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Nancy Staggers, PhD, RN, FAAN

Current Position: Professor and Director for Nursing Informatics

Contact Information

Address:
College of Nursing
10 South 2000 East
Salt Lake City , Utah 84112

Phone: (801) 699-0112
Fax: (801) 585-4297
Email: nancy.staggers@nurs.utah.edu

Background

Dr. Nancy Staggers has an extensive background in clinical informatics, from determining user requirements to application prototyping, system selection, large systems implementation, and enterprise system evaluation. She has held executive positions, including Associate CIO, Information Technology Services for the Health Sciences Center at the University of Utah, Program Director for ECIS, Catholic Healthcare West, and Director for Corporate Informatics in Department of Defense. While in the DOD, she developed a clinical information system program, now installed in 16 sites nationwide. Subsequently, she led a multidisciplinary team in developing the vision and user requirements for the military's computer-based patient record.

Dr. Staggers teaches systems implementation and human-computer interaction in the Informatics programs. She does informatics consulting for large health systems. Nancy Staggers is a member of Health Information Management Systems Society, the American Academy of Nursing, the American Nurses' Association, the Human Factors & Ergonomics Society, Sigma Theta Tau, and Phi Kappa Phi.

Research

• Clinician's Evaluations of the Usability and Automated Clinical Practice Guidelines in AHLTA at Tripler Army Medical Center
• Dr. Staggers' area of research is human-computer interaction and interface design in healthcare applications. She has completed a number of studies related to the optimal design of applications for nurses, mostly recently her work was on designs for an electronic medication administration records (eMAR) in electronic health records (EHR). Her most recently funded recent funded research examines the cognitive support for medical-surgical nurses' change of shift report.
• 2009-10 PI: "Project Management in Health Informatics." Interdisciplinary Teaching Grant Award
• 2009-10 Senior mentor: Optimizing Family Health History Tools for the National Children"s Study. National Children's Study Innovative Program Award (PI: Catherine Staes).
• 2006-08 PI: "Change of Shift Report: Exploring a Handoff Essential to Care Continuity." University of Utah Incentive Seed Grant Award.
• 2006-08 Co-PI: "A Clinician-Centered Evaluation of the Usability and Clinical Practice Guidelines in AHLTA at Tripler Army Medical Center" Telemedicine and Advanced Technologies Research Command, Medical Research and Materiel Command, Department of Defense, Ft. Detrick, MD. Award #W81XWH-06-2-0074.
• 2005-06 Investigator: "A Meta-analysis of Feedback Mechanisms for Clinical Systems." Veterans Administration Health Services Research (J. Nebeker, PI) # IIR 02-097.

Publications

• Alexander, G.A., & Staggers, N. (in press). A systematic review on the design of clinical technology: Findings and recommendations for future research. Advances in Nursing Science.
• Cho, I., Staggers, N., & Park, S. (in press). Nurses' responses to differing amounts and content of information in a diagnostic, computer-based clinical decision support system. Computers, Informatics, Nursing.
• Staggers, N., & Jennings, B.M. (in press). The Content and Context of Change of Shift Report on Medical and Surgical Units. Journal of Nursing Administration.
• Weir, C., Staggers, N., & Phansalkar, S. (2009). The state of the evidence for computerized provider order entry: A systematic review and analysis of the quality of the literature. International Journal of Medical Informatics, 78(6), 365-74.
• Staggers, N., Guo, J., Blaz, J., & Jennings, B. (2009). Clinical System Design Considerations for Critical Handoffs. HCI International 2009 Conference [CD]. San Diego, CA.
• Koch, S., Shereen, A., & Staggers, N. (2009). Using Personas and Prototypes to Define User Requirements for a Novel Patient Monitoring Display for Nurses. NI2009 [CD]. Helsinki, Finland.
• Staggers, N., & Troseth, M. (2009). Technology Informatics Guiding Educational Reform (TIGER) Usability and Clinical Application Design Collaborative Summary Report. TIGER monograph and on the TIGER wiki at: http://www.tigersummit.com/.
• Koivunen M., Välimäki M., Koskinen A, Staggers, N. & Katajisto J. (2008). The impact of individual factors on health care staff¿s computer use in psychiatric hospitals. The Journal of Clinical Nursing, 18, 1141-1150.
• Staggers, N., McCasky, T., Brazelton, N., & Kennedy, R. (2008). Nanotechnology: Implications for Patients, Providers and Informatics. Nursing Outlook, 56(5), 268- 274.
• Nelson, R., & Staggers, N. (2008). Implications of the ANAs Scope and Standards of Practice for Nursing Informatics on Nursing Education. Nursing Outlook, 56(2), 93-94.
• Gorges, M., & Staggers, N. (2008). Evaluations of Physiological Monitoring Displays: A Systematic Review. Journal of Clinical Monitoring, 22(1), 45-66.
• Staggers, N., Kobus, D., & Brown, C. (2007). An evaluation of a novel design for an electronic administration record (eMAR). Computers, Informatics, Nursing, 25(2), 67-75.

Presentations

• 7/09 Distinguished Lecture. "Usability: Past Work and Future Directions." Summer Institute for Nursing Informatics. Presentation and 150 webinar sites. Baltimore, MD, 7/25/09.
• 7/09 Invited Panel: "Creating Usable Systems for Nurses: Recommendations from The TIGER Usability Collaborative." Summer Institute for Nursing Informatics. Presentation and 150 webinar sites. Baltimore, MD, 7/25/09.
• 6/09 "Crucial Conversations about the Design of Clinical Technology." (Nancy Staggers, Michelle Troseth, Greg Alexander). NI2009. Helsinki, Finland, 6/29/09.
• 6/09 "Using Personas and Prototypes to Define User Requirements for a Novel Patient Monitoring Display for Nurses." NI2009. Helsinki, Finland. 6/29/09
• 4/09 "Crucial Conversations about Creating Usable Systems." (Nancy Staggers, Michelle Troseth,Greg Alexander, Cheryl Parker, Denise Tyler). NIWG (Nursing Informatics Working Group), AMIA National Webinar. 3/26/09.
• 4/09 Invited Workshop: "Informatics Competencies." (Nancy Staggers, Mollie Poynton, Kathy Sward, Valerie Gooder). Western Institute for Nursing Annual Conference. Salt Lake City, UT.
• 11/08 "Crucial Conversations about Usability." HIMSS or Health Information Management Systems Society National (Virtual) Webinar 11/25/08.
• 9/08 "Nanotechnology: Implications for Consumers, Clinicians and Informaticists." Biomedical Informatics Seminar, University of Utah.
• 7/08 "Case studies in Usability and Clinical Application Design." (Nancy Staggers, Michelle Troseth, Denise Tyler, Greg Alexander and Marisa Wilson). Summer Institute for Nursing Informatics, School of Nursing, University of Maryland. Baltimore, MD.
• 6/08 Keynote: "Patient Care and Informatics: An Optimal Fit." Iowa Annual Nursing Informatics and Classification Conference. Iowa City, IA.
• 4/08 "A critical missing element in Longitudinal Health Records: Usability." Forum on the Future of Defense Health Information Technology, Georgetown University, Washington, DC.

Awards

• Outstanding Health Systems Division Faculty 2005-2006
• Exceptional Teaching Recognition, 2005-2006,2006-2007, 2007-2008, Nursing Informatics Pioneer designated by AMIA-NIWG

Academic Activities

• Commissioner, Utah Digital Health Commission
• AMIA Public Policy Committee, 2008-
• Co-Chair, TIGER Usability Collaborative, 2007-
• Chair, ANA panel, Scope and Practice of Nursing Informatics Practice, 2007-2008

Areas of Teaching

• N6804 - Clinical Information Systems Implementation. This course addresses the implementation, management, and outcomes of clinical information systems. Concepts and theories related to innovation diffusion, change, organizations, and group processes are applied. Project management techniques including human and fiscal resourcing are used throughout the course. Common strategies and major implementation issues are evaluated and applied. Approaches for evaluating the outcomes of clinical information systems are critiqued.
• N6820 - Human Systems Interactions in Healthcare Environments.Students will be exposed to a range of topics about humans, systems of varying kinds and levels and their interactions within healthcare contexts. Models, theories and methods pertinent to human-systems interactions frame the course. Quasi-experimental research designs and human-systems system research methods are woven throughout the course. Cognitive psychology aspects of individuals are learned, including cognition, errors in decision-making and perception. Human-computer interaction principles are outlined, concentrating on user-centered design, interface design principles and usability testing. Ergonomics and device engineering concepts are reviewed. Sociological aspects of organizations are applied to healthcare informatics to include sociotechnical systems, motivation and team interactions for optimal decision-making and work design.