Mary D. Naylor - Publications

Affiliations: 
University of Pennsylvania, Philadelphia, PA, United States 
Area:
Nursing, Social Psychology, Mental Health

148 high-probability publications. We are testing a new system for linking publications to authors. You can help! If you notice any inaccuracies, please sign in and mark papers as correct or incorrect matches. If you identify any major omissions or other inaccuracies in the publication list, please let us know.

Year Citation  Score
2023 Wallace LG, Hirschman KB, Huang L, Cacchione PZ, Naylor MD. Hospitalizations, Emergency Department Visits, and Home Health Use Among Older Adults With Sensory Loss. Journal of Aging and Health. 8982643231176669. PMID 37207352 DOI: 10.1177/08982643231176669  0.324
2023 Naylor MD, Hirschman KB, Morgan B, McHugh M, Hanlon AL, Ahrens M, McCauley K, Shaid EC, Pauly MV. The study protocol to evaluate implementation of the transitional care model in four U.S. healthcare systems during the Covid-19 pandemic. Archives of Gerontology and Geriatrics. 108: 104944. PMID 36709563 DOI: 10.1016/j.archger.2023.104944  0.3
2023 Toles M, Preisser JS, Colón-Emeric C, Naylor MD, Weinberger M, Zhang Y, Hanson LC. Connect-Home transitional care from skilled nursing facilities to home: A stepped wedge, cluster randomized trial. Journal of the American Geriatrics Society. PMID 36625769 DOI: 10.1111/jgs.18218  0.442
2022 Hirschman KB, Rivera E, Sefcik JS, McCauley K, Hanlon AL, Pauly MV, Press MJ, Naylor MD. Older Adult and Family Caregiver Perspectives on Engagement in Primary Care. Journal of Gerontological Nursing. 48: 7-13. PMID 36286501 DOI: 10.3928/00989134-20221003-02  0.376
2022 Levoy K, Rivera E, McHugh M, Hanlon A, Hirschman KB, Naylor MD. Caregiver Engagement Enhances Outcomes Among Randomized Control Trials of Transitional Care Interventions: A Systematic Review and Meta-analysis. Medical Care. 60: 519-529. PMID 35679175 DOI: 10.1097/MLR.0000000000001728  0.353
2022 Travers JL, D'Arpino S, Bradway C, Kim SJ, Naylor MD. Minority Older Adults' Access to and Use of Programs of All-Inclusive Care for the Elderly. Journal of Aging & Social Policy. 1-27. PMID 35125064 DOI: 10.1080/08959420.2021.2024411  0.412
2021 Maxwell TL, Hanlon AL, Naylor MD. A Systematized Approach to Advancing the Quality of Community-Based Palliative Care. The American Journal of Hospice & Palliative Care. 10499091211065173. PMID 34961345 DOI: 10.1177/10499091211065173  0.384
2021 Naylor MD, Hirschman KB, McCauley K, Shaid E, Hanlon AL, Whitehouse CR, Ghosh A, Brown R, Sullivan B, Pauly MV. MIRROR-TCM: Multisite replication of a randomized controlled trial - Transitional care model. Contemporary Clinical Trials. 106620. PMID 34785306 DOI: 10.1016/j.cct.2021.106620  0.454
2021 Giordano NA, Compton P, Joseph PV, Romano CA, Piano MR, Naylor MD. Opportunities and challenges presented by recent pedagogical innovations in doctoral nursing education. Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing. 37: 228-234. PMID 33674100 DOI: 10.1016/J.Profnurs.2020.09.003  0.368
2020 Keim SK, Ratcliffe SJ, Naylor MD, Bowles KH. Patient Factors Linked with Return Acute Healthcare Use in Older Adults by Discharge Disposition. Journal of the American Geriatrics Society. 68: 2279-2287. PMID 33267559 DOI: 10.1111/Jgs.16645  0.439
2020 Khan TS, Hirschman KB, McHugh MD, Naylor MD. Self-efficacy of family caregivers of older adults with cognitive impairment: A concept analysis. Nursing Forum. PMID 32888197 DOI: 10.1111/Nuf.12499  0.304
2020 Rivera E, Hirschman KB, Naylor MD. Reported Needs and Depressive Symptoms Among Older Adults Entering Long-Term Services and Supports. Innovation in Aging. 4: igaa021. PMID 32685704 DOI: 10.1093/Geroni/Igaa021  0.384
2020 Sefcik JS, Hirschman KB, Petrovsky DV, Hodgson NA, Naylor MD. Satisfaction With Outdoor Activities Among Northeastern U.S. Newly Enrolled Long-Term Services and Supports Recipients. Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society. 733464820933774. PMID 32608313 DOI: 10.1177/0733464820933774  0.362
2020 Behrens LL, Naylor MD. "We are Alone in This Battle": A Framework for a Coordinated Response to COVID-19 in Nursing Homes. Journal of Aging & Social Policy. 1-7. PMID 32497467 DOI: 10.1080/08959420.2020.1773190  0.445
2020 Naylor MD, Hirschman KB, McCauley K. Meeting the Transitional Care Needs of Older Adults with COVID-19. Journal of Aging & Social Policy. 1-9. PMID 32476586 DOI: 10.1080/08959420.2020.1773189  0.55
2020 Thompson HJ, Santacroce SJ, Pickler RH, Allen JK, Armer JM, Bakken S, Bowles KH, Conley YP, Dunbar SA, Ellington L, Grey M, Heitkemper MM, Herr KA, Lake E, McCarthy AM, ... ... Naylor MD, et al. Use of individual development plans for nurse scientist training. Nursing Outlook. PMID 32197775 DOI: 10.1016/J.Outlook.2020.01.001  0.32
2020 Travers JL, Hirschman KB, Hanlon AL, Huang L, Naylor MD. Factors Associated With Perceived Worsened Physical Health Among Older Adults Who Are Newly Enrolled Long-term Services and Supports Recipients. Inquiry : a Journal of Medical Care Organization, Provision and Financing. 57: 46958019900835. PMID 31994424 DOI: 10.1177/0046958019900835  0.381
2019 Topaz M, Naylor MD, Holmes JH, Bowles KH. Factors Affecting Patient Prioritization Decisions at Admission to Home Healthcare: A Predictive Study to Develop a Risk Screening Tool. Computers, Informatics, Nursing : Cin. PMID 31804243 DOI: 10.1097/Cin.0000000000000576  0.325
2019 Demiris G, Hodgson NA, Sefcik JS, Travers JL, McPhillips MV, Naylor MD. High-value care for older adults with complex care needs: Leveraging nurses as innovators. Nursing Outlook. PMID 31420181 DOI: 10.1016/J.Outlook.2019.06.019  0.547
2019 Hirschman KB, Toles MP, Hanlon AL, Huang L, Naylor MD. What Predicts Health Care Transitions for Older Adults Following Introduction of LTSS? Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society. 733464819833565. PMID 30819004 DOI: 10.1177/0733464819833565  0.484
2019 Greenle MM, Hirschman KB, Coburn K, Marcantonio S, Hanlon AL, Naylor M, Mauer E, Ulrich C. End-of-life Health-Care Utilization Patterns Among Chronically Ill Older Adults. The American Journal of Hospice & Palliative Care. 1049909118824962. PMID 30696252 DOI: 10.1177/1049909118824962  0.507
2019 Rivera E, Hirschman K, Naylor M. QUALITY OF LIFE AND PERCEIVED NEEDS AMONG OLDER ADULTS RECEIVING LONG-TERM SERVICES AND SUPPORTS Innovation in Aging. 3: S625-S625. DOI: 10.1093/Geroni/Igz038.2329  0.386
2019 Petrovsky DV, Hirschman KB, Brewster G, Hanlon AL, Huang L, McPhillips MV, Hodgson NA, Naylor MD. CHANGES OVER TIME IN DAYTIME SLEEPINESS AMONG OLDER ADULTS RECEIVING LONG-TERM SERVICES AND SUPPORTS Innovation in Aging. 3: S45-S46. DOI: 10.1093/Geroni/Igz038.176  0.367
2019 Sefcik JS, Hirschman K, Petrovsky DV, Hodgson N, Naylor M. SATISFACTION WITH OUTDOOR ACTIVITIES AMONG LONG-TERM SERVICES AND SUPPORTS RECIPIENTS Innovation in Aging. 3: S420-S421. DOI: 10.1093/Geroni/Igz038.1571  0.406
2018 Bowles KH, Ratcliffe SJ, Holmes JH, Keim S, Potashnik S, Flores E, Humbrecht D, Whitehouse CR, Naylor MD. Using a Decision Support Algorithm for Referrals to Post-Acute Care. Journal of the American Medical Directors Association. PMID 30414821 DOI: 10.1016/J.Jamda.2018.08.016  0.438
2018 Naylor MD, Hodgson NA, Demiris G. Changing the Care System Long Before the "End Game". Journal of the American Geriatrics Society. PMID 30302751 DOI: 10.1111/Jgs.15618  0.391
2018 Pauly MV, Hirschman KB, Hanlon AL, Huang L, Bowles KH, Bradway C, McCauley K, Naylor MD. Cost impact of the transitional care model for hospitalized cognitively impaired older adults. Journal of Comparative Effectiveness Research. PMID 30203668 DOI: 10.2217/Cer-2018-0040  0.49
2018 Naylor MD, Hirschman KB, Toles MP, Jarrín OF, Shaid E, Pauly MV. Adaptations of the evidence-based Transitional Care Model in the U.S. Social Science & Medicine (1982). 213: 28-36. PMID 30055423 DOI: 10.1016/J.Socscimed.2018.07.023  0.511
2018 Pennock MJ, Yu Z, Hirschman KB, Pepe K, Pauly MV, Naylor MD, Rouse WB. Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention. Ieee Journal of Translational Engineering in Health and Medicine. 6: 4800112. PMID 29805921 DOI: 10.1109/Jtehm.2018.2833847  0.422
2018 Tilden VP, Cox KS, Moore JE, Naylor MD. Strategic partnerships to address adverse social determinants of health: Redefining health care. Nursing Outlook. PMID 29685323 DOI: 10.1016/J.Outlook.2018.03.002  0.371
2018 Malley AM, Bourbonniere M, Naylor M. A qualitative study of older adults' and family caregivers' perspectives regarding their preoperative care transitions. Journal of Clinical Nursing. 27: 2953-2962. PMID 29633436 DOI: 10.1111/Jocn.14377  0.437
2018 Naylor M, Berlinger N. Transitional Care: A Priority for Health Care Organizational Ethics. The Hastings Center Report. S39-42. PMID 27649919 DOI: 10.1002/Hast.631  0.555
2018 Naylor MD, Hirschman KB. UNDERSTANDING FACILITATORS AND BARRIERS TO CARE TRANSITIONS: PROJECT ACHIEVE Innovation in Aging. 2: 202-202. DOI: 10.1093/Geroni/Igy023.741  0.41
2018 Travers J, Hirschman K, Naylor M. LONG-TERM SERVICES AND SUPPORTS USE (LTSS): ADAPTING A CONCEPTUAL MODEL TO INCLUDE OLDER ADULTS RECEIVING LTSS Innovation in Aging. 2: 724-724. DOI: 10.1093/Geroni/Igy023.2676  0.34
2018 Pennock MJ, Yu Z, Pepe K, Hirschman KB, Pauly MV, Naylor MD, Rouse W. BUILDING A TRANSITIONAL CARE MODEL (TCM) POLICY FLIGHT SIMULATOR Innovation in Aging. 2: 610-611. DOI: 10.1093/Geroni/Igy023.2270  0.396
2018 Hirschman KB, Yu Z, Pennock MJ, Pepe K, Rouse W, Pauly MV, Naylor MD. WHAT FACTORS ARE IMPORTANT WHEN DECIDING TO ADOPT THE EVIDENCE-BASED TRANSITIONAL CARE MODEL (TCM)? Innovation in Aging. 2: 610-610. DOI: 10.1093/Geroni/Igy023.2269  0.428
2018 Hirschman KB, Naylor MD. THE USE OF POLICY SIMULATION IN MAKING DECISIONS TO IMPLEMENT THE TRANSITIONAL CARE MODEL Innovation in Aging. 2: 610-610. DOI: 10.1093/Geroni/Igy023.2268  0.368
2017 Toles M, Colón-Emeric C, Naylor MD, Asafu-Adjei J, Hanson LC. Connect-Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers. Journal of the American Geriatrics Society. PMID 28815552 DOI: 10.1111/Jgs.15015  0.561
2017 Van Cleave JH, Egleston BL, Brosch S, Wirth E, Lawson M, Sullivan-Marx EM, Naylor MD. Policy Research Challenges in Comparing Care Models for Dual-Eligible Beneficiaries. Policy, Politics & Nursing Practice. 1527154417721909. PMID 28735567 DOI: 10.1177/1527154417721909  0.499
2017 Tisminetzky M, Bayliss EA, Magaziner JS, Allore HG, Anzuoni K, Boyd CM, Gill TM, Go AS, Greenspan SL, Hanson LR, Hornbrook MC, Kitzman DW, Larson EB, Naylor MD, Shirley BE, et al. Research Priorities to Advance the Health and Health Care of Older Adults with Multiple Chronic Conditions. Journal of the American Geriatrics Society. PMID 28555750 DOI: 10.1111/Jgs.14943  0.452
2017 Chase JD, Hirschman KB, Hanlon AL, Huang L, Bowles KH, Naylor MD. Physical Functioning Among Older Adults New to Long-Term Services and Supports. The Gerontologist. PMID 28549107 DOI: 10.1093/Geront/Gnx082  0.324
2017 O'Connor M, Hanlon A, Mauer E, Meghani S, Masterson-Creber R, Marcantonio S, Coburn K, Van Cleave J, Davitt J, Riegel B, Bowles KH, Keim S, Greenberg SA, Sefcik JS, Topaz M, ... ... Naylor M, et al. Identifying distinct risk profiles to predict adverse events among community-dwelling older adults. Geriatric Nursing (New York, N.Y.). PMID 28479081 DOI: 10.1016/J.Gerinurse.2017.03.013  0.37
2017 Naylor MD, Shaid EC, Carpenter D, Gass B, Levine C, Li J, Malley A, McCauley K, Nguyen HQ, Watson H, Brock J, Mittman B, Jack B, Mitchell S, Callicoatte B, et al. Components of Comprehensive and Effective Transitional Care. Journal of the American Geriatrics Society. PMID 28369722 DOI: 10.1111/jgs.14782  0.457
2017 Bowles K, Ratcliffe S, Holmes J, Naylor M, Whitehouse C, Keim S. DECISION SUPPORT FOR POST-ACUTE CARE REFERRALS: DEVELOPMENT AND IMPLEMENTATION Innovation in Aging. 1: 1378-1378. DOI: 10.1093/Geroni/Igx004.5072  0.409
2017 Hirschman K, Toles M, Hanlon A, Daly B, Naylor M. WHAT PREDICTS TRANSITIONS IN CARE FOR OLDER ADULTS NEW TO LONG-TERM SERVICES AND SUPPORTS? Innovation in Aging. 1: 951-951. DOI: 10.1093/Geroni/Igx004.3421  0.441
2017 Hirschman K, Toles M, Jarrin O, Shaid E, Pauly M, Naylor M. PHASE I: A QUANTITATIVE EVALUATION OF ADAPTATIONS OF THE TRANSITIONAL CARE MODEL Innovation in Aging. 1: 44-44. DOI: 10.1093/Geroni/Igx004.176  0.388
2017 Naylor M, Hirschman K, Toles M, Shaid E, McCauley K, Pauly M. ADAPTATIONS OF EVIDENCE-BASED INTERVENTIONS: THE CASE OF THE TRANSITIONAL CARE MODEL Innovation in Aging. 1: 43-44. DOI: 10.1093/Geroni/Igx004.175  0.41
2017 Naylor M, Pauly M. ADAPTATIONS OF EVIDENCE BASED TRANSITIONAL CARE MODELS IN THE U.S. Innovation in Aging. 1: 43-43. DOI: 10.1093/Geroni/Igx004.174  0.411
2016 Sefcik JS, Petrovsky D, Streur M, Toles M, O'Connor M, Ulrich CM, Marcantonio S, Coburn K, Naylor MD, Moriarty H. "In Our Corner". Clinical Nursing Research. 1054773816685746. PMID 28038504 DOI: 10.1177/1054773816685746  0.544
2016 Van Cleave JH, Egleston BL, Abbott KM, Hirschman KB, Rao A, Naylor MD. Multiple Chronic Conditions and Hospitalizations Among Recipients of Long-Term Services and Supports. Nursing Research. 65: 425-434. PMID 27801713 DOI: 10.1097/Nnr.0000000000000185  0.348
2016 Toles M, Colón-Emeric C, Naylor MD, Barroso J, Anderson RA. Transitional care in skilled nursing facilities: a multiple case study. Bmc Health Services Research. 16: 186. PMID 27184902 DOI: 10.1186/S12913-016-1427-1  0.569
2016 Naylor MD, Hirschman KB, Hanlon AL, Bowles KH, Bradway C, McCauley KM, Pauly MV. Effects of alternative interventions among hospitalized, cognitively impaired older adults. Journal of Comparative Effectiveness Research. PMID 27146416 DOI: 10.2217/Cer-2015-0009  0.32
2016 Van Cleave JH, Smith-Howell E, Naylor MD. Achieving a High-Quality Cancer Care Delivery System for Older Adults: Innovative Models of Care. Seminars in Oncology Nursing. 32: 122-33. PMID 27137469 DOI: 10.1016/J.Soncn.2016.02.006  0.503
2016 Li J, Brock J, Jack B, Mittman B, Naylor M, Sorra J, Mays G, Williams MV. Project ACHIEVE - using implementation research to guide the evaluation of transitional care effectiveness. Bmc Health Services Research. 16: 70. PMID 26896024 DOI: 10.1186/S12913-016-1312-Y  0.544
2016 Bowles KH, Ratcliffe S, Potashnik S, Topaz M, Holmes J, Shih NW, Naylor MD. Using electronic case summaries to elicit multi-disciplinary expert knowledge about referrals to post-acute care Applied Clinical Informatics. 7: 368-379. DOI: 10.4338/ACI-2015-11-RA-0161  0.328
2015 Hirschman KB, Shaid E, McCauley K, Pauly MV, Naylor MD. Continuity of Care: The Transitional Care Model. Online Journal of Issues in Nursing. 20: 1. PMID 26882510 DOI: Vol-20-2015/No3-Sept-2015/Continuity-of-Care-Transitional-Care-Model.html  0.443
2015 Naylor MD, Hirschman KB, Hanlon AL, Abbott KM, Bowles KH, Foust J, Shah S, Zubritsky C. Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports. Journal of the American Medical Directors Association. PMID 26412018 DOI: 10.1016/J.Jamda.2015.07.019  0.331
2015 Lamb G, Newhouse R, Beverly C, Toney DA, Cropley S, Weaver CA, Kurtzman E, Zazworsky D, Rantz M, Zierler B, Naylor M, Reinhard S, Sullivan C, Czubaruk K, Weston M, et al. Policy agenda for nurse-led care coordination. Nursing Outlook. 63: 521-30. PMID 26397010 DOI: 10.1016/J.Outlook.2015.06.003  0.442
2015 Toles M, Moriarty H, Coburn K, Marcantonio S, Hanlon A, Mauer E, Fisher P, O'Connor M, Ulrich C, Naylor MD. Managing Chronic Illness: Nursing Contact and Participant Enrollment in a Medicare Care Coordination Demonstration Program. Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society. PMID 26329160 DOI: 10.1177/0733464815602115  0.534
2015 Hirschman KB, Shaid E, Bixby MB, Badolato DJ, Barg R, Byrnes MB, Byrnes R, Streletz D, Stretton J, Naylor MD. Transitional Care in the Patient-Centered Medical Home: Lessons in Adaptation. Journal For Healthcare Quality : Official Publication of the National Association For Healthcare Quality. PMID 26042750 DOI: 10.1097/01.Jhq.0000462685.78253.E8  0.552
2015 O'Connor M, Hanlon A, Naylor MD, Bowles KH. The impact of home health length of stay and number of skilled nursing visits on hospitalization among medicare-reimbursed skilled home health beneficiaries. Research in Nursing & Health. 38: 257-267. PMID 25990046 DOI: 10.1002/Nur.21665  0.454
2015 Naylor MD, Kurtzman ET, Miller EA, Nadash P, Fitzgerald P. An Assessment of State-Led Reform of Long-Term Services and Supports. Journal of Health Politics, Policy and Law. 40: 531-74. PMID 25700376 DOI: 10.1215/03616878-2888460  0.497
2014 Tocchi C, Dixon J, Naylor M, Jeon S, McCorkle R. Development of a frailty measure for older adults: the frailty index for elders. Journal of Nursing Measurement. 22: 223-40. PMID 25255675 DOI: 10.1891/1061-3749.22.2.223  0.455
2014 McCauley K, Bradway C, Hirschman KB, Naylor MD. Studying nursing interventions in acutely ill, cognitively impaired older adults. The American Journal of Nursing. 114: 44-52. PMID 25251126 DOI: 10.1097/01.Naj.0000454851.22018.5D  0.517
2014 Shankar KN, Hirschman KB, Hanlon AL, Naylor MD. Burden in caregivers of cognitively impaired elderly adults at time of hospitalization: a cross-sectional analysis. Journal of the American Geriatrics Society. 62: 276-84. PMID 24502827 DOI: 10.1111/Jgs.12657  0.335
2014 Toles M, Anderson RA, Massing M, Naylor MD, Jackson E, Peacock-Hinton S, Colón-Emeric C. Restarting the cycle: incidence and predictors of first acute care use after nursing home discharge. Journal of the American Geriatrics Society. 62: 79-85. PMID 24383890 DOI: 10.1111/Jgs.12602  0.533
2013 Cipriano PF, Bowles K, Dailey M, Dykes P, Lamb G, Naylor M. The importance of health information technology in care coordination and transitional care. Nursing Outlook. 61: 475-89. PMID 24409517 DOI: 10.1016/J.Outlook.2013.10.005  0.516
2013 Disch J, Tilden V, Mason DJ, Naylor M, Cox K. Nursing's perspective on the national campaign for Choosing Wisely. Nursing Outlook. 61: 471-2. PMID 24409514 DOI: 10.1016/J.Outlook.2013.10.004  0.358
2013 Naylor MD, Hirschman KB, O'Connor M, Barg R, Pauly MV. Engaging older adults in their transitional care: what more needs to be done? Journal of Comparative Effectiveness Research. 2: 457-68. PMID 24236743 DOI: 10.2217/Cer.13.58  0.48
2013 Hurria A, Naylor M, Cohen HJ. Improving the quality of cancer care in an aging population: recommendations from an IOM report. Jama. 310: 1795-6. PMID 24193075 DOI: 10.1001/Jama.2013.280416  0.401
2013 Bradway C, Bixby MB, Hirschman KB, McCauley K, Naylor MD. Case study: Transitional care for a patient with benign prostatic hyperplasia and recurrent urinary tract infections. Urologic Nursing. 33: 177-9, 200. PMID 24079115  0.391
2013 Bowles KH, Potashnik S, Ratcliffe SJ, Rosenberg M, Shih NW, Topaz M, Holmes JH, Naylor MD. Conducting research using the electronic health record across multi-hospital systems: semantic harmonization implications for administrators. The Journal of Nursing Administration. 43: 355-60. PMID 23708504 DOI: 10.1097/Nna.0B013E3182942C3C  0.305
2013 Van Cleave JH, Trotta RL, Lysaght S, Steis MR, Lorenz RA, Naylor MD. Comorbidities in the context of care transitions. Ans. Advances in Nursing Science. 36: E1-E13. PMID 23644267 DOI: 10.1097/Ans.0B013E318290207D  0.517
2013 Naylor MD, Volpe EM, Lustig A, Kelley HJ, Melichar L, Pauly MV. Linkages between nursing and the quality of patient care: a 2-year comparison. Medical Care. 51: S6-14. PMID 23502918 DOI: 10.1097/Mlr.0B013E3182894848  0.498
2013 Naylor MD, Lustig A, Kelley HJ, Volpe EM, Melichar L, Pauly MV. Introduction: the Interdisciplinary Nursing Quality Research Initiative. Medical Care. 51: S1-5. PMID 23502912 DOI: 10.1097/Mlr.0B013E31827Dc3Ab  0.466
2013 Zubritsky C, Abbott KM, Hirschman KB, Bowles KH, Foust JB, Naylor MD. Health-related quality of life: expanding a conceptual framework to include older adults who receive long-term services and supports. The Gerontologist. 53: 205-10. PMID 22859435 DOI: 10.1093/Geront/Gns093  0.392
2013 Naylor MD, Bowles KH, McCauley KM, Maccoy MC, Maislin G, Pauly MV, Krakauer R. High-value transitional care: translation of research into practice. Journal of Evaluation in Clinical Practice. 19: 727-33. PMID 21410844 DOI: 10.1111/J.1365-2753.2011.01659.X  0.498
2013 Bradway C, Bixby MB, Hirschman KB, McCauley K, Naylor MD. Case study: Transitional care for a patient with benign prostatic hyperplasia and recurrent urinary tract infections. Urologic Nursing. 33: 177. DOI: 10.7257/1053-816X.2013.33.4.177  0.485
2012 Trojanowski JQ, Arnold SE, Karlawish JH, Naylor M, Brunden KR, Lee VM. A model for improving the treatment and care of Alzheimer's disease patients through interdisciplinary research. Alzheimer's & Dementia : the Journal of the Alzheimer's Association. 8: 564-73. PMID 23102127 DOI: 10.1016/J.Jalz.2011.08.005  0.355
2012 Toles MP, Abbott KM, Hirschman KB, Naylor MD. Transitions in care among older adults receiving long-term services and supports. Journal of Gerontological Nursing. 38: 40-7. PMID 23066681 DOI: 10.3928/00989134-20121003-04  0.559
2012 Naylor MD, Karlawish JH, Arnold SE, Khachaturian AS, Khachaturian ZS, Lee VM, Baumgart M, Banerjee S, Beck C, Blennow K, Brookmeyer R, Brunden KR, Buckwalter KC, Comer M, Covinsky K, et al. Advancing Alzheimer's disease diagnosis, treatment, and care: recommendations from the Ware Invitational Summit. Alzheimer's & Dementia : the Journal of the Alzheimer's Association. 8: 445-52. PMID 22959699 DOI: 10.1016/J.Jalz.2012.08.001  0.387
2012 Bettger JP, Sochalski JA, Foust JB, Zubritsky CD, Hirschman KB, Abbott KM, Naylor MD. Measuring nursing care time and tasks in long-term services and supports: one size does not fit all. The Journal of Nursing Research : Jnr. 20: 159-68. PMID 22902975 DOI: 10.1097/Jnr.0B013E318263D977  0.502
2012 Naylor MD, Kurtzman ET, Grabowski DC, Harrington C, McClellan M, Reinhard SC. Unintended consequences of steps to cut readmissions and reform payment may threaten care of vulnerable older adults. Health Affairs (Project Hope). 31: 1623-32. PMID 22722702 DOI: 10.1377/Hlthaff.2012.0110  0.543
2012 Buck HG, Meghani S, Bettger JP, Byun E, Fachko MJ, O'Connor M, Tocchi C, Naylor M. The use of comorbidities among adults experiencing care transitions: a systematic review and evolutionary analysis of empirical literature. Chronic Illness. 8: 278-95. PMID 22514061 DOI: 10.1177/1742395312444741  0.455
2012 Naylor MD. Advancing high value transitional care: the central role of nursing and its leadership. Nursing Administration Quarterly. 36: 115-26. PMID 22407204 DOI: 10.1097/Naq.0B013E31824A040B  0.569
2012 Foust JB, Naylor MD, Bixby MB, Ratcliffe SJ. Medication problems occurring at hospital discharge among older adults with heart failure. Research in Gerontological Nursing. 5: 25-33. PMID 22224903 DOI: 10.3928/19404921-20111206-04  0.38
2012 Bradway C, Trotta R, Bixby MB, McPartland E, Wollman MC, Kapustka H, McCauley K, Naylor MD. A qualitative analysis of an advanced practice nurse-directed transitional care model intervention. The Gerontologist. 52: 394-407. PMID 21908805 DOI: 10.1093/Geront/Gnr078  0.526
2012 Hirschman KB, Abbott KM, Hanlon AL, Prvu Bettger J, Naylor MD. What factors are associated with having an advance directive among older adults who are new to long term care services? Journal of the American Medical Directors Association. 13: 82.e7-11. PMID 21450235 DOI: 10.1016/J.Jamda.2010.12.010  0.457
2012 Naylor MD, Hirschman KB, Bowlesi KH, Brian Bixby MB, Konick-McMahan J, Stephensn C. Care coordination for cognitively impaired older adults and their caregivers Charting a Course For High Quality Care Transitions. 57-78. DOI: 10.1300/J027v26n04_05  0.312
2011 Bowles KH, Hanlon AL, Glick HA, Naylor MD, O'Connor M, Riegel B, Shih NW, Weiner MG. Clinical effectiveness, access to, and satisfaction with care using a telehomecare substitution intervention: a randomized controlled trial. International Journal of Telemedicine and Applications. 2011: 540138. PMID 22187551 DOI: 10.1155/2011/540138  0.486
2011 Naylor MD, Aiken LH, Kurtzman ET, Olds DM, Hirschman KB. The care span: The importance of transitional care in achieving health reform. Health Affairs (Project Hope). 30: 746-54. PMID 21471497 DOI: 10.1377/Hlthaff.2011.0041  0.544
2010 Bowles KH, Riegel B, Weiner MG, Glick H, Naylor MD. The effect of telehomecare on heart failure self care. Amia ... Annual Symposium Proceedings / Amia Symposium. Amia Symposium. 2010: 71-5. PMID 21346943  0.379
2010 Naylor MD, Sochalski JA. Scaling up: bringing the transitional care model into the mainstream. Issue Brief (Commonwealth Fund). 103: 1-12. PMID 21053533  0.419
2010 Kurtzman E, Naylor M, Bednash G. Medical homes led by nurses. Health Affairs (Project Hope). 29: 1749. PMID 20820034 DOI: 10.1377/Hlthaff.2010.0714  0.358
2010 Naylor MD, Kurtzman ET. The role of nurse practitioners in reinventing primary care. Health Affairs (Project Hope). 29: 893-9. PMID 20439877 DOI: 10.1377/Hlthaff.2010.0440  0.479
2010 Bixby MB, Naylor MD. The transitional care model (TCM): hospital discharge screening criteria for high risk older adults. Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses. 19: 62-3. PMID 20336990  0.339
2010 Trojanowski JQ, Arnold SE, Karlawish JH, Brunden K, Cary M, Davatzikos C, Detre J, Gaulton G, Grossman M, Hurtig H, Jedrziewski K, McCluskey L, Naylor M, Polsky D, Schellenberg GD, et al. Design of comprehensive Alzheimer's disease centers to address unmet national needs. Alzheimer's & Dementia : the Journal of the Alzheimer's Association. 6: 150-5. PMID 20298979 DOI: 10.1016/J.Jalz.2009.11.004  0.32
2009 Naylor MD, Feldman PH, Keating S, Koren MJ, Kurtzman ET, Maccoy MC, Krakauer R. Translating research into practice: transitional care for older adults. Journal of Evaluation in Clinical Practice. 15: 1164-70. PMID 20367721 DOI: 10.1111/J.1365-2753.2009.01308.X  0.476
2009 Naylor MD, Kurtzman ET, Pauly MV. Transitions of elders between long-term care and hospitals. Policy, Politics & Nursing Practice. 10: 187-94. PMID 20026453 DOI: 10.1177/1527154409355710  0.51
2009 Sochalski J, Jaarsma T, Krumholz HM, Laramee A, McMurray JJ, Naylor MD, Rich MW, Riegel B, Stewart S. What works in chronic care management: the case of heart failure. Health Affairs (Project Hope). 28: 179-89. PMID 19124869 DOI: 10.1377/Hlthaff.28.1.179  0.437
2008 Naylor M, Keating SA. Transitional care. The American Journal of Nursing. 108: 58-63; quiz 63. PMID 18797231 DOI: 10.1097/01.Naj.0000336420.34946.3A  0.542
2008 Casarett D, Fishman J, O'Dwyer PJ, Barg FK, Naylor M, Asch DA. How should we design supportive cancer care? The patient's perspective. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology. 26: 1296-301. PMID 18323553 DOI: 10.1200/Jco.2007.12.8371  0.351
2008 Bowles KH, Ratcliffe SJ, Holmes JH, Liberatore M, Nydick R, Naylor MD. Post-acute referral decisions made by multidisciplinary experts compared to hospital clinicians and the patients' 12-week outcomes Medical Care. 46: 158-166. PMID 18219244 DOI: 10.1097/Mlr.0B013E31815B9Dc4  0.399
2007 Naylor MD, Hirschman KB, Bowles KH, Bixby MB, Konick-McMahan J, Stephens C. Care coordination for cognitively impaired older adults and their caregivers. Home Health Care Services Quarterly. 26: 57-78. PMID 18032200 DOI: 10.1300/J027V26N04_05  0.515
2007 Alexander KP, Newby LK, Cannon CP, Armstrong PW, Gibler WB, Rich MW, Van de Werf F, White HD, Weaver WD, Naylor MD, Gore JM, Krumholz HM, Ohman EM. Acute coronary care in the elderly, part I: Non-ST-segment-elevation acute coronary syndromes: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Geriatric Cardiology. Circulation. 115: 2549-69. PMID 17502590 DOI: 10.1161/Circulationaha.107.182615  0.374
2007 Naylor MD. Advancing the science in the measurement of health care quality influenced by nurses. Medical Care Research and Review : McRr. 64: 144S-69S. PMID 17406016 DOI: 10.1177/1077558707299257  0.506
2007 Naylor MD, Hill-Milbourne VR, Knoble SR, Robinson KM, Bowles KH, Maislin G. Community-based care model for high-risk adults with severe disabilities Home Health Care Management and Practice. 19: 255-266. DOI: 10.1177/1084822306298784  0.513
2006 McCauley KM, Bixby MB, Naylor MD. Advanced practice nurse strategies to improve outcomes and reduce cost in elders with heart failure. Disease Management : Dm. 9: 302-10. PMID 17044764 DOI: 10.1089/Dis.2006.9.302  0.471
2006 Harrington C, Beverly CJ, Maas ML, Buckwalter KC, Bennett JA, Young HM, Sochalski J, Naylor M. Influencing health policy for older adults: initiatives by the John A. Hartford Centers of Geriatric Nursing Excellence. Nursing Outlook. 54: 236-42. PMID 16890044 DOI: 10.1016/J.Outlook.2006.05.005  0.494
2006 Miller L, Beck C, Dowling G, Herr K, Maas M, Naylor M, Tripp-Reimer T. Building gerontological nursing research capacity: Research initiatives of the John A. Hartford Foundation Centers of Geriatric Nursing Excellence. Nursing Outlook. 54: 189-96. PMID 16890037 DOI: 10.1016/J.Outlook.2006.04.005  0.418
2006 Naylor MD. Transitional care: a critical dimension of the home healthcare quality agenda. Journal For Healthcare Quality : Official Publication of the National Association For Healthcare Quality. 28: 48-54. PMID 16681300 DOI: 10.1111/J.1945-1474.2006.Tb00594.X  0.524
2005 Naylor MD, Stephens C, Bowles KH, Bixby MB. Cognitively impaired older adults: from hospital to home. The American Journal of Nursing. 105: 52-61; quiz 61-2. PMID 15674058 DOI: 10.1097/00000446-200502000-00028  0.344
2004 Riegel B, Naylor M, Stewart S, McMurray JJV, Rich MW, Phillips CO, Wright SM, Kern DE, Rubin HR, Shepperd S. Interventions to prevent readmission for congestive heart failure [2] (multiple letters) Journal of the American Medical Association. 291: 2816-2817. PMID 15199026 DOI: 10.1001/Jama.291.23.2816-A  0.303
2004 Naylor MD. Transitional care for older adults: a cost-effective model. Ldi Issue Brief. 9: 1-4. PMID 15181894  0.474
2004 Naylor MD, Brooten DA, Campbell RL, Maislin G, McCauley KM, Schwartz JS. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. Journal of the American Geriatrics Society. 52: 675-84. PMID 15086645 DOI: 10.1111/J.1532-5415.2004.52202.X  0.656
2003 Naylor MD. Nursing intervention research and quality of care: influencing the future of healthcare. Nursing Research. 52: 380-5. PMID 14639084 DOI: 10.1097/00006199-200311000-00005  0.455
2003 Bowles KH, Foust JB, Naylor MD. Hospital discharge referral decision making: a multidisciplinary perspective. Applied Nursing Research : Anr. 16: 134-43. PMID 12931327 DOI: 10.1016/S0897-1897(03)00048-X  0.396
2003 Brooten D, Youngblut JM, Deatrick J, Naylor M, York R. Patient problems, advanced practice nurse (APN) interventions, time and contacts among five patient groups. Journal of Nursing Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau. 35: 73-9. PMID 12701530 DOI: 10.1111/J.1547-5069.2003.00073.X  0.38
2002 Brooten D, Naylor MD, York R, Brown LP, Munro BH, Hollingsworth AO, Cohen SM, Finkler S, Deatrick J, Youngblut JM. Lessons learned from testing the quality cost model of Advanced Practice Nursing (APN) transitional care. Journal of Nursing Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau. 34: 369-75. PMID 12501741 DOI: 10.1111/J.1547-5069.2002.00369.X  0.481
2002 Naylor MD. Transitional care of older adults. Annual Review of Nursing Research. 20: 127-47. PMID 12092508 DOI: 10.1891/0739-6686.20.1.127  0.565
2002 Bowles KH, Naylor MD, Foust JB. Patient characteristics at hospital discharge and a comparison of home care referral decisions. Journal of the American Geriatrics Society. 50: 336-42. PMID 12028217 DOI: 10.1046/J.1532-5415.2002.50067.X  0.545
2002 Brooten D, Naylor MD, York R, Brown LP, Munro BH, Hollingsworth AO, Cohen SM, Finkler S, Deatrick J, Youngblut JM. Lessons learned from testing the Quality Cost Model of Advanced Practice Nursing (APN) Transitional Care Journal of Nursing Scholarship. 34: 369-375.  0.414
2001 Bowles KH, Peng T, Qian R, Naylor MD. Informatics application provides instant research to practice benefits Proceedings / Amia ... Annual Symposium. Amia Symposium. 66-70. PMID 11825156  0.411
2000 Narsavage GL, Naylor MD. Factors associated with referral of elderly individuals with cardiac and pulmonary disorders for home care services following hospital discharge Journal of Gerontological Nursing. 26: 14-20. PMID 11111516 DOI: 10.3928/0098-9134-20000501-08  0.497
2000 Naylor MD, Bowles KH, Brooten D, Burry J. Patient problems and advanced practice nurse interventions during transitional care Public Health Nursing. 17: 94-102. PMID 10760191 DOI: 10.1046/J.1525-1446.2000.00094.X  0.467
2000 Naylor MD. A decade of transitional care research with vulnerable elders The Journal of Cardiovascular Nursing. 14: 1-14; quiz 88. PMID 10756470 DOI: 10.1097/00005082-200004000-00004  0.544
1999 Naylor MD, McCauley KM. The effects of a discharge planning and home follow-up intervention on elders hospitalized with common medical and surgical cardiac conditions. The Journal of Cardiovascular Nursing. 14: 44-54. PMID 10533691 DOI: 10.1097/00005082-199910000-00006  0.406
1999 Edes T, Naylor MD. Comprehensive home care after hospitalization of elderly patients [2] (multiple letters) Journal of the American Medical Association. 282: 1129. PMID 10501107 DOI: 10.1001/jama.282.12.1129  0.378
1999 Naylor MD, Buhler-Wilkerson K. Creating community-based care for the new millennium Nursing Outlook. 47: 120-127. PMID 10476533 DOI: 10.1016/S0029-6554(99)90006-4  0.468
1999 Naylor MD, Brooten D, Campbell R, Jacobsen BS, Mezey MD, Pauly MV, Schwartz JS. Comprehensive discharge planning and home follow-up of hospitalized elders: A randomized clinical trial Journal of the American Medical Association. 281: 613-620. PMID 10029122 DOI: 10.1001/jama.281.7.613  0.333
1999 Mohr WK, Naylor MD. Breaking through the Hegemony of Homogeneity: Revitalizing Curriculum and Students. Journal of Nursing Education. 38: 28-32. DOI: 10.3928/0148-4834-19990101-09  0.41
1998 Mohr WK, Naylor MD. Creating a curriculum for the 21st century Nursing Outlook. 46: 206-212. PMID 9805339 DOI: 10.1016/S0029-6554(98)90051-3  0.377
1998 Campbell RL, Banner R, Konick-McMahan J, Naylor MD. Discharge planning and home follow-up of the elderly patient with heart failure. The Nursing Clinics of North America. 33: 497-513. PMID 9719694  0.612
1998 Buhler-Willkerson K, Naylor MD, Holt SW, Rinke LT. An alliance for academic home care: Integrating research, education, and practice Nursing Outlook. 46: 77-80. PMID 9575516 DOI: 10.1016/S0029-6554(98)90103-8  0.513
1997 Kresevic DM, Mezey M, Abraham I, Amella E, Bottrell M, Ebersole P, Fletcher K, Foreman MD, Fulmer T, Lee A, Mion L, Naylor MD, Vince C, Walker M, Wykle M. Assessment of function: Critically important to acute care of elders Geriatric Nursing. 18: 216-222. PMID 9362663 DOI: 10.1016/S0197-4572(97)90095-1  0.404
1997 Brooten D, Naylor M, Brown L, York R, Hollingsworth A, Cohen S, Roncoli M, Jacobsen B. Profile of postdischarge rehospitalizations and acute care visits for seven patient groups. Public Health Nursing (Boston, Mass.). 13: 128-34. PMID 8936246 DOI: 10.1111/J.1525-1446.1996.Tb00230.X  0.312
1996 Bowles KH, Naylor MD. Nursing intervention classification systems Journal of Nursing Scholarship. 28: 303-308. PMID 8987275 DOI: 10.1111/J.1547-5069.1996.Tb00378.X  0.465
1995 Brooten D, Naylor MD. Nurses' Effect on Changing Patient Outcomes Image: the Journal of Nursing Scholarship. 27: 95-99. PMID 7622174 DOI: 10.1111/J.1547-5069.1995.Tb00829.X  0.407
1995 Kresevic DM, Naylor M. Preventing pressure ulcers through use of protocols in a mentored nursing model. Geriatric Nursing (New York, N.Y.). 16: 225-9. PMID 7590458 DOI: 10.1016/S0197-4572(05)80169-7  0.492
1994 Naylor M, Brooten D, Jones R, Lavizzo-Mourey R, Mezey M, Pauly M. Comprehensive discharge planning for the hospitalized elderly: A randomized clinical trial Annals of Internal Medicine. 120: 999-1006. PMID 8185149 DOI: 10.7326/0003-4819-120-12-199406150-00005  0.453
1993 Naylor MD, Brooten D. The Roles and Functions of Clinical Nurse Specialists Image: the Journal of Nursing Scholarship. 25: 73-78. PMID 8449535 DOI: 10.1111/J.1547-5069.1993.Tb00757.X  0.413
1991 Naylor MD, Shaid EC. Content analysis of pre- and post- discharge topics taught to hospitalized elderly by gerontological clinical nurse specialists Clinical Nurse Specialist Cns. 5: 111-116. PMID 2049717 DOI: 10.1097/00002800-199100520-00012  0.448
1991 Naylor MD, Munro BH, Brooten DA. Measuring the effectiveness of nursing practice Clinical Nurse Specialist Cns. 5: 210-215. PMID 1764655 DOI: 10.1097/00002800-199100540-00009  0.446
1990 Naylor MD. Comprehensive discharge planning for hospitalized elderly: A pilot study Nursing Research. 39: 156-161. PMID 2188217 DOI: 10.1097/00004045-199009000-00011  0.345
1990 Naylor MD. An example of a research grant application comprehensive discharge planning for the elderly Research in Nursing &Amp; Health. 13: 327-347. PMID 2122498 DOI: 10.1002/Nur.4770130509  0.456
1989 Infante MS, Forbes EJ, Houldin AD, Naylor MD. A clinical teaching project. Examination of a clinical teaching model Journal of Professional Nursing. 5: 132-139. PMID 2732400 DOI: 10.1016/S8755-7223(89)80111-5  0.362
1988 Naylor MD, Sherman MB. A description of the effects of current initiatives to attract quality undergraduate nursing students Journal of Professional Nursing. 4: 268-273. PMID 3417964 DOI: 10.1016/S8755-7223(88)80012-7  0.343
1987 NAYLOR MD, SHERMAN MB. WANTED Ajn, American Journal of Nursing. 87: 1601-1602. DOI: 10.1097/00000446-198787120-00027  0.34
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