Jasmine Travers

Faculty

Jasmine Travers Headshot

Jasmine Travers

AGPCNP-BC CCRN PhD RN

Assistant Professor

1 212 992 7147

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 (i.e., home & community based settings, nursing homes, and assisted living). 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 which she is examining the association of neighborhood disadvantage with nursing home outcomes using large scale nursing home data and a Paul B. Beeson Emerging Leader five-year K76 Award through the National Institute on Aging which in this mixed-method study she will develop a survey instrument aimed to identify unmet needs that are disproportionately driving avoidable nursing home placements. She also sits on the National Academies of Science Engineering and Medicine Committee on the Quality of Care in Nursing Homes.

Travers has published widely on the topics of aging, long-term care, health disparities, workforce diversity, vaccinations, 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
Academy Health

Faculty Honors Awards

Early Career Alumni Award: Emerging Nurse Leader, Columbia University (2020)
Committee Member, Committee on the Quality of Care in Nursing Homes, The National Academies of Sciences, Engineering, and Medicine (2020)
Scholar, National Clinician Scholars Program, Yale University (2020)
Jonas Policy Scholar, American Academy of Nursing, Jonas Center for Nursing and Veterans Healthcare (2019)
Douglas Holmes Emerging Scholar Paper Award, Gerontological Society of America (2018)
Dean’s Distinguished Postdoctoral Fellow, University of Pennsylvania Vice Provost Office (2018)
Associate Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania (2018)
Awardee, 10 Under 10 Young Alumni Recognition, Adelphi University (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

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Evidence for Action: Addressing Systemic Racism Across Long-Term Services and Supports

Shippee, T. P., Fabius, C. D., Fashaw-Walters, S., Bowblis, J. R., Nkimbeng, M., Bucy, T. I., Duan, Y., Ng, W., Akosionu, O., & Travers, J. L. (2022). Journal of the American Medical Directors Association, 23(2), 214-219. 10.1016/j.jamda.2021.12.018
Abstract
Abstract
Long-term services and supports (LTSS), including care received at home and in residential settings such as nursing homes, are highly racially segregated; Black, Indigenous, and persons of color (BIPOC) users have less access to quality care and report poorer quality of life compared to their White counterparts. Systemic racism lies at the root of these disparities, manifesting via racially segregated care, low Medicaid reimbursement, and lack of livable wages for staff, along with other policies and processes that exacerbate disparities. We reviewed Medicaid reimbursement, pay-for-performance, public reporting of quality of care, and culture change in nursing homes and integrated home- and community-based service (HCBS) programs as possible mechanisms for addressing racial and ethnic disparities. We developed a set of recommendations for LTSS based on existing evidence, including (1) increase Medicaid and Medicare reimbursement rates, especially for providers serving high proportions of Medicaid-eligible and BIPOC older adults; (2) reconsider the design of pay-for-performance programs as they relate to providers who serve underserved groups; (3) include culturally sensitive measures, such as quality of life, in public reporting of quality of care, and develop and report health equity measures in outcomes of care for BIPOC individuals; (4) implement culture change so services are more person-centered and homelike, alongside improvements in staff wages and benefits in high-proportion BIPOC nursing homes; (5) expand access to Medicaid-waivered HCBS services; (6) adopt culturally appropriate HCBS practices, with special attention to family caregivers; (7) and increase promotion of integrated HCBS programs that can be targeted to BIPOC consumers, and implement models that value community health workers. Multipronged solutions may help diminish the role of systemic racism in existing racial disparities in LTSS, and these recommendations provide steps for action that are needed to reimagine how long-term care is delivered, especially for BIPOC populations.

Minority Older Adults’ Access to and Use of Programs of All-Inclusive Care for the Elderly

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Older Adults’ Goals and Expectations When Using Long-Term Services and Supports

Travers, J. L., Hirschman, K. B., & Naylor, M. D. (2022). Journal of Applied Gerontology, 41(3), 709-717. 10.1177/07334648211033671
Abstract
Abstract
Objective: Despite recent research focused on aging well, little is known regarding the goals and expectations from long-term services and supports (LTSS) use among older adults. Methods: To address this knowledge gap, interviewer-guided surveys with older adults newly receiving LTSS in home and community-based, assisted living, and nursing home settings in Philadelphia, New Jersey, and New York were conducted. Results: Twelve subthemes regarding the goals and expectations of 464 older adults receiving LTSS and in the context of Aging Well emerged from our analysis: maintaining function, optimizing health and circumstances, maintaining the status quo, transitioning back to the previous state, achieving independence, preserving cognitive function and capacity for psychosocial and emotional health, achieving purpose, increasing quality of life, receiving social support, increasing engagement, relieving burden, and feeling a sense of security/safety. Discussion: This in-depth analysis of qualitative data provides context for LTSS use among older adults.

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.

At-Risk populations and public health emergency preparedness in the United States: Nursing leadership in communities

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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

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Disparities in nurse job dissatisfaction and intent to leave implications for retaining a diverse workforce

Margo Brooks Carthon, J., Travers, J. L., Hounshell, D., Udoeyo, I., & Chittams, J. (2021). Journal of Nursing Administration, 51(6), 310-317. 10.1097/NNA.0000000000001019
Abstract
Abstract
OBJECTIVE: To determine if Black nurses are more likely to report job dissatisfaction and whether factors related to dissatisfaction influence differences in intent to leave. BACKGROUND: Minority nurses report higher job dissatisfaction and intent to leave, yet little is known about factors associated with these differences in community settings. METHOD: Cross-sectional analysis of 11 778 nurses working in community-based settings was conducted. Logistic regression was used to estimate the association among race, job satisfaction, and intent to leave. RESULTS: Black nurses were more likely to report job dissatisfaction and intent to leave. Black nurses' intent to leave decreased in adjusted models that accounted for dissatisfaction with aspects of their jobs including salary, advancement opportunities, autonomy, and tuition benefits. CONCLUSION: Nurse administrators may find opportunities to decrease intent to leave among Black nurses through focused efforts to target areas of dissatisfaction.

Distribution of Paycheck Protection Program Loans to Healthcare Organizations in 2020

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