About

Dr. Nicole Murry is the Assistant Dean for Undergraduate and Pre-licensure Education at the School of Nursing. She is a committed leader in nursing education with extensive experience as an educator. Dr. Murry employs innovative and engaging teaching strategies that support student learning and clinical readiness. She works closely with faculty to maintain rigorous academic standards, advance program quality, and uphold accreditation expectations. Her leadership focuses on continuous program improvement, collaborative faculty engagement, and preparing graduates who are well-equipped to meet the needs of a dynamic healthcare environment.

Research topics

• Medicine
• Psychology
• Clinical psychology
• Family medicine
• Gerontology
• Developmental psychology
• Pedagogy
• Psychiatry

Selected publications

• Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications

  Women s Health Reports · 2022 · 30 citations

  Senior authorCorresponding
  • Psychology
  • Clinical psychology
  • Medicine

  Women's predominant source of stress was from overload and was highest at 9 to 12 months postpartum. Community resources and public health policy and programming are needed to prepare and support women during the challenging first postpartum year.

  DOI

• Development of a Diabetes-Focused Print Health Literacy Scale Using the Rapid Estimate of Adult Literacy in Medicine Model

  HLRP Health Literacy Research and Practice · 2020 · 5 citations

  • Psychology
  • Medicine
  • Clinical psychology

  BACKGROUND: A diabetes mellitus (DM)-specific health literacy (HL) measure that focuses on both oral and print HL is needed in clinical and research settings. OBJECTIVE: The present study developed a psychometrically sound DM-specific HL instrument that measures oral and print HL. METHODS: We developed the measure in three steps. First, we reviewed clinical guidelines and conducted focus groups with experts to generate items. Next, we conducted a psychometric evaluation of the scale in three language versions (English, Spanish, and Korean). Lastly, we identified and removed items with potential cultural bias and duplicate functions to produce shorter versions of the scale, using item response theory (IRT). KEY RESULTS: We initially developed an 82-item DM-specific oral HL scale using the Rapid Estimate of Adult Literacy in Medicine (DM-REALM) model. To improve the clinical utility of the DM-REALM, we created shorter forms, a 40-item and 20-item version, and evaluated them by using IRT. All DM-REALM versions had high Cronbach alphas (.985, .974, and .945, respectively) and yielded sufficient convergent validity by positive correlations with existing functional HL scale (r = .49, p < .001), education (r = .14, p = .14 to r = .54, p < .001), and DM knowledge (r = .04, p = .70 to r = .36, p < .001). DM-REALM also demonstrated adequate sensitivity as an intervention evaluation tool that captures the changes induced by an intervention. CONCLUSIONS: All forms of the DM-REALM tool were reliable, valid, and clinically useful measures of HL in the context of DM care. Both researchers and clinicians can use this tool to assess DM-specific HL across multiple racial and ethnic populations. [HLRP: Health Literacy Research and Practice. 2020;4(4):e237-e249.] PLAIN LANGUAGE SUMMARY: This article reported the process and findings of a newly developed health literacy scale for people with diabetes mellitus using three different language versions. Both long and short versions of the scale demonstrated adequate validity and reliability.

  DOI

• Health Literacy and Outcomes of a Community-Based Self-Help Intervention

  Nursing Research · 2020 · 76 citations

  • Medicine
  • Gerontology
  • Family medicine

  BACKGROUND: Although scientific reports increasingly document the negative impact of inadequate health literacy on health-seeking behaviors, health literacy's effect on health outcomes in patients with diabetes is not entirely clear, owing to insufficient empirical studies, mixed findings, and insufficient longitudinal research. OBJECTIVE: The aim of this study was to empirically examine underlying mechanisms of health literacy's role in diabetes management among a group of Korean Americans with Type 2 diabetes mellitus. METHODS: Data from a randomized clinical trial of a health literacy-focused Type 2 diabetes self-management intervention conducted during 2012-2016 in the Korean American community were collected at baseline and at 3, 6, 9, and 12 months. A total of 250 Korean Americans with Type 2 diabetes participated (intervention, 120; control, 130). Participants were first-generation Korean American immigrants. Health literacy knowledge was measured with the original Rapid Estimate of Adult Literacy in Medicine and the diabetes mellitus-specific Rapid Estimate of Adult Literacy in Medicine. Functional health literacy was measured with the numeracy subscale of the Test of Functional Health Literacy in Adults and the Newest Vital Sign screening instrument, which also uses numeracy. Primary outcomes included glucose control and diabetes quality of life. Multivariate analyses included latent variable modeling. RESULTS: A series of path analyses identified self-efficacy and self-care skills as significant mediators between health literacy and glucose control and quality of life. Education and acculturation were the most significant correlates of health literacy. DISCUSSION: Despite inconsistent findings in the literature, this study indicates that health literacy may indirectly influence health outcomes through mediators such as self-care skills and self-efficacy. The study highlights the importance of health literacy, as well as underlying mechanisms with which health literacy influences processes and outcomes of diabetes self-management.

  DOI

Frequent coauthors

• Lorraine O. Walker

  The University of Texas at Austin

  7 shared

• Jisook Ko

  The University of Texas Health Science Center at San Antonio

  5 shared

• Miyong T. Kim

  The University of Texas at Austin

  5 shared

• Kayla D. Longoria

  University of California System

  5 shared

• Ju-Young Lee

  2 shared

• Hae‐Ra Han

  2 shared

• Patti Hamilton

  Texas Woman's University

  2 shared

• David M. Levine

  Universitat de Barcelona

  2 shared

Similar researchers at University of Texas at Austin

• Carlos Caldash-218
• Thomas J. Hughesh-154
• George Georgiouh-107
• Keith Johnstonh-106
• Jeffrey Andrewsh-104