Faculty

Prof. Madeline Naegle headshot

Madeline A Naegle

Professor Emerita

1 212 998 5321

433 First Avenue
New York, NY 10010
United States

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Professional overview

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.

Education

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

Specialties

Mental health
Substance use

Professional membership

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

Honors and awards

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)
Who’s Who, Medicine and Health Care (2000)
Outstanding Alumna, Nazareth College of Rochester (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

Publications

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
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
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
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.

Brief report: First world health organization forum on alcohol drugs and addictive behaviors: Enhancing public health actions through partnerships and collaboration

Naegle, M. A. (2017). Journal of Addictions Nursing, 28(3), 150-151. 10.1097/JAN.0000000000000185

Continuing Links Between Substance Use and HIV Highlight the Importance of Nursing Roles

Deren, S., Naegle, M., Hagan, H., & Ompad, D. C. (2017). Journal of the Association of Nurses in AIDS Care, 28(4), 622-632. 10.1016/j.jana.2017.03.005
Abstract
Links between HIV and substance use were identified early in the U.S. HIV epidemic. People who use drugs are at risk of HIV infection through shared injection equipment and risky sexual behaviors. In addition, substance use has negative health consequences for people living with HIV. The prescription opioid misuse epidemic, linked to injection drug use, hepatitis C infection, and HIV, poses a new threat to declining HIV rates. We reviewed evidence-based interventions that decrease HIV risk in people who use drugs (needle/syringe programs, medication-assisted treatment, engagement in HIV care, and preexposure prophylaxis/postexposure prophylaxis). The critical roles of nurses in HIV prevention/care for this population are described, including applying the principles of harm reduction, screening for substance use, and undertaking implementation and research efforts. As the nation's largest health care profession, nurses are positioned to contribute to the quality of HIV-related prevention/care for people who use drugs and to lead practice initiatives.

Integration and Evaluation of Substance Abuse Research Education Training (SARET) into a Master of Social Work program

Tuchman, E., Hanley, K., Naegle, M., More, F., Bereket, S., & Gourevitch, M. N. (2017). Substance Abuse, 38(2), 150-156. 10.1080/08897077.2017.1291465
Abstract
Background: The Substance Abuse Research and Education Training (SARET) program is funded by the National Institutes of Drug Abuse in 2006 as a novel approach to spark interest in substance abuse research among medical, dental, nursing, and social work graduate students through a Web-based curriculum and research mentorships. This report presents the initial integration of the intervention in a Master of Social Work (MSW) program, the components of the program, and the mixed-methods evaluation of its effect on students' attitudes towards substance abuse research and treatment. Methods: SARET comprises 2 main components: stipend-supported research mentorships and a Web-based module series, consisting of 6 interactive, multimedia modules addressing core SA research topics, delivered via course curricula and in the research mentorships. An initial evaluation was designed to assess SARET's acceptability and short-term impact on participants' interest in SA research. The components of this Web-based curriculum evaluation include focus group feedback on the relevance of the modules to SW students, number of courses into which the modules were integrated with number of module completions, changes in interest in SA research associated with module completion. Results: The full series of Web-based modules has been integrated across several courses in the social work curriculum, and social work students have become integral participants in the summer mentored research experience. One hundred eighteen students completed at least 1 module and 42 students completed all 6 modules. Neurobiology, Screening, and Epidemiology were the most widely viewed modules. Students reported positive impact on their vision of SA-related clinical care, more positive attitudes about conducting research, and in some cases, change in career. Conclusions: The SARET program's modules and summer mentored research increased clinical and research interest related to SUDs, as well as interprofessional attitudes among social work students. Participants have shown some early research success. Longer-term follow-up will enable us to continue to assess the effectiveness of the program.

Leadership for Addressing Aging in America: The Health and Aging Policy Fellowship

Cacchione, P. Z., Epstein-Lubow, G., Borer, A., Curran, P., DeVito Dabbs, A., Dreissen, J., Kaskie, B., Khan, F., Naegle, M., Ordway, A., Reinke, L. F., Stein, G., West, T., Wright, K., & Inouye, S. K. (2017). Journal of the American Medical Directors Association, 18(10), 819-825. 10.1016/j.jamda.2017.07.003
Abstract
The Health and Aging Policy Fellows Program funded by The John A. Hartford Foundation and Atlantic Philanthropies trains future leaders to influence healthcare policy, systems, and program development in aging. Following a rigorous residential training in Washington, DC, Fellows establish placements of up to 1 year in the executive, legislative, or judicial branch of government, at a federal agency, state or community agency or committee, or with a nongovernmental organization. The 2016–2017 Fellows' activities represent a broad scope of work, including contributions to national and local policy priorities expected to build over time far beyond the core fellowship year.

Nursing Education to Reduce Use of Tobacco and Alternative Tobacco Products: Change Is Imperative

VanDevanter, N., Katigbak, C., Naegle, M., Zhou, S., Sherman, S., & Weitzman, M. (2017). Journal of the American Psychiatric Nurses Association, 23(6), 414-421. 10.1177/1078390317711252
Abstract
BACKGROUND: Tobacco use continues to be the leading cause of preventable death worldwide. OBJECTIVE: To assess perceived tobacco educational preparation of undergraduate and graduate nurses in a large urban university. DESIGN: A cross-sectional web-based survey of all nursing students in an urban college of nursing was conducted to assess perceived tobacco educational content, skills, and self-efficacy for cessation counseling with patients who smoke cigarettes and use alternative tobacco products (e.g., hookah and e-cigarettes). RESULTS: Participants reported the most education about health effects of tobacco use (67%), and less than 6% reported education about alternative tobacco products. While the majority of nurses agreed that advising patients to quit is a priority, less than 40% reported receiving sufficient training in cessation counseling. CONCLUSIONS: There continues to be a compelling need articulated by leaders in tobacco policy and research over the past decade for a more vigorous response by nurses to the tobacco epidemic.

Opioid misuse epidemic: Addressing opioid prescribing and organization initiatives for holistic, safe and compassionate care

Naegle, M., Mitchell, A. M., Flinter, M., Dunphy, L., Vanhook, P., & Delaney, K. R. (2017). Nursing Outlook, 65(4), 477-479. 10.1016/j.outlook.2017.07.001