Christy L Pacheco

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Courses

Scholarly Contributions

Journals/Publications

• Crist, J. D., Pacheco, C. L., Daly, P., & Mary McDaniel, B. (2022). Experiences With Suicide Loss: A Qualitative Study. Clinical Nursing Research, 31(8), 1491-1499. doi:10.1177/10547738221119344
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  To better understand suicide loss survivors' experiences and barriers to accessing support and mental health care, 28 (21 women and 7 men) suicide loss survivors were interviewed. Using qualitative analysis of 28 in-depth, semi-structured phone interviews data, three categories emerged: Life before Suicide, Life after Suicide, and Meaning of Life. This deeper understanding of suicide loss survivors along with inclusion of experiences of male and rural participants' suicide loss, fill previously identified research gaps. Our findings suggest importance in providing emotional support and mental health resources to those with suicide intent or experiences with suicide loss. Most importantly, the recognition of suicide loss survivors extends beyond the immediate family and includes cousins, friends, and work associates. Recognition of extended suicide loss survivors' bereavement will provide additional opportunities for healthcare providers to effectively intervene with this vulnerable population.
• Finley, B. A., Palitsky, R., Pacheco, C., Kapoor, D., & Charteris, E. (2021). Outpatient telecardiology perceptions among rural, suburban, and urban veterans utilizing in-person cardiology versus telecardiology services: A mixed methods analysis.. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 37(4), 812-820. doi:10.1111/jrh.12586
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  To better understand opportunities and barriers to implementation and adoption, this mixed-methods study qualitatively examined attitudes toward telecardiology services among veterans who use in-person (IP) outpatient cardiology service versus those using telecardiology (TC) outpatient services..Free-text responses were collected from N = 179 veterans enrolled in Veteran Health Administration (VHA) IP or TC services in 3 rural-serving, outpatient telehealth clinics and 1 large, metropolitan outpatient center. Mixed-method analyses of responses included thematic analysis, followed by comparison of code categories and themes between IP and TC groups..Fifteen thematic coding categories were identified, which comprised 4 valence categories (favorable or unfavorable attitudes toward TC and IP), as well as themes pertaining to obstacles and opportunities for TC implementation. Overall, veterans enrolled in TC held more favorable attitudes toward TC than those enrolled in IP. Veteran responses included structural concerns (eg, time demands, access, and travel), as well as humanistic qualities (rapport, competence, and face-to-face contact). Differences were observed between the responses of veterans who reported dwelling in urban, suburban, and rural communities, with rural-identifying veterans generally holding more favorable attitudes toward TC than suburban-identifying veterans..TC users had overwhelmingly positive perceptions of TC. Conversely, unfavorable attitudes from IP patients toward TC did not appear to be borne out in the responses of TC users. On the contrary, TC users' responses may indicate opportunities for allaying the concerns of TC-naïve veterans. This suggests promise for developing tailored education to dispel barriers for TC service implementation.
• Finley, B., Palitsky, R., Charteris, E., Pacheco, C. L., & Kapoor, D. (2021). Outpatient telecardiology perceptions among rural, suburban, and urban Veterans utilizing in-person cardiology versus telecardiology services: A mixed methods analysis. The Journal of Rural Health, 1-9. doi:http://doi.org/10.1111/jrh.12586
• Pacheco, C. L., Finley, B., Palitsky, R., Charteris, E., Ross, M., Stout, R., Cruz, B., Ashford, K., & Kapoor, D. (2021). Outpatient Telecardiology Perceptions Among Rural, Suburban, and Urban Veterans Utilizing In-Person Cardiology vs. Telecardiology Services: A Mixed Methods Analysis. Journal of Rural Health, 37(4), 812-820. doi:10.1111/jrh.12586
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  Submitted October. Revisions submitted December. Published Sept 2021
• Loescher, L. J., Pacheco, C. L., & Goodman, H. (2018). An Online Intervention to Enhance Nurse Practitioners’ Skin Cancer Knowledge, Attitudes, and Counseling Behaviors: A Pilot Study. Journal of the Dermatology Nurses' Association, 10(1), 20–28. doi:10.1097/JDN.0000000000000367
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  Manuscript development late Spring - Fall. Accepted Fall 2017 for Jan/Feb 2018 publication.
• Lucas, M. A., Pacheco, C. L., Pacheco, C. L., Loescher, L. J., Lucas, M. A., & Loescher, L. J. (2016). Nurse Practitioners Knowledge of Prevention Guidelines and Counseling Practices Related to Primary Prevention of Skin Cancer Among Adolescents in Arizona. Journal of the Dermatology Nurses' Association, 8(6), p 368–377. doi:10.1097/JDN.0000000000000257

Presentations

• Pacheco, C. L. (2018, April). Working with Students in Rural and Medically Underserved Areas. Annual Interprofessional Rural Health Professions Conference. Tucson, AZ: AHEC.
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  Conducted CE including overview and moderated panel for community and faculty preceptors working with health professions students in rural and MUA clinical rotations.
• Pacheco, C. L. (2017, July). Improving Chronic Pain Management in Primary Care. Arizona Association for Healthcare Quality Statewide Conference. Flagstaff, AZ: Arizona Association for Healthcare Quality.
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  Podium presentation
• Pacheco, C. L. (2017, March). What is a Nurse Practitioner?. Career Day, Northland Preparatory Academy. Flagstaff, AZ: Northland Preparatory Academy High School.
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  Conducted 3 interactive sessions to high school students interested in health professions career. Provided overview of NPs, role, education, and practice, including rural and medically underserved populations.
• Pacheco, C. L., & Prettyman, A. (2017, July). Community and Academic Collaboration is a Win-Win for Rural Workforce Development. 44th Arizona Annual Rural Health Conference. Flagstaff, AZ: Arizona Center for Rural Health.
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  Co-presenters, Podium Presentation
• Pacheco, C. L., Hall-Lipsy, E. A., Weinstein, J., Michaels, C. L., Carlisle, H. L., & Kennedy, A. K. (2016, July). Practice Based Research and Inter-professional Clinical Education Activities to Improve Chronic Pain Management in Primary Care. 43rd Annual Rural Health Conference & 11th Annual Performance Improvement Summit. Flagstaff, Arizona: Arizona Center for Rural Health.
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  Lightening Round Poster Presentation

Poster Presentations

• Pacheco, C. L. (2022, June). Academic-Practice Partnerships: Opportunity for Recruitment, Retention, & QI. 48th Annual Arizona Rural Health Conference. Flagstaff, AZ: Arizona Center for Rural Health.
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  Training health professions students is a critical part of workforce development and mitigating current shortages. Recruitment and retention of our healthcare providers is a potential resource intensive process that further impacts shortages. Working with health professions students also provides an opportunity to promote targeted recruitment, interprofessional practice, as well as engage preceptors and stakeholders in professional development. Clinical rotations facilitate recruitment, permitting sites to try out students and students to try out sites, over time, ensuring a good fit prior to formal employment. Participating in practice-based QI or research projects, has been shown to impact retention. Projects also serve to improve quality or access to care, with minimal site resources. These projects are generally led and supervised by a doctoral committee with expertise in conducting projects, as well as University IRB oversight to ensure participant protection. This poster provides a brief overview of the potential value to sites working with health professions students and strategies to maximize mutually beneficial opportunities, with a focus on precepting, professional development, clinical placement, and site QI/research projects. Specific examples will also be provided.
• Pacheco, C. L., & Hall-Lipsy, E. (2022, April). Interprofessional, Practice-Based Strategies to Improve Chronic Pain Management in Primary Care. 10th Annual Interprofessional Rural Health Conference. Tucson, AZ: Arizona AHEC.
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  Overview of interprofessional, practice-based strategies to improve chronic pain management in primary care. Includes examples community and academic partnering, including description of interprofessional, statewide interprofessional education for best practices, from assessment to collaborative practice and use of the statewide patient monitoring program. Examples and opportunities of practice-based quality improvement and research projects are presented.
• McDaniel, B., Daly, P., Crist, J. D., Reed, P. G., & Pacheco, C. L. (2021, April). Survivorship of Loss By Suicide. WIN. Portland, OR: Western Institute of Nursing 53rd Annual Research Conference.
• Pacheco, C. L., Shea, K. D., Daly, P., & James, S. (2021, April). Mhealth Feasibility: Assessing Oregon’S SBIRT APP for Primary Care Self-Screening. WIN. Portland, OR - Virtual: Western Institute of Nursing.
• Pacheco, C. L., Reed, P. G., Crist, J. D., Daly, P., & McDaniel, B. (2020, April). Survivorship of Loss By Suicide. WIN. Portland, OR Virtual: WIN.
• Pacheco, C. L. (2019, August). Improving Oral Health Through Community Engagement and Academic Partnerships. Annual Arizona Rural Health Conference. Flagstaff, AZ: Arizona Center for Rural Health.
• Pacheco, C. L., Hall-Lipsy, E. A., Weinstein, J., Carlisle, H. L., Michaels, C., & Kennedy, A. K. (2019, April). Practice-Based Research to Improve Chronic Pain Management in Primary Care. Annual Interprofessional Rural Health Conference. Tucson: AZ.
• Pacheco, C. L., & Horne, A. (2018, April). Best practices for transgender primary care: An educational proposal for the primary care practitioner. Annual Interprofessional Rural Health Conference and WIN. Tucson, AZ: AHEC.
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  Student poster - DNP project. Student presentation WIN.
• Pacheco, C. L., Gregg, S. R., Gephart, S. M., & Luckart, J. (2018, April). Exploration of Preconception Education Using Social Media. Annual Interprofessional Rural Health Professions Conference. Tucson, AZ: AHEC.
• Pacheco, C. L., Hall-Lipsy, E. A., Weinstein, B. M., Kennedy, A. K., Carlisle, H. L., & Michaels, C. (2018, April). Practice-Based Research to Improve Chronic Pain Management in Primary Care. Annual Interprofessional Rural Health Professions Conference. Tucson, AZ: AHEC.
• Clouser, H., Reel, S. J., Pacheco, C. L., & Wiley, L. (2017, April). Arizona Community Health Center Providers' Practices related to Advance Care Planning. Annual Interprofessional Rural Health Conference. Tucson, AZ: AzAHEC.
• Hocutt, P., & Pacheco, C. L. (2017, October). Transitional Care Coach Program Evaluation. 4th Annual Arizona Health Equity Conference. Glendale, AZ: Arizona Center fo Rural Health.
• Horne, A., & Pacheco, C. L. (2017, 2017). Best practices for transgender primary care: An educational proposal for the primary care practitioner. WIN ConferenceWIN.
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  Primary author/presenter: DNP Student Amy Horne
• Horne, A., & Pacheco, C. L. (2017, April). Best practices for transgender primary care: An educational proposal for the primary care practitioner. Annual Interprofessional Rural Health Conference. Tucson, AZ: AzAHEC.
• Kelly, A., Davis, M. P., Pacheco, C. L., & Christianson-Silva, P. F. (2017, July). Evaluating eHealth Use By Primary Care Providers In A Medically Underserved Clinic. 29th Annual SW Regional NP Symposium. Tempe, AZ: Arizona Nurses Association.
• Pacheco, C. L., Gephart, S. M., Igwe, D., & Owen-Williams, E. (2017, April). PRACTITIONERS PERCEPTION OF IMPLEMENTING THE PEDIATRIC EARLY WARNING SYSTEM (PEWS) IN RURAL PRIMARY CARE. Annual Interprofessional Rural Health Conference. Tucson, AZ: AzAHEC.
• Pacheco, C. L., Hall-Lipsy, E. A., Weinstein, J., Carlisle, H. L., Michaels, C., & Kennedy, A. K. (2017, April). Practice-Based Research to Improve Chronic Pain Management in Primary Care. Arizona Annual Interprofessional Rural Health Conference. Flagstaff, AZ: AzAHEC.
• Pacheco, C. L. (2016, April). Student Poster Presentations. 4th Annual Interprofessional Rural Health Professions Conference. Tucson, AZ: Arizona Area Health Education Center.
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  Poster development, presentation: Rural Nurse Practitioners’ Knowledge of Assessment and Management On Childhood Obesity. Jennifer M. Quam, Student DNP, FNP-BC; Donna B. McArthur, PhD, APRN, FNP-BC, FAANP, FNAP; Christy L. Pacheco, DNP, FNP-BC; Patricia Daly, PhD, FNP-BCPreventing sudden infant death syndrome: Assessment of advanced practice nurses’ knowledge, attitudes, and current practices. Tracy Nguyen, DNP, FNP-BC; Sheila Gephart, PhD, RN; Melissa Goldsmith, PhD, RNC; Christy Pacheco, DNP, FNP-BCPrimary Care Provider Knowledge and Interest in Medical Interpretation Training for Bilingual Spanish-Speaking Staff. Karina C. Bechtold, DNP, FNP-BC; Janet C. Dubois, DNP, CNE, ANP, ARNP, FNP-BC, FAANP; Christy L. Pacheco, DNP, FNP-BC; Graciela E. Silva Torres, PhD, MPH
• Pacheco, C. L., Hall-Lipsy, E. A., Weinstein, J., Michaels, C. L., Carlisle, H. L., & Kennedy, A. K. (2016, April). Practice Based Research to Improve Chronic Pain Management in Primary Care. 4th Annual Interprofessional Rural Health Professions Conference. Tucson, Arizona: Arizona Area Health Education Centers.

Others

• Pacheco, C. L., & Kittredge, C. (2016, January). Despite benefits, rural communities struggle to attract medical professionals. Media.
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  Interviewed as UA CON Rural Health Professions Program Director by Callie Kittredge/Arizona Sonora News Service. Topic: Arizona rural health needs, shortage, and workforce development. Article appeared in several news outlets across Arizona, distributed by Arizona Sonora News Service.