research addresses the complexity of care required by this population as they transition across health care settings and providers. She is conducting studies to identify interventions that will improve the quality of life and symptom management, from diagnosis to survivorship or end of life.

Education

Post-Doctoral Research Fellow, 2010, University of Pennsylvania
PhD, 2008, Yale University
MSN, 1995, University of Pennsylvania
BSN, 1994, University of Pennsylvania
Diploma of Nursing, 1983, St. Luke’s Hospital School of Nursing
MBA, 1978, University of Kansas
BA, 1976, Kansas State University

Honors and awards

CANCER NURSING Research Award (Authors: Van Cleave JH, Egleston B, Ercolano E, McCorkle R, 2013, Cancer Nursing,36(4), PMCID: PMC23047803) (2014)
International Federation of Head and Neck Oncologic Societies, Poster of Distinction (2014)
American Psychosocial Oncology Society Conference Fellowship, New Orleans, LA (2010)
John A. Harford Foundation Policy Leadership Institute Oncology Nursing Society/American Cancer Society Doctoral Student Scholarship to attend 8th National Conference on Cancer Nursing Research (2009)
Oncology Nursing Society Special Interest Group Newsletter Editor: Best Article (2004)
Mount Sinai Medical Center, Outstanding Colleague (2004)
Mount Sinai Medical Center, Nominee, Clinical Excellence Award (2002)
Philadelphia Veterans Affairs Medical Center, Unit Recognition Award for Special Clinics (2000)
Department of Veterans Affairs, Health Professional Scholarship (1994)
University of Pennsylvania, School of Nursing, Summa Cum Laude Graduate (1994)
University of Pennsylvania School of Nursing, Joan Ethel Huebner Award for High GPA (1994)
University of Pennsylvania School of Nursing, Sigma Theta Tau (1994)

Specialties

Gerontology

Professional membership

Academy Health
American Psychosocial Oncology Society
Gerontological Society of America
Oncology Nursing Society

Publications

Publications

Moving Beyond Pain as the Fifth Vital Sign and Patient Satisfaction Scores to Improve Pain Care in the 21st Century

Scher, C., Meador, L., Van Cleave, J. H., & Reid, M. C. (2017). Pain Management Nursing. 10.1016/j.pmn.2017.10.010

Policy Research Challenges in Comparing Care Models for Dual-Eligible Beneficiaries

Van Cleave, J. H., Egleston, B. L., Brosch, S., Wirth, E., Lawson, M., M.-Sullivan-Marx, E., & Naylor, M. D. (2017). Policy, Politics, and Nursing Practice, 18(2), 72-83. 10.1177/1527154417721909
Abstract
Providing affordable, high-quality care for the 10 million persons who are dual-eligible beneficiaries of Medicare and Medicaid is an ongoing health-care policy challenge in the United States. However, the workforce and the care provided to dual-eligible beneficiaries are understudied. The purpose of this article is to provide a narrative of the challenges and lessons learned from an exploratory study in the use of clinical and administrative data to compare the workforce of two care models that deliver home- and community-based services to dual-eligible beneficiaries. The research challenges that the study team encountered were as follows: (a) comparing different care models, (b) standardizing data across care models, and (c) comparing patterns of health-care utilization. The methods used to meet these challenges included expert opinion to classify data and summative content analysis to compare and count data. Using descriptive statistics, a summary comparison of the two care models suggested that the coordinated care model workforce provided significantly greater hours of care per recipient than the integrated care model workforce. This likely represented the coordinated care model's focus on providing in-home services for one recipient, whereas the integrated care model focused on providing services in a day center with group activities. The lesson learned from this exploratory study is the need for standardized quality measures across home- and community-based services agencies to determine the workforce that best meets the needs of dual-eligible beneficiaries.

Achieving a High-Quality Cancer Care Delivery System for Older Adults: Innovative Models of Care

Van Cleave, J. H., Smith-Howell, E., & Naylor, M. D. (2016). Seminars in Oncology Nursing, 32(2), 122-133. 10.1016/j.soncn.2016.02.006
Abstract
Objectives: To examine innovative models and other research-based interventions that hold potential to assure high-quality care for the growing older adult population living with cancer as one of multiple chronic conditions. Evidence from these care delivery approaches provides a roadmap for the development of future care models. Data Sources: Published peer-reviewed literature, policy analyses, and web-based resources. Conclusion: Available evidence suggests the need for models that engage patients and their family caregivers, focus on patient's functional capacities, emphasize palliative care, and maximize the contributions of all team members. Implications for Nursing Practice: Nurses are uniquely positioned to lead or play a major role in the evolution and implementation of care models targeting older adults with cancer, but must increase their knowledge and skills related to both oncology and geriatrics to maximize their contributions.

Identifying distinct risk profiles to predict adverse events among community-dwelling older adults

O’Connor, M., Hanlon, A., Mauer, E., Meghani, S., Masterson-Creber, R., Marcantonio, S., Coburn, K., Van Cleave, J., Davitt, J., Riegel, B., Bowles, K. H., Keim, S., Greenberg, S. A., Sefcik, J. S., Topaz, M., Kong, D., & Naylor, M. (2016). Geriatric Nursing. 10.1016/j.gerinurse.2017.03.013
Abstract
Preventing adverse events among chronically ill older adults living in the community is a national health priority. The purpose of this study was to generate distinct risk profiles and compare these profiles in time to: hospitalization, emergency department (ED) visit or death in 371 community-dwelling older adults enrolled in a Medicare demonstration project. Guided by the Behavioral Model of Health Service Use, a secondary analysis was conducted using Latent Class Analysis to generate the risk profiles with Kaplan Meier methodology and log rank statistics to compare risk profiles. The Vuong-Lo-Mendell-Rubin Likelihood Ratio Test demonstrated optimal fit for three risk profiles (High, Medium, and Low Risk). The High Risk profile had significantly shorter time to hospitalization, ED visit, and death (p < 0.001 for each). These findings provide a road map for generating risk profiles that could enable more effective targeting of interventions and be instrumental in reducing health care costs for subgroups of chronically ill community-dwelling older adults.

Multiple chronic conditions and hospitalizations among recipients of long-term services and supports

Van Cleave, J. H., Egleston, B. L., Abbott, K. M., Hirschman, K. B., Rao, A., & Naylor, M. D. (2016). Nursing Research, 65(6), 425-434. 10.1097/NNR.0000000000000185
Abstract
Background Among older adults receiving long-term services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCCs) are prevalent in LTSS recipients. However, the combination of MCCs and diseases associated with hospitalizations of LTSS recipients is unclear. Objective The purpose of this analysis was to determine the association between classes of MCCs in newly enrolled LTSS recipients and the number of hospitalizations over a 1-year period following enrollment. Methods This report is based on secondary analysis of extant data from a longitudinal cohort study of 470 new recipients of LTSS, 60 years and older, receiving services in assisted living facilities, nursing homes, or through home- and community-based services. Using baseline chronic conditions reported in medical records, latent class analysis was used to identify classes of MCCs and posterior probabilities of membership in each class. Poisson regressions were used to estimate the relative ratio between posterior probabilities of class membership and number of hospitalizations during the 3-month period prior to the start of LTSS (baseline) and then every 3 months forward through 12 months. Results Three latent MCC-based classes named Cardiopulmonary, Cerebrovascular/Paralysis, and All Other Conditions were identified. The Cardiopulmonary class was associated with elevated numbers of hospitalizations compared to the All Other Conditions class (relative ratio [RR] = 1.88, 95% CI [1.33, 2.65], p <.001). Conclusion Older LTSS recipients with a combination of MCCs that includes cardiopulmonary conditions have increased risk for hospitalization.

Pharmacological approaches for the management of persistent pain in older adults: What nurses need to know

Guerriero, F., Bolier, R., Cleave, J. H., & Cary Reid, M. (2016). Journal of Gerontological Nursing, 42(12), 49-57. 10.3928/00989134-20161110-09
Abstract
The current article addresses pharmacological treatment issues regarding the management of persistent pain in later life, which is a worldwide problem associated with substantial disability. Recommendations from guidelines were reviewed and data are presented regarding the benefits and risks of commonly prescribed analgesic medications. The evidence base supports a stepwise approach with acetaminophen as first-line therapy for mild-to-moderate pain. Oral nonsteroidal anti-inflammatory drugs are not recommended for long-term use. In properly selected older patients, opioid drugs should be considered if pain is not adequately controlled. Careful surveillance to monitor for benefits and harms of therapy is critical, given that advancing age increases risk for adverse effects. Key aspects of the pain care process that nurses routinely engage in are covered, including conducting pain assessments prior to initiating therapy, addressing barriers to effective pain care, educating patients and family members about the importance of reducing pain, discussing treatment-related risks and benefits, and formulating strategies to monitor for treatment outcomes. Finally, a case is presented to illustrate issues that arise in the care of affected patients.

A Research Agenda for Gero-Oncology Nursing

Van Cleave, J. H., Kenis, C., Sattar, S., Jabloo, V. G., Ayala, A. P., & Puts, M. (2016). Seminars in Oncology Nursing, 32(1), 55-64. 10.1016/j.soncn.2015.11.007
Abstract
Objectives: The global challenge of accessible, affordable cancer care for all older adults requires a new research agenda for gero-oncology nursing to guide investigator skill development, identify priority areas for investigation, and direct resource distribution. Data Sources: Published peer-reviewed literature and web-based resources. Conclusion: A cross-cutting theme of the research agenda is the need to determine the gero-oncology nursing care that will preserve economic resources, promote function, provide symptom management, and incorporate patient preferences. Implications for Nursing Practice: In partnership with interprofessional colleagues, gero-oncology nurse scientists are poised to conduct global research that improves access to quality cancer care.

Adherence to Antiestrogen Oral Endocrine Therapy Among Older Women With Breast Cancer

Van Cleave, J., Elstein, N., & Brody, A. A. (2015). Nursing Research, 64(2), E72-E72.

Hartford Gerontological Nursing Leaders: From Funding Initiative to National Organization

Van Cleave, J. H., Szanton, S. L., Shillam, C., Rose, K., Rao, A. D., Perez, A., O’Connor, M., Walker, R., Buron, B., Boltz, M., Bellot, J., & Batchelor-Murphy, M. (2015). Journal of Professional Nursing. 10.1016/j.profnurs.2015.06.004
Abstract
In 2000, the John A. Hartford Foundation established the Building Academic Geriatric Nursing Capacity Program initiative, acknowledging nursing's key role in the care of the growing population of older adults. This program has supported 249 nurse scientists with pre- and postdoctoral awards. As a result of the program's success, several Building Academic Geriatric Nursing Capacity Program awardees formed an alumni organization to continue to advance the quality care of older adults. This group of Building Academic Geriatric Nursing Capacity Program awardees joined others receiving support from the John A. Hartford Foundation nursing initiatives to grow a formal organization, the Hartford Gerontological Nursing Leaders (HGNL). The purpose of this article is to present the development, accomplishments, and challenges of the HGNL, informing other professional nursing organizations that are experiencing similar accomplishments and challenges. This article also demonstrates the power of a funding initiative to grow an organization dedicated to impact gerontological health and health care through research, practice, education, and policy.

Advancing the future of nursing: A report by the Building Academic Geriatric Nursing Capacity (BAGNC) Alumni Policy and Leadership Committee

Bellot, J., Carthron, D. L., O’Connor, M., Rose, K., Shillam, C., Van Cleave, J. H., & Vogelsmeier, A. (2013). Nursing Outlook, 61(1), 55-57. 10.1016/j.outlook.2012.11.005