1. careers
2. nursing

CURRICULUM VITAE
Karen Cox, RN, PhD, NEA-BC, FAAN
Work Address:
Children’s Mercy Hospitals and Clinics
2410 Gillham Road
Kansas City, Missouri 64108
[email protected]
RN License Number: Missouri 095223
Kansas 13-047-936-101
Florida 9205892
EDUCATION
Institution and Location
Degrees
University of Missouri-Kansas City
PhD
School of Nursing
Kansas City, Missouri
• Collateral Study – Bloch School of
Business
• Dissertation: “Comparing Lower
Level Work Environment Needs with
Higher Level Work Environment
Needs in an Inpatient Registered
Nurse Sample”
816-234-3933
816-346-1333
Graduation
2002
MSN
University of Missouri-Kansas City
School of Nursing
Kansas City, Missouri
• Research – “Primary Prevention in
Pregnant Adolescents”
1993
BSN
University of Kansas
College of Health Sciences
Kansas City, Kansas
1983
ADN
Regents College (now known as Excelsior
College), Albany, New York
1982
Practical Nursing
Kansas City, Missouri Board of
Education, Program of Practical Nursing,
Kansas City, Missouri
1979
PROFESSIONAL CERTIFICATIONS
NEA-BC – Nurse Administrator Advanced Board Certified - American Nurses Credentialing
Center (2003-2012)
PNP – Pediatric Nurse Practitioner - American Nurses Credentialing Center (1994-2004)
CPON – Certified Pediatric Oncology Nurse - Association of Pediatric Oncology Nurses
(1993-1997)
OCN – Oncology Certified Nurse - Oncology Nursing Society (1991-1995)
CCRN – Critical Care Registered Nurse - American Association of Critical Care Nurses
(1982-1993)
EMPLOYMENT EXPERIENCE
Executive Vice President
Co-Chief Operating Officer
The Children’s Mercy Hospitals
2006 - Present
and Clinics
Kansas City, Missouri
Responsible for all the day-to-day operations of the hospital. Executive leadership position
in regional quaternary pediatric health system which includes two hospitals, thirty outpatient
clinics, a home care agency and a Medicaid HMO. Responsible for over $300 million
budget and 1,800 FTEs reporting to President and Chief Executive Officer. Direct reports
include: Vice President/Chief Nursing Officer, Senior Director for Allied Health, Senior
Director Quality, Medical Director of Quality and Safety, Patient Care Services Research,
Director of Chaplaincy. Provide vision and leadership for clinical care and quality
throughout the organization. Responsible for external relationships with area colleges and
universities, regulatory agencies and community leaders.
Assistant Dean for Clinical
Partnerships
•
•
•
University of Missouri-Kansas
City School of Nursing
Kansas City, Missouri
2004 - Present
Strengthen clinical partnerships for teaching, research, practice and service
Participate in systems research team
Provide consultation on the administrative content and experiences for BSN and
MSN programs
2
The Children’s Mercy Hospitals
2004 - 2006
and Clinics
Kansas City, Missouri
Senior leadership position in regional quaternary pediatric health system which includes two
hospitals, thirty outpatient clinics, home care and a Medicaid HMO. Responsible for $120
million budget and 1,400 employees reporting to President and Chief Executive Officer.
Direct reports include: Chief Nursing Officer, Senior Director for Allied Health, Senior
Director Quality and Safety, Director of Patient Care Services Research and Medical
Director for Health Management Services. Provide vision and leadership for clinical care
and quality throughout the organization. Responsible for external relationships with area
colleges and universities, regulatory agencies and community leaders.
• Lead multimillion dollar information systems project
• Developed an Institute of Medicine defined “Chasm Community” (Invited
speaker at the 16th Annual National Forum on Quality Improvement in Health
Care sponsored by the Institute for Healthcare Improvement, December 2004)
• Lead in developing pediatric quality indicators through National Database for
Nursing Quality Indicators (NDNQI) – Pilot completed
• Piloting American Association of Colleges of Nursing clinical nurse leader role in
partnership with University of Kansas Medical Center - School of Nursing
Senior Vice President for Patient
Care Services
Senior Vice President for
Operations
All Children’s Hospitals
St. Petersburg, Florida
Senior Vice President for Patient
Care Services/Chief Nursing
Officer
The Children’s Mercy Hospitals
and Clinics
Kansas City, Missouri
2004
2002-2004
Senior leadership position in regional quaternary pediatric health system. Responsible for
1,200 employees with a $95 million budget reporting to Chief Operating Officer. Led
internal operations related to patient care and hospital quality in addition to external
relationships with area colleges and universities, regulatory agencies and community
leaders. Major accomplishments included:
• Achieved Magnet designation – first hospital in Missouri and the region to receive
this honor
• President – Greater Kansas City Area Nurse Executives
• Appointed Assistant Dean for Clinical Partnerships, University of MissouriKansas City School of Nursing
3
The Children’s Mercy Hospitals
1995-2002
and Clinics
Kansas City, Missouri
Senior leadership position in regional quaternary pediatric health system. Responsible for
1,200 employees with a $80 million budget. Led internal operations related to patient care
and hospital quality in addition to external relationships with area colleges and universities,
regulatory agencies and community leaders. Major accomplishments included:
• Created a Department of Nursing and Patient Care Services Research
• Developed large advanced practice nursing group to include: 83 Pediatric Nurse
Practitioners, 13 Clinical Nurse Specialists and 18 Neonatal Nurse Practitioners,
providing care in a variety of settings
• Secured endowment funding for an annual pediatric nursing lecture hosted open
to the Kansas City nursing community
• Developed innovative model of nursing faculty with University of Kansas
Medical Center- School of Nursing. Through this partnership the University of
Kansas contracts with Children’s Mercy to provide faculty, with appropriate
education and experience, for pediatrics, critical care and leadership clinical
rotations
The Children’s Mercy Hospitals
1993-1995
Manager for Hematology/
and Clinics
Oncology Services
Kansas City, Missouri
Vice President for Patient Care
Services/Chief Nursing Officer
Head Nurse Infant/Toddler Care
Unit
The Children’s Mercy Hospitals
and Clinics
Kansas City, Missouri
1990-1993
Head Nurse, Hematology/
Oncology Unit
The Children’s Mercy Hospitals
and Clinics
Kansas City, Missouri
1989-1993
Head Nurse, Pediatric Intensive
Care Unit
Children’s Hospital of
Philadelphia
Philadelphia, Pennsylvania
1988-1989
Head Nurse, Infectious Disease
Unit
The Children’s Mercy Hospitals
and Clinics
Kansas City, Missouri
1987-1988
Nursing Supervisor, PRN
Weekends
The Children’s Mercy Hospitals
and Clinics
Kansas City, Missouri
1986
4
Head Nurse, Burn Unit
University of Kansas Medical
Center
Kansas City, Kansas
1985-1987
Head Nurse, ENT/Surgical
Oncology
University of Kansas Medical
Center
Kansas City, Kansas
1984-1985
Emergency Department Staff
Nurse
University of Kansas Medical
Center
Kansas City, Kansas
1981-1984
Staff Nurse, LPN, Burn Unit
University of Kansas Medical
Center
Kansas City, Kansas
1979-1981
FELLOWSHIPS
2006-Present
Affiliate of the Center for Health Policy
University of Missouri-Columbia
2005 – Present
Fellow – American Academy of Nursing
2004 - Present
Senior Fellow - Center for the Health Professions
University of California-San Francisco
• Center led by Edward O’Neil, MPA, PhD, Professor of Family and Community
Medicine and Dental Public Health
• Serve as advisor/team member for work force/work environment projects and
research
2003- Present
Sigma Theta Tau International Honor Society
• Virginia Henderson Fellow
1999-2002
Robert Wood Johnson Executive Nurse Fellows Program, Center for the Health
Professions University of California, San Francisco
• The Robert Wood Johnson Executive Nurse Fellows Program is an advanced
leadership program for nurses in senior executive roles in health services, public
health, and nursing education who aspire to help lead and shape the United States
health care system of the future
BOARD MEMBERSHIPS
2007 - 2010
University of Kansas Medical Center Research Institute, Inc.
• Serve as Board Member
• Serve as Research Committee Member
5
2006 - Present
2007 - Present
2006 - 2007
National Initiative for Children’s Healthcare Quality
• Serve as Board Chair
• Serve as Board Member for this forum dedicated to improving the quality of health
care for children and their families
2006 – Present
Oakland University
School of Nursing – Rochester, Michigan
• Serve as Member of the Doctor of Nursing Practice (DNP) Program Committee
2006 – Present
American Nurses Credentialing Center
Technology Task Force
• Serve as Co-Chair
2006 - Present
2007 – Present
2006 – Present
Care Entrust - Employer-based regional health information network (RHIO) the
only such organization in the country
• Executive Committee Member
• Board Member
2004 - Present
2006 – Present
2005 – 2006
2004 - 2005
LifeFlight Eagle – Kansas City Air Ambulance Consortium
• Serve as Board Chair
• Served as Secretary/Treasurer
• Served as Board Member
2005 - Present
Presbyterian Healthcare Services, Albuquerque, New Mexico
Board of Directors - Albuquerque, New Mexico
• Serve as Member of the Quality Committee
2002-2003
Health Resource Partners
Member Board of Directors – Kansas/Missouri
ACADEMIC AFFILIATIONS
2004 - Present
Adjunct Doctoral Faculty - Bloch School of Business and Public Administration,
University of Missouri, Kansas City
• Serve on doctoral committees for students in health policy and health economics
• Faculty for directed readings for doctoral students
Adjunct Doctoral Faculty, University of Missouri-Kansas City School of Nursing
2003 – Present
• Serve on doctoral committees for students in health policy, child health and systems
research
6
2003 - Present
2002 - Present
2006 – Present
2002- Present
2000-2001
1999-2002
1999 - 2002
1998 - 1999
Visiting Professor – Oakland University, School of Nursing
Rochester, Michigan
Lecture on selected topics including: leadership, work environment research and
attaining Magnet designation
Assistant Dean for Clinical Partnerships, University of Missouri-Kansas City School
of Nursing
• Strengthen clinical partnerships for teaching, research, practice and service
• Participate in systems research team
• Provide consultation on the revision of administrative content and experiences for
BSN and MSN curricula
• Summer 2007 – Taught N5602 (Doctorate of Nursing Practice Program)
• Summer 2008 – Taught N5602 (Doctorate of Nursing Practice Program)
Adjunct Professor – Excelsior College, Albany, New York
• Fall 2007 – Taught N644 – Capstone Experience
• Summer 2007 – Taught N5602 – Healthcare Systems and Leadership
• Fall 2006 – Taught NUR 621, Management of Organizational Systems
Adjunct Professor – Bloch School of Business and Public Administration, University
of Missouri, Kansas City
• Summer 2007 – Taught N5603, Nursing Systems and Leadership – Doctorate in
Nursing Program
• Winter 2003 – Taught HA 576, Managed Care – 3 credits
• Fall 2002 – Taught HA577, Health Services Administration and Health Professions
– 3 credits
Student Representative – PhD Committee of the University of Missouri-Kansas City
School of Nursing
Guest Lecturer - Bloch School of Business and Public Administration, University of
Missouri, Kansas City
3-4 lectures per year on topics related to nursing work environment, trends in healthcare
and quality improvement in healthcare.
Consulting Faculty - University of Missouri-Kansas City School of Nursing
Lectures to graduate students
• Research in work environment
• Instrument development
Consulting Faculty - University of Missouri-Kansas City School of Nursing
Lectures to graduate students
• Nursing shortage – causes and implications
• Economics of health care
7
1996 - 1998
1994 - 1995
1993 – 1995
1986 – 1988
1984 - 1985
Consulting Faculty - University of Missouri-Kansas City School of Nursing
Lectures to graduate students
• Power and negotiation skills
• Current trends in health care
Guest Lecturer - University of Kansas Medical Center - School of Nursing
• Lectured to graduate students on “Risk and Harm Reduction Models”.
Consulting Faculty - University of Missouri-Kansas City School of Nursing
Lectures to graduate students
• Nursing care delivery models
• Role theory – administration
Management Preceptor - University of Missouri-Kansas City School of Nursing
• Precepted BSN completion students for leadership rotation
Management Preceptor - University of Kansas Medical Center - School of Nursing
PRE-DOCTORAL TRAINEES
2005 – Present Brenda Bohaty
Molecular Dynamics in Class II
Composite Restorations
2004 – 2007
Marcy Tarrants
Pediatric Versus Non-Pediatric
Hospital Markets: Determinants of
Operating Margins
Receiving the Diagnosis of Cancer:
The Adolescent Perspective
2003 – 2007
Kristin Stegenga
2002 – Present
Shelly Anderson
Nursing Workload Issues
2002 – 2004
Kandace Landreneau
Adult Hemodialysis Patients
Perceptions Concerning Choice
Among Renal Replacement Therapies
8
University of Missouri –
Kansas City, Bloch
School of Business
University of Missouri –
Kansas City, Bloch
School of Business
University of Missouri –
Kansas City, School of
Nursing
University of Missouri –
Kansas City, School of
Nursing
University of Missouri –
Kansas City, School of
Nursing
PATENTS
United States Patent – A System and Method for Monitoring and Analyzing Data Trends of
Interest Within an Organization – Serial No. 09/751,858; Filed 12/29/00; Docket No. 30644.
The present invention relates to a computer-based surveillance and analysis tool for
identifying, monitoring and analyzing trends and patterns of interest within an organization,
and having features allowing for more detailed investigation and analysis of specific data or
ranges of data identified and selected from larger trend or pattern.
December 2007 – Software sold to Cerner Corporation
COPYRIGHTS
United States Copyright Office – Individual Workload Perception Scale – No. TXu 1-10108347; Filed 5/08/03. The Individual Workload Perception Scale was designed to assess factors
that impact nurse’s current work environment on their workload perception and intent to stay
in their current position. By understanding these relationships more meaningful
improvements can be made in their work environment.
LEADERSHIP AWARDS, RECOGNITION AND HONORS
2008
Distinguished Nursing Alumna, University of Kansas Medical Center Alumni
Association.
2007
Missouri Nurses Association’s 83rd Biennial Convention “Paving a New Path with
MONA”, Branson, Missouri. Recognized for induction achievement as a Fellow into the
American Academy of Nursing (FAAN) and contributions to the nursing profession.
2007
American Journal of Nursing Book of the Year Awards – Nursing Education and
Continuing Education Issues for “Beyond Leading and Managing Nursing
Administration for the Future”. - authored chapter.
2006
Carrie B. Lenburg Award, Excelsior College, Albany, New York. This award is
presented to a nurse who demonstrates a commitment to nursing education as well as
academic and professional accomplishments in the field of nursing.
2006
American Journal of Nursing Book Year Awards – Received History and Public Policy
Award and Professional Development and Issues for “Nursing Workforce Development:
Strategic State Initiatives” - authored chapter.
2004
Ingram’s Magazine “Heroes of Healthcare” - Administration Award
2003
Children’s Mercy is recognized as one of the top ten children’s hospitals in the United
States by Child Magazine
2003
Children’s Mercy receives Magnet Recognition from the American Nurses
Credentialing Center. The first hospital to receive this designation in the States of
Missouri and Kansas and the third children’s hospital in the United States. The Magnet
Program recognizes excellence in nursing care
2003
Pediatric Research Section Clinical Practice Award, Midwest Nursing Research Society
2003
School of Nursing Alumni Achievement Award, University of Missouri-Kansas City
Alumni Association
2000
Clinical Scholarship Recognition Award, Lambda Phi, Sigma Theta Tau International
Honor Society of Nursing
9
1991
1990
1990
1990
1990
1988
1988
Nominee for Nursing the Heart of Healthcare sponsored by the University of Kansas
Medical Center - School of Nursing, Kansas City, Kansas
Nominee for the “Tribute to Missouri Nurses”, St. Louis, Missouri
Nominee for Nursing the Heart of Healthcare sponsored by the University of Kansas
Medical Center - School of Nursing, Kansas City, Kansas
Outstanding Nurse Manager, Kansas City Area Nurse Administrators
Outstanding Nurse Manager, Children’s Mercy Hospitals and Clinics
Heart of America United Way Recognition Award for Significant Service to the
Community through Volunteer Participation
Golden Rule Award, Recognition of Outstanding Volunteer Service
COMMUNITY SERVICE
2007
Robert H. Flarsheim Society, University of Missouri-Kansas City, School of Nursing –
A Society that recognizes alumni and friends that include UMKC in their estate plans
2007
Family Voices – Served on the 15th Anniversary Gala Honorary Committee – This
organization is formed by families and friends of children and youth with special health
care needs
2006 – Present
Kansas Hospital Association – Member of the Council on Health Delivery
2005 - 2008
The Kansas City Partnership to Advance Pediatric Palliative Care – Improving palliative
and end-of-life care for children and their families
2005
Hands and Hearts for Children – Sponsor of event to raise funds for primary care clinics
caring for underserved children in Kansas City
1997-2003
Nursing Advisory Committee – Johnson County (Kansas ) Community College
1995 - Present
Community Advisory Board – University of Missouri-Kansas City School of Nursing
1992
Volunteer nurse for Immunization Program through Kansas City, Missouri Health
Department
1992-1995
Advisory Board Member for Community Blood Brain Barrier Disruption Program –
Trinity Lutheran Hospital, Kansas City, Missouri
1991-2000
HIV/AIDS Literature Review Committee – Kansas City, Missouri Health Department,
Kansas City, Missouri
1990-1995
HIV Adolescent Outreach Volunteer– Swope Parkway Health Center, Kansas City,
Missouri
1984-1988
Good Samaritan Project, Kansas City’s first AIDS service organization
• Board President (1986-1987)
• Board Member (1985-1986)
• Volunteer Nurse (1984-1988)
1982-1985
The Whole Person, Inc., Kansas City, Missouri - Community Advocacy Group for
persons with disabilities
10
1982-1986
1981-1988
1981-1984
Planned Parenthood, Kansas City, Missouri. - Volunteered 3 Saturday mornings a month
providing escorts to women seeking services as they walked through anti-choice
protesters
Westport Free Health Clinic, Kansas City, Missouri
• Pediatric Immunization Clinic (1981–1982)
• Women’s Clinic Nurse (1982-1984)
• HIV Clinic Nurse (1984-1987)
• HIV Counselor (1985-1988)
Child Protection Team, Wyandotte County, Kansas
PROFESSIONAL ACTIVITIES
2008-2010
Child Health Corporation of America – Neonatology Area of Focus Steering Committee
2008
Journal of Pediatric Nursing – Manuscript Reviewer
2007 - 2008
Interdisciplinary Nursing Quality Research Initiative (INQRI) – Brief Proposal
Reviewer
2007
Guangzhou Children’s Hospital, Guangzhou, China - Visited this children’s hospital in
China to explore potential administrative and nursing exchange
2006
University of Missouri-Kansas City, School of Nursing - Chair of the Second Annual
Alumnae Continuing Education Event, “Patient, Nurse, Consumer –How Safe Are We?”
2006 - 2008
American Academy of Nursing - Member of the Nominating Committee
2006
National Quality Forum - Member of the Pediatric Technical Advisory Panel (TAP) of
the National Voluntary Consensus Standards for Hospital Care
2006
American Nurses Credentialing Center - Co-Chair of the Technology Task Force
2006 - Present
Child Health Corporation of America - Member of the Performance Improvement
Council
2006
Academy for Healthcare Improvement, Program Committee - Abstract reviewer for
Scientific Symposium
American Academy of Nursing - Abstract reviewer for the annual conference
2006
2006
Robert Wood Johnson Foundation, Interdisciplinary Nursing Quality Research Initiative
(INQRI) – Participated as a stakeholder in review of funded projects
2006
Hosted Norma Lang, PhD, RN, FRCH, FAAN – Ms. Lang made a presentation
regarding “Knowledge Based Nursing Initiative – An Overview”. Building the
referential knowledge, translating referential knowledge to actionable knowledge,
evaluation and research. This presentation was held at Children’s Mercy Hospitals and
Clinics
2005
Robert Wood Johnson Executive Nurse Fellows Program – Selected as one of the first
alumni mentors for the 2005 cohort. Responsible for providing technical assistance and
coaching to one peer group
2005
Robert Wood Johnson Executive Nurse Fellows Program – Member of review panel for
selection of 2005 cohorts
11
2005
2005
2004 – Present
2004
2004 - 2007
2004
2004
2004 - Present
2001 - 2003
2003
2003
2002
Western Journal of Nursing Research – Reviewer of articles for systems edition
Sigma Theta Tau International 38th Biennial Convention – Abstract reviewer for
leadership sessions
American Association of Colleges of Nursing - Implementing the Clinical Nurse Leader
Participating in the pilot project with the University of Kansas Medical Center - School
of Nursing and the University of Kansas Medical Center
Hosted Lambda Phi and Beta Lambda Phi Chapters of Sigma Theta Tau – A
presentation was made by a group of nurses who visited Cuba. A discussion followed
this presentation examining international models of health
National Advisory Council Member - Integrated Nurse Leadership Program
• Three-year $6 Million Project Funded by the Gordon and Betty Moore Foundation
• Administered by the University of California, San Francisco, Center for the Health
Professions
• Jennie Chin Hansen, RN, MS, Chair
• Edward O’Neil, MPA, PhD, Professor of Family and Community Medicine and
Dental Public Health, Principal Investigator
Louisiana State Nurses Association – Served as judge for entries for Louisiana’s
Nightingale Awards sponsored by the Louisiana State Nurses Association for Nursing
Administrator of the Year and Outstanding Community Achievement by a Registered
Nurse
Pediatric Oncology Nurses Roundtable – Hosted presentation and discussion with
Patricia Butterfield, PhD, RN, FAAN, Associate Professor, Psychosocial and
Community Health, University of Washington – School of Nursing, as guest expert with
local pediatric oncology nurses. Topics included talking with parents about connections
with the environment and childhood cancer
Pediatric Leadership Council, Cerner Corporation – A coalition of executives from
children’s hospitals working collaboratively with Cerner to improve the care of children
through the use of Cerner Millennium Solutions and benchmark outcomes and research
Kansas City Metropolitan Healthcare Council Workforce Collaborative Taskforce – Cochair of subcommittee commissioned by area hospital Chief Executive Officers charged
with identifying opportunities to improve the work environment
The National Center for Healthcare Leadership – Invited to participate in “An evening
of strategic thinking and exchange”, New Orleans, Louisiana
Hosted Roundtable with Five Nursing School Deans, Chairs and Children’s Mercy
Hospitals and Clinics Nursing Leadership – Discussed the landmark study reported by
Linda Aiken, RN, PhD, from the University of Pennsylvania published in the Journal of
the American Medical Association on September 24 2003, “Education Levels of
Hospital Nurses and Surgical Patient Mortality”. Kansas City, Missouri
Hosted Karen Edison, MD, University of Missouri – School of Medicine and Center for
Health Policy – Dr. Edison made a presentation on her experiences as a Robert Wood
Johnson Health Policy Fellow
12
2002
2000
2001
1997 - 2003
1998
1997
1996
1989 - 1995
American Hospital Association – Invited to participate in a think tank session hosted by
Sister Rochlage, Chair of the AHA. This discussion led to a paper published by the
American Journal of Nursing “Analysis of the Nursing Workforce Crisis: A call for
action” by Bleich M, Santos S, Hewlett P, Rice R, Cox K, Richmeier S. April 2003, vol.
103, No. 4. Session was held in St. Louis, Missouri
Robert Wood Johnson Executive Nurse Fellows Program – For mentor experience
component of this program spent five days working with Melinda Beswick, RN, Chief
Executive Officer, California Hospital Medical Center – Catholic Healthcare West
Robert Wood Johnson National Advisory Committee - Healthcare’s Human Crisis: The
American Nursing Shortage. Washington DC
Kansas City Colleagues in Caring
• Executive Committee Member (1997-2003)
• Differentiated Practice Model Task Force – Chair (1999-2002)
Hosted Faculty from the University of Melbourne, Australia – Led roundtable
discussion around nursing differences in overall healthcare delivery systems as well as
care of children
Forum with Cynda Hylton Rushton, DNSC, RN, FAAN, Associate Professor of Nursing
at the School of Nursing and faculty member at the Phoebe R. Berman Bioethics
Institute at John Hopkins University, as well as Program Director at Harriet Lane
Compassionate Care Program, Baltimore, MD - This forum was designed for education
discussion of children’s rights in research
University of Kansas Medical Center, School of Nursing - Served on selection
committee for “Nursing: The Heart of Healthcare” awards
Children’s Cancer Study Group – Nursing Section
PROFESSIONAL AFFILIATIONS – CURRENT
American College of Healthcare Executives
AcademyHealth Advancing Research, Policy and Practice
American Academy of Nursing
• Nominating Committee Chair (2007-2008)
• Co-Chair Child Adolescent and Family Expert Panel (2006-2008)
• Nominating Committee Member (2006-2007)
Academy for Healthcare Improvement
Academy for Health Services Research and Health Policy
American Organization of Nurse Executives
American Nurses Association
Missouri Nurses Association
Midwest Nursing Research Society
National League of Nursing
13
Robert Wood Johnson Executive Nurse Leadership Alumni Association (charter member)
Society of Pediatric Nurses
Sigma Theta Tau International – Lambda Phi Chapter
PROFESSIONAL AFFILIATIONS – PREVIOUS
Greater Kansas City Area Nurse Executives (1994-2004)
• President (2002-2003)
• Executive Committee (1998-2000)
• Nominating Committee (1996-1998)
Association of Pediatric Oncology Nurses (1990-1997)
• President of local chapter (1991-1992)
• National Board member (1992-1994)
Missouri Council of Nurse Managers (1990 – 1994)
American Association of Critical Care Nurses (1981 – 1993)
Kansas Nurses Association (1981-1988)
POLICY
2008
2007
2006 - 2010
2005
2005
2005
2004
2003 - 2004
Dr. Cox meets with U.S. Department of Health and Human Services, Mike Leavitt. She
was invited to attend a meeting with Secretary Leavitt as a hospital representative during
a visit to the Midwest to promote a project that provides incentives to community
physicians for the use of certified electronic health records to improve patient care.
American Nurses Association – Political Action Committee (Contributions made in
2000, 2002, 2003, 2006, 2007, 2008).
U. S. Department of Health and Human Services, Health Resources and Services
Administration, Rockville Maryland - Invited by the Secretary of Health and Human
Services to serve on the National Advisory Council on Nurse Education and Practice.
Congressman, Dennis Moore (Democrat – Kansas) - Invited participant in a communitywide forum, sponsored by Congressman Moore, on the nursing shortage from a policy
perspective held at Shawnee Mission Medical Center, Shawnee Mission, KS
Center for Health Care Quality, University of Missouri. “Bridging the Quality Gap in
Mid-America” - Invited to participate in panel discussions on crossing the Quality
Chasm at the community level
Robert Wood Johnson Foundation – Selected as a Connect Project Participant.
Program’s purpose is to assist in developing relationships with local policy makers
accomplished through both one on one coaching and conference calls. Culminates in
seminar and Capitol Hill visits during Nurses’ Week
American Organization of Nurse Executives – Political Action Committee
(Contributions made in 2000, 2001, 2002)
Missouri State Planning Grant – Communications Subcommittee - Purpose of
identifying methods for ensuring access to healthcare insurance and healthcare by
assisting states to develop plans that will offer all their uninsured citizens access to
affordable health insurance in Kansas City area hospitals
14
2003
2003
2003
2002
2002
2001
2000
2000
1999
1998
1997
Massachusetts Department of Health – Nursing Shortage Seminar. Provided expert
testimony on work environment issues, Boston, Massachusetts
The Center for Health Policy - Increasing Quality: The Future of Health Care in
Missouri – The impact of workforce shortages on healthcare in Missouri. University of
Missouri-Columbia, MO
National Advisory Council on Nurse Education and Practice (NACNEP) 108th Meeting.
Provided testimony on the state of working conditions of inpatient registered nurses,
Washington, DC
Missouri Nurses Association - The Status of Healthcare in the Kansas City Community
from a Union Perspective - Hosted local meeting. Children’s Mercy Hospitals and
Clinics, Kansas City, MO
Friends of National Institute of Nursing Research – Attended a congressional breakfast
briefing accompanied by the Congressman for the Kansas Third District, Mr. Dennis
Moore and his wife Stephanie who is a registered nurse, Washington, DC
Kansas City Area Conference – Sponsored by the Robert Wood Johnson Executive
Nurse Fellows Program. Hosted a conference to increase awareness of nursing shortage
and workforce issues. Ed O’Neil, MPA, PhD, Professor of Family and Community
Medicine and Dental Public Health at the University of California, San Francisco, made
a presentation to over 150 nursing leaders. Hosted a reception for Dr. O’Neil attended by
local chief executive officers and chief nursing officers, Kansas City, MO
Policy Awareness Program – Sponsored by the Robert Wood Johnson Executive Nurse
Fellows Program. Invited health legislative assistants from the following senators’
offices to participate in a policy awareness program; Senator John Ashcroft (Missouri),
Senator Pat Roberts (Kansas), Senator Sam Brownback (Kansas), Senator Kit Bond
(Missouri) and Congressman Dennis Moore (Kansas Third District), Washington, DC
Congressman, Dennis Moore (Democratic – Kansas). Hosted his visit at Children’s
Mercy South, Overland Park, KS
Friends of National Institute of Nursing Research – Attended a congressional breakfast
briefing accompanied by two Kansas City community leaders and hospital board
members, Washington, DC
Legislative Issues Affecting Advanced Practice Nurses, Children and Families – Hosted
a forum at Children’s Mercy Hospitals and Clinics to discuss current status of these
issues, Kansas City, Missouri
Health Communities Movement: Involving Community in Improving Care – Executive
leadership roundtable, Kansas City, Missouri
PUBLICATIONS
Sexton, KA, Hunt, C, Cox, K, Teasley, S, Carroll, C, (2008). “Differentiating the Workplace
Needs of Nurses by Academic Preparation and Year in Nursing”. Journal of Professional
Nursing. Vol. 24, No. 2 (March-April), 2008: pages 105-108.
15
Lacey, SR, Kilgore, M, Yun, H, Hughes, R, Allison, J, Cox, K ” (2008). “Secondary Analysis of
Merged American Hospital Association Data and U.S. Census Data: Beginning to Understand
the Supply-Demand Chain in Pediatric Inpatient Care”. Journal of Pediatric Nursing. Vol.
23, No. 3 (June), 2008: pages 161-168.
Cox, K, (2007) “Minute-to-Minute Condition Inspires Online Tool to Improve Connections”.
The Cerner Quarterly. Volume 3, No. 3, 2007.
Kramer, M, Maguire, P, Brewer, B, Chmielewski, L, Cox, K, Kishner, J, Krugman, M, MeeksSjostrom, D, Waldo, M, (2007) “Nurse Manager Support What Is It? Structures and Practices
That Promote It”. Nursing Administration Quarterly. Vol. 31, No. 4, pages 325-340.
Lacey, S, Cox, K, Lorfing, KC, Teasley, S, Carroll, C, Sexton, Kathy, (2006) “Nursing support,
workload and intent to stay in Magnet, Magnet Aspiring and Non-Magnet Hospitals”.
Journal of Nursing Administration. Vol. 27(4); 199-205, April 2007.
Teasley, S, Sexton, K, Carroll, C, Cox, K, Riley, M, Ferriell, K, (2007) “Improving Work
Environment Perceptions for Nurses Employed in a Rural Setting”. 2007 National Rural
Health Association. Vol. 23, No. 2, pages 179-182, Spring 2007.
Cox, K, Teasley, S, Lacey, S, Carroll, C, Sexton, K, (2007) “Work Environment Perceptions of
Pediatric Nurses”. Journal of Pediatric Nursing. February 2007, vol. 22, No. 1.
Sexton, K, Teasley, Cox, K, S, Carroll, C, (2007) “United States operating room nurses: work
environment perceptions”. Journal of Perioperative Practice. 17 (3); 108-114, March 2007.
Kramer, M, Schmalenberg, C, Brewer, B, Burke, Chmielewski, L, Cox, K, Kishner, J, Krugman,
M, Meeks-Sjostrom, D, Waldo, M, (2006)“Essentials of Magnetism: Best Management
Practices Identified as Supportive to Staff Nurse Clinical Competence and Education”.
Journal of Critical Care Nursing. In Press.
Kramer, M, Schmalenberg, C, McGuire, P, Brewer, B, Burke, R, Chmielewski, L, Cox, K,
Kishner, J, Krugman, M, Meeks-Sjostrom, D, Waldo, M, (2006) “Structures and Practices
Enabling Staff Nurses to Control Nursing Practice”. Western Journal of Nursing. In Press.
Letter to the Editor. Journal of Nursing Scholarship. (2006) “Focus on Evidence-Based
Problems”. Third Quarter 2006, page 207.
Lacey, S, Klaus, SF, Smith, JB, Cox, K, Dunton, NE, (2006) “Developing Measures of Pediatric
Nursing Quality”. Journal of Nursing Care Quality. July/September 2006, vol. 21, No. 3.
O’Donnell, RL, Cox, K, Sharp, G, Carroll, C, (2006) “Redesigning the Health Care System of
the Future”. Missouri Medicine. January/February 2006, vol. 103, No. 1.
Cox, K, Teasley, S, Zeller, RA, Lacey, S, Parsons, L, Carroll, C, Ward-Smith, P, (2006) “Know
staff’s “intent to stay”. Nursing Management. January 2006, vol. 37, No. 1.
Cox, K, Yoder-Wise, P, Hunt, C. (2006) “Managing Information and Technology: Caring and
Communicating with Computers”. Leading and Managing in Nursing. 4th Edition,
Philadelphia: Mosby Publishing.
Cox, K, Carroll, C, Sexton, K, (2005) “Achieving Magnet Status: Demonstrating Nursing
Excellence”. Kansas Nurse. August 2005, vol. 80, No. 7.
Cox, K, Anderson, SC, Teasley, S, Sexton, K, Carroll, C, (2005) “Nurses’ Work Environment
Perceptions When Employed in States With and Without Mandatory Staffing Ratios and/or
Mandatory Staffing Plans”. Policy, Politics, & Nursing Practice. August 2005, vol. 6, No.
3.
16
Cox, K, & Huber, DL, (2005) “Managing Time and Stress”. In Huber, D L (Editor), Leadership
and Nursing Care Management. 3rd Edition, Elsevier, Inc.
Havens, DS, Lacey, S, Cox, K, (2005) “Redesign of Nursing Work”. In Cleary, B & Rice, B
(Editors), State Nursing Workforce Initiatives: The Long View, Springer Publishing.
Carroll, C, Lacey, S, Cox, K, “Comparing variation in labor costs for two versus one full time
nurse manager”. Nursing Economics. September-October 2004, vol. 22, No. 5.
Redfearn M R, Lacey S, Cox K, Teasley S, “An Infrastructure for Organizing Support of
Research”. Journal of Nursing Administration. July/August 2004, vol. 34, No. 7/8.
Cox, K, “Individual workload perception scale user’s manual”. Published 2004.
Cox, K, “The State of Working Conditions for Inpatient Registered Nurses. National Advisory
Council on Nurse Education and Practice: Third Report to the Secretary of Health and
Human Services and the Congress”. Health Resources and Services Administration
Publication, U. S. Department of Health and Human Services. Published in Washington,
DC, November 2003, pp. 65-69.
Miller K, Ward-Smith P, Cox K, Jones E, Portnoy, J. “Development of an Asthma Disease
Management Program in a Children’s Hospital”. Current Allergy Asthma Report.
November 2003, vol. 3, No. 6.
Bleich M, Santos S, Hewlett P, Rice R, Cox K, Richmeier S. “Analysis of the Nursing
Workforce Crisis: A call for action”. American Journal of Nursing. April 2003, vol. 103,
No. 4.
Cox K. “Inpatient Nurses and Their Work Environment”. Nursing Leadership Forum. Fall
2003, vol. 7, No. 1.
Santos S, Carroll C, Cox K, Teasley S, Simon S, Bainbridge L, Cunningham M, Ott L. “Baby
Boomer Nurses Bearing The Burden of Care: A Four Site Study of Stress, Strain and Coping
for Inpatient Registered Nurses”. The Journal of Nursing Administration. April 2003.
Carroll C, Cox K, Santos S, Simon S. “Using Standard Desk-Top Tools to Monitor Medical
Error Rates”. Seminars for Nurse Managers. June 2002, vol. 10, No. 2.
Cox K. “Comparing Lower Level Work Environment Needs with Higher Level Work
Environment Needs in an Inpatient Registered Nurse Sample”. Dissertation Abstracts
International. 2002, vol. 63-05, section B, page 2303.
Cox K, Santos S. “Generational Differences in the Nurse’s Workplace: The ‘live to work’, ‘work
to live’ paradox”. American Journal of Nursing. January 2002, vol. 102, No. 1.
Santos S, Cox K. "Workplace Adjustment and Intergenerational Differences Between Matures,
Boomers and Xers”. Nursing Economics. January-February 2000, vol. 18, No. 1.
Letter to the Editor. Nursing Administration Quarterly. 2000 “Visions for 21st Century”
24:2.
Cox, K., & Gould, R. “Concert Outreach.” AIDS Patient Care. 1993, 1(7), pages 16-19.
Cox, K., Thompson, R. “Tube Feeding Protocols and Nutritional Support” The Journal of Burn
Care and Rehabilitation. July-August 1986, vol. 7, No. 4.
PRESENTATIONS
“Resident Perceptions of Occupational Stress, Personal Strain and Coping Mechanisms”. 2008
Pediatric Academic Societies’ Annual Meeting, Honolulu, Hawaii (Poster presentation).
17
“Research on Nurse Retention”, Audio Conference, 2008 Central Virginia Nurse Leadership
Institute, Partners Investing in Nursing’s Future Program. A National Collaborative of
the Robert Wood Johnson and Northwest Health Foundations, Richmond Memorial Health
Foundation and other partners.
“National Pediatric Nursing Workforce Strategic Planning - Charting Our Future”. (2008)
Excellence through Innovation – National Initiative for Children’s Healthcare Quality.
Miami, Florida.
“Nurses Take the Quality Lead”. (2008) Excellence through Innovation – National Initiative
for Children’s Healthcare Quality. Miami, Florida.
“Kansas City Health Economy Roundtable”, 2007 Health Care Leadership Forum - Cerner
Corporation, Kansas City, Missouri.
“Developing Measures of Pediatric Nursing Quality”, (2007) Guangzhou Children’s Hospital,
Guangzhou, China.
“Assessing Stress, Strain and Coping in Pediatric and Combined Residents”, 2007 Pediatric
Academic Societies Annual Meeting, (Poster Presentation). Toronto, Canada
“The National Nursing Shortage and It’s Impact on the Local Community”, (2007) Rotary
Club, Independence, Missouri
“The Generational Impact on Rehab Nursing Practice”, (2007) Nurses...Strategies to Reenergize
and Rejuvenate, The Greater Kansas City Chapter of ARN, Kansas City, Missouri
“Generational Diversity – The Challenges and Opportunities”, (2006) Leadership on the Line Fall Conference, Child Health Corporation of America, Kansas City, Missouri
“Influenza Vaccine Rates in a Midwestern Children’s Hospital”, (2006) The 16th Annual
Scientific Meeting, Society for Healthcare Epidemiology of America (SHEA), Chicago,
Illinois.
“Giving Families a Voice: Developing a Family Advisory Board”, (2005) Institute for
Healthcare Improvement, Orlando, Fl.
“Future Needs of Nursing Workforce”, (2005) The Invitational Conference on the Science
Competency – Based Nursing Education, Sponsored by Excelsior College and Cerner
Corporation with partial funding through the Robert Wood Johnson Foundation
Fellowship Program, Kansas City, Missouri.
“Nurses: Resiliency in Action”, (2005) The 17th Annual Harold C. Johns Distinguished Nursing
Lectureship, Henry Ford Health System, Bloomfield Hills, Michigan.
“Pediatric Workload Perception Using the IWPS”, (2005) Chief Nursing Officers Forum, Child
Health Corporation of America, Chicago, Illinois.
“The National Database of Nursing Quality Indicators: Developing Measures of Pediatric
Nursing Quality”, (2005) 38th Biennial Convention – Scientific Sessions, Sigma Theta Tau,
Indianapolis, Indiana.
“Evaluating Variations in Individual Nurse Workload Perceptions in Relationship to Regulatory
Mandates”, (2005) Annual Research Meeting, Academy Health, Advancing Research,
Policy and Practice, Boston, Massachusetts.
“A Comparison of Pediatric and Non-Pediatric Nurse Workload Perceptions”, (2005) Annual
Research Meeting, AcademyHealth, Advancing Research, Policy and Practice, Boston,
Massachusetts.
18
“The National Database of Nursing Quality Indicators: Developing Measures of Pediatric
Nursing Quality”, (2005) Annual Research Meeting, AcademyHealth, Advancing
Research, Policy and Practice, Boston, Massachusetts.
“Creating a Chasm Community…but How?, (2005) Center for Health Care Quality,
University of Missouri, Columbia, Missouri.
“Addressing the Work Environment of Nurses in Oncology Settings”, (2005) Greater Kansas
City Association of Pediatric Oncology Nurses”. Kansas City, Missouri.
“Nursing Excellence” Key note speaker, 2005 Research College of Nursing Honor Society
Induction. Kansas City, Missouri.
“Nurse’s Perception of the Bedside: The Potential Impact of Education”, (2005) Healthstream
E-learning Summit, Nashville, Tennessee.
“Children’s Hospital Staffing and Safety Trends”. (2005) Children’s Health Corporation of
America. Chief Nursing Officers Meeting, Phoenix, Arizona.
“Missouri Nurses Individual Workload Perception Scale (IWPS) Study Results”, (2004)
Children’s Mercy Hospitals and Clinics “Hot Topics in Nursing”, Kansas City, Missouri.
“Becoming a Chasm Community”, (2004) 16th National Forum on Quality Improvement in
Health Care, Institute for Healthcare Improvement, Orlando Florida.
“Keeping an Eye on the Future of America’s Children’s Hospitals”, (2004) 7th Pediatric Summit,
Child Health Corporation of America, San Diego, California.
“Evaluating Registered Nurses Perception of Workload Using the Individual Workload
Perception Scale (IWPS): A Comparison Study Between Non-Magnet and Magnet Aspiring
Organizations, (2004) Nursing Science Working Toward a Healthier Nation, 2004 National
State of the Science Congress in Nursing Research, Washington, DC.
“Process Transformation Research” (2004) Pediatric Leadership Forum, Cerner Corporation,
Kansas City, Missouri.
“Retention Practice Panel”, (2004) Taking the Long View: Grassroots Nursing Workforce
Initiatives, Second Annual Meeting of State Nursing Workforce Centers, Lake Buena
Vista, Florida.
“Nursing Retention”, (2004) Child Health Corporation of America Chief Nursing Officer
Meeting, CHCA Spring Patient Safety Conference, San Antonio, Texas.
“Translating Vision into an Operating Plan”, (2004) Robert Wood Johnson Executive Nurse
Fellows Program, Leadership Seminar, Philadelphia, Pennsylvania.
“The Nursing Work Environment: What Graduate Nurses’ Need to Know”, (2004) Senior
Leadership Class - University of Kansas Medical Center- School of Nursing, Kansas
City, Kansas.
“Impacting Practice through Work Environment Research”, (2003) Greater Kansas City
Clinical Nurse Specialists, Kansas City, Missouri.
“Preparing for the Magnet Process in a Pediatric Hospital – Roundtable Discussion, (2003)
Society for Pediatric Nursing Annual Meeting, Kansas City, Missouri.
“The Impact of Nursing Leadership”, (2003) The Crittenton Hospital, Oakland, Michigan.
“Assessment of Lower Versus Higher Level Needs of Inpatient Registered Nurses Using
Maslow’s Hierarchy of Needs Framework With Valid, Reliable Tools: OSI-R and NWI-R”,
(2003) Sigma Theta Tau 37th Annual Convention, Toronto, Ontario, Canada.
19
“Early Warning Signs, Measuring Nurses’ Workload Perception and Intent to Leave” (2003)
Massachusetts Organization of Nurse Executives, Boston, Massachusetts.
“Use of Path Analysis to Demonstrate Relations between Staff Nurses’ Organizational Support
and Workload on Intent to Leave”, (2003) Sigma Theta Tau 37th Annual Convention,
Toronto, Ontario, Canada.
“Assessing Inpatient Nurses’ Perception of their Workload”, (2003) University of MissouriKansas City School of Nursing , Nursing Alumni Presentation. Kansas City, Missouri.
“Nursing Work Environment: Recognizing the Best”, (2003) University of Kansas Medical
Center - School of Nursing Workshop. Sponsored by two local American Nurses
Association Chapters, Missouri Nurses Association and Kansas State Nurses
Association, Kansas City, Kansas.
“Frontline Performance: From Unique Individuals to a Cohesive Team”, (2003) Midwest
Leadership Institute for Nurse Managers, Jefferson City, Missouri.
“Baby Boomers: Bearing the Burden of Care”, (2003) Greater Kansas City Clinical Nurse
Specialists, Kansas City, Missouri.
“Work Design Initiatives”, (2003) A Gathering of State Nursing Workforce Centers
sponsored by the North Carolina Center for Nursing and the Robert Wood Johnson
Foundation, Raleigh, North Carolina.
“Measuring Inpatient Staff Nurses’ Perception of Support and Workload as it Relates to Intent to
Leave: A Quick and Easy Screening Tool for Inpatient Nursing Leadership-The Individual
Workload Perception Scale (IWPS)”, (2003) AONE 36th Annual Meeting and Exposition,
New Orleans, Louisiana.
“Innovative Solutions for Creating and Maintaining Nurse and Patient Satisfaction”. (2003)
Looking Beyond the Quick Fix: Innovative Solutions for Satisfaction and Survival of
Nursing, 10th Annual Nursing Summit, Missouri Nursing Coalition, Osage Beach,
Missouri.
“Use of the Quality Console in Clinical Practice”. (2002) California Nursing Outcomes
Coalition Database Project, University of California, San Francisco, San Francisco,
California.
“Individual Workload Perception Scale: A new tool to measure staff nurse support and intent to
leave”. (2002) Advancing Nursing Practice Excellence: State of the Science Annual
Convention, Washington, DC.
“Occupational Stress Strain, and Coping for Healthcare Workers Across Four Diverse Settings”
Poster Presentation. (2002) Health Services Research: From Knowledge to Action
Conference, The Academy for Health Services Research and Health Policy, Washington,
DC.
“Innovative Models in Service and Education: Lessons learned from the RWJ Executive Nurse
Fellows Program”. (2002) AONE 2002 Annual Meeting, American Organization of Nurse
Executives, Orlando, Florida.
“Improving the Patient Care Environment with Desktop Dashboards for Nurse Managers”.
(2002) ANA 2002 Convention and Exposition, American Nurses Association, Philadelphia,
Pennsylvania.
20
“Baby Boomer Nurses Bearing the Burden of Care: A Four Site Study of Stress, Strain, and
Coping for Inpatient Registered Nurses”. (2002) ANA 2002 Convention and Exposition,
American Nurses Association, Philadelphia, Pennsylvania.
“The Long and Short of Patient Care: Ethical Implications of Increasing Health Care Demands”.
(2002) Sigma Theta Tau – Lambda Phi Chapter, Kansas City, Missouri.
“Occupational Adjustment and Registered Nurses”. (2002) Research Conference, Children’s
Mercy Hospitals and Clinics, Kansas City, Missouri.
“The Magnet Journey: Pursuit of Excellence”. (2002) Providence Health Center, Kansas City,
Missouri.
“The Long and Short of Patient Safety”. (2002) Children’s Mercy Hospitals and Clinics,
Kansas City, Missouri.
“Control Chart Methodology” (March 2001) Midwest Research Institute, Kansas City,
Missouri.
“Clinical Safety for Managers”. (2001) Children’s Mercy Hospitals and Clinics, Kansas City,
Missouri.
“Keeping the Clinical Manager 'Clinical': A pilot project that decreases staff nurse turnover”.
(2001) 36th Biennial Convention, Sigma Theta Tau International Honor Society of
Nursing, Indianapolis, Indiana.
“Leadership Lessons Learned from the Robert Wood Johnson Executive Nurse Fellows
Program”. (2001) 36th Biennial Convention, Sigma Theta Tau International Honor
Society of Nursing, Indianapolis, Indiana.
“Occupational Adjustment (Stress, Strain and Coping) Among RNs and Allied Health Workers
Across Four Institution Types”. (2001) 8th National Research Utilization Conference, The
University of Iowa Hospitals and Clinics, Department of Nursing, Iowa City, Iowa.
“Results from Nursing Focus Groups”. (2001) Kansas City Colleagues in Caring Fall Retreat,
Robert Wood Johnson Foundation Site Visit, Kansas City, Missouri.
“Nursing Forum, Professional Advisory Group. Participated in planning to implement mandatory
staffing ratios. (November 2001) Kaiser Permanente, Kansas City, Missouri.
“Using Control Chart Methodology to Improve Quality”. (2000) Chief Operating Officers
Forum. Child Health Corporation of America, Las Vegas, Nevada.
“Occupational Adjustment and Inter-Generational Conflict of Registered Nurses in a Large
Pediatric Hospital”. (2000) 33rd Annual Meeting, American Organization of Nurse
Executives, Nashville, Tennessee.
“Occupational Adjustment and Inter-Generational Conflict of Registered Nurses”. (2000)
Cooperative PhD Program in Nursing Second Annual Research Day, University of
Missouri, Columbia, Missouri.
“Use of On-Demand Control Chart Methodology to Monitor and Improve the Patient Care
Environment”. (2000) 7th National Research Utilization Conference, The University of
Iowa Hospitals and Clinics, Department of Nursing, Iowa City, Iowa.
“Improving the Work Environment of Nurses”. (2000) 78th Annual Convention and Trade
Show, The Missouri Hospital Association, Osage Beach, Missouri.
21
“Occupational Adjustment and Inter-Generational Conflict of Registered Nurses in a Large
Pediatric Hospital”. (1999) 35th Biennial Convention, Sigma Theta Tau International
Honor Society of Nursing, San Diego, California.
Occupational Stress and Registered Nurse”. (1999) Pediatric Nursing Research: Making a
Difference, The Children’s Mercy Hospitals and Clinics, Kansas City, Missouri.
“Occupational Adjustment and Inter-Generational Conflict of Registered Nurses in a Large
Pediatric Hospital”. (1999) 20th Annual Conference, Midwest Alliance in Nursing,
Cincinnati, Ohio.
“Reach Project Presentation”. (1999) 34th Annual Conference, Association for the Care of
Children's Health, Long Beach, California.
“Traits of a Leader, Effective Leadership Styles - Principles of Motivation Theory”. (1997) The
Children’s Mercy Hospitals and Clinics, Kansas City, Missouri.
“Commencement Speaker”. (1996) Class of 1996 Practical Nursing Program, Graduation
Ceremony, Lex-La-Ray Technical Center, Lexington, Missouri.
“Risk/Harm Reduction Models”. (1994), University of Kansas Medical Center- School of
Nursing – Graduate Program, Pediatrics I, Kansas City, Missouri.
“Implementation of the Intercare Model in the Pediatric Setting”. (1994), Midwest Alliance in
Nursing. National Meeting.
“Work Redesign”. (1993) Sigma Theta Tau, International Honor Society of Nursing. Kansas
City, Missouri. Delta Chapter Meeting.
“Concert Outreach Poster Presentation”. (1992), AIDS Education and Adolescents, Association
of AIDS Care Nurses, Orlando, Florida.
“Burning Issues”. (1986), Staff Development, Department of Nursing Services, University of
Kansas Medical Center, Kansas City, Kansas.
“A Child’s Eye View of Safety: A Community Burn Prevention Program”. (1986), American
Burn Association. National Meeting.
“Fire Forum: Burns”. (1986), American Burn Association. National Meeting.
“The Burn Center: Where Rehabilitation Begins”. (1986), American Burn Association.
National Meeting.
“Colloquium on Health in Managua, Nicaragua”. Burn Care presenter. Provided lecture and
hands-on care training. (October 1985), American Burn Association.
“Nursing Care of the Patient with Head and Neck Cancer” (1984), University of Kansas
Medical Center, Kansas City, Kansas.
“Nursing Management of Rural Emergencies”. (1983), Southwest Kansas Area Health
Education Center, University of Kansas College of Health Sciences and Bell Memorial
Hospital, Syracuse, Kansas.
“Pain Critical Care Course”. (June and December 1983), University of Kansas Medical Center,
Kansas City, Kansas.
“Multiple Systems Trauma”. (1983), University of Kansas Medical Center Outreach
Program, Irwin Army Hospital, Ft. Riley, Kansas.
22
MEDIA
Grantee Profiles (April 11, 2008) “Transforming Hospital Culture, and Sharing the Lessons
Learned”. ROBERT WOOD JOHNSON FOUNDATION WEB SITE. Karen Cox is
featured in this profile about how a small, struggling Kansas City children’s hospital
reinvents itself, starting with a vision that at first seemed as impossible as it was bold.
Karash, J (June 4, 2008) “New report prompts grant program to improve health-care access”.
KANSAS CITY STAR. Karen Cox is quoted in this article regarding a Robert Wood
Johnson Foundation Grant as saying: “We want to improve communication and coordination
across the continuum of care”.
Dumway, J (April 20, 2008) “Helping kids beat cancer fulfills two Children’s Mercy Hospital
staffers”. KANSAS CITY STAR – STAR MAGAZINE. Karen Cox is mentioned in article
about outstanding improvements in treatment of cancer in children during the last twenty
years.
Karash, J (January 8, 2008) “An RX for Excellence”. KANSAS CITY STAR. Karen Cox is
quoted in an article describing the $800 million expansion plans for Children’s Mercy
Hospitals and Clinics.
(December 7, 2007) “Children’s Mercy Hospitals and Clinics $800 million plan”. KMBC TV-9
NEWS. Karen Cox was interviewed regarding expansion plans for the organization.
Loustau, L (October 15, 2007) “Halfway around the world, pediatric nurses”. NURSING
NEWS. Karen Cox describes her impressions of her trip to Guangzhou Children’s Hospital
in Guangzhou, China.
(October 5-11, 2007) “Cerner works the business circuit”. KANSAS CITY BUSINESS
JOURNAL. Karen Cox is quoted in this issue regarding participation and focus of
CareEntrust as a regional mechanism for sharing information among providers.
(July/August 2007) “Beyond Leading Managing Article”. JOURNAL OF NURSING
ADMINISTRATION. Karen Cox is mentioned in this article as a chapter author of the book
entitled “Beyond Leading and Managing: Nursing Administration for the Future”.
(June 2007) “Innovations will help the youngest patients”. KANSAS CITY STAR. Karen Cox
is quoted about the institute Lombardi fashioning a consortium involving Children’s Mercy
in Kansas City, Rainbow Babies and Children’s Hospital in Cleveland and Lucile Packard
Children’s Hospital in Palo Alto, California. The Ewing Kauffman Foundation is providing a
planning grant that will help get the initiative launched.
(January 2007) “Children’s Mercy administrator joins the National Advisory Council on Nurse
Education and Practice”. KCALSI @ A Glance. Karen Cox is appointed by the U.S. Health
and Human Services Secretary, Michael Levitt, to the National Advisory Council on Nurse
Education and Practice (NAC/NEP).
(January 23, 2007) “Children’s Mercy administrator joins the National Advisory Council on
Nurse Education and Practice”. KANSAS CITY STAR. Karen Cox is appointed by the U.S.
Health and Human Services Secretary, Michael Levitt, to the National Advisory Council on
Nurse Education and Practice (NAC/NEP).
23
(January 1, 2007) “Children’s Mercy administrator joins the National Advisory Council on
Nurse Education and Practice”. KANSAS CITY NURSING NEWS. Karen Cox is
appointed by the U.S. Health and Human Services Secretary, Michael Levitt, to the National
Advisory Council on Nurse Education and Practice (NAC/NEP).
(2006 Annual Report) “Planning Support for Future Nursing Students”. UNIVERSITY OF
MISSOURI – KANSAS CITY, SCHOOL OF NURSING 2006 ANNUAL REPORT
“Fast Forward to the Future”.
(January 30, 2006) “Not bad for a little LPN from Independence”. KANSAS CITY NURSING
NEWS. Karen Cox’s ascent through the corporate ladder and her induction as a fellow in the
American Academy of nursing is featured in this article.
(September 27, 2005) “Medical Records Get Wired”. KANSAS CITY STAR. Karen Cox is
quoted regarding the impact of technology on patient safety and quality.
(September 23, 2005) “Show Me Leadership That Saved Lives”. PRESS CONFERENCE
HOSTED BY SENATOR, KIT BOND. CHANNELS 5 AND 9 LOCAL NEWS. Karen
Cox described the evacuation and rescue efforts to the Children’s Hospital of New Orleans in
the wake of the Hurricane Katrina.
(August 8, 2005). “10 years and counting – a story of collaborative success”. KANSAS CITY
NURSING NEWS. Group of sedation nurses who bring their special brand of skill and care
to sites all over the hospital.
(July 25, 2005). “Research grant helps nurses study medication compliance”. KANSAS CITY
NURSING NEWS. Karen Cox is quoted about the importance and value of research that is
taken to the bedside.
(March 2005). “What Nurses Want – Different Generation, Different Expectations”.
HOSPITALS AND HEALTH NETWORKS. Karen Cox is interviewed on page 40 about
her observations regarding generational differences and expectations.
(March 2005). “Video interview”. UNIVERSITY OF KANSAS - SCHOOL OF NURSING.
Nursing leaders’ opinions on a variety of topics including the nursing shortage, nursing
research, patient safety and health care economics.
(Volume 1, Issue 1, 2005). “Securing Buy-in Critical to Organization’s Success”, MAGNET
STATUS ADVISOR. Publication by HCPro, Inc. Karen Cox is interviewed about Magnet
process.
(November 1, 2005). “There’s Something to Be Said for Being First”. THE MISSOURI
NURSE, publication of the Missouri Nurses Association. Interview with Karen Cox on the
importance of Magnet recognition in the State of Missouri.
(October 25, 2004). Stegenga has ‘the caring and the science piece of nursing,’ colleague says.
KANSAS CITY NURSING NEWS. This article contained comments made by Karen Cox
regarding an outstanding oncology nurse that received the “Nursing – Health of Healthcare
Award” presented by the University of Kansas Medical Center - School of Nursing.
(October 25, 2004). Creativity and organizational skills have helped Blevins in her work.
KANSAS CITY NURSING NEWS. This article contained comments made by Karen Cox
regarding an outstanding nurse in the kidney center that received the “Nursing – Health of
Healthcare Award” presented by the University of Kansas Medical Center - School of
Nursing.
24
(October 2004). Cerner Launches 25 million, ten-year initiative to provide personal health
records to kids with juvenile diabetes. CHANNEL 13, LOCAL NEWS. Press conference at
Children’s Mercy Hospitals and Clinics announcing CMHC partnership with Cerner in
developing this initiative.
(February 2004). Heroes in Healthcare. INGRAM’S MAGAZINE, Kansas City Business
Magazine. This article was about the unsung healthcare heroes who work inside Kansas
City’s area hospital and networks that often go unnoticed and were honored in this edition.
Brott-Katz, J. (March 2003). The Long & Short Term Crisis of the Nursing Shortage.
INGRAM’S MAGAZINE, Kansas City’s Business Magazine. Hospital administrators,
nursing leaders, physicians, insurance providers and educators discussed healthcare crisis
issues.
(Fall 2003). 2003 Alumni Achievement Awards. PERSPECTIVES, News Magazine of the
University of Missouri-Kansas City. Karen Cox was recognized as an alumnus who has
achieved success in her professional field and rendered outstanding service to the
community.
(March 10, 2003). Children’s Mercy Magnet Presentation. KANSAS CITY NURSING NEWS.
The article focused on 1,600 nurses being honored during celebration events at Children’s
Mercy upon receiving magnet recognition, American Nurses Credentialing Center’s highest
honor. Children’s Mercy was the first hospital in Missouri and Kansas and only the third
children’s hospital in the country, to receive this recognition.
(March 4-10, 2003). Acknowledging Achievement – Children’s Mercy Nurses Recognized in
Magnet Ceremony. NURSENETWORK. The interview focused on Children’s Mercy
receiving the highest honor it can achieve from the American Nurses Credentialing Center –
Magnet designation.
(2003 No.1 page 17), Children’s Mercy Receives National Recognition for Excellence in
Nursing Care. THE MISSOURI NURSE MAGAZINE. Article focused on Children’s
Mercy receiving the highest honor it can achieve from the American Nurses Credentialing
Center – Magnet designation.
(February 17, 2003). How High is the Sky, Children’s Mercy Achieves Magnet Designation.
NURSES WEEK. The article focused on Children’s Mercy receiving the highest honor it
can achieve from the American Nurses Credentialing Center – Magnet designation.
Karash, J. (January 28, 2003). Mission of Mercy. THE KANSAS CITY STAR. The interview
focused on Children’s Mercy being recognized as one of the 10 best children’s hospitals in
the country.
(January 21-27, 2003). Children’s Mercy Receives Magnet Designation. NURSENETWORK.
The interview focused on Children’s Mercy receiving the highest honor it can achieve from
the American Nurses Credentialing Center – Magnet designation.
Waterman-Gray, L. (January 7, 2002). Children’s Mercy Hospitals and Clinics Applies for
Magnet Designation. KANSAS CITY NURSING NEWS. The interview focused on
Children’s Mercy application to become part of the Magnet Nursing Services Recognition
Program.
(May 28 – June 3, 2001). Nurse shortages being addressed. KANSAS CITY NURSING
NEWS. Article recruiting nurses to participate in focus groups for Robert Wood Johnson
Project: “American Healthcare Crisis – The Nursing Shortage”.
25
(2001 – Sample 7 of 10). Elevating Frontline Leadership – Best Practices for Improving Nurse
Manager Performance. NURSING EXECUTIVE CENTER. Demonstrated strong
evidence that managers with access to timely, accurate data are able to effect significant,
positive change on inpatient units.
(2000 – Volume II). Reversing the Flight of Talent – Practice Portfolio. NURSING
EXECUTIVE CENTER. Hospital conducts survey and focus groups to identify levels and
causes of stress among nurses, then implement a series of interventions and stress relief
programs; the goal is to reduce stress levels by improving work processes and helping nurse
better cope with stress.
Waterman-Gray, L. (August 21, 2000). Study Compares Generations. KANSAS CITY
NURSING NEWS. The interview focused on a study on generational differences among
registered nurses within 3 age categories at Children’s Mercy.
(November 1999). Robert Wood Johnson Executive Nurse Fellows Program. THE NATION’S
HEALTH. Congratulatory announcement to the “Second Cohort” of the RWJ Executive
Nurse Fellows Program, which included Karen Cox.
Cardarella, T. (August 24, 1999). Recognition. THE KANSAS CITY STAR. The article
announced Karen Cox as among 15 nurses nationwide to be recognized as a Robert Wood
Johnson Executive Nurse Fellows Program. The three-year program included a grant of
$30,000 for a research project at Children’s Mercy. This award is designed to help select
nurses gain experiences, insights and skills necessary to achieve leadership in health care.
Sears, S. (August 9, 1999). Journey toward leadership. KANSAS CITY NURSING NEWS.
Article announced the Robert Wood Johnson nursing fellowship award to Karen Cox and it
indicated that in the last two years, 30 of the brightest nurse executives from across the
country have been invited to take part in the RWJ Executive Nurse Fellows Program.
McCanse, C. (November 1, 1993). The Times They Are A-Changing. KANSAS CITY
NURSING NEWS. Panel discussion regarding upcoming changes in the way nurses think
about their jobs as a result of the forthcoming national health care reform.
Minser, J. (April 26, 1992). Nurses are more than doctors helpers. THE KANSAS CITY STAR.
Article focused on changes in the field of nursing in the last generation.
Cox, K (January 27, 1986). Letter to the Editor “Poor are Targeted”. THE KANSAS CITY
STAR. Advocating for equal rights and freedom of choice for poor women.
RESEARCH STUDIES
Evaluation of the Impact of a New Clinical Information System: A pre-post test design.
John W. and Effie E. Speas Memorial Trust, 2008
This study will evaluate 132 organizational and patient level outcomes before and after
implementing Cerner Millenium. (Funded $100,000)
The Role of Individual Workload Perception on Performance of Phlebotomy and
Subsequent Blood Culture Contamination Rates, 2008
To delineate blood culture contamination rates at Children’s Mercy Hospital and compare
them to national data. To correlate contamination rates with the individual units where the
blood cultures have been drawn. To quantify factors in the nursing environment utilizing the
individual workload perception scale.
26
Pediatric Pharmaceutical Reformulation. Ewing Marion Kauffman Foundation, 2007
Nonprofit collaboration with the Institute for Pediatric Innovation to advance pediatric
pharmaceutical innovations. (Funded $300,000)
Assessing Clinician’s Perception of the Culture of Safety Before and After Adoption of an
Integrated Health Information System, 2006 – Present
The purpose of this study implement was to determine whether staff perceptions of patient
safety change after the adoption of a new integrated health information.
Evaluation of Mumps Immunity in Healthcare Professionals During an Outbreak Scenario,
2006
This descriptive study looked to identify mumps immunity in healthcare providers.
Transforming the Culture of Hospitals - Robert Wood Johnson Foundation, 2006 – 2008
Grant to develop tools for best practices for quality improvement within the hospital setting.
($50,000)
Development of a Resident Workload Scale (RWPS), 2006
Development of a scale to assess residents’ perceptions of key characteristics of their work
environment that are linked to overall job satisfaction ($2,000)
Entry to Practice Issues: Perception of the Staff Nurse, 2004 – 2005
The purpose of this research is to 1) explore the staff nurses’ perception relating to
educational preparation and patient care, 2) determine if perception changes with different
educational preparation and, 3) determine the frontline nurses’ perceptions and ideas about
possible solutions. (Funded $10,000)
Evaluation of Registered Nurse’s Perception of Workload: A Pennsylvania State-Wide
Study, 2004 - 2005
The aim of this descriptive study was to analyze state-wide regionally stratified sample of
Pennsylvania registered nurses’ perception of workload and intent to stay using a valid and
reliable instrument: the Individual Workload Perception Scale (IWPS) and to compare these
results with the Missouri state-wide study. (Funded $8,529)
Appendicitis in Children and Adolescents, 2004 – 2006
The purpose of this study is to review the experience with appendicitis in children and
adolescents in relation to pain management, operative strategy/technique, and postoperative
management, hospital course and complications. An objective of this study is to report the
outcomes of a single institutions’ experience of 650 children with appendicitis in
comparison with accepted outcomes reported in the literature.
Individual Workload Perception Study – Pediatric Hospitals, 2004 – 2008
Leading study with 10 children’s hospitals in the United States with an eleventh
international site in Guangzhou, China, to do initial benchmarking, development and
implementation of interventions and re-testing using Individual Workload Perception Scale
(IWPS).
Essential of Magnetism in Magnet and Non-magnet Hospitals, 2003-2004
The purpose of this study was to 1)establish the relative weight of descriptors for the eight
‘essentials of magnetism’, 2) validate the performance of staff nurses in magnet hospitals on
those eight essentials of magnetism and, 3) ascertain whether the expected difference
27
between magnet hospital and ‘aspiring magnet’ hospital nurses exist. Children’s Mercy
Hospitals and Clinics was one site of a national study and the primary investigator was
Marlene Kramer, RN, PhD, FAAN.
Evaluation of Registered Nurse’s Perception of Workload: A State-Wide Study, 2003-2004
The aim of this descriptive study was to analyze state-wide regionally stratified sample of
Missouri registered nurses’ perception of workload and intent to stay using a valid and
reliable instrument: the Individual Workload Perception Scale (IWPS). (Funded $9,657)
Development of Pediatric Nursing Quality Indicators, 2003-2004
National Database for Nursing Quality Indicators (NDNQI) contracted to develop and pilot
indicators to be utilized by Magnet and other participating hospitals that provide pediatric
care. (Funded $10,000)
Occupational Adjustment (Stress, Strain, and Coping) and Workload Perception Among
Participants in a Graduate Nurse Mentoring Program: A Comparison Study.
Leadership Project – Robert Wood Johnson Executive Nurse Fellows Program, 20022003
The purpose of this research was two-fold. First, occupational adjustment (stress, strain, and
coping) and workload perception was assessed on a sample of nurses who participated in a
newly developed supplemental orientation program for graduate nurses at Children’s Mercy
Hospitals and Clinics using the OSI-R and IWPS instruments. Second, data were compared
with existing data on a similar sample of nurses who had completed the OSI-R and IWPS
instruments and who had participated in the hospital’s routine orientation program. (Funded
$60,000)
Health Care’s Human Crisis: The American Nursing Shortage. The Robert Wood
Johnson Foundation, 2001-2002
Coordinated the focus group portion of the study – conducting focus groups in three cities
with nurses working in inpatient settings.
Comparing Lower Level Work Environment Needs with Higher Level Work Environment
Needs with an Inpatient Registered Nurse Sample, 2001-2002
The purpose of this study was to correlate lower level work environment needs with higher
level work environment needs with an inpatient registered nurse sample.
Parental Needs Compared to the Registered Nurses’ Perception of Those Needs for the
Hospitalized Child, 2001-2002
The aim of this research was to identify and compare the needs of parents whose children
were hospitalized with the needs of those same parents by the nurses assigned to their care.
Occupational Adjustment (Stress, Strain, and Coping) Among Healthcare Workers: A
Mixed Methods, Multi-Site Study, 2000-2003
The objective of this study was to measure the effectiveness of a theory-driven intervention
program on aspects of occupational adjustment and inter-generational conflict for a targeted
group of employees within a large pediatric hospital.
28
Sickle Cell Patients Presenting to the ER with Vaso-Occlusive Episode: A Descriptive
Study, 2000-2001
The goal of this study was to accurately collect and trend all clinical and demographic
information associated in children with sickle cell disease presenting to the Emergency
Room in acute pain from a vaso-occlusive episode (VOE) and review outcomes. (Funded
$3,000)
Individual Workload Perception: A 14-site National Study, 2003-2005
The purpose of this study is to evaluate inpatient nurses’ perceptions of workload in diverse
settings and develop interventions to address significant findings.
Improving the Patient Care Environment with Rapid Cycle Improvement Software. John
W. and Effie E. Speas Memorial Trust.
The outcome of this project was the development of Clinical Console – a software product
which is a computer based surveillance and analysis tool for identifying, monitoring and
analyzing trends and patterns of interest within an organization. Control chart methodology is
utilized with a date-gap data technique. January 2001. (Funded $198,000)
Use of Control Chart Methodology to Improve Patient Safety. Katharine B. Richardson
Associates Endowment Fund. 2000. (Funded $4,500)
Relationship Between Disillusionment Scores and Turnover with RN Personnel, 1999-2001
The purpose of the project was to determine if scores on a valid and reliable “Nursing
Disillusionment Tool” had a relationship with actual movement either within the institution
or out of the hospital system entirely.
Theory-Driven Change: A systems approach. Katharine B. Richardson Associates
Endowment Fund. 1999. (Funded $4,000)
Rock Concert Outreach for Teens. Promoting HIV Prevention and Safe Sex in Adolescents.
1990 - 1992. (Funded $5,000)
August 12, 2008
29