Sara E Hart, PhD, RN portrait
  • Director of Student and Community Engagement, College Of Nursing
  • Associate Professor (Clinical), College Of Nursing
801-587-9094

Research Statement

Statement of Program of Scholarship

Health happens in healthy communities and our professional roles demand we advocate for the needs of our patients and our communities; transforming health care at a broader level is fundamental to fulfilling this role. Just as person-centered care is optimized by the concerted efforts of multiple professions, our systems for health and health care delivery can also be improved through collaborative interprofessional engagement. My professional efforts focus on engaging a transformational shift in our approach to education and systems-based practice. This requires both careful application of evidence and the courage to embrace innovation. With the goal of ensuring availability of early, accessible, planned, and coordinated care in our communities, I seek new models of education and practice that have the potential to transform our systems of care and create effective infrastructures for health.  

My scholarship reflects a focus on: pedagogy, student value-added models of health care delivery and the use of evidence to influence health systems and governmental policy. I have developed and disseminated a significant body of scholarship focused on innovations in health professions education. I have received funding to test a new model of community-based interprofessional education from the National Center for Interprofessional Practice and Education (funders: the Robert Wood Johnson Foundation, the Josiah H. Macy Foundation, the Betty and Gordon Moore Foundation and the Hartford Foundation). I have written two major HRSA grant applications, published guidance on implementing elements of the Affordable Care Act into professional nursing practice and conducted program evaluation for the State of Utah.

As the Principal Investigator for the Utah Health and Homes Collaborative project (UHHC), I am designing and testing an IPE Hotspotting Immersion Model for fostering student development of Core Competencies for Interprofessional Collaborative Practice (IPEC, 2016), while also addressing community-identified needs. Hotspotting is the term used to describe local team-based interventions designed to improve health and health care utilization for individuals with highly complex needs. In this project, IPE student Hotspotting Teams investigate and address individual and population-level drivers of health for chronically homeless individuals living in a supportive Housing First model. This project has received additional funding to expand our work with refugee, geriatric and Spanish speaking populations. Our team has also been awarded a competitive training site designation for the Camden Coalition Interprofessional Student Hotspotting Learning Collaborative.

The UHHC project grew out of work with faculty in Medicine and Interprofessional Education on the revision of the Health Sciences IPE Curriculum. In this role, I designed an interprofessional education model for collaborative systems-based practice. The collaborative systems-base practice curriculum model provides health professions students with a framework for recognizing, understanding, and intervening in systems-level issues that present in nearly every clinical encounter. Students and faculty from all health professions collaboratively identify and discuss the complex economic, social and structural drivers of health and gain skills to influence, educate, and advocate for health systems change and health care delivery transformation. This work and my commitment to educational scholarship and leadership has resulted in twice being named a finalist for the Josiah Macy Faculty Scholar program and the honor of being named a Humanism in Medicine Scholar with the Arnold P. Gold Foundation.

Building on this scholarly work, I was selected to attend the 2015 Harvard Macy Institute for Health Professions Educators. Acceptance to this competitive semester-long faculty development program is based on the merits of the applicant’s innovative education project and their potential for leadership in health professions education. My work on an Innovative Interprofessional Education Model for Systems-based Practice and Health System Transformation is now being presented nationally and creating exciting conversations about the potential for IPE to change the ways in which health professionals influence health care delivery systems and local, state and national health policy.

My scholarship also includes contributions to federal and state policy and program analysis.  As a member of a 4-person team, under contract with the State of Utah, I have worked to revise the Waitlist process for the Division of Services for People (DSPD) with Disabilities. This program evaluation and redesign involved creating and administering surveys, conducting focus groups, developing and testing mathematical models for waitlist ranking, and publication of a State Report with guidance for implementation (University of Utah Center for Public Policy & Administration, 2015. Needs Assessment Questionnaire & Manual. Developed for the Division of Services for People with Disabilities, Utah Department of Human Services). This important project will result in improved access to community-based services for Utah citizens with disabilities. Additionally, I have published guidance on application of key elements of the Affordable Care Act in nursing practice (Luther & Hart, 2014) and I have been invited to speak about implementation of the ACA and the professional practice challenges and opportunities at the AACN Faculty Practice Pre-conference.

I arrived at the College of Nursing with a background in health systems and health care quality research. The impact of my scholarship in these areas continues to grow. My study and manuscript on Hospital Ethical Climates and Nurse Turnover (Hart, 2005) has been cited more than 200 times and continues to serve as a foundational work in this emerging area of research. My postdoctoral research (Hart et al., 2010 & 2006; Gajewski et al., 2007; Boyle et al., 2006) continues advancing the science of nursing quality indicators with over 150 citations.  Over the course of my career, each vein of my scholarship has maintained a focus on collaboratively advancing the health of our patients, our institutions and the communities we serve.

Research Keywords

  • Systems Thinking
  • Public Policy Systems Analysis
  • Public Health Policy
  • Nursing Education and Pedagogy
  • Medical Ethics
  • Interprofessional Education
  • Interprofessional Collaborative Practice
  • Higher Education
  • Health of Underserved Populations
  • Health Care Policy/Health Care Systems
  • Curriculum and Pedagogy
  • Curriculum Design, Development & Evaluation
  • Community Health Nursing
  • Community Health
  • Arts and Humanities

Presentations

  • An Academic-Community Partnership to Promote Nursing as a Career Among Underrepresented Groups: AACN Diversity Symposium Hart, S and VandenBerge, K. Presentation, Presented, 12/03/2020.
  • Licensed Nurse/Certified Nurse Aide Collaboration in the Care of Nursing Home Residents: Gerontologic Society of America Beynon C., Supiano K, Seigel E, Edelman L, Madden C, Hart SE . Poster, Presented, 11/04/2020.
  • Where are the Caregivers? Seeking Guidance for Nursing Education in the Profession’s Foundational Documents, UC Davis Summit: Innovations in Workforce Education for Family Caregiving. 09/16/20 Hart S, Ellington, L . Presentation, Presented, 09/16/2020.
  • Reviewing Manuscripts Submitted for Publication as a Group: A Service-Learning Approach to Developing Skills in Education Scholarship: AAMC, WGEA Regional Meeting Moore K, Hart SE, Chow C, Cardell E, Richards B An abstract of the presentation was published in the conference compendium. Poster, Other, 04/29/2020.
  • Using Museums & Galleries in Interprofessional Education: skill development, team building, and reflection: AAMC WGEA Meeting. An abstract of the presentation was published in the conference compendium. Poster, Other, 04/29/2020.
  • Benefits & Barriers of Interprofessional Education Beyond the Classroom, AAMC WGEA Regional Meeting. Richards B, Hart S, Hobson WL, Godwin H. This conference canceled due to the Covid-19 pandemic. An abstract of the presentation was published in the conference compendium. Presentation, Other, 04/29/2020.
  • Interprofessional Student Hotspotting Learning Collaborative, National Webinar National Center for Complex Care and Social Needs . Invited Talk/Keynote, Presented, 04/08/2020.
  • Patients, Participants, and Payers: How Student Hotspotting Provides Value to a Diverse Set of Stakeholders, National Academies of Practice. Hart, SE and Turner, K. This conference canceled due to the Covid-19 pandemic. Presentation, Accepted, 01/31/2020.
  • Using Museums & Galleries in Interprofessional Education: skill development, team building, and reflection. AAMC: Western Group on Medical Education . Poster, Accepted, 12/20/2019.
  • Transforming Primary Care Nursing Roles through Education and Clinical Practice Initiatives: University of Utah NEPQR, WIN . Presentation, Accepted, 11/29/2019.
  • Bridging Practice and Education in Community Based Complex Care Through Interprofessional Student Hotspotting, National Webinar. Invited Talk/Keynote, Presented, 11/06/2019.
  • Patients, Participants, and Payers: How Student Hotspotting Provides Value to a Diverse Set of Stakeholders, National Academies of Practice . Presentation, Accepted, 10/30/2019.
  • Using Museums & Galleries with Students Participating in Community Engaged Learning: International Association for Research on Service-Learning and Community Engagement . Poster, Presented, 10/24/2019.
  • Addressing Social Determinants of Health through Community Based Interprofessional Education, Keynote Address at Nexus Summit . Invited Talk/Keynote, Presented, 08/20/2019.
  • Using Museums & Galleries with Interprofessional Education Teams, NEXUS Summit . Poster, Presented, 08/19/2019.
  • Synergizing Academia and Community Partners to Address Complex Care Needs: Local Inspiration, Local Innovation, Nexus Summit . Presentation, Presented, 08/19/2019.
  • Undergraduate Research Opportunities, Research Tea, University of Utah College of Nursing . Invited Talk/Keynote, Presented, 01/22/2019.
  • Student Hotspotting: Synergizing Academia and Community Partners, Putting Care at the Center, National Center for Complex Care, Chicago, IL. Presentation, Presented, 12/06/2018.
  • Health Systems Science "TedTalk" Style Presentation, Academy of Health Sciences Educators . Invited Talk/Keynote, Presented, 09/20/2018.
  • Health Systems Science Workshop, Academy of Health Sciences Educators, University of Utah, Salt Lake City, UT. Presentation, Presented, 09/20/2018.
  • Hotspotting: An Interprofessional Education Experience in Value-Driven Healthcare, Nexus Summit Minneapolis, MN . Poster, Presented, 07/31/2018.
  • “The Education of Future Health Professionals: Providing Skills to Help Them Lead the Transformation of Health Care”. Invited Talk/Keynote, Presented, 02/20/2018.
  • Student Hotspotting with a Twist: How Diverse Professions and Patient Populations Enhance Learning and Deepen Impact, National Center for Complex Health and Social Needs Beehive. Poster, Presented, 11/15/2017.
  • Value Added Education: Interprofessional Student Hotspotting, Academy of Health Sciences Educators, University of Utah. Presentation, Presented, 09/28/2017.
  • Hotspotting: An Innovative Interprofessional Education Experience in Value-Driven Healthcare, American Association of Colleges of Pharmacy, co-authors: Turner, K., Farrell, T. & Hart, S.E. Poster, Presented, 07/17/2017.
  • Preparing Nurse Educators and Leaders to Embrace Change and Improve Practice Interest: Practicums/Clinical Experiences American Association of Colleges of Nursing, Master’s Nursing Education, Atlanta, GA. Conference Paper, Refereed, Presented, 02/27/2017.
  • Interprofessional Education Hotspotting: A Community-based Approach for Addressing Health and Health Care Utilization American Association of Medical Colleges, Western Group on Education Salt Lake City, UT . Conference Paper, Refereed, Presented, 02/26/2017.
  • Interprofessional Education Hotspotting: A Community-based Approach for Addressing Health and Health Care Utilization, American Association of Medical Colleges, Western Group on Education . Presentation, Presented, 02/25/2017.
  • "Educating Future Health Professionals to Transform Health Care" University of Utah Health Policy and Leadership Seminar . Invited Talk/Keynote, Presented, 02/22/2017.
  • Preparing Nurse Educators and Leaders to Embrace Change and Improve Practice Interest: Practicums/Clinical Experiences, American Association of Colleges of Nursing, Master’s Nursing Education . Presentation, Presented, 02/22/2017.
  • The Utah Health and Homes Collaborative: an IPE Program to Address Drivers of Health, Nursing & Health Policy Collaborative National Conference . Poster, Presented, 01/26/2017.
  • The Utah Health and Homes Collaborative: an IPE Program to Address Drivers of Health, Nursing & Health Policy Collaborative National Conference, Coronado, CA. Poster, Presented, 01/17/2017.
  • An Interprofessional Education Model for Systems-based Practice Western Institute of Nursing, Anaheim, CA . Poster, Presented, 04/07/2016.
  • "Educating Future Health Professionals to Transform Health Care" University of Utah Health Policy and Leadership Seminar . Invited Talk/Keynote, Presented, 02/25/2016.
  • Hart, S.E., Hobson-Rohrer, W. & Wilson, R. (2015). Developing an interprofessional education model for systems-based practice: accreditation standards, competencies and opportunities for shared learning. In Harvard Macy Institute (Eds.), Showcasing Scholars’ Innovations at the American Association of Medical Colleges. Baltimore, MD: Harvard Macy Institute. Conference Paper, Refereed, Presented, 11/17/2015.
  • "Donut Hole: Life if the Medicaid Gap, Screening and Panel Salt Lake City, UT National Student Nurses Association, Univ of Utah No Labels & The Hinckley Institute . Invited Talk/Keynote, Presented, 11/17/2015.
  • "Systems-based Practice: Definitions, Accreditation Standards and Competencies Across the Health Professions." Harvard Macy Institute for Health Professions Educators; Boston, MA. Poster, Presented, 05/2015.
  • “Social Justice and the Ecological Model of Health: The Foundation of a Multi-specialty DNP Curriculum.” American Public Health Association: New Orleans, LA. Conference Paper, Refereed, Presented, 11/11/2014.
  • “Catching Yourself in a What I Thought I Saw Moment” Utah Nurses Association Centennial. Presentation, Presented, 10/10/2014.
  • “Nuts and Bolts of Health Policy”. Issues in Pediatric Care Conference: Salt Lake City, UT . Invited Talk/Keynote, Presented, 10/03/2014.
  • “Best Practices for Teaching at the Intersection of Health Policy and Vulnerable Populations: Challenges and Successes” Association for Community Health Nursing Educators & the Public Health Nurses . Poster, Presented, 06/2013.
  • “Developing an Engaged Degree Program” 2013 Utah Campus Compact Moab Faculty Development Retreat. Moab, UT. Hollister, T. L., Hart S., Evershed. S., & Kiuhara, D., (2013). Presentation, Presented, 02/08/2013.
  • “Teaching Innovation and Creative Thinking in Nursing”, AACN Baccalaureate Nursing Education Conference. San Antonio, TX, 2012. Co-authors: Doig, A., Agutter, J., Jackson, A. & Hart, S. Conference Paper, Refereed, Presented, 12/2012.
  • University of Utah College of Nursing Seminar Series Presentation: Health Reform a Post Election Analysis. Invited Talk/Keynote, Presented, 11/09/2012.
  • "An innovative course intersecting vulnerable populations and health policy within a BSN curriculum" Poster presentation during the 140th APHA Annual Meeting (October 27 - October 31, 2012) in San Francisco, CA. Poster, Presented, 10/29/2012.

Languages

  • English, fluent.

Publications

  • Cloyes KG, Hart SE, Jones AK & Ellington L (2020). Where are the family caregivers? Finding family caregiver-related content in foundational nursing documents. Journal of professional nursing : official journal of the American Association of Colleges of Nursing. Vol. 36, 76-84. Published, 10/01/2020.
  • Richards BF, Cardell EM, Chow CJ, Moore KB, Moorman KL, O'Connor M & Hart SE (2020). Discovering the Benefits of Group Peer Review of Submitted Manuscripts. Teaching and learning in medicine. Vol. 32, 104-109. Published, 06/01/2020.
  • Cloyes KG, Hart SE, Jones AK & Ellington L (2020). Where are the family caregivers? Finding family caregiver-related content in foundational nursing documents. Journal of professional nursing : official journal of the American Association of Colleges of Nursing. Vol. 36, 76-84. Published, 02/01/2020.
  • Richards BF, Cardell EM, Chow CJ, Moore KB, Moorman KL, O'Connor M & Hart SE (2020). Discovering the Benefits of Group Peer Review of Submitted Manuscripts. Teaching and learning in medicine. Vol. 32, 104-109. Published, 02/01/2020.
  • University of Utah Center for Public Policy & Administration (2015). Needs Assessment Questionnaire & Manual. Developed for the Division of Services for People with Disabilities, Utah Department of Human Services. Report produced as the final product of a state contract for redesign, validation, and reliability testing of a Needs Assessment Tool for qualification of services and waitlist placement. Co-authors: McCormick, S., Chambless, C., Utz, B., Hart, S. & Bergevin, A. Published, 09/01/2015.
  • Luther B & Hart S (2014). What does the Affordable Care Act mean for nursing?. Orthopedic nursing. Vol. 33, 305-9; quiz 310-1. Published, 11/01/2014.
  • Hart S, Bergquist S, Gajewski B & Dunton N (2010). Reliability testing of the National Database of Nursing Quality Indicators pressure ulcer indicator. The Journal of nursing administration. Vol. 40, S16-25. Published, 09/01/2010.
  • Gajewski BJ, Hart S, Bergquist-Beringer S & Dunton N (2007). Inter-rater reliability of pressure ulcer staging: ordinal probit Bayesian hierarchical model that allows for uncertain rater response. (pp. 4602-18). Vol. 26. Statistics in medicine. Published, 10/01/2007.
  • Boyle DK, Miller PA, Gajewski BJ, Hart SE & Dunton N (2006). Unit type differences in RN workgroup job satisfaction. Western journal of nursing research. Vol. 28, 622-40. Published, 09/01/2006.
  • Hart S, Bergquist S, Gajewski B & Dunton N (2006). Reliability testing of the National Database of Nursing Quality Indicators pressure ulcer indicator. Journal of nursing care quality. Vol. 21, 256-65. Published, 07/01/2006.
  • Hart SE (2005). Hospital ethical climates and registered nurses' turnover intentions. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau. Vol. 37, 173-7. Published, 06/01/2005.