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Dawn Dowding PhD

  • Professor of Nursing at CUMC
  • Qualifying Examination Committee Member
  • COAP Commitee Member
  • Civility Committee Member
Dawn Dowding, PhD

Dawn Dowding is VNSNY Professor of Nursing at Columbia University School of Nursing and the Center for Home Care Policy & Research, Visiting Nursing Service of New York. She is a health services researcher, nurse and psychologist with expertise in the field of health care decision making. Her particular interest is the development and evaluation of decision support tools, and more recently the application of Health Information Technology for assisting decision making in practice.

She was previously Professor of Applied Health Research, University of Leeds UK and was a Harkness Fellow in Health Care Policy and Practice from 2009-2010, working at Kaiser Permanente, Oakland CA. Her previous work has included an evaluation of the use of Computerized Decision Support Systems by nurses in the NHS in England, the development and evaluation of decision support tools (in both nursing and midwifery settings) and the evaluation of the impact of the implementation of an Electronic Health Record system on nursing sensitive patient outcomes and nurses’ use of the system. Dr Dowding completed her registered nurse training at St Bartholomew’s College of Nursing and Midwifery, London, has a BSc(Hons) in Psychology with Nursing Studies from City University, London and a PhD in Psychology and Nursing from the University of Surrey, UK.

1. The development and evaluation of clinical decision support systems in nursing

2. Implementation of evidence into clinical practice.

3. The role of technology in health care, with a focus on its impact on decision behavior.

4. Evidence-based practice in home care settings.

The goal of my research is to develop ways to provide research evidence to nurses effectively at the point of decision making.  The overarching aim of my work is to explore how we can improve nurse decision making in practice, and the impact of technology (such as computerized decision support systems and electronic health record systems) on nurse decision behavior.

    Education & Training

  • PhD, 1998 Psychology and Nursing, University of Surrey (United Kingdom)

Centers/Institutes/Programs

Contact Info

Past Positions

1991-1992:       Staff Nurse, St Bartholomew’s Hospital and St Georges Hospital, London

1992-1997:       Research Fellow, Department of Nursing and Midwifery, University ofSurrey

1997-2001:       Lecturer, Department of Nursing and Midwifery, University of Stirling

2001-2003:       Programme Leader, Nursing Research Initiative for Scotland, University of Stirling

2003-2010:       Senior Lecturer in Clinical Decision Making, Department of Health Sciences, University of York and the Hull York Medical School

2010- 2013:      Professor of Applied Health Research, School of Healthcare, University of Leeds

2013-                 VNSNY Professor of Nursing, Columbia University School of Nursing
2014-                 Honorary Professor, School of Healthcare, University of Leeds

Presentations

Dowding D. Using mixed methods to evaluate health information technology. American Medical Informatics Association Webinar, June 12, 2014.

Dowding D. Nurses leading the way: Leadership through evidence based Practice, Keynote Address, Visting Nurse Service of New York Nurses Day, New York, May 21, 2014

Dowding D. Clinical Decision Support in Nursing.  Informatikens nytta för vård och utbildning (Informatics for the benefit of Health and Education), 9th Annual Conference for Nursing Informatics, Karolinska University, Stockholm, Sweden, May 6 2013.

Dowding D. Consequences of Using Clinical Decision Support in Nursing.  Informatikens nytta för vård och utbildning (Informatics for the benefit of Health and Education), 9th Annual Conference for Nursing Informatics, Karolinska University, Stockholm, Sweden, May 6 2013.

Dowding D.  The development of a decision tool for the management of urinary incontinence in women in primary and community care. RCN Continence care conference 2012. Birmingham, November 15-16 2012.

Dowding D. Implementation of an Electronic Health Record: The Effect on Nursing-Sensitive Patient Outcomes.  The Global Reach of Nursing Quality. CalNOC 2011. Long Beach, California,  June 16-17 2011.

Dowding D, How do doctors do doctors decide about the management of patients with venousthromboembolism and advanced cancer?  The Royal Society of Medicine, Palliative care: the final frontier.  Scarborough, 31 March-1 April 2011.

Teaching Responsibilities

N7000: Introduction to Evidence Based Practice (enrolment 220), Spring 2015

N6826: Evaluation and Appreciation of Research (enrolment 180), Spring 2014

Committees/Societies/Memberships

2009- present: American Medical Informatics Association (member)

2013 - present: Academy Health (member)

National Quality Forum, Person and Family Centred Care Steering Committee member (2014 – present)

Finance Committee Member, American Medical Informatics Association (2015 - present)

Alliance for Home Health Quality and Innovation (AHHQI), Research Work Group (2013 – present)

Expert Member, Research and Evidence Based Practice Council, Visiting Nursing Service of New York (2013 – present)

Editorial Board Member, Worldviews on Evidence-Based Nursing, 2014 -

Associate Editor, Implementation Science, 2011 – present

Committee on Advancement and Promotion, Columbia University School of Nursing (2013 – present)

Panel Member: National Institute for Health Research (UK), Health Services & Delivery Research,  Researcher-led Programme, January – June 2012.

British Computer Society Nursing Specialist Group, Executive Committee Member, 2010 – 2013

International Medical Informatics Association Nursing Informatics group UK representative, 2012 - 2013

National Nursing Informatics Strategic Taskforce member, 2010 – 2013 (Deputy Chair from August 2012)

Clinical Editor, Nursing Times 2002 – 2008

Global Health Countries

  • United Kingdom

Honors & Awards

Fellow of the New York Academy of Medicine

Research Interests

  • Clinical decision making
  • Computerized decision support systems
  • Nursing informatics
  • Evaluation methods for health information technology
  • Home care

Grants

CURRENT GRANTS

  • Assessment of Sexual Orientation & Gender Identity in Home Health Care. Columbia University School of Nursing, Intramural pilot grant. 9/1/2014-8/31/2016. $10,000.  Co-Investigator (5% effort).
  • A realist process evaluation of robotic surgery: integration into routine practice and impacts on communication, collaboration and decision making. National Institute for Health Research, Health Services and Delivery Research Programme. Grant awarded April 2013. £532,613. Co-Investigator.
  • The detection and management of pain in patients with dementia in acute care settings: development of a decision tool. National Institute for Health Research, Health Services and Delivery Research Programme. Grant awarded March 2012. £893,595. Principal Investigator (until July 2013), Co-investigator (July 2013 – onwards).

COMPLETED GRANTS

  • The effect of the implementation of an Electronic Health Record on nursing sensitive patient outcomes.  Harkness Fellowship in Health Care Policy and Practice.  The Commonwealth Fund. August 2009 – July 2010. $107,000. Principal Investigator.
  • The development of a decision tool to improve the management of urinary incontinence in women in the community.  National Institute for Health Research, Research for Patient Benefit. £249,576.  Grant awarded December 2008.  Principal Investigator. 
  • Diagnosis and Management of venous thromboembolism (VTE) in patients with advanced cancer: how do physicians decide? National Institute for Health Research, Research for Patient Benefit. £212,008. Grant awarded December 2008. Co-principal investigator.
  • The decision making of heart failure specialist nurses.  HYMS Pump Priming Award. £29,643. Grant awarded December 2004.  Principal Investigator.
  • A cluster randomised trial to investigate the use of a decision aid for the diagnosis of labour in term pregnancy.  Chief Scientist Office, Scottish Executive. £201,000. Grant awarded October 2004.  Co-Investigator.
  • How do nurses use new technologies to inform decision making?  Department of Health. £254,000.  Grant awarded August 2004.  Principal Investigator.
  • A Cluster Randomised Controlled Trial to Investigate the use of a Decision Aid for the Diagnosis of Active Labour in Term Pregnancy:  Feasibility Study.  Chief Scientist Office, Scottish Executive. £27,884.  Grant awarded October 2001. Co-Investigator.
  • Observation and acutely ill psychiatric in-patients:  A social judgement analysis.  Chief Scientist Office.  £81,000.  Awarded May 2001.  Principal Investigator.
  • The Development and Evaluation of a Computerised Clinical Guidance Tree for Benign Prostatic Hyperplasia and Hypertension.  Chief Scientist Office.  £157,000.  Awarded October 1999.  Principal Investigator.
  • An Investigation into the activities and decision making of registered nurses in a Scottish acute care setting.  Faculty Development Fund.  £10,079.  Awarded December 1999. Principal Investigator.
  • The decision making of health care practitioners regarding the use of urinary catheters for incontinence in acute care. John Nicol Award, Infection Control Nurses Association,  £2,000.  Awarded August 2002.  Co-Investigator.
  • Factors associated with clinical incidents in labour: pattern recognition using artificial neural networks. Greater Glasgow NHS Trust R & D Endowment Funding.  £9,388.10. Co-Investigator. Awarded October 2002.

NIH Grants

  • TRANSLATING AN EVIDENCE-BASED URBAN ASTHMA PROGRAM FOR RURAL ADOLESCENTS: TESTING EFFECTIVENESS & COST-EFFECTIVENESS AND UNDERSTANDING FACTORS ASSOCIATED WITH IMPLEMENTATION (Federal Gov)

    Jul 5 2017 - Jun 30 2022

    PRECISION IN SYMPTOM SELF-MANAGEMENT (PRISSM) CENTER (Federal Gov)

    Aug 16 2016 - May 31 2021

    INFECTION CONTROL IN HOME CARE AND PREDICTIVE RISK MODELING (Federal Gov)

    Jul 1 2016 - Apr 30 2019

    IMPROVING PRESSURE ULCER PREVENTION IN SKILLED NURSING FACILITIES (Private)

    Jun 16 2016 - May 31 2017

    FINDING A SAFER WAY: NOVEL INTERACTION DESIGN APPROACHES TO HEALTH IT SAFETY (Federal Gov)

    Jul 1 2015 - Apr 30 2017

    FINDING A SAFER WAY: NOVEL INTERACTION DESIGN APPROACHES TO HEALTH IT SAFETY (Federal Gov)

    Jul 1 2015 - Apr 30 2017

    A REALIST PROCESS EVALUATION OF ROBOTIC SURGERY: INTEGRATION INTO ROUTINE PRACTICE AND IMPACTS ON COMMUNICATION, COLLABORATION AND DECISION MAKING (Private)

    Nov 1 2013 - Feb 29 2016

    THE DETECTION AND MANAGEMENT OF PAIN IN PATIENTS WITH DEMENTIA IN ACUTE CARE SETTINGS: DEVELOPMENT OF A DECISION TOOL (Private)

    Sep 1 2013 - Sep 30 2015

Publications

  1. Taylor P, Crouch S, Howell DA, Dowding DW, Johnson MJ. Changes in physiological variables in the last two weeks of life: An observational study of hospital in-patients with cancer. Palliative Medicine 29(2):120-127. 2015
  2. Dowding D, Randell R, Gardner P, Fitzpatrick G, Dykes P, Favela J, Hamer S, Whitewood-Moores Z, Hardiker N, Borycki E, Currie L. Dashboards for improving patient care: review of the literature.  International Journal of Medical Informatics, 84:87-100. 2015.
  3. Lichtner V, Dowding D, Esterhuizen P, Closs SJ, Long A, Corbett A, Briggs M. Pain assessment for people with dementia: a systematic review of systematic reviews of pain assessment tools. BMC Geriatrics, 14:138. 2014. doi:10.1186/1471-2318-14-138
  4. Dowding D, Turley M, Garrido T. Nurses’ use of an integrated electronic health record: results of a case site analysis.  Informatics in Health and Social Care. In press
  5. Coleman S, Nelson EA, Keen J, Wilson L, McGinnis E, Dealey C, Stubbs N, Muir D, Farrin A, Dowding D, Schols JMGA, Cuddigan J, Berlowitz D, Jude E, Vowden P, Bader DL, Gefen A, Oomens CWJ, Schoonhoven L, Nixon J. Developing a pressure ulcer risk factor minimum data set and risk assessment framework. Journal of Advanced Nursing. Available online21 May 2014. DOI: 10.1111/jan.12444
  6. Samuriwo R, Dowding D. Nurses' pressure ulcer related judgements and decisions in clinical practice: a systematic review.  International Journal of Nursing Studies. Available Online 19 April 2014. http://dx.doi.org/10.1016/j.ijnurstu.2014.04.009
  7. Randell R, Greenhalgh J, Dowding D, Jayne D, Pearman A, Gardner P, Croft J, Kotze A, Hindmarsh J. Intergration of robotic surgery into routine practice and impacts on collaboration, communication and decision making: a realist process evaluation protocol.  Implementation Science 9:52. 2014. doi:10.1186/1748-5908-9-52
  8. Coleman S, Nixon J, Keen J, Wilson L, McGinnis E, Dealey C, Stubbs N, Farrin A, Dowding D, Schols JMGA, Cuddigan J, Berlowitz D, Jude E, Vowden P, Schoonhoven L, Bader DL, Gefen A, Oomens CWJ, Nelson EA. A new pressure ulcer conceptual framework.  Journal of Advanced Nursing Available online March 31st 2014. DOI: 10.1111/jan.12405
  9. Parenti, N; Reggiani, MLB, Iannone P, Dowding, D. A systematic review on the validity and reliability of the Manchester Triage System.  International Journal of Nursing Studies. Available online February 4th 2014: http://dx.doi.org/10.1016/j.ijnurstu.2014.01.013
  10. Shang J, Ma C, Poghosyan L, Dowding D, Stone P. The prevalence of infections and patient risk factors in home health care: A systematic review.  American Journal of Infection Control, 42(5): 479-484. 2014.
  11. Dowding D, Currie L, Borycki E, Clamp S, Favela J, Fitzpatrick G, Gardner P, Hamer S, Hardiker N, Johnson O, Lawton R, O’Brien A, Randell R, Westbrook J, Whitewood-Moores Z, Dykes P. International Priorities for Research in Nursing Informatics for Patient Care. Studies in Health Technology and Informatics, Volume 192: MEDINFO 2013, p. 372-376. DOI: 10.3233/978-1-61499-289-9-372
  12. Thompson C, Aitken L, Doran D, Dowding D. An agenda for clinical decision making and judgement in nursing research and education. International Journal of Nursing Studies. 50(12), 1720-1726, 2013
  13. Sheard L, Prout H, Dowding D, Noble S, Watt I, Maraveyas A, Johnson M. Barriers to the diagnosis and treatment of venous thromboembolism in advanced cancer patients - A qualitative study. Palliative Medicine.  DOI: 10.1177/0269216312461678. 2012
  14. Sheard L, Prout H, Dowding D, Noble S, Watt I, Maraveyas A, Johnson M. The ethical decisions UK doctors make regarding advanced cancer patients at the end of life - the perceived (in) appropriateness of anticoagulation for venous thromboembolism: A qualitative study. BMC Medical Ethics. BMC Medical Ethics.2012, 13:22. DOI: 10.1186/1472-6939-13-22 URL: http://www.biomedcentral.com/1472-6939/13/22
  15. Johnson MJ, Sheard L, Maraveyas A, Noble S, Prout H, Watt I, Dowding D. Diagnosis and management of people with venous thromboembolism and advanced cancer: how do doctors decide? a qualitative study. BMC Medical Informatics and Decision Making. 12:75 doi:10.1186/1472-6947-12-75. 2012
  16. Dowding D, Gurbutt R, Murphy M, Lascelles M, Pearman A, Summers B.  Conceptualising decision making in nursing education. Journal of Research in Nursing. 17: 348-360, 2012
  17. Dowding D, Turley M, Garrido T. The impact of an electronic health record on nurse sensitive patient outcomes: an interrupted time series analysis. Journal of the American Medical Informatics Association. 19: 615-620, 2012
  18. Dowding D, Cheyne H, Hundley V. Complex interventions in midwifery care: Reflections on the design and evaluation of an algorithm for the diagnosis of labour.  Midwifery. 27:654-659, 2011
  19. Randell R, Dowding D. Organisational influences on nurses’ use of clinical decision support systems.  International Journal of Medical Informatics. 79(6): 412-421, 2010

For a complete list of publications, please visit PubMed.gov