Areas of Expertise:

Health Systems, Leadership, & Quality

We examine factors that impact quality, safety, and cost within health systems.

A health system refers to organizations that provide healthcare services, conglomerates/partnerships of health care-providing organizations, and the interconnection of healthcare providers in a state, region, or nation. The complexity of health systems requires modern approaches to leadership and practice, as well as laws and regulations that address problems stemming from that complexity.

In the U.S., quality and cost problems plague the healthcare system:

  • The Health Resources & Services Administration forecasts a shortage of over 23,000 primary care physicians–the first-line point of health care for many Americans–by 2025.
  • 21% of American adults have personally experienced a medical error, according to an Institute for Healthcare Improvement/NORC at the University of Chicago survey.
  • The Centers for Medicare & Medicaid Services projects that health spending in the U.S. will grow around 5.5% every year between 2018 and 2027, by which the cost will be nearly $6 trillion.

Kent State nurse researchers are examining factors impacting quality, safety, and cost within health systems, including the makeup of teams, leadership, environmental design, nursing practice models, and governance.

Affiliated Faculty

Recent Publications & Presentations

Amato, S., & Anthony, M. (in press). Hospital environmental effects on sleep in adults with traumatic brain injury in rehabilitation. Rehabilitation Nursing. doi.10.1097/rnj.0000000000000220

Cleveland, K. A., Motter, T., & Smith, Y. M. (2019). Affordable care: Harnessing the power of nurses. OJIN: The Online Journal of Issues in Nursing, 24(2).

Cleveland, K., & Smith, Y. (2019, August). Nurses on boards research: The time is ripe to expand the goals of counsel. Poster presentation for the American Association of Nurse Attorneys National Conference, San Diego, California.

Cleveland, K. (2019, August). Nurses on boards: The time is ripe to expand the goals of counsel. Podium presentation for the American Association of Nurse Attorneys National Conference, San Diego, California.

Kopf, R., Dolan, C., & Cleveland, K. (2019, August). Organizational leadership through mentoring: A perspective from TAANA members. Poster presentation for the American Association of Nurse Attorneys National Conference, San Diego, California

Cleveland, K. A. (2019, June). Formation, consideration and breach: Oh my! Podium presentation for the Flying Physicians Annual National Conference, Washington, D.C. 

Fisher, J., & Smith, Y. M. (2019, May). Nursing value in value-based healthcare. Poster presented at the Sigma Theta Tau 2019 Annual Research Collaborative, Kent, Ohio.

Smith, Y. M., & Cleveland, K. A. (2019, May). Nurses on boards: The value of prior experiences. Poster presented at the Sigma Theta Tau 2019 Annual Research Collaborative, Kent, Ohio.

Smith, Y. M., & Cleveland, K. A. (2019, April). Nurse leaders serving on boards: Experiences and effectiveness. Podium presentation for the American Organization of Nurse Executives (AONE) 2019 Annual Meeting, San Diego, California.

Anthony, M., Motter, T., & Hassler, D. (2019, March). Nursing research: Science meeting creative pathways. Poster presented at the 43rd Annual Research Conference of the Midwest Nursing Research Society, Kansas City, MO.

Smith, Y., & Cleveland, K. (2018, September). The trifecta: The integration of policy, financial and legal literacy to prepare nurse executives. Podium presentation for the Sigma Theta Tau International Leadership Connection 2018, Indianapolis, Indiana.

Smith, Y. M., & Cleveland, K. A. (2018, September). Finding our voice through interdisciplinary policy teams: Strategies for compelling change. Podium presentation for Sigma Theta Tau Leadership Connection 2018, Indianapolis, Indiana.

Cleveland, K. A., & Knoblauch, D. J. (2018). Ensuring a return on your professional investment: The importance of a contract (part 1). Nurse Practitioner, 43(10), 14-17. doi.10.1097/01.NPR.0000545003053382.d8

Cleveland, K. A., & Kearney, S. (2018, August). To regulate or license: The essential questions regarding essential oils. Poster presented at the American Association of Nurse Attorneys Annual Meeting and Educational Conference, Denver, Colorado.

Cleveland, K. A., Watral, T., & Fisher, J. (2018, August). Nurse staffing: To regulate or not to regulate. Is that a serious question? Poster presented at the American Association of Nurse Attorneys Annual Meeting and Educational Conference, Denver, Colorado.

Cleveland, K. A., Watral, T., Fisher, J., & Kearney, S. (2018, August). Undergraduate health care policy education: The power to teach, mentor and inspire. Poster presented at the American Association of Nurse Attorneys Annual Meeting and Educational Conference, Denver, Colorado.

Cleveland, K. A., & Smith, Y. M. (2018, August). Preparing nurses on boards: A call to action. Poster presented at the American Association of Nurse Attorneys Annual Meeting and Educational Conference, Denver, Colorado.

Cleveland, K. A. (2018, August). Board service, advocacy and accountability. Poster presented at the Flying Physicians’ Annual Meeting, Sulfur Springs, West Virginia.

Smith, Y. M., & Cleveland, K. A. (2018, May). Professional identification: The foundation of nurses’ consideration of governing board experiences. Poster presented at the Delta Omega, Delta Xi, & Pi Chi Chapters Collaborative 2018 Annual Research Conference, North Canton, Ohio.

Smith, Y. M., & Cleveland, K. A. (2018, April). Nurse-identified experiences relevant to governing board service. Paper presented at the 42nd Annual Research Conference of the Midwest Nursing Research Society, Cleveland, OH.

Cleveland, K. A., & Smith, Y. M. (2018, April). Financial literacy, nurse leadership, nursing presence. Poster presented at the 9th Annual Celebration of Nursing, Canton, Ohio.

Smith, Y. M., & Cleveland, K. A. (2018, April). Compelling change through interdisciplinary policy teams. Poster presented at the 9th Annual Celebration of Nursing, Canton, Ohio.

Smith, Y. M., & Cleveland, K. A. (2018, April). Relevant experiences of nurses on governing boards. Poster presented at the Ohio Nurses Foundation Nurses Choice Awards Luncheon, Columbus, Ohio.

Ward, M., Smith, Y. M., & Morgan, S. (2018, April). Nurses’ participation in decision-making boards at a state level. Poster presented at the 9th Annual Celebration of Nursing, Canton, Ohio.

Anthony, M. K., Kloos, J., Beam, P., & Vidal, K. (2017). Innovative approach to reconstruct bedside handoff: Using simple rules of complexity science to promote partnership with patients. Journal of Nursing Care Quality, 33(2), 128-134.

Filer, H. M., Beringuel, B. L., Frato, K., Saenyakul, P., & Anthony, M. K. (2017). Interruptions in preanesthesia nursing workflow: A pilot study of pediatric patient safety. Journal of PeriAnesthesia Nursing, 32(2), 112-120.

Recent Grants

Investigator(s) Grant Title Funding Agency
Sara Bayramzadeh, Mary K. Anthony, Kambiz Ghazinour, and Doug Delahanty Towards a Model of Safety and Care for Trauma Room Design Agency for Healthcare Research and Quality (AHRQ) Center for Quality Improvement and Patient Safety