Debra Wiegand, PhD, RN, CCRN, CHPN, FAHA, FPCN, FAAN

Debra Wiegand headshotAssociate Professor, OSAH
Address: 445C
Phone Number: 410-706-7786
Fax Number: 410-706-0344


  • Post-Doc, Yale University School of Nursing, New Haven, Connecticut
  • PhD, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania
  • MBE, University of Pennsylvania Center for Bioethics, Philadelphia, Pennsylvania
  • MSN, Wayne State University College of Nursing, Detroit, Michigan
  • BSN, Bowling Green State University School of Nursing, Bowling Green, Ohio
  • Diploma, MB Johnson School of Nursing, Elyria, Ohio


  • Preparing Family Caregivers: How They Understand and Prepare for Surrogate Decision Making, R01, NIH, NINR. Co-PIs: Michael Green & Benjamin Levy; Co-Is: Lauren Van Scoy, Debra Wiegand. 9/26/17 – 6/30/18.
  • Interventions to Help Families After the Death of an ICU Patient. Debra Wiegand, PI. Research Grant, Pi Chapter of Sigma Theta Tau International Honor Society of Nursing, 8/1/17 -7/31/18 and 1 year extension.
  • Interprofessional Approach to Advance Care Planning. PI: Leah Milstein; Co-Is: John Cagle, Steven Eveland, Debra Wiegand. Research Grant, University of Maryland Interprofessional Education (IPE) Center SEED Grant Award. 6/2017 – 6/2018.
  • A Nationwide Survey of Hospice Agencies to Understand Drug Diversion Prevention and Medication Disposal Practices during a National Opioid Epidemic. PI: John Cagle. Co-Is: Lynn McPherson, Paul Sacco, Jodi Frey. Consultants: Jack Guralnik, Diane Hoffman, Debra Wiegand  Center for Addiction Research, Education, and Service (CARES) Research Grant; UMB SSW; the Hospice Foundation of America.
  • Developing Active Learning for an Interprofessional Online Course on Palliative Care.               PI: Mary Lynn McPherson; Palliative Care Advisory Group: Nina Bemben, John Cagle, Delia Chiaramonte, Karen Kaiders, Kashelle Lockman, Michelle Pearce, Douglas Ross, Leah Sera, Kathryn Walker, Debra Wiegand. 6/17 – 12/17.
  • ICU Survivors and their Families. Netzer ( PI);  Wiegand (Co-I) . 6/1/16 – present
  • Outcomes of Bereaved Families of Adult ICU Patients. 9/1/16 – present. Pilot work is focused on family physical and psychological outcomes after the death of an adult family member in the ICU. (Collaborating with J. Cagle, K. Kaiser, M. Pearce).
  • Preparing Families for the Dying Process. Debra Wiegand, PI: 2012-2015 with no cost extension from NIH, NINR (1R21NR013721-01). Co-investigators: Shijun Zhu.
  • Family Experience: End of Life for a Family Member with a Chronic Illness.  PI:  2009 – present from NIH, NINR (1R15NR010139). Co-investigators: Barker Bausell, Deborah McGuire.
  • Assessment of Pain in the Critically Ill. Co-PI with Diane Pannullo and Tracey Wilson: 2007-2011. Awarded a grant from the University of Maryland School of Nursing and the University of Maryland Medical Center.
  • Withdrawal of Life-Sustaining Therapy after a Life-Threatening Exacerbation of a Chronic Illness: The Family Experience. PI: 2005-present. Awarded grants from The American Nurses Foundation, Sigma Theta Tau International and the National Hospice and Palliative Care Nurses’ Association, and the University of Maryland School of Nursing.
  • Family Experiences Participating in the Process of Withdrawal of Life-Sustaining Therapy: A Follow up Investigation. PI: 2003-2007. Postdoctoral Fellowship support from NIH/NINR (T32-NR08346). Awarded an Initiating Hospice Care in Critical Care grant from the American Association of Critical-Care Nurses, a grant from Delta Mu Chapter of Sigma Theta Tau, and a grant from the Southeastern Pennsylvania Chapter of the American Association of Critical-Care Nurses.
  • Moral Distress and Critical Care Nurses. PI: 2003-2006. Awarded a grant from the Southeastern Pennsylvania Chapter of the American Association of Critical-Care Nurses.
  • Family Experiences Participating in the Process of Withdrawal of Life-Sustaining Therapy. PI: 2000-2003. Awarded an Individual Predoctoral Fellowship from NIH/NINR (5-F31-NR07558-03). Awarded a Mentorship Award from the American Association of Critical-Care Nurses.
  • The Impact of an ICU Tour on Patient and Family Anxiety. PI: 1990-1994. Awarded a grant from Thomas Jefferson University Hospital, Department of Nursing, Philadelphia and a grant from the Southeastern Pennsylvania Chapter of the American Association of Critical-Care Nurses.

Recent Publications

  • Wiegand DL, Wilson T, Pannullo D, Russo MM, Kaiser KS, Soeken K, McGuire DB. (2018). Measuring acute pain over time in the critically ill using the multidimensional objective pain assessment tool (MOPAT). Pain Management Nursing, 19(3), 277-287.
  • Leiter N, Motta M, Reed R.M. Adeyeye T, Wiegand DL, Shah NG, Verceles AC, Netzer G. (2018).  Numeracy and interpretation of prognostic estimates in intracerebral hemorrhage among surrogate decision makers in the neurologic ICU. Critical Care Medicine, 46(2), 264-271.
  • Hopkinson SG, Wiegand DL. (2017). The culture contributing to interruptions in the nursing work environment: An ethnography. Journal of Clinical Nursing, 26(23-24), 5093-5102.
  • Krochmal, R.L., Blenko, J.W., Afshar, M. Netzer, G., Roy, S.C., Wiegand, D.L., Shanholtz C. (2017).  Family presence at first cardiopulmonary resuscitation and subsequent limitations on care in the medical intensive care unit.” American Journal of Critical Care, 26(3), 221-228.
  • Wiegand, D.L., & Cheon, J. (2017). Palliative and end-of-life care (pp. 823-836). In V.S. Good, P. Kirkwood (Eds.), Advanced  Critical Care Nursing. 2nd ed. St. Louis, Missouri: Elsevier.
  • Wiegand, D.L. & Hinderer, K.A. (2016). Advance Care Planning: Advance Directives, Medical Order Sets, & Surrogate Decision Making.  In C. Dahlin,  P.J. Coyne, & B. R Ferrell (Eds.). Advanced Practice Palliative Nursing. New York: Oxford University Press.
  • Braun LT, Grady KL, Kutner JS, Adler E, Berlinger N, Boss R, Butler J, Enguidanos S, Friebert S, Gardner TJ, Higgins P, Holloway R, Konig M, Meier D, Morrissey MB, Quest TE, Wiegand DL, Coombs-Lee B, Fitchett G, Gupta C, Roach WH Jr; on behalf of the American Heart Association Advocacy Coordinating Committee (2016). Palliative care and cardiovascular disease and stroke: a policy statement from the American Heart Association/American Stroke Association. Circulation, 134 (11), e198-e225.
  • Wiegand, D.L. (2016). Family experiences during the dying process after withdrawal of life-sustaining therapy in the ICU. Dimensions of Critical Care Nursing, 35(3), 160-166.
  • Nadarajah, S.R., Buchholtz, S.W., Wiegand, D.L., Berger, A. (2016). The lived experience of individuals in cardiac rehabilitation who have a positive outlook on their cardiac recovery: A phenomenological inquiry. European Journal of Cardiovascular Nursing, 16(3):230-239.
  • Buonocore D., Wiegand, D.L. (2015). Palliative care for advanced practice nurses: Symposium introduction. AACN Advanced Critical Care, 26(2), 108-109.
  • Wiegand D.L., MacMilan J., dos Santos M.R., Bousso R.S. (2015). Palliative and end-of-life ethical dilemmas in the intensive care unit. AACN Advanced Critical Care, 26(2), 142-150.
  • Cheon J., Coyle N., Wiegand D.L., & Welsh S. (2015). Ethical issues experienced by hospice and palliative nurses. Journal of Hospice & Palliative Nursing, 17(1), 7-13.
  • Grant M.S., Wiegand D.L., Dy S. (2014). Asking questions of a palliative care nurse practitioner on a pancreatic cancer website. Palliative & Supportive Care, 9;1-7.
  • Arbour R., Wiegand D.L. (2014). Self-described nursing roles experienced during care of dying patients and their families: A phenomenological investigation. Intensive Care Nursing, 30(4):211-218.
  • Wiegand D.L., Grant M.S. (2014). Bioethical issues related to limiting life-sustaining therapies in the intensive care unit. Journal of Hospice & Palliative Nursing, 16(2), 60-64.
  • Wiegand, D.L., Grant, M., Cheon, J. & Gergis, M.A. (2013). Family-Centered End-of-Life Care in the ICU. Journal of Gerontological Nursing, 39(8), 60-68.
  • Grant, M.S., & Wiegand, D.L. (2013). Talking with strangers: Needs of Patients and Families Accessing an Online Palliative Care Website. Journal of Hospice & Palliative Nursing, 15(5):278-285.
  • Wiegand, D.L., &  Russo, M.M. (2013).  Ethical considerations. In C. Dahlin, M. Lynch (Eds.), Core Curriculum for the Advanced Practice Hospice & Palliative Registered Nurse. Pittsburgh: Hospice and Palliative Nurses Association
  • Wiegand, D.L., & Funk, M. (2012). Consequences of clinical situations that cause critical care nurses to experience moral distress.  Nursing Ethics, 19(4), 479-487.
  • Wiegand, D.L.  (2012). Family management after the sudden death of a family member.  Journal of Family Nursing, 18(1), 146-163.
  • Grant, M.S., & Wiegand, D.L. (2011). Palliative care online: A pilot study on a pancreatic cancer website. Journal of Palliative Medicine, 14(7), 846-851.
  • Wiegand DL, Petri L. (2010). Is a Good Death Possible after Withdrawal of Life-Sustaining Therapy? Critical Care Nursing Clinics of North America, 45(3), 427-440.
  • Lampert R, Hayes D, Annas GJ, Farley MA, Farley MA, Goldstein NE, Hamilton R, Kay N, Kramer DB, Mueller PS, Padeletti L, Pozuelo L, Schoenfeld MH, Vardas PE, Wiegand DL, Zellner R. HRS Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices (CIEDs) in patients nearing end of life or requesting withdrawal of therapy. (2010).HeartRhythm, 7(7):1008-1026.
  • Wiegand DL. (2009). Palliative Care. In The Penn Center Guide to Bioethics. In V Ravitsky, A. Fiester, & AL Caplan (eds). New York: Springer Publishing Company.
  • Wiegand DL. (2008). Withdrawal of life-sustaining therapy after sudden, unexpected illness or injury: The family experience. Journal of Palliative Medicine. 11, 1114-1120.  
  • Wiegand DL, Deatrick JA, Knafl K. (2008). Family management styles related to withdrawal of life-sustaining therapy from adults who are acutely ill or injured. Journal of Family Nursing, 14:16-32.
  • Wiegand DL, Norton SA, Baggs JD. (2008). Challenges in conducting end-of-life research in critical care. AACN Advanced Critical Care, 19:170-177.
  • Wingate S, Wiegand DL. (2008). End-of-life care in the critical care unit for patients with heart failure. Critical Care Nurse, 28:84-95.
  • Wiegand DL., Williams, L. (2008). Palliative and end-of-life care. In K. Carlson (Ed.), AACN Advanced  Critical Care Nursing. Philadelphia: Elsevier.
  • Wiegand DL, Kalowes PG. (2007). Withdrawal of cardiac medications and devices. AACN Advanced Critical Care, 18:415-425.
  • Wiegand DL. (2006). Withdrawal of life-sustaining therapy after sudden, unexpected life-threatening illness or injury: The family experience related to interactions between patients’ families, health care providers and the health care system. American Journal of Critical Care, 15:178-187.  
  • Wiegand DL. (2006). Families and withdrawal of life-sustaining therapy: State of the science. Journal of Family Nursing, 12:165-184.
  • Lynn-McHale DJ, Deatrick J. (2000). Trust between family and health care providers. Journal of Family Nursing, 6:210-230.
  • Engel JD, Kane G, Jones DL, Lynn-McHale DJ, Swartz M, Durbin P, Klingen D. (1997). The patient self-determination act and advance directives: snapshots of activities in a tertiary health care center. Journal of Medical Humanities, 18:193-208.
  • Lynn-McHale DJ, Corsetti AO, Brady-Avis E, Shaffer R, McGrory J, Ruthenberger C. (1997). Preoperative ICU tours: Are they helpful? American Journal of Critical Care, 6: 106-115.
  • Vergara M, Lynn-McHale DJ. (1995). Ethical issues: Withdrawing life support: Who decides? American Journal of Nursing, 95:47-49.
  • Lynn-McHale, D. & Smith, A. (1991). Comprehensive assessment of families of the critically ill. AACN Clinical Issues in Critical Care Nursing, 2:195-209.
  • Lynn-McHale, D. (1988). Need satisfaction levels of family members of critical care patients and accuracy of nurses' perceptions. Heart & Lung, 17:447-453.

Primary Teaching Areas

  • PhD Program: Qualitative Research
  • Undergraduate Program: End of Life
  • Death, Dying, and Mourning: Applied Thanatology Online Graduate Certificate Program
  • Health Care Communication & Decision Making Online Palliative Care Graduate Program

Academic & Professional Activities

  • 2018: President, Hospice & Palliative Nurses Association
  • 2018: Member, Governance Committee, Hospice & Palliative Nurses Association
  • 2018: Member, Audit & Assessment Committee, Hospice & Palliative Nurses Association
  • 2016-present: Member, Board of Directors, Hospice & Palliative Nurses Association
  • 2017: Editor of the American Association of Critical-Care Nurses Procedure Manual for High Acuity & Critical Care. 7th edition. Elsevier: Philadelphia, PA
  • 2017-present: Member, Palliative & Geriatric End-of-Life Standing Committee, National Quality Forum
  • 2016-2017: Member, Palliative & End-of-Life Standing Committee, National Quality Forum
  • 2017-present: Member, Palliative Care Research Cooperative Group
  • April/June 2015: Co-Editor, AACN Advanced Critical Care’s Symposium: Palliative Care for Advanced Practice Nurses
  • 2012-Present: Editorial Board Member, Journal of Hospice and Palliative Nursing
  • 2013-Present: Co-Chairperson, Bioethics Special Interest Group, Hospice and Palliative Nurses Association
  • 2013-2015: Co-Chairperson, American Academy of Hospice & Palliative Medicine & Hospice and Palliative Nurses Association Scientific Subcommittee
  • 2011-2015: Member of the Research Committee, Hospice & Palliative Nurses Association, Pittsburgh, PA
  • 2011-2015: Chairperson of the Research and Scholarship Committee, Pi Chapter of Sigma Theta Tau International, Baltimore, MD
  • 2008-2011: Chairperson Nurses' Scientific Session Program Planning Committee, American Heart Association, Dallas, Texas
  • 2005-2007: Chairperson of the Ethics Advisory Task Force to Address Palliative Care in the ICU, American Association of Critical-Care Nurses, Aliso Viejo, California
  • 2004-2007: Chairperson of the Research Committee, Southeastern Pennsylvania Chapter of the American Association of Critical-Care Nurses, Wynnewood, Pennsylvania
  • End of Life Nursing Education (ELNEC) Faculty for Critical Care ELNEC
  • End of Life Nursing Education (ELNEC) trained for undergraduate and graduate education
  • Faculty Scholar of the Program in Palliative Care Education and Practice, Harvard Medical School Center for Palliative Care