Paula Christianson-Silva, DNP, FNP-BC, ANP-BC, DipACLM
Assistant Professor/Clinical
Paula Christianson-Silva, DNP, FNP-BC, ANP-BC, DipACLM is a clinical professor and family nurse practitioner at University of Texas (UT) Health San Antonio with expertise in interprofessional care models, lifestyle medicine, and NP education. She has been a primary care NP and educator since 1989, practicing in Michigan, California, Arizona, Texas and overseas. She led development and dissemination of an effective care bundle for the primary care of complex patients. She has advanced NP practice and education through leadership in NP professional organizations and received the 2020 AANP Advocate State Award for Excellence, Arizona. At UT Health, Dr. Christianson-Silva has been active in BSN-DNP Program course and curriculum development; developing and leading DNP Projects; and is PI or Co-PI on several Interprofessional Education grants, an internal grant, and an external research grant. She is co-founder of the highly successful Green Wellness Program, an interprofessional intensive clinical program for preventing and reversing chronic disease.
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Professional Background
Education
- 2015 - Doctor in Nursing Practice - Nursing - University of Arizona
- 2013 - Post- Master Certificate - Family Nurse Practitioner - University of Arizona
- 1988 - Master of Science - Adult Nurse Practitioner - University of Michigan
- 1983 - Bachelor of Science in Nursing - Nursing - University of Arizona
Highlights
Licensures and Certifications
- Registered Nurse
- Texas Family and Adult Nurse Practitioner
- DEA License
- ANCC FNP Certificate
- ANCC ANP Certificate
- Diplomat of the American College of Lifestyle Medicine
Honors and Awards
- 2023 Salute to Nurses, San Antonio Express News, Nurse Practitioner Nominee Finalist 2
- 2022 Best 25 Nurses in South Central Texas, San Antonio Nursing Consortium, nominated
- 2020, AANP Advocate State Award for Excellence, Arizona
Appointments
- 2019 - Assistant Professor/Clinical - UT Health San Antonio, School of Nursing
- 2016 - Adjunct Clinical Professor - University of Arizona
- 2015 - Assistant Professor, Clinical - University of Arizona
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Instruction & Training
- 2023 - Present, NURS 7307 DNP Dissemination, UT Health San Antonio, School of Nursing
- 2023, NURS 7306 DNP Project, UT Health San Antonio, School of Nursing
- 2023 - Present, NURS 6454 FNP Diagnosis and Management , UT Health San Antonio, School of Nursing
- 2023 - Present, NURS 6143, 6141, 6147 FNP/PNP/AG-ACNP Clinical skills and Laboratory science , UT Health San Antonio, School of Nursing
- 2023, NURS 7306 DNP Project , UT Health San Antonio, School of Nursing
- 2022, NURS 7322 Healthcare Policy Analysis and Advocacy, UT Health San Antonio, School of Nursing
- 2022 - Present, NURS 6110 Advanced Health Assessment and Clinical Reasoning, UT Health San Antonio, School of Nursing
- 2022 - Present, NURS 7306 DNP Project, UT Health San Antonio, School of Nursing
- 2022, NURS 7306 DNP Project, UT Health San Antonio, School of Nursing
- 2022, NURS 6143/6141/6147 FNP/PNP/AG-ACNP Clinical Skills and Laboratory Science, UT Health San Antonio, School of Nursing
- 2022, NURS 6158 FNP Diagnosis and Management: Clinical Application 2, UT Health San Antonio, School of Nursing
- 2022, NURS 6154 FNP Diagnosis and Management: Clinical Seminar 2, UT Health San Antonio, School of Nursing
- 2021 - Present, NURS 7322 Healthcare Policy Analysis and Advocacy, UT Health San Antonio, School of Nursing
- 2021, NURS 6457 FNP Diagnosis and Management: Clinical Application , UT Health San Antonio, School of Nursing
- 2021, NURS 6153 FNP Diagnosis and Management: Clinical Seminar 1, UT Health San Antonio, School of Nursing
- 2021, NURS 7306 DNP Project, UT Health San Antonio, School of Nursing
- 2021, NURS 6110 Advanced Health Assessment and Clinical Reasoning: Clinical Application, UT Health San Antonio, School of Nursing
- 2021, NURS 6454 FNP Diagnosis and Management: Concepts & Theory, UT Health San Antonio, School of Nursing
- 2021, NURS 6620 FNP Dx and Mgt of Aging Families: Clinical Application, UT Health San Antonio, School of Nursing
- 2020, NURS 7322 Healthcare Policy Analysis and Advocacy, UT Health San Antonio, School of Nursing
- 2020, NURS 7312 DNP Project: Seminar and NURS 7313 DNP Project: Clinical Application, UT Health San Antonio, School of Nursing
- 2020, NURS 6110 Advanced Health Assessment and Clinical Reasoning: Clinical Application, UT Health San Antonio, School of Nursing
- 2020, NURS 6250 Advanced Health Promotion, Health Protection, & Disease Prevention, UT Health San Antonio, School of Nursing
- 2020, NURS 7111 Advanced Nursing Seminar and NURS 7511 Advanced Nursing Seminar: Clinical Application , UT Health San Antonio, School of Nursing
- 2020, NURS 6620 FNP Dx and Mgt of Aging Families: Clinical Application, UT Health San Antonio, School of Nursing
- 2020, NURS 6210 Advanced Health Assessment & Clinical Reasoning, UT Health San Antonio, School of Nursing
- 2020, NURS 6620 FNP Diagnosis & Management for Aging Families: Clinical Application, UT Health San Antonio, School of Nursing
- 2020, NURS 3305 Foundations of Clinical Nursing Practice: Clinical Application, UT Health San Antonio, School of Nursing
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Research & Grants
Grants
- 10/2022-09/2023 Funder: Morrison Foundation Trust, $55,000.00 Extension to 08/2024 Title: A Interprofessional-led Model of Care to Prevent and Treat Chronic Diseases using a Whole Food, Plant-based Nutrition Program in a Primary Care Setting Role: Co-Principal Investigator Forty-five patients in Green Wellness Program: Plants-2-Plate will be more intensely studied for improvement in cardiovascular risk factors including special inflammatory biomarkers. Food intake and physical activity are being directly monitored using wearable devise technology.
- 06/2022 – 05/2023 Funder: 2022 UT Health School of Nursing / Nursing Advisory Council, $11,100.00 Extension to 08/2023 Title: Green Wellness Program: Plant-2-Plate Role: Principal Investigator Funds are being used to strengthen the Green Wellness Program through enhanced patient services and incentives, professional development for team members, a part-time research assistant for data retrieval and analyses, and program dissemination.
- 03/2021 - 03/2022 Funder: UT Health, $5,000.00 Title: LINC Seed Grant: Interprofessional Training with Family Nurse Practitioner and Physician Assistant students using Interprofessional Education Objectives Structured Clinical Examination Role: Co-Principal Investigator
- 03/2020 - 03/2021 Funder: UT Health, $5,000.00. Title: LINC Seed Grant: Interprofessional Training with Advanced Practice Nurse, Dietetic, and Pharmacy Students using Nutrition-focused Case Studies. Role: Co-Principal Investigator. Grant Detail: Hypothesis: Nursing, dietetic, and pharmacy students who participate in a case-based interprofessional education(IPE)workshop will improve their understanding of each other‘s roles in the healthcare team and enhance their attitudes toward future IP collaborations to improve patient care.Page Break
- 2014 - 2015, Funding Agency: Sigma Theta Tau, $1,000.00. Title: “The Influence of Doctor of Nursing Practice Education on Nurse Practitioner Practice”. Role: Principal Investigator. Grant Detail: DNP Project, Sigma Theta Tau International, Beta Mu Chapter Student Research Grant
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Service
School
Student Mentees/Trainees, UT Health San Antonio School of Nursing
Chair for DNP student DNP Projects:
2024-2025
Decreasing No-Show Rates at Individual Appointments in an Intensive Lifestyle-based Program for Preventing and Reversing Chronic Disease, Beatriz Carranza
Increasing Medication Scanning Rates in a Rural Hospital Emergency Department, Vivianne DeLeon
Improving the Quality of Care for Precipitous Deliveries in the Pediatric Emergency Department, Brianna Camacho
Minimizing Blood Culture Contamination Rates in an Emergency Department, Nicole Perez2022-2023
Overcoming Barriers to Hypertension Control in Rural Health Clinics, Vanessa Cox
Improving Well Woman Exam Care and Documentation in a University Clinic, Alexander Valdez
Improving Patients’ Communication of Reportable Adverse Reactions to Tuberculosis Drug Therapy, Taiwo Ajayi
Quality Improvement of an Intensive Nutrition and Lifestyle Program for Preventing and Reversing Chronic Disease, J. Barsalou2022
Improving Blood Pressure Control in Adult Hypertensive Patients with Mental Health Disorders, Handa J. Sayi2022-2026
Global Health Distinction Program Mentor for PhD student Zarqa Malik2020-2022
Global Health Distinction Program Mentor for BSN-DNP student Temitayo Ojo, only student to receive Distinction at GraudationInstitutional
- 2023-Present DNP Curriculum Subcommittee of Member Committee on Graduate Studies
- 2023-Present Lifestyle Medicine Interest Group, Lead Faculty Advisor and Co-Founder American College of Lifestyle Medicine (campus-wide student organization)
- 2021-present UT Heath SA Campus Internationalization Member Committee (formerly International Relations Committee)
- 2021-Present Campus Internationalization Member Committee (formerly International Relations Committee)
- 2021-04/2023 SON Committee on Interprofessional Member
- 2023-Present Education Chair-Elect
- 2020-12/2021 DNP Projects Working Group Member
- 2019-Present FNP Working Group Member
- 2020-Present UT Health SA, School of Nursing Chair Bylaws Committee
- 2019 - Present, UT Health SA, School of Nursing Faculty Practice Plan Professional Affairs Committee, Member
- 2020 - Present, UT Health SA, School of Nursing Bylaws Committee, Chair
Service to the Profession
- 2023- Present Texas Nurse Practitioners UT Health San Antonio University Ambassador
- 2020 – Present, Texas Nurse Practitioners PAC Advisory Council Member
- 2020 – Present, Texas Nurse Practitioners Rural Health Interest Group Member
- 2017 - 2019, Arizona Nurse Practitioner Council President
- 2016 – 2019, Arizona Nurse Practitioner Council Legislative Chair; Expansion Committee Chair; Reimbursement, Membership, and Conference Committees; Abstract Reviewer for Symposium and Scholarship Awards
- 2017 – 2019, Arizona Nurses Association Public Policy Committee Member
- 2019, Arizona Nurses Association Public Policy Committee Leadership Team
- 2017 – 2019, AZ Medical Advisory Board for Opioid Crisis Member
- 2018 – 2019, SAZAPN/NPS Legislative Chair
Professional Affiliations
- 2019 - Present, San Antonio Nurses in Advanced Practice
- 2019 - Present,Texas Nurse Practitioners
- 2010 – Present, National Organization of Nurse Practitioner Faculties
- 2007 - Present, American Association of Nurse Practitioners
- 1983 - Present, Sigma Theta Tau
Community
- 2022 Represented UT Health at San Antonio Culturingua San Antonio World Refugee Day
- 2022 Volunteer Nurse Practitioner and Preceptor Wellness Centers San Antonio for UT Health Frontera Medical and NP Wellness Promotion Summit Students at Medical Clinic in Windcrest, TX
- 2022 Volunteer Sales of KWA items at King William Association (KWA) King William Fair, Fiesta San Antonio
- 2022 Volunteer Nurse Practitioner and Preceptor City of San Antonio and Center for Refugee for UT Health Frontera Medical and NP Services Afghan Refugee Fair Students at Medical Clinic
Global
Dr. Christianson-Silva has been a primary care nurse practitioner and nursing educator since 1989 in several US states and Germany. She currently teaches in the FNP Program and practices at the Wellness 360 Clinic. She has provided primary care in homeless/low-income health clinics. She is an advocate for expanded healthcare access. In Germany, she was the School Nurse and Community Service Program Coordinator, Bavarian International School. She led projects involving Caritas Refugee Camp residents and organized a student trip to Zimbabwe. She was a UNICEF volunteer and a USA Consulate Roundtable Group member. At UCLA (University of California Los Angeles),Dr. Christianson-Silva worked with students in an Underserved Subspecialty and served as Faculty Advisor of Global Action In Nursing. She precepted students at Cold Weather Shelter Clinics and the Union Rescue Mission nurse-managed health center. She led students on a medical service trip with “Floating Doctors,” serving Ngobe people on Panama’s remote islands. Dr. Christianson worked with STAND: The Haiti Project. She was responsible for the general medical clinic and provided clinical instruction to nursing and medical students. At UT Health, she organized a trip for FNP/PNP students to Haiti in 2020 (canceled due to COVID). In 2024 she served as faculty and preceptor for an FNP student experience in Ndola, Zambia. She has been a Global Health Distinction Program Mentor since 2022.
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Publications
- Meireles, C., Benedives, H., Markle, J., Ko, J., Byeongyeob, C., & Christianson-Silva, P., (2024). A study protocol for an interprofessional model of care to prevent and treat chronic disease using a nutrition program based on whole food, plant-based eating pattern, Current Developments in Nutrition: A Journal of the American Society for Nutrition, 8 (Suppl 2), 103670. https://doi.org/10.1016/j.cdnut.2024.103670
- Christianson-Silva, P., Lee, W., Meireles, C., Gelfond, J., Vasquez, L., & Evoy, K. (2024). Impact of interprofessional nutrition education workshops on pharmacy, nurse practitioner, and dietetic students, Texas Journal of Health-System Pharmacy, 22 (1), 14-19.
- Christianson-Silva, P., Benavides, H. & Meireles, C. (2023). Using shared medical appointments in your practice, The Journal for Nurse Practitioners, 19 (8), 1-3. https://doi.org/10.1016/j.nurpra.2023.104709
- Benadives, H., Christianson-Silva, P. & Meireles, C. (2023) A plant-based program led by an interprofessional team in south Texas. American Journal of Lifestyle Medicine, Lifestyle Medicine 2022 Annual Conference Research Abstracts, 17 (Suppl 1), 69. https://doi.org/10.1177/15598276221128370
- Benadives, H. & Christianson-Silva, P. (2023). Incorporating plant-based nutrition into nursing curricula, Nursing Education Perspectives, Advance online publication.
- https://doi.org/10.1097/01.NEP.0000000000001151
- Christianson-Silva, P., Russell-Kibble, A., & Shaver, J. (2022). An NP-led care bundle approach for primary care of patients with complex health needs, Journal of the American Association of Nurse Practitioners, 34(2), 364-372. doi: 10.1097/JXX.0000000000000628
- “The Influence of Doctor of Nursing Practice Education on Nurse Practitioner Practice” – available at http://arizona.openrepository.com/arizona/handle/10150/556445
- “Nurse Practitioners” – chapter in Introduction to Clinical Medicine (medical student textbook), 1995
- 2023 Using Shared Medical Appointments in Your Practice, Texas Nurse Practitioners 2023 Rural Health Conference, virtual
- 2023, Active Learning Strategies with Family Nurse Practitioner and Physician Assistant Students to Enhance Interprofessional Competencies, National Organization of Nurse Practitioner Faculties 49th Annual Conference, Orlando, FL
- 2023, Tuberculosis Side Effects Questionnaire, World Tuberculosis Day Webcast, TB in Texas from Heartland National TB Center, San Antonio, TX
- 2020, “Chronic Traumatic Brain Injury: A Hidden Challenge” – American Association of Nurse Practitioners (AANP) National Conference, 60 minute presentation, conference cancelled due to COVID-19 pandemic
- 2019, “Low Back Pain: By the Guidelines” - AANP National Conference, 60 minute presentation, Indianapolis, IN
- 2018, “Low Back Pain: By the Guidelines” - Arizona Nurse Practitioner Council (AZNPC) Southwest Regional Nurse Practitioner Symposium, Phoenix, AZ
- 2017, “Implementation of the AEI0OU Bundle of Practices in the Primary Care of Complex Patients” – AANP National Conference
- 2016, “Health 360 South: An Interprofessional Collaborative Practice” – Arizona State University Annual Conference on Integrated Healthcare, Chandler, AZ
- 2015, “Update on Arizona APRN Consensus Model Legislation” – Southern Arizona Advanced Practice Nurse / Nurse Practitioner Society (SAZAPN/NPS) Annual Conference, Tucson, AZ
- Benavides, H., Anderson, A., Meireles, C., & Christianson-Slva, P. (2024). The Effects of a Whole Food Plant-Based Dietary Eating Pattern with Obese, Low-Income Hispanics Living in Texas: An Evidence-Based Practice Project, American College of Lifestyle Medicine LM2024, Orlando, FL
- Meireles, C., Benavides, H., Markle, J., Ko, J., Byeongyeob, C., & Christianson-Silva, P. (2024). A Study Protocol for an Interprofessional Model of Care to Prevent and Treat Chronic Disease Using a Nutrition Program Based on Whole Food, Plant-Based Eating Pattern, Nutrition 2024: American Society for Nutrition (ASN) Excellence in Nutrition Research and Practice, Chicago, IL.
- 2023, A Nurse and Dietician-Led Intensive Lifestyle Program to Reserve Chronic Disease, Sigma 47th Biennial Convention, San Antonio, TX Abstract will be published in Sigma journal and the poster with voice-over will be available during the virtual portion of the Convention.
- 2022, A Plant-based Program Led by an Interprofessional Team to Prevent Chronic Diseases in Southeast Texas, American College of Lifestyle Medicine LM2022, Orlando, FL
- 2022, Implementing and Evaluating Strategies for Increased Usage of Women’s Health Services at a University Health and Wellness Clinic, Texas Nurse Practitioners 34th Annual Conference, Round Rock, TX
- 2022, Teach-Back Method to Improve Patient Understanding on Reportable Side Effects from Tuberculosis Drug Therapy, “End TB” National Tuberculosis Conference, Palm Springs, CA
- 2018, “Medication Assisted Therapy for Opioid Use Disorder” – SAZAPN/NPS Annual Conference
- 2015, “Bundling Practices to Improve Care of Patients at High Risk for ED or Hospital Readmissions” - AANP National Conference, New Orleans, LA - featured in The Clinical Advisor (http://www.clinicaladvisor.com/aanp-2015-annual-meeting/primary-care-bundle-reduces-ed-readmission/article/420566/) and AANP Smartbrief
- 2015, “Bundling Practices to Improve Care of Patients at High Risk for ED or Hospital Readmissions” - SAZAPN/NPS Annual Conference, Tucson, AZ
Peer-reviewed Articles (*indicates data-based)
Peer Reviewed Podium Presentations
Peer Reviewed Poster Presentations
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Clinical
Faculty Practice at Wellness 360 Clinic providing primary care and occupational health, BSN-DNP FNP student preceptor.
Green Wellness Program: Plants-2-Plate co-founder and provider