Sheila M. Gephart, PhD, RN

Sheila M. Gephart, PhD, RN
Associate Professor
520-626-5284
Nursing (#203)
Room Number: 
451

Research and Clinical:

Research and Clinical Interest: 
Neonatal Intensive Care, particularly related to prevention and early recognition of necrotizing enterocolitis,
Informatics, particularly usable Electronic Health Records and attention-sensitive Clinical Decision Support Systems (CDSS),
Risk assessment and early identification of necrotizing enterocolitis in premature infants,
Nursing communication networks relationship to safety and quality outcomes.
Clinical Expertise: 
  • Neonatal Intensive Care
  • Maternal-child nursing
  • Evidence based practice
Research & Scholarship: 
  • Section Editor, Evidence-Based Practice Briefs, Advances in Neonatal Care
All Funding: 
Funding Source
09/30/2014-09/29/2019
Clinical Decision Support Optimizing NEC Prevention and Early Recognition
Agency for Healthcare Research and Quality
PI
09/01/2014-08/30/2017
Computerized clinical decision support optimizing necrotizing enterocolitis prevention
Robert Wood Johnson Foundation Nurse Faculty Scholars Program
PI
2/1/2014-5/31/2015
Piloting the Unintended Consequences of Electronic Health Record (EHR) Use Questionnaire
Lawrence B. Emmons Foundation
CO-PI
1/15/2014-5/31/2015
Validation and adaptation of the bedside Pediatric Early Warning System (b-PEWS) for infants 501-1500 grams.
Arizona Area Health Education Center (AHEC)
PI
1/16/2013-8/31/2014
Relationships of clinical markers of deterioration to GutCheckNEC score in necrotizing enterocolitis
Emmons Foundation and supported by Banner Health
PI in partnership with Banner Health (PI:Michelle Fleiner, DNP, RNC-NIC, CCNS)
8/10/2011-5/14/2012
Validating a necrotizing enterocolitis risk index for neonates
National Institute of Nursing Research (F31 pre-doctoral fellowship)
PI
Publications: 
2014

Gephart, S. M., & Weller, M. (2014). Colostrum as oral immune therapy to promote neonatal health. Adv Neonatal Care, 14(1), 44-51. doi: 10.1097/anc.0000000000000052

Gephart, S. M., Spitzer, A. R., Effken, J. A., Dodd, E., Halpern, M., & McGrath, J. M. (2014). Discrimination of GutCheckNEC: a clinical risk index for necrotizing enterocolitis. Journal of Perinatology, 34(6), 468-475. doi: 10.1038/jp.2014.37

Gephart, S. M., Wetzel, C., & Krisman, B. (2014). Prevention and early recognition of necrotizing enterocolitis: a tale of 2 tools--eNEC and GutCheckNEC. Adv Neonatal Care, 14(3), 201-210; quiz 211-202. doi: 10.1097/anc.0000000000000063

Poole, S. & Gephart, S. (2014). State of the science for practice to promote breastfeeding success among young mothers. Newborn and Infant Nursing Reviews, 14(3),112-118.

Gephart, S., Poole, S. & Crain, D. (2014) Qualitative description of neonatal expert perspectives about necrotizing enterocolitis risk. Newborn and Infant Nursing Reviews, 14(3), 124-130. doi: DOI: 10.1053/j.nainr.2014.06.004

2013

Gephart SM, Hanson C. Preventing necrotizing enterocolitis with standardized feeding protocols: Not only possible but imperative. Advances in Neonatal Care, 13(1):48-54. doi: 10.1097/ANC.0b013e31827ece0a

Gephart SM, Hundley L, Paulsen M, Fogel J. Crib Notes: An electronic health record for neonatal intensive care units. Neonatal Intensive Care, March-April 2013; 26(2), 44-47.

Gephart SM. Necrotizing Enterocolitis Risk Assessment with GutCheckNEC. National Association of Neonatal Nurses, E-News. May 2013; 5(3). Available at http://www.nann.org/enews/May-2013/feature.html

Garcia C, Gephart SM. Effectiveness of Early Intervention Programs for NICU Graduates. Advances in Neonatal Care. August 2013.

Beall V, Hall B, Mulholland J, Gephart SM. Neonatal extravasation; an overview and algorithm for evidence-based treatment. Newborn and Infant Nursing Reviews.In press. Expected publication December 2013.

Gephart SM, Newnam K. Inflammation and immune issues in the neonate [Guest editorial]. Newborn and Infant Nursing Reviews, December 2013.In press.

Newnam K, Gephart SM & Wright L. Common complications of dysregulated inflammation in the neonate. Newborn and Infant Nursing Reviews, In press.

Effken JA, Gephart SM, Brewer BB, Carley KM. Using ORA to Assess the Relationship of Handoffs to Quality and Safety Outcomes. Computers, Informatics and Nursing. doi: 10.1111/1552-6909.12032

Gephart, S. & Effken, J. (2013). Using Health Information Technology to Engage Patients in their Care. Online Journal of Nursing Informatics (OJNI), 17 (3), Available at http://ojni.org/issues/?p=2848

Beall V, Hall B, Mulholland J, Gephart SM. Neonatal extravasation; an overview and algorithm for evidence-based treatment. Newborn and Infant Nursing Reviews, December 2013, 13(4): 189-95.

Gephart SM, Newnam K. Inflammation and immune issues in the neonate. Newborn and Infant Nursing Reviews, December 2013, 13(4):146-7.

Newnam K, Gephart SM & Wright L. Common complications of dysregulated inflammation in the neonate. Newborn and Infant Nursing Reviews, 2013 Dec;13 (4):154-160.

2012

Gephart SM. Abstract from 7th Annual National Association of Neonatal Nurses (NANN) Research Summit. Scottsdale, AZ: Coming to consensus among experts about Necrotizing Enterocolitis (NEC) risk. Advances in Neonatal Care, August 2012; 12(4).

Gephart SM. Podium presentation: Testing the validity and reliability of Criterion-Referenced Measures (CRMs) in neonatal care. Conference proceedings of the Southern Nursing Research Society, New Orleans, LA, February 2012. [Abstract]

Gephart SM, McGrath JM. Family-centered care of the surgical neonate. Newborn and Infant Nursing Reviews, March 2012; 12(1): 5-7. PMC3351848.

Cholette M, Gephart SM. A model for the dynamics of bereavement caregiving. International Journal of Childbirth Education. April 2012; 27(2):14-18.

Gephart SM, Cholette M. P.U.R.E. Communication: A Strategy to Improve Care-Coordination for High Risk Birth, Newborn and Infant Nursing Reviews, 2012, 12(2):109-114. doi:10.1053/j.nainr.2012.03. PMC3388549

Gephart SM, McGrath J, Effken JA & Halpern M. Necrotizing Enterocolitis Risk: State of the Science. Advances in Neonatal Care, April 2012; 12(2): p. 77-87. PMC3357630

Gephart SM, Effken JA. Measuring the Content Validity of GutCheck using an E-Delphi. Communicating Nursing Research. Spring 2012; 45. [Abstract]

Gephart SM. Transfusion-associated Necrotizing Enterocolitis (TANEC): Evidence and Uncertainty. Advances in Neonatal Care, August 2012;12(4):232-236.

Gephart SM. The art of effective handoffs: What is the evidence? Advances in Neonatal Care, February 2012; 12(1):37-39. PMC3272252

2011

Gephart SM, Cholette M. Living through the unexpected: Two fathers share their experience with Postpartum hemorrhage. International Journal of Childbirth Education. November 2011; 26(4): 49-52.

Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. Journal of Perinatal & Neonatal Nursing, July 2011; 25(3): 275-282. doi: 10.1097/JPN.0b013e318227cc03. PMID: 21825918

Effken JA, Brewer BB, Logue MD, Gephart SM, Verran JA. Using Cognitive Work Analysis to Fit Decision Support Tools to Nurse Managers� Work Flow. International Journal of Medical Informatics. doi:10.1016/j.ijmedinf.2011.07.003. PMID: 21862397

Effken JA, Carley KM, Gephart SM, Verran JA, Bianchi D, Reminga A, Brewer BB. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. International Journal of Medical Informatics 2011; 80:507-17. PMID: 21536492

Gephart SM and Effken JA. Exploring communication networks during shift handoffs with ORA. Communicating Nursing Research, 2011 Spring; 44:113.

Gephart SM. Using ORA to explore the relationship of handoff networks to Adverse Drug Events. National Association of Neonatal Nursing, Research Summit, Scottsdale, AZ, April 2011. [Abstract]

Halpern M, Bedrick A, Martin A, Gephart SM, Estrada, T. et al. Increased variability of fecal bile acid levels in infants that develop Necrotizing Enterocolitis. Pediatric Academic Societies Meeting, May 2011 [Abstract]

2010

Gephart SM, Effken JA. Visualizing strategies to reduce falls through a work domain analysis. Communicating Nursing Research, 2010 Spring; 43:189 [Abstract]

Effken JA, Gephart SM, Bianchi D & Verran JA. Correlations of nursing communication network metrics with patient outcomes. AMIA Annu Symp Proc. 2010 Nov 13: 197-201. PMID: 21346968

Honors and Awards: 
2014
The University of Arizona Alumni Council "Young Professional Award"
2014
Robert Wood Johnson Foundation Nurse Faculty Scholar
2014
Tucson Hispanic Chamber of Commerce "40 under 40" awardee
2012
The University of Arizona College of Nursing Alumni Council Award
2010-
Member of Sigma Theta Tau Beta Mu
Education: 
Institution/LocationDegreeAttendedField of Study
The University of Arizona, Tucson, AZ
PhD
2008-2012
Nursing and Informatics
Oregon Health Sciences University, Portland, Oregon
BSN
1997-1998
Nursing
Chemeketa Community College, Salem, OR
AAS-RN
1994-1997
Nursing