Jasmine Travers

Faculty

Dr. Jasmine Travers

Jasmine Travers

AGPCNP-BC CCRN PhD RN

Assistant Professor

1 212 992 7147

433 1st Ave.
New York, NY 10010
United States

Jasmine Travers's additional information

Jasmine L. Travers is an assistant professor of nursing at NYU Rory Meyers College of Nursing. Her career is dedicated to designing and conducting research to improve health outcomes and reduce health disparities in vulnerable older adult groups using both quantitative and qualitative approaches. Her current work focuses on mitigating disparities in appropriate access and use of in-home and facility-based long-term care for older adults. As a health services researcher, she has leveraged many datasets to investigate these issues, including the Health and Retirement Study, Minimum Data Set, and Nursing Home Compare. Currently, Travers is the principle investigator of a Robert Wood Johnson Foundation four-year Career Development Award through the Harold Amos Medical Faculty Development Program.

Travers has published widely on the topics of aging, long-term care, health disparities, workforce diversity, and infections. She has presented her work at  regional and national health services research, gerontological, nursing, and public health conferences. 

Prior to joining the faculty at NYU, Travers completed a postdoctoral fellowship with the National Clinician Scholars Program at Yale University and a T32 funded postdoctoral fellowship at the NewCourtland Center for Transitions and Health at the University of Pennsylvania School of Nursing.

Travers received her PhD at Columbia University School of Nursing, MHS at Yale University, MSN in Adult-Gerontological Health at Stony Brook University, and BSN at Adelphi University.  

PhD, Columbia University
MSN, Stony Brook University
MHS, Yale University
BSN, Adelphi University

Gerontology
Underserved populations

Eastern Nursing Research Society
American Geriatrics Society
Gerontological Society of America

Faculty Honors Awards

Early Career Alumni Award: Emerging Nurse Leader, Columbia University (2020)
Scholar, National Clinician Scholars Program, Yale University (2020)
Jonas Policy Scholar, American Academy of Nursing, Jonas Center for Nursing and Veterans Healthcare (2019)
Dean’s Distinguished Postdoctoral Fellow, University of Pennsylvania Vice Provost Office (2018)
Awardee, 10 Under 10 Young Alumni Recognition, Adelphi University (2018)
Associate Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania (2018)
Douglas Holmes Emerging Scholar Paper Award, Gerontological Society of America (2018)
Pre-Dissertation Student Research Award, The Behavioral & Social Sciences Section of The Gerontological Society of America (2016)
Jonas Nurse Leader Scholar, Jonas Center for Nursing and Veterans Healthcare (2016)

Publications

Antimicrobial Stewardship Interventions to Optimize Treatment of Infections in Nursing Home Residents: A Systematic Review and Meta-Analysis

Aliyu, S., Travers, J. L., Heimlich, S. L., Ifill, J., & Smaldone, A. (2021). Journal of Applied Gerontology. 10.1177/07334648211018299
Abstract
Abstract
Effects of antibiotic stewardship program (ASP) interventions to optimize antibiotic use for infections in nursing home (NH) residents remain unclear. The aim of this systematic review and meta-analysis was to assess ASPs in NHs and their effects on antibiotic use, multi-drug-resistant organisms, antibiotic prescribing practices, and resident mortality. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a systematic review and meta-analysis using five databases (1988–2020). Nineteen articles were included, 10 met the criteria for quantitative synthesis. Inappropriate antibiotic use decreased following ASP intervention in eight studies with a pooled decrease of 13.8% (95% confidence interval [CI]: [4.7, 23.0]; Cochran’s Q = 166,837.8, p <.001, I2 = 99.9%) across studies. Decrease in inappropriate antibiotic use was highest in studies that examined antibiotic use for urinary tract infection (UTI). Education and antibiotic stewardship algorithms for UTI were the most effective interventions. Evidence surrounding ASPs in NH is weak, with recommendations suited for UTIs.

Assessment of Coronavirus Disease 2019 Infection and Mortality Rates Among Nursing Homes With Different Proportions of Black Residents

Travers, J. L., Agarwal, M., Estrada, L. V., Dick, A. W., Gracner, T., Wu, B., & Stone, P. W. (2021). Journal of the American Medical Directors Association, 22(4), 893-898.e2. 10.1016/j.jamda.2021.02.014
Abstract
Abstract
Objective: Coronavirus disease 2019 (COVID-19) has disproportionately impacted nursing homes (NHs) with large shares of Black residents. We examined the associations between the proportion of Black residents in NHs and COVID-19 infections and deaths, accounting for structural bias (operationalized as county-level factors) and stratifying by urbanicity/rurality. Design: This was a cross-sectional observational cohort study using publicly available data from the LTCfocus, Centers for Disease Control and Prevention Long-Term Care Facility COVID-19 Module, and the NYTimes county-level COVID-19 database. Four multivariable linear regression models omitting and including facility characteristics, COVID-19 burden, and county-level fixed effects were estimated. Setting and Participants: In total, 11,587 US NHs that reported data on COVID-19 to the Centers for Disease Control and Prevention and had data in LTCfocus and NYTimes from January 20, 2020 through July 19, 2020. Measures: Proportion of Black residents in NHs (exposure); COVID-19 infections and deaths (main outcomes). Results: The proportion of Black residents in NHs were as follows: none= 3639 (31.4%), <20% = 1020 (8.8%), 20%-49.9% = 1586 (13.7%), ≥50% = 681 (5.9%), not reported = 4661 (40.2%). NHs with any Black residents showed significantly more COVID-19 infections and deaths than NHs with no Black residents. There were 13.6 percentage points more infections and 3.5 percentage points more deaths in NHs with ≥50% Black residents than in NHs with no Black residents (P <.001). Although facility characteristics explained some of the differences found in multivariable analyses, county-level factors and rurality explained more of the differences. Conclusions and Implications: It is likely that attributes of place, such as resources, services, and providers, important to equitable care and health outcomes are not readily available to counties where NHs have greater proportions of Black residents. Structural bias may underlie these inequities. It is imperative that support be provided to NHs that serve greater proportions of Black residents while considering the rurality of the NH setting.

Demographic characteristics driving disparities in receipt of long-term services and supports in the community setting

Travers, J. L., Naylor, M. D., Coe, N. B., Meng, C., Li, F., & Cohen, A. B. (2021). Medical Care, 59(6), 537-542. 10.1097/MLR.0000000000001544
Abstract
Abstract
Background: Research suggests that growth in Black and Hispanic (minority) older adults' nursing home (NH) use may be the result of disparities in access to community-based and alternative long-term services and supports (LTSS). Objective: We aimed to determine whether minority groups receiving care in NHs versus the community had fewer differences in their functional needs compared with the differences in nonminority older adults, suggesting a disparity. Methods: We identified respondents aged 65 years or above with a diagnosis of Alzheimer disease or dementia in the 2016 Health and Retirement Study who reported requiring LTSS help. We performed unadjusted analyses to assess the difference in functional need between community and NH care. Functional need was operationalized using a functional limitations score and 6 individual activities of daily living. We compared the LTSS setting for minority older adults to White older adults using difference-in-differences. Results: There were 186 minority older adults (community = 75%, NH = 25%) and 357 White older adults (community = 50%, NH = 50%). Between settings, minority older adults did not differ in education or marital status, but were younger and had greater income in the NH versus the community. The functional limitations score was higher in NHs than in the community for both groups. Functional needs for all 6 activities of daily living for the minority group were greater in NHs compared with the community. Conclusion: Functional need for minority older adults differed by setting while demographics varied in unexpected ways. Factors such as familial and financial support are important to consider when implementing programs to keep older adults out of NHs.

Differences in Multimorbidity among Cisgender Sexual Minority and Heterosexual Adults: Investigating Differences across Age-Groups

Caceres, B. A., Travers, J., & Sharma, Y. (2021). Journal of Aging and Health, 33(5), 362-376. 10.1177/0898264320983663
Abstract
Abstract
Objectives: Despite increased risk for chronic disease, there is limited research that has examined disparities in multimorbidity among sexual minority adults and whether these disparities differ by age. Methods: Data were from the 2014–2018 Behavioral Risk Factor Surveillance System. We used sex-stratified multinomial logistic regression to examine differences in multimorbidity between sexual minority and heterosexual cisgender adults and whether hypothesized differences varied across age-groups. Results: The sample included 687,151 adults. Gay, lesbian, and bisexual adults had higher odds of meeting criteria for multimorbidity than same-sex heterosexual adults. These disparities were greater among sexual minority adults under the age of 50 years. Only other non-heterosexual men over the age of 50 years and lesbian women over the age of 80 years were less likely to have multimorbidity than their same-sex heterosexual counterparts. Discussion: Health promotion interventions to reduce adverse health outcomes among sexual minorities across the life span are needed.

Engaging Nursing Assistants to Enhance Receptivity to the Coronavirus Disease 2019 Vaccine

Sadarangani, T. R., David, D., & Travers, J. (2021). Journal of the American Medical Directors Association, 22(6), 1125-1127. 10.1016/j.jamda.2021.03.016

Factors Associated with Dissatisfaction in Medical Care Quality among Older Medicare Beneficiaries Suffering from Mental Illness

Travers, J. L., Le, C., Desai, M. M., & Merrill, J. A. (2021). Journal of Aging and Social Policy, 33(1), 51-66. 10.1080/08959420.2019.1628624
Abstract
Abstract
Approximately 25% of US older adults live with a mental health disorder. The mental health needs of this population are chiefly met by primary care providers. Primary care practices may have inadequate strategies to provide satisfactory care to mentally ill older adults. This study used Centers for Medicare and Medicaid Services data to identify factors, including racial/ethnic differences, associated with dissatisfaction with medical care quality among older adults diagnosed with a mental health disorder. Our findings suggest factors that can be addressed to improve satisfaction with medical care quality and potentially promote adherence and follow-up for mentally ill older adults.

Hospital Magnet Status Associates with Inpatient Safety in Parkinson Disease

Aamodt, W. W., Travers, J., Thibault, D., & Willis, A. W. (2021). Journal of Neuroscience Nursing, 53(3), 116-122. 10.1097/JNN.0000000000000582
Abstract
Abstract
BACKGROUND: Persons with Parkinson disease (PD) have complex care needs that may benefit from enhanced nursing care provided in Magnet-designated hospitals. Our primary objective was to determine whether an association exists between hospital Magnet status and patient safety events for PD inpatients in the United States. METHODS: We conducted a retrospective cohort study using the Nationwide Inpatient Sample and Agency for Healthcare Research and Quality databases from 2000 to 2010. Parkinson disease diagnosis and demographic variables were retrieved, along with Magnet designation and other hospital characteristics. Inpatient mortality and preventable adverse events in hospitals with and without Magnet status were then compared using relevant Agency for Healthcare Research and Quality patient safety indicators. RESULTS: Between 2000 and 2010, 493 760 hospitalizations among PD patients were identified. Of those, 40 121 (8.1%) occurred at one of 389 Magnet hospitals. When comparing PD patients in Magnet versus non-Magnet hospitals, demographic characteristics were similar. Multivariate regression models adjusting for patient and hospital characteristics identified a 21% reduction in mortality among PD inpatients in Magnet hospitals (adjusted odds ratio [AOR], 0.79; 95% confidence interval [CI], 0.74-0.85). PD inpatients in Magnet hospitals also had a lower odds of experiencing any patient safety indicator (AOR, 0.74; 95% CI, 0.68-0.79), pressure ulcers (AOR, 0.60; 95% CI, 0.55-0.67), death from a low mortality condition (AOR, 0.74; 95% CI, 0.68-0.79), and a higher odds of postoperative bleeding (AOR, 1.45; 95% CI, 1.04-2.04). CONCLUSIONS: PD patients had a reduced risk of inpatient mortality and several nursing-sensitive patient safety events, highlighting the possible benefits of Magnet status on inpatient safety in PD.

The Lived Experience of Being Diagnosed With COVID-19 Among Black Patients: A Qualitative Study

Aliyu, S., Travers, J. L., Norful, A. A., Clarke, M., & Schroeder, K. (2021). Journal of Patient Experience, 8. 10.1177/2374373521996963
Abstract
Abstract
Diagnosis and hospitalization for COVID-19 are disproportionately higher among black persons. The purpose of this study was to explore the lived experience of being diagnosed with COVID-19 among black patients. Semistructured one-on-one interviews with black patients diagnosed with COVID-19 were conducted. Data were analyzed using conventional content analysis and a directed content approach. Fifteen patients participated and 3 themes were identified: Panic amidst a COVID-19 diagnosis, Feeling the repercussion of the diagnosis, and Personal assessment of risks within one’s individual environment. Fear of dying, inadequate health benefits, financial issues, and worries about spreading the virus to loved ones were acknowledged by the patients as critical areas of concerns. Majority of the patients looked to God as the ultimate way of surviving COVID-19. However, none of the patients reported receiving support for spiritual needs from health care providers. This is the first study to investigate the lived experience of being diagnosed with COVID-19 among black patients. Our results highlight several factors that put this group at increased risk for COVID-19 and where additional strategies are needed to address these inadequacies. Integrating public health interventions to reduce socioeconomic barriers and integrating spirituality into clinical care could improve patient care delivery.

Nurses should oppose police violence and unjust policing in healthcare

Jeffers, K. S., Siddiq, H., Martinez-Hollingsworth, A. S., Aronowitz, S. V., Sinko, L., Travers, J. L., Tolentino, D. A., Burns, J., Bell, S. A., Beck, D. C., Gutierrez, J. I., Bulgin, D., Manges, K. A., Mansfield, L. N., Bettencourt, A. P., Jun, J., Fauer, A. J., Lipsky, R. K., Adynski, G. I., & Choi, K. R. (2021). International Journal of Nursing Studies, 117. 10.1016/j.ijnurstu.2020.103735

The powder keg: Lessons learned about clinical staff preparedness during the early phase of the COVID-19 pandemic

Aliyu, S., Norful, A. A., Schroeder, K., Odlum, M., Glica, B., & Travers, J. L. (2021). American Journal of Infection Control, 49(4), 478-483. 10.1016/j.ajic.2020.10.014
Abstract
Abstract
Background: Little is known about clinical staff's perspectives on preparedness for a pandemic. The purpose of this study was to obtain various clinical staff perspectives about preparedness to meet the demands for care during the early phase of the SARS-CoV-2 (COVID-19) pandemic. Methods: We conducted a qualitative study using semistructured in-person interviews from March 2020 to April 2020 at a large tertiary academic urban hospital center. Interview guides were informed by the Resilience Framework for Public Health Emergency Preparedness and analyzed using a directed content analysis approach. Results: Fifty-five clinical staff participated in the study. Three themes emerged from the data (1) Risk assessment and planning: “The powder keg,” (2) Innovative evolution of roles and responsibilities, and (3) Pandemic response and capacity. In the early phases of the pandemic, participants reported varying levels of risks for dying. However, most participants adapted to practice changes and became innovative in their roles over time. Hierarchies were less relevant during care delivery, whereas team collaboration became crucial in managing workforce capacity. Discussion: As the pandemic progressed, staff preparedness evolved through a trial-and-error approach. Conclusions: The pandemic is evolving as is clinical staff preparedness to meet the demands of a pandemic. In order to get a grasp on the crisis, clinical staff relied on each other and resorted to new workarounds.