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

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.

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.

Primary drivers and psychological manifestations of stress in frontline healthcare workforce during the initial COVID-19 outbreak in the United States

Norful, A. A., Rosenfeld, A., Schroeder, K., Travers, J. L., & Aliyu, S. (2021). General Hospital Psychiatry, 69, 20-26. 10.1016/j.genhosppsych.2021.01.001
Abstract
Abstract
Objective: The purpose of this study was to understand the physical and psychological impact of high stress clinical environments and contributory factors of burnout in multidisciplinary healthcare workforce during the initial outbreak of COVID-19. Method: In-person qualitative interviews informed by an adaptation of Karasek's Job Demand-control model were conducted with a convenience sample of healthcare workforce from March to April 2020. Results: Themes emerging from interviews coalesced around three main areas: fear of uncertainty, physical and psychological manifestations of stress, and resilience building. Shifting information, a lack of PPE, and fear of infecting others prompted worry for those working with Covid-infected patients. Participants reported that stress manifested more psychologically than physically. Individualized stress mitigation efforts, social media and organizational transparency were reported by healthcare workers to be effective against rising stressors. Conclusion: COVID-19 has presented healthcare workforce with unprecedented challenges in their work environment. With attention to understanding stressors and supporting clinicians during healthcare emergencies, more research is necessary in order to effectively promote healthcare workforce well-being.

Adapting Andersen's expanded behavioral model of health services use to include older adults receiving long-term services and supports

Travers, J. L., Hirschman, K. B., & Naylor, M. D. (2020). BMC Geriatrics, 20(1). 10.1186/s12877-019-1405-7
Abstract
Abstract
Background: Andersen's Expanded Behavioral Model of Health Services Use describes factors associated with the use of long-term services and supports (LTSS). This model, however, has only been tested on the intent to use such services among African-American and White older adults and not the actual use. Given the increasing diversity of older adults in the U.S., the ability to conceptualize factors associated with actual use of LTSS across racial/ethnic groups is critical. Methods: We applied Andersen's Expanded model in the analysis of 2006-2010 qualitative data using multiple methods to understand both the relevancy of factors for older adults who currently use LTSS vs. those who intend to use LTSS (as described in Andersen's original exploration). We additionally explored differences in these factors across racial/ethnic groups and included Hispanic older adults in our analyses. Results: Four additional constructs linked with actual LTSS use emerged: losses and changes, tangible support, capability to provide informal support, and accessibility of informal support. Racial differences were seen in level of participation in decisions to use nursing home services (Not involved: 45% African-Americans vs. 24% Whites). Reports of LTSS use to avoid burdening one's family were greater among White older adults compared to African-American older adults. Conclusions: Findings around decision-making and burden along with other constructs enhance our understanding of determinants that influence actual LTSS use and require targeted interventions.

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

Caceres, B. A., Travers, J., & Sharma, Y. (2020). Journal of Aging and Health. 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.

Exploring social-based discrimination among nursing home certified nursing assistants

Travers, J. L., Teitelman, A. M., Jenkins, K. A., & Castle, N. G. (2020). Nursing Inquiry, 27(1). 10.1111/nin.12315
Abstract
Abstract
Certified nursing assistants (CNAs) provide the majority of direct care to nursing home residents in the United States and, therefore, are keys to ensuring optimal health outcomes for this frail older adult population. These diverse direct care workers, however, are often not recognized for their important contributions to older adult care and are subjected to poor working conditions. It is probable that social-based discrimination lies at the core of poor treatment toward CNAs. This review uses perspectives from critical social theory to explore the phenomenon of social-based discrimination toward CNAs that may originate from social order, power, and culture. Understanding manifestations of social-based discrimination in nursing homes is critical to creating solutions for severe disparity problems among perceived lower-class workers and subsequently improving resident care delivery.

Factors Associated With Perceived Worsened Physical Health Among Older Adults Who Are Newly Enrolled Long-term Services and Supports Recipients

Travers, J. L., Hirschman, K. B., Hanlon, A. L., Huang, L., & Naylor, M. D. (2020). Inquiry (United States), 57. 10.1177/0046958019900835
Abstract
Abstract
Limited information exists on the perceived health of older adults new to receiving long-term services and supports (LTSS) compared with the year prior, posing challenges to the anticipation of health care need and optimization of wellness efforts for this growing population. In response, we sought to identify differences in perceived worsened physical health across three LTSS types (nursing home, assisted living, and home and community-based services) along with health-related quality of life (HRQoL) characteristics associated with older adults’ ratings of perceived worsened physical health at the start of receiving LTSS. Enrolled LTSS recipients completed a single interview assessing their HRQoL. Bivariate and multivariable logistic regression analyses were performed to determine associations in LTSS types and HRQoL characteristics with perceived worsened physical health among older adults (≥60 years old) since 1 year prior to study enrollment. Among the 467 LTSS recipients, perceived physical health was rated as worse than the previous year by 36%. Bivariate analyses revealed no differences in perceived worsened physical health across LTSS types. In adjusted analyses, religiousness/spirituality and better mental and general health perception had a decreased odds of being associated with perceived worsened physical health (P <.05). Participants with major changes in their health in the past 6 months were more likely to report perceived worsened physical health (P <.001). Findings provide information that may be used to target efforts to enhance perceived physical health and improve quality of life among LTSS enrollees.

High-value care for older adults with complex care needs: Leveraging nurses as innovators

Demiris, G., Hodgson, N. A., Sefcik, J. S., Travers, J. L., McPhillips, M. V., & Naylor, M. D. (2020). Nursing Outlook, 68(1), 26-32. 10.1016/j.outlook.2019.06.019
Abstract
Abstract
Background: Our health care system is facing unprecedented and complex challenges in caring for older adults and their families. A paradigm shift is needed that recognizes new roles and competencies for nurses to play a leadership role in the design and implementation of high value care models. Purpose: The purpose of this paper is to introduce a series of recommendations for leveraging nurses to generate innovative tools and solutions for the delivery of value-based care for older adults living with complex health and social needs and their families. Methods: These recommendations were generated by a Think-Tank of national experts based on review of current evidence and focus groups with older adults. Finding: The generated recommendations focus on positioning nurses to assume leadership roles in implementing evidence-based care models, preparing nurses to serve as health innovators and catalysts of system transformation, and fostering system-level infrastructure that leverages the contributions of nurses for current and emerging roles. Discussion: Nurses as innovators can address the challenges in providing high quality care for older adults with complex needs and their families. System-level infrastructure, including resources for training and implementation of well-established programs, is necessary to leverage the contributions of nurses and facilitate innovative approaches to care.

The influence of empowered work environments on the psychological experiences of nursing assistants during COVID-19: a qualitative study

Travers, J. L., Schroeder, K., Norful, A. A., & Aliyu, S. (2020). BMC Nursing, 19(1). 10.1186/s12912-020-00489-9
Abstract
Abstract
Background: Nursing Assistants (NA) who feel empowered tend to perform their duties better, have higher morale and job satisfaction, and are less likely to leave their jobs. Organizational empowerment practices in hospitals likely shape the psychological experiences of empowerment among these personnel; however, little is known about this relationship. Objective: We used qualitative inquiry to explore the relationship between organizational empowerment structural components and feelings of psychological empowerment among hospital frontline workers during a public health emergency. Methods: Kanter’s Theory of Structural Empowerment and Spreitzer’s Psychological Empowerment in the Workplace Framework were applied to identify the conceptual influences of organizational practices on psychological experiences of empowerment. In-depth interviews were conducted with a convenience sample of NAs, caring for hospitalized COVID-19 patients. Directed content analysis was performed to generate a data matrix consisting of the psychological experiences of meaning, competence, self-determination, and impact embedded under the organizational structural components of information, resources, support, and opportunity. Results: Thirteen NAs (mean age = 42 years, 92% female) completed interviews. Information, or lack thereof, provided to the NAs influenced feelings of fear, preparation, and autonomy. Resources (e.g., protocols, equipment, and person-power) made it easier to cope with overwhelming emotions, affected the NAs’ abilities to do their jobs, and when limited, drove NAs to take on new roles. NAs noted that support was mostly provided by nurses and made the NAs feel appreciated, desiring to contribute more. While NAs felt they could consult leadership when needed, several felt leadership showed little appreciation for their roles and contributions. Similar to support, the opportunity to take care of COVID-19 patients yielded a diverse array of emotions, exposed advances and gaps in NA preparation, and challenged NAs to autonomously develop new care practices and processes. Conclusion: Management and empowerment of healthcare workers are critical to hospital performance and success. We found many ways in which the NAs’ psychological experiences of empowerment were shaped by the healthcare system’s empowerment-related structural conditions during a public health emergency. To further develop an empowered and committed critical workforce, hospitals must acknowledge the organizational practice influence on the psychological experiences of empowerment among NAs.

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. (2020). International Journal of Nursing Studies. 10.1016/j.ijnurstu.2020.103735