AnnMarie Walton

Overview:

AnnMarie Walton, PhD, MPH, RN, OCN, CHES, FAAN

Dr. Walton's program of research centers on understanding and minimizing occupational exposures to carcinogens. Her dissertation work combined her educational preparation and over ten years of clinical experience caring for patients with acute leukemia to examine the pesticide protective behaviors of Latino migrant and seasonal farmworkers. This work was supported by a T32 Fellowship in Cancer, Aging and End of Life from the National Institutes of Nursing Research, An American Cancer Society Doctoral Scholarship in Oncology Nursing and a Jonas Nurse Leader Scholarship.

Dr. Walton completed a postdoctoral fellowship at UNC-Chapel Hill’s School of Nursing. She received support from a T32 Fellowship in Interventions to Prevent and Manage Chronic Illness from the National Institutes of Nursing Research and pilot funds from the NC Occupational Safety and Health Education Research Center for work that focused on understanding the protective behaviors of Nursing Assistants handling antineoplastic drug contaminated excreta. She has been very active in policy and practice recommendations to improve safe handling of hazardous drugs.

Dr. Walton teaches and facilitates the population health course for MSN students and the policy course for DNP students. She also mentors DNP and PhD students. Dr. Walton is affiliated faculty in the Integrated Toxicology and Environmental Health Program in the Nicholas School of the Environment.

Dr. Walton's service work centers on preparing and enabling nurses to lead change to advance health. She was inducted as a Fellow in the American Academy of Nursing in 2020.

Positions:

Associate Professor in the School of Nursing

School of Nursing
School of Nursing

Member of the Duke Cancer Institute

Duke Cancer Institute
School of Medicine

Education:

Ph.D. 2015

University of Utah

Grants:

My Childhood Cancer: Survey Series

Administered By
Neurosurgery
Awarded By
Alex's Lemonade Stand
Role
Co Investigator
Start Date
End Date

Engaging Farmworker Health Outreach Workers in Professional Development: The Refinement of a Handwashing Educational Toolkit for Spanish-Speaking Farmworkers

Administered By
School of Nursing
Awarded By
University of Kentucky
Role
Principal Investigator
Start Date
End Date

Surface Contamination and PPE Use in Inpatient Oncology: The Impact of Covid-19

Administered By
School of Nursing
Awarded By
Centers for Disease Control and Prevention
Role
Principal Investigator
Start Date
End Date

Improving Chemotherapy Safe Handling at Bugando Medical Center

Administered By
School of Nursing
Awarded By
Perrysburg Rotary Service Foundation
Role
Principal Investigator
Start Date
End Date

Publications:

An exploration of language: How nurses describe social factors that contribute to health.

<h4>Background</h4>Over the last two centuries nurses have been practicing, teaching, and conducting research on social factors that contribute to health and the language has evolved over this time.<h4>Purpose</h4>To explore how social factors that contribute to health are described by nurse authors and how that use has changed over time.<h4>Methods</h4>A scoping review using the JBI Manual for Evidence Synthesis, Cochrane Handbook, and PRISMA guidelines was completed.<h4>Findings</h4>From 1967 to 2021, nurses used the term "social factors" most commonly and there was a shift from demographic to social factors.<h4>Discussion</h4>As the language that nurses use has shifted from demographic descriptions to the social factors that may be associated with those descriptions, nurses have an opportunity to promote the use of non-deterministic language for health promotion and research.
Authors
Walton, AL; McGee, K; Padilla, BI; Wrigley, J; Noonan, D; Derouin, A; Ledbetter, L; Gonzalez-Guarda, RM
MLA Citation
Walton, AnnMarie L., et al. “An exploration of language: How nurses describe social factors that contribute to health.Nursing Outlook, vol. 71, no. 2, Mar. 2023, p. 101908. Epmc, doi:10.1016/j.outlook.2022.101908.
URI
https://scholars.duke.edu/individual/pub1560551
PMID
36599713
Source
epmc
Published In
Nursing Outlook
Volume
71
Published Date
Start Page
101908
DOI
10.1016/j.outlook.2022.101908

The Limits of 'Social Determinants of Health' Language.

A less restrictive term allows more room for our shared humanity.
Authors
MLA Citation
Walton, AnnMarie Lee. “The Limits of 'Social Determinants of Health' Language.The American Journal of Nursing, vol. 123, no. 1, Jan. 2023, p. 11. Epmc, doi:10.1097/01.naj.0000911484.04250.06.
URI
https://scholars.duke.edu/individual/pub1561184
PMID
36546374
Source
epmc
Published In
The American Journal of Nursing
Volume
123
Published Date
Start Page
11
DOI
10.1097/01.naj.0000911484.04250.06

Population health in a global society: Preparing nurses for the future.

<h4>Background</h4>The COVID-19 pandemic has reinforced awareness that the health of populations is inextricably linked around the globe. Nurses require increased knowledge and preparation in global health. Nursing educators need examples of how to improve content in the curriculum.<h4>Aims</h4>The purpose of this paper is to describe reconceptualization of a master's level nursing course entitled "Population Health in a Global Society" to include global health competencies.<h4>Methods</h4>We identified four global health competencies within the following three domains: globalization of health and healthcare; collaboration, partnering, and communication; and sociocultural and political awareness.<h4>Implementation</h4>We utilized guest lectures, a panel discussion, discussion forums and an independent research assignment. The methods used were well received by students, and the content delivered improved their perceived knowledge in global population health.<h4>Discussion</h4>The global health domains and competencies provided a roadmap for improving our course to focus on population health from a global perspective.<h4>Conclusion</h4>In order to prepare nurses to contribute to global population health, population health courses should integrate global health competencies. The content of the revised course will better prepare nurses who will practice in a wide variety of settings and is designed for interdisciplinary education.
Authors
Walton, AL; Nikpour, JA; Randolph, SD
MLA Citation
Walton, AnnMarie Lee, et al. “Population health in a global society: Preparing nurses for the future.Public Health Nursing (Boston, Mass.), vol. 39, no. 5, Sept. 2022, pp. 1098–106. Epmc, doi:10.1111/phn.13081.
URI
https://scholars.duke.edu/individual/pub1518048
PMID
35417605
Source
epmc
Published In
Public Health Nursing (Boston, Mass.)
Volume
39
Published Date
Start Page
1098
End Page
1106
DOI
10.1111/phn.13081

An Interdisciplinary Collaboration for Environmental Education

Climate change education in advanced practice registered nursing curricula prepares nurse practitioners to respond to the health effects of climate change. Knowledge of the relationship between human and environmental health is essential for nurse practitioners to identify, teach, and respond to the health effects of climate change in clinical and community settings. This article describes a webinar hosted by the Sarah P. Duke Gardens in partnership with the Duke University School of Nursing. Our webinar provided an opportunity for attendees to understand how gardening can mitigate climate change, the important relationship between human and environmental health, and nurses’ role in climate crisis.
Authors
Gibbs, AJ; Henderson, K; Luckett, M; Luks, L; Walton, AML
MLA Citation
Gibbs, A. J., et al. “An Interdisciplinary Collaboration for Environmental Education.” Journal for Nurse Practitioners, vol. 18, no. 4, Apr. 2022, pp. 420–23. Scopus, doi:10.1016/j.nurpra.2021.11.011.
URI
https://scholars.duke.edu/individual/pub1503907
Source
scopus
Published In
The Journal for Nurse Practitioners
Volume
18
Published Date
Start Page
420
End Page
423
DOI
10.1016/j.nurpra.2021.11.011

A Comparison of Pesticide Risk Beliefs between Farmers and Farmworkers: Implications for Risk Communication and Education.

Understanding the multi-dimensional risk beliefs of agricultural audiences allows risk communicators and educators to target those beliefs to improve practices. This study was designed to assess pesticide risk beliefs among English-speaking farmers and Spanish-speaking farmworkers and to compare their beliefs. The Pesticide Risk Beliefs Inventory (PRiBI) is a 19-item quantitative instrument used to assess the alignment of risk beliefs with those beliefs of experts in the field. A higher score on the PRiBI relates to an agreement with expert beliefs regarding pesticide risk. Farmers' and farmworkers' scores were signficiantly different on items corresponding to the use of physical properties to determine risk and specific adverse health outcomes associated with pesticide exposure. With an understanding that farmworkers rely on the physical properties of pesticides to assess risk, educators and farmers can encourage more reliable ways to assess pesticide hazards.
Authors
Walton, AL; LePrevost, CE; Hatch, DJ; Grisle, SY
MLA Citation
Walton, AnnMarie L., et al. “A Comparison of Pesticide Risk Beliefs between Farmers and Farmworkers: Implications for Risk Communication and Education.Journal of Agromedicine, vol. 26, no. 4, Oct. 2021, pp. 436–40. Epmc, doi:10.1080/1059924x.2021.1879698.
URI
https://scholars.duke.edu/individual/pub1476042
PMID
33632076
Source
epmc
Published In
Journal of Agromedicine
Volume
26
Published Date
Start Page
436
End Page
440
DOI
10.1080/1059924x.2021.1879698

Research Areas:

Cancer--Nursing
Migrant agricultural laborers
Occupational Health
Self-protective behavior