Margaret F. Clayton

Margaret F. Clayton, PhD, APRN

Academic Office Information

margaret.clayton@nurs.utah.edu

Margaret Clayton, PhD, APRN, FAAN is a professor in the College of Nursing at the University of Utah, an investigator at Huntsman Cancer Institute and member of the Cancer Control and Population Sciences Program. Her clinical background is as a family nurse practitioner.

In her research, Clayton combines self report and physiologic data that relates to cancer survivorship and end of life. A main focus of her research is how verbal and nonverbal communication processes influence emotional and physical well-being.

Clayton earned her bachelor's degree in nursing from the University of Connecticut, her master's degree in nursing from Pace University in New York, and a PhD in nursing from the University of North Carolina at Chapel Hill. Her predoctoral education was funded by a National Institutes of Health (NIH) National Research Service Award and a National Cancer Institute fellowship in cancer control and epidemiology at the Lineberger Comprehensive Cancer Center. Her postdoctoral research was funded by the American Nurses Foundation and an NIH National Research Service Award. Clayton joined the University of Utah faculty in 2005 and served as the Academic Senate President 2017-18.

Research Statement

Margaret Clayton is a Professor in the College of Nursing, and a board certified Family Nurse Practitioner. Dr Clayton's primary research interest is cancer survivorship and end of life communication, specifically how patient/provider and nurse/ caregiver communication processes influence emotional and physical well-being. Outcomes include self-report and physiologic measures, as well as coding of verbal and nonverbal communication interactions.

Selected Publications

Journal Article

  1. Tanner, C (2020). Social expectancy and age-related macular degeneration research; A scoping review of the literature. 10,
  2. Kane L, Clayton MF, Baucom BR, Ellington L, Reblin (2019). Measuring Communication Similarity Between Hospice Nurses and Cancer Caregivers Using Latent Semantic Analysis. Cancer nursing,
  3. Clayton MF, Iacob E, Reblin M, Ellington (2019). Hospice nurse identification of comfortable and difficult discussion topics: Associations among self-perceived communication effectiveness, nursing stress, life events, and burnout. Patient education and counseling,
  4. Reblin M, Baucom BRW, Clayton MF, Utz R, Caserta M, Lund D, Mooney K, Ellington (2019). Communication of emotion in home hospice cancer care: Implications for spouse caregiver depression into bereavement. Psycho-oncology, 28(5), 1102-1109.
  5. Hulett JM, Fessele KL, Clayton MF, Eaton L (2019). Rigor and Reproducibility: A Systematic Review of Salivary Cortisol Sampling and Reporting Parameters Used in Cancer Survivorship Research. Biological research for nursing, 21(3), 318-334.
  6. Himes DO, Gibbons DK, Birmingham WC, Beckstrand RL, Gammon A, Kinney AY, Clayton M (2019). Female family members lack understanding of indeterminate negative BRCA1/2 test results shared by probands. Journal of genetic counseling, 28(5), 950-961.
  7. Oliver DP, Tappana J, Washington KT, Rolbiecki A, Craig K, Demiris G, Schafer C, Winjobi M, Clayton MF, Reblin M, Ellington (2019). Behind the doors of home hospice patients: A secondary qualitative analysis of hospice nurse communication with patients and families. Palliative & supportive care, 1-5.
  8. Tjia J, DeSanto-Madeya S, Mazor KM, Han P, Nguyen B, Curran T, Gallagher J, Clayton M (2019). Nurses' Perspectives on Family Caregiver Medication Management Support and Deprescribing. Journal of hospice and palliative nursing, 21(4), 312-318.
  9. Himes DO, Davis SH, Lassetter JH, Peterson NE, Clayton MF, Birmingham WC, Kinney A (2019). Does family communication matter? Exploring knowledge of breast cancer genetics in cancer families. Journal of community genetics,
  10. Lambert de Diesbach, P (2019). The Caregivers Quality of Life Cancer-Index (CQOL-C) in Spain: An Exploratory and Confirmatory Factor Analysis for Caregivers of Ambulatory and Hospitalized Patients With Cancer.
  11. Pokharel, (2019). Health communication roles in Latino, Pacific Islander, and Caucasian Families: A qualitative investigation. 0, 1-11.
  12. Canary, H. E. (2019). Family health history tools as communication resources: Perspectives from Caucasian, Hispanic, and Pacific Islander families. 19, 126-43.
  13. Kane, (2019). Measuring Communication Similarity Between Hospice Nurses and Cancer Caregivers Using Latent Semantic Analysis.
  14. Xu J, Yang R, Wilson A, Reblin M, Clayton MF, Ellington (2018). Using Social Network Analysis to Investigate Positive EOL Communication. Journal of pain and symptom management, 56(2), 273-280.
  15. Han CJ, Chi NC, Han S, Demiris G, Parker-Oliver D, Washington K, Clayton MF, Reblin M, Ellington (2018). Communicating Caregivers' Challenges With Cancer Pain Management: An Analysis of Home Hospice Visits. Journal of pain and symptom management, 55(5), 1296-1303.
  16. Oliver DP, Washington K, Demiris G, Wallace A, Propst MR, Uraizee AM, Craig K, Clayton MF, Reblin M, Ellington (2018). Shared Decision Making in Home Hospice Nursing Visits: A Qualitative Study. Journal of pain and symptom management, 55(3), 922-929.
  17. Haynes-Lewis H, Clayton MF, Viswanathan S, Moadel-Robblee A, Clark L, Caserta (2018). Distress and Supportive Care Needs of Ethnically Diverse Older Adults With Advanced or Recurrent Cancer. Oncology nursing forum, 45(4), 496-507.
  18. Terrill AL, Ellington L, John KK, Latimer S, Xu J, Reblin M, Clayton M (2018). Positive emotion communication: Fostering well-being at end of life. Patient education and counseling, 101(4), 631-638.
  19. Ellington L, Clayton MF, Reblin M, Donaldson G, Latimer (2018). Communication among cancer patients, caregivers, and hospice nurses: Content, process and change over time. Patient education and counseling, 101(3), 414-421.
  20. Hudson J, Reblin M, Clayton MF, Ellington (2018). Addressing cancer patient and caregiver role transitions during home hospice nursing care. Palliative & supportive care, 1-8.
  21. Ellington L, Cloyes KG, Xu J, Bellury L, Berry PH, Reblin M, Clayton M (2018). Supporting home hospice family caregivers: Insights from different perspectives. Palliative & supportive care, 16(2), 209-219.
  22. Lai D, Cloyes KG, Clayton MF, Doyon K, Reblin M, Beck AC, Ellington (2018). WE'RE THE EYES AND THE EARS, BUT WE DON'T HAVE A VOICE: PERSPECTIVES OF HOSPICE AIDES. Journal of hospice and palliative nursing, 20(1), 47-54.
  23. Tanner, C. T. (2018). Conducting research with older adults with vision impairment: Lessons learned and recommended best practices. Gerontology & geriatric medicine, epub ahead of print.
  24. Cornide, (2018). Assessing quality-of-life of cancer caregivers in Spain: Validation of CQOLC-Spain scale and elements of a cross-cultural analysis. 9(1), 311-319.
  25. Haynes-Lewis, (2018). Distress and supportive care needs of ethnically diverse older adults with advanced or recurrent cancer. Oncology nursing forum, 45(4), 496-507.
  26. Fowler, (2018). Utah Cancer Survivors: A comprehensive comparison of health-related outcomes between survivors and individuals without a history of cancer. Journal of cancer education, 33(1), 214-221.
  27. Han, C (2018). Communicating caregivers' challenges with cancer pain management: An analysis of home hospice visits. Journal of pain and symptom management, 55(5), 1296-1303.
  28. Lai D (2018). We're the Eyes and the Ears, but We Don't Have a Voice. Journal of hospice and palliative nursing, 20, 47-54.
  29. Clayton MF, Dingley C, Donaldson (2017). The Integration of Emotional, Physiologic, and Communication Responses to Medical Oncology Surveillance Appointments During Breast Cancer Survivorship. Cancer nursing, 40(2), 124-134.
  30. Clayton MF, Supiano K, Wilson R, Lassche M, Latendresse (2017). Using Simulation in Nursing PhD Education: Facilitating Application of Responsible Conduct of Research Principles. Journal of professional nursing, 33(1), 68-73.
  31. Clayton MF, Hulett J, Kaur K, Reblin M, Wilson A, Ellington (2017). Nursing Support of Home Hospice Caregivers on the Day of Patient Death. Oncology nursing forum, 44(4), 457-464.
  32. Song L, Tyler C, Clayton MF, Rodgiriguez-Rassi E, Hill L, Bai J, Pruthi R, Bailey DE J (2017). Patient and family communication during consultation visits: The effects of a decision aid for treatment decision-making for localized prostate cancer. Patient education and counseling, 100(2), 267-275.
  33. Ellington L, Billitteri J, Reblin M, Clayton M (2017). Spiritual Care Communication in Cancer Patients. Seminars in oncology nursing, 33(5), 517-525.
  34. Reblin M, Clayton MF, Xu J, Hulett JM, Latimer S, Donaldson GW, Ellington (2017). Caregiver, patient, and nurse visit communication patterns in cancer home hospice. Psycho-oncology, 26(12), 2285-2293.
  35. Scherr CL, Dean M, Clayton MF, Hesse BW, Silk K, Street RL Jr, Krieger (2017). A Research Agenda for Communication Scholars in the Precision Medicine Era. Journal of health communication, 22(10), 839-848.
  36. Madden, C (2017). Rules of performance in the nursing home: A grounded theory of Nurse-CNA communication. Geriatric nursing (New York, N.Y.), 38(5), 378-84.
  37. Reblin, (2017). Caregiver, patient, and nurse visit communication patterns in cancer home hospice. Psycho-oncology, 26(12), 2285¿2293.
  38. Clayton, M (2017). Using simulation in nursing PhD education: Application of Responsible Conduct of Research principles. Journal of professional nursing, 33(1), 68-73.
  39. Song, (2017). ). Patient and family communication during consultation visits: The effects of a decision aid for treatment decision making for localized prostate cancer. Patient education and counseling, 100(2), 267-275.
  40. Clayton, M (2017). Nursing support of home hospice caregivers on the day of cancer patient death. Oncology nursing forum, 44(4), 457-464.
  41. Dingley, (2017). Caregiver activation and hospice nurse communication in advanced cancer care. 40(5), E38-50.
  42. Wilson, (2017). The Five Rights of Distance PhD Education. Advances in Nursing Doctoral Education & Research. 6(2), 9-16.
  43. Haas BK, Mark DD, LeVasseur SA, Ziehm SR, Hrabe DP, Clayton MF, Hafalia A, McNeil (2016). NEXus: Making Efficient Use of Limited Resources. Journal of professional nursing, 32(6), 449-457.
  44. Reblin M, Clayton MF, John KK, Ellington (2016). Addressing Methodological Challenges in Large Communication Data Sets: Collecting and Coding Longitudinal Interactions in Home Hospice Cancer Care. Health communication, 31(7), 789-97.
  45. Ellington L, Clayton MF, Reblin M, Cloyes K, Beck AC, Harrold JK, Harris P, Casarett (2016). Interdisciplinary Team Care and Hospice Team Provider Visit Patterns during the Last Week of Life. Journal of palliative medicine, 19(5), 482-7.
  46. Himes DO, Clayton MF, Donaldson GW, Ellington L, Buys SS, Kinney A (2016). Breast Cancer Risk Perceptions among Relatives of Women with Uninformative Negative BRCA1/2 Test Results: The Moderating Effect of the Amount of Shared Information. Journal of genetic counseling, 25(2), 258-69.
  47. Tjia J, Ellington L, Clayton MF, Lemay C, Reblin (2015). Managing Medications During Home Hospice Cancer Care: The Needs of Family Caregivers. Journal of pain and symptom management, 50(5), 630-41.
  48. Moreland JJ, Ewoldsen DR, Albert NM, Kosicki GM, Clayton M (2015). Predicting Nurses' Turnover: The Aversive Effects of Decreased Identity, Poor Interpersonal Communication, and Learned Helplessness. Journal of health communication, 20(10), 1155-65.
  49. Reblin M, Cloyes KG, Carpenter J, Berry PH, Clayton MF, Ellington (2015). Social support needs: discordance between home hospice nurses and former family caregivers. Palliative & supportive care, 13(3), 465-72.
  50. Mooney, (2015).
  51. Anderson, R (2015).
  52. Moreland, (2015).
  53. Ellington, (2015).
  54. Tabler, (2015).
  55. Reblin, (2015).
  56. Himes, D (2015).
  57. Tjia, J (2015).
  58. Reblin M, Otis-Green S, Ellington L, Clayton M (2014). Strategies to support spirituality in health care communication: a home hospice cancer caregiver case study. Journal of holistic nursing, 32(4), 269-77.
  59. Clayton MF, Reblin M, Carlisle M, Ellington (2014). Communication behaviors and patient and caregiver emotional concerns: a description of home hospice communication. Oncology nursing forum, 41(3), 311-21.
  60. Reblin, (2014).
  61. Cloyes, K (2014).
  62. Clayton, M (2014).
  63. Ellington L, Reblin M, Berry P, Giese-Davis J, Clayton M (2013). Reflective research: supporting researchers engaged in analyzing end-of-life communication. Patient education and counseling, 91(1), 126-8.
  64. Ellington L, Cloyes K, Berry P, Thomas NT, Reblin M, Clayton M (2013). Complexities for hospice nurses in supporting family caregivers: opinions from U.S. thought leaders. Journal of palliative medicine, 16(9), 1013-9.
  65. Ellington, (2013).
  66. Ellington, (2013).
  67. Ellington L, Reblin M, Clayton MF, Berry P, Mooney (2012). Hospice nurse communication with patients with cancer and their family caregivers. Journal of palliative medicine, 15(3), 262-8.
  68. Ellington, (2012).
  69. Fisher, J (2012).
  70. Ellington, (2012).
  71. Cloyes, (2012).
  72. Tavernier SS, Beck SL, Clayton MF, Pett MA, Berry D (2011). Validity of the Patient Generated Index as a quality-of-life measure in radiation oncology. Oncology nursing forum, 38(3), 319-29.
  73. Clayton MF, Latimer S, Dunn TW, Haas (2011). Assessing patient-centered communication in a family practice setting: how do we measure it, and whose opinion matters?. Patient education and counseling, 84(3), 294-302.
  74. Clayton MF, Pett M (2011). Modeling relationships in clinical research using path analysis Part II: evaluating the model. Journal for specialists in pediatric nursing, 16(1), 75-9.
  75. Clayton, M (2011).
  76. Tavernier, S (2011).
  77. Neville-Swenson, (2011).
  78. (2010).
  79. (2010).
  80. (2010).
  81. (2009).
  82. (2009).
  83. (2009).
  84. (2009).
  85. Clayton, M (2008).
  86. Clayton, M (2008).
  87. Sheldon, (2008).
  88. Clayton M (2006). Communication with breast cancer survivors. Communicating nursing research, 39, 83-91.
  89. Clayton MF, Mishel MH, Belyea (2006). Testing a model of symptoms, communication, uncertainty, and well-being, in older breast cancer survivors. Research in nursing & health, 29(1), 18-39.
  90. Porter L, Clayton MF, Belyea M, Gil KM, Germino BB, Mishel (2006). Predicting psychological distress and psychological growth in African American and Caucasian long term breast cancer survivors. Annals of behavioral medicine, 31(3), 195-204.
  91. Porter LS, Clayton MF, Belyea M, Mishel M, Gil KM, Germino B (2006). Predicting negative mood state and personal growth in African American and White long-term breast cancer survivors. Annals of behavioral medicine, 31(3), 195-204.
  92. Gil KM, Mishel MH, Belyea M, Germino BB, Porter L, Clayton M (2006). Benefits From an Uncertainty Management Intervention for Older Long-term Breast Cancer: 20 month Outcomes. International journal of behavioral medicine, 13(4), 286-294.
  93. Gil, (2006).
  94. Porter, (2006).
  95. Clayton, M (2006).
  96. Clayton, M (2006).
  97. Mishel MH, Germino BB, Gil KM, Belyea M, LaNey IC, Stewart J, Porter L, & Clayton M (2005). Benefits from an uncertainty management intervention for African-American and Caucasian older long-term breast cancer survivors. Psycho-oncology, 14(11), 962-978.
  98. Mishel, M (2005).
  99. Clayton MF, Boegel (1999). Missed immunization opportunities: a comparison of nurse practitioners and physicians. Journal of the American Academy of Nurse Practitioners, 11(10), 423-9.
  100. Clayton, M (1999).
  101. Clayton M (1996). Caring for Carl at home. Home healthcare nurse, 14(8), 605-8.
  102. Clayton, M (1996).

Book Chapter

  1. Clayton, M (2018). Theories of Uncertainty in Illness. In M.J. Smith & P. Liehr (Eds). Middle Range Theory for Nursing. 4th Edition. 49-81.
  2. Takahashi, L (2018). Stress and Disease. In S. E. Huether & K. L. McCance (Eds.), Pathophysiology: The biologic basis for disease in adults and children 8th ed. 323-343.
  3. Clayton, M (2017).
  4. Clayton, M (2014).
  5. Clayton, M (2014).
  6. Clayton, M (2013).
  7. T. Thompso (2011).
  8. S.E. Huethe (2011).
  9. (2010).
  10. (2008).
  11. Mishel MH, Clayton M (2003). Uncertainty in Illness Theories.
  12. Mishel, M (2003).
  13. Clayton, M (2001).

Conference Proceedings

  1. Bybee, (2018). ). Death-Talk May Predict Death Acceptance Among Advanced Cancer Patients & Spouse Caregivers. Innovation in aging, 2, S1.
  2. Reblin, (2017). Coping with Home Hospice Cancer Caregiving: Emotional Scaffolding in Nurse-Caregiver Communication. Annals of behavioral medicine, 51, S1769-S1770.
  3. Reblin, (2017). Changes in Nurse-Caregiver Communication in Cancer Home Hospice Visits Over Time. Annals of behavioral medicine, 51, S1765-S1766.
  4. Hulett, (2017). ). Relationships between salivary diurnal cortisol and cancer survivorship outcomes: A systematic review. Annals of behavioral medicine, 51, S2424-S2425.
  5. Oliver, D (2017). Listening behind closed doors: Shared decision making between hospice nurses and cancer patients and caregivers. Journal of clinical oncology, 35, 41.
  6. Xu, (2017). Clinic Visit Wait Time: Advanced Cancer Patient and Caregiver Discussions. Annals of behavioral medicine, 51, S1834-S1835.
  7. Clayton, M (2017).
  8. Lai, Dji (2016). We're the Eyes and the Ears, but We Don't Have a Voice: Perspectives of Hospice Aides (S702). 51(2), 407-408.
  9. Xu, J (2016).
  10. Reblin, (2016).
  11. Beck, Monic (2016). Hospice Caregiver Self-Care: Who's Caring for the Caregiver? (S735). 51(2), 426.
  12. Lassche, (2015).
  13. Ellington, (2015).
  14. Tjia, (2014).
  15. LeBaron, (2011).
  16. Ellington, (2011).
  17. Chaplik, (2011).
  18. Clayton, M (2010).
  19. Ellington, (2010).
  20. Wright, (2010).
  21. Clayton, M (2009).
  22. Sheldon, L (2008).
  23. Clayton, M (2007).
  24. Clayton, M (2007).
  25. Clayton, M (2006).

Other

  1. (2009).

Video/Film/CD/Web/Podcast

  1. (2009).