Pamela B DeGuzman, PhD, MBA, RN, CNL
(Pam B DeGuzman)
Biography
A former hospital administrator and a quintuple `Hoo, I am passionate about developing innovative ways to transform the way we provide care, and involving point-of-care nurses in the development and implementation of novel approaches.
After several years as a bedside nurse, I determined to earn my MBA with a notion to become a hospital CEO. I soon realized that even healthcare administrators have limited ability to make meaningful, powerful, lasting changes due to our complex system—and that I would be much better suited developing research to influence the delivery of healthcare through research and policy.
Today, after earning my PhD in nursing, I’m doing what I do best: combining the management and leadership skills I learned in my MBA program with the research skills I bring as a PhD-prepared researcher to empower nurses to understand the healthcare environment, influence it, and create systems that support changes that benefit our patients. Through my role as the nurse scientist for UVA Health, I work directly with nurses delivering patient care, developing their ideas into testable research studies. As an advocate for incorporating the best evidence into care, I teach the nuts and bolts of how to read and understand literature, then layer on the rigorous discipline of implementation science to help us systematically understand how we can deliver the highest quality care care to every patient, every day, in every setting.
And I love what I do.
Certifications
- Clinical Nurse Leader (CNL)
Research Focus
Innovative models of care to address disparities in healthcare access, Implementation researchClinical Focus
Cancer survivorship, Autism Spectrum DisorderPublications
Journal Articles
Bennett, R., DeGuzman, P., LeBaron, V., Wilson, D., Jones, R. (2023). Exploration of Shared Decision Making in Oncology within the United States: A Scoping Review. Supportive Care in Cancer, 31(0), 94. https://doi.org/10.1007/s00520-022-07556-8
Bernacchi, V., LeBaron, V., Porter, K., Zoellner, J., & DeGuzman, P. (2023). Barriers and facilitators to resilience for rural cancer survivors during COVID‐19. Public Health Nursing, 40(5), 595-602. https://doi.org/10.1111/phn.13200
DeGuzman, P.B., Garth, J.L., Sanjay, K., Compton, R. (2023). Exploring Healthcare Providers’ Perspectives on Extending Healthcare Access via Telemedicine in Public Libraries. Journal of the American Academy of Nurse Practitioners, 35(3), 208-215.
Bernacchi, V., & DeGuzman, P.B. (2023). Cancer-Related Distress: Symptom Clusters in Rural Head and Neck Cancer Survivors. Clinical Journal of Oncology Nursing, 27(1), 55-61. https://doi.org/10.1188/23.CJON.55-61
Prescott, S., Schminkey, D., Abukhalaf, D., DeGuzman, P., Dreisbech, C. (2023). A framework to guide research and practice response to emerging infectious diseases: Genomic-to-global considerations. Public Health Nursing, 40(1), 144-152. https://doi.org/10.1111/phn.13133
DeGuzman, P. B., Horton, B. J., Bernacchi, V., & Jameson, M. J. (2022). A telemedicine-delivered nursing intervention for cancer-related distress in rural survivors. Oncology Nursing Forum, 49(5), 455-460. https://doi.org/10.1188/22.ONF.455-460
DeGuzman, P.B., Vogel, D.L., Horton, B., et al. (2022). Examination of a distress screening intervention for rural cancer survivors reveals low uptake of psychosocial referrals. Journal of Cancer Survivorship, 16(3), 582-589. https://doi.org/10.1007/s11764-021-01052-4
DeGuzman, P. B., Vogel, D. L., Bernacchi, V., Scudder, M. A., & Jameson, M. J. (2022). Self-reliance, social norms, and self-stigma as barriers to psychosocial help-seeking among rural cancer survivors with cancer-related distress: Qualitative interview study. JMIR Formative Research, 6(5), 1-11. https://doi.org/10.2196/33262
DeGuzman, P. B., Jain, N., & Loureiro, C. G. (2022). Public libraries as partners in telemedicine delivery: A review and research agenda. Public Library Quarterly, 41(3), 294-304. https://doi.org/10.1080/01616846.2021.1877080
DeGuzman, P. B., Abooali, S., Jain, N., Scicchitano, A., & Siegfried, Z. C. (2022). Improving equitable access to care via telemedicine in rural public libraries. Public Health Nursing, 39(2), 431-437. https://doi.org/10.1111/phn.12981
DeGuzman, P. B., Lyons, G., Huang, G., Keim-Malpass, J., & Mazurek, M. O. (2022). Statewide analysis reveals period of well-child visit attendance for earlier diagnosis of autism spectrum disorder. Journal of Pediatrics, 2022(241), 181-187. https://doi.org/10.1016/j.jpeds.2021.09.028
DeGuzman, P. B., Vogel, D. L., Horton, B. J., Bernacchi V., Cupp, C. A., Ferrebee Ghamandi, B. J., Hinton, I. D., Sheffield, C., & Jameson, M. J. (2021). Telemedicine distress screening in rural cancer survivors during the immediate post-treatment period: Evaluation of referral uptake. Journal of Cancer Survivorship, , . https://doi.org/10.1007/s11764-021-01052-4
Bernacchi, V., Zoellner, J., Keim-Malpass, J., & DeGuzman, P.B. (2021). Rural resilience in cancer survivors: Conceptual analysis of a global phenomenon. Online Journal of Rural Nursing and Healthcare, 21(1), 159-178. https://doi.org/10.14574/ojrnhc.v21i1.676
Leimkuhler, M.E., Hauser, L., Voges, N., & DeGuzman, P.B. (2021). Rural populations’ sources of cancer prevention and health promotion information: Rural cancer prevention. Online Journal of Rural Nursing and Healthcare, 21(1), 3-23. https://doi.org/10.14574/ojrnhc.v21i1.663
Sinchak, C., & DeGuzman, P. B. (2021). Delirium education in hospice care: A quality improvement project. Journal of Hospice and Palliative Nursing, 23(3), 207-213. https://doi.org/10.1097/njh.0000000000000743
Doede, A. L., Davis, R., & DeGuzman, P. B. (2021). Use of trajectory models to track air pollution from source to exposure: A methodological approach for identifying communities at risk. Public Health Nursing, 38(2), 212-222. https://doi.org/10.1111/phn.12859
DeGuzman, P. B., Huang, G., Lyons, G., Snitzer, J., & Keim-Malpass, J. (2021). Rural disparities in early childhood well child visit attendance. Journal of Pediatric Nursing, 58, 76-81. https://doi.org/10.1016/j.pedn.2020.12.005
Anderson, R. T., Eton, D. T., Camacho, F. T., Kennedy, E. M., Brenin, C. M., & DeGuzman, P. B., et al. (2021). Impact of comorbidities and treatment burden on general well-being among women’s cancer survivors. Journal of Patient-Reported Outcomes, 5(1), 1-13. https://doi.org/10.1186/s41687-020-00264-z
DeGuzman, P. B., Huang, G., Lyons, G., Snitzer, J., & Keim-Malpass, J. (2020). Rural disparities in early childhood well child visit attendance. Journal of Pediatric Nursing, 58, 76-81. https://doi.org/10.1016/j.pedn.2020.12.005
DeGuzman, P. B., Siegfried, Z., & Leimkuhler, M. E. (2020). Evaluation of rural public libraries to address telemedicine inequities. Public Health Nursing, 37(5), 806-811. https://doi.org/10.1111/phn.12777
DeGuzman, P. B., Bernacchi, V., Cupp, C. A., Dunn, B., Ferrebee Ghamandi, B. J., Hinton, I. D., et al. (2020). Beyond broadband: Digital inclusion as a driver of inequities in access to rural cancer care. Journal of Cancer Survivorship, 14, 643-652. https://doi.org/10.1007/s11764-020-00874-y
Doede, A.L., DeGuzman, P. (2020). The disappearing lake: An historical analysis of drought and the Salton Sea in the context of the GeoHealth framework. Geohealth, 4(6), 1-10. https://doi.org/10.1029/2020gh000271
Lacey, V., Good, K., Toliver, C., Jenkins, S., & DeGuzman, P. B. (2019). Evaluation of 12-week shelf life of patient-ready endoscopes. Gastroenterology Nursing, 42(2), 159-164. https://doi.org/10.1097/sga.0000000000000364
DeGuzman, P. B., Chu, C., & Keim-Malpass, J. (2019). Built and natural environment barriers and facilitators to physical activity in rural, suburban, and small urban neighborhoods. Oncology Nursing Forum, 46(5), 545-555. https://doi.org/10.1188/19.ONF.545-555
Keim-Malpass, J., Croson, E., Allen, M., Deagle, C., & DeGuzman, P. (2019). Towards translational health policy: Findings from a state evaluation of programs targeting children with special health care needs. Journal of Specialists in Pediatric Nursing, 24(2), 1-12240. https://doi.org/10.1111/jspn.12240
DeGuzman P., Altrui, P., Doede A. L., Allen, M., Deagle, C., & Keim-Malpass, J. (2018). Using geospatial analysis to determine access gaps among children with special healthcare needs. Health Equity, 2(1), 1-4. https://doi.org/10.1089/heq.2017.0050
DeGuzman, P. B., Cotilon, K., Nail, C., & Keim-Malpass, J. (2017). Survivorship care plans: Rural, low-income breast cancer survivor perspectives. Clinical Journal of Oncology Nursing, 21(6), 692-698. https://doi.org/10.1188/17.CJON.692-698
Gwon, S., DeGuzman, P., & Kulbok, P. A. (2017). Density and proximity of licensed tobacco retailers and adolescent smoking: A narrative review. Journal of School Nursing, 33(1), 18-29. https://doi.org/10.1177/1059840516679710
DeGuzman, P. B., Altrui, P., Allen, M., Deagle, C., & Keim-Malpass, J. (2017). Geospatial gaps in early identification of children with Autism Spectrum Disorder. Journal of Pediatric Health Care, 31(6), 663-670. https://doi.org/10.1016/j.pedhc.2017.05.003
DeGuzman, P. B., Cohn, W. F., Camacho, F., Edwards, B .L., Sturz, V. N., & Schroen, A. T. (2017). Impact of urban neighborhood disadvantage on late stage breast cancer diagnosis in Virginia. Journal of Urban Health, 94(2), 199-210. https://doi.org/10.1007/s11524-017-0142-5
Keim-Malpass, J., Mitchell, E. M., DeGuzman, P., Stoler, M., & Kennedy, C. (2017). Legislative activity related to the human papillomavirus (HPV) vaccine in the United States (2006-2015): A cry for evidence-based policy. Risk Management and Healthcare Policy, 10, 29-32. https://doi.org/10.2147/rmhp.s128247
Deguzman, P., & Schminkey, D. (2016). Influencing cancer outcomes through genomic change via upstream interventions for neighborhood-associated toxic stress in the United States: A research framework. Public Health Nursing, 33(6), 547-557. https://doi.org/10.1111/phn.12290
DeGuzman, P. B., & Mitchell, E. M. (2016). Public health nurses in cancer care: Broadening the intersection. Public Health Nursing, 33(6), 481-482. https://doi.org/10.1111/phn.12296
Goode, V., Phillips, E., DeGuzman, P., Hinton, I., Rovnyak, V., Scully, K., & Merwin, E. (2016). A patient safety dilemma: Obesity in the surgical patient. AANA Journal, 84(6), 404-412.
Deinlein, A. D., & DeGuzman, P. B. (2016). Forced air warmers: Policies for safe use. Nursing Management, 47(7), 15-17. https://doi.org/10.1097/01.numa.0000484482.59972.53
DeGuzman, P. B. & Schminkey, D. L. (2016). Influencing genomic change and cancer disparities through neighborhood chronic toxic stress exposure: A research framework. Public Health Nursing, 33(6), 547-557. https://doi.org/10.1111/phn.12290
Fickley, S. K., Mishler, R. R., Black, A. S., & DeGuzman, P. B. (2016). Philanthropic donor perspectives on supporting nursing excellence in a community hospital. Journal of Nursing Administration, 46(11), 599-604.
DeGuzman, PB., Sherman, J., Sheffield, C., Hauser, L., Keim-Malpass, J. (2015). Understanding gaps in patient navigation for rural cancer survivors. Journal of Oncology Navigation & Survivorship, 6(5), 34-40.
Milbrath, G. R., & DeGuzman, P. B. (2015). Neighborhood: A conceptual analysis. Public Health Nursing, 32(4), 349-358. https://doi.org/10.1111/phn.12197
Keim-Malpass, J., Mitchell, E.M., Blackhall, L., & DeGuzman, P.B. (2015). Evaluating stakeholder-identified barriers in accessing palliative care at an NCI-designated cancer center with a rural catchment area. Journal of Palliative Medicine, 18(7), 634-7. https://doi.org/10.1089/jpm.2015.0032
DeGuzman, P. B., & Wayner, C. A. (2014). Nursing and organizational barriers to daily interruption of sedation in US hospitals: A thematic review of the literature. Clinical Nursing Studies, 3(1), p-55.
DeGuzman, P. B., Schminkey, D. L., & Koyen, E. A. (2014). "Civil unrest does not stop ovulation": Women's prenatal and family planning services in a 1960s Detroit neighborhood clinic. Family & Community Health, 37(3), 199-211. https://doi.org/10.1097/fch.0000000000000034
Goodson, A. S., DeGuzman, P. B., Honeycutt, A., Summy, C., & Manly, F. (2014). Total Joint Replacement Discharge Brunch: Meeting Patient Education Needs and a Hospital Initiative of Discharge by Noon. Orthopaedic Nursing, 33(3), 159-162.
Winslow, S., DeGuzman, P., & Kulbok, P. A. (2014). Nurses' self-efficacy and academic degree advancement. Journal for Nurses Professional Development, 30(3), 110-116. https://doi.org/10.1097/nnd.0000000000000038
DeGuzman, P.B., Merwin, E., and Bourguignon, C. (2013). Population density, distance to public transportation, and health of women in low-income neighborhoods. Public Health Nursing, 30(6), 478-490.
Ascoli, G.B., DeGuzman, P.B., and Rowlands, A. (2012). Peripheral intravenous catheter complication rates between those indwelling > 96 hours to those indwelling 72–96 hours: A retrospective correlational study. International Journal of Nursing, 1(2), 7-12.
DeGuzman, P.B., & Kulbok, P.A. (2012). Changing health outcomes of vulnerable populations through nursing's influence on neighborhood built environment: A framework for nursing research. Journal of Nursing Scholarship, 44(4), 34-348. https://doi.org/10.1111/j.1547-5069.2012.01470.x
DeGuzman, P.B., Akosah, K.O., Simpson, A.G., Barbieri, K.E., Megginson, G.C., Goldberg, R.I., & Beller, G.A. (2012). Sub-optimal achievement of guideline-derived lipid goals in management of diabetic patients with atherosclerotic cardiovascular disease, despite high use of evidence-based therapies. Diabetes & Vascular Disease Research, 9(2), 138-145.
DeGuzman, P.B., & Keeling, A.W. (2012). Addressing disparities in access to care: Lessons from the Kercheval Street clinic in the 1960s. Policy, Politics, & Nursing Practice, 12(4), 199-207. https://doi.org/10.1177/1527154411429864
Simpson, A.G., DeGuzman, P.B., Barbieri, K.E., Parks, C.M., Megginson, G.C., & Viette, C.R. (2008). Implementation of an electronic health record with an embedded quality improvement program to improve the longitudinal care of outpatients with coronary artery disease. Journal of Clinical Outcomes Management, 15(7), 338-343.
DeGuzman, P.B., & McCaskill, C. (2008). Evaluating peripheral IV guidelines for the outpatient setting. AAACN ViewPoint, 30(4), 4-5.
DeGuzman, P. (2008). Legislated nurse staffing ratios: What you need to know. Virginia Nurses Today, 16(1), 3.
Columns, Editorials and Op-Eds
DeGuzman, P., & Keeling, A. (2014, Aug. 31). What Detroit had that Ferguson needs [Column]. The Daily Progress. B1.
Technical and Research Reports
Hamann, K., Ward, Z., & DeGuzman, P. (2023). January. (). Telehealth in libraries: Pre-implementation workbook. Indiana Rural Health Association. Available here: https://www.indianaruralhealth.org/clientuploads/resources/Telehealth_in_Libraries_Workbook_Final