Brief Bio

Donald “Chip” Bailey Jr., PhD, RN: Dr. Bailey is an Associate Professor in the Duke University School of Nursing, Senior Fellow in the Duke Center for the Study of Aging and Human Development, and Claire M. Fagin Fellow. His research program has focused on self-management in patients with serious life-limiting illnesses such as prostate cancer, chronic hepatitis C, or end stage liver disease. Currently he is testing the efficacy of an Uncertainty Management Intervention delivered via telephone to patients and caregivers as they wait for a liver transplant. This NINR funded, 5 year randomized controlled trial will enroll 240 patients and caregivers. His recently funded 2 year NINR study will examine self-management during gene guided therapy (IL28B) for patients with chronic hepatitis C that undergo treatment with two newly approved protease inhibitors.

In 2008, Dr. Bailey participated in the Duke Faculty Fellows Seminar Program, a year-long faculty-in-residence program, sponsored by the Duke Social Science Research Institute. Dr. Bailey’s research project sought to understand the treatment decision making processes of men newly diagnosed with early stage prostate cancer. He continues that work in a series of randomized experiments administered via an online questionnaire to examine the way in which a variety of labels make monitoring (rather than invasive treatments) more appealing to men at risk for prostate cancer.

He also served as a Core Director for the Center of Excellence in Geriatric Education at Duke University School of Nursing and as a faculty representative to the National Task Force on the revision of The Essentials of Baccalaureate Education for Professional Nursing Practice – AACN (2008) and on the expert panel to revise the document, Older Adults: Recommended Baccalaureate Competencies and Curricular Guidelines for Geriatric Nursing Care - AACN/John A. Hartford Foundation (2010). In 2009 Dr. Bailey received the Distinguished Nursing Achievement Award from Emory University, Nell Hodgson Woodruff School of Nursing. He is completing a two year term as the Coordinator for the Advanced Nursing Research Special Interest Group for the Oncology Nursing Society.

Academic Program Affiliations

Education

Research Interests

Dr. Bailey’s research interests include aging and chronic illness, men’s health, and psycho-oncology. He is particularly interested in the development and evaluation of psychoeducational nursing interventions to improve quality of life in patients with serious chronic illness by increasing their capability to self-manage uncertainty, distress, and symptoms associated with their disease.

His earlier research focused on patients with chronic illness who elected active surveillance (“watchful waiting”) protocols to manage their disease. Under an active surveillance protocol, patients who have little to gain from standard medical or surgical treatment choose to be monitored at regular intervals for disease progression without undergoing these therapies, retaining the option to move to more aggressive treatments if monitoring reveals significant progression of illness. Such patients may experience high levels of uncertainty. Dr. Bailey has developed and tested psychoeducational interventions that use cognitive reframing techniques to reduce uncertainty and improve quality of life in patients being treated for localized prostate cancer and chronic hepatitis C under AS protocols.

Dr. Bailey is now engaged in a 5-year intervention study testing the efficacy of a tailored uncertainty management intervention for improving the disease management and medical decision-making capabilities in a population experiencing extreme illness-related uncertainty: patients with end stage liver disease (ESLD) awaiting liver transplant. An Uncertainty Management Intervention is being tailored specifically for this these patients and their caregivers. The efficacy of this intervention, which will be delivered via telephone by a nurse to the patient awaiting a liver transplant and his or her caregiver, will be tested in a randomized controlled trial involving 120 patient/caregiver dyads. The overall goal of this project is to improve symptoms and quality of life for these understudied and vulnerable patients and their caregivers by giving them the resources and tools to self-manage their complex concerns.

Awards and Honors

• 2011 Featured in “A Day in the Life of an Academic Geriatric Nurse", John A. Hartford Foundation 2010 Annual Report: "BAGNC: A Decade of Achievement"

• 2011 State of the Science Lectureship, 11th National Conference on Cancer Nursing Research, Oncology Nursing Society

• 2009 Distinguished Nursing Achievement Award, Emory University, Nell Hodgson Woodruff School of Nursing

• 2007 Research Mentor Designee, American Cancer Society/Oncology Nursing Society

• 2004 Award for Best Stand Alone Geriatric Nursing Course in Baccalaureate Education, AACN/John A. Hartford Foundation Institute for Geriatric Nursing

• 2001 Kellett Long Term Care Nursing Scholarship, UNC School of Nursing

• 2001 Linda Waring Matthews Oncology Nursing Scholarship, UNC School of Nursing

• 2000 Undergraduate Student Award in the Teaching and Integration of Advanced Nursing Knowledge, UNC School of Nursing

• 1999 Nursing Research Award, Sigma Theta Tau International – Theta Iota Chapter, Barton College

• 1997 Dissertation Research Award, Oncology Nursing Foundation

• 1986 Member, Sigma Theta Tau, International Honor Society of Nursing

Areas of Expertise

• Chronic Illness
• Gerontology
• Oncology

Representative Publications

• 2012 -- Kassmann, B., Docherty, S., Rice, H. E., Bailey, D. E. Jr., Schweitzer, M. Telephone follow-up for pediatric ambulatory surgery: Parent and provider satisfaction. Journal of Pediatric Nursing. 2012, in press;

• 2012 -- Kazer, M. W., Bailey Jr., D. E., Grimes, K., Colberg, J., Kelly, W. K. Conversion from active surveillance to active treatment for prostate cancer. Journal of Nursing Education and Practice. May, 2012; 2(2); 80-88

• 2012 -- Pubmed # 21702425 McConnell, E. S., Corazzini, K. N., Lekan, D., Bailey, D. E., Sloane, R., Landerman, L. R., Champagne, M. T. Diffusion of innovations in long-term care measurement battery. Res Gerontol Nurs. Winter, 2012; 5(1); 64-76

• 2012 -- Bailey, D. E. Active surveillance in prostate cancer. In Encyclopedia of Nursing Research (3rd ed.), edited by Fitzpatrick, J. J. & Kazer, M. W. 2012; pp. 4-7. New York: Springer Publishing Co..

• 2011 -- Pubmed # 22145791 Goh, A. C., Kowalkowski, M. A., Bailey Jr, D. E., Kazer, M. W., Knight, S. J., Latini, D. M. Perception of cancer and inconsistency in medical information are associated with decisional conflict: a pilot study of men with prostate cancer who undergo active surveillance. BJU Int. 2011 Epub ahead of print;

• 2011 -- Pubmed # 20974073 Bailey Jr, D. E., Wallace, M., Latini, D. M., Hegarty, J., Carroll, P. R., Klein, E. A., Albertsen, P. C. Measuring illness uncertainty in men undergoing active surveillance for prostate cancer. Appl Nurs Res. November, 2011; 24(4); 193-9 PMCID: PMC3070758

• 2011 -- Pubmed # 22018405 Hegarty, J., Bailey Jr, D. E. Active surveillance as a treatment option for prostate cancer. Semin Oncol Nurs. November 1, 2011; 27(4); 260-6

• 2011 -- Pubmed # 22018402 Kazer, M. W., Bailey Jr, D. E. Introduction. Semin Oncol Nurs. November 1, 2011; 27(4); 239-40

• 2011 -- Pubmed # 21875843 Kazer, M. W., Bailey, D. E., Sanda, M., Colberg, J., Kelly, W. K. An internet intervention for management of uncertainty during active surveillance for prostate cancer. Oncol Nurs Forum. September, 2011; 38(5); 561-8

• 2011 -- Pubmed # 21767817 Lekan, D. A., Corazzini, K. N., Gilliss, C. L., Bailey Jr, D. E. Clinical leadership development in accelerated baccalaureate nursing students: an education innovation. J Prof Nurs. Jul-Aug, 2011; 27(4); 202-14

• 2011 -- Pubmed # 21994831 Adams, J. A., Bailey Jr, D. E., Anderson, R. A., Docherty, S. L. Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nurs Res Pract. 2011; 2011(4); Article ID 527834

• 2011 -- Pubmed # 21643547 Bailey Jr, D. E., Steinhauser, K., Hendrix, C., Tulsky, J. A. Pairing Self-Management with Palliative Care: Intervening in Life-Limiting Illness. J Nurs Healthc Chronic Illn. March 1, 2011; 3(1); 1-3 PMCID: PMC3107002

• 2011 -- Pubmed # 21219530 Kazer, M. W., Bailey, D. E. Jr., Colberg, J., Kelly, W. K., Carroll, P. The needs for men undergoing active surveillance (AS) for prostate cancer: results of a focus group study. J Clin Nurs. February, 2011; 20(3/4)); 581-586

• 2010 -- Pubmed # 21113818 Kazer, M. W., Harden, J., Burke, M., Sanda, M. G., Hardy, J., Bailey, D. E., PROSTQA Study Group, The experiences of unpartnered men with prostate cancer: a qualitative analysis. J Cancer Surviv. November 28, 2010; 5(2); 132-41

• 2010 -- Pubmed # 20730869 Bailey Jr, D. E., Barroso, J., Muir, A. J., Sloane, R., Richmond, J., McHutchison, J., Patel, K., Landerman, L., Mishel, M. H. Patients with chronic hepatitis C undergoing watchful waiting: Exploring trajectories of illness uncertainty and fatigue. Res Nurs Health. October, 2010; 33(5); 465-73

• 2010 -- Pubmed # 20531108 Richmond, J. A., Bailey Jr, D. E., McHutchison, J. G., Muir, A. J. The use of mind-body medicine and prayer among adult patients with chronic hepatitis C. Gastroenterol Nurs. May-June, 2010; 33(3); 210-6

• 2010 -- Pubmed # 20479137 Colón-Emeric, C. S., Plowman, D., Bailey, D., Corazzini, K., Utley-Smith, Q., Ammarell, N., Toles, M., Anderson, R. Regulation and mindful resident care in nursing homes. Qual Health Res. September, 2010; 20(9); 1283-94 PMCID: PMC2918733

• 2010 -- Pubmed # 20621271 Richmond, J. A., Bailey, D. E., Patel, K., Jezsik, J. A., Muir, A., Lin, J., Chow, S., Uzarski, D., McHutchison, J. G. The use of complementary and alternative medicine by patients with chronic hepatitis C. Complement Ther Clin Pract. August, 2010; 16(3); 124-131

• 2010 -- McConnell, E. S., Corazzini, K. N., Lekan, D., Bailey, D. C., Sloane, R., Zimmerman, S., Mitchell, C. M., Landerman, L. R., Champagne, M. T. Staff perception of new pain care practices in dementia care: Psychometric properties of the Duke Diffusion of Innovation in Long-Term Care Battery. Alzheimer’s Care Today. Apr-Jun, 2010; 11(2); 122-133

• 2010 -- Corazzini, K. N., McConnell, E. S., Anderson, R. A., Reed, D., Champagne, M. T., Lekan, D., Preisser, J. S., Bailey, D., Zimmerman, S. The importance of organizational climate to training needs and outcomes in long-term care. Alzheimer’s Care Today. Apr-Jun, 2010; 11(2); 109-121

• 2010 -- Pubmed # 20549916 Kazer, M. W., Bailey Jr, D. E., Whittemore, R. Out of the black box: expansion of a theory-based intervention to self-manage the uncertainty associated with active surveillance (AS) for prostate cancer. Res Theory Nurs Pract. 2010; 24(2); 101-12

• 2010 -- Bailey, D. E., Stewart, J. Uncertainty in illness theory. In Nursing theorists and their work (7th Ed.), edited by Alligood, M. R. & Tomey, A. M. 2010; pp. 599-617. St. Louis, MO: Mosby.

• 2009 -- Wallace, M., Bailey, D. E. Jr., Brion, J. Shedding light on prostate cancer. Nurs Pract. October, 2009; 34(10); 24-34

• 2009 -- Pubmed # 19649311 Utley-Smith, Q., Colón-Emeric, C., Lekan-Rutledge, D., Ammarell, N., Bailey. D., Corazzini, K., Piven, M. L., Anderson, R. The nature of staff-family interactions in nursing homes: Staff perceptions. J Aging Stud. August, 2009; 23(3); 168-177 PMCID: PMC2711636

• 2009 -- Pubmed # 19691179 Stephenson, N., Dalton, J. A., Carlson, J., Youngblood, R., Bailey, D. Racial and ethnic disparities in cancer pain management. J Natl Black Nurses Assoc. July, 2009; 20(1); 11-18

• 2009 -- Pubmed # 19452736 McConnell, E. S., Lekan, D., Bunn, M., Egerton, E., Corazzini, K. N., Hendrix, C. C., Bailey, D. E., Jr. Teaching evidence-based nursing practice in geriatric care settings: the Geriatric Nursing Innovations through Education Institute. J Gerontol Nurs. April, 2009; 35(4); 26-33; quiz 34-35

• 2009 -- Pubmed # 19377022 Bailey, D. E. Jr., Landerman, L, Barroso, J., Bixby, P., Mishel, M. H., Muir, A. J., Strickland, L., Clipp, E. Uncertainty, symptoms, and quality of life in persons with chronic hepatitis C. Psychosomatics. March-April, 2009; 50(2); 138-146

• 2008 -- Pubmed # 18306379 Dall’Era, M. A., Cooperberg, M. R., Chan, J. M., Davies, B. J., Albertsen, P. C., Klotz, L. H., Warlick, C. A., Holmberg, L., Bailey, D. E., Jr., Wallace, M. E., Kantoff, P. W., Carroll, P. R. Active surveillance for early-stage prostate cancer: Review of the current literature. Cancer. April, 2008; 112(8); 1650-1659

• 2007 -- Pubmed # 17710200 Piven, M. L., Ammarell, N., Lekan-Rutledge, D., Utley-Smith, Q, Corazzini, K. N., Colón-Emeric, C., Bailey. D., Anderson, R. A. Paying attention: A leap toward quality care. Director. Winter, 2007; 15(1); 58-62 PMCID: PMC1948878

• 2007 -- Pubmed # 17767682 Colón-Emeric, C. S., Lekan, D., Utley-Smith, Q., Ammarell, N., Bailey. D., Corazzini, K., Piven, M. L., Anderson, R. A. Barriers to and facilitators of clinical practice guideline use in nursing homes. J Am Geriatr Soc. September 2007; 55(9); 1404-1409 PMCID: PMC2276683

• 2007 -- Pubmed # 17402955 Bailey, D. E., Jr., Wallace, M., Mishel, M. H. Watching, waiting and uncertainty in prostate cancer. J Clin Nurs. April, 2007; 16(4); 734-741

• 2007 -- Pubmed # 19482780 Bailey Jr, D. E., Wallace, M. Critical review: is watchful waiting a viable management option for older men with prostate cancer? Am J Mens Health. March 1, 2007; 1(1); 18-28

• 2006 -- Pubmed # 17099107 Utley-Smith, Q., Bailey, D., Ammarell, N., Corazzini, K., Colón-Emeric, C. S., Lekan-Rutledge, D., Piven, M. L., Anderson, R. A. Exit interview-consultation for research validation and dissemination. West J Nurs Res. December, 2006; 28(8); 955-973 PMCID: PMC1636585

• 2006 -- Pubmed # 16585806 Piven, M. L., Ammarell, N., Bailey. D., Corazzini, K., Colón-Emeric, C. S., Lekan-Rutledge, D., Utley-Smith, Q., Anderson, R. A. MDS coordinator relationships and nursing home care processes. West J Nurs Res. April, 2006; 28(3); 294-309 PMCID: PMC1472871

• 2006 -- Pubmed # 16394208 Colón-Emeric, C. S., Ammarell, N., Bailey, D., Corazzini, K., Lekan-Rutledge, D., Piven, M. L., Utley-Smith, Q., Anderson, R. A. Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science. Qual Health Res. February, 2006; 16(2); 173-188 PMCID: PMC1474048

• 2006 -- Pubmed # 17077708 Colón-Emeric, C. S., Lekan-Rutledge, D., Utley-Smith, Q., Ammarell, N., Bailey. D., Piven, M. L., Corazzini, K., Anderson, R.A. Connection, regulation, and care plan innovation: A case study of four nursing homes. Health Care Manage Rev. Oct.-Dec., 2006; 31(4); 337-346 PMCID: PMC1952654

• 2005 -- Pubmed # 16221876 Anderson, R. A., Ammarell, N., Bailey, D. E., Colón-Emeric, C., Corazzini, K. N., Lillie, M., Piven, M. L., Utley-Smith, Q., McDaniel, R. R., Jr. Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents. Qual Health Res. October, 2005; 15(8); 1006-1021 PMCID: PMC2211272

• 2005 -- Pubmed # 15839289 Anderson, R. A., Ammarell, N., Bailey, D. E., Colón-Emeric, C., Corazzini, K., Lekan-Rutledge, D., Piven, M. L., Utley-Smith, Q. The power of relationship for high-quality long-term care. J Nurs Care Qual. Apr.-Jun., 2005; 20(2); 103-106 PMCID: PMC1993898

• 2005 -- Pubmed # 17334452 Corazzini, K. N., Lekan-Rutledge, D., Utley-Smith, Q., Piven, M. L., Colón-Emeric, C. S., Bailey, D., Ammarell, N., Anderson, R. A. "The Golden Rule": Only a starting point for quality care. Director. 2005; 14(1); 255, 257-259, 293 PMCID: PMC1636677

• 2004 -- Pubmed # 15525860 Bailey, D. E., Mishel, M. H., Belyea, M., Stewart, J. L., Mohler, J. Uncertainty intervention for watchful waiting in prostate cancer. Cancer Nurs. Sep.-Oct., 2004; 27(5); 339-346

• 2004 -- Pubmed # 15547629 Wallace, M., Bailey, D., Jr., O’Rourke, M., Galbraith, M. The watchful waiting management option for older men with prostate cancer: State of the science. Oncol Nurs Forum. November, 2004; 31(6); 1057-1066

• 2003 -- Pubmed # 12657984 Mishel, M. H., Germino, B. B., Belyea, M., Stewart, J. L., Bailey, D. E. Jr., Mohler, J., Robertson, C. Moderators of an uncertainty management intervention: for men with localized prostate cancer. Nurs Res. March-April, 2003; 52(2); 89-97

• 2002 -- Pubmed # 11920549 Mishel, M. H., Belyea, M., Germino, B. B., Stewart, J. L., Bailey, D. E., Jr., Robertson, C., Mohler, J. Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: Nurse-delivered psychoeducational intervention over the telephone. Cancer. March, 2002; 94(6); 1854-18

• 2000 -- Mishel, M. H., Germino, B. B., Belyea, M., Harris, L., Stewart, J., Bailey, D. E. Jr., Mohler, J., Robertson, C. Helping patients with localized prostate cancer: Managing after treatment. In Key aspects of preventing and managing chronic illness, edited by Funk, S. G., Tornquist, E. M., Leeman, J., Miles, J., & Harrelll, J. S. October, 2000; pp. 235-46. New York: Springer Publishing Co..

• 1997 -- Pubmed # 9274067 Miller, J., Neelon, V., Champagne, M., Bailey, D., Ng’andu, N., Belyea, M., Jarrell, E., Montoya, L., Williams, A. The assessment of acute confusion as part of nursing care. Appl Nurs Res. August, 1997; 10(3); 143-151

• 1996 -- Pubmed # 8818983 Miller, J., Neelon, V., Dalton, J., Ng’andu, N., Bailey, D., Jr., Layman, E., Hosfeld, A. The assessment of discomfort in elderly confused patients: A preliminary study J Neurosci Nurs. June, 1996; 28(3); 175-182

Grant Funding (selected)

• Patient self-management and gene guided therapy for CHC  
  National Institutes of Health
  1R21-NR013461-01
  04/2012-03/2014
  Role: PI
  Project Goals: This 2 year exploratory mixed-methods longitudinal case study (n=18) will describe patients’ and providers’ explanations of how and why they engage in technical work (T-WORK) and adaptive work (A-WORK), and adaptive leadership (A-LEAD) and how these strategies promote or pose barriers to patients’ SM in the context of the new genetic marker and treatments. Specific aims are to: 1) Examine how T-WORK, A-WORK and A-LEAD influence patients’ perceptions of their likelihood of cure and how this work relates to SM during 24 weeks of treatment for CHC; 2) Describe providers’ use of T-WORK and A-LEAD approaches during clinical encounters and 3) Describe the trajectories of illness perceptions, symptoms, viral load, and SM in relation to patient and provider reports of T-WORK, A-WORK and A-LEAD from the index clinical encounter to the follow-up treatment response encounter (approximately 24 weeks).

• Uncertainty Management Intervention for Patients Waiting for a Liver Transplant  
  National Institutes of Health
  1P01-NR010948-01
  09/2008-07/2013
  Role: Project Director (PI of Intervention Study #2)
  Project Goals: The Center for Self-Management in Life-Limiting Illness (PI James Tulsky) will oversee three intervention studies that address the medical, emotional and role components of self-management. Project 2, “Uncertainty Management in Patients Awaiting Liver Transplant,” (D.E. Bailey, Jr., Project Director) helps patients awaiting liver transplant cope emotionally with uncertainty.

• Prostate Cancer Treatment: The Role of Branding in the Decision-making Process  
  SSRI Small Grant
  06/2009-05/2011
  Role: PI
  This study will explore prostate cancer treatment decision making among males age 50 years of age and older without disease by having men select the best treatment option for them and then ask them to rank order a list of prostate cancer treatment options. In a second aim we will explore how the manipulation (different names for different participants) of the treatment name “active surveillance” matters in prostate cancer treatment decision making.

• Exploring Cognitive Processing Difficulties in Patients with Hepatitis C Virus Experiencing Fatigue  
  ORA Small Grant
  06/2009-05/2011
  Role: PI
  This study will explore and identify patients with cognitive processing difficulties as measured by a battery of instruments focused on attention, reasoning and problem solving, processing speed, verbal memory, and working memory. Further we will explore the relationship of these cognition processing difficulties with stage of disease, fatigue and quality of life.

• Development and Testing of a Web-based Uncertainty Management Intervention for Men with Prostate Cancer Undergoing Active Surveillance  
  American Cancer Society
  12/2007-11/2008
  Role: Co-Investigator
  The specific aims of this project are to develop an uncertainty management intervention that is web-based for men undergoing active surveillance for prostate cancer by: adapting an existing uncertainty management intervention for web delivery in conjunction with a webmaster and by assessing the website for clinical accuracy, relevance, clarity and importance. (Meredith Wallace, PI; D.E. Bailey, Jr., Co-I)

• Uncertainity and Watchful Waiting in Chronic Hepatitis C  
  National Institutes of Health
  1R15-NR008704-01A1
  09/2005-08/2009
  Role: PI
  Project Goals: The specific aims are to: 1) identify potentially distinct classes of trajectories (e.g., stable, declining, improving) of CHC-related symptoms and quality of life among patients who are watching, waiting and monitoring, and to identify the demographic and illness markers associated with particular trajectories of change; 2) examine the associations of these symptom trajectories and QOL with illness uncertainty; and 3) explore the concerns of patients living with chronic hepatitis C that may be unique and unaddressed with quantitative measures.

• Psychological Health Trajectories in Watchful Waiting and Pilot Testing the WWI  
  John A. Hartford Foundation: Building Academic Geriatric Nursing Capacity
  03-211
  07/2003-06/2006
  Role: PI
  The specific aims for Phase I are to 1) describe the psychological health trajectories of men with prostate cancer who elect watchful waiting; 2) identify optimal intervals during which patients electing watchful waiting would most likely benefit from the WWI. For Phase II the specific aims are to 3) modify the WWI based on descriptive study findings and the theory and 4) pilot test the refined WWI with a sample of older men electing watchful waiting as treatment for prostate cancer.

• Psychological Health Trajectories in Watchful Waiting  
  University of Iowa Small Grants Program
  G/P No.: 2 1503891
  05/2003-03/2005
  Role: PI
  Project goals: In Phase I, this study will explore and describe the psychological health trajectories of older men who elect watchful waiting as their treatment option for localized prostate cancer at six month intervals over a 24-month period. Phase II of this study will pilot test the refined WWI with prostate cancer patients in preparation for a future comprehensive test of the Watchful Waiting Intervention.

• TRAC Pilot: Psychosocial Trajectories of Men Electing Watchful Waiting as Treatment for Prostate Cancer  
  National Institute of Nursing Research - P20
  1P20 NR07795-01
  07/2002-07/2004
  Role: Pilot Project PI
  Project goals: The expected outcome of this pilot study will be the identification of specific time points during the first 2 years of watchful waiting when men could benefit most from intervention.

• Outcomes of Nursing Management Practice in Nursing Homes  
  National Institutes of Health / National Institute of Nursing Research
  2 RO1 NR03178-04A2
  05/2002-01/2008
  Role: Co-Investigator
  Project goals: To describe and explain how relationship patterns and nursing management practices lead to behaviors that result in high quality or poor quality outcomes in nursing homes. Specific aims are to: 1) describe relationship patterns; 2) explore staff's and managers' understanding of relationship patterns and nursing management practices in use; 3) compare relationship patterns and nursing management practices between homes with high-quality and poor-quality resident outcomes; and 4) develop a model of the relationship patterns and nursing management practices that foster better outcomes. (R.A. Anderson, PI; D.E. Bailey Jr., Co-I)

• Uncertainty and Watchful Waiting in Men with Prostate Cancer  
  UNC: Lineberger Comprehensive Cancer Ctr & Linda Waring Matthews Oncology Nursing Scholarship
  07/1999-07/2002
  Role: PI
  Project Goals: Dissertation development

• Uncertainty and Watchful Waiting in Men with Prostate Cancer  
  Oncology Nursing Foundation Dissertation Research Award
  07/1997-07/2002
  Role: PI
  

• Uncertainty and Watchful Waiting in Men with Prostate Cancer  
  University of North Carolina Institute on Aging Exploratory Grants Program
  01/1999-12/1999
  Role: PI
  Project goals: Pilot Study – Trial methods for future intervention testing.

• Uncertainty and Watchful Waiting in Men with Prostate Cancer  
  National Institute for Nursing Research / National Research Service Award
  07/1996-06/1998
  Project goals: Dissertation.

• Qualitative Interviews with Men Electing Watchful Waiting  
  UNC School of Nursing - Linda Waring Matthews Oncology Nursing Scholarship
  07/1995-07/1996
  Role: PI