- Professional overview
Dr. S. Raquel Ramos is an Assistant Professor of Nursing. She received her BSN, MBA in management, and MSN as a family nurse practitioner from Purdue University. She obtained her PhD from Columbia University and was a postdoctoral fellow at the Yale University School of Nursing. Dr. Ramos is a Research Education Institute for Diverse Scholars (REIDS) fellow at the Center for Interdisciplinary Research on AIDS at Yale University.
Dr. Ramos is a board-certified family nurse practitioner with over a decade of direct patient-care nursing experience. This includes medical and cardiac ICU, cardiac catheterization lab, intermediate cardiac care, long-term care, LGBT community health, and clinical research nursing. She is a certified HIV testing counselor.
Using technology utilization and user-centric approaches, Dr. Ramos’ research focuses on improving the decision-making abilities and subsequent health outcomes of young adult MSM persons living with HIV and young adult MSM at high-risk of obtaining HIV. As part of her dissertation, user-centric techniques facilitated the design of a user interface to help patients at a HIV clinic make more informed decisions about consenting to electronically share their health records. As a postdoctoral fellow, Dr. Ramos was awarded a NIH administrative supplemental grant and traveled to Ghana to explore how literacy and numeracy influenced the decision-making abilities of Ghanaian caregivers of children living with HIV. Recently, she was awarded NIH pilot funding to design and test an intervention with young adult MSM at high-risk of HIV in Bridgeport, New Haven, and Hartford, Connecticut.
Ivy Tech State College - Technical Certificate Licensed Practical NursingIvy Tech State College - Associate of Science, Registered NursingPurdue University - Bachelor of Science, Registered NursingPurdue University - Master of Business Administration, ManagementPurdue University - Master of Science, Family Nurse PractitionerColumbia University - Doctor of Philosophy
- Honors and awards
40 Under 40 Leader in Minority Health - The National Minority Quality Forum (2016)
HIV/AIDSTechnologyLGBTQVulnerable & marginalized populations
- Professional membership
Association of Nurses in AIDS Care (ANAC)American Medical Informatics Association (AMIA)American Nurses Credentialing Center (ANCC)Eastern Nursing Research Society (ENRS)Sigma Theta Tau International (STTI)National Research Mentoring Network (NRMN)
User-Centered Design, Experience, and Usability of an Electronic Consent User Interface to Facilitate Informed Decision-Making in an HIV Clinic.Ramos, S. R. (2017). Computers, informatics, nursing : CIN 35, (556-564). 10.1097/CIN.0000000000000356
Health information exchange is the electronic accessibility and transferability of patient medical records across various healthcare settings and providers. In some states, patients have to formally give consent to allow their medical records to be electronically shared. The purpose of this study was to apply a novel user-centered, multistep, multiframework approach to design and test an electronic consent user interface, so patients with HIV can make more informed decisions about electronically sharing their health information. This study consisted of two steps. Step 1 was a cross-sectional, descriptive, qualitative study that used user-centric design interviews to create the user interface. This informed Step 2. Step 2 consisted of a one group posttest to examine perceptions of usefulness, ease of use, preference, and comprehension of a health information exchange electronic consent user interface. More than half of the study population had college experience, but challenges remained with overall comprehension regarding consent. The user interface was not independently successful, suggesting that in addition to an electronic consent user interface, human interaction may also be necessary to address the complexities associated with consenting to electronically share health information. Comprehension is key factor in the ability to make informed decisions.
Sociotechnical Analysis of Health Information Exchange Consent Processes in an HIV Clinic.Ramos, S. R., Gordon, P., Bakken, S., & Schnall, R. (2016). The Journal of the Association of Nurses in AIDS Care : JANAC 27, (792-803). 10.1016/j.jana.2016.08.001
Federal regulations have encouraged the electronic sharing of protected health information (PHI). As an opt-in state, New York abides by an affirmative consent model where PHI is electronically shared only after written consent is obtained. The purpose of our study was to describe sociotechnical factors that influence health information exchange (HIE) consent for persons living with HIV (PLWH) at one clinic in New York City. We employed mixed methods to gather perceptions of facilitators and barriers to HIE consent. Study participants included PLWH, staff, and clinicians. The mixed-methods approach revealed multiple interruptions in clinical workflow, staff and providers' time constraints, and lack of dedicated personnel focused on HIE consent as the major barriers to HIE consent. Although there is no one strategy to resolve barriers to HIE consent, having a dedicated person was identified as the most salient factor for facilitating HIE consent.
Central trends in nursing informatics: students' reflections from International Congress on Nursing Informatics 2014 (Taipei, Taiwan).Topaz, M., Ronquillo, C., Pruinelli, L., Ramos, R., Peltonen, L. M., Siirala, E., … Badger, M. K. (2015). Computers, informatics, nursing : CIN 33, (85-9). 10.1097/CIN.0000000000000139
Qualitative study of patient consent for health information exchange in an HIV clinicRamos, S. R., & Bakken, S. (2014). Nursing Informatics (418-424).