Natalie McAndrew, PhD, RN, ACNS-BC, CCRN is an Assistant Professor at the University of Wisconsin-Milwaukee College of Nursing. She received her undergraduate degree and master’s from Alverno College in Milwaukee, WI and her doctorate from the University of Wisconsin-Milwaukee.
The focus of Dr. McAndrew’s research is the family experience in acute and critical care practice settings. Her goal is to help families harness their strengths and resources within complex systems of care. Dr. McAndrew has conducted research studies on the ethical practice environment in relationship to family care and family well-being, the end-of-life decision making experiences of nurses and physicians, and moral distress in relationship to the professional nursing practice environment. Collaborative research projects have focused on factors that relate to nurse involvement of families in the ICU and family presence during resuscitation after trauma.
Dr. McAndrew is interested in nursing ethics and how ethical conflict in health care may affect family care delivery. She also studies the integration of palliative and hospice care in the ICU. She is currently completing a study examining the utilization of palliative and hospice care within the ICU setting and the site PI for a global study exploring ICU nurse practices with family engagement.
Dr. McAndrew practiced for 5 years as a critical care nurse and 9 years as a Clinical Nurse Specialist for the Medical Intensive Care Unit at a Level I Trauma and academic medical center. Her work focused on addressing the complex needs of critically ill patients and their family members. She is an active member in the acute and critical care, palliative and end-of-life, and family research interest groups for the Midwest Nursing Research Society, the International Family Nursing Association, and the American Thoracic Society. Dr. McAndrew is also a member of the Clinical and Translational Science Institute of Southeast Wisconsin.
McAndrew, N. S., Guttormson, J., Marks, S., Rhodes, M., Patel, J., & McCracken, C. (2021). Intensive Care Unit Nurse: Could we call a palliative care consult? ICU Provider: It's too early. Palliative care integration in the ICU: The struggle to translate evidence into practice. Dimensions in Critical Care Nursing, 40(1), 51-58. doi:10.1097/DCC.0000000000000451
Guttormson, J. L., and McAndrew, Natalie S. “Time to move: Shifting the ICU paradigm to improve outcomes for survivors of critical illness.” Heart and Lung.
McAndrew, Natalie S., Schiffman, Rachel, and Leske, Jane. “Relationships among climate of care, nursing family care and family well-being in ICUs.” Nursing Ethics 26.7-8 (2019): 2494-2510.
Hetland, B, McAndrew, Natalie, Perazzo, J, and Hickman, R. “A qualitative study of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses.” Intensive & critical care nursing 44. (2018): 67-75.
McAndrew, Natalie S., Leske, Jane, and Schroeter, Kathryn. “Moral distress in critical care nursing: The state of the science.” Nursing Ethics 25.5 (2018): 552-570.
McAndrew, Natalie. “Nurses and physicians bring different perspectives to end-of-life decisions in intensive care units.” Evidence-based nursing 21.3 (2018): 85.
Leske, J S., McAndrew, Natalie, Brasel, K J., and Feetham, S. “Family Presence During Resuscitation After Trauma.” Journal of trauma nursing : the official journal of the Society of Trauma Nurses 24.2 (2017): 85-96.
Hetland, B, Hickman, R, McAndrew, Natalie, and Daly, B. “Factors Influencing Active Family Engagement in Care Among Critical Care Nurses.” AACN advanced critical care 28.2 (2017): 160-170.
McAndrew, Natalie, Leske, Jane B., Guttormson, J, Kelber, S T., Moore, K, and Dabrowski, S. “Quiet time for mechanically ventilated patients in the medical intensive care unit.” Intensive & critical care nursing 35. (2016): 22-7.
Kozeniecki, M, McAndrew, Natalie, and Patel, J J. “Process-Related Barriers to Optimizing Enteral Nutrition in a Tertiary Medical Intensive Care Unit.” Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition 31.1 (2016): 80-5.
McAndrew, Natalie, Leske, Jane B., and Guttormson, J. “Quiet Time for Mechanically Ventilated Patients in a Medical Intensive Care Unit.” Western journal of nursing research 38.10 (2016): 1374-5.
Zakzesky, D, Klink, K, McAndrew, Natalie, Schroeter, K, and Johnson, Gilbert. “Bridges and Barriers: Patients' Perceptions of the Discharge Process Including Multidisciplinary Rounds on a Trauma Unit.” Journal of trauma nursing : the official journal of the Society of Trauma Nurses 22.5 (2015): 232-9.
McAndrew, Natalie, and Leske, J S. “A Balancing Act: Experiences of Nurses and Physicians When Making End-of-Life Decisions in Intensive Care Units.” Clinical nursing research 24.4 (2015): 357-74.
Maidl-Putz, Carolyn, and McAndrew, Natalie. “Sound levels can be harmful.” Nursing Critical Care 9.5 (2014): 29-35.
Leske, J S., McAndrew, Natalie, and Brasel, K J. “Experiences of families when present during resuscitation in the emergency department after trauma.” Journal of trauma nursing : the official journal of the Society of Trauma Nurses 20.2 (2013): 77-85.
Schroeter, K, Byrne, M M., Klink, K A., Beier, M, and McAndrew, Natalie. “The impact of certification on certified perioperative nurses: a qualitative descriptive survey.” ORNAC journal 30.3 (2012): 34-8, 40-1, 44-6.
Leske, J S., McAndrew, Natalie, Evans, C, Garcia, A E., and Brasel, K J. “Challenges in conducting research after family presence during resuscitation.” Journal of trauma nursing : the official journal of the Society of Trauma Nurses 19.3 (2012): 190-4.
McAndrew, Natalie, Leske, J S., and Garcia, A. “Influence of moral distress on the professional practice environment during prognostic conflict in critical care.” Journal of trauma nursing : the official journal of the Society of Trauma Nurses 18.4 (2011): 221-30.
McAndrew, Natalie S.“Climate of Care, Nursing Family Care and Family Well-being in the ICU.” American Thoracic Society (ATS) International Conference. Sand Diego, CA. May 2018.
McAndrew, Natalie S.“The Relationships Among Climate of Care, Nursing Family Care and Family Well-being for Family Members of Patients at Moderate to High Risk of Death.” Midwest Nursing Research Society Annual Conference. Cleveland, OH. April 2018.