Mikki Meadows-Oliver

Faculty

Mikki Meadows-Oliver

Mikki Meadows-Oliver

FAAN PhD RN

Clinical Professor

1 212 998 5376

433 First Avenue
New York, NY 10010
United States

Mikki Meadows-Oliver's additional information

Mikki Meadows-Oliver, PhD, RN, FAAN is Clinical Professor at NYU Rory Meyers College of Nursing. She is a certified pediatric nurse practitioner with over 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. Dr. 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. 

Dr. 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.

Prior to joining the faculty at NYU, Dr. Meadows-Oliver was a faculty member at Yale University, Quinnipiac University and the University of Connecticut. She has held clinical positions at Yale-New Haven Hospital and The Hospital of St. Rafael in New Haven, CT. Her current clinical practice is Choate Rosemary Hall in Wallingford, CT.

Dr. Meadows-Oliver received her PhD in Nursing from the University of Connecticut. She received dual Masters degrees in Nursing and Public Health from Yale University and a bachelor’s degree from Barnard College, Columbia University. Dr. Meadows-Oliver is a veteran of the United States Army Reserve.

PhD, University of Connecticut School of Nursing
MSN, Yale University School of Nursing
MPH, Yale University School of Public Health
BA, Barnard College

Pediatric
Global

National Association of Pediatric Nurse Practitioners
American Academy of Nurse Practitioners
Sigma Theta Tau International
American Nurses Association

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)
Mary E. Mahoney Award for Excellence, Southern Connecticut Black Nurses Association, Wallingford, CT (2007)
Service Excellence Award, Yale-New Haven Hospital, New Haven, CT (2007)
Fellow, National Association of Pediatric Nurse Practitioners (1998)
Induction Sigma Theta Tau, Delta Mu Chapter, International Honor Society for Nurses (1996)

Publications

Prevalence of asthma at a school-based health clinic in Nicaragua

Banasiak, N. C., & Meadows-Oliver, M. (2020). Journal for Specialists in Pediatric Nursing, 25(3). 10.1111/jspn.12289
Abstract
Abstract
Background: 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.

White Paper: Recognizing Child Trafficking as a Critical Emerging Health Threat

Peck, J. L., Meadows-Oliver, M., Hays, S. M., & Maaks, D. G. (2020). Journal of Pediatric Health Care. 10.1016/j.pedhc.2020.01.005
Abstract
Abstract
Human 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.

Clinical Outcomes of a Pediatric Asthma Outreach Program

Swartz, M. K., & Meadows-Oliver, M. (2019). Journal for Nurse Practitioners, 15(6), e119-e121. 10.1016/j.nurpra.2019.01.012
Abstract
Abstract
This 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

Peck, J. L., & Meadows-Oliver, M. (2019). Journal of Pediatric Health Care, 33(5), 603-611. 10.1016/j.pedhc.2019.05.006
Abstract
Abstract
Introduction: 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

Banasiak, N. C., & Meadows-Oliver, M. (2017). Journal of Asthma and Allergy, 10, 191-196. 10.2147/JAA.S133536
Abstract
Abstract
Purpose: 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

Sadler, L. S., Novick, G., & Meadows-Oliver, M. (2016). Journal of Pediatric Nursing, 31(3), e219-e231. 10.1016/j.pedn.2015.11.011
Abstract
Abstract
Reflective 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.

Governing NAPNAP

Meadows-Oliver, M. (2014). Journal of Pediatric Health Care, 28(1), 3. 10.1016/j.pedhc.2013.09.006

Transitions

Mikki, M. O. (2014). Journal of Pediatric Health Care, 28(3), 197.

Expanded back to sleep guidelines

Meadows-Oliver, M., & Hendrie, J. (2013). Pediatric Nursing, 39(1), 40-42+49.

Mood Dysregulation Disorders

Yearwood, E. L., & Meadows-Oliver, M. (2013). In Child and Adolescent Behavioral Health (pp. 165-186). John Wiley and Sons. 10.1002/9781118704660.ch9