Health Services, Policy & Practice
Phone: +1 401 863 9958
Phone 2: +1 401 863 3489
Dr. Shield has long been involved in the exploration of life and work in US nursing homes (NHs) and long term care using qualitative and mixed methods. Her NH research focuses on end-of-life care; the culture change movement; ethical decision-making; communication among staff, residents and families; and the roles of physicians. She also works on geriatrics in medical school education, electronic health records and health information exchange.
Dr. Shield is a cultural anthropologist whose ethnographic research has focused on health care for the elderly; work, retirement, and well being among elderly diamond traders; physician-patient/family communication, ethical decision-making, rites of passage, and culture change in US nursing homes. Formerly the Director of Research and Education at the Jewish Home for the Aged in Rhode Island and the Director of Education at Aging 2000, Dr. Shield currently conducts research in end-of-life care and culture change practices in nursing homes in her work at the Center for Gerontology and Health Care Research, Brown University. Additional projects have focused on health information exchange and the implementation of electronic health records in physician's offices. Her work uses qualitative and mixed methods.
UNIVERSITY TEACHING ROLES
Guest lecturer, SOC 1050-S01
Guest lecturer, PHP 2060
Guest lecturer in BC 244
Guest lecturer in PHP 1320/Soc 1320
BI 361 Doctoring, Brown Medical School. 2005-2006
BI 371 Medical Interviewing, Brown Medical School. 2003-2005
MD, Ph.D., MPH and senior thesis advisor and mentor, varied departments
Affinity Group co-leader, 1988-2003
"Alternative Medicine and Health Care," Program in Liberal Medical Education (PLME), Brown University, with Mark Brody, MD 1999-2003.
"Rethinking, Reorienting, and Reforming Medicine," Program in Liberal Medical Education (PLME), Brown University, with Barrie Weisman, MD, 1992 1996
"Issues of Identity and Culture in Aging," Program in Liberal Medical Education (PLME), Brown University, with James McCartney, MD, 1988-1992
Facilitator, Ethics Program, Brown University Program in Medicine. "Case Scenarios on Students' Professional Behavior." August 29, 1995.
University of Rhode Island, HDF 220. 1994. Department of Human Development and Family Studies. "Gerontology: Theory and Application."
University of Rhode Island, Spring semester, HDF 221, 1995. Department of Human Development and Family Studies. "Working With the Elderly."
Community Health Clerkship in the nursing home setting, Brown University Program in Medicine (with Henry Izeman, MD and James McCartney, MD). The Jewish Home, Providence, RI. 1987-1989.
Designed and taught Modes of Thought courses, "The Twilight Zone: Experiences of Aging in Cross-Cultural Perspective," Brown University, 1981-82, 1984.
Teaching Assistant, "Culture and Health," L. Newman, Brown University, 1978-1979
OTHER TEACHING ROLES
Preconference Workshop, Qualitative and Mixed Methods Research: Improving the Quality of Science and Addressing Health Issues of Diverse Populations. Gerontological Society of America, Annual Meeting. Co-organizer and leader. 2004, 2005.
Aging 2000, Providence, RI: developed and implemented research plan for Aging 2000 study; co-author of Aging 2000 report; created Strategy for Education; developed educational curriculum for consumer education on aging; organized and presented numerous conferences, workshops, discussions, and retreats. Talks, workshops, etc. for between 20 and 150+ people each time. 1989-1994.
Developed Interfaith Health Care Ministries annual conference, with IHCM board members and led workshop. 100-150 participants. Providence, RI, c.1992.
Developed and taught "Bioethics for Nurses in Nursing Homes," with Judith Mattea, RN, MSN and Alicebelle Rubotzky, RN. 40-50 students. The Jewish Home, Providence, RI, 1989.
Organized monthly Nursing Home Teaching Conferences; developed numerous workshops and panels for staff, nursing home residents, and community members on topics related to working and living in nursing homes, such as restraints, nursing home jargon, bereavement, transitions, culture and identity, professional support, and sexuality; Workshops held 8-20 participants each time. Conferences were approximately 30-100 each month. The Jewish Home, Providence, RI 1987-1989.
Organized and ran interdisciplinary ongoing seminar on design issues in nursing homes. Fifteen participants of varied fields from nursing homes, hospitals, RISD, Brown, and URI met monthly to discuss and design better environments for the elderly. Held at the Jewish Home, Providence, RI, 1988-1989.
Organized anniversary conference with Patricia Dwyer and Henry Izeman, MD, "Decisions at the End of Life: The Limitations of Treatment." 100-150 participants. The Jewish Home, Providence, RI May, 1988.