Madeline Naegle


Madeline Naegle headshot

Madeline A Naegle


Professor Emerita

1 212 998 5321

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)


American academy of nursing consensus recommendations to advance system level change for nurse well-being

Naegle, M. A., Kelly, L. A., Embree, J. L., Valentine, N., Sharp, D., Grinspun, D., Hines-Martin, V. P., Crawford, C. L., & Rosa, W. E. (2023). Nursing Outlook, 71(2). 10.1016/j.outlook.2023.101917
The COVID-19 pandemic has required close examination of workforce-related stressors that over decades have contributed to widespread burnout, negative health outcomes, including mental health outcomes, and the loss of the well-educated professionals who are the future of the nursing profession. In the United States and globally, evidence points to factors known to diminish well-being, including inequities, issues of minority status, persistent discrimination, and demanding work environments. The American Academy of Nursing (AAN), dedicated to organizational excellence, nursing leadership and evidence-based policy, develops statements reflecting its mission and those of its nursing affiliates and corporate member, The American Nurses Association. Within nursing, despite the efforts of its members toward advancement, professional fulfillment is often constrained by the systems in which nurses practice and workplace factors over which they have little control. Action by key organizations to initiate changes at systems levels in workplace safety, to increase professional mobility, and propel policies that increase access to health care resources could improve nurse well-being. This paper proposes recommendations from the AAN Expert Panels on Building Health Care System Excellence, Psychiatric Mental Health and Substance Use, and Global Health Expert Panels for the American Academy of Nursing to leverage related policy in the arenas of government and professional/healthcare organizations. Transforming health care work environments and advancing nurse well-being and equity can be accomplished through key, innovative policy changes. These will be achieved through collaboration among associations, organizations, nonprofit groups, and with the public and the media.

Attitudes Scale on Alcohol, Alcoholism, and Persons With Alcohol Use Disorders

De Vargas, D., & Naegle, M. A. (2023). Journal of Addictions Nursing, 34(1), E2-E7. 10.1097/JAN.0000000000000413
Background The Attitudes Scale on Alcohol, Alcoholism, and Persons with alcohol use disorders ("Escala de Atitudes Frente ao Álcool, ao Alcoolismo e ao Persons with alcohol use disorders"[EAFAA]) is an instrument designed to measure attitudes toward alcohol, alcoholism, and persons with alcohol use disorders. It has been validated in Portuguese and Spanish. Objective The purpose of this study was to examine the psychometric properties and factor structure of the American English version of the EAFAA (EAFAA-AEV). Methods One hundred eighty-seven participants (nurses = 101 and nursing students = 86) completed the EAFAA-AEV. Results Confirmatory factor analysis resulted in a four-factor solution, supporting the original factor structure of the EAFAA. The scale has shown good internal consistency and reliability for the four factors. The total scale had a Cronbach's alpha of.85 and a McDonald's omega of.87. Conclusion The EAFAA-AEV has similarly strong psychometric properties as the original version, suggesting that it is a reliable tool to identify attitudes toward alcohol and related issues among American-English-speaking nurses and nursing students.

Comentario sobre la Red Panamericana de Centros Colaboradores de Enfermería y Partería

Naegle, M. A., Baumann, A., & Denwood, D. (2023). Revista Panamericana De Salud Publica Pan American Journal of Public Health, 47. 10.26633/RPSP.2023.31
This article provides a commentary on the Pan American Network of Nursing and Midwifery Collaborating Centres (PANMCC). The objectives are to present an overview of the formation and evolution of the network, its impact on education, research, policy and communication and the benefits of membership. The advantages of international networks as a mechanism to strengthen nursing and midwifery workforces and improve health systems are also highlighted. The Pan American Health Organization (PAHO), the World Health Organization (WHO) Office in the Americas, oversees collaborating centres in the Region. Established in 1999, PANMCC consists of 17 centres situated in universities and schools of nursing. These centres provide crucial nursing and midwifery input to PAHO/WHO. The network supports global engagement and capacity building via collaboration, resource sharing and research colloquia. The linkages within the network enhance professional development, increase capacity building and heighten visibility of PANMCC and the work of its members.

Healthy aging and care of the older adult with chronic disease: a qualitative needs assessment in 14 eastern and southern Caribbean islands

VanDevanter, N., Naegle, M., Nazia, N., Bamodu, A., & Marx, E. S. (2023). Revista Panamericana De Salud Publica Pan American Journal of Public Health, 47. 10.26633/RPSP.2023.40
The objectives of this qualitative needs assessment were to assess perceived needs of health and social services professionals in the Caribbean Region to enhance services supporting healthy aging and care of older adults and to assess perceived facilitators and barriers to increasing capacity to serve their aging populations. The assessment, informed by the Consolidated Framework for Implementation Science, was conducted in 14 islands in the eastern and southern Caribbean. The results demonstrated need for education of professionals and the general population about the prevention and treatment of non-communicable diseases (NCDs), assessment and services for individuals with dementia, Alzheimer’s disease, depression, and harmful alcohol use, all of which pose significant challenges for older adults. Education of health and social services professionals, families, and the public on the risk factors for NCDs and common mental and physical health problems is critical. Barriers to implementation of educational programs include lack of community awareness and resources within the islands. The needs assessment findings are foundational to planning educational interventions. These will be developed by local health providers with the collaboration and support of external resources including those of the Pan American Health Organization/World Health Organization Collaborating Centre in Gerontological Nursing Education.

Reducing Harm Related to Substance Use by Older Adults

Knapp, M., McCabe, D. E., & Naegle, M. A. (2023). In A Comprehensive Guide to Safety and Aging (1–, pp. 237-258). CRC Press. 10.1201/9781003197843-22
While safety should be a lifetime concern, aging brings it into sharper focus when a slow decline in all human functions commences and accommodations must be made to continue life with health, quality, and competence in life tasks and relationships. These normal declines, magnified by chronic diseases and health conditions increase vulnerability in older adults to the effects of commonly used substances. Safety can then be compromised using alcohol, tobacco, psychoactive drugs, medications, and food supplements which people ingest to alter state of mind, emotional well-being, and alleviate disease conditions and infirmities. Compromised safety can be the untoward side effect of seeking more optimal states, and older adults make choices to experience pleasure and attain pain-free states and freedom of movement. The most commonly used substance worldwide, alcohol, is legal, socially sanctioned, widely promoted, and relatively inexpensive but also the most damaging to health and safety. Tobacco is the mostly deadly, resulting in the deaths of close to 500,000 people annually and a contributing factor to 200 diseases and health conditions. This chapter identifies the scope of health and safety consequences of substances commonly used by adults over 60, detailing the safety risks of each class of drug and its detrimental health effects. While a relatively small proportion of older adults (5–6%) are ever diagnosed with a substance use disorder, many more engage in binge drinking and unhealthy levels of alcohol consumption and combine alcohol with prescribed and over-the-counter medications resulting in unsafe and at times, lethal results. Excessive levels of opioid analgesic prescribing have resulted in loss of life and severe opioid use disorders which compromise safety and quality of life for many older adults. Models of care that integrate screening and drug and alcohol interventions into primary care, expand harm reduction, and use public health approaches to raise awareness about the health implications of substance use hold promise for deterring upward trends in substance use among older adults. Policy initiatives are described as frameworks for additional interventions.

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. (2021). Substance Abuse, 42(4), 552-558. 10.1080/08897077.2020.1803178
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.

Non-nurse faculty in nursing schools

Strumpf, N. E., Naegle, M. A., Fagin, C. M., & Aiken, L. H. (2021, July 1). In Nursing outlook (Vols. 69, Issues 4, p. 530). 10.1016/j.outlook.2021.04.005

Nursing students’ attitudes towards alcohol use disorders and related issues: A comparative study in four American countries

Diaz Heredia, L. P., De Vargas, D., Ramírez, E. G. L., & Naegle, M. (2021). International Journal of Mental Health Nursing, 30(6), 1564-1574. 10.1111/inm.12906
The present study identified and compared the attitudes of nursing students from North and South American countries towards alcohol, alcohol use disorders and persons with alcohol use disorders (AUDs). A cross-sectional design and survey approach were used. The sample consisted of 327 nursing students recruited from four nursing schools in metropolitan regions of North and South America. The questionnaire contained questions about sex, age, marital status, home country and other questions about training in substance use disorders during nursing education and previous experiences with substance use disorder patients. To identify nursing students’ attitudes, validated English, Spanish and Portuguese versions of the attitudes scale for alcohol, alcoholism and persons with AUDs (EAFAA) were applied. Comparison of the four groups suggested that nursing students in the United States demonstrated more positive attitudes than students from Colombia, Mexico and Brazil. Similar positive attitudes were observed towards individuals with AUDs. Results of the attitudes towards the aetiology of AUDs showed positive attitudes in all samples, suggesting a contemporary understanding of AUDs. Nursing students’ attitudes were associated with home country and training in substance use disorders during nursing education. Nursing students’ attitudes were generally positive across countries. Idiosyncratic cultural and educational aspects in these countries and world regions likely significantly influenced the attitudes of nursing students towards alcohol and associated issues.

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

Substance use is a critical health and mental health issue for older adults

Naegle, M. A., & Han, B. H. (2020). Generations, 44(4).