AGPCNP-BC CCRN PhD RN
1 212 992 7147
433 FIRST AVENUE
NEW YORK, NY 10016
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 principal 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. Most recently, Travers served on the National Academies of Science Engineering and Medicine Committee on the Quality of Care in Nursing Homes which on April 6, 2022, released the widely anticipated report titled, The National Imperative to Improve Nursing Home Quality.
Travers has published widely on the topics of aging, long-term care, health disparities and inequities, workforce diversity and workforce issues, 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 New Courtland Center for Transitions and Health at the University of Pennsylvania School of Nursing.
Travers received her Ph.D. 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 UniversityMSN, Stony Brook UniversityMHS, Yale UniversityBSN, Adelphi University
Eastern Nursing Research SocietyAmerican Geriatrics SocietyGerontological Society of AmericaAcademy Health
Faculty Honors AwardsRising Star Research Award, Eastern Nursing Research Society (2022)Health in Aging Foundation New Investigator Award, American Geriatrics Society (2022)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)Early Career Alumni Award: Emerging Nurse Leader, Columbia 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)Jonas Nurse Leader Scholar, Jonas Center for Nursing and Veterans Healthcare (2016)Pre-Dissertation Student Research Award, The Behavioral & Social Sciences Section of The Gerontological Society of America (2016)
2022 NASEM Quality of Nursing Home Report: Moving Recommendations to ActionTravers, J. L., Alexander, G., Bergh, M., Bonner, A., Degenholtz, H. B., Ersek, M., Ferrell, B., Grabowski, D. C., Longobardi, I., McMullen, T., Mueller, C., Rantz, M., Saliba, D., Sloane, P., & Stevenson, D. G. (2023). Journal of the American Geriatrics Society, 71(2), 318-321. 10.1111/jgs.18274
Calling all nurses—Now is the time to take action on improving the quality of care in nursing homesAbstractMueller, C. A., Alexander, G. L., Ersek, M., Ferrell, B. R., Rantz, M. J., & Travers, J. L. (2023). Nursing Outlook, 71(1). 10.1016/j.outlook.2022.11.001AbstractFor a number of decades, nurses have raised concerns about nursing-related issues in nursing homes (NH) such as inadequate registered nurse (RN) staffing, insufficient RN and advanced practice registered nurse (APRN) gerontological expertise, and lack of RN leadership competencies. The NASEM Committee on the Quality of Care in Nursing Homes illuminated the long-standing issues and concerns affecting the quality of care in nursing homes and proposed seven goals and associated recommendations intended to achieve the Committee's vision: Nursing home residents receive care in a safe environment that honors their values and preferences, addresses goals of care, promotes equity, and assesses the benefits and risks of care and treatments.
Characterizing caregiving supportive services use by caregiving relationship statusAbstractTravers, J. L., Rosa, W. E., Shenoy, S., Bergh, M., & Fabius, C. D. (2023). Journal of the American Geriatrics Society, 71(5), 1566-1572. 10.1111/jgs.18213AbstractBackground: Informal caregivers of older adults experience a high degree of psychosocial burden and strain. These emotional experiences often stem from stressful tasks associated with caregiving. Caregiving supportive services that provide assistance for stressful tasks are instrumental in alleviating caregiving burden and strain. Research is limited on what types of supportive services caregivers are utilizing by relationship status and their source of information regarding these services. We sought to characterize caregiving supportive services use by caregiver relationship status. Methods: We analyzed cross-sectional data from the 2015 National Study of Caregiving limited to caregivers of older adults ≥65 years of age. Caregiver relationship status (i.e., spouse, child, other relative/non-relative) was the independent variable. Type of supportive service and source of information about supportive services were the dependent variables. Bivariate analyses were performed to examine the association with caregiver relationship status and associations between use of caregiving supportive services and caregiver and care recipient characteristics. Among service users, we measured associations between caregiver relationship status, type of supportive services used, and source of information about supportive services. Results: Our sample consisted of 1871 informal caregivers, 30.7% reported using supportive services. By caregiver relationship status, children had the greatest use of supportive services compared to spouses and other relatives/non-relatives (46.5% vs. 27.6% vs. 25.9%, p = <0.01, respectively). Among users of services, there were no differences in type of services used. Spouses primarily received their information about services from a medical provider or social worker (73.8%, p = <0.001). Conclusion: Our findings highlight the need to ensure that other caregiving groups, such as spouses and other relatives/non-relatives, have access to important supportive services such as financial support. Medical providers and/or social workers should be leveraged and equipped to provide this information and refer to services accordingly.
Complex identities, intersectionality and research approaches in millennial family caregivers in the United StatesAbstractAaron, S. P., Waters, A., Tolentino, A., Rascon, A., Phan, C., Chen, E., Travers, J., Jones, M. G., Kent-Marvick, J., & Thomas Hebdon, M. (2023). Journal of Advanced Nursing, 79(5), 1724-1734. 10.1111/jan.15452AbstractAims: A discussion of the personal and social contexts for Millennial family caregivers and the value of including complex identity and intersectionality in Millennial family caregiving research with practical application. Design: Discussion paper. Data sources: This discussion paper is based on our own experiences and supported by literature and theory. Implications for Nursing: Millennial family caregivers have distinct generational, historical and developmental experiences that contribute to the care they provide as well as their own well-being. Complex identity, the integration of multiple identities, and intersectionality, systems and structures that disempower and oppress individuals with multiple identities, need to be addressed in nursing research so intervention tailoring and health equity can be better supported in this population. From research conceptualization and design to data analysis, data must be used intentionally to promote equity and reduce bias. The inclusion of diverse Millennial caregivers throughout all stages of the research process and having a diverse nursing research workforce will support these efforts. Conclusion: Millennial family caregivers comprise one-quarter of the family caregiving population in the United States, and they are more diverse than previous family caregiving generational cohorts. Their needs will be more fully supported by nursing scientists with the adoption of methods and techniques that address complex identity and intersectionality. Impact: Nursing researchers can use the following research approaches to address complex identity and intersectionality in Millennial caregivers: inclusion of qualitative demographic data collection (participants can self-describe); data disaggregation; data visualization techniques to augment or replace frequencies and descriptive statistics for demographic reporting; use of researcher reflexivity throughout the research process; advanced statistical modelling techniques that can handle complex demographic data and test for interactions and differential effects of health outcomes; and qualitative approaches such as phenomenology that centre the stories and experiences of individuals within the population of interest.
Differences In Nursing Home Staff COVID-19 Testing Rates And Odds Of Vaccination Across Work ShiftsAbstractWhite, E. M., Travers, J. L., Gouskova, N., Oh, G., Syme, M., Yang, X., Montoya, A., Feifer, R. A., Grabowski, D. C., Mor, V., & Berry, S. D. (2023). Health Affairs (Project Hope), 42(2), 217-226. 10.1377/hlthaff.2022.01011AbstractCOVID-19 vaccination and regular testing of nursing home staff have been critical interventions for mitigating COVID-19 outbreaks in US nursing homes. Although implementation of testing has largely been left to nursing home organizations to coordinate, vaccination occurred through a combination of state, federal, and organization efforts. Little research has focused on structural variation in these processes. We examined whether one structural factor, the primary shift worked by staff, was associated with differences in COVID-19 testing rates and odds of vaccination, using staff-level data from a multistate sample of 294 nursing homes. In facility fixed effects analyses, we found that night-shift staff had the lowest testing rates and lowest odds of vaccination, whereas day-shift staff had the highest testing rates and odds of vaccination. These findings highlight the need to coordinate resources and communication evenly across shifts when implementing large-scale processes in nursing homes and other organizations with shift-based workforces.
Nursing Home Reform in the Context of National Long-Term Care Services and Policy: The Devil in the Details of the National Academies ReportDegenholtz, H. B., Travers, J. L., Zimmerman, S., Teresi, J., Calkins, M., & Sloane, P. D. (2023). Journal of the American Geriatrics Society, 71(2), 357-361. 10.1111/jgs.18273
Resident Factors Associated With Breakthrough SARS-CoV-2 InfectionsAbstractMontoya, A., Wen, K., Travers, J. L., Rivera-Hernandez, M., White, E., Mor, V., & Berry, S. D. (2023). Journal of the American Medical Directors Association. 10.1016/j.jamda.2023.02.102AbstractObjective: To examine incidence of and resident characteristics associated with breakthrough infections (BTIs) and severe illness among residents with 2 messenger RNA (mRNA) vaccinations. Design: Retrospective cohort study. Setting and Participants: Nursing home (NH) residents who completed their primary series of mRNA COVID-19 vaccination by March 31, 2021. Methods: Electronic health records and Minimum Data Set assessments from a multistate NH data consortium were used to identify BTI and severe illness (a composite measure of hospitalization and/or death within 30 days of BTI) occurring prior to November 24, 2021. A t test for differences in means was used to compare covariates for residents with and without BTI. Finally, we estimated incidence rate ratios (IRRs) for BTI with 95% CIs using a modified Poisson regression approach, comparing residents with BTI vs residents without. We adjusted for facility fixed effects in our model. Results: Our sample included 23,172 residents from 984 NHs who were at least 14 days past their second mRNA vaccine dose. Of those, 1173 (5%) developed an incident COVID-19 BTI (mean follow-up time: 250 days). Among residents with BTI, 8.6% were hospitalized or died within 30 days of BTI diagnosis. Factors associated with severe illness included age ≥85 years (IRR 2.08, 95% CI 1.08-4.02, reference age <65 years), bowel incontinence (IRR 1.73, 95% CI 1.01-2.99), coronary artery disease (IRR 1.96, 95% CI 1.31-2.94), chronic kidney disease (IRR 1.65, 95% CI 1.07-2.54), and schizophrenia (IRR 2.38, 95% CI 1.19-4.75). Conclusions and Implications: Among vaccinated NH residents, BTIs and associated severe illness are rare. Residents aged ≥85 years and with certain comorbidities appear to be the most vulnerable. Given that the pandemic continues and testing policies have relaxed, these data provide prognostic information for NH facilities faced with continued outbreaks.
Severe neighborhood deprivation and nursing home staffing in the United StatesAbstractFalvey, J. R., Hade, E. M., Friedman, S., Deng, R., Jabbour, J., Stone, R. I., & Travers, J. L. (2023). Journal of the American Geriatrics Society, 71(3), 711-719. 10.1111/jgs.17990AbstractBackground: Low nursing home staffing in the United States is a growing safety concern. Socioeconomic deprivation in the local areas surrounding a nursing home may be a barrier to improving staffing rates but has been poorly studied. Thus, the objective of this paper was to assess the relationship between neighborhood deprivation and nursing home staffing in the United States. Methods: This cross-sectional study used 2018 daily payroll-based staffing records and address data for 12,609 nursing homes in the United States linked with resident assessment data. Our primary exposure of interest was severe economic deprivation at the census block group (neighborhood) level, defined as an area deprivation index score ≥85/100. The primary outcome was hours worked per resident-day among nursing home employees providing direct resident care. Marginal linear regression models and generalized estimating equations with robust sandwich-type standard errors were used to estimate associations between severe neighborhood deprivation and staffing rates. Results: Compared to less deprived neighborhoods, unadjusted staffing rates in facilities located within severely deprived neighborhoods were 38% lower for physical and occupational therapists, 30% lower for registered nurses (RNs), and 5% lower for certified nursing assistants. No disparities in licensed practical nurse (LPN) staffing were observed. In models with state-level and rurality fixed effects and clustered on the county, a similar pattern of disparities was observed. Specifically, RN staffing per 100 resident-days was significantly lower in facilities located within severely deprived neighborhoods as compared to those in less deprived areas (mean difference: 5.6 fewer hours, 95% confidence interval [CI] 4.2–6.9). Disparities of lower magnitude were observed for other clinical disciplines except for LPNs. Conclusions: Significant staffing disparities were observed within facilities located in severely deprived neighborhoods. Targeted interventions, including workforce recruitment and retention efforts, may be needed to improve staffing levels for nursing homes in deprived neighborhoods.
Antimicrobial Stewardship Interventions to Optimize Treatment of Infections in Nursing Home Residents: A Systematic Review and Meta-AnalysisAbstractAliyu, S., Travers, J. L., Heimlich, S. L., Ifill, J., & Smaldone, A. (2022). Journal of Applied Gerontology, 41(3), 892-901. 10.1177/07334648211018299AbstractEffects 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.
Demystifying the National Institutes of Health diversity supplement: Mentee and mentor experiences and recommendationsAbstractTravers, J. L., David, D., Weir, M., Clark-Cutaia, M. N., Enwerem, N., Okunji, P. O., & Schulman-Green, D. (2022). Nursing Outlook, 70(6), 856-865. 10.1016/j.outlook.2022.07.007AbstractBackground: The National Institutes of Health supports professional development of diverse researchers through diversity supplements. Limited awareness and understanding of the application process have hindered utilization of this funding mechanism. Purpose: We describe perspectives and recommendations of mentee and mentor recipients of diversity supplements. Methods: Our working group, comprised of faculty from an Historically Black College and University and an R1 research university, conducted stakeholder interviews with three mentees and four mentors from various institutions. We used content analysis to derive categories of experiences and recommendations. Discussion: Interviewees reported on advantages of diversity supplements, ensuring institutional support, identifying a good mentee-mentor match, developing grantsmanship specific to diversity supplements, and increasing numbers of these applications. Conclusion: We identify opportunities for stakeholders to increase awareness of diversity supplements. Our data support greater understanding of this mechanism, establishing strong mentoring relationships, and submitting robust applications. Findings can enhance diversity among the scientific community.