PAULA MEEK portrait
  • Professor, College Of Nursing
  • Assistant Dean for the PhD program, College Of Nursing

Research Statement

My research is rooted in a pragmatist approach to understanding symptoms appraisal and management in acute and chronic situations and conditions. Symptoms are subjective sensations that serve as the canary in the mine shaft to signal changes in chronic illness. Rarely can we monitor patients at home 24 hours a day, we must rely on patients to report significant changes thus we must rely on self-reports of the magnitude and frequency. My research seeks to undersatnd these decision from the patient and their caregivers perspective.

Research Keywords

  • Chronic Illness
  • Heart Failure
  • Pulmonary Disease, Chronic Obstructive
  • Symptom cluster
  • Symptom Science
  • Psychometrics


  • Thumm EB & Smith DC (2022). Burnout of the US midwifery workforce and the role of practice environment. Health services research. Vol. 57, 351-363. Published, 03/01/2022.
  • McIlvennan CK, Jones J, Makic M & Meek PM (2021). Stress and Coping Among Family Caregivers of Patients With a Destination Therapy Left Ventricular Assist Device: A Multicenter Mixed Methods Study. Circulation. Heart failure. Vol. 14, e008243. Published, 12/01/2021.
  • Tulu SN & Cook P (2021). Chronic disease self-care: A concept analysis. Nursing forum. Vol. 56, 734-741. Published, 11/01/2021.
  • Aronson KI, Danoff SK, Russell AM, Ryerson CJ, Suzuki A, Wijsenbeek MS, Bajwah S, Bianchi P, Corte TJ & Lee JS (2021). Patient-centered Outcomes Research in Interstitial Lung Disease: An Official American Thoracic Society Research Statement. American journal of respiratory and critical care medicine. Vol. 204, e3-e23. Published, 09/01/2021.
  • Hyden KF, Coats HL & Meek PM (2020). Home-Based Palliative Care: Perspectives of Chronic Obstructive Pulmonary Disease Patients and Their Caregivers. Chronic Obstr Pulm Dis. Vol. 7, 327-335. Published, 10/07/2020.
  • Thumm EB & Meek P. (2020). Development and Initial Psychometric Testing of the Midwifery Practice Climate Scale. J Midwifery Womens Health. Vol. 65, 643-650. Published, 09/07/2020.
  • Thumm EB, , Shaffer J, & Meek, P. (2020). Development and Initial Psychometric Testing of the Midwifery Practice Climate Scale - Part 2. J Midwifery Womens Health. Vol. 65, 651-659. Published, 09/07/2020.
  • Massouh A, , Abu Saad Huijer H, , Meek, P & Skouri H (2020). Determinants of Self-Care in Patients With Heart Failure: Observations From a Developing Country in the Middle East. J Transcult Nurs. Vol. 31, 294-303. Published, 05/31/2020.
  • Nici, L., Mammen MJ, , Krishnan JA, Martinez FJ, Meek, PM, Morgan M,, Polkey MI, Puhan MA, Sadatsafavi M, Sin DD, Washko GR, Wedzicha JA & Aaron SD (2020). Pharmacologic Management of Chronic Obstructive Pulmonary Disease. An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. Vol. 201, e56-e69. Published, 05/01/2020.
  • Massouh A, Skouri H, , Cook P, , Huijer HAS, Khoury M & Meek, P (2020). Self-care confidence mediates self-care maintenance and management in patients with heart failure. Heart Lung. Vol. 49, 30-35. Published, 02/01/2020.
  • Coats, H. , Meek, P.M., , Schilling, L.M., , Akard, T.F & Doorenbos, A.D. (2020). Connection": The Integration of a Person-Centered Narrative Intervention Into the Electronic Health Record: An Implementation Study. Palliat Med. Vol. 23, 785-791. Published, 01/06/2020.