Michele DeGrazia, PhD, RN, NNP-BC, FAAN

Director of Nursing Research, Neonatal Intensive Care; Neonatal Nurse Practitioner, Division of Newborn Medicine
Instructor in Pediatrics, Harvard Medical School
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Michele DeGrazia

Michele DeGrazia, PhD, RN, NNP-BC, FAAN

Director of Nursing Research, Neonatal Intensive Care; Neonatal Nurse Practitioner, Division of Newborn Medicine
Instructor in Pediatrics, Harvard Medical School

Medical Services

Languages
English
Professional History

When Dr. DeGrazia first began to examine the issue of car seat safety, healthcare providers and parents lacked clear information about newborn infants’car seat-related breathing problems and the proper use of car seats. Her clinical experience and dialogue with experts nationwide identified the vital need for education that delineated the differences between car seat-related breathing problems and car seat fit. She has stimulated a substantial knowledge shift regarding all aspects of infant car seat safety through her research, publications and presentations.

Recently, she expanded her program of research to include the growing concern of deformational plagiocephaly (misshapen heads). Dr. DeGrazia has led two clinical trials of a novel orthotic device designed to prevent or treat deformational plagiocephaly. Most notably, her research indicates that deformational plagiocephaly is a preventable condition for many hospitalized infants. In addition to her own program of research, Dr. DeGrazia guides nurses and physicians in the conduct of research as the Director of Nursing Research for the Neonatal Intensive Care Unit at Boston Children’s Hospital.

Dr. DeGrazia received a bachelor’s degree in nursing from the University of Massachusetts, Dartmouth, master’s degree and training as a neonatal nurse practitioner at Northeastern University and doctorate in nursing from the University of Massachusetts, Worcester. She is the recipient of internal and external research grants. Her academic appointments include Instructor of Pediatrics at Harvard Medical School, and Adjunct Associate Professor at Northeastern University Graduate School of Nursing. Dr. DeGrazia has served as an invited member on the 2007 and 2011 National Safety Council Task Forces on Child Passenger Safety Discharge Policy Planning and has been instrumental in the development of national car seat safety standards for all infants. She has received several honors and awards including the Sigma Theta Tau, International Honor Society of Nursing Theta Kappa Chapter (1996); Excellence in Nursing Award, University of Massachusetts Dartmouth (1996); Distinguished Alumni Award Northeastern University School of Nursing (2010); and Boston Children’s Hospital Neonatal Intensive Care Unit Excellence in Service and Training Award (2010). In 2014, Dr. DeGrazia was inducted as a Fellow in the American Academy of Nursing.

Publications

Incidence and risk factors for CMV and EBV infection in infants with low T-cell receptor excision circles on newborn screen. View Abstract
Kangaroo Care in the Neonatal Intensive Care Unit-A Practice Change Initiative. View Abstract
Risk Factors Contributing to the Development of Bronchopulmonary Dysplasia. View Abstract
Failure Modes and Effects Analysis to Evaluate Discharge Delays of Postoperative Tonsillectomy Patients From the Medical-Surgical PICU. View Abstract
No Place Like Home: Improving the Transition From NICU to Home Through the NICU to Nursery Program. View Abstract
An examination of characteristics, social supports, caregiver resilience and hospital readmissions of children with medical complexity. View Abstract
Transferring With TACT: A Novel Tool to Standardize Transfer Decisions From a Level IV NICU. View Abstract
The 21st Century Cures Act: Perspectives of Clinicians in a Level-IV Neonatal Intensive Care Unit. View Abstract
Evidence-based review of chlorhexidine gluconate and iodine in the preoperative skin preparation of young infants. View Abstract
Child Life Specialists Decrease Procedure Time, Improve Experience, and Reduce Fear in an Outpatient Blood Drawing Lab (CLS Decrease Procedure Time). View Abstract
Inadequate Oxygen Delivery Dose and Major Adverse Events in Critically Ill Children With Sepsis. View Abstract
Safety and feasibility of the paediatric post-cardiac catheterisation Wrap: a pilot study. View Abstract
Parental Experiences of Infant Car Bed Use After Failure of Car Seat Tolerance Screen. View Abstract
Utilizing high-fidelity simulation to improve newly licensed pediatric intensive care unit nurses' experiences with end-of-life care. View Abstract
Evaluation of an evidence-based practice mentorship programme in a paediatric quaternary care setting. View Abstract
Building Moral Resiliency Through the Nurse Education and Support Team Initiative. View Abstract
Validation of the Hospital Asthma Severity Score (HASS) in children ages 2-18 years old. View Abstract
Brain Characteristics Noted Prior to and Following Cranial Orthotic Treatment. View Abstract
Correlation Between Heart Rate Characteristic Index Score and Severity of Brain Injury in Neonates With Hypoxic-Ischemic Encephalopathy. View Abstract
Pediatric nurses' perceptions of preparedness for global health fieldwork. View Abstract
Nursing science fellowship at Boston Children's Hospital. View Abstract
Cultivating evidence-based practice through mentorship. View Abstract
Constant observation of pediatric patients at risk for self-harm and suicide: An evidence-based practice inquiry. View Abstract
Moral Distress: Defined and Described by Neonatal and Pediatric Critical Care Nurses in a Quaternary Care Free-Standing Pediatric Hospital. View Abstract
Safety of Biweekly Chlorhexidine Gluconate Bathing in Infants 36 To 48 Weeks' Postmenstrual Age. View Abstract
Feasibility and Safety of the Preemie Orthotic Device to Manage Deformational Plagiocephaly in Extremely Low Birth Weight Infants. View Abstract
Building and Sustaining a Culture of Clinical Inquiry in a Pediatric Quaternary Hospital. View Abstract
Midwifery Management of Pregnant Women Who Are Obese. View Abstract
Informing Leadership Models: Nursing and Organizational Characteristics of Neonatal Intensive Care Units in Freestanding Children's Hospitals. View Abstract
Predictors of Persistent Infant Car Seat Challenge Failure. View Abstract
Systematic Changes to Help Parentsof Medically Complex Infants Manage Medical Expenses. View Abstract
It's in Your Hands: An Educational Initiative to Improve Parent/Family Hand Hygiene Compliance. View Abstract
Use of the Cranial Cup to Correct Positional Head Shape Deformities in Hospitalized Premature Infants. View Abstract
Heat retention head wrap for rewarming infants undergoing cardiopulmonary bypass surgery. View Abstract
Prevention of deformational plagiocephaly in hospitalized infants using a new orthotic device. View Abstract
Family-centered care during acute neonatal transport. View Abstract
Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. View Abstract
Weight and age as predictors for passing the infant car seat challenge. View Abstract
Congenital nephrotic syndrome masquerading as respiratory illness. View Abstract
Diagnostic evaluation of neonatal ascites. View Abstract
Stability of the infant car seat challenge and risk factors for oxygen desaturation events. View Abstract