Charlotte Thomas-Hawkins

Charlotte Thomas-Hawkins, PhD, RN

Associate Professor, Division of Nursing Science

Charlotte Thomas-Hawkins, PhD, RN
(973) 353-3864

A veteran of almost 30 years of clinical practice experience as a staff nurse, nurse manager, and advanced practice nurse in acute care and outpatient kidney dialysis settings. Dr. Charlotte Thomas-Hawkins serves as a tenured Associate Professor and Director of the Center for Healthcare Quality. Her funded program of research focuses on the effects of nephrology nursing systems (e.g., nurse staffing levels, workload, practice environment support) on nursing care processes and quality outcomes in dialysis settings. She was the first researcher to quantify the relationships among nursing structures (patient-to-RN ratios, workload), nurse practice environment support, missed care, and patient outcomes in outpatient dialysis units in the United States. That work helped to lead to policy changes in the Centers for Medicare and Medicaid Services (CMS) Staffing Regulations in the CMS Dialysis Provider Conditions for Coverage. Her current work is focused on the quantification of dialysis nurse manager structures, practice environment support, and safety practices as well as examination of the effects of these variables on value-based, quality patient outcomes in dialysis settings.

In her role as Director of the Center for Healthcare Quality, she is also engaged in team science and research that focuses on patient characteristics, health system characteristics, care delivery models, nursing workforce patterns, quality outcomes, adverse events, and costs of care across hospital, ambulatory care, long-term care, and community-based settings.

Dr. Thomas-Hawkins has served on numerous local, regional, and national advisory boards and professional organization committees. She is currently a member of an American Nephrology Nurses’ Association task force that is charged with the determination of nephrology nursing quality indicators and nurse-sensitive outcomes. Dr. Thomas-Hawkins has published in numerous interdisciplinary and nursing journals, is an editorial board member for the Renal Society of Australasia Journal and the Brazilian Journal of Nursing, and serves as a peer reviewer for several nursing research journals.       


PhD - University of Pennsylvania School of Nursing, Philadelphia, PA
MSN - University of Pennsylvania School of Nursing, Philadelphia, PA
BSN - Thomas-Jefferson University School of Nursing, Philadelphia, PA
Diploma - Temple University Hospital School of Nursing

Research Activities/Grants

Exploring Daily Activity and Total Energy Expenditure in the Adult Hemodialysis Population
Role: Co-I (PI: Laura Byham-Gray)
Sponsor: Dean’s Intramural Grant Award, Department of Nutritional Sciences
School of Health Related Professions
(Amount $35,000)

Dialysis Nurse Manager Safety Practices
Role: PI
Sponsor: American Nephrology Nurses’ Association
(Amount $15,000)

Needs and concerns of caregivers of individuals with chronic kidney failure receiving home dialysis
Role: Co-I (PI: Janet Welch)
Sponsor: Indiana University School of Nursing
(Amount: $8100)

A theory-based pilot exercise intervention for elders with end-stage renal disease (ESRD)
Role: PI
Sponsor: NIH, National Institute of Nursing Research (RO3)
(Amount $154,000)

The work environment and nurse-reported outcomes in dialysis centers
Role: PI
Sponsor: American Nephrology Nurses’ Association
(Amount $75,000)

Development and Testing of a Physical Activity Modeling Video for Elders with ESRD
Role: PI
Sponsor: Rutgers University Center for the Study of Health Beliefs and Behaviors, Institute of Health Care Policy and Aging Research
(Amount $15,000)

Illness Representations in Elders with ESRD 
Role: PI
Sponsor: NIH, National Institute of Nursing Research (KO1)
(Amount $261,188)

Bridges to the Doctorate
Role: PI
Sponsor: NIH, National Institute of General Medical Science
(Amount $536,244)

Elderly hemodialysis patients symptom and functioning experiences
Role: PI
Sponsor: National Kidney Foundation
(Amount $20,000)

Final revision and testing of the Inventory of Functional Status-Dialysis
Role: PI
Sponsor: Rutgers University Busch Biomedical Research Grant
(Amount $19,402)

Recent Peer-Reviewed Publications

McMullan, S. & Thomas-Hawkins, C. (in-press). Certified Registered Nurse Anesthetist (CRNA) perceptions of factors impacting patient safety. Nursing Administration Quarterly.

Flynn, L., Thomas-Hawkins, C., & Bognar, L. (in-press). Work environment characteristics valued by nurse managers in hemodialysis units. Nephrology Nursing Journal.

Fountain, D. & Thomas-Hawkins, C. (in-press). A pilot study: Testing of the Psychological Conditions Scale among hospital nurses. JONA, 46(11)

Thomas-Hawkins, C., Flynn, L., Lindgren, T., & Weaver C. (2015). Nurse manager safety practices in outpatient hemodialysis units. Nephrology Nursing Journal. 42(2), 125-133,147.

Cox, J., Thomas-Hawkins, C., Pajarillo, E., Degennaro, S., Cadmus, E., & Martinez, M. (2015). Factors associated with falls in hospitalized patients. Applied Nursing Research, 28, 78-82.

Thomas-Hawkins, C., & Flynn, L. (2015). Patient safety culture and nurse-reported adverse events in outpatient hemodialysis unit. Research and Theory in Nursing Practice. 29(1), 53-65.

Thomas-Hawkins, C. (2014). Culture of patient safety in dialysis care. Renal Society of Australasia Journal, 10(2), 89-90.

Welch, J.L., Thomas-Hawkins, C., Bakas, T., McLennon, S.M., Byers, D.J., Monetti, C.M., & Decker, B.S. (2014). Needs, concerns, strategies, and advice of daily home hemodialysis caregivers. Clinical Nursing Research, 23(6), 644-663.

Book Chapters

Thomas-Hawkins, C., Dinwiddie, L., & Payne, G. (in-press). Research priorities for nephrology nursing: Challenges and recommendations. In S. Bodin (Ed.). Contemporary Nephrology Nursing (3rd edition). Pitman, NJ: Janetti Publishers.

Thomas-Hawkins, C., Latham, C., & Hain, D. (in-press). Nursing sensitive quality indicators. In S. Bodin (Ed.). Contemporary Nephrology Nursing (3rd edition). Pitman, NJ: Janetti Publishers.

Flynn, L., Thomas-Hawkins, C., & Bodin, S. M. (2008). Using research to influence federal policy: The nephrology nurses' experience. In G.L. Dickson & L. Flynn (Eds.), Nursing Policy Research (pp. 343-348). New York: Springer Publishing.

Thomas-Hawkins, C., & Mapes, D. (2008). The Dialysis Outcomes and Practice Patterns Study. In C. Counts (Ed.). Core Curriculum for Nephrology Nursing, 5th ed (pp. 473-494). Pitman, NJ: Janetti Publishers.

Thomas-Hawkins, C. (2006). Chronic illness management and outcomes: A theory-based approach. In A. Molzahn & E. Butera (Eds). Contemporary Nephrology Nursing: Principles and Practice. Pitman, NJ: Janetti Publishers.



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