Dr. Carolyn Horne is an Assistant Professor in the Department of Nursing Science. She graduated from East Carolina University with her PhD. Her research focuses on symptom management in cardiovascular disease including acute and chronic disease management. She has focused most of her research on self-management of neuropathic pain after lower limb ampuation surgery. She developed a tactile desensitization protocol for post ampuation neuropathic pain that could be self-administered.
Dr. Horne has a long history of clinical expertise in managing and caring for adults with cardiovascular disease, specifically those with peripheral vascular diseases. As a Clinical Nurse Specialist, she developed proficiencies caring for dysvascular disease, specifically post amputation care and wound management. Her significant clinical experiences informed her doctoral work to address a gap in neuropathic pain management in adults after lower limb amputation. She piloted the Short-form McGill Pain Questionnaire (v.2) in the amputation population and developed a tactile desensitization protocol to interrupt the neuropathic pain signal. Her dissertation focused on feasibility and testing this tactile desensitization protocol using repeated measures in a low literacy diverse population beginning 2 days after surgery and extending to day 6 after surgery.
Dr. Horne's clinical care has focused primarily on adult acute care. After an extensive career in a tertiary care setting in management and advanced practice positions she pursued an academic career in order to pusue her research interests. Dr. Horne’s academic career has focused on instruction of graduate students as advanced practice Clinical Nurse Specialists. Prior to her academic position, Dr. Horne worked in a large academic medical facility as a Vascular Surgery Clinical Nurse Specialist, providing advanced nursing practice care to patients with vascular disease.
AREAS OF RESEARCH INTEREST:
Neuropathic pain after lower limb amputation
Peripheral Vascular Disease
Biofeedback with Cardiovascular disease
Her early research addressed the quality of life of individuals after amputation surgery who received an early prosthetic compared to those who received a lower limb prosthetic post surgical healing. Quality of life is an important outcome post amputation. She began focusing on pain control in individuals who had an amputation after extensive work with patients after surgery. The primary complaint in this population was neuropathic or phantom pain, regardless of length of time after surgery. Her pilot feasibility study provided important information guiding a current protocol, instruments, and symptom clusters. A recent qualitative study validated that neuropathic was different than other types of pain and most treatment for this pain is unsuccessful. These studies provide the foundation for her work in neuropathic pain.
An overarching theme of her research is cardiovascular disease. Both diabetes and hypertension are common comorbidities associated with peripheral vascular disease. Her research in cardiovascular disease focuses on symptoms, disparate populations, and self-management. Dr. Horne incorporates biofeedback in symptom management for cardiovascular disease.
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Horne, CE & Paul, J. (in press, 2018). Pain support for adults with a diabetes related lower limb amputation: An empirical phenomenology study. Pain Management Nursing.
Bolin, LP, Horne, CE, Crane, PB, Powel, J. (2018). Low salt diet adherence in African Americans with hypertension. Journal of Clinical Nursing. June 3, DOI: 10.1111/jocn.14551
Bolin, LP, Crane, PB, Powell, J R, Horne, C E, & Floegel, TA (2018). Factors affecting physical activity in African Americans with hypertension. Applied Nursing Research. (41), 62-67. doi: 10.016/j.apnr.2018.04.003
Horne, C. E., Engelke, M., Schreier, A., Swanson, M. & Crane, P.B. (2018). Effects of tactile desensitization on postoperative pain following amputation surgery. Journal of Perianesthesia Nursing,33(5), 689-698. doi: 10.1016/j.jopan.2017.02.005
Horne, C. E. (2012). Transparency: A concept analysis. Nursing Science Quarterly, 25(4), 326-331.
Horne, C. E. (2009). Quality of life in patients with prosthetic legs-A comparison study. Journal of Prosthetics and Orthotics, 21(3), 154-159.
Horne, C. (2016). Advocacy. In R. Kaplow & S. Hardin (Eds.), Synergy for clinical excellence: The AACN synergy model for patient care (2nd ed.). Sudbury, MA: Jones & Bartlett.
Powell, C.S. & Horne, C.E. (2007). The bull of for-profit quality rating schemes. Contemporary Surgery, 63(20), 593-94.
Collaborative Research Grant, Co-Principal Investigator. 2016-2017
Dissemination Grant, Principal Investigator. 2015-2016
Research Grant, Principal Investigator. 2011-2012
NCNA Research Grant, Co-Investigator. 2010-2011
Research Grant, Co-Investigator. 2004-2005
Horne, C. E., May,K., Williams, S., Maultsby, D. (2012). Creating a Sustainable Role for the CNS in North Carolina. Presentation, NC Affiliate of Clinical Nurse Specialist Educational Conference, Greensboro, North Carolina.
Williams, S., May, K., Maultsby, D. & Horne, C. E. (2012). Creating a Sustainable Role of the CNS in North Carolina. Presentation, National Association of Clinical Nurse Specialists, Chicago, Illinois.
Horne, C. E. (2011). A Phenomenological Study of Clinical Nurse Specialist Value. Presentation, National Association of Clinical Nurse Specialists, Baltimore, MD.
Horne, C. E. (January, 2017). The History of Amputation: Dr. Robert Liston - Anatomy, Dexterity, and Amputations, Presentation. North Carolina Association of Ankel & Foot Society, Greensboro, North Carolina.
Horne, C. E. (February, 2016). Amputation Pain Control and Management, Presentation, ECU School of Physical Therapy, Greenville, North Carolina.
Horne, C. E. ( April, 2016).Clinical Nurse Specialist Legislative Update 2016. Presentation, North Carolina Affiliate of NACNS, Concord, North Carolina.
Horne, C. E. (October, 2015). History of Amputation: Dr. Robert Liston-Dexterity, Anatomy and Amputation, Presentation. Medical History Interest Group, Greenville, North Carolina
Horne, C. E. (April, 2015).Clinical Nurse Specialist Legislative Update 2015. Presentation, North Carolina Affiliate of NACNS, Raleigh, North Carolina.
Horne, C. E. (March, 2015). Phantom Limb Pain Treatment after Lower Limb Amputation. Presentation, Eastern North Carolina Amputee Support Group, Greenville, NC.
Horne, C. E. (October, 2012). Cultural Competence and the Vascular Patient. Presentation, North Carolina Vascular Nurses Conference, Greenville, North Carolina.
NURS 6214 Chronic Health Problems for the Advanced Practice Nurse
NURS 6959 Roles and Theory of the Clinical Nurse Specialist
NURS 6960 Clinical Nurse Specialist Practicum I
NURS 6961 Clinical Nurse Specialist Practicum II
NURS 6962 Clinical Nurse Specialist Practicum III
NURS 6989 Clinical Practice for the CNS across the lifespan
NURS 6993 Nursing Synthesis
Factors Associated with Self-Management in African-Americans with Hypertension (2017) Member
Impact of the North Carolina Board of Nursing Regulation Change on Clinical Nurse Specialists: A DNP Scholary Project (2015)
Heart Failure 30-Day Readmissions: Causes, Prediction, Prevention in a Rural Hospital (2015)
EAST CAROLINA UNIVERSITY
COLLEGE OF NURSING
2014: Phyllis N. Horns Outstanding Doctoral Student Award. East Carolina University. 2005: Vascular Disease Foundation Excellence in Care Award.
2003: PCMH Presidents Service Award.
2001: Vieve Gore Award for Best First Time Presenter. Awarded at Society of Vascular Nurses Conference
2014: Phi Kappa Phi. Inducted
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