Alyce Ashcraft, Ph.D., RN, CNE, ANEF
Associate Dean for Research
Roberts Endowed Practiceship in Nursing
The University of Texas at Austin, 1982
School of Nursing
Texas Tech University Health Sciences Center
3601 4th St; STOP 6264
Lubbock, TX 79430-6264
- Improving the care of nursing home residents
- Application of evidence based practice in the clinical setting
The purpose of my current program of research is to test structured communication
tools (paper and EMR) for use by LPNs and RNs in skilled nursing facilities to report
resident health status change to providers to determine efficacy in preventing avoidable
nursing home resident hospitalization.
There are over 16,100 nursing homes in the United States with 1.5 million residents
(CDC, 2010). Hospitalization rates for nursing home residents range from 9% to 59%
(Grabowski, et al., 2008) and 55% to 67% of these hospitalizations are potentially
avoidable (Ouslander, et al., 2010; Walker, et al., 2009). Older adults are vulnerable
to receiving suboptimal care during transfer from the nursing home to the emergency
department and are especially vulnerable to experiencing physiologic changes that
may permanently decrease functional abilities (AGS, 2009; Coleman, 2003; Coleman &
Fox 2004; McCloskey, 2011). Avoiding unnecessary hospitalizations is also important
to relieve the financial impact transfer places on an already overburdened healthcare
system. Poor communication between nurses and providers in the nursing home environment
is a significant contributor to transfer (McMahan, et al., 1994; Robinson, et al.,
2010; Young, et al., 2010) and communication problems can be magnified by heavy reliance
on telephone communication to inform providers of changes in resident status.
Published Journal Articles (Peer Reviewed) - International
- Ashcraft, A. S. and Champion, J. D. (2012). Nursing home resident symptomatology triggering
transfer: Avoiding unnecessary hospitalizations. Nursing Research and Practice, doi:
- Ashcraft, A. S. (1985). Nutritional beliefs and practices of selected Raukawa tribal
members. Journal of the New Zealand Dietetic Association, 36(2), 42-54.
Published Journal Articles (Peer Reviewed) - National
- Hargrave, K., Ashcraft, A. S., Bishara, J., Hobson, V., Zhang, Y., & O'Bryant, S.
E. (2009). A description of migration patterns and disease prevalence in the Cochran
County Aging Study Cohort. Texas Public Health Journal, 61(1), 29-35.
- Zhang, Y., Ashcraft, A. S., Hobson, V., & O'Bryant, S. E. (2009). An examination of
cardiovascular disease risk factors of a rural-dwelling ethnically diverse cohort.
Texas Public Health Journal, 61(1), 13-16.
- Ashcraft, A. S., Owen, D. C., Braddock, E., Waring, S., & O'Bryant, S. E. (2009).
Rural West Texas: Healthcare implications of "Living the Simple Life". Texas Public
Health Journal, 61(1), 8-12.
- Cherry, B. J., Ashcraft, A. S., & Owen, D. C. (2007). Perceptions of job satisfaction
and the regulatory environment among nurse aides and charge nurses in long-term care.
Geriatric Nursing, 28(3), 183-192.
- Ashcraft, A. S., Boswell, C. A., Miller, V. G., & Acton, C. F. (2007). Time requirements
for implementation of the course facilitator role. Journal of Nursing Education, 46(7),
- Ashcraft, A. S., Owen, D. C., & Feng, D. (2006). A comparison of cognitive and functional
care differences in four long-term care settings. The Journal of the American Medical
Directors Association, 7(2), 96-101.
- Ashcraft, A. S. (2006). Statistical graffiti. The Journal of Nursing Education, 45(1),
44-45. Ashcraft, A. S., & Amos, L. (2004). Access and satisfaction with health care
in two rural West Texas communities. Texas Journal of Rural Health, 22(2), 8-12.
- Ashcraft, A. S. (2004). Differentiating between pre-arrest and failure to rescue.
MedSurg Nursing: The Journal of Adult Health, 13(4), 211-216. Scholler-Jaquish, A.,
Weiss-Kaffie, C., Ashcraft, A. S., & Diaz, S. (2003). The latex allergic psychiatric
patient. Psychosocial Nursing and Mental Health Services, 41(2), 30-36.