Karen A. Monsen, PhD, RN, FAAN

Karen A. Monsen

6-151B Weaver-Densford Hall
Minneapolis, MN 55455
United States

Dr. Monsen is a professor at the University of Minnesota School of Nursing where she coordinates the DNP Nursing Informatics specialty and directs the Center for Nursing Informatics. Her expertise is in public health nursing and nursing informatics, and her intervention effectiveness research employs diverse methods including theory-based analysis, data mining, visualization and longitudinal analysis. Dr Monsen leads the Omaha System Community of Practice and is the Director of the Omaha System Partnership for Knowledge Discovery and Health Care Quality within the Center for Nursing Informatics. She has worked extensively with health care agencies and systems regarding documentation issues and data management.


Awards & Recognition

  • Fellow, American Medical Informatics Association, 2019
  • Population Health Research Excellence Award, Midwest Nursing Research Society, 2019
  • Health Systems, Policy, and Informatics Senior Investigator Award, Midwest Nursing Research Society, 2019
  • Omaha System Excellence in Research Award, 2019
  • Lillian Wald Award, American Public Health Association PHN Section, 2016
  • Fellow, American Academy of Nursing, 2011
  • Excellence in Education Award, Omaha System International Conference, 2011
  • Junior Investigator Award, Public Health Nursing Section, American Public Health Association, 2010
  • Creative Achievement Award, Public Health Nursing Section, American Public Health Association, 2008
  • Outstanding Graduate Nursing Student of the Year, University of Minnesota School of Nursing Alumni Society, 2006


Professional Associations

  • Center Membership:
    Center for Child and Family Health Promotion Research
    Center for Nursing Informatics (Director)


PhD, Nursing, University of Minnesota, 2006

MS, Nursing, University of Minnesota, 2002

BSN, Nursing, Creighton University, 1978

BA, Biology, Luther College, 1977

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Research Summary/Interests

Use of structured data for knowledge discovery and health care quality research; Intervention effectiveness research; Disseminating effective interventions; Omaha System psychometrics and applications; Visualization, data mining and machine learning methods; Semanitcs-powered text mining

Statement of Advising Philosophy and Expectations for PhD Students

Statement of Advising Philosophy

Research Funding Grants

Title of Project: Use of the Omaha System in Consumer Language to Improve Clinician-Provider Interaction.
Funding Agency: National Institutes of Health CTSI-CEARCH UL1 TR002494
Role: Co-Principal investigator
Project Dates: 2019

Title of Project: Shifting paradigm to strengths using MyStrengths+MyHealth data in Communities
Funding Agency: National Institute of Health CTSI-CEARCH UL1 TR002494
Role: Co-Principal investigator
Project Dates: 2018-2019

Title of Project: Beyond Deficits and Disparities: Toward Understanding of Whole Person Health including Strengths
Funding Agency: National Institute of Health CTSI-CEARCH UL1 TR002494
Role: Co-Principal investigator
Project Dates: 2019-2020


Selected Peer-Reviewed Publications:

  • Monsen, K. A., Bush, R. A., Jones, J. F., Manos, L., Skiba, D., Johnson, S. (2019). Alignment of AACN Graduate Level Nursing Informatics Competencies with AMIA Health Informatics Core Competencies. Computers Informatics Nursing: CIN
  • Yas, M. A., Secginli, S., Mathiason, M. A., & Monsen, K. A. (2019). Method development for describing content of multitasked interventions using the Omaha System. Research and Theory for Nursing Practice, 33(2), 147-168.
  • Gao, G., Kerr, M. J., Lindquist, R. A., Chi, C. L., Mathiason, M. A., & Monsen, K. A. (2019). Discovering associations among older adults’ characteristics and planned nursing interventions using electronic health record data. Research and Theory for Nursing Practice, 33(1), 58-80.
  • Park, Y. S., McNaughton, D. B., Mathiason, M. A., & Monsen, K. A. (2019). Understanding tailored PHN interventions and outcomes of Latina mothers. Public Health Nursing. Doi: 10.1111/phn.12559
  • VanderKooi, M. E., Coviak, C. P., & Monsen, K. A. (2018). Evaluating Barcode Medication Administration Acceptance in a Rural Hospital Using the Technology Acceptance Model. Journal of Informatics Nursing, 3(2), 12-17
  • Michalowski, M., Austin, R., Maganti, S., Mathiason, M. A., Schorr, E., & Monsen, K. A. (2018). Relationships among interventions and health literacy outcomes for sub-populations: A data-driven approach. Kontakt. 20(4), e319-e325.
  • Gao, G., Kerr, M. J., Lindquist, R. A., Chi, C. L., Mathiason, M. A., Austin, R. R., & Monsen, K. A. (2018). A strengths-based data capture model: mining data-driven and person-centered health assets. JAMIA Open. doi: 10.1093/jamiaopen/ooy015
  • Horning, M. L., Olsen, J. M., Lell, S., Thorson, D. R., Monsen, K. A. (2018). Description of public health nursing nutrition assessment and interventions for home-visited women. Public Health Nursing, 35(4) 317-326.https://doi.org/10.1111/phn.12410
  • Monsen, K. A., Maganti, S. Giaquinto, R. A., Mathiason, M. A., Bjarnadottir, R. I., & Kreitzer, M. J. (2018). Feasibility of using an ontology-based text mining approach to discover meaning within CaringBridge social media journals. Kontakt, 3, 227-233. DOI: 10.1016/j.kontakt.2018.03.002
  • Monsen, K. A., Kelechi, T. J., McRae, M. E., Mathiason, M. A., & Martin, K. S. (2018). Nursing theory, terminology, and Big Data: Data-driven discovery of novel patterns in archival RCT data. Nursing Research, 67(2), 122-132. doi: 10.1097/NNR.0000000000000269
  • Olsen, J.A., Horning, M. L., Thorson, D., Monsen, K. A. (2018). Relationships between public health nurse-delivered physical activity interventions and client physical activity behavior.Applied Nursing Research, 40, 13-19.
  • Monsen, K. A., Rudenick, J., Kapinos, N., Warmbold, K., McMahon, S., Schorr, E. (2018). Documentation of social determinants in electronic health records with and without standardized terminologies: a comparative study. Proceedings of Singapore Healthcare, p. 1-7 https://doi.org/10.1177/2010105818785641
  • Monsen, K. A. (2018). Editorial: The Omaha System as ontology and meta-model for nursing and healthcare in an era of Big Data. Kontakt, 20 (2) e109-e110. https://doi.org/10.1016/j.kontakt.2018.03.001
  • Schenk, E., Schleyer, R., Jones, C. R., Fincham, S., Daratha, K. B., & Monsen, K. A. (2018). Impact of adoption of a comprehensive EHR on nursing work and caring efficacy. CIN, Computers Informatics, Nursing, 36, 331-339. doi: 10.1097/CIN.0000000000000441
  • Gao, G., Maganti, S., & Monsen, K. A. (2017). Older adults, frailty, and the social and behavioral determinants of health. Big Data and Information Analytics, epub, 1-12. doi:10.3934/bdia.2017012
  • Monsen, K.A., Kang, Y.J., Maki, T.A. Stromme, A.E., Weirich, E.G., Lawrence, E.C., Schneider, R.N., & Martinson, B.E. (2017). Evaluation of the Omaha System prototype icons for global health literacy. Informatics (4) 13; doi:10.3390/informatics4020013
  • Austin, R. R., Monsen, K. A., & Schulz, C. (2017). An informatics approach to interprofessional management of low back pain: A feasibility case study using the Omaha System. Journal of Innovation in Health Informatics, 24(3),268–274.
  • Slipka, A. F. & Monsen, K. A. (2018). Toward improving quality of end-of-life care: Encoding clinical guidelines and standing orders using the Omaha System. Worldviews on Evidence-Based Nursing,15(1), 26-37.
  • Holland, D. E., Vanderboom, C. E., Dose, A. M., Delgado, A. M., Austin, C. M., Ingram, C. Wild, E. M., Monsen, K. A. (2017). Describing transitional palliative nursing care using a standardized terminology. Journal of Hospice and Palliative Nursing, 19(3), 275-281.
  • Schenk, E., Jones, C., Fincham, S. J., Daratha, K., Schleyer, R., & Monsen, K. A. (2017). Time motion analysis of nursing work in ICU, telemetry, and med-surg units. Journal of Nursing Management. DOI: 10.1111/jonm.12502
  • Monsen, K. A., Swenson, S. M., Klotzbach, L., Mathiason, M. A., & Johnson, K. E. (2017). Empirical evaluation of change in public health nursing practice after implementation of an evidence-based family home visiting guideline. Kontakt. 19(2) e75 – e85.
  • Monsen, K. A., Le, S. E., & Handler, H. E., Dean, P. J. (2017).We Can Be More Caring: A theory for enhancing the experience of being caring as an integral component of pre-licensure nursing education. International Journal of Human Caring, 21 (1), 9-14.
  • Monsen, K. A., Brandt, J. K., Brueshoff, B., Chi, C. L., Mathiason, M. A., Swenson, S. M., & Thorson, D. R. (2017). Social determinants and health disparities associated with outcomes of women of childbearing age receiving public health nurse home visiting services. JOGNN, 46 (2), 292-303. doi: 10.1016/j.jogn.2016.11.014.
  • Monsen, K. A., Vanderboom, C. E., Olson, K. S., Larson, M. E & Holland, D. E. (2017) Care coordination from a strengths perspective: A practice-based evidence evaluation of evidence-based practice. Research and Theory for Nursing Practice, 31(1), 39-55.
  • Monsen, K. A., Peterson, J. J., Mathiason, M. A., Kim, E., Votava, B., & Pieczkiewicz, D. S. (2017). Discovering public health nurse–specific family home visiting intervention patterns using visualization techniques. Western Journal of Nursing Research, 39, 127-146. doi:10.1177/0193945916679663
  • Olsen, J. M., Thorson, D. R., Baisch, M. J., & Monsen, K. A. (2017). Using Omaha System documentation to understand physical activity among rural women. Public Health Nursing, 34(1), pp. 31-41. doi: 10.1111/phn.12264
  • Olsen, J. M., Baisch, M. J. & Monsen, K. A. (2017). Interpretation of ecological theory for physical activity with the Omaha System. Public Health Nursing, 34(1), pp. 59-68.doi: 10.1111/phn.12277
  • Monsen, K. A., Swenson, S. M., & Kerr, M. J. (2016). Public health nurse perceptions of using standardized care plans to translate evidence-based guidelines into family home visiting practice. Kontakt.doi: 10.1016/j.kontakt.2016.04.001
  • Monsen, K. A., Martinson, B., Lawrence, E. C., Maki, T. A., Stromme, A. E., Weirich, E. G., & Martin, K. S. (2016). Toward population health literacy, wellbeing, consumer engagement, and information exchange: Developing Omaha System icons for digital platforms. International Journal of Healthcare, 2, 1, 71-81.
  • Monsen, K.A., Peterson, J. J. , Mathiason, M. A., Kim, E., Lee, S., Chi, C. L., Pieczkiewicz, D. S. (2015). Data visualization techniques to showcase nursing care quality. Computers, Informatics, Nursing, 33(10), 417-426. doi: 10/1097/CIN.000000000000190
  • Monsen, K. A., Schenk, E., Schleyer, R., & Schiavenato, M. (2015). Applicability of the Omaha System in acute care nursing for information interoperability in the era of accountable care. American Journal of Accountable Care, 3(3), 53-61.
  • Monsen, K. A., Peters, J., Schlesner, S., Vanderboom, C. E., & Holland, D. E. (2015). The gap in Big Data: Getting to wellbeing, strengths, and a whole person perspective. Global Advances, 4, 3, 31-39.
  • Monsen, K. A., Chatterjee, S. B., Timm, J. E., Poulsen, J. K., & McNaughton, D. B. (2015). Factors explaining variability in health literacy outcomes of public health nursing clients. Public Health Nursing, 32(2), 94-100. doi: 10.1111/phn.12138
  • Monsen, K. A., Finn, R. S., Fleming, T. E., LaValla, A. J., Garner, E. E., Riemer, J. G. (2015). Rigor in electronic health record knowledge representation: Lessons learned from a SNOMED CT clinical content encoding exercise. Informatics for Health and Social Care. 2015 Aug 21:1-15. [Epub ahead of print]doi:10.3109/17538157.2014.965302
  • Monsen, K. A., Attleson, I. S., Erickson, K. J., Neely, C., Oftedahl, G., & Thorson, D. R. (2015). Translation of obesity practice guidelines: Interprofessional perspectives regarding the impact of public health nurse system-level intervention. Public Health Nursing, 32(1), 34-42. doi: 10.1111/phn.12139
  • Monsen, K. A., Holland, D. E., Fung-Houger, P. W., Vanderboom, C. E. (2014). Seeing the whole person: Feasibility of using the Omaha System to describe strengths of older adults with chronic illness. Research and Theory for Nursing Practice, 28(4), 299-315.
  • Monsen, K. A., Handler, H. E., Le, S. M., & Riemer, J. G. (2014). Feasibility of using the Omaha System for self-report of symptoms by adults with diabetes. Online Journal of Nursing Informatics (OJNI), 18 (3).
  • Monsen, K.A., Elsbernd, S.A., Barnhart, L., Stock, J., Prock, C., Looman, W.S., & Nardella, M. (2013). A state-wide children with special health care needs program evaluation using a standardized terminology. ISRN, 2013, Article ID 793936, 7 pages. http://dx.doi.org/10.1155/2013/793936
  • Monsen, K. A., Swanberg, H. L., Oancea, S. C., & Westra, B. L. (2012). Exploring the value of clinical data standards to predict hospitalization of home care patients. Applied Clinical Informatics.4,410-436.
  • Monsen, K.A., Neely, C., Oftedahl, G., Kerr, M.J., Pietruszewski, P., & Farri, O. (2012). Feasibility of encoding the Institute for Clinical Systems Improvement Depression Guideline using the Omaha System. Journal of Biomedical Informatics,45, 719-725. doi: 10.1016/j.jbi.2012.06.004
  • Monsen, K.A., Foster, D. J., Gomez, T., Poulsen, J. K., Mast, J., Westra, B. L., & Fishman, E. (2011). Evidence-based standardized care plans for use internationally to improve home care practice and population health. Applied Clinical Informatics, 2, 373-384. doi:10.4338/ACI-2011-03-RA-0023
  • Monsen, K. A., Radosevich, D. M., Johnson, S. C., Farri, O., Kerr, M. J., & Geppert, J. S. (2011). Benchmark attainment of parenting clients across public health nursing agencies. Public Health Nursing, 29(1), 11–18. doi:10.1111/j.1525-1446.2011.00967.x
  • Monsen, K. A., Radosevich, D. M., Kerr, M. J., & Fulkerson, J. A. (2011). Public health nurses tailor home visiting interventions. Public Health Nursing, 28(2), 119-128. doi:10.1111/j.1525-1446.2010.00911.x
  • Monsen, K. A., Westra, B. L., Oancea, S. C., Yu, F., & Kerr, M. J. (2011). Linking home care interventions and hospitalization outcomes for frail and non-frail elderly patients. Research in Nursing and Health, 34(2), 160-168. doi:10.1002/nur.20426. NIHMS274649
  • Monsen, K. A., Sanders, A. N., Yu, F., Radosevich, D. M, & Geppert, J. S. (2011). Family home visiting outcomes for mothers with and without intellectual disabilities. Journal of Intellectual Disabilities Research, 55(5), 484-499. doi:10.1111/j.1365-2788.2011.01402.x
  • Monsen, K. A., McNaughton, D. B., Savik, K., & Farri, O. (2011). Problem stabilization: A metric for problem improvement in home visiting clients. Applied Clinical Informatics, 2, 437-446 http://dx.doi.org/10.4338/ACI-2011-06-RA-0038
  • Monsen, K. A., Banerjee, A., & Das, P. (2010). Discovering client and intervention patterns in home visiting data. Western Journal of Nursing Research, 32(8), 1031-1054. doi:10.1177/0193945910370970
  • Monsen, K. A., Fulkerson, J. A., Lytton, A. B., Taft, L. L., Schwichtenberg, L. D., & Martin, K. S. (2010). Comparing maternal child health problems and outcomes across public health nursing agencies. Maternal and Child Health Journal, 14(3), 412-421. doi:10.1007/s10995-009-0479-9
  • Monsen, K. A., Westra, B. L., Yu, F., Ramadoss, V. K., & Kerr, M. J. (2009). Data management for intervention effectiveness research: Comparing deductive and inductive approaches. Research in Nursing and Health, 32(6), 647-656. doi:10.1002/nur.20354
  • Monsen, K. A., Fitzsimmons, L. L., Lescenski, B. A., Lytton, A. B. Schwichtenberg, L. D., & Martin, K. S. (2006). A public health nursing informatics data-and-practice quality project. CIN: Computers, Informatics, Nursing, 24(3), 152-158.



Academic Interests and Focus

Informatics; Public health nursing; Theoretical foundations of nursing; Nursing Administration