Madeline Naegle

Faculty

Prof. Madeline Naegle headshot

Madeline A Naegle

Professor Emerita

1 212 998 5321

433 First Avenue
New York, NY 10010
United States

Madeline A Naegle's additional information

Dr. Naegle is a professor emerita at NYU Rory Meyers College of Nursing. She is nationally and internationally known for program development, publications and implementation of policy in addiction, and psychiatric nursing, with a focus on older adults. Her  activities have included efforts on the integration of behavioral health into health professional education and practice. Her leadership in organized nursing includes development of international consultation and education and establishment of the NYU College of Nursing WHO Collaborating Center in Geriatric Nursing Education. She was a Health and Aging Policy Fellow and served as associate director of the RMCON Center for Drug Use and HIV Research.

PhD, Nursing - New York University
MA, Nursing - New York University
BSN - College of Rochester

Mental health
Substance use

American Academy of Nursing: Member, Expert Panel on Mental Health and Substance Abuse
American Nurses’ Association
Association of Medical Educators and Researchers in Substance Abuse: Member
American Psychiatric Nurses’ Association
American Psychiatric Nurses Association Tobacco Dependence Council: Member
Eastern Nursing Research Society
Fulbright Association: New York and National Chapters
International Nurses’ Society on Addictions
National League for Nursing: Member
New York Academy of Science: Member USDHHS, Division of Nursing, Consortium on Alcohol and Other Drugs
New York University, Division of Nursing Alumni Assoc.: Member, Faculty Advisor
Sigma Theta Tau, Pi Psi Chapter
Sigma Theta Tau, Upsilon Chapter: Member

Faculty Honors Awards

Excellence in Mentorship Award, Association of Medical Educators and Researchers in Substance Abuse (2010)
Honorary Recognition, New York State Nurses Association (2007)
Spirit Award, National Nurses’ Society on Addictions (2007)
J.W. Fulbright Senior Fellow, University of Sao Paulo (2006)
Distinguished Alumna Award, NYU Division of Nursing Alumni Association (2005)
Hildegard E. Peplau Award, American Nurses’ Association (2002)
Outstanding Alumna, Nazareth College of Rochester (2000)
Who’s Who, Medicine and Health Care (2000)
New York State Nurses’ Association Leadership Institute (1999)
President’s Award, National Nurses Society on Addictions (1998)
J.W. Fulbright Fellow, University of Malta (1995)
Amanda Silver Distinguished Service Award, N.Y. County Registered Nurses’ Association (1994)
Legislative & Health Policy Award, NYU Division of Nursing (1992)
Academy of Women Achievers, YWCA (1991)
Fellow, American Academy of Nursing (1989)
Charter Member, Nazareth College (1988)
Presidential Citation, New York County Registered Nurses’ Association (1986)
Outstanding Young Women of America (1972)
Sigma Theta Tau, National Honor Society for Nursing (1967)
Kappa Gamma Pi, Catholic Women’s Colleges (1964)

Publications

Identified gaps and opportunities in perinatal healthcare delivery for women in treatment for opioid use disorder

Alexander, K., Short, V., Gannon, M., Goyal, N., Naegle, M., & Abatemarco, D. J. (2020). Substance Abuse. 10.1080/08897077.2020.1803178
Abstract
Abstract
Background: Pregnancy and the delivery of an infant mark a unique time of engagement in healthcare for women in treatment for opioid use disorder (OUD). The American College of Obstetrics and Gynecology calls for a comprehensive approach to perinatal healthcare delivery for pregnant women with OUD in order to facilitate improved health outcomes and increase patient-provider collaboration. Yet, there is little knowledge regarding the perceptions of women with OUD regarding the current delivery of healthcare which could inform a personalized, tailored approach to perinatal healthcare delivery. Methods: Four focus groups consisting of 22 women with OUD were conducted, transcribed, and analysed using qualitative thematic analysis methodology. Results: Women reported an overall lack of preparation for the birth and neonatal healthcare experiences and identified opportunities for greater support by the healthcare team. Women emphasized the desire for evidence-based preparation from trusted sources about delivery, neonatal abstinence syndrome, breastfeeding, and how their medications affect their pregnancy and baby. Women reported receiving a varied amount of support from healthcare providers in their transition to motherhood, but women predominantly reported receiving emotional and informational support from their mothers and partners. Conclusions: The knowledge obtained in this study points to gaps in perinatal healthcare delivery for women with OUD. Improving the delivery of perinatal healthcare may contribute to increased engagement by women with OUD, and ultimately improve outcomes for a vulnerable population.

Opioid Crisis through the Lens of Social Justice

Naegle, M. A., Finnell, D. S., Kaplan, L., Herr, K., Ricciardi, R., Reuter-Rice, K., Oerther, S., & Van Hook, P. (2020). Nursing Outlook, 68(5), 678-681. 10.1016/j.outlook.2020.08.014

“The Future of Nursing: Accelerating gains made to address the continuum of substance use”

Tierney, M., Finnell, D. S., Naegle, M., Mitchell, A. M., & Pace, E. M. (2020). Archives of Psychiatric Nursing, 34(5), 297-303. 10.1016/j.apnu.2020.07.010
Abstract
Abstract
Purpose: Guided by four key messages from the decade-old Institute of Medicine (IOM) report, “The Future of Nursing,” this paper highlights the progress made by the nursing profession in addressing substance use and its related disorders and offers recommendations to sustain and advance efforts to enhance care for persons who use substances, one of the most stigmatized and vulnerable populations. Results: Patterns of substance use have shifted over the past 10 years, but the associated harms remain consequential. As awareness of the continuum of substance use has expanded, the care of persons with substance use has also expanded, from the domains of psychiatric-mental health and addictions nursing specialties to the mainstream of nursing. Now, greater efforts are being undertaken to identify and intervene with persons at risk for and experiencing substance use disorders. Nurses have advanced the knowledge and skills necessary for substance-related nursing care including education and training, leadership, care innovations, and workforce expansion and can drive efforts to increase public knowledge about the health risks associated with substance use. Recommendations aligned with each of the four IOM key messages are offered. Conclusions: As a profession, nursing has a responsibility to expand the progress made in addressing substance use – from prevention and early intervention to tertiary care. Nurses at all levels of education and practice are in key positions to carry out the recommendations herein to accelerate the changes needed to provide high quality care for persons impacted by substance use.

The opioid crisis

Cox, K. S., & Naegle, M. A. (2019). Nursing Outlook, 67(1), 3-5. 10.1016/j.outlook.2018.12.016

Substance use among older people living with HIV: Challenges for health care providers

Deren, S., Cortes, T., Dickson, V. V., Guilamo-Ramos, V., Han, B. H., Karpiak, S., Naegle, M., Ompad, D. C., & Wu, B. (2019). Frontiers in Public Health, 7. 10.3389/fpubh.2019.00094
Abstract
Abstract
Older people living with HIV (OPLWH) have higher rates of substance use (tobacco, alcohol and other drugs) than their HIV-negative peers. Addressing health care needs of OPLWH who use substances is more challenging than for those who do not: they are highly impacted by comorbid conditions, substance use can interact with other medications (including antiretroviral therapy-ART) and reduce their effectiveness, and substance use has been associated with reduced adherence to ART and increased risky behaviors (including sexual risks). People who use substances also suffer disparities along the HIV continuum of care, resulting in lower viral suppression rates and poorer health outcomes. They are especially impacted by stigma and stress, which have implications for HIV treatment and care. Recommendations for health care providers working with OPLWH who use substances include: 1) the need to screen and refer for multiple associated conditions, and 2) training/continuing education to enhance care management and maximize health outcomes.

Substance Use Among Older People Living with HIV: Issues for Nurses and Other Health Care Providers

Deren, S., Cortes, T., Vaughan Dickson, V., Guilamo-Ramos, V., Han, B. H., Karpiak, S., Naegle, M., Ompad, D., & Wu, B. (2019). Frontiers in Public Health, 7. 10.3389/fpubh.2019.00094

The Effective Use of Psychiatric Mental Health Nurses in Integrated Care: Policy Implications for Increasing Quality and Access to Care

Delaney, K. R., Naegle, M. A., Valentine, N. M., Antai-Otong, D., Groh, C. J., & Brennaman, L. (2018). Journal of Behavioral Health Services and Research, 45(2), 300-309. 10.1007/s11414-017-9555-x
Abstract
Abstract
In the last ten years primary care providers have been encouraged to implement integrated models of care where individuals’ medical and mental health needs are addressed holistically. Many integrated models use Psychiatric Mental Health (PMH) nurses as case managers and select exemplars use PMH Advanced Practice Nurses (APNs) as providers. However, the potential value of PMH nurses in integrated health care remains unrealized by health care planners and payers, limiting access to services for the populations most in need of comprehensive care approaches. This current situation is partially fueled by insufficient knowledge of the roles and skill sets of PMH nurses. In this paper, the PMH RN and APN skill sets are detailed, demonstrating how effective use of these nurses can further the aims of integrated care models. Finally, outlined are barriers and enabling factors to effective use of PMH RNs and APNs and attendant policy implications.

Electronic Nicotine Delivery Systems (ENDS): What Nurses Need to Know

Essenmacher, C., Naegle, M., Baird, C., Vest, B., Spielmann, R., Smith-East, M., & Powers, L. (2018). Journal of the American Psychiatric Nurses Association, 24(2), 145-152. 10.1177/1078390317733802
Abstract
Abstract
BACKGROUND: Efforts to decrease adverse effects of tobacco use are affected by emergence of new nicotine delivery products. Advertising, product promotion, and social media promote use of these products, yet a lack of evidence regarding safety leaves nurses unprepared to counsel patients. OBJECTIVES: To critically evaluate current research, reviews of literature, expert opinion, and stakeholder policy proposals on use and safety of electronic nicotine delivery systems (ENDS). DESIGN: A targeted examination of literature generated by key stakeholders and subject matter experts was conducted using key words, modified by risk factors, and limited to the past 8 years. RESULTS: Current knowledge gaps in research literature and practice implications of the literature are discussed. CONCLUSIONS: The safety of ENDS is questionable and unclear. There are clear health risks of nicotine exposure to developing brains. Potential health risks of ENDS secondhand emissions exposure exist. Using ENDS to facilitate total tobacco cessation is not proven.

Evaluation of the Substance Abuse Research and Education Training (SARET) program: Stimulating health professional students to pursue careers in substance use research

Hanley, K., Bereket, S., Tuchman, E., More, F. G., Naegle, M. A., Kalet, A., Goldfeld, K., & Gourevitch, M. N. (2018). Substance Abuse, 39(4), 476-483. 10.1080/08897077.2018.1449167
Abstract
Abstract
Background: We developed and implemented the Substance Abuse Research Education and Training (SARET) program for medical, dental, nursing, and social work students to address the dearth of health professionals pursuing research and careers in substance use disorders (SUD). SARET has 2 main components: (1) a novel online curriculum addressing core SUD research topics, to reach a large number of students; (2) a mentored summer research experience for in-depth exposure. Methods: Modules were integrated into the curricula of the lead institution, and of 5 external schools. We assessed the number of Web modules completed and their effect on students’ interest in SUD research. We also assessed the impact of the mentorship experience on participants’ attitudes and early career trajectories, including current involvement in SUD research. Results: Since 2008, over 24,000 modules have been completed by approximately 9700 individuals. In addition to integration of the modules into curricula at the lead institution, all 5 health-professional partner schools integrated at least 1 module and approximately 5500 modules were completed by individuals outside the lead institution. We found an increase in interest in SUD research after completion of the modules for students in all 4 disciplines. From 2008 to 2015, 76 students completed summer mentorships; 8 students completed year-long mentorships; 13 published in SUD-related journals, 18 presented at national conferences, and 3 are actively engaged in SUD-related research. Mentorship participants reported a positive influence on their attitudes towards SUD-related clinical care, research, and interprofessional collaboration, leading in some cases to changes in career plans. Conclusions: A modular curriculum that stimulates clinical and research interest in SUD can be successfully integrated into medical, dental, nursing, and social work curricula. The SARET program of mentored research participation fostered early research successes and influenced career choice of some participants. Longer-term follow-up will enable us to assess more distal careers of the program.

Translation, cultural adaptation, and content validation of the alcohol, alcoholism, and alcoholic attitudes Scale-American english version

Vargas, D., & Naegle, M. A. (2018). Journal of Nursing Measurement, 26(2), 204-216. 10.1891/1061-3749.26.2.204
Abstract
Abstract
Background: Publications on translation are almost all about the translation and cultural adaptation of tools developed by English speakers for use in non-English speaking cultures and languages. The reverse process, where translation goes from a native language to English, is rare. Purpose: Translate to English, culturally adapt, and content validate the Attitudes Scale on Alcohol, Alcoholism, and Alcoholic Persons (EAFAA). Methods: A methodological study with analysis including the conceptual, semantic, and item equivalencies. Results: Satisfactory content validity coefficients (FVI = 0.97; CVI = 0.93) were obtained. Conclusions: The EAFAA was adequately translated into American English, and the content validity was confirmed by empirical tests yielding satisfactory validity coefficients. These results provide direction for further studies to examine the factor structure and the psychometric qualities of the EAFAA-English Version.