Michele Balas, PhD, RN, APRN-NP, CCRN

Associate Professor
balas.17@osu.edu
(614) 688-2050


368 Newton Hall
1585 Neil Avenue, Columbus, OH 43210

 

 

 

 

 

 

 

Research Interest

 

Dr. Balas’ interest in conducting clinical research was spurred by numerous, often heart-breaking experiences she encountered during her practice as a staff nurse in the intensive care unit (ICU) It is here she witnessed firsthand the devastating effects ICU-acquired pain, anxiety, and delirium had on patients, their families, and our healthcare system. It is also where she first grasped the importance of truly interprofessional education, practice, and research. Supported by the John A. Hartford Foundation Building Academic Geriatric Nursing Capacity Program and mentored by leaders in the field of Gerontology, Dr. Balas’ doctoral and post-doctoral research focused on defining the epidemiology and outcomes of delirium in the surgical ICU setting. Since then, she continues to build a program of research focused on developing and testing interventions aimed at improving the cognitive, functional, and quality of life outcomes of critically ill adults. Dr. Balas been consistently funded as a PI or Co-I on several university and private foundation grants. She was a Co-PI on a study supported by the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative (INQRI). This project addressed a core dimension of the INQRI program, that being the translation of knowledge to improve nursing care and patient outcomes. Dr. Balas’ interprofessional team focused on rigorously developing, implementing, and evaluating an evidence-based, multicomponent delirium reduction strategy for critically ill adults (i.e., the ABCDE bundle). She was Co-I on another interprofessional, multi-institutional research study funded by the Alzheimer’s Association, where the team tested a novel and fundamentally different method of measuring functional status in cognitively impaired older adults. We believe this new technology (i.e., multimodal monitoring) will vastly improve stratification and outcome evaluation for clinical trials in both primary and acute care. Most recently, she was awarded a peer reviewed, industry sponsored grant that will explore the symptom experience and outcomes associated with ABCDEF bundle implementation in a particularly under-studied area (i.e., the Long-Term Acute Care setting).

 

Research Activities (most recent)

 

Select Medical. “Helping Older Persons Emerge Stronger (HOPES) after Intensive Care Unit Admission.”  Role: PI (20% effort). Balas, M.C., Ely, E.W., Tate, J., Happ, M.B.

 

The Center for Clinical and Translational Science Pilot and Innovation Program. Longitudinal Track Pilot Project. The Ohio State University. “Prescribing Adult Day Health Services (ADS) to Reduce Emergency Department (ED) and Hospital Readmissions.” Role: Co-I.  (In-kind). Dabelko-Schoeny, H., Happ, M.E., Caterino, J., Balas, M.C., Overcash, J.

 

Alzheimer’s Association. “Multimodal Monitoring of Functional Status in Moderate Alzheimer's Disease”. Role: Co-I. (5% effort). Bonasera, S., Hoarty K., Goulding, M.D., Balas, M.C., Schenk M.D., Haynatzki, M.D.

 

Robert Wood Johnson Foundation, Interdisciplinary Nursing Quality Research Initiative. “Awakening-Breathing Coordination, Delirium & Early Mobility (ABCDE) Protocol: A Nurse-Led, Inter-professional, Multi-component Plan for Managing Delirium in the Critically Ill Adult”. Role: Co-PI. (35% effort). Balas, M.C., Burke, W.J.,(Co-PI), Ely, E.W., Vasilevskis, E., Meza, J., Gannon, D., Nuss, S., Stothert, J., Bevil, C., Sullivan, J., Cohen, M.Z.(Co-Is).

 

University of Nebraska Medical Center, College of Nursing Dean’s Research Grant. “Correlates and Risk Factors of Functional Decline and New Institutionalization among Critically Ill Older Adults: The Role of Delirium”. Role: PI. (20% effort). Balas, M.C., Bonasera, S., Potter, J.F., Burke, W.J., Sisson, J., & Hertzog, M.

 

Selected Publications

 

Krupp, A., Balas, M.C. (2016). Application of Clinical Practice Guidelines for Pain, Agitation, and Delirium. Critical Care Nursing Clinics of North America. 28; 241-252.

 

Balas, M.C., Devlin, J.W., Verceles, A.C., Morris, P., Ely, E.W. (2016). Adapting the ABCDEF Bundle to Meet the Needs of Patients Requiring Prolonged Mechanical Ventilation in the Long Term Acute Care Hospital Setting: Historical Perspectives and Practical Implications. Seminars in Respiratory and Critical Care Medicine. 37(1); 119-135.

 

Brummel, N., Balas, M.C., Morandi, A., Ferrante, L.E., Gill, T.M., Ely, E.W. (2015). Understanding and Reducing Disability in Older Adults Following Critical Illness. Critical Care Medicine. 43(6); 1265-1275.

 

Trogrlić, Z., van der Jagt, M., Bakker, J., Balas, M.C., Ely, E.W., van der Voort, P.H.J., Ista, E. (2015). A systematic review of implementation strategies for assessment, prevention, and management of ICU delirium and their effect on clinical outcomes. Critical Care. 19(1):157. doi: 10.1186/s13054-015-0886-9.

 

Klompas M., Anderson, D., Trick, W., Babcock, H., Prasad, M., Li, L., Sinkowitz-Cochran, R., Ely, E.W., Jernigan, J., Magill, S., Lyles, R., O’Neil, C., Kitch, B., Arrington, E., Balas, M.C., Kleinman, K., C., Lankiewicz, J., Murphy, M., Huang, S., Lautenbach, E.,MD6, Sexton, D., Fraser, V., Weinstein, R., Platt, R. (2015). The Preventability of Ventilator-Associated Events: The CDC Prevention Epicenters’ Wake Up and Breathe Collaborative. American Journal of Respiratory and Critical Care Medicine. 191(3), 292-301.

 

Balas, M.C., Vasilevskis, E.E., Olsen, K.M., Schmid, K.K., Shostrom, V., Cohen, M.Z., Peitz, G., Gannon, D.E., Sisson, J., Sullivan, J., Stothert, J.C., Lazure, J., Nuss, S.L., Jawa, R.S., Freihaut, F. E., Ely, E.W., Burke, W.J. (2014).  Effectiveness and Safety of the Awakening Breathing Coordination, Delirium Monitoring/Management, and Early Exercise/Mobility Bundle. Crit Care Med. 42(5):1024-36.

 

Balas, M.C., Burke, W.J., Gannon, D., Cohen, M.Z., Colburn, L., Bevil, C., Franz, D., Olsen, K.M., Ely, E.W., Vasilevskis, E.E.  (2013). Implementing the Awakening Breathing Coordination, Delirium Monitoring/Management, and Early Exercise/Mobility Bundle into Everyday Care:  Opportunities, Challenges and Lessons Learned for Implementing the ICU Pain, Agitation and Delirium Guidelines. Critical Care Medicine. 41(9 Suppl 1), S116-S127.

 

Balas, M.C., Bonasera, S.J., Cohen, M.Z., Hertzog, M., Sisson, J.H., Potter, J.F., Fitch, A., Burke, W.J. (2013).  Measuring Functional Recovery in Older Patients Discharged from Intensive Care Units:  Is Advanced Technology an Option? Journal of Applied Gerontology.

 

Grant, M.J., Balas, M.C., Curley, M.A., RESTORE Investigative Team (2013). Defining Sedation-Related Adverse Events in the Pediatric Intensive Care Unit.  Heart Lung. 42(3), 171-176. doi: 10.1016/j.hrtlng.2013.02.004.

 

Corbett, C. F., Costa, L.L., Balas, M.C., Burke, W.J., Feroli, E., Daratha, K.B. (2013).  Facilitators and Challenges to Conducting Interdisciplinary Research. Medical Care. 51(4 Supplement 2):S23-S31. doi: 10.1097/MLR.0b013e31827dc3c9.

 

Carlson R.H., Huebner, D. R., Hoarty C.A., Whittington J., Haynatzki G., Balas M.C., Schenk A.K., Goulding, E.H., Potter, J.F., Bonasera, S.J. (2012). Treadmill Gait Speeds Correlate with Physical Activity Counts Measured by Cell Phone Accelerometers. Gait Posture. 36 (2), 241-248. doi: 10.1016/j.gaitpost.2012.02.025.

 

Balas, M.C., Vasilevskis, E.E., Burke, W.J., Boehm, L., Pun, B.T., Olsen, K., Peitz, G., Ely, E.W. (2012). Critical Care Nurses’ Role in Implementing the “ABCDE Bundle” into Practice. Critical Care Nurse. 32(2), 35-47. doi: 10.4037/ccn2012229.

 

Balas, M.C., Chaperon, C., Sisson, J., Bonasera, S., Hertzog, M., Potter, J., Peterson, D., McVay W., Gorman J., Burke, W.J. (2011). Transitions Experienced by Older Survivors of Critical Care. J Gerontol Nurs. 37(12), 14-27. doi: 10.3928/00989134-20111102-01.

 

Balas, M.C., Happ, M.B. Yang, W., Chelluri, L., Richmond, T.S. (2009).  Outcomes Associated with Delirium in Older Patients in Surgical ICUs. Chest. 135(1), 18-25.

 

Balas, M.C., Deutschman, C.S., Sullivan-Marx, E., Alston, R.P., Strumpf, N., Richmond, T.S. (2007). Delirium in Older Patients in Surgical Intensive Care Units.  J Nurs Scholarsh. 39(2), 147-154.

 

Balas, M.C., Scott, L.D., Rogers, A.E. (2006). Frequency and Type of Errors and Near Errors Reported by Critical Care Nurses. Can J Nurs Res. 38(2), 24-41.*,#

 

List of published works in MyBibliography: https://www.ncbi.nlm.nih.gov/sites/myncbi/1vS8DjBy-_6AY/bibliography/47936389/public/?sort=date&direction=descending