Catherine D'Ambrosio

PhD, RN, BSN, MSN
CEO, Nursing Evolutions

Catherine Post D’Ambrosio has been a Registered Nurse for over 33 years. She is dedicated to clinical practice of bedside nursing and the practice expertise necessary to optimize the health, function, and quality of life outcomes for each individual Patient.

 

Dr. D’Ambrosio attended Barnes Hospital School of Nursing and graduated on 30 January, 1983 as a Registered Nurse (R.N.). She provided bedside nursing in acute medical-surgical and critical care nursing in pediatrics, burn-trauma, oncology, bone marrow transplant, and cardio-thoracic intensive care. She completed her Bachelor of Science in Nursing (BSN) at the University of Missouri, Saint Louis and her Master of Science in Nursing (MSN) in Gero-Psychiatric Nursing at the University of Pennsylvania (1990).

 

Dr. D’Ambrosio started her first licensed Home Health Care Agency in 1995, specializing in the provision of medically-intensive care to children in their homes. She sold the assets of this company on 30 September 1999 in order to continue (and complete) her doctoral studies at the University of Washington. She was interested in the concept of using artificial intelligence to computationally represent the decisions of clinically expert nurses and thereby improve and optimize the ability of novice and situational novice nurses to accurately provide literature-based best nursing practice. To her dismay, she found that Nursing Informatics to date had been exclusively focused on either documentation programs (which are of no assistance to nurses’ decision-making processes necessary to optimize the care nurses provide to their patients) and “Nursing Diagnoses” which have never been linked either theoretically or in practice to bedside nurses’ decisions or patient care outcomes.

161- NursingSolutions2020.jpg

Dr. D’Ambrosio’s doctoral (PhD) dissertation was entitled “Computational Representation of Bedside Nurses’ Decision Making Processes”. Mentored by Pamela H. Mitchell, PhD, RN, FAAN, FAHA in Nursing Science and Ira Kalet, PhD in Computer Science, Dr. D’Ambrosio used a Rule-Based Expert System written by Paul Graham (1996) and computationally fragmented literature and practice-based nursing knowledge, then entered these computable bits into mathematical formulas in Common Lisp (Guy Steele, 1990) necessary to accurately calculate bedside nurses’ decisions around toileting of cognitive and mobility impaired elders.

 

Upon successfully defending her doctoral dissertation, she then completed a post-doctoral fellowship in Gerontological Nursing at Oregon Health & Science University in Portland, Oregon where she was mentored by Teresa Harvath, PhD, RN, CNS, FAAN and Patricia Archebold, DNSc, RN. Dr. D’Ambrosio wrote another Rule-Based Expert System in Common Lisp –this time on the literature-based care decisions surrounding chronic non-healing full-thickness wounds (necrotizing fasciitis and stage-IV pressure ulcers).

 

Dr. D’Ambrosio moved with her husband and children to Hamburg in northern Germany for six years. Upon return to the United States in 2011, she then worked as an analyst and consultant to hospitals and law firms in the Pacific Northwest before returning to the University of Washington as a Clinical Assistant Professor. She taught physical assessment courses and basic and advanced Medical-Surgical clinical courses to many amazing and outstanding scholars of Nursing Science.

She was appointed to Shoreline Community College’s Board of Trustees by Governor Inslee in 2013, and served as Chair of Shoreline’s Board of Trustees in 2015-16. Dr. D’Ambrosio is deeply committed to the education of Washingtonians and improving the employability and ability of each to procure and maintain skilled and knowledge-based employment earning livable wages.

 

In 2014, Dr. D’Ambrosio returned to Pediatric Critical Care in the field, starting her second (licensed and fully insured) Home Health Care Agency. Her company, Nursing Evolutions is dedicated to recruiting and retaining the most brilliant Nurses, deliberately applying literature-based best nursing practice and optimizing the health, function, and quality of life outcomes for Washington’s medically fragile children. Nursing Evolutions nurses are known for their outstanding care and their ability to wean (from mechanical ventilation), decannulate (close the tracheostomy) and discharge (from Nursing Evolutions’ services) months –even years ahead of planned or anticipated schedule (for wean, decannulation and discharge).

 

As not every one of our precious infants, babies, toddlers, and children are able to be weaned, decannulated or discharged, the emphasis for ALL of our precious patients is on:

> INFECTION:

* reducing their risk of infection

* rapid identification and treatment of infections

* monitoring response to / efficacy of current treatment

> reduce EMERGENCY SERVICES UTILIZATION

> reduce hospitalization

> reduce the length of stay of any necessary hospitalization