Publications Related to MOXIE at HANDSFreeNurse 

Informatics Research Agenda

Gail Keenan, PhD, RN, FAAN (Principal) 


These publications reflect our team’s extensive knowledge and expertise, uniquely equipping us to carry out the vision for MOXIE within EHRs. Our achievements include designing, implementing, and evaluating an electronic care planning system across four hospital settings, integrating standardized nursing languages into electronic records, and developing a pipeline to automatically map local terminologies to standardized terms in EHRs. Additionally, we have created and assessed clinical decision support systems, engaged in policy advocacy, and employed creative testing methods including simulation and garnering nationwide representative samples for conducting surveys and remotely evaluating electronic components of EHRs. Our skills further extend to conducting usability testing, building databases, developing user interfaces, and data extraction. Moreover, we utilize artificial intelligence—including predictive modeling, machine learning, and large language models—to support nursing practice.

Publications (104 publications)

Journal Publications

  1. Johnson LG, Madandola OO, Dos Santos FC, Priola KJ, Yao Y, Macieira TG, Keenan GM. Creating Perinatal Nursing Care Plans Using ChatGPT: A pathway to Improve nursing care plans and reduce documentation burden. The Journal of Perinatal & Neonatal Nursing. 2025 Jan 1;39(1):10-9.

  2. Cho H, Nguyen OT, Weaver M, Pruitt J, Marcelle C, Salloum RG, Keenan G. (2024). Electronic health record system use and documentation burden of acute and critical care nurse clinicians: A mixed-methods study. J Am Med Inform Assoc. 2024 Sep 11:ocae239. doi: 10.1093/jamia/ocae239. Epub ahead of print. PMID: 39259920.

  3.  Dos Santos FC, Johnson LG, Madandola OO, Priola KJB, Yao Y, Macieira TGR, Keenan GM. (2024) An example of leveraging AI for documentation: ChatGPT-generated nursing care plan for an older adult with lung cancer. J Am Med Inform Assoc. 2024 Sep 1;31(9):2089-2096. doi: 10.1093/jamia/ocae116. PMID: 38758655; PMCID: PMC11339505.

  4.  Bumbach MD, Carrington JM, Love R, Bjarnadottir R, Cho H, Keenan G. (2024)The use of artificial intelligence for graduate nursing education: An educational evaluation. J Am Assoc Nurse Pract. 2024 Sep 1;36(9):486-490. doi: 10.1097/JXX.0000000000001059. PMID: 39051986

  5. Dos Santos FC, Macieira TGR, Yao Y, Ardelt M, Keenan GM. (2024) The impact of spiritual care delivered by nurses on patients' comfort: A propensity score matched cohort utilizing electronic health record data. Int J Med Inform. 2024 Mar;183:105319. doi: 10.1016/j.ijmedinf.2023.105319. Epub 2023 Dec 21. PMID: 38163394; PMCID: PMC11165318

  6. Macieira TGR, Yao Y, Marcelle C, Mena N, Mino MM, Huynh TML, Chiampou C, Garcia AL, Montoya N, Sargent L, Keenan GM. (2024) Standardizing nursing data extracted from electronic health records for integration into a statewide clinical data research network. Int J Med Inform. 2024 Mar;183:105325. doi: 10.1016/j.ijmedinf.2023.105325. Epub 2023 Dec 30. PMID: 38176094; PMCID: PMC11018263

  7.  Yao Y, Dunn Lopez K, Bjarnadottir RI, Macieira TGR, Dos Santos FC, Madandola OO, Cho H, Priola KJB, Wolf J, Wilkie DJ, Keenan G. (2023) Examining care planning efficiency and clinical decision support adoption in a system tailoring to nurses' graph literacy: National web-based randomized controlled trial. J Med Internet Res. 2023 Aug 11;25:e45043. doi: 10.2196/45043. PMID: 37566456; PMCID: PMC10457701

  8. Madandola OO, Bjarnadottir RI, Yao Y, Ansel M, Dos Santos F, Cho H, Dunn Lopez K, Macieira TGR, & Keenan GM. (2023). The relationship between electronic health records user interface features and data quality of patient clinical information: an integrative review. Journal of the American Medical Informatics Association: JAMIA, ocad188. Advance online publication. https://doi.org/10.1093/jamia/ocad188.

  9. Yao Y, Lopez KD, Bjarnadottir R I, Macieira TGR, Santos FCD, Madandola OO, Cho H, Priola KJB, Wolf J, Wilkie DJ, & Keenan G. (2023). Examining care planning efficiency and clinical decision support adoption in a system tailoring to nurses’ graph literacy: National web-based randomized controlled trial. Journal of Medical Internet Research, 25(1), e45043. https://doi.org/10.2196/45043

  10. Santos FCD, Snigurska UA, Keenan GM, Lucero R J, & Modave F. (2023). Clinical decision support systems for palliative care management: A scoping review. Journal of Pain and Symptom Management, 66(2), e205–e218. https://doi.org/10.1016/j.jpainsymman.2023.03.006

  11. Dos Santos FC, Yao Y, Macieira, TGR, Dunn Lopez K, & Keenan GM. (2023). Nurses' preferences for the format of care planning clinical decision support coded with standardized nursing languages. Journal of the American Medical Informatics Association: JAMIA, ocad093. Advance online publication. https://doi.org/10.1093/jamia/ocad093

  12. Cho H, Keenan G, Madandola O, Dos Santos F, Macieira T, Bjarnadottir R, Priola K, Dunn Lopez K. (2022). Assessing the usability of a clinical decision support system: Heuristic evaluation. JMIR Hum Factors. 9(2):e31758 URL: https://humanfactors.jmir.org/2022/2/e31758.DOI: 10.2196/31758

  13. Dos Santos FC, Macieira T, Yao Y, Hunter S, Madandola OO, Cho H, Bjarnadottir RI, Dunn Lopez K, Wilkie DJ, & Keenan, GM. (2022) Spiritual interventions delivered by nurses to address patients' needs in hospitals or long-term care facilities: A systematic review. J Palliat Med. 25(4): 662-677. doi: 10.1089/jpm.2021.0578. PMID: 35085471; PMCID: PMC8982123. 

  14. Lopez KD, Yao Y, Cho H, Santos FCD, Madandola OO, Bjarnadottir RI, Macieira TGR, Garcia AL, Priola KJB, Wolf J, Bian J, Wilkie DJ, Keenan GM. (2022) Conducting a representative national randomized control trial of tailored clinical decision support for nurses remotely: Methods and implications. Contemp Clin Trials. 118: 106712. doi: 10.1016/j.cct.2022.106712.  PMID: 35235823.

  15. Schoppee TM, Scarton L, Bluck S, Yao Y, Keenan G, Samuels V, Fitchett G, Handzo G, Chochinov HM, Emanuel LL, Wilkie DJ. (2022) Dignity therapy intervention fidelity: a cross-sectional descriptive study with older adult outpatients with cancer. BMC Palliat Care. 21(1): 8. doi: 10.1186/s12904-021-00888-y. PMID: 35016670; PMCID: PMC8751346.

  16. Macieira TGR, Yao Y, Keenan GM. (2021) Use of machine learning to transform complex standardized nursing care plan data into meaningful research variables: a palliative care exemplar. J Am Med Inform Assoc. 28(12): 2695-2701. doi: 10.1093/jamia/ocab205. PMID: 34569603; PMCID: PMC8633646.

  17. Schoppee TM, Scarton L, Bluck S, Yao Y, Keenan G, Handzo G, Chochinov HM, Fitchett G, Emanuel LL, Wilkie DJ. (2022) Description of a training protocol to improve research reproducibility for dignity therapy: An interview-based intervention. Palliat Support Care. 20(2): 178-188. doi: 10.1017/S1478951521000614. PMID: 34036932; PMCID: PMC8617038.

  18. Garcia A, Bjarnadottir RRI, Keenan GM, Macieira TGR. (2022) Nurses' perceptions of recommended fall prevention strategies: A rapid review. J Nurs Care Qual. 37(3): 249-256. doi: 10.1097/NCQ.0000000000000605. PMID: 34775419; PMCID: PMC9095763.

  19. Aul K, Bagnall L, Bumbach MD, Gannon J, Shipman S, McDaniel A, Keenan G. (2021) A key to transforming a nursing curriculum: Integrating a continuous improvement simulation expansion strategy. J SAGE Open Nurs. 7: 2377960821998524. doi: 10.1177/2377960821998524. PMID: 33718606; PMCID: PMC7923995.

  20. Smith MB, Albanese-O'Neill A, Yao Y, Wilkie DJ, Haller MJ, Keenan GM. (2021) Feasibility of the web-based intervention designed to educate and improve adherence through learning to use continuous glucose monitor (IDEAL CGM) training and follow-up support intervention: Randomized controlled pilot study. JMIR Diabetes. 6(1): e15410. doi: 10.2196/15410. PMID: 33560234; PMCID: PMC7902192.

  21. Citty SW, Bjarnadottir RI, Marlowe BL, Jones S, Lucero RJ, Garvan CW, Kamel AY, Westhoff L, Keenan G. (2021) Nutrition support therapies on the medication administration record: Impacts on staff perception of nutrition care. Nutr Clin Pract. 36(3): 629-638. doi: 10.1002/ncp.10590. Epub 2020 Oct 23. PMID: 33095472.

  22. Macieira TGR, Yao Y, Smith MB, Bian J, Wilkie DJ, Keenan GM. (2020) Nursing care for hospitalized older adults with and without cognitive impairment. Nurs Res. 69(2): 116-126. doi: 10.1097/NNR.0000000000000402. PMID: 31972847; PMCID: PMC7050380.

  23. Kim J, Macieira TGR, Meyer SL, Ansell Maggie M, Bjarnadottir Raga RI, Smith MB, Citty SW, Schentrup DM, Nealis RM, Keenan GM. Towards implementing SNOMED CT in nursing practice: A scoping review. Int J Med Inform. 2020 Feb;134:104035. doi: 10.1016/j.ijmedinf.2019.104035. Epub 2019 Nov 27. PMID: 31862610.

  24. Macieira TGR, Chianca TCM, Smith MB, Yao Y, Bian J, Wilkie DJ, Dunn Lopez K, Keenan GM. (2019) Secondary use of standardized nursing care data for advancing nursing science and practice: A systematic review. J Am Med Inform Assoc. 26(11): 1401-1411. doi: 10.1093/jamia/ocz086. PMID: 31188439; PMCID: PMC6798576.

  25. Kim J, Yao Y, Macieira TGR, Keenan G. (2019) An examination of the coverage of the SNOMED CT coded nursing problem list subset. JAMIA Open. 15;2(3): 386-391. doi: 10.1093/jamiaopen/ooz023. PMID: 31984371; PMCID: PMC6951864.

  26. Smith MB, Albanese-O'Neill A, Macieira TGR, Yao Y, Abbatematteo JM, Lyon D, Wilkie DJ, Haller MJ, Keenan GM. (2019) Human factors associated with continuous glucose monitor use in patients with diabetes: A systematic review. Diabetes Technol Ther. 21(10): 589-601. doi: 10.1089/dia.2019.0136. Epub 2019 Aug 20. PMID: 31335196.

  27. Kim J, Lyon D, Weaver MT, Keenan G, Stechmiller J. (2019) Demographics, Psychological Distress, and Pain From Pressure Injury. Nurs Res. 68(5): 339-347. doi: 10.1097/NNR.0000000000000357. PMID: 30829837; PMCID: PMC6989099.

  28. Kim J, Lyon D, Weaver MT, Keenan G, Chen XJ. (2019) The role of psychological distress in the relationship between the severity of pressure injury and pain intensity in hospitalized adults. J Adv Nurs. 75(6): 1219-1228. doi: 10.1111/jan.13913. Epub 2019 Jan 15. PMID: 30456856; PMCID: PMC7227670.

  29. Starkweather AR, Coleman B, Barcelona de Mendoza V, Hickey KT, Menzies V, Fu MR, Williams JK, Prows C; Genomics Nursing & Health Care Expert Panel, Wocial L, O'Keefe M; Bioethics Expert Panel, McCormick K, Keenan G, Harper E; Informatics & Technology Expert Panel. (2018) Strengthen federal and local policies to advance precision health implementation and nurses' impact on healthcare quality and safety. Nurs Outlook. 66(4): 401-406. doi: 10.1016/j.outlook.2018.06.001. Epub 2018 Jun 21. PMID: 30031545.

  30. Sousa Freire VEC, Lopes MVO, Keenan GM, Dunn Lopez K. (2018) Nursing students' diagnostic accuracy using a computer-based clinical scenario simulation. Nurse Educ Today. 71: 240-246. doi: 10.1016/j.nedt.2018.10.001. Epub 2018 Oct 11. PMID: 30340106.

  31. Smith MB, Macieira TGR, Bumbach MD, Garbutt SJ, Citty SW, Stephen A, Ansell M, Glover TL, Keenan G. (2018) The use of simulation to teach nursing students and clinicians palliative care and end-of-life communication: A systematic review. Am J Hosp Palliat Care. 35(8): 1140-1154. doi: 10.1177/1049909118761386. Epub 2018 Mar 8. PMID: 29514480; PMCID: PMC6039868.

  32. Boyd AD, Dunn Lopez K, Lugaresi C, Macieira T, Sousa V, Acharya S, Balasubramanian A, Roussi K, Keenan GM, Lussier YA, Li J', Burton M, Di Eugenio B. (2018) Physician nurse care: A new use of UMLS to measure professional contribution: Are we talking about the same patient a new graph matching algorithm? Int J Med Inform. 113: 63-71. doi: 10.1016/j.ijmedinf.2018.02.002. Epub 2018 Feb 9. PMID: 29602435; PMCID: PMC5909845.

  33. Yao Y, Ahn H, Stifter J, Wilkie DJ, Keenan G. (2018) Continuity index measures in the acute care hospital setting: An analytic review and tests using electronic health record data and computer simulation. J Nurs Meas. 26(1): 20-35. doi: 10.1891/1061-3749.26.1.20. PMID: 29724276; PMCID: PMC8080955.

  34. Keenan GM, Yao Y, Lopez KD, Sousa VEC, Stifter J, Macieira TGR, Boyd AD, Herdman TH, Moorhead S, McDaniel A, Wilkie DJ. (2018) Response to: Letter to the editor - Comments on the use of LOINC and  SNOMED CT for representing nursing data. Int J Nurs Knowl. 29(2): 86-88. doi: 10.1111/2047-3095.12182. Epub 2017 Aug 30. PMID: 28856824; PMCID: PMC8080954.

  35. de Sousa VEC, de Oliveira Lopes MV, Keenan GM, Lopez KD. (2018) Developing and testing of a software prototype to support diagnostic reasoning of nursing students. Int J Nurs Knowl. 29(2): 124-132. English, Portuguese. doi: 10.1111/2047-3095.12145. Epub 2016 Jun 20. PMID: 27321209.

  36. Stifter J, Sousa VEC, Febretti A, Dunn Lopez K, Johnson A, Yao Y, Keenan GM, Wilkie DJ. (2018) Acceptability of clinical decision support interface prototypes for a nursing electronic health record to facilitate supportive care outcomes. Int J Nurs Knowl. 29(4): 242-252. doi: 10.1111/2047-3095.12178. Epub 2017 Sep 19. PMID: 28926204; PMCID: PMC5858953.

  37. Keenan GM, Lopez KD, Yao Y, Sousa VEC, Stifter J, Febretti A, Johnson A, Wilkie DJ. (2017) Toward meaningful clinical decision support: Feasibility and effects of a simulated pilot Nurs Res. 66(5): 388-398. doi: 10.1097/NNR.0000000000000234. PMID: 28858147; PMCID: PMC5657586.

  38. Keenan GM, Lopez KD, Sousa VEC, Stifter J, Macieira TGR, Boyd AD, Yao Y, Herdman TH, Moorhead S, McDaniel A, Wilkie DJ. (2018) A Shovel-Ready Solution to Fill the Nursing Data Gap in the Interdisciplinary Clinical Picture. Int J Nurs Knowl. 29(1): 49-58. doi: 10.1111/2047-3095.12168. Epub 2017 Jan 16. PMID: 28093877; PMCID: PMC8080953.

  39. Westra BL, Sylvia M, Weinfurter EF, Pruinelli L, Park JI, Dodd D, Keenan GM, Senk P, Richesson RL, Baukner V, Cruz C, Gao G, Whittenburg L, Delaney CW. (2017) Big data science: A literature review of nursing research exemplars. Nurs Outlook. 65(5): 549-561. doi: 10.1016/j.outlook.2016.11.021. Epub 2016 Dec 8. PMID: 28057335.

  40. Keenan G (2017) Making advance care planning information interoperable at the point of care: The next step to genuinely promoting dignified dying, Online J Nurs Inform. 21(3).

  41. Johnson J, Lodhi MK, Cheema U, Stifter J, Dunn-Lopez K, Yao Y, Johnson A, Keenan GM, Ansari R, Khokhar A, Wilkie DJ. (2017) Outcomes for end-of-life patients with anticipatory grieving: Insights from practice with standardized nursing terminologies within an interoperable internet-based electronic health record. J Hosp Palliat Nurs. 19(3): 223-231. doi: 10.1097/NJH.0000000000000333. PMID: 28943805; PMCID: PMC5603282.

  42. Khokhar A, Lodhi MK, Yao Y, Ansari R, Keenan G, Wilkie DJ. (2017) Framework for mining and analysis of standardized nursing care plan data. West J Nurs Res. 2017 Jan;39(1):20-41. doi: 10.1177/0193945916672828. Epub 2016 Oct 22. PMID: 27756852; PMCID: PMC5498252.

  43. Roussi K, Soussa V, Dunn Lopez K, Balasubramanian A, Keenan GM, Burton M, Bahroos N, DiEugenio B, Boyd AD. (2015) Are we talking about the same patient? Stud Health Technol Inform. 216: 1059. PMID: 26262358.

  44. Lopez KD, Febretti A, Stifter J, Johnson A, Wilkie DJ, Keenan G. (2017)Toward a more robust and efficient usability testing method of clinical decision support for nurses derived from nursing electronic health record data. Int J Nurs Knowl. 28(4): 211-218. doi: 10.1111/2047-3095.12146. Epub 2016 Jun 24. PMID: 27337939; PMCID: PMC5183526.

  45. Lodhi MK, Ansari R, Yao Y, Keenan GM, Wilkie D, Khokhar AA. (2017) Predicting Hospital Re-admissions from Nursing Care Data of Hospitalized Patients. Adv Data Min. 2017:181-193. doi: 10.1007/978-3-319-62701-4_14. Epub 2017 Jul 1. PMID: 29104962; PMCID: PMC5665368.

  46. Lopez KD, Wilkie DJ, Yao Y, Sousa V, Febretti A, Stifter J, Johnson A, Keenan GM. (2016) Nurses' numeracy and graphical literacy: Informing studies of clinical decision support interfaces. J Nurs Care Qual. 31(2): 124-30. doi: 10.1097/NCQ.0000000000000149. PMID: 26323050; PMCID: PMC4764393.

  47. Stifter J, Yao Y, Lopez KD, Khokhar A, Wilkie DJ, Keenan GM. (2015) Proposing a new  conceptual model and an exemplar measure using health information: Technology to examine the impact of relational nurse continuity on hospital-acquired pressure ulcers. ANS Adv Nurs Sci. 38(3): 241-51. doi: 10.1097/ANS.0000000000000081. PMID: 26244480; PMCID: PMC4936776.

  48. Yao Y, Maciera T, Keenan G. (2015) Making nursing practice visible: At the brink of fulfilling the DREAM. Online J Nurs Inform. 2015 Fall;19(3):http://www.himss.org/making-nursing-practice-visible-brink-fulfilling-dream. PMID: 27453684; PMCID: PMC4956088.

  49. Lodhi, MK, Cheema, U, Stifter, J, Keenan, GM, Wilkie, DJ, Yao, Y, Ansari, R, Khokhar, A. (2015). How nurses can help patients die comfortably. Anxiety.org.  https://www.anxiety.org/easing-anxiety-end-of-life

  50. Sousa VE, Lopez KD, Febretti A, Stifter J, Yao Y, Johnson A, Wilkie DJ, Keenan GM. (2015) Use of simulation to study nurses' acceptance and nonacceptance of clinical decision support suggestions. Comput Inform Nurs. 33(10): 465-72. doi: 10.1097/CIN.0000000000000185. PMID: 26361268; PMCID: PMC4607642.

  51. Stifter J, Yao Y, Lodhi MK, Lopez KD, Khokhar A, Wilkie DJ, Keenan GM. (2015) Nurse continuity and hospital-acquired pressure ulcers: A comparative analysis using an electronic health record "big data" set. Nurs Res. 64(5): 361-71. doi: 10.1097/NNR.0000000000000112. PMID: 26325278; PMCID: PMC4692274.

  52. de Sousa VE, Lopes MV, da Silva VM, Keenan GM. (2015) Defining the key clinical indicators for ineffective breathing pattern in paediatric patients: a meta-analysis of accuracy studies. J Clin Nurs. 24(13-14): 1773-83. doi: 10.1111/jocn.12815. Epub 2015 Mar 25. PMID: 25808159.

  53. Lodhi MK, Ansari R, Yao Y, Keenan GM, Wilkie DJ, Khokhar AA. (2015) Predictive modeling for comfortable death outcome using rlectronic health records. Proc IEEE Int Congr Big Data. 2015: 409-415. doi: 10.1109/BigDataCongress.2015.67. PMID: 27500278; PMCID: PMC4975538.

  54. Lodhi MK, Stifter J, Yao Y, Ansari R, Kee-Nan GM, Wilkie DJ, Khokhar AA. (2015) Predictive modeling for end-of-life pain outcome using electronic health records. Adv Data Min. 9165: 56-68. doi: 10.1007/978-3-319-20910-4_5. Epub 2015 Jun 20. PMID: 27500287; PMCID: PMC4975539.

  55. Yao Y, Stifter J, Ezenwa MO, Lodhi M, Khokhar A, Ansari R, Keenan GM, Wilkie DJ. (2015) Infomarkers for transition to goals consistent with palliative care in dying patients. Palliat Support Care. 13(5): 1427-34. doi: 10.1017/S1478951515000103. Epub 2015 Feb 25. PMID: 25711431; PMCID: PMC4685252.

  56. Lodhi MK, Cheema UI, Stifter J, Wilkie DJ, Keenan GM, Yao Y, Ansari R, Khokhar AA. (2014) Death anxiety in hospitalized end-of-life patients as captured from a structured electronic health record: differences by patient and nurse characteristics. Res Gerontol Nurs. 7(5): 224-34. doi: 10.3928/19404921-20140818-01. Epub 2014 Aug 27. PMID: 25157534; PMCID: PMC4697309.

  57. Linch GF, Rabelo-Silva ER, Keenan GM, Moraes MA, Stifter J, Müller-Staub M. (2015) Validation of the quality of diagnoses, interventions, and outcomes (Q-DIO) instrument for use in Brazil and the United States. Int J Nurs Knowl. 26(1): 19-25. doi: 10.1111/2047-3095.12030. Epub 2014 Mar 27. PMID: 24674040.

  58. Keenan GM, Lopez KD. (2014) Critical Conversations about optimal design column: Thorough error testing a requirement for strong EHR usability. Online J Nurs Inform. 8(3): http://www.himss.org/critical-conversations-about-optimal-design-column-thorough-error-testing-requirement-strong-ehr. PMID: 27453683; PMCID: PMC4957515.

  59. Keenan GM, Wilkie DJ. (2014) Integration of NNN into EHRS: How are we doing? Int J Nurs Knowl. 25(2): 68-9. doi: 10.1111/2047-3095.12039. Epub 2014 May 14. PMID: 24828765; PMCID: PMC4082666.

  60. Hripcsak G, Bloomrosen M, FlatelyBrennan P, Chute CG, Cimino J, Detmer DE, Edmunds M, Embi PJ, Goldstein MM, Hammond WE, Keenan GM, Labkoff S, Murphy S, Safran C, Speedie S, Strasberg H, Temple F, Wilcox AB. (2014) Health data use, stewardship, and governance: ongoing gaps and challenges: a report from AMIA's 2012 Health Policy Meeting. J Am Med Inform Assoc. 21(2): 204-11. doi: 10.1136/amiajnl-2013-002117. Epub 2013 Oct 29. PMID: 24169275; PMCID: PMC3932468.

  61. Keenan GM. (2014) Big data in health care: An urgent mandate to CHANGE nursing EHRs! On-line Journal of Nursing Informatics. 18(1):http://www.himss.org/ResourceLibrary/GenResourceDe. PMID: 26504370; PMCID: PMC4618496.

  62. Tastan S, Linch GC, Keenan GM, Stifter J, McKinney D, Fahey L, Lopez KD, Yao Y, Wilkie DJ. (2014) Evidence for the existing american nurses association-recognized standardized nursing terminologies: A systematic review. Int J Nurs Stud. 51(8): 1160-70. doi: 10.1016/j.ijnurstu.2013.12.004. Epub 2013 Dec 18. PMID: 24412062; PMCID: PMC4095868.

  63. Fahey L, Dunn Lopez K, Storfjell J, Keenan G. (2013) Expanding potential of radiofrequency nurse call systems to measure nursing time in patient rooms. J Nurs Adm. 43(5):3 02-7. doi: 10.1097/NNA.0b013e31828eebe1. PMID: 23615373.

  64. Ryan CJ, Choi H, Fritschi C, Hershberger PE, Vincent CV, Hacker ED, Zerwic JJ, Norr K, Park H, Tastan S, Keenan GM, Finnegan L, Zhao Z, Gallo AM, Wilkie DJ. (2013) Challenges and solutions for using informatics in research. West J Nurs Res. 35(6): 722-41. doi: 10.1177/0193945913477245. Epub 2013 Mar 7. PMID: 23475591; PMCID: PMC3674155.

  65. Almasalha F, Xu D, Keenan GM, Khokhar A, Yao Y, Chen YC, Johnson A, Ansari R, Wilkie DJ. (2013) Data mining nursing care plans of end-of-life patients: a study to improve healthcare decision making. Int J Nurs Knowl. 24(1): 15-24. doi: 10.1111/j.2047-3095.2012.01217.x. Epub 2012 Aug 17. PMID: 23413930; PMCID: PMC3641782.

  66. Yao Y, Keenan G, Al-Masalha F, Lopez KD, Khokar A, Johnson A, Ansari R, Wilkie DJ. (2013) Current state of pain care for hospitalized patients at end of life. Am J Hosp Palliat Care. 30(2): 128-36. doi: 10.1177/1049909112444458. Epub 2012 May 2. PMID: 22556281; PMCID: PMC3681818.

  67. Keenan G, Yakel E, Dunn Lopez K, Tschannen D, Ford YB. (2013) Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc. 20(2): 245-51. doi: 10.1136/amiajnl-2012-000894. Epub 2012 Jul 21. PMID: 22822042; PMCID: PMC3638178.

  68. Keenan GM, Yakel E, Yao Y, Xu D, Szalacha L, Tschannen D, Ford Y, Chen YC, Johnson A, Lopez KD, Wilkie DJ. (2012) Maintaining a consistent big picture: meaningful use of a Web-based POC EHR system. Int J Nurs Knowl. 23(3): 119-33. doi: 10.1111/j.2047-3095.2012.01215.x. Epub 2012 Jun 20. PMID: 23043651; PMCID: PMC3674817.

  69. Keenan GM, Kavanaugh K, Wilkie DJ, Bonner G, Ryan C, Fischer DJ, Savage T, Choi H, Burgener SC, Foreman MD, Yan H. (2011) Model for the first NIH-funded center of excellence in end-of-life research. J Hosp Palliat Nurs. 13(1): 54-60. doi: 10.1097/NJH.0b013e318202b255. PMID: 23762014; PMCID: PMC3677793.

  70. Fischer DJ, Burgener SC, Kavanaugh K, Ryan C, Keenan G. (2012) Conducting research with end-of-life populations: overcoming recruitment challenges when working with clinical agencies. Appl Nurs Res. 25(4): 258-63. doi: 10.1016/j.apnr.2011.04.002. Epub 2011 Jun 22. PMID: 21700424; PMCID: PMC3618151.

  71. Tschannen D, Keenan G, Aebersold M, Kocan MJ, Lundy F, Averhart V. (2011) Implications of nurse-physician relations: Report of a successful intervention. Nurs Econ. 29(3): 127-35. PMID: 21736176.

  72. Boyd AD, Funk EA, Schwartz SM, Kaplan B, Keenan GM. (2010) Top EHR challenges in light of the stimulus. Enabling effective interdisciplinary, intradisciplinary and cross-setting communication. J Healthc Inf Manag. 24(1): 18-24. PMID: 20077921.

  73. Anderson CA, Keenan G, Jones J. (2009) Using bibliometrics to support your selection of a nursing terminology set. Comput Inform Nurs. 27(2): 82-90; quiz 91-2. doi: 10.1097/NCN.0b013e3181972a24. PMID: 21685833.

  74. Schneider JS, Barkauskas V, Keenan G. (2008) Evaluating home health care nursing outcomes with OASIS and NOC. J Nurs Scholarsh. 40(1): 76-82. doi: 10.1111/j.1547-5069.2007.00209.x. PMID: 18302595.

  75. Westra BL, Delaney CW, Konicek D, Keenan G. (2008) Nursing standards to support the electronic health record. Nurs Outlook. 56(5): 258-266.e1. doi: 10.1016/j.outlook.2008.06.005. PMID: 18922281.

  76. Keenan GM, Tschannen D, Wesley ML. (2008) Standardized nursing terminologies can transform practice. J Nurs Adm. 38(3): 103-6. doi: 10.1097/01.NNA.0000310728.50913.de. PMID: 18327054.

  77. Keenan G, Falan S, Heath C, Treder M. (2003) Establishing competency in the use of north american nursing diagnosis association, nursing outcomes classification, and nursing interventions classification terminology. J Nurs Meas. 11(2): 183-98. doi: 10.1891/jnum.11.2.183.57286. PMID: 15274525.

  78. Keenan G, Barkauskas V, Stocker J, Johnson M, Maas M, Moorhead S, Reed D. (2003) Establishing the validity, reliability, and sensitivity of NOC in an adult care nurse practitioner setting. Outcomes Manag. 7(2): 74-83. PMID: 12715604.

  79. Keenan G, Stocker J, Barkauskas V, Johnson M, Maas M, Moorhead S, Reed D. (2003) Assessing the reliability, validity, and sensitivity of nursing outcomes classification in home care settings. J Nurs Meas. 11(2):135-55. doi: 10.1891/jnum.11.2.135.57285. PMID: 15274522.

  80. Keenan G, Stocker J, Barkauskas V, Treder M, Heath C. (2003) Toward integrating a common nursing data set in home care to facilitate monitoring outcomes across settings. J Nurs Meas. 11(2): 157-69. doi: 10.1891/jnum.11.2.157.57288. PMID: 15274523.

  81. Keenan G, Stocker J, Barkauskas V, Treder M, Heath C. (2003) Toward collecting a standardized nursing data set across the continuum: case of adult care nurse practitioner setting. Outcomes Manag. 7(3): 113-20. PMID: 12881972.

  82. Keenan GM, Stocker JR, Geo-Thomas AT, Soparkar N, Barkauskas V, Lee JL. (2002) The HANDS project: Studying and refining the automated collection of a cross-setting clinical data set. Comput Inform Nurs. 20(3): 89-100. doi: 10.1097/00024665-200205000-00008. PMID: 12021607.

  83. Keenan GM, Treder M, Clingerman E. (2001) Survey indicates sharp increase in usage of NANDA, NOC, and NIC. Mich Nurse. 74(8): 19-21. PMID: 11987854.

  84. Aquilino ML, Keenan G. (2000) Having our say. Nursing's standardized nomenclatures. Am J Nurs. 100(7): 33-8. PMID: 10914067.

  85. Keenan GM. (1999) Use of standardized nursing language will make nursing visible. Mich Nurse. 72(2): 12-3. PMID: 12037810.

  86. Keenan G, Aquilino ML. (1998) Standardized nomenclatures: Keys to continuity of care, nursing accountability and nursing effectiveness. Outcomes Manag Nurs Pract. 2(2): 81-6. PMID: 9582821.

Published Research Paper Proceedings  

  1. Macieira TGR, Smith MB, Davis N, Yao Y, Wilkie DJ, Lopez KD, Keenan G. (2018) Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annu Symp Proc. 2017:1205-1214. PMID: 29854189; PMCID: PMC5977718.

  2. Febretti A, Stifter J, Keenan GM, Lopez KD, Johnson A, Wilkie DJ. (2014) Evaluating a clinical decision support interface for end-of-life nurse care. Ext Abstr Hum Factors Computing Syst. 2014: 1633-1638. doi: 10.1145/2559206.2581170. PMID: 27453959; PMCID: PMC4955939.

  3. Febretti A, Sousa V, Lopez KD, Yao Y, Johnson A, Keenan, GM, Wilkie DJ. (2014) One size doesn’t fit all: The efficiency of graphical, numerical and textual clinical decision support for nurses. IEEE VIS 2014 Workshop on Electronic Health Record Data Visualization (EHRVis), Paris, France, November 9th, 2014

  4. Di Eugenio B,  Boyd AD, Lugaresi C, Balasubramanian A, Keenan GM, Burton M, Rezende Macieira TG, Lopez KD, Friedman C, Li J, Lussier YA. (2014) PatientNarr: Towards generating patient-centric summaries of hospital stays. In INLG 2014 - Proceedings of the 8th International Natural Language Generation Conference, including - Proceedings of the INLG and SIGDIAL 2014 Joint Session: 6-10. 

  5. Febretti A, Lopez KD, Stifter J, Johnson AE, Keenan GM, Wilkie DJ. (2013) A component-based evaluation protocol for clinical decision support interfaces. Des User Exp Usability. 8012: 232-241. doi: 10.1007/978-3-642-39229-0_26. PMID: 27478882; PMCID: PMC4963154.

  6. Keenan G, Yakel E, Marriott D. (2006) HANDS: A revitalized technology supported care planning method to improve nursing handoffs. Stud Health Technol Inform. 122: 580-4. PMID: 17102326. 

  7. Keenan G, Yakel E. (2005) Promoting safe nursing care by bringing visibility to the disciplinary aspects of interdisciplinary care. AMIA Annu Symp Proc. 2005: 385-9. PMID: 16779067; PMCID: PMC1560582.       (Winner Harriet Werley Award for Top Nursing Informatics Paper)

Books, Chapters, Monographs, and Reports: 

  1. Lodhi MK, Ansari R, Yao Y, Keenan GM, Wilkie D, Khokhar AA. (2017) Predicting hospital re-admissions from nursing care data of hospitalized patients. Adv Data Min. 2017: 181-193. New York:  Springer. 17th Industrial Conference, ICDM 2017, New York, NY, USA, July 12-13, 2017 doi: 10.1007/978-3-319-62701-4_14. Epub 2017 Jul 1. PMID: 29104962; PMCID: PMC5665368.

  2. Sousa VEC, Lopes MVO, Keenan GM, Dunn Lopez K. (2017)  Challenges and solutions in conducting a randomized controlled trial with students. In SAGE research methods cases. London, United Kingdom: SAGE Publications, Ltd. DOI: http://dx.doi.org/10.4135/9781526413512 (10.10.22 access date)

  3. Febretti A, Lopez KD, Stifter J, Johnson AE, Keenan GM, Wilkie DJ. (2013) A component-based evaluation protocol for clinical decision support interfaces. Des User Exp Usability. 8012: 232-241. Springer: Berlin Heidelberg doi: 10.1007/978-3-642-39229-0_26. PMID: 27478882; PMCID: PMC4963154.

  4. Keenan, GM. (2014, February 2).  Nursing Informatics and Health Informatics: What’s the difference?  Monograph Available at UIC College of Nursing.

  5. Leviss J, (Ed.) Keenan G, contributing editor, edited book.  (2013) HIT or miss:  Lessons learned from health information technology implementations (2nd ed.). Chicago: American Health Information Management Association. 

  6. Odenbreit M, Muller-Staub M, Brokel J, Avant K, Keenan G. (2012) Nursing classifications: Criteria and evaluation. In T. H. Herdman (Ed.), Nursing Diagnoses: Definitions and Classification: 133-141. Oxford: Wiley Blackwell.

  7. Jones D, Lunney M, Keenan G, Moorhead S. (2010) Standardized nursing languages: Essential for the nursing workforce. Annu Rev Nurs Res. 28: 253-94. doi: 10.1891/0739-6686.28.253. PMID: 21639030; PMCID: PMC8447200.

  8. Dunn Lopez K, Keenan, G. (2011) Collaboration between nurses and physicians: Need for a broader view. In P. S. Cowen & S. Moorhead (Eds.), Current issues in nursing (8th ed.): 468-479. St. Louis:Mosby.

  9. Leviss, J. (Ed.) Keenan G. contributing editor, edited book. (2009) Hit or miss: Lessons learned from health information technology implementations. Washington, DC: American Health Information Management Association and American Medical Informatics Association.

  10. Keenan GM, Yakel E, Tschannen D, Mandeville M. (2008) Documentation and the nurse care planning process. In: Hughes RG, editor. Patient safety and quality: An evidence-based handbook for nurses. Rockville (MD): Agency for Healthcare Research and Quality (US) Chapter 49. PMID: 21328773.