A former hospital administrator and a quintuple `Hoo, I am passionate about teaching nursing students the leadership, business and communication skills they need to change the way patients are treated through health systems theory and public health systems research. 

After several years as a bedside nurse, I determined to earn my MBA with a notion to become a hospital CEO. I soon realized that even healthcare administrators have limited ability to make meaningful, powerful, lasting changes due to our complex system – and that I would be much better suited developing research to influence the delivery of healthcare through policy.

Today, after earning my PhD in nursing, I’m doing what I do best: Empowering students to understand the healthcare environment, influence it and create systems that make changes that benefit our patients. Through my courses, students are taught the nuts and bolts of leadership, management and finance, and exposed to communication and management strategies and theory – and hopefully come away stronger, more confident, and better clinicians, researchers and colleagues. As director of research at Martha Jefferson Hospital, I helped RNs there understand how to change policy through evidence-based study. As a researcher on topics related to public health, nursing history, and the effects of geography on the health of vulnerable populations, I use my skills to create systems for caregivers to affect change.

And I love what I do.


  • Clinical Nurse Leader (CNL)

Research Focus

My research focuses on the effect of geography on the health of vulnerable populations, specifically the effect of rurality on the ability for cancer survivors to access the supportive care needs to maximize their Quality of Life. My secondary research focus is determining the barriers and facilitators to implementation of Evidence-Based Practice in nursing practice in the community hospital setting.

Clinical Focus

I am a certified Clinical Nurse Leader, with a focus on implementation of EBP in clinical practice

Teaching Focus

My primary teaching focus in the CNL program is capstone development, incorporating an in-depth understanding of quality improvement tools, data analysis and presentation, change management, and manuscript preparation. I have a passion for teaching scientific writing, and I work with students individually and in class to improve their skills. I work one-on-one with doctoral students primarily in large secondary data set analysis and analysis using geographic information systems (GIS).


Journal Articles

Bernacchi, V., Zoellner, J., Keim-Malpass, J., & DeGuzman, P.B. (2021). Rural resilience in cancer survivors: Conceptual analysis of a global phenomenon. Online Journal of Rural Nursing and Healthcare, 21(1), 159-178. doi:10.14574/ojrnhc.v21i1.676

Leimkuhler, M.E., Hauser, L., Voges, N., & DeGuzman, P.B. (2021). Rural populations’ sources of cancer prevention and health promotion information: Rural cancer prevention. Online Journal of Rural Nursing and Healthcare, 21(1), 3-23. doi:10.14574/ojrnhc.v21i1.663

Sinchak, C., & DeGuzman, P. B. (2021). Delirium education in hospice care: A quality improvement project. Journal of Hospice and Palliative Nursing, 23(3), 207-213. doi:10.1097/njh.0000000000000743

Doede, A.L., Davis, R., & DeGuzman, P.B. (2021). Use of trajectory models to track air pollution from source to exposure: A methodological approach for identifyingcommunities at risk. Public Health Nursing, 38(2), 212-222. doi:10.1111/phn.12859

DeGuzman, P. B., Huang, G., Lyons, G., Snitzer, J., & Keim-Malpass, J. (2021). Rural disparities in early childhood well child visit attendance. Journal of Pediatric Nursing, 58, 76-81. doi:10.1016/j.pedn.2020.12.005

Anderson, R. T., Eton, D. T., Camacho, F. T., Kennedy, E. M., Brenin, C. M., DeGuzman, P. B., et al. (2021). Impact of comorbidities and treatment burden on general well-being among women’s cancer survivors. Journal of Patient-Reported Outcomes, 5(1), 1-13. doi:10.1186/s41687-020-00264-z

DeGuzman, P. B., Huang, G., Lyons, G., Snitzer, J., & Keim-Malpass, J. (2020). Rural disparities in early childhood well child visit attendance. Journal of Pediatric Nursing, 58, 76-81. doi:10.1016/j.pedn.2020.12.005

DeGuzman, P. B., Siegfried, Z., & Leimkuhler, M. E. (2020). Evaluation of rural public libraries to address telemedicine inequities. Public Health Nursing, 37(5), 806-811. doi:10.1111/phn.12777

DeGuzman, P. B., Bernacchi, V., Cupp, C. A., Dunn, B., Ferrebee Ghamandi, B. J., Hinton, I. D., et al. (2020). Beyond broadband: Digital inclusion as a driver of inequities in access to rural cancer care. Journal of Cancer Survivorship, 14, 643-652. doi:10.1007/s11764-020-00874-y

Doede, A.L., DeGuzman, P. (2020). The disappearing lake: An historical analysis of drought and the Salton Sea in the context of the GeoHealth framework. Geohealth, 4(6), 1-10. doi:10.1029/2020gh000271

Lacey, V., Good, K., Toliver, C., Jenkins, S., & DeGuzman, P. B. (2019). Evaluation of 12-week shelf life of patient-ready endoscopes. Gastroenterology Nursing, 42(2), 159-164. doi:10.1097/sga.0000000000000364

DeGuzman, P. B., Chu, C., & Keim-Malpass, J. (2019). Built and natural environment barriers and facilitators to physical activity in rural, suburban, and small urban neighborhoods. Oncology Nursing Forum, 46(5), 545-555. doi:10.1188/19.ONF.545-555

Keim-Malpass, J., Croson, E., Allen, M., Deagle, C., & DeGuzman, P. (2019). Towards translational health policy: Findings from a state evaluation of programs targeting children with special health care needs. Journal of Specialists in Pediatric Nursing, 24(2), 1-12240. doi:10.1111/jspn.12240

DeGuzman P., Altrui, P., Doede A. L., Allen, M., Deagle, C., & Keim-Malpass, J. (2018). Using geospatial analysis to determine access gaps among children with special healthcare needs. Health Equity, 2(1), 1-4. doi:10.1089/heq.2017.0050

DeGuzman, P. B., Cotilon, K., Nail, C., & Keim-Malpass, J. (2017). Survivorship care plans: Rural, low-income breast cancer survivor perspectives. Clinical Journal of Oncology Nursing, 21(6), 692-698. doi:10.1188/17.CJON.692-698

Gwon, S., DeGuzman, P., & Kulbok, P. A. (2017). Density and proximity of licensed tobacco retailers and adolescent smoking: A narrative review. Journal of School Nursing, 33(1), 18-29. doi:10.1177/1059840516679710

DeGuzman, P. B., Altrui, P., Allen, M., Deagle, C., & Keim-Malpass, J. (2017). Geospatial gaps in early identification of children with Autism Spectrum Disorder. Journal of Pediatric Health Care, 31(6), 663-670. doi:10.1016/j.pedhc.2017.05.003

DeGuzman, P. B., Cohn, W. F., Camacho, F., Edwards, B .L., Sturz, V. N., & Schroen, A. T. (2017). Impact of urban neighborhood disadvantage on late stage breast cancer diagnosis in Virginia. Journal of Urban Health, 94(2), 199-210. doi:10.1007/s11524-017-0142-5

Keim-Malpass, J., Mitchell, E. M., DeGuzman, P., Stoler, M., & Kennedy, C. (2017). Legislative activity related to the human papillomavirus (HPV) vaccine in the United States (2006-2015): A cry for evidence-based policy. Risk Management and Healthcare Policy, 10, 29-32. doi:10.2147/rmhp.s128247

Deguzman, P., & Schminkey, D. (2016). Influencing cancer outcomes through genomic change via upstream interventions for neighborhood-associated toxic stress in the United States: A research framework. Public Health Nursing, 33(6), 547-557. doi:10.1111/phn.12290

DeGuzman, P. B., & Mitchell, E. M. (2016). Public health nurses in cancer care: Broadening the intersection. Public Health Nursing, 33(6), 481-482. doi:10.1111/phn.12296

Goode, V., Phillips, E., DeGuzman, P., Hinton, I., Rovnyak, V., Scully, K., & Merwin, E. (2016). A patient safety dilemma: Obesity in the surgical patient. AANA Journal, 84(6), 404-412.

Deinlein, A. D., & DeGuzman, P. B. (2016). Forced air warmers: Policies for safe use. Nursing Management, 47(7), 15-17. doi:10.1097/01.numa.0000484482.59972.53

DeGuzman, P. B. & Schminkey, D. L. (2016). Influencing genomic change and cancer disparities through neighborhood chronic toxic stress exposure: A research framework. Public Health Nursing, 33(6), 547-557. doi:10.1111/phn.12290

Fickley, S. K., Mishler, R. R., Black, A. S., & DeGuzman, P. B. (2016). Philanthropic donor perspectives on supporting nursing excellence in a community hospital. Journal of Nursing Administration, 46(11), 599-604.

DeGuzman, PB., Sherman, J., Sheffield, C., Hauser, L., Keim-Malpass, J. (2015). Understanding gaps in patient navigation for rural cancer survivors. Journal of Oncology Navigation & Survivorship, 6(5), 34-40.

Milbrath, G. R., & DeGuzman, P. B. (2015). Neighborhood: A conceptual analysis. Public Health Nursing, 32(4), 349-358. doi:10.1111/phn.12197

Keim-Malpass, J., Mitchell, E.M., Blackhall, L., & DeGuzman, P.B. (2015). Evaluating stakeholder-identified barriers in accessing palliative care at an NCI-designated cancer center with a rural catchment area. Journal of Palliative Medicine, 18(7), 634-7. doi:10.1089/jpm.2015.0032

DeGuzman, P. B., & Wayner, C. A. (2014). Nursing and organizational barriers to daily interruption of sedation in US hospitals: A thematic review of the literature. Clinical Nursing Studies, 3(1), p-55.

DeGuzman, P. B., Schminkey, D. L., & Koyen, E. A. (2014). "Civil unrest does not stop ovulation": Women's prenatal and family planning services in a 1960s Detroit neighborhood clinic. Family & Community Health, 37(3), 199-211. doi:10.1097/fch.0000000000000034

Goodson, A. S., DeGuzman, P. B., Honeycutt, A., Summy, C., & Manly, F. (2014). Total Joint Replacement Discharge Brunch: Meeting Patient Education Needs and a Hospital Initiative of Discharge by Noon. Orthopaedic Nursing, 33(3), 159-162.

Winslow, S., DeGuzman, P., & Kulbok, P. A. (2014). Nurses' self-efficacy and academic degree advancement. Journal for Nurses Professional Development, 30(3), 110-116. doi:10.1097/nnd.0000000000000038

DeGuzman, P.B., Merwin, E., and Bourguignon, C. (2013). Population density, distance to public transportation, and health of women in low-income neighborhoods. Public Health Nursing, 30(6), 478-490.

Ascoli, G.B., DeGuzman, P.B., and Rowlands, A. (2012). Peripheral intravenous catheter complication rates between those indwelling > 96 hours to those indwelling 72–96 hours: A retrospective correlational study. International Journal of Nursing, 1(2), 7-12.

DeGuzman, P.B., & Kulbok, P.A. (2012). Changing health outcomes of vulnerable populations through nursing's influence on neighborhood built environment: A framework for nursing research. Journal of Nursing Scholarship, 44(4), 34-348. doi:10.1111/j.1547-5069.2012.01470.x

DeGuzman, P.B., Akosah, K.O., Simpson, A.G., Barbieri, K.E., Megginson, G.C., Goldberg, R.I., & Beller, G.A. (2012). Sub-optimal achievement of guideline-derived lipid goals in management of diabetic patients with atherosclerotic cardiovascular disease, despite high use of evidence-based therapies. Diabetes & Vascular Disease Research, 9(2), 138-145.

DeGuzman, P.B., & Keeling, A.W. (2012). Addressing disparities in access to care: Lessons from the Kercheval Street clinic in the 1960s. Policy, Politics, & Nursing Practice, 12(4), 199-207. doi:10.1177/1527154411429864

Simpson, A.G., DeGuzman, P.B., Barbieri, K.E., Parks, C.M., Megginson, G.C., & Viette, C.R. (2008). Implementation of an electronic health record with an embedded quality improvement program to improve the longitudinal care of outpatients with coronary artery disease. Journal of Clinical Outcomes Management, 15(7), 338-343.

DeGuzman, P.B., & McCaskill, C. (2008). Evaluating peripheral IV guidelines for the outpatient setting. AAACN ViewPoint, 30(4), 4-5.

DeGuzman, P. (2008). Legislated nurse staffing ratios: What you need to know. Virginia Nurses Today, 16(1), 3.

Columns, Editorials and Op-Eds

DeGuzman, P., & Keeling, A. (2014, Aug. 31). What Detroit had that Ferguson needs [Column]. The Daily Progress. B1.