
Mikki Meadows-Oliver
FAAN PhD RN
Clinical Professor
mikki.meadows.oliver@nyu.edu
1 212 998 5376
433 FIRST AVENUE
NEW YORK, NY 10016
United States
Mikki Meadows-Oliver's additional information
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Prof. Meadows-Oliver is a certified pediatric nurse practitioner with more than 25 years in the nursing profession. In addition to her clinical work with underserved families in the United States, she has done clinical work in Nicaragua, the Dominican Republic, and Cape Town South Africa. Meadows-Oliver was a 2019-2020 Environmental Health Nurse Fellow of the Alliance of Nurses for a Healthy Environment where she focused on environmental health equity/justice and addressing the disproportionate impact of environmental exposures on vulnerable groups. Meadows-Oliver is a past president of the National Association of Pediatric Nurse Practitioners. She is the column editor for the Practice Guidelines Department of the Journal of Pediatric Health Care. She has presented at national and international conferences and is the author of nearly 60 publications.
Before joining the faculty at NYU, she was a faculty member at Yale University, Quinnipiac University, and the University of Connecticut.
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PhD, University of Connecticut School of NursingMSN, Yale University School of NursingMPH, Yale University School of Public HealthBA, Barnard College
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PediatricGlobal
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National Association of Pediatric Nurse PractitionersAmerican Academy of Nurse PractitionersSigma Theta Tau InternationalAmerican Nurses Association
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Faculty Honors Awards
Fellow, Alliance of Nurses for a Healthy Environment (2019)Henry K. Silver Memorial Award, National Association of Pediatric Nurse Practitioners (2017)Fellow, American Academy of Nursing (2014)Practice Innovation Poster Award at the National Association of Pediatric Nurse Practitioner’s Conference, Baltimore, MD. (2011)Nightingale Award for Excellence in Nursing (2009)University of Connecticut’s 40 Under 40 Outstanding Graduates, Storrs, CT (2008)Service Excellence Award, Yale-New Haven Hospital, New Haven, CT (2007)Mary E. Mahoney Award for Excellence, Southern Connecticut Black Nurses Association, Wallingford, CT (2007)Fellow, National Association of Pediatric Nurse Practitioners (1998)Induction Sigma Theta Tau, Delta Mu Chapter, International Honor Society for Nurses (1996) -
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Publications
An overview and policy implications of national nurse identifier systems: A call for unity and integration
AbstractChan, G. K., Cummins, M. R., Taylor, C. S., Rambur, B., Auerbach, D. I., Meadows-Oliver, M., Cooke, C., Turek, E. A., & Pittman, P. (Polly). (2023). Nursing Outlook, 71(2). 10.1016/j.outlook.2022.10.005AbstractThere is a clear and growing need to be able record and track the contributions of individual registered nurses (RNs) to patient care and patient care outcomes in the US and also understand the state of the nursing workforce. The National Academies of Sciences, Engineering, and Medicine report, The Future of Nursing 2020–2030: Charting a Path to Achieve Health Equity (2021), identified the need to track nurses’ collective and individual contributions to patient care outcomes. This capability depends upon the adoption of a unique nurse identifier and its implementation within electronic health records. Additionally, there is a need to understand the nature and characteristics of the overall nursing workforce including supply and demand, turnover, attrition, credentialing, and geographic areas of practice. This need for data to support workforce studies and planning is dependent upon comprehensive databases describing the nursing workforce, with unique nurse identification to support linkage across data sources. There are two existing national nurse identifiers– the National Provider Identifier and the National Council of State Boards of Nursing Identifier. This article provides an overview of these two national nurse identifiers; reviews three databases that are not nurse specific to understand lessons learned in the development of those databases; and discusses the ethical, legal, social, diversity, equity, and inclusion implications of a unique nurse identifier.Cultural Influences on Child and Adolescent Mental Health
AbstractYearwood, E. L., & Meadows-Oliver, M. (2021). In Child and Adolescent Behavioral Health: Needs of Immigrant, Refugee, Displaced, and Culturally Vulnerable Youth (1–, pp. 512-525). Wiley. 10.1002/9781119487593.ch30AbstractDiscussion of culture is complex and, within a mental health context, may prove to be complicated and controversial. This chapter defines culture, acculturation, and marginalization, explores cultural factors that advanced practice registered nurses (APRNs) must understand. It addresses the complex needs of immigrant, refugee, displaced, and culturally vulnerable youth living in challenging in country environments or who are crossing numerous global geographic boundaries. Cultural factors have an impact on the mental/behavioral health of immigrant and refugee children and the children of immigrant parents. The chapter also includes practice, education, and research implications along with recommendations for APRNs working with immigrant, refugee, displaced, and culturally vulnerable populations, and concludes with a case exemplar to illustrate key considerations.Mood Dysregulation Disorders
AbstractMeadows-Oliver, M., & Yearwood, E. L. (2021). In Child and Adolescent Behavioral Health (1–, pp. 184-206). Wiley. 10.1002/9781119487593.ch12AbstractPediatric bipolar, now more commonly referred to as disruptive mood dysregulation disorder (DMDD), is estimated to impact between 0.8% and 4.3% of youth. This chapter describes the symptoms, etiology, and management of mood dysregulation in children and adolescents with a focus on depression, DMDD, persistent depressive disorder, and persistent mood disorder. Additionally, the NIMH researched severe mood dysregulation disorder descriptors are presented. Associated risk factors, screening and assessment tools for use in primary care, evidence-based management strategies, roles for the advanced practice registered nurse (APRN), consequences of untreated mood dysregulation disorders, and implications for conducting and using nursing research in practice with this population are also presented. The chapter differentiates between the roles and responsibilities of primary care practitioners and child and adolescent psychiatric-mental health APRNs in managing the range of mood dysregulation disorders in children and adolescents.Value-based payment what does it mean for nurses?
AbstractPittman, P., Rambur, B., Birch, S., Chan, G. K., Cooke, C., Cummins, M., Leners, C., Low, L. K., Meadows-Oliver, M., Shattell, M., Taylor, C., & Trautman, D. (2021). Nursing Administration Quarterly, 45(3), 179-186. 10.1097/NAQ.0000000000000482AbstractAmong the many lessons that have been reinforced by the SARS-COVID-19 pandemic is the failure of our current fee-for-service health care system to either adequately respond to patient needs or offer financial sustainability. This has enhanced bipartisan interest in moving forward with value-based payment reforms. Nurses have a rich history of innovative care models that speak to their potential centrality in delivery system reforms. However, deficits in terms of educational preparation, and in some cases resistance, to considering cost alongside quality, has hindered the profession’s contribution to the conversation about value-based payments and their implications for system change. Addressing this deficit will allow nurses to more fully engage in redesigning health care to better serve the physical, emotional, and economic well-being of this nation. It also has the potential to unleash nurses from the tethers of a fee-for-service system where they have been relegated to a labor cost and firmly locate nurses in a value-generating role. Nurse administrators and educators bear the responsibility for preparing nurses for this next chapter of nursingWhite Paper: Recognizing Child Trafficking as a Critical Emerging Health Threat
AbstractPeck, J. L., Meadows-Oliver, M., Hays, S. M., & Maaks, D. G. (2021). Journal of Pediatric Health Care, 35(3), 260-269. 10.1016/j.pedhc.2020.01.005AbstractHuman trafficking is a pandemic human rights violation with an emerging paradigm shift that reframes an issue traditionally seen through a criminal justice lens to that of a public health crisis, particularly for children. Children and adolescents who are trafficked or are at risk for trafficking should receive evidence-based, trauma-informed, and culturally responsive care from trained health care providers (HCPs). The purpose of this article was to engage and equip pediatric HCPs to respond effectively to human trafficking in the clinical setting, improving health outcomes for affected and at-risk children. Pediatric HCPs are ideally positioned to intervene and advocate for children with health disparities and vulnerability to trafficking in a broad spectrum of care settings and to optimize equitable health outcomes.Prevalence of asthma at a school-based health clinic in Nicaragua
AbstractBanasiak, N. C., & Meadows-Oliver, M. (2020). Journal for Specialists in Pediatric Nursing, 25(3). 10.1111/jspn.12289AbstractBackground: Worldwide, it is estimated that 235-334 million people have been diagnosed with asthma. In Nicaragua, the current asthma rate for children 13–14 years of age was 15.2%. Purpose: The purpose of this study was to determine the prevalence of asthma at this school-based health clinic in Managua, Nicaragua, associated symptoms or diseases, determine asthma classification, medications, and hospitalization rates. Methods: A retrospective chart review was performed on all pediatric patient's medical records seen in the clinic during a 5-day period (n = 105). Results: A total of 23 patients (21.9%) had asthma documented in the medical chart and were included in the analysis. Of the 23 patients, 3 (13%) patients were classified with intermittent asthma while the rest of the patients (87%) were not classified. Albuterol was prescribed for 19 (86%) of the patients with two patients who had both albuterol and QVAR® prescribed. Six (26%) patients had a family history of asthma. Discussion: This study demonstrated the prevalence of asthma in school-aged children in Nicaragua is significant and higher than previously reported. The lack of a classification of asthma prevents patients from potentially being treated appropriately.Clinical Outcomes of a Pediatric Asthma Outreach Program
AbstractSwartz, M. K., & Meadows-Oliver, M. (2019). Journal for Nurse Practitioners, 15(6), e119-e121. 10.1016/j.nurpra.2019.01.012AbstractThis clinical pilot research project evaluated clinical outcomes for asthmatic children enrolled in a home-based Asthma Outreach Program. Through a quasi-experimental single-group intervention design, a convenience sample of 37 children, ranging in age from 6 to 16 years, was used for this study. At 6 months after enrollment in the Asthma Outreach Program, patients reported significantly fewer nighttime symptoms and primary care provider visits compared with the 6 months preceding enrollment. Patients also reported significantly fewer hospital and intensive care unit admissions and courses of oral steroids. Adherence to therapy and asthma control was also significantly improved.Human Trafficking of Children: Nurse Practitioner Knowledge, Beliefs, and Experience Supporting the Development of a Practice Guideline: Part One
AbstractPeck, J. L., & Meadows-Oliver, M. (2019). Journal of Pediatric Health Care, 33(5), 603-611. 10.1016/j.pedhc.2019.05.006AbstractIntroduction: Up to 87% of trafficking victims encounter a health care provider while being trafficked but are not recognized as victims. Most health care providers receive little or no training, and awareness remains low. To describe the knowledge, beliefs, and attitudes of pediatric advanced practice registered nurses about human trafficking. Method: A survey of the National Association of Pediatric Nurse Practitioners membership (n = 8,647) before the intervention measured knowledge, beliefs, and experience regarding child trafficking. An awareness campaign was implemented with continuing education, national media presence, Train the Trainer programs, and creation of a nonprofit organization to direct strategic initiatives. Results: Overall, 799 (9%) NAPNAP members completed the survey. Although 87% believed it possible that they might encounter a victim of trafficking in their practice, 35% were unsure if they had provided care for a victim. Only 24% reported confidence in their ability to identify a child at risk for trafficking. Discussion: These survey findings indicate the need for clinical practice guidelines to identify potential and actual victims of human trafficking. Pediatric advanced practice registered nurses are ideally equipped and situated to intervene on behalf of vulnerable children with health disparities in a myriad of care settings, advocating for prevention and optimization of equitable health outcomes.Evaluating asthma websites using the brief DISCERN instrument
AbstractBanasiak, N. C., & Meadows-Oliver, M. (2017). Journal of Asthma and Allergy, 10, 191-196. 10.2147/JAA.S133536AbstractPurpose: The primary purpose of this study was to examine the quality of sponsored and unsponsored asthma websites using the Brief DISCERN instrument and to evaluate whether the Health On the Net Code of Conduct (HONcode) logo was present, thereby indicating that the site met the criteria. The Internet is an important source of health information for patients and their families. The primary purpose of this study was to examine the quality of sponsored and unsupported asthma websites. A secondary aim was to determine the readability and reading ease of the materials for each website along with the grade level. Methods: We queried seven Internet search engines using the keyword “asthma.” The websites were evaluated using the six-item Brief DISCERN instrument and by ascertaining whether the HON code quality label was present. The websites were also evaluated for readability employing Flesch-Kincaid grade level and Flesch reading ease tools using Microsoft Office Word 2013 software. Results: A total of 22 unique websites were included in the study. Approximately 68% of the websites reviewed had a Brief DISCERN cutoff score of ≥16. The overall Brief DISCERN scores ranged from 6 to 30, and the mean score was 17.32 (SD = 6.71). The Flesch-Kincaid grade level scores ranged from 2.9 to 15.4, and the average reading grade score was 9.49 (SD = 2.7). The Flesch reading ease scores ranged from 17 to 82.7, with a mean reading ease score of 53.57 (SD = 15.03). Sites with a HONcode quality label had significantly higher Brief DISCERN scores than those without one (t=2.3795; df=20; p=0.02). Conclusion: Brief DISCERN scores revealed that there is quality asthma information for children and their families available on the Internet. The grade level ranged between 2.9 and 15.4 among the websites. However, the mean grade level scores were 9.3-9.89, which is high for the average consumer. Access to accurate information via the Internet, with appropriate readability, may enable pediatric asthma patients and their caregivers to better control and manage asthma."Having a Baby Changes Everything" Reflective Functioning in Pregnant Adolescents
AbstractSadler, L. S., Novick, G., & Meadows-Oliver, M. (2016). Journal of Pediatric Nursing, 31(3), e219-e231. 10.1016/j.pedn.2015.11.011AbstractReflective functioning (RF), the capacity to envision thoughts, feelings, needs and intentions within the self and others, is thought to be central to sensitive parenting, yet this capacity has been unexamined among pregnant adolescents. We explored how RF was related to the emotional experience of adolescent pregnancy. Design and Methods: This qualitative study was guided by interpretive description. Participants were 30 Latina and African-American adolescents (mean age 17.7 + 1.5 years) residing in a low-income urban community. All adolescents were interviewed with the Pregnancy Interview (a 22 question semi-structured interview) in their third trimester of pregnancy. Interview transcripts had been previously coded for levels of RF (1-9 with higher levels denoting higher reflectiveness), and this secondary analysis focused on the teens' experience of pregnancy and their emerging reflective capacities. We used a priori and inductive coding with all interviews and developed patterns and themes. Results: These interviews provided an in-depth understanding of the complex adolescent emotional experiences of pregnancy. We identified five themes that create a picture of how the participants reflected upon their pregnancies, unborn babies, emerging parental roles, and complicated relationships with family and partners. Conclusions and Practice Implications: Adolescent developmental issues and harsh family and neighborhood environments permeated the teens' experience of pregnancy and limited capacity for RF. Understanding distinctive features of RF in pregnant adolescents may contribute to developing conceptual models and tailored clinical approaches for enhancing parental reflectiveness and sensitivity in these vulnerable young women as they enter into the transition to parenthood.