Carla Jungquist, PhD, ANP-BC, FAAN

Adult/Gerontology Interim Program Coordinator; Associate Professor

Carla Jungquist.

ADDRESS:
School of Nursing
University at Buffalo
312 Wende Hall
Buffalo, NY 14214-3079

PHONE: 716-829-3261

My research program is driven to promote safe and effective pain management. Specifically, my research is about the interdependent relationship among pain, sleep and opioids.

Carla Jungquist has been a nurse for 30 years. She is a family nurse practitioner who earned her PhD in Health Practice Research from the University of Rochester. Jungquist focuses her research on safe and effective pain management. More specifically, her research works on improving how nurses integrate data from electronic monitoring devices into their critical thinking and decision making skills when deciding on the appropriate pain management medications for the hospitalized patient.

The scope of Jungquist’s research and scholarship spans across intervention-based investigations of Cognitive Behavioral Therapy for Insomnia (CBT-I) for patients with chronic pain, measurement science, and practice analysis and solutions for safe monitoring of patients receiving opioid analgesics. Jungquist’s NIH funded research on CBT-I generated evidence to support the applicability of a treatment regimen to improve sleep, quality of life and energy in patients with chronic pain. Results from this study and subsequent investigations resulted in revisions to the DSM-5, ICD-10 and ICSD-3 classifying insomnia as an independent disorder rather than a co-existing primary medical or psychiatric diagnosis.

Jungquist’s findings were published in Sleep Medicine, cited 182 times in Google Scholar (GS) and included in two meta-analysis published in JAMA Internal Medicine and Sleep Medicine. The study intervention was also published as a treatment manual, “Session-By-Session Treatment Manual for Insomnia.” The manual has been translated into five languages and sold more than 5,000 copies internationally. Subsequent publications in sleep disorders and behavior research therapy strengthened the evidence base for CBT-I.

Jungquist is actively involved with the Society of Behavioral Sleep Medicine and the American Academy of Sleep Medicine (AASM). She is positioned to educate nurses and other health professionals in the integration of behavioral sleep medicine interventions into practice. Additionally, Jungquist serves on the AASM Education Committee, which focuses on developing and implementing educational modules to train nurses nationwide in assessing and managing sleep disorders.

In 2012, Jungquist acquired funding from the CDC to validate the five Behavioral Risk Factor Surveillance System sleeping screening questions, which yielded only two times with acceptable sensitivity and specificity to detect total sleep time and excessive daytime. This finding was disseminated at the AASM's international sleep conference, and published in the Journal of Clinical Sleep Medicine. This validation study resulted in the construction of questions that will better detect the widespread health problem and further advance sleep science and give basis for the need to increase public awareness of the problem and increase federal funding for research.

In 2008, Jungquist spearheaded work supported by the American Society for Pain Management Nursing (ASPMN) to examine nurses’ monitoring practices of hospitalized patients on opioids for pain management. This practice analysis identified a need for safe monitoring. Jungquist then provided leadership in the development of the first comprehensive evidence based nursing guidelines for monitoring patients for opioid-induced respiratory depression in a hospital setting. 

Jungquist has also led subsequent practice analysis to determine the influence of these guidelines in transforming safe monitoring practices published in 2014. This work was recognized by interprofessional authorities in the field of patient safety, resulting in an invitation to join the CMS e-Measures Working Group for Intravenous Patient-Controlled Analgesia (PCA). Jungquist’s previous work informed the development and testing of core measures for monitoring. She led the distinguished interprofessional working group members in preparation for the publication of a manuscript in the Journal of Nursing Administration on the results of beta testing of the core measures. She continues to work with Sleep Medicine and the Society for Anesthesia to develop educational materials for clinicians to improve safe care for patient with sleep disorders undergoing surgery.

Jungquist also has provided leadership in convening and facilitating industry sponsored nursing advisory boards for Hospira, Inc. and Medtronic, Inc. to establish best practices for monitoring hospitalized patients for opioid-induced respiratory depression, as well as provide advisement for technology enhancements and resources for training nurses.

In 2018, Jungquist was a site investigator for the Medtronic, Inc. sponsored PRediction of Opioid-induced respiratory Depression In patients monitored by capnoGraphY (PRODIGY) study that validated a tool for nurses to use in identifying hospitalized patients at risk for opioid-induced respiratory depression.

Jungquist’s research team has been funded by the UB Clinical Translational Science Institute. This funded research will compare various respiratory monitoring devices for sensitivity, patient comfort and ease for nursing use.

Education

  • Post Doctoral Fellowship, Neuroimaging/Cognitive Science, University of Rochester, Rochester, NY, 2011
  • Post Doctoral Fellowship, T32 National Institute on Aging, University of Rochester, Rochester, NY, 2010
  • PhD, University of Rochester, Rochester, NY, 2009
  • MSN, Family Nurse Practitioner, University of Rochester, Rochester, NY, 1996
  • BSN, State University of New York, Brockport, NY, 1992
  • Diploma, Registered Nurse, Arnot Ogden School of Nursing, Elmira, NY, 1981
     

Areas of Research

  • Sleep assessment
  • Sleep disturbance and pain perception
  • Application of Cognitive Behavioral Therapy (CBT) for insomnia in patients with co-morbid pain with translation to nurses at the bedside
  • Best practice on monitoring and avoiding opioid-induced advancing sedation and respiratory depression in hospitalized patients

Teaching Responsibilities

  • N705 Designing and Testing Interventions and Innovations
  • N527 Evaluating Research Evidence for Healthcare II
  • N692 Seminar in Grantsmanship
  • N612 Pharmacotherapeutics
  • PhD Student mentorship and dissertation oversight

Recent Publications

Carla Jungquist

Complete list of publications  

Dunwoody, D., & Jungquist, C. R. (2018). Opioid-induced sedation and respiratory depression: Are sedation scales enough to prevent adverse drug events post-operatively? Pain Management Nursing. Advance online publication. https://doi.org/10.1016/j.pmn.2018.09.009

Dunwoody, D., & Jungquist, C. R. (2018). Sedation scales: Do they capture the concept of opioid induced sedation? Nursing Forum, 53(4), 399-405. doi:10.1111/nuf.12266

Dunwoody, D., Jungquist, C. R., Chang, Y. R., & Dickerson, S. S. (2018). The common meanings and shared practices of sedation assessment in the context of managing patients with an opioid: A phenomenological study. Journal of Clinical Nursing, 28(1-2),104-115. doi:10.1111/jocn.14672

Castner, J., Mammen, M. J., Jungquist, C. R., Licata, O., Pender, J. J., Wilding, G.E., & Sethi, S. (2018). Validation of fitness tracker for sleep measures in women with asthma. Journal of Asthma. doi:10.1080/02770903.2018.1490753

Hillman, D. R., Jungquist, C. R., & Auckley, D. (2018). Perioperative implementation of non-invasive positive airway pressure therapies. Respiratory Care, 63(4), 479-487. doi:10.4187/respcare.05730

Jungquist, C. R., Chandola, V., Spulecki, C., Nguyen, K. V., Crescenzi, P., & Tekeste, D. (2018). Identifying patients experiencing opioid induced respiratory depression during recovery from anesthesia: The application of electronic monitoring devices. World View in Evidence Based Nursing.

Klaess, C. C., & Jungquist, C. R. (2018). Current ketamine practice: Results of the 2016 ASPMN survey on ketamine. Pain Management Nursing. Advance online publication. doi:10.1016/j.pmn.2018.02.063

Jungquist, C. R., Card, E., Charchaflieh, J., Yilmaz, M., & Gali, B. (2017). Preventing opioid induced respiratory depression in the hospitalized patient with obstructive sleep apnea. Journal of PeriAnesthesia Nursing. Advance online publication. doi:10.1016/j.jopan.2016.09.013

Klingman, K. J., Jungquist, C. R., & Perlis, M. L. (2017). Introducing the Sleep Disorders Symptom Checklist-25: A primary care friendly and comprehensive screener for sleep disorders. Sleep Medicine Research (8)1, 17-25. doi:10.17241/smr.2017.00010

Li, J., Grandner, M., Chang, Y.-P., Jungquist, C., & Porock, D. (2017). Person centered dementia care and sleep in assisted living residents with dementia: A pilot study. Behavioral Sleep Medicine, 15(2), 97-113. doi:10.1080/15402002.2015.1104686

Hillman, D.R., Jungquist, C.R., Auckley, D. (2017) Perioperative Implementation of Non-Invasive Positive Airway Pressure Therapies. Respiratory Care [In press].

Jungquist, C. R. (2017). Monitoring for opioid-induced respiratory depression: Review of new evidence. Pain Management Nursing, 18(2), 65. doi:10.1016/j.pmn.2017.02.164

Jungquist, C. R., Perlis, M. L., & Waghmarae, R. (2017). Using placebos as an opioid-sparing method of pain management [letter to editor]. Pain, 158(2), 361. doi:10.1097/j.pain.0000000000000758

Jungquist, C. R., Smith, K., Wiltse Nicely, K. L., & Polomano, R. C. (2017). Monitoring hospitalized adult patients for opioid-induced sedation and respiratory depression [supplement]. American Journal of Nursing, 117(3), S27-S35. doi:10.1097/01.NAJ.0000513528.79557.33

Jungquist, C. R., Vallerand, A. H., Sicoutris, C., Kwon, K., & Polomano, R. C. (2017). Acute pain: A call for action [supplement]. American Journal of Nursing, 117(3), S4-S11. doi:10.1097/01.NAJ.0000513526.33816.0e

Klingman, K. K., Jungquist, C. R., & Perlis, M. L. (2017). Questionnaires that screen for multiple sleep disorders. Sleep Medicine Reviews, 32, 37-44. doi:10.1016/j.smrv.2016.02.004

Polomano, R. C., Fillman, M., Giordano, N. A., Vallerand, A. H., Wiltse Nicely, K. L., & Jungquist, C. R. (2017). Multimodal analgesia for acute postoperative and trauma-related pain. American Journal of Nursing, 117(3), S12-S26. doi:10.1097/01.NAJ.0000513527.71934.73

Polomano, R. C., & Jungquist, C. R. (2017). Forward [supplement]. American Journal of Nursing, 117(3), S3. doi:10.1097/01.NAJ.0000513525.26192.18

Weiss, C., Dickerson, S. S.Jungquist, C., & Dean, G. E. (2017). Effects of morning bright light therapy on circadian activity rhythms in lung cancer survivors. Sleep, 40(suppl_1), A258. doi:10.1093/sleepj/zsx050.695

Dickerson, S. S, Jungquist, C. R., TenBrock, E., Aquilina, A.T., Smith, P., Abu Sabbah, E., Alameri, R., & Dean, G. E. (2016). Feasibility testing of a self-management program book to improve adherence to PAP in persons newly diagnosed with sleep apnea. Behavioral Sleep Medicine. Advance online publication. http://dx.doi.org/10.1080/15402002.2016.1228644

Dickerson, S. S., Klingman, K. J., & Jungquist, C. R. (2016). Common meanings of good and bad sleep in a healthy population sample. Sleep Health, 2(3), 253-259. doi:10.1016/j.sleh.2016.06.004

Hinds, A., Jungquist, C. R., Leddy, J. J., Seemant, F., Baker, J. G., & Willer, B. (2016). Sleep disturbance in patients with chronic concussive effects. Concussion, 1(3). doi:10.2217/cnc-2016-0002

Jungquist, C. R., Correll, D. J., Fleisher, L. A., Gross, J., Gupta, R. K., Pasero, C., Stoelting, R., & Polomano, R. (2016). Avoiding adverse events secondary to opioid induced respiratory depression: Current monitoring practices. Journal of Nursing Administration, 46(2), 87-94. doi:10.1097/NNA.0000000000000301

Jungquist, C. R., Klingman, K. J., & Dickerson, S. S. (2016). Revisions to the BRFSS sleep questions. Journal of Clinical Sleep Medicine, 12(12). doi:10.5664/jcsm.6336

Jungquist, C. R., Mund, J., Klingman, K. J., Pender, J. J., Aquilina, A., Ochs-Balcom, H., van Wijngaarden, E., & Dickerson, S. (2016). Validation of the BRFSS sleep questions. Journal of Clinical Sleep Medicine, 12(3), 301-310. doi:10.5664/jcsm.5570

Jungquist, C. R., Card, E., Charchaflieh, J., Yilmaz, M., & Gali, B. (in press). Preventing opioid induced respiratory depression in the hospitalized patient with obstructive sleep apnea. Journal of PeriAnesthesia Nursing.

Dickerson, S. S., Klingman, K. J., & Jungquist, C. R. (2016). Common meanings of good and bad sleep in a healthy population sample. Sleep Health, 2(3), 253-259. http://dx.doi.org/10.1016/j.sleh.2016.06.004

Hinds, A., Jungquist, C. R., Leddy, J. J., Seemant, F., Baker, J. G., & Willer, B. (2016). Sleep disturbance in patients with chronic concussive effects. Concussion. Advance online publication. http://dx.doi.org/10.2217/cnc-2016-0002

Jungquist, C. R., Correll, D. J., Fleisher, L. A., Gross, J., Gupta, R. K., Pasero, C., Stoelting, R., & Polomano, R. (2016). Avoiding adverse events secondary to opioid induced respiratory depression: Current monitoring practices. Journal of Nursing Administration, 46(2), 87-94. http://dx.doi.org/10.1097/NNA.0000000000000301

Jungquist, C. R., Mund, J., Klingman, K. J., Pender, J. J., Aquilina, A., Ochs-Balcom, H., van Wijngaarden, E., & Dickerson, S. (2016). Validation of the BRFSS Sleep Questions. Journal of Clinical Sleep Medicine, 12(3), 301-310. http://dx.doi.org/10.5664/jcsm.5570

Klingman, K. K., Jungquist, C. R., & Perlis, M. L. (2016). Questionnaires that screen for multiple sleep disorders. Sleep Medicine Reviews. Advance online publication. http://dx.doi.org/10.1016/j.smrv.2016.02.004

Jungquist C. R. (2015). Safety issues in pain management. periFACTS® Academy Pain Management Series.  

Jungquist, C. R., Correll, D. J., Fleisher, L. A., Gross, J., Gupta, R. K., Pasero, C., Stoelting, R., & Polomano, R. (2015). Avoiding Adverse Events Secondary to Opioid Induced Respiratory Depression: current monitoring practices. Journal of Nursing Administration, 46(2), 87-94. doi:10.1097/NNA.0000000000000301

Jungquist C. R., Mund, J., Klingman, K. J., Pender, J. J., Aquilina, A. T., Ochs-Balcom, H., van Wijngaarden, E., & Dickerson, S. S. (2015). Validation of the BRFSS sleep questions. Journal of Clinical Sleep Medicine, 12(3), 301-310. doi:10.5664/jcsm.5570

Jungquist, C. R., Pender, J. J., Dickerson, S., & Klingman, K. (2015). Validation of capturing sleep diary data via a wrist-worn device. Sleep Disorders, 2015. http://dx.doi.org/10.1155/2015/758937

Jungquist, C. R., Pender, J. J., Klingman, K. J., & Mund, J. (2015). Validation of capturing sleep diary data via a wrist-worn device. Sleep Disorders2015. doi:10.1155/2015/758937.5664/jcsm.5570

Li, J., Grandner, M., Chang, Y.-P., Jungquist, C. R., & Porock, D. (2015). Person-centered dementia care and sleep in assisted living residents with dementia: A pilot study. Behavioral Sleep Medicine, 1-17. doi:10.1080/15402002.2015.1104686

Curry, J. P., & Jungquist, C. R. (2014). A critical assessment of monitoring practices, patient deterioration, and alarm fatigue on inpatient wards: A review. Patient Safety in Surgery, 8-29.

Jungquist, C. R., Pasero, C., Tripoli, N. M., Gorodetsky, R., Metersky, M., & Polomano, R. C. (2014). Instituting best practice for monitoring for opioid-induced advancing sedation in hospitalized patients. Worldviews on Evidence-Based Nursing, 11(6), 350-360. doi:10.1111/wvn.12061

Jungquist, C. R., Willens,, J. S., Dunwoody, D. R., Klingman, K. J., & Polomano, R. C. (2014). Monitoring for opioid-induced advancing sedation and respiratory depression: ASPMN membership survey of current practice. Pain Management Nursing, 15(3), 682-693. doi:10.1016/j.pmn.2013.12.001

Willens, J., Jungquist, C. R., Cohen, A., & Polomano, R. (2013). ASPMN survey--nurses' practice patterns related to monitoring and preventing respiratory depression. Journal of Pain Management Nursing, 14(1), 60-65. doi:10.1016/j.pmn.2013.01.002

Dickerson, S., Obeidat, R., Dean, G., Aquilina, A., Ten Brock, E., Smith, P., & Jungquist, C. (2013). Development and usability testing of a self-management intervention to support individuals with obstructive sleep apnea in accommodating to CPAP treatment. Heart & Lung, Heart & Lung, 42(5), 346-352. http://dx.doi.org/10.1016/j.hrtlng.2013.07.011

Pigeon, W. R., Moynihan, J., Matteson-Rusby, S., Jungquist, C., Xia, Y., Tu, X., & Perlis, M. L. (2012). Comparative effectiveness of CBT interventions for comorbid chronic pain & insomnia: A pilot study. Behaviour Research & Therapy, (50), 11, 685-689. doi:10.1016/j.brat.2012.07.005

Jungquist, C. R., Tre, Y., Matteson, S., Smith, M. T., Pigeon, W. R., Xia, Y., Perlis, M. (2012). The durability of cognitive behavioral therapy for insomnia in patients with chronic pain. Sleep Disorders, 2012. doi:10.1155/2012/679648.

Jungquist, C. R., Flannery, M., Perlis, M. L., & Grace, J. (2012). The association of opioid use for chronic pain with the severity of sleep disordered breathing in patients referred for sleep evaluation. Journal of Pain Management Nursing, 13(2), 70-79.

Jarzyna, D., Jungquist, C.R., Pasero, C., Willens, J.S., Nisbet, A., Oakes, L., Dempsey, S., Santangelo, D., & Polomano, R.C. (2011).  American society for pain management nursing:  Expert consensus panel on monitoring for opioid-induced sedation and respiratory depression. Journal of Pain Management Nursing, 12(3), 118-145.

Books and Chapters

Jungquist, C. R. (2018). Preventing opioid induced advancing sedation and respiratory depression in the hospital setting. Quinlan-Colwell & Cooney assessment and multimodal management of pain: An integrative approach.

Jungquist, C. R. (2014). Sleep and sleep disorders. Potter & Moller 1st edition psychiatric mental health nursing: From suffering to hope.

*Jungquist, C. R. (2011). Insomnia. In N. Redeker, & G. Phillips MeEnany (Eds.), Sleep disorders and sleep promotion in nursing practice. New York. 
*2011 AJN Book of the Year Award

Perlis, M. L., Jungquist, C., Smith, M., & Posner, D. (2005). The cognitive behavioral treatment of insomnia:  A complete treatment manual.  New York: Springer Publishing Company. (Hardcover book, 2005; paperback version 2008; Spanish translation 2009; Korean translation, 2010.)

Attarian, A., Nishith-Davis, P., Jungquist, C., & Perlis, M. (2004). The definition of insomnia. In Hrayr Attarian (Ed.), The Clinical Handbook of Insomnia. New York: Humana Press.

Perlis, M., Smith, M., Jungquist, C., Nowakowski, S., Orff, H., Soeffing, J. (2004). Cognitive-behavioral therapy for insomnia. In Hrayr Attarian (Ed.), The Clinical Handbook of Insomnia.  New York: Humana Press.

Honors and Awards

  • Recipient, Mary Hannah Memorial Journalism Award, 2019
  • Fellow, American Academy of Nurses 2016
  • Dean's Award for Excellence in Research Scholarship, University at Buffalo, School of Nursing, 2017
  • Academy of Sleep Medicine Young Investigator Award for Research, Minneapolis, MN, June 2014
  • March of Dimes Nurse of the Year Finalist, Research Category, 2012
  • Grant, NIH-NINR Pain Methodologies Summer Boot Camp, Bethesda, MD, 2010
  • Grant, American Academy of Sleep Medicine Young Investigator Research Forum, NIH, Bethesda, MD April 2010
  • Sleep Research Society Award for scientific merit of an abstract submitted for presentation at the Annual Association of Sleep Societies Conference, 2009
  • Graduate Assistance in Areas of National Need Scholarship Grant, University of Rochester, 2006
  • Department of Veterans Affairs Secretary’s Award for Excellence in Nursing, Upstate New York, 2003
  • Young Researcher in Evidenced Based Care, for abstract Do Patients with Primary Insomnia Have a Preferred Schedule for Taking Hypnotic Medications, 2nd Annual Conference for Evidenced Based Clinical Care, 2004
  • Elizabeth Clinger Young Award for most exemplifying the qualities of great compassion, courage and concern for others,  Presented by the faculty of University of Rochester School of Nursing, 1995
  • Primary Care Service Corps Scholarship, New York State Department of Health, 1993

Professional Activities

  • Member, American Society of Pain Management Nurses
  • Member, American Academy of Sleep Medicine
  • Member, Sleep Research Society
  • Member, Association for Critical Care Nursing
  • Member, American Society of PeriAnesthesia Nurses
  • Member, Society of Anesthesia and Sleep Medicine

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