About

Biography

I am a pediatric nurse practitioner specializing in the care of children with chronic conditions, including those with bronchopulmonary dysplasia (BPD). As the sibling of a child with multiple chronic conditions, I developed a passion for pediatric and family nursing and research.

My qualitative research focuses on communication between the families of children with chronic conditions and clinicians, and its effects on family management of the child’s care and the child’s well-being. My research highlighted the antecedents and communication behaviors required for parent-nurse communication to facilitate a mutual understanding of the child’s care. I created a coding scheme to quantify the communication behaviors demonstrated by parents and clinicians — a tool for identifying significant communication behaviors leading to improved care for children with chronic conditions.

My quantitative research is focused on families and children with complex chronic conditions and those who may be dependent on technology such as tracheotomy tubes, ventilators and feeding tubes. My recent National Institutes of Health (NIH) National Institute of Nursing Research (NINR) funded study identified quantitative associations between nurse and caregiver communication behaviors on family management and clinical outcomes for children with long term ventilator dependence. My previous studies led to new methods for determining the prevalence of hospitalized long-term ventilator-dependent children and risks of aspiration among children with aerodigestive disorders. I am also interested in discovering how best to partner with families as they learn to care for their child with technology dependence.

Post-Doctoral Fellowship: Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2015-2017.

PhD: Nursing, Indiana University School of Nursing, Indianapolis, IN, 2014.

MS: Child Health Nursing, University of Buffalo, State University of New York, Buffalo, NY, 1999.

BSN: Nursing, Vanderbilt University, Nashville, TN, 1986.

Interests

Children with chronic conditions

Interests

Communication between clinicians and families of children with complex chronic conditions

Research Areas

Nursing

Insurance Information

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Publications

Influence of caregiver-nurse communication on quality of life and clinical outcomes of children with long-term ventilator dependence. Giambra, BK; Knafl, K; Zhang, N; Zhang, Y; Haas, S; Pickler, RH; Britto, MT. Journal of Pediatric Nursing. 2024; 79:S0882-5963(24)00366-X.

Pediatric chaplains iterative process to address religious & spiritual struggle: a qualitative study. Leavitt-Alcántara, S; Meeks, AR; Miller, LJ; Giambra, BK. Journal of Health Care Chaplaincy. 2024; 30:278-293.

Association between parental education level & outcomes for children with long-term ventilator dependence: Communication behaviors as moderating variables. Hornberger, SR; Zhang, Y; Zhang, N; Giambra, BK. Journal of Pediatric Nursing. 2024; 75:205-212.

Garnering effective telehealth to help optimize multidisciplinary team engagement (GET2HOME) for children with medical complexity: Protocol for a pragmatic randomized control trial. Warniment, A; Sauers-Ford, H; Brady, PW; Beck, AF; Callahan, SR; Giambra, BK; Herzog, D; Huang, B; Loechtenfeldt, A; Loechtenfeldt, L; Sucharew, HJ; Tegtmeyer, K; Thomson, JE; Auger, KA. Journal of hospital medicine (Online). 2023; 18:877-887.

Developing a Family Resource: Considerations for Family Member Research Participation. Polfuss, M; Mooney-Doyle, K; Keller, M; Gralton, KS; Giambra, B; Vance, A. Journal of Family Nursing. 2023; 29:202-222.

Audiovisual Recording in the Inpatient Setting: A Method for Studying Parent-Nurse Communication. Cash, EK; Giambra, BK. Journal of Family Nursing. 2023; 29:192-201.

Examining Children With Complex Care and Technology Needs in the Context of Social Determinants of Health. Giambra, BK; Spratling, R. Journal of Pediatric Health Care. 2023; 37:262-268.

Fathers' Experiences of Caring for a Child with a Chronic Illness: A Systematic Review. Spurr, S; Danford, CA; Roberts, KJ; Sheppard-LeMoine, D; Machado Silva-Rodrigues, F; Darezzo Rodrigues Nunes, M; Darmofal, L; Ersig, AL; Foster, M; Giambra, B; Lerret, S; Polfuss, M; Smith, L; Somanadhan, S. Children. 2023; 10:197.

A Description of Children Dependent on Long Term Ventilation via Tracheostomy and Their Hospital Resource Use. Giambra, BK; Mangeot, C; Benscoter, DT; Britto, MT. Journal of Pediatric Nursing. 2021; 61:96-101.

The Parent Role in Advocating for a Deteriorating Child: A Qualitative Study. Brady, PW; Giambra, BK; Sherman, SN; Clohessy, C; Loechtenfeldt, AM; Walsh, KE; Shah, SS; Lannon, C. Hospital Pediatrics. 2020; 10:728-742.

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4.6
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