Jill Howie Esquivel, PhD, FNP-BC, ACNP-BC, is an associate professor and coordinator of the Adult-Gerontology Acute Care Nurse Practitioner Program. With dual-certification as a board-certified family and acute care nurse practitioner, she brings extensive professional nursing experience with a particular interest in patients with and at risk for serious cardiac conditions.

Dr. Esquivel’s research focuses on improving symptoms in patients with heart failure through patient engagement and self-care/compassion, with an emphasis on vulnerable populations. Her program of research has included the development of interventions that improve patient heart failure knowledge to improve self-care and symptoms. She has investigated methods for patient education, physical activity and practical strategies for daily self-care to improve symptom burden and the trajectory for long-term outcomes.

Esquivel earned her BSN from the University of San Francisco and her MS and PhD from the University of California, San Francisco, and is active in the American Heart Association, the Heart Failure Society of America, Sigma Theta Tau, and the Pulmonary Hypertension Association.


  • Acute Care Nurse Practitioner (ACNP-BC)
  • Family Nurse Practitioner (FNP-BC)

Honors and Awards

  • Fellow American Academy of Nursing (FAAN) 2018
  • Doctoral Class Marshall, UCSF Graduate Students' Association (2015)
  • Award for Teaching Excellence, UCSF Graduate Division (2013)
  • Nurse Faculty Scholar, Robert Wood Johnson Foundation (2011-2014)
  • Outstanding Faculty Mentorship Award , UCSF Graduate Students Association (2011)
  • Marie Cowan Young Investigator Award, American Heart Association (2010)
  • Fellow, American Heart Association (2009)
  • Faculty Enrichment Award for Teaching Excellence , UCSF School of Nursing (2008)

Research Focus

The development and testing of interventions for symptom self-management in heart failure patients. In particular, Esquivel's research focuses on improving patients’ and family members’ abilities to utilize strategies to self-manage their HF symptoms and avoid hospitalizations especially in vulnerable populations.

Clinical Focus

Cardiovascular health, global health, patient engagement, adherence


Journal Articles

Matzke, C., DeGennaro, R., & Howie-Esquivel, J. (2021). Incorporating TeamSTEPPS training to improve staff collaboration in an academic level 1 emergency and trauma center. International Emergency Nursing, 55, 100959.

Akuamoah-Boateng, K. A, Wiencek, C., Esquivel, J. H., DeGennaro, G., Torres, B., & Whelan, J. F. (2019). RAMPED-UP: The development and testing of an interprofessional collaboration model. Journal of Trauma Nursing, 26(6), 281-289. doi:10.1097/JTN.0000000000000466

Park, L. G., Dracup, K., Whooley, M. A., McCulloch, C., Lai, S., & Esquivel, J. (2019). Sedentary lifestyle associated with mortality in rural patients with heart failure. European Journal of Cardiovascular Nursing, 18(4), 318-324. doi:10.1177/1474515118822967

Reid, K. R. Y, Reid, K., Esquivel, J. H., Thomas, S. C., Rovnyak, V., Hinton, I., & Campbell, C. (2019). Using video education to improve outcomes in heart failure. Heart and Lung, 48(5), 386-394. doi:10.1016/j.hrtlng.2019.05.004

Esquivel, J.H., Dracup, K., Whooley, M.A., McCulloch, C., Chengshi, J., Moser, D.K., Clark, R.A., Pelter, M.M., Biddle, M., & Park, L.G. (2019). Rapid five pound weight gain is not associated with readmission in patients with heart failure. ESC-Heart Failure, 6(1), 131-137.

Howie-Esquivel, J., Dracup, K., Whooley, M.A., McCulloch, C., Chengshi, J., Moser, D.K., Clark, R.A., ... Park, L.G. (2018). Rapid 5 pound weight gain is not associated with readmission in patients with heart failure. ESC Heart Failure, 6(1), 131-137. doi:10.1002/ehf2.12370

Altaker, K. W., Howie-Esquivel, J., & Cataldo, J. K. (2018). Relationships among palliative care, ethical climate, empowerment, and moral distress in intensive care unit nurses. American Journal of Critical Care, 6(4), 295-302. doi:10.4037/ajcc2018252

Chen, J.-L., Guo, J., Esquivel, J. H., & Chesla, C. A. (2018). Like mother, like child: The influences of maternal attitudes and behaviors on weight-related health behaviors in their children. Journal of Transcultural Nursing, 29(6), 523-531. doi:10.1177/1043659617736883

Chen, J. L., Esquivel, J. H., Guo, J., Chesla, C. A., & Tang, S. (2017). Risk factors for obesity in preschool-aged children in China. International Nursing Review, 0(0), 1-8. doi:10.1111/inr.12371

Park, L. G., Dracup, K., Whooley, M. A., McCulloch, C., Chengshi, J., Moser, D. K., ... Esquivel, J. H. (2017). Symptom diary use improves outcomes in heart failure patients. Circulation: Heart Failure, 10(11), e003874. doi:10.1161/circheartfailure.117.003874

Donesky, D., Selman, L., McDermott, K., Citron, T., & Howie-Esquivel, J. (2017). Evaluation of the feasibility of a home-based TeleYoga intervention in participants with both chronic obstructive pulmonary disease and heart failure. Journal of Alternative and Complementary Medicine, 6(17), e12-15. doi:10.1089/acm.2015.0279

Park, L.G., Howie-Esquivel, J., & Dracup, K. (2015). Electronic measurement of medication adherence. Western Journal of Nursing Research, 37(1), p. 28-49. doi:10.1177/0193945914524492

Howie-Esquivel, J., Carroll, M., Brinker, E., Kao, H., & Pantilat, D. (2015). A strategy to reduce heart failure readmissions and inpatient costs. Cardiology Research, 6(1), 201-208. doi:10.14740/cr384w

Selman, L., McDermott, K., Donesky, D., Citron, T., & Howie-Esquivel, J. (2015). Appropriateness and acceptability of a Tele-Yoga intervention for people with heart failure and chronic obstructive pulmonary disease: Qualitative findings from a controlled pilot study. BMC Complementary and Alternative Medicine, 15(21), 1-13. doi:10.1186/s12906-015-0540-8

Park, L.G., Howie-Esquivel, J., Whooley, M.A., & Dracup, K. (2015). Psychosocial factors and medication adherence among patients with coronary heart disease: A text messaging intervention. European Journal of Cardiovascular Nursing, 6(3), 264-73. doi:10.1177/1474515114537024

Clark, R.A., Fredericks, B., Buitendyk, N.J., Adams, M.J., & Howie-Esquivel, J. (2015). Development and feasibility testing of an education program to improve knowledge and self-care among aboriginal and Torres Strait Islander patients with heart failure. Rural Remote Health, 3(3), 3231. doi:10.1016/j.hlc.2013.05.599

Park, L.G., Howie-Esquivel, J., & Dracup, K. (2014). A quantitative systematic review of the efficacy of mobile phone interventions to improve medication adherence. Journal of Advanced Nursing, 70(9), 1932-1953. doi:10.1111/jan.12400

Park, L.G., Howie-Esquivel, J., Chung, M.L., & Dracup, K. (2014). A text messaging intervention to promote medication adherence for patients with coronary heart disease: A randomized controlled trial. Patient Education and Counseling, 94(2), 261-268. doi:10.1016/j.pec.2013.10.027

Hasanien, A.A., Drew, B.J., & Esquivel, J. (2014). Prevalence and prognostic significance of long QT interval in patients with acute coronary syndrome: A review of the literature. The Journal of Cardiovascular Nursing, 29(3), 271-279. doi:10.1097/JCN.0b013e31829bcf1a

Howie-Esquivel, J., Bibbins-Domingo, K., Clark, R., Evangelista, L., & Dracup, K. (2014). Culturally-appropriate education can improve self-care in Hispanic patients with heart failure: A pilot randomized controlled study. Cardiology Research, 5(3-4), 91-100. doi:10.14740/cr346w

Zaharias, E., Cataldo, J., Mackin, L., & Howie-Esquivel, J. (2014). Simple measures of function and symptoms in hospitalized heart failure patients predict short-term cardiac event-free survival. Nursing Research and Practice, 2014, 1-11.

Weyland, P.G., Grant, W.B., Howie-Esquivel, J. (2014). Does sufficient evidence exist to support a causal association between vitamin D status and cardiovascular disease risk? An assessment using Hill's criteria for causality. Nutrients, 6(9), 3403-3430.

White, M., Garbez, R., Carroll, M., Brinker, E., & Howie-Esquivel, J. (2013). Is “teach-back” associated with knowledge retention and hospital readmission in hospitalized heart failure patients? The Journal of Cardiovascular Nursing, 28(2), 137-146. doi:10.1097/JCN.0b013e31824987bd

Howie-Esquivel, J., & Zaharias, E. (2013). Using novel technology to determine mobility among hospitalized heart failure patients: A pilot study. Cardiology Research, 4(1), 15-25. doi:10.4021/cr244w

Hasanien, A.A., Drew, B.J., Howie-Esquivel, J., Fung, G., & Harris, P. (2013). Prevalence and prognostic significance of long QT interval among patients with chest pain: Selecting an optimum QT rate correction formula. Journal of Electrocardiology, 46(4), 336-342. doi:10.1016/j.jelectrocard.2013.03.007

Faigeles, B., Howie-Esquivel, J., Miaskowski, C., Stanik-Hutt, J., Thompson, C., White, C., … Puntillo, K. (2013). Predictors and use of nonpharmacologic interventions for procedural pain associated with turning among hospitalized adults. Pain Management Nursing : The Official Journal of the American Society of Pain Management Nurses, 14(2), 85-93. doi:10.1111/inr.12371

Robinson, S., Howie-Esquivel, J., & Vlahov, D. (2012). Readmission risk factors after hospital discharge among the elderly. Population Health Management, 15(6), 338-351. doi:10.1089/pop.2011.0095

Prasun, M.A., Casida, J., Howie-Esquivel, J., Pozehl, B., Fahlberg, B., Johnson, C., … Baas, L. (2012). Practice patterns of heart failure nurses. Heart & Lung : The Journal of Critical Care, 41(3), 218-225. doi:10.1016/j.hrtlng.2012.02.001

Hwang, B., Howie-Esquivel, J., Fleischmann, K.E., Stotts, N.A., & Dracup, K. (2012). Family caregiving in pulmonary arterial hypertension. Heart & Lung : The Journal of Critical Care, 41(1), 26-34. doi:10.1016/j.hrtlng.2011.03.002

Howie-Esquivel, J., & Spicer, J.G. (2012). Association of partner status and disposition with rehospitalization in heart failure patients. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 21(3), e65-73. doi:10.4037/ajcc2012382

Howie-Esquivel, J., & Dracup, K. (2012). Communication with hospitalized heart failure patients. European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 11(2), 216-222. doi:10.1016/j.ejcnurse.2011.03.006

Hwang, B., Fleischmann, K.E., Howie-Esquivel, J., Stotts, N.A., & Dracup, K. (2011). Caregiving for patients with heart failure: impact on patients’ families. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 20(6), 431-442. doi:10.4037/ajcc2011472

White, M. M., Howie-Esquivel, J., & Caldwell, M. A. (2010). Improving heart failure symptom recognition: A diary analysis. The Journal of Cardiovascular Nursing, 25(1), 7-12. doi:10.1097/JCN.0b013e3181b7af9e

Howie-Esquivel, J., Lee, J., Collier, G., Mehling, W., & Fleischmann, K. (2010). Yoga in heart failure patients: a pilot study. Journal of Cardiac Failure, 16(9), 742-749. doi:10.1016/j.cardfail.2010.04.011

Howie-Esquivel, J., & White, M. (2008). Biomarkers in acute cardiovascular disease. The Journal of Cardiovascular Nursing, 23(2), 124-131. doi:10.1097/01.JCN.0000305072.49613.92

Howie-Esquivel, J., & Dracup, K. (2008). Does oxygen saturation or distance walked predict re-hospitalization in heart failure? The Journal of Cardiovascular Nursing, 23(4), 349-356. doi:10.1097/01.JCN.0000317434.29339.14

Howie-Esquivel, J., & Dracup, K. (2007). Effect of gender, ethnicity, pulmonary disease, and symptom stability on rehospitalization in patients with heart failure. The American Journal of Cardiology, 100(7), 1139-1144.

Howie-Esquivel, J., & Fontaine, D. K. (2006). The evolving role of the acute care nurse practitioner in critical care. Current Opinion in Critical Care, 12(6), 609-613. doi:10.1097/MCC.0b013e32800ff256

Brantman, L., & Howie, J. (2006). CE article: Use of amiodarone to prevent atrial fibrillation after cardiac surgery. Critical Care Nurse, 26(1), 58-59.

Rustoen, T., Howie, J., Eidsmo, I., & Moum, T. (2005). Hope in patients hospitalized with heart failure. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 14(5), 417-425.

Howie, J.N., Caldwell, M.A., & Dracup, K. (2003). The measurement of brain natriuretic peptide in heart failure: Precision, accuracy, and implications for practice. AACN Clinical Issues, 14(4), 520-531. doi:10.1097/00044067-200311000-00013

Caldwell, M. A., Howie, J., & Dracup, K. (2003). BNP as discharge criteria for heart failure. Journal of Cardiac Failure, 9(5), 416-422.

Howie, J.N., & Erickson, M. (2002). Acute care nurse practitioners: Creating and implementing a model of care for an inpatient general medical service. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 11(5), 448-458.