Komal Patel Murali

Faculty

Komal Murali headshot

Komal Patel Murali

ACNP-BC PhD RN

1 212 998 5783

433 FIRST AVENUE
NEW YORK, NY 10010
United States

Komal Patel Murali's additional information

Komal Patel Murali, PhD, RN, ACNP-BC is an assistant professor at NYU Rory Meyers College of Nursing dedicated to advancing equitable palliative and hospice care for seriously ill persons living with dementia and multiple chronic conditions. She has received funding from the NIA IMPACT Collaboratory Career Development Award and a NIA K23 Career Development Award (K23AG083125) through which she is exploring barriers to hospice care and developing and testing a co-designed culturally sensitive care management intervention to guide transitions to hospice for persons living with dementia and their family caregivers in home healthcare. Another area of her research includes culturally sensitive caregiving support for South Asian older adults with chronic conditions and their families in faith-based settings, which is currently supported by pilot funding from the Rutgers-NYU Center for Asian Health Promotion and Equity (P50MD017356). 

PhD – New York University (2020)
MSN – University of Pennsylvania (2011)
BSN – University of Pennsylvania (2008)

Critical care
Palliative care

American Association of Critical Care Nurses
Hospice and Palliative Nurses Association
Gerontological Society of America
Eastern Nursing Research Society
Sigma Theta Tau International Nursing Honor Society
American Geriatrics Society

Faculty Honors Awards

Nessa Coyle Leadership Lecture and Award, Hospice and Palliative Nurses Association (2024)
NYU Alzheimer’s Disease Research Center Research Education Component Scholar (2023)
Research Scholar, Hospice and Palliative Nurses Association (2023)
Emerging Leaders Award, Hospice and Palliative Nurses Foundation (2022)
Distinguished PhD Student Award, NYU Meyers (2020)
Jonas Nurse Leader Scholar, Jonas Center for Nursing Excellence (2018)
Norman Volk Doctoral Scholarship, NYU Meyers (2018)
President’s Service Award, New York University (2018)
HRSA Nurse Corps Loan Repayment Program (2012)
Mary D. Naylor Undergraduate Research Award, University of Pennsylvania (2008)
Pennsylvania Higher Education Foundation Scholarship (2008)
Promise of Nursing Regional Scholarship Award, Foundation of the National Student Nurses Association (2008)
Sigma Theta Tau Inductee, University of Pennsylvania (2008)
Scholar, Center for Health Disparities Research, Penn Nursing (2007)

Publications

Intersection of social determinants of health with ventricular assist device therapy: An integrative review

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Palliative Nursing in Home Health Care Across the Lifespan

Murali, K. P., Ma, C., Harrison, K. L., Hunt, L. J., Rosa, W. E., & Boyden, J. Y. (2024). The American Journal of Nursing. 10.1097/01.naj.0001095240.11717.87
Abstract
Abstract
ABSTRACT: Primary palliative nursing in home health care (HHC) can be delivered to medically complex patients across the lifespan. Primary palliative nursing provides patient- and family-centered care for serious illness by alleviating the stress and symptoms of illness; coordinating care; and supporting the social, cultural, and psychological aspects of care. In this article, two case scenarios of patients in different phases of life serve as examples of primary palliative nursing in HHC. Key elements and challenges of delivering primary palliative nursing care in HHC are also highlighted.

The perspectives of older adults related to transcatheter aortic valve replacement: An integrative review

Moreines, L. T., David, D., Murali, K. P., Dickson, V. V., & Brody, A. (2024). Heart and Lung, 68, 23-36. 10.1016/j.hrtlng.2024.05.013
Abstract
Abstract
Background: Aortic Stenosis (AS) is a common syndrome in older adults wherein the narrowing of the aortic valve impedes blood flow, resulting in advanced heart failure.1 AS is associated with a high mortality rate (50 % at 6 months if left untreated), substantial symptom burden, and reduced quality of life.1-3 Transcatheter aortic valve replacement (TAVR) was approved in 2012 as a less invasive alternative to surgical valve repair, offering a treatment for older frail patients. Although objective outcomes have been widely reported,4 the perspectives of older adults undergoing the TAVR process have never been synthesized. Objectives: To contextualize the perspectives and experiences of older adults undergoing TAVR. Methods: An integrative review was conducted using Whittemore and Knafl's five-stage methodology.5 Four electronic databases were searched in April 2023. Articles were included if a qualitative methodology was used to assess the perceptions of older adults (>65 years old) undergoing or recovering from TAVR. Results: Out of 4619 articles screened, 12 articles met the criteria, representing 353 individuals from 10 countries. Relevant themes included the need for an individualized care plan, caregiver and family support, communication and education, persistent psychosocial and physical symptoms, and the unique recovery journey. Conclusion: Older adults with AS undergoing TAVR generally perceive their procedure positively. Improved interdisciplinary and holistic management, open communication, symptom assessment, support, and education is needed.

Using mHealth to Improve Communication in Adult Day Services Around the Needs of People With Dementia: Mixed Methods Assessment of Acceptability and Feasibility

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Career development in pragmatic clinical trials to improve care for people living with dementia

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Clarifying Karma for Culturally Concordant Care

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Complex Care Needs at the End of Life for Seriously Ill Adults With Multiple Chronic Conditions

Murali, K. P., Merriman, J. D., Yu, G., Vorderstrasse, A., Kelley, A. S., & Brody, A. A. (2023). Journal of Hospice and Palliative Nursing, 25(3), 146-155. 10.1097/NJH.0000000000000946
Abstract
Abstract
Understanding the complex care needs of seriously ill adults with multiple chronic conditions with and without cancer is critical for the delivery of high-quality serious illness and palliative care at the end of life. The objective of this secondary data analysis of a multisite randomized clinical trial in palliative care was to elucidate the clinical profile and complex care needs of seriously ill adults with multiple chronic conditions and to highlight key differences among those with and without cancer at the end of life. Of the 213 (74.2%) older adults who met criteria for multiple chronic conditions (eg, 2 or more chronic conditions requiring regular care with limitations of daily living), 49% had a diagnosis of cancer. Hospice enrollment was operationalized as an indicator for severity of illness and allowed for the capture of complex care needs of those deemed to be nearing the end of life. Individuals with cancer had complex symptomatology with a higher prevalence of nausea, drowsiness, and poor appetite and end of life and lower hospice enrollment. Individuals with multiple chronic conditions without cancer had lower functional status, greater number of medications, and higher hospice enrollment. The care of seriously ill older adults with multiple chronic conditions requires tailored approaches to improve outcomes and quality of care across health care settings, particularly at the end of life.

Multiple Chronic Conditions among Seriously Ill Adults Receiving Palliative Care

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Nurses, Psychological Distress, and Burnout: Is There an App for That?

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Place of Death from Cancer in US States with vs Without Palliative Care Laws

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