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Leanne Lefler

CredentialsRegistered Nurse #R25017-AR
Advanced Practice Registered Nurse APRN #S001097-AR
Clinical Nurse Specialist in Adult Health, Certified by the American Nurses Credentialing Center, ACNS-BC #0364686
Title
InstitutionUniversity of Arkansas for Medical Sciences
DepartmentNursing Research, College of Nursing
DivisionCollege of Nursing Research
Address5256 ED III College of Public Health
220 UAMS Campus Dr.
Mail Slot # 529
Little Rock AR 72205
Phone501-296-1939
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    Other Roles
    Associate Professor, College of Nursing Education Leader, Hartford Center of Geriatric Nursing Excellence Culture of Health Nurse Leader, Robert W. Johnson Foundation

    Collapse Overview 
    Collapse overview
    Leanne Lefler, obtained her PhD in Nursing Science in 2006 from the UAMS College of Nursing and prior to that worked in clinical practice for 17 years caring for adults with cardiovascular disease. She is a board-certified Advanced Practice Nurse and Adult Clinical Nurse Specialist. She is currently an Associate Professor in the College of Nursing at UAMS, adjunct appointment to the Geriatric Research, Education and Clinical Center at the VA and holds the title of Education Leader for the college’s Hartford Center of Geriatric Nursing Excellence. She is a fellow in the American Heart Association and sits on their national subcommittee for the Care Of Older Adults with Cardiovascular Disease. Lefler serves on other Boards for the Southern Nursing Research Society and the Arkansas Action Coalition for the Future of Nursing. She is a member of the Department of Nursing Science and has received federal funding for several research studies. Lefler’s research focuses on prevention of cardiovascular disease in older women by improving physical activity and decreasing sedentary behavior. Other work includes modifying individual health by improving the culture of health within communities. Recently, Lefler received a national award from the Robert Wood Johnson Foundation as a Breakthrough Nurse Leader in this regard. She has multiple publications and presentations.


    Collapse Biography 
    Collapse Leadership and Administrative Roles
    Course Coordinator

    Graduate Appointment

    Doctoral Faculty



    Collapse awards and honors
    2014 - 2014Elected Fellow of the American Heart Association, FAHA
    2014 - 2014Re-elected to Southern Nursing Research Society Board of Directors, Secretary for 2 year term., Southern Nursing Research Society Board of Directors
    2013 - 2013Nominated/Accepted commission for Council on Clinical Cardiology & Council on Cardiovascular Nursing, AHA
    2012 - 2012Service Award presented for service on the Nominations and Succession Planning ommittee 2010-2012, Southern Nursing Research Society
    2008 - 2010John A Hartford & Atlantic Philanthropies Claire M Fagan PostDoctoral Fellow; Building Academic Geri, Hartford Geriatric Nursing Initiative.
    2004 - 2006John A Hartford Foundation Building Academic Geriatric Nursing Capacity Scholar, 2 year Pre-Doctoral, Hartford Geriatric Nursing Initiative

    Collapse Research 
    Collapse research activities and funding
    IHS     (WEBER, JUDITH L)Dec 1, 2019 - Sep 30, 2023
    Patient-Centered Outcomes Research Institute
    Innovative Care Model for Older Adults with Chronic Heart Failure (i-COACH): A Comparative Effective
    Role: Principal Investigator
    IHS-2018C3-14770     (WEBER, JUDITH L)Dec 1, 2019 - Sep 30, 2023
    Patient-Centered Outcomes Research Institute
    Innovative Care Model for Older Adults with Chronic Heart Failure (i-COACH): A Comparative Effective
    Role: Principal Investigator
    IPE FY20     (LEFLER, LEANNE)Jul 1, 2019 - Jun 30, 2021
    UAMS Internal Research Awards
    No FP attached
    Role: Principal Investigator
    Educators Academy grant     (LEFLER, LEANNE)Jul 1, 2018 - Jun 30, 2019
    UAMS
    Using the Community Action Poverty Simulation to Teach Graduate Students about Building a Culture of Health
    Role: Principal Investigator
    EducatorsAcademygrant     (LEFLER, LEANNE)Jul 1, 2018 - Jun 30, 2019
    UAMS
    Using the Community Action Poverty Simulation to Teach Graduate Students about Building a Culture of Health
    Role: Principal Investigator
    73232     (HARRIS, MELODEE L)Oct 1, 2016 - Dec 14, 2018
    National Center for Interprofessional Practice and Education
    Accelerating Interprofessional Community-based Education and Practice
    Role: Principal Investigator
         Jul 1, 2016 - Jun 30, 2017
    College of Nursing, UAMS Intramural Program
    Geriatric Advanced Practice (GAP): Evaluating the Use of mHealth Technology in Patients with Heart Failure, Pilot
    Role: Co-Investigator
         (LEFLER, LEANNE)Jun 28, 2016 - Mar 17, 2017
    American Association of Colleges of Nursing/Centers for Disease Control and Prevention
    Academic Public Health Impact Evaluation Projects: Impact of Academic-Practice Partnership using mHealth Technology on Heart Failure Benchmarks with Older Adults in Rural and Medically Underserved Areas of Arkansas
    Role: Principal Investigator
         Jul 1, 2015 - Jun 30, 2018
    US. Department of Health and Human Services Health Resources and Services Administration
    Geriatric Advanced Practice (GAP): Evaluating the Use of mHealth Technology in Patients with Heart Failure, Pilot
    Role: Co-Investigator
         (LEFLER, LEANNE)Jan 1, 2015 - Jun 30, 2016
    Medical Research Endowment Award, University of Arkansas for Medical Sciences
    Implementing a PA Program for Older Women: Exploring Perceptions, Barriers & Facilitators
    Role: Principal Investigator
    R15NR012832     (LEFLER, LEANNE L)Apr 1, 2012 - Mar 31, 2015
    NIH
    A Lifestyle Physical Activity Intervention for Older Sedentary Women
    Role: Principal Investigator
    R15NR012832     (LEFLER, LEANNE L)Apr 1, 2012 - Mar 31, 2015
    NIH
    A Lifestyle Physical Activity Intervention for Older Sedentary Women
    Role: Principal Investigator
         (LEFLER, LEANNE)Apr 1, 2012 - Mar 31, 2014
    University of Arkansas for Medical Sciences, Translational Research Institute
    A Lifestyle Physical Activity Intervention for Older, Sedentary Women
    Role: Principal Investigator
    2010-0188     (BEVERLY, CLAUDIA)Jan 1, 2011 - Aug 31, 2013
    John A. Hartford Foundation
    Arkansas Hartford Center for Geriatric Nursing Excellence Renewal Proposal
    Role: Co-Investigator
    VISN-16     Apr 1, 2009 - Sep 1, 2012
    Department of Veterans Affairs
    A typology of heart failure patients’ preferences for end-of-life communication with healthcare providers
    Role: Co-Investigator
         (LEFLER, LEANNE)Sep 1, 2008 - Sep 1, 2009
    American Nurses Foundation
    Exploring Self-Perceived Cardiac Risk in Older Black and White Women.
    Role: Principal Investigator
         (LEFLER, LEANNE)Jan 1, 2008 - Dec 31, 2009
    Tailored Biobehavioral Intervention Research Center; National Institutes of Health, National Institute of Nursing Research funded P20 Center
    Exploring Attitude and Belief Factors for Risk Factor Reduction in Older Women after Cardiac Rehabilitation.
    Role: Principal Investigator
         Apr 1, 2007 - Aug 1, 2008
    Tailored Biobehavioral Intervention Research Center (P 20 Center funded by the National Institute of Nursing Research)
    Adherence to Medications: Older Women with Coronary Heart Disease
    Role: Co-Investigator
    2005-0098     (BEVERLY, CLAUDIA)Jan 1, 2006 - Dec 31, 2010
    John A. Hartford Foundation
    Center of Geriatric Nursing Excellence
    Role: Co-Investigator
         (LEFLER, LEANNE)May 1, 2005 - Dec 31, 2006
    Committee for Allocation of Graduate Research Funds, University of Arkansas for Medical Sciences, Intramural Grant
    Increasing Awareness of Risk and Knowledge of Myocardial Infarction Symptoms Among Older, High-Risk Women.
    Role: Principal Investigator
         (LEFLER, LEANNE)Apr 1, 2005 - Apr 1, 2006
    Sigma Theta Tau International Honor Society of Nursing, Research Grant Award, Gamma Xi Chapter
    Increasing Awareness of Risk and Knowledge of Myocardial Infarction Symptoms Among Older, High-Risk Women.
    Role: Principal Investigator
         (LEFLER, LEANNE)Feb 1, 2001 - Feb 1, 2002
    Sigma Theta Tau International, Honor Society of Nursing Research Grant Award, Kappa Rho Chapter
    Women’s Delay in Seeking Treatment for Myocardial Infarction
    Role: Principal Investigator
    R01NR004908     (MCSWEENEY, JEAN C)Sep 15, 1999 - Jan 31, 2012
    NIH
    Predicting CHD Events in Black and White Women
    Role: Co-Investigator

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions. Don't see publications published under other names? Login to add alternative names.
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    1. Vincenzo JL, Patton SK, Lefler LL, McElfish PA, Wei J, Curran GM. Older Adults' Perceptions and Recommendations Regarding a Falls Prevention Self-Management Plan Template Based on the Health Belief Model: A Mixed-Methods Study. Int J Environ Res Public Health. 2022 02 09; 19(4). PMID: 35206125.
      View in: PubMed
    2. DeClerk L, Lefler L, Nagel C, Mitchell A, Rojo M, Sparbel K. Why don't all nurse practitioners precept? A comparative study. J Am Assoc Nurse Pract. 2021 12 29; 34(4):668-682. PMID: 34967763.
      View in: PubMed
    3. Vincenzo JL, Patton SK, Lefler LL, McElfish PA, Wei J, Curran GM. A qualitative study of older adults' facilitators, barriers, and cues to action to engage in falls prevention using health belief model constructs. Arch Gerontol Geriatr. 2022 Mar-Apr; 99:104610. PMID: 34954649.
      View in: PubMed
    4. Patton S, Vincenzo J, Lefler L. Gender Differences in Older Adults' Perceptions of Falls and Fall Prevention. Health Promot Pract. 2022 09; 23(5):785-792. PMID: 33969733.
      View in: PubMed
    5. Vincenzo JL, Patton SK, Lefler LL, Falvey JR, McElfish PA, Curran G, Wei J. Older Adults' Perceptions Regarding the Role of Physical Therapists in Fall Prevention: A Qualitative Investigation. J Geriatr Phys Ther. 2022 Jul-Sep 01; 45(3):E127-E136. PMID: 33782360.
      View in: PubMed
    6. Harris M, Rhoads SJ, Rooker JS, Kelly MA, Lefler L, Lubin S, Martel IL, Beverly CJ. Using Virtual Site Visits in the Clinical Evaluation of Nurse Practitioner Students: Student and Faculty Perspectives. Nurse Educ. 2020 Jan/Feb; 45(1):17-20. PMID: 31145178.
      View in: PubMed
    7. Lefler LL, Rhoads SJ, Harris M, Funderburg AE, Lubin SA, Martel ID, Faulkner JL, Rooker JL, Bell DK, Marshall H, Beverly CJ. Evaluating the Use of Mobile Health Technology in Older Adults With Heart Failure: Mixed-Methods Study. JMIR Aging. 2018 Dec 04; 1(2):e12178. PMID: 31518257.
      View in: PubMed
    8. Evans BA, Beverly CJ, Tsai PF, Rettiganti M, Lefler LL, Parks RF. Older Adults' Live Demonstration of Electronic Personal Health Record Use: Factors Mediating Initial Proficiency. Comput Inform Nurs. 2018 Dec; 36(12):603-609. PMID: 29927765.
      View in: PubMed
    9. Smith-Blair N, Lefler LL. President's message: Sharing our talents. Res Nurs Health. 2018 02; 41(1):6-8. PMID: 29266333.
      View in: PubMed
    10. Tate LM, Tsai PF, Rettiganti M, Landes RD, Lefler LL, Bryant-Moore K. Examining Exercise in Older Adults Using the Theory of Planned Behavior and Temporal Discounting. Res Gerontol Nurs. 2017 11 01; 10(6):252-259. PMID: 29156065.
      View in: PubMed
    11. Lefler LL, Jones S, Harris B. Key Strategies for Physical Activity Interventions Among Older Women: Process Evaluation of a Clinical Trial. Am J Health Promot. 2018 03; 32(3):561-570. PMID: 28587472.
      View in: PubMed
    12. Smith-Blair N, Lefler LL. Chasing the Dream: Message From the President. Res Nurs Health. 2017 02; 40(1):6-8. PMID: 27891640.
      View in: PubMed
    13. Smith-Blair N, Hernandez-Leveille M, Lefler LL. Together We Can Do Much: Message from the President. Res Nurs Health. 2016 12; 39(6):396-398. PMID: 27740693.
      View in: PubMed
    14. Tate LM, Tsai PF, Landes RD, Rettiganti M, Lefler LL. Temporal discounting rates and their relation to exercise behavior in older adults. Physiol Behav. 2015 Dec 01; 152(Pt A):295-9. PMID: 26440317.
      View in: PubMed
    15. Thomason A, Capps N, Lefler L, Richard-Davis G. Factors Affecting Gynecologic and Sexual Assessment in Older Women: A Lesson for Primary Care Providers. Healthcare (Basel). 2015 Aug 11; 3(3):683-94. PMID: 27417790.
      View in: PubMed
    16. Lefler LL, Hadley M, Tackett J, Thomason AP. New cardiovascular guidelines: Clinical practice evidence for the nurse practitioner. J Am Assoc Nurse Pract. 2016 May; 28(5):241-8. PMID: 26011030.
      View in: PubMed
    17. Lefler, L.L. Research in Nursing and Health. Reflections on the Value of Professional Memberships (Editorial). 2015; 38(4):255-56. doi: 10.1002/nur.21669.
    18. Lefler LL. Commentary on: Disparities in patients presenting to the emergency department with potential acute coronary syndrome: it matters if you are Black or White. Heart Lung. 2014 Jul-Aug; 43(4):265-6. PMID: 24992879.
      View in: PubMed
    19. Lefler, L.L., Garner, K.K., McSweeney, J.C., Lensing, S.Y., Packard, K.A. Dubbert, P., Hayman, K. B. Southern Nursing Research Society Annual Conference,Abstract Proceedings. Baseline Physical Activity Levels from a Randomized Controlled Trial of a Lifestyle Intervention in Sedentary Older Women. 2014.
      View Publication
    20. Garner, K., Dennis, R., Lefler, L., Padala, P., Padala, K., Dubbert, P. Bopp, M., Sullivan, D., Kirchner, J. Journal of Pain and Symptom Management. Opt-out as a recruitment method for enhancing participation in research with chronically and seriously ill patients. 2013; 45(2):431-2.
    21. Lefler LL, McSweeney JC, Garner KK. "Missing pieces": exploring cardiac risk perceptions in older women. Res Gerontol Nurs. 2013 Apr; 6(2):107-15. PMID: 23293985.
      View in: PubMed
    22. Lefler, L. L., Garner, K. K., McSweeney, J. C., Lensing, S.Y. Hayman, K.B., Packard, K. A. Virginia Henderson Global Nursing e-Repository. A randomized controlled clinical trial of a lifestyle intervention in sedentary older women: Preliminary results describing baseline physical activity levels. 2013.
      View Publication
    23. Garner, K.K., Lefler, L.L. …& Sullivan, D.H. Journal of the American Geriatrics Society. Heart Failure Patients Preferences for Communication About End-of-life Care. 2013; 61(Suppl s1):2-6.
    24. Lefler, L.L. , Lensing, S.Y., Garner, K.K., McSweeney, J.C. The Gerontologist. Improving optimal aging with physical activity: Challenges in quantifying physical activity with tri-axial accelerometers in a randomized controlled clinical trial for older women. 2013; 53(S1).
    25. Lensing, S.Y., Lefler, L. L., McSweeney, J. C., Garner, K. K. Society of Clinical Trials Annual Conference, Conference Abstracts. Challenges in quantifying physical activity with tri-axial accelerometers in a randomized controlled clinical trial of a lifestyle intervention in sedentary older women. 2013.
      View Publication
    26. Lefler, L.L., Garner, K. K. Southern Nursing Research Society Annual Conference, Abstract Proceedings. A Typology of Heart Failure Patients’ Preferences for EOL Communication with Healthcare Providers. 2013.
      View Publication
    27. McSweeney J, Pettey C, Lefler LL, Heo S. Disparities in heart failure and other cardiovascular diseases among women. Womens Health (Lond). 2012 Jul; 8(4):473-85. PMID: 22757737.
      View in: PubMed
    28. Lefler, L.L., McSweeney, J.C. Garner, K.K. Meaux, J.B. The Gerontologist. Perceptions of lifestyle behavior modification among older women with and without coronary heart disease. 2012; 52(S1):NP doi:10.1093/geront/gns201.
    29. Lefler, L.L., McSweeney J.C., Meaux, J.B.; Garner, K.K. Southern Nursing Research Society, Conference Proceedings. Perceptions of lifestyle behavior modification among older women with and without coronary heart disease. 2012.
      View Publication
    30. Lefler, L. L. Southern Connections Newsletter. Annual Conference Update 2013: Expanding networks of knowledge for health care innovations. 2012; 26(2).
    31. Lefler, L. L., McSweeney, J. C., Meaux, J., & Garner, K. K. Circulation 124A 17315. Comparing knowledge & attitudes about CHD prevention among older women prior to and after a cardiac event. 2011.
    32. Lefler, L. L., McSweeney, J. C., & Brown, D. F. The 22nd Annual Nursing Research Congress, Sigma Theta Tau International. Virginia Henderson International Nursing Library. Beliefs regarding lifestyle health behaviors among older women in the “stroke belt”. 2011.
      View Publication
    33. Lefler, L. L., McSweeney, J. C., & Brown, D. F. Southern Online Journal of Nursing Research. Exploring attitude and belief factors for risk factor reduction in older women after cardiac rehabilitation. 2011; 11(2):F5-5.
    34. McSweeney JC, Cleves MA, Zhao W, Lefler LL, Yang S. Cluster analysis of women's prodromal and acute myocardial infarction symptoms by race and other characteristics. J Cardiovasc Nurs. 2010 Jul-Aug; 25(4):311-22. PMID: 20539165.
      View in: PubMed
    35. McSweeney JC, O'Sullivan P, Cleves MA, Lefler LL, Cody M, Moser DK, Dunn K, Kovacs M, Crane PB, Ramer L, Messmer PR, Garvin BJ, Zhao W. Racial differences in women's prodromal and acute symptoms of myocardial infarction. Am J Crit Care. 2010 Jan; 19(1):63-73. PMID: 20045850.
      View in: PubMed
    36. West D, Lefler L, Franks A. Examining medication adherence in older women with coronary heart disease. J Women Aging. 2010; 22(3):157-70. PMID: 20661804.
      View in: PubMed
    37. Lefler, L. L., Cho, N., Buron, W., & Rose, K. Southern Online Journal of Nursing Research. JA Hartford Fellows and Scholars symposium: Challenges of caring for aging baby boomers:The challenge of improving risk perceptions among older women for the prevention of coronary heart disease. 2010; 10(2).
    38. Garner, K. K., Lefler, L. L., Kirchner, J. E., & Sullivan, D. H. Surrogate decision making: Medical and legal implications for healthcare providers. Clinical Geriatrics. 2010; 18(7/8).
    39. Lefler LL, Nuss RL. Double jeopardy! Heart disease risk factors for older African American and Caucasian women. Medsurg Nurs. 2009 Nov-Dec; 18(6):347-54. PMID: 20088188.
      View in: PubMed
    40. Lefler LL. Ten commandments of faith-based recruitment. Res Gerontol Nurs. 2009 Oct; 2(4):243-50. PMID: 20077979.
      View in: PubMed
    41. Lefler, L. L. The Gerontologist. Older Black and White women’s cardiac risk perceptions. 2009; 48(Suppl 2):1-532. doi:10.1093/geront/gnp1.
    42. Lefler, L.L. Southern Online Journal of Nursing Research. X Commandments of faith-based recruitment for older Black and White women. 2009; 9(2).
    43. Lefler, L. L., West, D., & Franks, A. Journal of Cardiovascular Nursing. Examining medication adherence in older women for secondary prevention of coronary heart disease. 2009; 24(4).
    44. Lefler, L. L., West, D., & Franks, A. Southern Online Journal of Nursing Research. Barriers to medication adherence in older women with CHD. 2009; 9(2).
    45. Lefler, L. L. Perceived cardiac risk among older, Black and White high-risk women. Southern Online Journal of Nursing Research. 2009; 9(3).
    46. McSweeney, J. C., & Lefler, L. L. Braunwald's cardiac nursing: A companion to Braunwald’s heart disease. Women and cardiovascular disease. 2008.
    47. Lefler, L. L., & West, D. Central Arkansas Veterans Health Care System Program Abstracts. Medication adherence in older women with coronary heart disease: Preliminary findings. 2008.
    48. Lefler, L. L., & McSweeney, J. C. Southern Online Journal of Nursing Research. An intervention to increase accuracy of risk perceptions and knowledge of myocardial infarction symptoms among older, Black and White high-risk women. 2008; 8(2).
    49. McSweeney JC, Lefler LL, Fischer EP, Naylor AJ, Evans LK. Women's prehospital delay associated with myocardial infarction: does race really matter? J Cardiovasc Nurs. 2007 Jul-Aug; 22(4):279-85; quiz 286-7. PMID: 17589279.
      View in: PubMed
    50. Lefler, L. L., & McSweeney, J. C. The Gerontologist. Increasing accuracy of risk perceptions and knowledge of myocardial infarction symptoms among older, Black & White high-risk women. 2007; 47(Spcl Is 11):1-839. doi: 10.1093/geront/47..
    51. McSweeney, J. C., Cleves, M. A., Lefler, L. L., & Yang, S. Circulation. Cluster analysis of women’s prodromal and acute myocardial infarction symptoms. 2007; 116(16SII):676.
    52. Lefler, L. L. Summer Institute on Aging Research Program Abstracts. A tailored bio-behavioral intervention for elder women at high-risk for coronary heart disease. 2007.
    53. Lefler, L. L. Southern Online Journal of Nursing Research. A descriptive study highlighting the need for tailored bio-behavioral interventions among older. 2007; 8(2).
    54. McSweeney, J. C., O’Sullivan, P., Cody, M., Kovacs, M., Dunn, M., Lefler, L.L.,Green, A. Circulation. Comparing Black, Hispanic and White women’s prodromal and AMI symptoms. 2007; 114(18):3306.
    55. McSweeney, J. C., O’Sullivan, P., Cody, M., & Lefler, L. L. Southern Online Journal of Nursing Research, Conference Abstracts. Black women’s symptoms of coronary heart disease. 2006.
    56. McSweeney, J. C., O’Sullivan, P., Cody, M., & Lefler, L. L. Circulation. Black women’s symptoms of coronary heart disease. 2005; 112(17):1915.
    57. McSweeney, J. C., & Lefler, L. L. Southern Nurses Research Society. Comparison of prodromal symptoms in men and women. 2005.
      View Publication
    58. McSweeney JC, Lefler LL, Crowder BF. What's wrong with me? Women's coronary heart disease diagnostic experiences. Prog Cardiovasc Nurs. 2005; 20(2):48-57. PMID: 15886547.
      View in: PubMed
    59. Lefler LL, Bondy KN. Women's delay in seeking treatment with myocardial infarction: a meta-synthesis. J Cardiovasc Nurs. 2004 Jul-Aug; 19(4):251-68. PMID: 15326981.
      View in: PubMed
    60. Lefler LL. Perceived risk of heart attack: a function of gender? Nurs Forum. 2004 Apr-Jun; 39(2):18-26. PMID: 15296193.
      View in: PubMed
    61. Lefler, L. L. . Southern Nurses Research Society 18th Annual Conference, Conference Proceedings. Women’s delay in seeking treatment with myocardial infarction: A meta-synthesis. 2004.
      View Publication
    62. Lefler L. The advanced practice nurse's role regarding women's delay in seeking treatment with myocardial infarction. J Am Acad Nurse Pract. 2002 Oct; 14(10):449-56. PMID: 12426802.
      View in: PubMed
    63. Garner, K.K., Lefler, L.L., McSweeney, J.C., Dubbert, P., Sullivan, D.H., Kirchner, J.E. Hospital executive perceptions of end-of-life care. Sage Open. April-June:1-6. Doi: 10.1177/215824401559.
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