Esther H. Bay
Esther H. Bay, PhD, ACNS-BC
University of Michigan School of Nursing
400 North Ingalls Building
Ann Arbor, MI 48109-5482
Scholarly Expertise / Activity
Interests:
- Mild or moderate traumatic brain injury (TBI)
- Hypothalamic pituitary axis changes and stress after TBI or trauma
- Depression or depressive symptoms
- TBI symptoms, including fatigue
- Psychological or cognitive functioning after TBI
The long-range goal of Dr. Bay’s research is to advance our understanding of mechanisms upon which to base interventions that will prevent the development of chronic stress or psychiatric disorders after traumatic brain injury. Specifically, Dr. Bay’s work has shown that persons who sustain mild-to-moderate TBI and live in the community report increased psychological stress, depressive symptoms, fatigue, hypocortisolemia, and deficits in cognition, interpersonal relatedness and psychological function, even in the more chronic phase of recovery. In addition, according to survey findings from ED nurses in the Midwest, there is a need for more emphasis on using evidenced-based guidelines in delivering post-ED discharge teaching following mild TBI. Research on older adults who sustained TBI and are community-dwelling is the most recent focus of Dr. Bay’s research and continues to center on the prevention of depressive symptoms by limiting symptoms of stress and improving social relationships.
Teaching
Dr. Bay’s teaching mission is to cultivate leadership development, critical thinking, and the basis for using evidenced-based practice with undergraduate nursing students and clinical staff as they work with hospitalized persons experiencing acute medical-surgical illnesses. Dr. Bay has decades of experience in working with non-traditional and traditional nursing students as they pursue their AD, BSN, MSN or PhD degrees. Incorporated in these experiences is the ever-present intent to empower the student or staff nurse to be a life-long learner and to help them develop skills in seeking knowledge, advancing knowledge, and analyzing existing knowledge and practices, particularly in the hospitalized adult patient. Her theoretical foci includes building human relationships and basing nursing decisions on presenting physiological changes or potential changes as well as patient preferences, values, and existing evidence.
Affiliations / Service
- Member, Society of Neuroscience
- Member, Council for the Advancement of Nursing Science
- Member, American Association of Neuroscience Nursing
- Member, American Association of Critical Care Nurses
- Member, Sigma Theta Tau, Lambda Chapter
- Nurse consultant, Michigan State Board of Nursing
- Director of Continuing Education, Michigan Brain Injury Association
Notable Awards / Honors
- NICHD's Center for Medical Rehabilitation and Research (NIMRR) research post-doctoral fellowship, 2010-2011
- McDevitt Scholars Award for research, Michigan Blue Cross Blue Shield, 2008
- Invited grant reviewer, Department of Defense, 2007-2010
Education
- PhD, University of Michigan, Ann Arbor, MI 2001
- MSN, Wayne State University, Detroit, MI 1982
- BSN, University of Michigan, Ann Arbor, MI 1976
Publication Highlights
- 2011 Bay, E. & Strong, C. Mild traumatic brain injury: A Midwest survey of discharge teaching practices of Emergency Department nurses. Advanced Emergency Nursing Journal 33(2) 181-192.PMID: 21543914.
- 2011 Bay, E., Blow, A. & Yan, Xie. Interpersonal relatedness and psychological functioning following traumatic brain injury: Implications for Marital and family therapists, Journal of Marital and Family Therapy, epub, 1-12, May 16, 2011, PMID:
- 2011 Bay, E. Mild TBI: A Midwest survey about the assessment and documentation practices of Emergency Department nurses. Advanced Emergency Nursing Journal 33 (1), 71-83, PMID: 21317700.
- 2010 Bay, E. & de-Leon, M. Chronic stress and fatigue-related quality of life after mild-to-moderate TBI. Journal of Head Trauma Rehabilitation epub 1-9, December 16, PMID: 21169862.
- 2010 Bay, E., & Strong, C. A cognitive-representational approach to patient education after. mild traumatic brain injury: Advanced Emergency Nursing Journal 32 (3) 247-257.
- 2009 Bay, E. & Liberzon, I. Early stress response: A vulnerability framework for functional impairment following mild traumatic brain injury. Research and Theory for Nursing Practice, (23), 1: 43-52, PMID: 19418887.
- 2009 Bay, E. Treatment of depression after mild traumatic brain injury: A review, invited paper, Current Opinions in Neurology, 11:377-382.PMID: 19744404.
- 2009 Bay, E. & Sikorskii, A. & Gao, F. Functional status, chronic stress and cortisol response after mild-to-moderate traumatic brain injury, Biological Research for Nurses Jan 10(3) 213-225. PMID: 19015162.
- 2009 Bay, E. & Xie, E. Biological and psychological correlates of fatigue after mild-to-moderate TBI. Western Journal of Nursing Research, June 5 on-line, 1-17. PMID: 19502473.
- 2009 Bay, E., Sikorskii, A. & Saint-Arnault, D. Sex differences in the depression experience after mild-to-moderate TBI, Journal of Neuroscience Nursing, 41(6), 298-311, PMID:19998681.
- 2008 Bay, E. & Donders, J. (2008). Risk factors for depressive symptoms after mild-to-moderate traumatic brain injury Brain Injury, 22: 3, 233-241. PMID: 18297595.
- 2007 Bay, E., Hagerty, B., Williams, R.A. Depressive symptomatology after mild-to-moderate traumatic brain injury: A comparison of three measures of post TBI depression. Archives of Psychiatric Nursing 21 (1), 2-11, PMID: 17258103.
- 2007 Bay, E. & McLean, S. Mild traumatic brain injury: An update for advanced practice nurses, Journal of Neuroscience Nursing 39 (1), 53-61. PMID: 17396538.
- 2006 Bay, E., Kreulen, G., Agee-Shavers, C., Currier, C. A new perspective: A vulnerable population framework to guide research and practice for persons with traumatic brain injury. Research in Nursing Theory & Practice: 20 (2), 141-157. PMID: 16758717.
- 2004 Bay, E. Kirsch, N., Gillespie, B. Chronic stress conditions do explain post-traumatic brain injury depression Research and Theory for Nursing Practice, Vol 20, 2/3, p. 141-157. PMID: 15553348.
