Juliana C. Cartwright, Ph.D.

"My research focus is end-of-life care in assisted living facilities, with emphasis on how nurses and caregiving staffs can work together to support 'good deaths' in these settings. I am also interested in ethical challenges related to conducting research in community residential care settings. My research methodologies are primarily qualitative, with emphasis on use of intensive interviews, focus groups, and participant observations. Other areas of research interest include program evaluation related to technology-mediated instruction in higher education."

TEACHING

N474: Health Policy in Nursing
N356: End of Life Care Nursing

RESEARCH

Current Research

NIH/NINR (Cartwright, PI)
R03: End of Life Care in Assisted Living Facilities 2004-2006
The purpose of this study is to address the absence of descriptive knowledge about end-of-life (EOL) care for hospice enrolled residents in assisted living facilities (ALF). The end product will be a detailed description of how EOL care happens for ALF residents from the perspectives of the staffs that provide or supervise their care. The findings will be used in developing and testing a model intervention to improve EOL care in ALFs.

NIH/NINR (Young, PI) 2004-2006
R21: Medication Management in Rural Assisted Living Settings
The long term goal of this research program is to improve quality of medication service, reduce inappropriate medication use in assisted living settings, and improve function and quality of life by developing and testing an intervention to improve medication safety in assisted living settings.
Role: Co-Investigator

Completed Research Support

Faculty Intramural Research Award (FIRA) (Cartwright, PI) 2001
Oregon Health & Science University School of Nursing
Care of Seriously Ill Older People Living in Community Residential Care Facilities
Grant goals: To identify and describe the end-of-life care experience of older adults living in community residential care facilities in Oregon.
Role: Principal Investigator

1 P20 NR07807 (Nail, PI) 2003
NINR Exploratory Center Grant
Subproject: Symptom Management for Community Based Elders at End of Life (Cartwright, PI)
Grant goals: To test a symptom report scale in a sample of family members of elders who died in community residential care facilities, to compare this population with previously studied populations, and to describe family reports of satisfaction with end-of-life care in these settings.
Role: Subproject Principal Investigator

SERVICE ACTIVITIES

• Member, Southern Oregon Institutional Review Board, Asante & Providence Medford Medical Center, Southern Oregon.
• Member, Project Compassion, Jackson County Coalition to promote discussions and directives related to Advance Care Planning
• Member, OHSU School of Nursing Promotion & Tenure Committee
• 1998-present Editorial Board, Journal of Nursing Education
• 2002-present Editorial Board, Journal of Hospice and Palliative Nursing
• Member: Gerontology Society of America
• Hospice & Palliative Nursing Organization

SELECTED PUBLICATIONS

Cartwright, J., Merriman, T., and Paardenkooper, E. (1990). A Guide to Services and Information for Cancer Patients in Jackson County. Portland, OR: American Cancer Society, (3rd edition).

Community Planning Workshop. (1990). South Coast Seniors Needs Assessment Final Report. Eugene: University of Oregon Department of Planning, Public Policy and Management, (co-author).

Cartwright, J. , Archbold, P., Stewart, B., and Limandri, B. (1994). Enrichment processes in family caregiving to frail elders. Advances in Nursing Science 17:1, pp 31-43.

Cartwright, J., & Limandri, B. (1997). The challenge of multiple roles in the qualitative nurse researcher--participant relationship. Qualitative Health Research 7:2, pp223-236.

Cartwright, J., Hickman, S., Bevan, L., Shupert, C. (2004). Navigating federalwide assurance requirements when conducting research in community-based settings. Journal of the American Geriatric Society. Vol. 52, 1567-1571

Cartwright, J. & Menkens, R. (2002). Transitioning to new technologies for distance learning: Student perspectives. Computers in Nursing , 20(4), 143-149.

Cartwright, J. (2002). Nursing homes and assisted living facilities as places for dying. In P. Archbold & B. Stewart (Series Ed.), Annual Review of Nursing Research: Focus on Geriatric Nursing , Vol. 20. NY: Springer, 231-264.

Cartwright, J. (2003). End-of-life care in assisted living facilities: Perceptions of residents, families, and staffs. Journal of Hospice & Palliative Care Nursing , Vol. 5(3), 143–151.