Victoria Vaughan Dickson

Faculty

Victoria Vaughan Dickson

Victoria Vaughan Dickson

FAAN FAHA FHFSA PhD RN

Dr. John W. Rowe Professor in Successful Aging
Assistant Dean, Research Innovation
Director, Pless Center for Research

1 215 704 7223

433 FIRST AVENUE
NEW YORK, NY 10010
United States

Victoria Vaughan Dickson's additional information

Victoria Vaughan Dickson, PhD, RN, FAHA, FHFSA, FAAN, is the John W. Rowe Professor in Successful Aging, Assistant Dean, Research Innovation, and Director of the Pless Center for Nursing Research at Rory Meyers College of Nursing. With extensive clinical and research experience in cardiovascular and occupational health nursing, her research program focuses on investigating the bio-behavioral influences on self-care in patients with cardiovascular disease risk, coronary heart disease, heart failure, and multiple comorbidities. Her work has led to an improved understanding of the sociocultural influences of self-care among vulnerable populations, including ethnic minority groups, women, and older workers; and the development of innovative theory-based interventions. Dickson is recognized as an international expert in qualitative research techniques, mixed methods research, and has conducted training for interdisciplinary teams locally, nationally, and internationally. 

Prof. Dickson is dedicated to building research capacity across disciplines and advancing nursing science that impacts policy and clinical care. Currently, Dickson serves as PI and program director of the NIOSH-funded doctoral training program in occupational and environmental health nursing, PI of the NHLBI- funded Research Education in Cardiovascular Conditions program, co-PI of the NINR-funded NYU Meyers P20 Exploratory Center for Precision Health in Diverse Populations and KL2 co-director and co-investigator of the NCATS-funded NYU CTSI. In addition, she is a co-investigator on numerous team science initiatives focused on multiple chronic conditions.  

Prof. Dickson has been recognized with numerous awards for her research and leadership including the STTI Nurse Researcher Hall of Fame (2019), HFSA Nursing Research Leadership award (2021), and ENRS Leadership Award (2020). She is a fellow in the American Academy of Nursing (2014), American Heart Association (2011), Heart Failure Society of America (2016), and New York Academy of Medicine (2018). Dickson is the editor of the Journal of Cardiovascular Nursing.  

Prof. Dickson holds a clinical appointment as an advanced practice nurse in the division of cardiology at NYU Langone Health and Bellevue Hospital. She earned her PhD and MSN from the University of Pennsylvania and BSN from Temple University.

PhD - University of Pennsylvania
MSN - University of Pennsylvania
BSN - Temple University

Non-communicable disease
Cardiology
Gerontology

American Academy of Nurse Practitioners
American Academy of Nursing
American Association of Occupational Health Nurses
American Heart Association
American Nurses Association
Council on the Advancement of Nursing
Eastern Nursing Research Society
European Society of Cardiology
Gerontological Society of America
Heart Failure Society of America
New York Academy of Medicine
New York Nurse Practitioners Association
Sigma Theta Tau, XI Chapter
Sigma Theta Tua International Honor Society

Faculty Honors Awards

Nursing Research Leadership Award, HFSA (2021)
Leadership Award, ENRS (2021)
Nurse Researcher Hall of Fame, STTI (2019)
Associate Editor, Cardiovascular Nursing (2018)
Fellow, New York Academy of Medicine (2018)
President-Elect, Eastern Nursing Research Society (2018)
Spirit of Nursing Award, University of Massachusetts (2017)
President-Elect, Eastern Nursing Research Society (2017)
President-Elect, Eastern Nursing Research Society (2016)
Associate Editor to Circulation, Cardiovascular Quality & Outcomes (2016)
Fellow, Heart Failure Society of America (2016)
PhD Faculty Excellence Award, NYU (2014)
Fellow, American Academy of Nursing (2014)
Springer Publishing Company Award (2014)
Research Award, ENRS Rising Star (2012)
Fellow, American Heart Association Fuchs-Schoeck Research (2012)
Fellow, American Heart Association (2011)
Minority Aging Research and Community Health Scholar, University of Pennsylvania (2011)
Nursing and Allied Health Professional Award, European Society of Cardiology (2011)
Fellow, Brookdale Foundation Leadership in Aging (2010)
Reviewer of the Year, Journal of Cardiovascular Nursing (2009)
Nursing Research Award, Heart Failure Society of America (2007)
Martha Hill New Investigator Award, American Heart Association (2007)
Student Award, University of Pennsylvania (2007)
Research Award, American Association of Occupational Health Nurses (2006)

Publications

Self-management for adult patients with cancer an integrative review : An integrative review

Vaughan Dickson, V., Hammer, M. J., Ercolano, E. A., Wright, F., Dickson, V. V., Chyun, D., & Melkus, G. D. (2015). (Vols. 38, Issues 2, pp. E10-E26). 10.1097/NCC.0000000000000122
Abstract
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Background: Individuals with cancer are surviving long term, categorizing cancer asa a chronic condition, and with it, numerous healthcare challenges. Symptoms, in particular, can be burdensome and occur from prediagnosis through many years after treatment. Symptom severity is inversely associated with functional status and quality of life. Objective: Management of these millions of survivors of cancer in a stressed healthcare system necessitates effective self-care strategies. The purpose of this integrative review is to evaluate intervention studies led by nurse principal investigators for self-care management in patients with cancer. Methods: PubMed, CINAHL (Cumulative Index to Nursing and Allied health Literature), and the Cochrane Database were searched from January 2000 through August 2012. Search terms included "symptom management and cancer," "self-management and cancer," and "self-care and cancer." All articles for consideration included intervention studies with a nurse as the primary principal investigator. Results: Forty-six articles were included yielding 3 intervention areas of educational and/or counseling sessions, exercise, and complementary and alternative therapies. Outcomes were predominately symptom focused and often included functional status and quality of life. Few studies had objective measures. Overarching themes were mitigation, but not prevention or elimination of symptoms, and improved quality of life related to functional status. No one intervention was superior to another for any given outcome. Conclusions: Current interventions that direct patients in self-care management of symptoms and associated challenges with cancer/survivorship are helpful, but incomplete. No one intervention can be recommended over another. Implications for Practice: Guiding patients with cancer in self-care management is important for overall functional status and quality of life. Further investigation and tailored interventions are warranted.

Self-management for adult patients with cancer: : an integrative review

Vaughan Dickson, V. (2015). (Vols. 38, Issues 2, pp. E10-26). 10.1097/NCC.0000000000000122
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PubMed PMID: 25692736

Situation-specific theory of heart failure self-care : An update

Riegel, B., Vaughan Dickson, V., & Faulkner, K. (2015).
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“I Just Can’t Do It Anymore” Patterns of Physical Activity and Cardiac Rehabilitation in African Americans with Heart Failure : A Mixed Method Study

Vaughan Dickson, V., McCarthy, M., Katz, S. D., Schipper, J., & Dickson, V. V. (2015). (Vols. 3, Issues 4, pp. 973-986). 10.3390/healthcare3040973
Abstract
Abstract
Physical activity and cardiac rehabilitation (CR) are components of heart failure (HF) self-care. The aims of this study were to describe patterns of physical activity in African Americans (n = 30) with HF and to explore experience in CR. This was a mixed method, concurrent nested, predominantly qualitative study. Qualitative data were collected via interviews exploring typical physical activity, and CR experience. It was augmented by quantitative data measuring HF severity, self-care, functional capacity and depressive symptoms. Mean age was 60 ± 15 years; 65% were New York Heart Association (NYHA) class III HF. Forty-three percent reported that they did less than 30 min of exercise in the past week; 23% were told “nothing” about exercise by their provider, and 53% were told to do “minimal exercise”. A measure of functional capacity indicated the ability to do moderate activity. Two related themes stemmed from the narratives describing current physical activity: “given up” and “still trying”. Six participants recalled referral to CR with one person participating. There was high concordance between qualitative and quantitative data, and evidence that depression may play a role in low levels of physical activity. Findings highlight the need for strategies to increase adherence to current physical activity guidelines in this older minority population with HF.

Building skill in heart failure self-care among community dwelling older adults : Results of a pilot study

Vaughan Dickson, V., Dickson, V. V., Melkus, G. D., Katz, S., Levine-Wong, A., Dillworth, J., Cleland, C. M., & Riegel, B. (2014). (Vols. 96, Issues 2, pp. 188-196). 10.1016/j.pec.2014.04.018
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Objective: Most of the day-to-day care for heart failure (HF) is done by the patient at home and requires skill in self-care. In this randomized controlled trial (RCT) we tested the efficacy of a community-based skill-building intervention on HF self-care, knowledge and health-related quality of life (HRQL) at 1- and 3-months. Methods: An ethnically diverse sample (n=75) of patients with HF (53% female; 32% Hispanic, 27% Black; mean age 69.9. ±. 10 years) was randomized to the intervention group (IG) or a wait-list control group (CG). The protocol intervention focused on tactical and situational HF self-care skill development delivered by lay health educators in community senior centers. Data were analyzed using mixed (between-within subjects) ANOVA. Results: There was a significant improvement in self-care maintenance [. F(2,. 47)=3.42, p=.04, (Cohen's f=.38)], self-care management [. F(2,. 41)=4.10, p=.02, (Cohen's f=.45) and HF knowledge [. F(2,. 53)=8.00, p=.001 (Cohen's f=.54)] in the IG compared to the CG. Conclusions: The skill-building intervention improved self-care and knowledge but not HRQL in this community-dwelling sample. Practice implications: Delivering an intervention in a community setting using lay health educators provides an alternative to clinic- or home-based teaching that may be useful across diverse populations and geographically varied settings.

Factors Influencing RNs' Perceptions of Quality Geriatric Care in Rural Hospitals

Vaughan Dickson, V., Cline, D. D., Dickson, V. V., Kovner, C. T., Boltz, M., Kolanowski, A., & Capezuti, E. (2014). (Vols. 36, Issues 6, pp. 748-768). 10.1177/0193945913513505
Abstract
Abstract
The rapidly aging population and their frequent use of hospital services will create substantial quality challenges in the near future. Redesigning rural hospital work environments is the key to improving the quality of care for older adults. This study explored how the work environment influences registered nurses' (RNs') perceived quality of geriatric care in rural hospitals. We used an exploratory mixed-methods research design emphasizing the qualitative data (in-depth, semi-structured interviews). Quantitative data (questionnaire) measuring the RN work environment were also collected to augment qualitative data. Four themes emerged: (a) collegial RN relationships, (b) poor staffing/utilization, (c) technology benefits/challenges, and (d) RN-physician interactions, which were identified as key factors influencing the quality of geriatric care. We concluded that rural hospital work environments may not be optimized to facilitate the delivery of quality geriatric care. Targeted interventions are needed to improve overall quality of care for hospitalized older adults in rural settings.

Improving heart failure self-care through a community-based skill-building intervention : A study protocol

Vaughan Dickson, V., Dickson, V. V., Melkus, G. D., Dorsen, C., Katz, S., & Riegel, B. (2014). (Vols. 30, Issues 4, pp. S14-S24). 10.1097/JCN.0000000000000161
Abstract
Abstract
Background: Self-care is the cornerstone of heart failure (HF) management. Numerous approaches to improving HF self-care, which involves adherence to the treatment plan, routine symptom monitoring, and the response to symptoms when they occur, have been developed with little impact on HF outcomes. On the basis of HF practice recommendations that patients receive education and counseling that emphasizes self-care and targets skill building of critical target behaviors, we are conducting a clinical trial designed to improve self-care among community-dwelling older adults using an innovative group-based, skill-building approach led by a trained health educator. Objective: This article describes the study design and research methods used to implement and evaluate the intervention. Methods: The study uses a staggered randomized controlled design to assess feasibility of providing an HF self-care intervention in a community group setting to improve HF self-care, knowledge, and health-related quality of life at 1 and 3 months. A community engagement approach is used to partner with the community throughout all phases of the project. Seventy-five older adults with HF are randomly assigned to the intervention consisting of six to eight 60-minute sessions held in community senior centers or to the wait-list control group. Focus groups are used to elicit feedback on the participants' experience in the program. Results: Preliminary study participation data (n = 60; women, 48%; black, 27%; Hispanic, 32%; mean [SD] age, 70 [10] years) and focus group feedback suggest that the delivery approach is feasible and acceptable, and the participants are very satisfied with the program. Conclusions: Implementation of a community-based HF self-care intervention delivered in partnership with established community-based centers is an innovative approach to intervention. If efficacy is demonstrated, this intervention has far-reaching implications for helping the growing population of HF patients in ethnically diverse communities.

Nurses' knowledge of geriatric nursing care in Canadian NICHE hospitals

Wagner, L., Vaughan Dickson, V., Shuluk, J., Richards, J., Fox, M., & Capezuti, E. (2014). (Vols. 36, Issues 3).
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Cardiovascular disease self-care interventions

Vaughan Dickson, V., Nocella, J., Yoon, H., Hammer, M., Melkus, G. D., & Chyun, D. (2013).
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The conceptualization and measurement of comorbidity : A review of the interprofessional discourse

Meghani, S., Buck, H., Vaughan Dickson, V., Hammer, M., Clark, R., Rabelo-Silva, E., & Naylor, M. (2013).
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