Janet Cuddigan, PhD, RN, FAAN
Dr. Cuddigan received her PhD in Nursing from the University of Nebraska Medical Center (1999) and completed a post-doctoral fellowship at the Veterans Affairs Medical Center in Iowa City and University of Iowa (2003-2005). She has extensive clinical experience in critical care nursing and wound care. Her research interests focus primarily on pressure injury prevention, assessment, and treatment, particularly in relation to prevention of device related pressure injuries; risk assessment and prevention in critically ill patients; and dissemination & implementation of evidence-based pressure injury guidelines. She currently teaches interprofessional graduate students and DNP students in research methods, translational research, and evidence-based practice implementation.
Dr. Cuddigan also has extensive experience in the development of evidence-based guidelines. She was the Panel Manager for the original Agency for Health Care Policy and Research (AHCPR, now AHRQ) guidelines on pressure injuries. She has been a member of three international pressure injury guideline development groups, serving as the Co-Chair for two international guidelines and the Editor-in-Chief for one. She is a nationally and internationally known expert and speaker on pressure injuries. She has served in leadership positions on the National Pressure Injury Advisory Panel (NPIAP) including as the organization’s President from 2019-2021. She has held several administrative positions at the University of Nebraska Medical Center College of Nursing including as a Department Chair (2006-2014), Interim Associate Dean for Administration (2011) and Acting Dean of the College of Nursing (July-October 2011).
Education
- 1974, BSN, Creighton University
- 1978, MSN, University of Nebraska Medical Center
- 1999, PhD, University of Nebraska Medical Center
- 2003-2005 post-doctoral fellowship at the Veterans Affairs Medical Center, Iowa City
Research Interests
- Pressure injury prevention, assessment, and treatment
- Physiological measures of pressure injury risk in critical care
- Prevention of medical device related pressure injuries
- Implementation of evidence-based guidelines
- Guideline development methodologies
Grant Support
- September 2014-December 2018
Title: Unavoidable pressure ulcers in critical care, American Association of Critical Care Nurses, Award Amount: $45,317, Pittman, J. (PI). Role: Consultant
Publications
- Gefen, A., Brienza, D. M., Cuddigan, J., Haesler, E., Kottner, J. (under review). Our Contemporary Understanding of the Aetiology of Pressure Ulcers/Injuries. (Submitted to International Wound Journal, April 2021)
- Haesler, E., Pittman, J., Cuddigan, J., Law, S., Chang, Y.Y., Baltzer, K., Berlowitz, D., Carville, K., Kottner, J., Litchford, M., Moore, Z., Mitchell, P., Siguado-Roussel. (under review). Exploring the Perspectives of Individuals and Their Caregivers on Pressure Injury Prevention and Management: Consumer survey for the International Pressure Injury Guideline. Submitted to Journal of Tissue Viability, December 2020).
- Dean, L., Butler, A., Cuddigan, J. (in press). The Impact of Workplace Violence towards Psychiatric Mental Health Nurses: Identifying the Facilitators and Barriers to Supportive Resources. Journal of the American Psychiatric Nurses Association.
- Padula, W.V., Cuddigan, J., Ruotsi, L., Black, J., Brienza, D., Capasso, V., Cox, J., Delmore, B., Holden-Mount, S., Munoz, N., Nie, A.M., Pittman, J., Sonenblum, S., & Tescher, A. (2021). Best Practices for Preventing Skin Injury Beneath Personal Protective Equipment during the COVID-19 Pandemic: A Position Paper from the National Pressure Injury Advisory Panel (NPIAP). J Clin Nurs Feb 3:10: 1111/jocn.15682. doi: 10.1111/jocn.15682. Online ahead of print.
- Pittman, J., Beeson, T., Dillon, J., Yang, Z., Mravec, M., Malloy, C., & Cuddigan, J. (2021). Hospital Acquired Pressure Injuries and Acute Skin Failure in Critical Care: A Case-Control Study. J Wound Ostomy Continence Nurs, 48(1), 20-30.
- Gefen, A., Brienza, D. M., Cuddigan, J., Haesler, E., Kottner, J. (under review). Our Contemporary Understanding of the Aetiology of Pressure Ulcers/Injuries. (Submitted to International Wound Journal, April 2021)
- Haesler, E., Pittman, J., Cuddigan, J., Law, S., Chang, Y.Y., Baltzer, K., Berlowitz, D., Carville, K., Kottner, J., Litchford, M., Moore, Z., Mitchell, P., Siguado-Roussel. (under review). Exploring the Perspectives of Individuals and Their Caregivers on Pressure Injury Prevention and Management: Consumer survey for the International Pressure Injury Guideline. Submitted to Journal of Tissue Viability, December 2020).
- Dean, L., Butler, A., Cuddigan, J. (in press). The Impact of Workplace Violence towards Psychiatric Mental Health Nurses: Identifying the Facilitators and Barriers to Supportive Resources. Journal of the American Psychiatric Nurses Association.
- Padula, W.V., Cuddigan, J., Ruotsi, L., Black, J., Brienza, D., Capasso, V., Cox, J., Delmore, B., Holden-Mount, S., Munoz, N., Nie, A.M., Pittman, J., Sonenblum, S., & Tescher, A. (2021). Best Practices for Preventing Skin Injury Beneath Personal Protective Equipment during the COVID-19 Pandemic: A Position Paper from the National Pressure Injury Advisory Panel (NPIAP). J Clin Nurs Feb 3:10: 1111/jocn.15682. doi: 10.1111/jocn.15682. Online ahead of print.
- Pittman, J., Beeson, T., Dillon, J., Yang, Z., Mravec, M., Malloy, C., & Cuddigan, J. (2021). Hospital Acquired Pressure Injuries and Acute Skin Failure in Critical Care: A Case-Control Study. J Wound Ostomy Continence Nurs, 48(1), 20-30.
- Cuddigan, J., Black, J., Deppisch, M., Pittman, J., Sonenblum, S. & Tescher, A. National Pressure Injury Advisory Panel (NPIAP) Position Statements on Preventing Injury with N95 Masks. Date accessed: May 5, 2020. Retrieved from: https://cdn.ymaws.com/npiap.com/resource/resmgr/position_statements/Mask_Position_Paper_FINAL_fo.pdf
- Black, J., Cuddigan, J., Capasso, V., Cox, J., Delmore, B., Munoz, N., & Pittman, J. on behalf of the National Pressure Injury Advisory Panel (2020). Unavoidable Pressure Injury during COVID-19 Crisis: A Position Paper from the National Pressure Injury Advisory Panel. Date accessed: April 23, 2021. Retrieved from: https://cdn.ymaws.com/npiap.com/resource/resmgr/white_papers/Unavoidable_in_COVID_Pandemi.pdf.
- Lechner, A., Kottner, J., Coleman, S., Muir, D., Bagley, H., Beeckman, D., Chaboyer, W., Cuddigan, J., Moore, Z., Rutherford, C., Schmitt, J., Nixon, J., & Balzer (2020). Outcomes of Pressure Ulcer Trials (OUTPUTs) Project: A Scoping Review of Outcome Domains Reported in Pressure Ulcer Prevention Research. British J Dermatol. Epub date June 6, 2020. 184(4)617-626.
- Kottner, J., Cuddigan, J., Carville, K., Balzer, K., Berlowitz, D., Law, S., . . . Haesler, E. (2020). Pressure ulcer/injury classification today: An international perspective. J Tissue Viability. doi:10.1016/j.jtv.2020.04.003
- Kottner, J., Cuddigan, J., Balzer, K., & Haesler, E. (2020). Comment on "International consensus on pressure injury preventative interventions by risk level for critically ill patients: A modified Delphi study". Int Wound J. doi:10.1111/iwj.13520.
- Kottner, J., Cuddigan, J., Carville, K., & Haesler, E. (2020). A closer look at the 2019 International Guideline on the prevention and treatment of pressure ulcers/injuries. J Tissue Viability, 29(4), 225-226. doi:10.1016/j.jtv.2020.09.003
- Black, J.M., Cuddigan, J., on behalf of the National Pressure Injury Advisory Panel. (2020). Skin manifestations with COVID-19: the purple skin and toes that you are seeing may not be deep tissue pressure injury. WCET Journal, 40(2), 18-21.
- Capasso, V., Cox, J., Cuddigan, J., Delmore, B., Tescher, A., & Solmos, S. Pressure Injury Prevention: PIP Tips for Prone Positioning. Date Accessed: May 5, 2020. Retrieved from: https://cdn.ymaws.com/npiap.com/resource/resmgr/online_store/posters/npiap_pip_tips_-_proning_202.pdf
- Kottner, J., Cuddigan, J., Carville, K., Balzer, K., Berlowitz, D., Law, S., . . . Haesler, E. (2019). Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019. J Tissue Viability, 28(2), 51-58. doi:10.1016/j.jtv.2019.01.001
- Lechner, A., Kottner, J., Coleman, S., Muir, D., Bagley, H., Beeckman, D., Cabover, W., Cuddigan, J., Moore, Z., Rutherford, C., Schmitt, J., Nixon, J. & Balzer, K. (2019). Outcomes for Pressure Ulcer Trials (OUTPUTs): protocol for the development of a core domain set for trials evaluating the clinical efficacy or effectiveness of pressure ulcer prevention interventions. Trials, 20(1), 449. doi:10.1186/s13063-019-3543-9.
- *Pittman, J., Beeson, T., Dillon, J., Yang, Z., & Cuddigan, J. (2019). Hospital-Acquired Pressure Injuries in Critical and Progressive Care: Avoidable Versus Unavoidable. Am J Crit Care, 28(5), 338-350. doi:10.4037/ajcc2019264
- Kottner, J., Cuddigan, J., Carville, K., Balzer, K., Berlowitz, D., Law, S., Litchford, M., Mitchell, P., Moore, Z., Pittman, J., Sigaudo-Roussel, D., Yee, C.Y. & Haesler, E. (2019). Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019. J Tissue Viability. doi:10.1016/j.jtv.2019.01.001
- Kottner, J., Sigaudo-Roussel, D., & Cuddigan, J. (2019). From bed sores to skin failure: Linguistic and conceptual confusion in the field of skin and tissue integrity. Int J Nurs Stud, 92, 58-59. doi:10.1016/j.ijnurstu.2019.01.007
- Kottner, J, Carville, K, Haesler, E, Cuddigan, J. (2019). Second update of the International Clinical Practice Guideline for the prevention and treatment of pressure ulcers/injuries 2019. Wounds International 10(1): 10-12.
- Haesler, E., Kottner, J., Cuddigan, J., & the International Guideline Development, G. (2017). The 2014 International Pressure Ulcer Guideline: methods and development. J Adv Nurs, 73(6), 1515-1530. doi:10.1111/jan.13241
- McCafferty, K. L., Ball, S. J., and Cuddigan, J.E. (2017). Understanding the Continuing Education Needs of Rural Midwestern Nurses. The Journal of Continuing Education 48(6):265-269. DOI: https://doi.org/10.3928/00220124-20170517-07
- Cuddigan, J. on behalf of the National Pressure Ulcer Advisory Panel. (2017). NPUAP Position Statement on Staging – 2017 Clarifications. Retrieved from: https://cdn.ymaws.com/npuap.site-ym.com/resource/resmgr/position_statements/npuap-position-statement-on-.pdf
- Creehan, S., Cuddigan, J., Gonzales, D., Nix, D., Padula, W., Pittman, J., Pontieri-Lewis, V., Walden, C., Wells, B., Wheeler, R. (2016). The VCU Pressure Ulcer Summit – Developing Centers of Pressure Ulcer Prevention Excellence: A Framework for Sustainability. J. Wound Ostomy Continence Nurs. 43(2):121-8.
- Cuddigan JE, Kottner J, Haesler E. Treatment of Pressure Ulcers. Ann Intern Med. 2015;163(8):648-9.
- Hanson, C., Keim, D., Woscyna, G., McLaughlin, S., Buckland, S., Kupzyk, K., Cuddigan, J.. (2015). "SUN-PP183: Nutrition Factors and the Development of Hospital Acquired Pressure Ulcers." Clinical Nutrition 34, Supplement 1: S91-S92.
- Coleman, S., Nixon, J., Keen, J., Wilson, L, McGinnis, E., Dealey, C., Stubbs, N., Farrin A., Dowding, D., Schols, J., Cuddigan, J., Berlowitz, D., Jude, E., Vowden, P., Schoonhoven, L., Bader, D.L., Gefen, A., Oomens, C.W.J., Nelson, A.E. A new pressure ulcer conceptual framework. Journal of Advanced Nursing. Date of Electronic Publication: 2014 Mar 31
- Coleman, S., Nelson, E. A., Keen, J., Wilson, L, McGinnis, E., Dealey, C., Stubbs, N., Muir, D., Farrin, A., Dowding, D., Schols, J.M.G.A.,, Cuddigan, J., Berlowitz, D., Jude, E., Vowden, P., Bader, D.L., Gefen, A., Oomens, Schoonhoven, L., Nixon, J. Developing a pressure ulcer risk factor minimum data set and risk assessment framework. Journal of Advanced Nursing. Date of Electronic Publication: 2014 May 21.
- Black, J., Edsberg, L.E., Baharestani, M.M., Langemo, D., Goldberg, M, McNichol, L., & Cuddigan, J. (2011). Pressure ulcers: Avoidable or Unavoidable? Results of the National Pressure Ulcer Advisory Panel consensus conference. Ostomy and Wound Management, 57(2):20-28.
- Black, J. M., Cuddigan, J. E., Walko, M. A., Didier, L. A., Lander, M. J., & Kelpe, M. R. (2010). Medical device related pressure ulcers in hospitalized patients. International Wound Journal, 7(5), 358-365.
- Baharestani, M.M., Black, J., Carville, K., Clark, M., Cuddigan, J., Dealey, C., et al., (2010). International guidelines. Pressure Ulcer Prevention: Pressure, shear, friction and microclimate in context. A consensus document. London: Wounds International.
- National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: Clinical Practice Guideline. J. Cuddigan (Ed.). Washington: National Pressure Ulcer Advisory Panel; 2009, (pp. 130).
- European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: Quick Reference Guide. J. Cuddigan (Ed.), Washington: National Pressure Ulcer Advisory Panel; 2009, (pp.62).
- Baharestani, M. M., Black, J. M., Carville, K., Clark, M., Cuddigan, J. E., Dealey, C., . . . Sanada, H. (2009). Dilemmas in measuring and using pressure ulcer prevalence and incidence: an international consensus. International Wound Journal, 6(2), 97-104.
- Pieper B., Langemo D., & Cuddigan J. (2009). Pressure ulcer pain: a systematic literature review and national pressure ulcer advisory panel white paper. Ostomy/Wound Management, 55(2):16-31.
- Carville, K., Cuddigan, J., Fletcher, J., Fuchs, P., Harding, K, Ishikawa, O., Keast, D., Leaper, D., Lindholm, C, Moodley, P., Ricci, E., Schultz, G, & Vasquez, J. (2008). Wound infection in clinical practice: Shaping the future. An International Consensus Document. International Wound Journal, (5) Supplement 3:1-11.
- Cuddigan, J.E., Ayello, E.A., & Black, J. (2008). Saving Heels in Critically Ill Patients. World Council of Enterostomal Therapists Journal, 28(2):16-24.
- Langemo, D., Cuddigan, J., Baharestani, M., Ratliff, C. R., Posthauer, M. E., Black, J., & Garber, S. (2008). Pressure ulcer guidelines: "minding the gaps" when developing new guidelines. Advances In Skin & Wound Care, 21(5):213-217.
- Vanderwee, K., Clark, M., Dealey, C., Defloor, T., Schoonhoven, L. Witherow, A., Baharestani, M., Black, J., Cuddigan, J., Edsberg, L., Garber, S., Langemo, D., Posthauer, M.E., Ratliff, C., & Taler, G. (2007). Development of clinical practice guideline on pressure ulcers. European Wound Management Association Journal, 7(3):44-46.
- Black, J., Baharestani, M., Cuddigan, J., Dorner, B., Edsberg, L., Langemo, D., ... Taler, G. (2007). National Pressure Ulcer Advisory Panel's updated pressure ulcer staging system. Urologic Nursing, 27(2):144.
- Black, J., Baharestani, M., Cuddigan, J., Dorner, B., Edsberg, L., Langemo, D., ... Taler, G. (2007). National Pressure Ulcer Advisory Panel's updated pressure ulcer staging system. Dermatology Nursing / Dermatology Nurses' Association, 19(4):343.
- Black, J., Baharestani, M. M., Cuddigan, J., Dorner, B., Edsberg, L., Langemo, D., . . . Taler, G. (2007). National Pressure Ulcer Advisory Panel's updated pressure ulcer staging system. Advances In Skin & Wound Care, 20(5):269-274.
- Berlowitz, D. R., Ratliff, C., Cuddigan, J., & Rodeheaver, G. T. (2005). The PUSH tool: a survey to determine its perceived usefulness. Advances In Skin & Wound Care, 18(9):480-483.
- Cuddigan, J.E., & Ayello, E.A. (2004). Clinical Decision Making for Debriding Chronic Wounds. World Council of Enterostomal Therapists Journal, 24(2):8-16.
- Ayello E.A., & Cuddigan J.E. (2004). Debridement: Controlling the Necrotic/Cellular Burden. Advances in Skin and Wound Care, 17(2):66-76.
- Ayello, E.A., & Cuddigan, J. (2003). Preparing the Wound Bed for Healing. Nursing Made Incredibly Easy, 1(2):18-27.
- Ayello, E. A., Cuddigan, J., & Kerstein, M. D. (2002). Skip the knife: debriding wounds without surgery. Nursing, 32(9):58.
- National Pressure Ulcer Advisory Panel. Cuddigan, J., Berlowitz, D.R., & Ayello, E.A. (Eds.) (2001). Pressure ulcers in America: Prevalence, incidence, and implications for the future. An executive summary of the National Pressure Ulcer Advisory Panel monograph. Advances in Skin and Wound Care; 14(4): 208-15.
- National Pressure Ulcer Advisory Panel. Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. Cuddigan, J., Ayello, E.A., & Sussman, C. (Eds.). Reston, VA: NPUAP.
- Stotts, N.A, Rodeheaver, G.T., Thomas, D.R., Frantz, R.A., Bartolucci, A.A., Sussman, C., Ferrell, B.A., Cuddigan, J., &Maklebust, J. (2001). An instrument to measure healing in pressure ulcers: development and validation of the pressure ulcer scale for healing (PUSH). Journal of Gerontology: Medical Sciences; 56(12): M795-9.
- Mosher, B. A., Cuddigan, J., Thomas, D. R., & Boudreau, D. M. (1999). Outcomes of 4 methods of debridement using a decision analysis methodology. Advances In Wound Care: The Journal for Prevention and Healing; 12(2):81-88.
- Cuddigan, J., & Frantz, R. A. (1998). Pressure ulcer research: pressure ulcer treatment. A monograph from the National Pressure Ulcer Advisory Panel. Advances In Wound Care: The Journal for Prevention and Healing; 11(6):294.
- Thomas DR, Rodeheaver G, Bartolucci A, Frantz R, Sussman C, Ferrell B, Cuddigan J, Stotts N, & Maklebust J. (1997). Pressure ulcer scale for healing: derivation and validation of the Push Tool. Advances in Wound Care; 10(5):96-101.
- Cuddigan J. (1997). Pressure ulcer classification: what do we have? What do we need? Advances in Wound Care, 10(5), 13-15.
- Cuddigan J. & Frantz R. (1998). Pressure ulcer research: pressure ulcer treatment. Advances in Wound Care; 11(6):294-300.
- Stotts, N., & Cuddigan, J. (1996, September). Understanding the critical link between pathophysiology and treatment of vascular ulcers. Provider Magazine, 62-4.
- Bergman-Evans, B., Cuddigan, J., & Bergstrom, N. (1994). Clinical practice guideline: Prediction and prevention of pressure ulcers. Today's OR Nurse; 16(6): 33-40.
- Bergman-Evans, B., Cuddigan, J., & Bergstrom, N. (1994). Clinical practice guideline: Prediction and prevention of pressure ulcers. Journal of Gerontological Nursing; 20(9):1-8.
- Krasner, D. & Cuddigan, J. (1993). Computer technology at NPUAP meeting facilitates critique of the AHCPR pressure ulcer treatment guideline. Ostomy/Wound Management; 39(5): 86.
- Norris, J., Cuddigan, J., Foyt, M., Leak, G., & Lazure, L. (1990). Decision support and outcomes of nurses' care planning. Computers in Nursing; 8(5):192-197.
- Cuddigan, J. (1987). A review of critical thinking in nursing. American Journal of Nursing, 87(10), 1378.
Service
- National Pressure Injury Advisory Panel
2019-2021 President
2018-2019, 2000-2001, Vice-President
1999-2000, 2007-2008 Treasurer
2016-2022, 2005-2011, 1995-2001 Board of Directors - International Pressure Injury Guideline Governance Group
2007-2010, 2013-present Co-Chair
2007-present Member - World Union of Wound Healing Societies
2016, 2019-2021 NPIAP Representative to Supporting Society Council
2006-2008 Co-Chair of Pressure Ulcer Stream Planning Committee - Advisory Board for International Development of Core Pressure Ulcer Outcomes
2016-2021 - Centers for Medicare & Medicaid, Technical Expert Panel on Pressure Ulcers
2016-2020 - National Database for Nursing Quality Indicators
2017-2018 Consultant
2006-2014 Advisory Board - Wound, Ostomy, and Continence Nurses Society
2020-2021 Clinical Expert Consultant to Public Policy and Advocacy Committee - Grant Reviewer
2018 Department of Defense
2014 NIH-NINR Chronic Wound Special Section
2013 & 2020 National Institute for Health Research (UK)
2008 Canadian National Government Centres of Excellence for Commercialization and Research - Editorial Boards
2016-2021 Journal of Tissue Viability
1996-1998 Advances in Skin and Wound Care
Reviewer for multiple journals - Sigma Theta Tau Nursing Honor Society
2005-2007 President, Gamma Pi Chapter
Recognition
- President’s Award for Leadership in International Guideline Development
2015
National Pressure Ulcer Advisory Panel - Innovations Award – Nebraska Pressure Ulcer Matrix
2016
UNeMed, University of Nebraska Medical Center - Fellow
2011
American Academy of Nurses - Kosiak Award
2011
National Pressure Ulcer Advisory Panel - Outstanding Teacher Award
2008
University of Nebraska Medical Center - Sharon Baranoski Founders Award for Excellence in Pressure Ulcer Care
1999
University of Pennsylvania Medical Center and Wound Care Communications Network
College of Nursing - Omaha Division
University of Nebraska Medical Center
985330 Nebraska Medical Center
Omaha, NE 68198-5330