- 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.
Post-Doctoral Research Fellow, 2010, University of PennsylvaniaPhD, 2008, Yale UniversityMSN, 1995, University of PennsylvaniaBSN, 1994, University of PennsylvaniaDiploma of Nursing, 1983, St. Luke’s Hospital School of NursingMBA, 1978, University of KansasBA, 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)
- Professional membership
Academy HealthAmerican Psychosocial Oncology SocietyGerontological Society of AmericaOncology Nursing Society
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, (55-64). 10.1016/j.soncn.2015.11.007
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.
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, (122-33). 10.1016/j.soncn.2016.02.006
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.
Multiple chronic conditions and hospitalizations among recipients of long-term services and supportsVan Cleave JH, Egleston BL, Abbott KM, Hirschman KB, Rao A, Naylor MD. (2016). Nurs Res (65, 425 - 434).
Pharmacological Approaches for the Management of Persistent Pain in Older Adults: What Nurses Need to Know.Guerriero, F., Bolier, R., Van Cleave, J. H., & Reid, M. C. (2016). Journal of gerontological nursing 42, (49-57). 10.3928/00989134-20161110-09
HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS 1.4 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. To obtain contact hours you must: 1. Read the article, "Pharmacological Approaches for the Management of Persistent Pain in Older Adults: What Nurses Need to Know" found on pages 49-57, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until November 30, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. ACTIVITY OBJECTIVES 1. Describe age-related barriers to pain assessment and key aspects of the assessment process. 2. Identify benefits and risks associated with commonly prescribed analgesic medications for the treatment of later life pain. DISCLOSURE STATEMENT Neither the planners nor the authors have any conflicts of interest to disclose. 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. [Journal of Gerontological Nursing, 42(12), 49-57.].
Advancing the future of nursing: a report by the Building Academic Geriatric Nursing Capacity (BAGNC) Alumni Policy and Leadership CommitteeBellot J, Carthron DL, O'Connor M, Rose K, Shillam C, Van Cleave JH, Vogelsmeier A. (2013). Nurs Outlook (61, 55 -7).
Combining extant datasets with differing outcome measures across studies of older adults after cancer surgery.Van Cleave, J. H., Egleston, B. L., Bourbonniere, M., & McCorkle, R. (2011). Research in gerontological nursing 4, (36-46). 10.3928/19404921-20101201-02
Combining extant datasets with differing outcome measures, an economical method to generate evidence guiding older adults' cancer care, may introduce heterogeneity leading to invalid study results. We recently conducted a study combining extant datasets from five oncology nurse-directed clinical trials (parent studies) using norm-based scoring to standardize the differing outcome measures. The purpose of this article is to describe and analyze our methods in the recently completed study. Despite addressing and controlling for heterogeneity, our analysis found statistically significant heterogeneity (p < 0.0001) in temporal trends among the five parent studies. We concluded that assessing heterogeneity in combined extant datasets with differing outcome measures is important to ensure similar magnitude and direction of findings across parent studies. Future research should include investigating reasons for heterogeneity to generate hypotheses about subgroup differences or differing measurement domains that may have an impact on outcomes.
Factors affecting recovery of functional status in older adults after cancer surgery.Van Cleave, J. H., Egleston, B. L., & McCorkle, R. (2011). Journal of the American Geriatrics Society 59, (34-43). 10.1111/j.1532-5415.2010.03210.x
To explore factors influencing functional status over time after cancer surgery in adults aged 65 and older.
The transitional care model for older adultsNaylor, M.D., & Van Cleave, J. (2010). In Meleis, A.I. , Transitions theory: Middle range and situation specific theories in nursing research and practice Transitions theory: Middle range and situation specific theories in nursing research and practice (459-465). Springer Publishing Company.
The 2009-2013 research agenda for oncology nursing., Berger, A. M., Cochrane, B., & Mitchell, S. A. (2009). Oncology nursing forum 36, (E274-82). 10.1188/09.ONF.E274-E282
Cancer care in nursing homes.Bourbonniere, M., & Van Cleave, J. H. (2006). Seminars in oncology nursing 22, (51-7). 10.1016/j.soncn.2005.10.007
To review the available scientific literature on cancer care in nursing homes and recommendations for clinical practice and further research are offered.
Multidisciplinary Care of Hepatocellular CarcinomaVan Cleave, J., Devine, P., & Odom-Ball, P. (2003). Cancer Practice 7, (302-308). 10.1046/j.1523-5394.1999.76007.x Wiley-Blackwell.
Comorbidities in the context of care transitions.Van Cleave, J. H., Trotta, R. L., Lysaght, S., Steis, M. R., Lorenz, R. A., & Naylor, M. D. ANS. Advances in nursing science 36, (E1-E13). 10.1097/ANS.0b013e318290207d
The growing number of individuals with comorbidities experiencing care transitions represents a challenge to the current health care system. A qualitative study of empirical literature, using the Dimensional Analysis approach, was conducted to elucidate the theoretical underpinnings of the phenomenon of individuals with comorbidities undergoing care transitions. The findings were arranged in a novel schematic demonstrating that the relationship among individual attributes, comorbidities, and care processes informed the individual's risk for adverse outcomes. This schematic is useful for future nursing research studies evaluating innovative programs implemented to improve health outcomes among vulnerable populations undergoing care transitions.
Functional status in older women following gynecological cancer surgery: can choice of measure influence evidence for clinical practice?Van Cleave, J. H., Egleston, B. L., Bourbonniere, M., Cardone, L., & McCorkle, R. Geriatric nursing (New York, N.Y.) 33, (118-26). 10.1016/j.gerinurse.2012.01.004
Although functional status serves as a major predictor of morbidity, researchers and clinicians use different terms and measures, limiting comparisons across studies. To demonstrate how differing measures may generate varied findings, we compared and contrasted data from the SF-12 Health Survey Physical Component Summary Scale (SF-12 PCS) and the Enforced Social Dependency Scale (ESDS). The sample consisted of 49 women aged 65 and older recovering from gynecological cancer surgery with data collection at baseline (postoperative period) and then at 3 and 6 months. Analysis of the relationship between SF-12 PCS and ESDS over time using generalized estimating equations (GEE) demonstrated the relationship was less than 1.0, signaling less than perfect agreement between measures (β = 0.16, P = .002). These findings suggest that that the 2 measures are not interchangeable and may produce conflicting evidence. This highlights the importance of researchers' and clinicians' careful conceptualization and operationalization of functional status before measure selection.
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., … Journal of professional nursing : official journal of the American Association of Colleges of Nursing 32, (25-31). 10.1016/j.profnurs.2015.06.004
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.
Symptom distress in older adults following cancer surgery.Van Cleave, J. H., Egleston, B. L., Ercolano, E., & McCorkle, R. Cancer nursing 36, (292-300). 10.1097/NCC.0b013e31826dd517
Symptom distress remains a significant health problem among older adults with cancer following surgery. Understanding factors influencing older adults' symptom distress may lead to early identification and interventions, decreasing morbidity and improving outcomes.