Shelli Feder, PhD, APRN, FNP (BC), ACHPN, FAAN
Associate Professor TenureCards
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Titles
Associate Professor Tenure
Assistant Professor, Yale School of Nursing; Associate Program Director National Clinician Scholars Program, Internal Medicine
Biography
Dr. Feder is an Associate Professor at the Yale School of Nursing and Co-Directs the Yale National Clinician Scholars Program. She received her undergraduate degree in nursing from Florida State University and her Masters and Doctoral degree in Nursing from the Yale University School of Nursing. She completed a post-doctoral fellowship with the National Clinician Scholars Program at Yale University in 2019. Dr. Feder started her nurse practitioner career in 2010 working with a hospitalist service. She has been practicing as a palliative care nurse practitioner since 2013. She is an Advanced Certified Palliative and Hospice Nurse. Dr. Feder joined the Yale School of Nursing as an Assistant Professor in 2019.
Departments & Organizations
- Janeway Society
- National Clinician Scholars Program
- Palliative and End-of-Life Care Education
- Patient Priorities Care
Education & Training
- PhD
- Yale University (2017)
Research
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Overview
An organizational health services researcher, Dr. Feder’s research interests include palliative and end-of-life care delivery for people with non-cancer serious illness, health policy related to palliative and end-of-life care, medical informatics, and digital health interventions. She has expertise in qualitative and mixed methods and implementation science. Dr. Feder is spearheading a four-year research study funded by the National Heart, Lung, and Blood Institute to uncover the systemic factors contributing to the wide variation in palliative care uptake and the quality of end-of-life care for Veterans with heart failure. Additionally, she is leading a three-year study focused on developing and evaluating a clinical decision support tool aimed at promoting early palliative care for patients hospitalized with heart failure within the Yale New Haven Health System.
Public Health Interests
ORCID
0000-0002-8059-9281- View Lab Website
The Palliative and End-of-Life Care Innovation Lab (PECIL)
Research at a Glance
Yale Co-Authors
Publications Timeline
Kathleen Akgün, MD, MS
Ling Han, MD, PhD, MS
Erica A. Abel, PhD
Nancy Schmieder Redeker, RN, MSN, PhD, FAHA, FAAN
Janene Batten, EdD, MLS
Thomas M. Gill, MD
Publications
2026
Clinician Staffing, Palliative Uptake, and End-of-Life Care in Heart Failure in Veterans Affairs Medical Centers.
Feder S, DeRycke E, Abel E, Han L, Kinder D, Backman M, Ibarra J, MHS. Clinician Staffing, Palliative Uptake, and End-of-Life Care in Heart Failure in Veterans Affairs Medical Centers. Journal Of Pain And Symptom Management 2026, 71: e772-e773. DOI: 10.1016/j.jpainsymman.2026.04.023.Peer-Reviewed Original ResearchConceptsVeterans Affairs Medical CenterEnd-of-lifeFull-time equivalentStaffing modelsAffairs Medical CenterPalliative careEnd-of-life care qualityEnd-of-life careQuality outcomesSecondary analysisPhysician full-time equivalentBackground Palliative careDepartment of Veterans Affairs Medical CenterMedical CenterGeneralized Estimating EquationsProportion of peopleCare uptakeHospice enrollmentClinician staffingCare qualityStaffing ratiosHigher physicianCohort dataTeam staffingStaffingPrognostic Communication and End-of-Life Preparation in Pediatric Oncology: a Mixed-Methods Study
Ouyang N, Knobf T, Ananth P, Baker J, Backman M, Feder S, Snaman J. Prognostic Communication and End-of-Life Preparation in Pediatric Oncology: a Mixed-Methods Study. Journal Of Pain And Symptom Management 2026, 71: e863-e864. DOI: 10.1016/j.jpainsymman.2026.04.133.Peer-Reviewed Original ResearchConceptsCross-sectional surveyPrognostic communicationCross-sectional survey of parentsPillar Integration ProcessSequential mixed-methods designExplanatory sequential mixed-methods designMixed-methods designMixed-methods studyMultiple logistic regressionEOL careSemi-structured interviewsPrognostic conversationsSurvey of parentsInterview guideBereaved parentsSupport resourcesProlonged griefMixed-methodsPediatric oncologyCancer 6Logistic regressionSurvey findingsEOLPreparednessAdequate prognostic informationFinding Meaning in Medication Management in Dementia.
Feder S, David D, Schulman-Green D. Finding Meaning in Medication Management in Dementia. JAMA Internal Medicine 2026 PMID: 42189516, DOI: 10.1001/jamainternmed.2026.1568.Peer-Reviewed Original ResearchAltmetricDesigning a clinical decision support tool to promote timely palliative care in heart failure
Men Y, Wright N, O'Connor G, Kaur H, Suh E, Chen J, Kadhim B, Ahmad T, Beasley M, Segar N, Quang J, Sharifi M, Feder S. Designing a clinical decision support tool to promote timely palliative care in heart failure. Heart & Lung 2026, 79: 102821. PMID: 42068688, PMCID: PMC13206645, DOI: 10.1016/j.hrtlng.2026.102821.Peer-Reviewed Original ResearchAltmetricConceptsClinical decision support toolPalliative carePalliative care decision-makingAvoidable healthcare utilizationPalliative care involvementPalliative care cliniciansDecision support toolHealthcare utilization dataMarker of clinical deteriorationAcademic health systemClinical decision supportCare decision-makingQualitative descriptive studyQuality of lifeDecision supportCare involvementInterruptive alertsCare cliniciansHealthcare utilizationSupport toolHealth systemWorkflow challengesFocus groupsDescriptive studyReferral timeDiscontinuation of Medications With Limited Benefit at End of Life in Community‐Dwelling Older Veterans
Thorpe J, Tran K, Aspinall S, Feder S, Kaufman B, Kutney‐Lee A, Mor M, Schleiden L, Sileanu F, Thorpe C, Van Houtven C. Discontinuation of Medications With Limited Benefit at End of Life in Community‐Dwelling Older Veterans. Journal Of The American Geriatrics Society 2026, 74: 1326-1338. PMID: 41925169, DOI: 10.1111/jgs.70381.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsCommunity-dwelling older veteransLife-limiting conditionsOlder veteransNational cohort studyLimited life expectancyCommunity-based healthcare providersLong-term care populationSpecialty palliative careMultivariable robust Poisson regressionEnd of lifeLife expectancyEnd-of-lifeRobust Poisson regressionConsensus-based criteriaDiscontinuation of medicationQuality of lifeHospice settingPalliative careAdvanced illnessVeteran decedentsNursing homesHealthcare providersCare populationRural countiesPoisson regression1688: IMPROVING INTENSIVE END-OF-LIFE CARE FOR INFANTS & CHILDREN: SCOPING REVIEW OF INTERVENTION ELEMENTS
Broden-Arciprete E, Ouyang N, Wawrzynski S, Eche-Ugwu I, Snaman J, Batten J, Costa D, Feder S. 1688: IMPROVING INTENSIVE END-OF-LIFE CARE FOR INFANTS & CHILDREN: SCOPING REVIEW OF INTERVENTION ELEMENTS. Critical Care Medicine 2026, 54 DOI: 10.1097/01.ccm.0001188748.96783.d6.Peer-Reviewed Original ResearchConceptsFactors influencing patient-reported symptom outcomes in women with metastatic breast cancer
Zhan Y, Feder S, Lustberg M, Rosenzweig M, Tay D, Knobf T. Factors influencing patient-reported symptom outcomes in women with metastatic breast cancer. Supportive Care In Cancer 2026, 34: 237. PMID: 41731206, DOI: 10.1007/s00520-026-10489-1.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsMD Anderson Symptom InventorySymptom burdenSymptom severityNon-whiteSymptom management interventionsMetastatic breast cancerHigh symptom burdenPatient-reported symptom severityTotal symptom burdenDependent childrenCross-sectional studyBreast cancerClinical factorsHigher symptom severitySymptom interferenceOncology clinicMetastatic breast cancer diagnosisSystemic cancer treatmentPrevalent symptomsCancer treatmentSymptom InventorySymptom outcomesManagement interventionsMetastatic breast cancer populationAdvocacy organizationsCardiac Rehabilitation Utilization Among Veterans A Sex-Based Analysis
Varghese M, Han L, Gandhi P, Skanderson M, Wu W, Drwal K, Burg M, Kazi D, Gaffey A, Levy D, Feder S, Mayberry B, Farmer M, Mattocks K, Brandt C, Bastian L, Akgün K. Cardiac Rehabilitation Utilization Among Veterans A Sex-Based Analysis. JACC Advances 2026, 5: 102615. PMID: 41713154, PMCID: PMC12933818, DOI: 10.1016/j.jacadv.2026.102615.Peer-Reviewed Original ResearchAltmetricConceptsArea Deprivation IndexCR participationSocioeconomic statusCardiac rehabilitationWomen veteransArea deprivation index quartilePatient levelCR delivery modelsMental health risk factorsRural-urban statusElectronic health record databaseCommunity-level factorsHealth risk factorsLow socioeconomic statusCommunity-level characteristicsHealth record databaseMultivariate logistic regression modelLogistic regression modelsDeprivation indexRehabilitation utilizationCR sessionsNon-VeteransRetrospective cohort studyMen veteransDelivery modelsUnderstanding the Association Between Substance Use and Loneliness in Midlife and Older Adults
Poghosyan H, McIntosh J, Sarkar S, Ramos S, Empleo-Frazier O, Colline N, Feder S. Understanding the Association Between Substance Use and Loneliness in Midlife and Older Adults. International Journal Of Environmental Research And Public Health 2026, 23: 151. PMID: 41752234, PMCID: PMC12941116, DOI: 10.3390/ijerph23020151.Peer-Reviewed Original ResearchCitationsAltmetricConceptsSubstance useOlder adultsSecondary analysis of cross-sectional dataSecondary analysisAnalysis of cross-sectional dataFeelings of lonelinessCross-sectional dataSocial determinantsPublic health concernReport substance useRelative riskAdult populationHealth concernAge groupsLonelinessAdultsMidlifeSocial connectionsParticipantsIndependent variablesAssociationUseHealthYearsGroup
2025
Advance directives prior to COVID-19 diagnosis in a United States national healthcare system
Schwartz A, Tate J, Lehmann L, King J, Walenczyk K, Levin W, Feder S, Justice A, Akgün K. Advance directives prior to COVID-19 diagnosis in a United States national healthcare system. PLOS ONE 2025, 20: e0338825. PMID: 41417841, PMCID: PMC12716786, DOI: 10.1371/journal.pone.0338825.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsAD completionVeterans Health AdministrationAdvance directivesNational healthcare systemAssociated with AD completionHealthcare systemUnited States Veterans Health AdministrationCohort studyCalendar quarterElevated riskHealth care preferencesHealth care utilizationElectronic health recordsMortality index scoresHigh riskAD documentationCare preferencesNH whitesCare utilizationNH BlackHealth recordsHealth AdministrationMarital statusCOVID-19Hispanic groups
News
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News
- October 13, 2025Source: Yale News
‘A good death’: How compassionate care helps people navigate the end of life
- January 08, 2024
Use of Palliative Care for ICU Patients, Families
- October 25, 2023
Assessing Symptoms in Older Adults After Critical Illness
- November 16, 2022
Discoveries & Impact (November 2022)
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