Denise Smart

Denise Smart
ProfessorAssociate Dean of Faculty Affairs 509-324-7255 SNRS 437 412 E. Spokane Falls Blvd., Spokane, WA 99202-2131

Dr. Denise Smart has been a registered nurse for 42 years with experience in maternal child, lactation, pediatric & neonatal nursing, school nursing (5 years), correctional nursing (8 years) & working with juvenile detention populations (5 years). She spent 9 years working as a RN, PHN with Indian Health Services & Native Health Corporation in Alaska as the regional perinatal coordinator for 45 villages. She is also a retired (1990-2012) military public health officer and military RN.


  • DrPH, Loma Linda University, Loma Linda CA
  • MPH Health Education, Loma Linda University, Loma Linda, CA
  • BSN, University of Alaska, Anchorage, AK

Funded Research

PI: Smart, DA N18-A03 10-3-17 $453,007 Completed 9/23/20
Co-I: Gail Oneal, Janessa Graves, Tamara Odom-Maryon, Stephanie Rowan
Exertional Heat Illness: Deployability, Risk Assessment and Clinical Management. TriService Nursing Research Program: This is a mixed method using a qualitative descriptive focus group design using thematic analysis to identify and prioritize factors related to EHI symptoms and Deployability risk. Focus group questions elicited participants’ knowledge and experience regarding EHI based on their use and appraisal of current SF-600 and through comparisons with military sanctioned definitions for EHI Severity and Deployability Risk. The focus group and Delphi technique are being followed by field testing the EHI screening and risk assessment tool. This pilot study will follow a prospective, observational study design. Data are being collected at two air military bases located in different geographic regions (WA and TX). Note: A follow-on two-year grant will be submitted October 2021 for an additional two years to trial the EHI Risk Assessment tool at 12 southern National Guard States/Units to develop data for efficacy for military adoption (at National Guard Bureau level) of tool and clinical management guidelines across all CERF-P/HRF NG units (n=38). Completed Sept 23, 2020.

PI: Smart, DA N15-P02 03/16 $389,280 Completed 02/15/18
Co-I: Lois James, Tamara Odom-Maryon, Stephanie Rowan
TriService Nursing Research Program: Effects of Sleep Deficiency on National Guard Personnel Responding to Disasters. This study will examine the consequences of sleep deprivation and fatigue for National Guardsmen who are part of the EMEDS Consequence Management (CM) medical response team. The main objective of this study is to determine the prevalence and impact of sleep deprivation on National Guard medical personnel responding to a major disaster. Recruitment, data collection and preliminary data analysis phase completed July 2017. Data analysis completed Feb 2018. Research completed. Four manuscripts, 1 abstract and three national and international conference presentations completed. Completed.

PI: Denise Smart 06/13-09/14 $138,225
Co-I: Melody Rasmor
WA Labor & Industries Safety and Health Investment Project: Innovative training strategies for employers’ and employee compliance for early return to work programs. Conduct surveys of key stakeholders to develop materials for employers and employees. Pilot test products and revise based on stakeholder input. The goal of this project is to motivate and assist health care facility employers in establishing an early return to work program and train employees to participate in ERTW after a work-related injury or illness. Completed.

Armitage (PI) 08/12-05/13 $13,400
Co-I: Denise Smart
Experience of Postpartum Active Duty Women in Training for the Fitness Assessment. TriService Nursing Research Program. The goal of this project was to compare USAF fitness assessment component measurements and overall pass rates at 6 months postpartum to pre-pregnancy measurements. Associate Investigator/Preceptor: Denise Smart. Completed

PI: Denise Smart 05/10-09/11 $73,431
WA Labor & Industries Safety and Health Investment Project Protecting Nurses as a Valuable Resource. Co-applicant: Sally Watkins, Washington State Nurses Association. Development of an ergonomic and environmental assessment tool, video and continuing education offering nurses targeting safe job performance and patient handling. Completed.

Research Strengths

Workforce health & safety: military, nurses

Methodological Strengths

Mixed methods


  • Sigma Theta Tau International
  • Western Institute of Nursing


  • WSU Nursing Faculty Fellowship in Research
  • Sigma Theta Tau, Delta Chi Chapter : Excellence in Nursing Leadership Award
  • College of Nursing Research Excellence Award
  • Washington State University College of Nursing Undergraduate Faculty Award
  • David Grant USF Medical Center, Travis AFB, CA Research Excellence Award
  • Washington State University College of Nursing Excellence in Teaching Award
  • Delta Chi Chapter-at-Large Excellence in Nursing Education Award
  • Hilda Crooks Scholarship Award (Loma Linda University) for excellence of scholarship and demonstration of healthful lifestyle, spiritual commitment and contribution to community.
  • Lutheran Health Services President’s Grant Award. Developing Principles & Best Practices for Healthier Cesarean Section Rate Reduction. Fairbanks, AK


Smart, D., Rowan, S., DePriest, D., Oneal, G., Graves, J., Odom-Maryon, T., Eberman, L., Edwards, C., & Roberts, M. (Fall/Winter, 2020). A Sequential Application of Qualitative Methods to Develop a Population-Based Tool for Identifying and Managing Exertional Heat Illness. TriService Nursing Research Program News.

Fohrman, J., Jabbouri, S., Winters, H., Pahang, J., George, Al., Smart, D., Akins, R. (May, 2018). The role of public health nurses in bioterrorism preparedness-13 years later. Internal Medicine Review, 4(5): 1-24. Impact factor: 1.902. doi:
Smart, D., Odom-Maryon, T., James, L., & Rowan, S. (2020). Impact of subjective sleepiness on critical skills performance in National Guard medical personnel during extensive disaster training. Health Emergency & Disaster Nursing,7,17-26. doi:

James, L., Smart, D., Odom-Maryon, T., Honn, K., & Rowan, S. (2019). Sleep deprivation in Air National Guard medical personnel responding to a simulated disaster training exercise. Military Psychology,31:2, 138-146.
Smart, D., James, L., Odom-Maryon, T., & Rowan, S. (2018). Technical Report: Effects of Sleep Deficiency on National guard Personnel Responding to Disasters. Tri-Service Nursing Research Program. Accession Number: PB2018-101079
Smart, D. & Wilson, M. (2013). Reported sleep health and viral respiratory illness in nurses. MEDSURG Nursing, 22(4):221-7. (Cited 6).

Armitage, N. & Smart, D. Changes in Air Force fitness measurements pre- and post-childbirth (2012). Military Medicine, 117(12), 1519-1523. doi:10.7025/MILMED-D-12-00248.

Smart, D., English, A., James, J., Wilson, M., Daratha, K., Childers, B., & Magera, C. (2014). Compassion fatigue and satisfaction: A cross-sectional survey among U.S. healthcare workers. Nursing & Health Sciences. 16, 3-10. doi:10.1111/nhs.12068.

Smart, D., Dermody, G., Coronado, M., & Wilson, M. (2018). Mobility programs for the hospitalized older adult: A scoping review. Gerontology & Geriatric Medicine, 4:1-18. doi: 10.1177/233372148808146


updated 12/3/2020