Margaret F. Clayton PhD, RN, FNP-CS

Contact Information:

• Mailing Address:
• University of Utah
• College of Nursing
• 10 South 2000 East
• Salt Lake City, UT 84112-5880
• Phone: (801) 585-5372
• FAX: (801) 587-9838
• E-mail: margaret.clayton@nurs.utah.edu

Background:

Margaret Clayton is an Assistant Professor in the College of Nursing, and a board certified Family Nurse Practitioner. Dr Clayton's primary research interest is cancer survivorship, including how patient/provider communication processes influence emotional and physical well-being. Outcomes include self-report and physiologic measures, as well as coding of verbal and nonverbal communication interactions. She completed her Doctorate and Post Doctoral education under the direction of Dr. Merle Mishel RN, PhD, FAAN, at the University of North Carolina, Chapel Hill. Dr. Clayton obtained her MSN / FNP at Pace University in NY, and her BSN at the University of Connecticut. Her extensive clinical background has focused on ambulatory care, including pediatrics, homecare, and cardiology.

Research Program/ Scholarly Activity:

During her doctorate and post-doctoral fellowship Dr. Clayton worked with a multidisciplinary team conducting intervention research to assist breast and prostate cancer survivors to manage uncertainty and improve quality of life. Her dissertation research investigated the impact of the communication process as well as uncertainty and physical symptoms on the emotional wellbeing of long-term Caucasian and African-American breast cancer survivors. Dr. Clayton's post-doctoral work expanded her focus on patient-provider communication, coding audiotapes of 60 office visits between breast cancer survivors and their providers [MD, NP, PA] for the degree patient-centeredness, as well as the impact of the communication process on the uncertainty and mood state of these women.

Funded Research:

• Principal Investigator: Emotional and Physical Responses to a Follow-up Medical Visit for Breast Cancer Survivors. University of Utah Research Foundation Incentive Seed Grant Program 03/08-02/09
• Co-Investigator: “A Biopsychosocial Approach to the Analysis of Cancer Genetics Communication” American Cancer Society Mentored Research Scholar Grant (MRSG-04-208-01-CPPB) PI: Lee Ellington PhD 07/04 - 06/09
• Principal Investigator: Assessing Communication Behaviors among Family Practice Providers. Interdisciplinary Research Seed Grant Program (LJ Haas PhD, Co-PI) 2007 - 2008
• Principal Investigator: A Time Analysis of Communication with Breast Cancer Survivors College of Nursing, University of Utah (D Kelly RN, DrPH Co-Investigator) 2006 - 2007
• Principal Investigator: Assessing Communication Behaviors among Family Practice Providers. Interdisciplinary Research Seed Grant Program (LJ Haas PhD, Co-PI) 2007 - 2008
• Principal Investigator: A Time Analysis of Communication with Breast Cancer Survivors. (D. Kelly RN, DrPH Co-Investigator). College of Nursing, University of Utah. 2006 - 2007.
• Principal Investigator (Postdoctoral Fellowship): Communication in Breast Cancer Survivors.
Ruth L. Kirschstein National Research Service Award. 2003-2005
T-32 Institutional Postdoctoral Fellowship. Interventions for Preventing and Managing Chronic Illness (NIH-NINR T-32 NRO7091)
University of North Carolina at Chapel Hill, School of Nursing
• 2004 Jean E. Johnson, RN Scholar Award   PI: Communication in Breast Cancer Survivors, American Nurses Foundation
• Principal Investigator (Dissertation): Testing a Model of communication, uncertainty and emotional well-being in older breast cancer survivors.
Ruth L. Kirschstein National Research Service Award. 1999-2000
T-32 Institutional Predoctoral Fellowship. Interventions for Preventing and Managing Chronic Illness (NIH-NINR T-32 NRO7091)
University of North Carolina at Chapel Hill, School of Nursing

Lineberger Comprehensive Cancer Center Predoctoral
Fellowship: 2002-2003
Testing a Model of Communication, Uncertainty, and Emotional
Well-being in Older Cancer Survivors University of North Carolina at Chapel Hill

Recent Publications:

• Clayton, MF; Dudley, WN; Musters, A.; (in press). Communication with breast cancer survivors. Health Communication. (Scheduled for late fall 07)(In press)
• Mishel, M.H. & Clayton MF; Uncertainty in Illness Theories. In M.J. Smith & P. Liehr (Eds). Middle Range Theory in Advanced Practice Nursing. New York: Springer Publishing. 2nd Edition in process with Springer. (In press)
• Gil, KM; Mishel, MH; Belyea, M; Germino, BB; Porter, L; Clayton, M.F; Benefits from an uncertainty management intervention for older long-term breast cancer: 20 month outcomes. International Journal of Behavioral Medicine
• Clayton, MF; (2006). Communication: An important part of nursing care. AJN. 106(11) 70-71. Invited Submission
• Porter, L; Clayton, MF; Belyea, M; Mishel, M.; Gil, KM; Germino, BB; (2006). Predicting psychological distress and psychological growth in African American and Caucasian long term breast cancer survivors. Annals of Behavioral Medicine 31(3) 195-204.
• Clayton, M. F., Mishel, M. H., & Belyea, M.; (2006). Testing a model of symptoms, communication, uncertainty, and emotional well-being, in older breast cancer survivors. Research in Nursing & Health, 29(1)18-39.
• Mishel, M.H., Germino, B.B., Gil, K.M., Belyea, M., LaNey, I.C., Stewart, J., Porter, L., & Clayton, M.F. (2005) Benefits from an uncertainty management intervention for African-American and Caucasian older long-term breast cancer survivors. Psycho-Oncology, 14(11) 962-978.
• Mishel, M.H. & Clayton M.F (2003). Uncertainty in Illness Theories. In M.J. Smith & P. Liehr (Eds). Middle Range Theory in Advanced Practice Nursing. New York: Springer Publishing.
• Clayton, M.F. (April 2000). The making of a volunteer. Insight Out. UNC-CH. A public service peer reviewed publication of the Eugene S. Mayer Community Service Honor Society and multi-disciplinary health students for UNC-CH.
• Clayton, M.F. (2001). Immunizations. In C. Green-Hernandez, J.K. Singleton, & D.Z. Aronzon (Eds). Pediatric Primary Care. Philadelphia: Lippincott-Raven. (peer reviewed)
• Clayton, M.F. & Boegel, E. (1999). Missed immunization opportunities: A comparison of nurse practitioners and physicians. Journal of the American Academy of Nurse Practitioners, 11(10) 423-429.
• Clayton, M.F. (1996). Caring for Carl at home. Home Healthcare Nurse, 14(8) 605-608.

Other:

• Clayton, MF; Winters B. (in press) Instructor's Course Resources to accompany: Huether, S. & McCance, KM. Understanding Pathophysiology 4th Edition. Elsevier.
• Clayton, MF; Mishel, M H; & Belyea, M; (Tuesday, January 17, 2006). Summary of: Testing A Model of Symptoms, Communication, Uncertainty, and Emotional Well-Being, In Older Breast Cancer Survivors. The BreastCancer.Net News. http://www.breastcancer.net

Presentations:

Public Service:

University of Utah
College of Nursing


• Division Retention Review Teams 2006; 2007
• Strategic Planning Task Force: Doctoral Program Committee 2006
• Research Strategic Planning Group 2005 - 2006
• Scholarship Committee 2005 - 200
• PhD Committee 2005 - present

University Level

• University Research Committee (3 year appointment 2006-2009) 2006 - present
• Faculty Fellow Subcommittee 2006

University of North Carolina
School of Nursing

• Recruitment Activities, PhD student representative 2000 - 2005
• Alumni Reunion Committee, student member 2003
• PhD Evaluation Focus Group, student member 2002
• Kemble Lecture Committee, student representative 2001
• Dean's Evaluation Committee, PhD student representative, UNC-CH School of Nursing 2003
• Development Council, Nursing Representative, UNC-CH Health Sciences Library 2002

Professional, Community, and Philanthropic Service

• National Communication Association; Chicago, IL Session Chair and Respondent, 2007
• National Communication Association; San Antonio, TX Session Chair and Respondent, 2006
• National Guard Special Operations Response Team (SORT), 1999
Nurse Practitioner volunteer in field hospital for Hurricane Floyd
• PEO (Philanthropic Educational Organization providing loans and scholarships for women, 1979 - present
Chair, NC State Convention, 2004
Chair, NC State Projects Committee, 2001 - 2002
Chair, NC State International Peace Scholarship, 2000 - 2002
Vice-President, NC Reciprocity Group, 1999 - 2000
Area Coordinator/ Founder Mid-Hudson (NY) Reciprocity, 1996-1999
Chair, New York State Scholar Awards, 1996
Co-Chair, New York State Convention, 1994
President, Chapter BN New York, 1989 - 1990
Officer, Chapter BN New York, 1982 - 1989

Recent Awards: