Stacen Keating headshot

Stacen Keating

Clinical Assistant Professor

1 212 998 5382

433 First Avenue
Room 433
New York, NY 10010
United States

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Psychometric testing of the immigrant Barriers to Health Care Scale: Hispanic Version

Keating, S., Carlson, B., Jimenez, S., Estrada, J., Gastelum, B., Romero, T., & Riegel, B. (2009). Nursing and Health Sciences, 11(3), 235-243. 10.1111/j.1442-2018.2009.00446.x
Barriers to care contribute to health inequities for immigrant populations. Although inadequate health insurance is a known barrier, other factors impact the issue. Few instruments exist to specifically measure these other barriers. The purpose of this study was to test the Immigrant Barriers to Health Care Scale - Hispanic Version. It was first pilot-tested in southern California with a Mexican population. After refinement, the instrument was tested in a north-eastern sample of diverse Hispanic adults. The data were analyzed using exploratory factor analysis. Factor loadings and communalities were used to assess the adequacy of the scale's items. Six items were deleted due to ambiguous factor loadings. The final 11 items loaded onto four factors and explained 54.58% of the variance. The coefficient alpha was 0.81 for the instrument. The Immigrant Barriers to Health Care Scale is a reliable and valid tool. Its further use and reporting with other socially and economically disadvantaged groups is advised.

Translating research into practice: Transitional care for older adults

Naylor, M. D., Feldman, P. H., Keating, S., Koren, M. J., Kurtzman, E. T., MacCoy, M. C., & Krakauer, R. (2009). Journal of Evaluation in Clinical Practice, 15(6), 1164-1170. 10.1111/j.1365-2753.2009.01308.x
Rationale Over the last decade, in order to close the safety and health care quality chasm, there has been a growing imperative to translate evidence-based research into practice. Aims and Objectives This study examines the major facilitators and barriers of implementing in a large US insurance organization - Aetna Corporation - an evidence-based model of care, the Transitional Care Model, which has been rigorously tested over the past twenty years by a multidisciplinary team at the University of Pennsylvania. Methods Semi-structured interviews of 19 project leaders, case managers, and transitional care nurses were conducted during two phases of translation - start-up and roll out. Qualitative analysis was used to identify more than a dozen key barriers to and facilitators of translation in these two critical phases. Results Six facilitators and seven barriers that are consistent with the literature were identified during and categorized as either start-up or roll-out. Conclusion The combined results have important practical implications for other, subsequent translational efforts and for assisting providers, policy makers, payers, and other change agents in integrating evidence-based practice with "real world" management.

Transitional care

Naylor, M., & Keating, S. A. (2008). Journal of Social Work Education, 44, 65-73. 10.5175/JSWE.2008.773247714

Transitional care

Naylor, M., & Keating, S. A. (2008). American Journal of Nursing, 108(9), 58-63. 10.1097/01.NAJ.0000336420.34946.3a
This item contains this abstract: Moving patients from one care setting to another.