Faculty & Staff Profile

Faculty/Staff Profile

Mary E. Cramer, RN, PhD, APHN-BC
(Courtesy Faculty), UNMC College of Public Health

Contact Information
University of Nebraska Medical Center (UNMC)
College of Nursing - Omaha Division
Center for Nursing Sciences, Room 40105
985330 Nebraska Medical Center
Omaha, NE 68198-5330
tel: (402) 559-6617
E-Mail: mecramer@unmc.edu

Dr. Cramer is a graduate of the UNMC College of Nursing (BSN - 1976; MSN - community health nursing major - 1980) and the University of Nebraska – Lincoln (PhD - 1998) Community and Human Resourses.

Dr. Cramer has worked for the Visiting Nurses Association in Omaha, NE as a public health nurse, as District Director, and as Director of Occupational Health Services. She developed and owned her own small business (1984 – 1988), Direct Marketing Services of Manhattan which she sold. Since her academic career began at UNMC College of Nursing in 2000, Dr. Cramer’s focused area of scholarship has been outcome evaluation of community-based programs/services and nursing workforce. She has been continuously funded with state, federal, and national grants and she is currently principal investigator for the evaluation core of a National Institute of Occupational Safety and Health (NIOSH) grant for the central states region, and principal investigator for the Healthy Start project in Nebraska.

Dr. Cramer’s evaluative research was acknowledged at a national level when she was invited to serve on an expert panel to develop the research agenda for public health nursing (AHRQ, 2010). Her work has had a national impact on the quality of long term care. She was co-principal investigator for the Midwest Geriatric Nurses Quality Improvement project (Robert Wood Johnson Foundation Partners Investing in Nursing, 2009-2011), which focused on certification and leadership development for RNs employed in rural Midwestern LTC facilities. The project’s success resulted in the American Health Care Association (AHCA)—the nation’s largest association of long term and post-acute providers with 11,000 members—adopting it as a central component of their national initiative to improve quality nursing care. The project is currently marketed to all 50 AHCA state affiliates and is available at www.ahca.org. The National Gerontological Nurses Association adopted the project’s leadership academy as a new NGNA Special Interest Group—Long Term Care.

Dr. Cramer’s work in evaluating the impact of programs/services on population health has been influential to policy formulation at national and state levels. Her research for Tobacco Free Nebraska was instrumental in smoke-free policy changes in Nebraska and has led to invited policy consultations with US Department of Housing and Urban Development (HUD) and state/city health departments. Her evaluation instrument, Internal Coalition Effectiveness ICE© (Public Health Nursing 2006a, b) has been used by numerous state, federal and policy making organizations in the U.S. and in four foreign countries.

Dr. Cramer has successfully led numerous interprofessional and community-based teams to address nursing workforce issues. She is a founding member of the Nebraska Action Coalition, part of the RWJF/AARP National Campaign for Action and she serves on its Executive Board. Dr. Cramer belongs to American Academy of Nursing, Academy Health, American Public Health Association, Sigma Theta Tau, and she has been active in the ANA as 2nd Congressional District Coordinator (1994-96, 2000 – 2002) and in various elected offices for Nebraska Nurses Association.

Graduate Teaching

  • NRSG 709/909: Health Care Policy
  • NRSG 413A: Population Health


FUNDED GRANTS/CONTRACTS (2005 - present only)

2013   Vinton, V. (PD, Nebraska Action Coalition); Lazure, L. (Co-I), Valerio, M. (Co-I), Connelly, L (Co-I), Orduna, A., Brage-Hudson, D., Cramer, M. (Co-I) (.05 unfunded fte). State Implementation Program (SIP). Robert Wood Johnson Foundation, National Campaign for Action.
Duration: 2013 - 2015
Amount: $150,000 challenge grant awarded to Nebraska Action Coalition

2012 Cramer, M. (PI) (.15 fte). Xu, L. Influencing tobacco free policies for multi-unit housing in Nebraska. Tobacco Free Nebraska.

2011 Rautiainen, R. (PI), Loomis, D., Rogan, E. (PI), Romberger, D., Gibbs, S., Von Essen, S., Cramer, M. (PI, Evaluation Core) (.15 fte). Centers for Agricultural Disease and Injury Research, Education, and Prevention (1 U54 OH 010162). National Institute for Occupational Safety and Health (NIOSH).

2011 Summerfelt, J. (PI), McCullough, C. (Co-PI), Cramer, M. (Co-I), Morris, R., Lazure, L., & Lazure, J. National Campaign for Action: Nebraska Action Coalition. Robert Wood Johnson Foundation/AARP.

2011 Cramer, M. (PI) (.15 fte), & Xu, L. Evaluating the effectiveness of community-based education in smoke-free policy implementation for multi-unit housing. Nebraska Health and Human Services System, Tobacco Free Nebraska.

2009 Cramer, M. (PI) (.25 fte), Van Ekeren, G. (Co-PI), Sather, L.,Valerio, M., & Culross, B. Midwest geriatric nursing quality improvement project. Robert Wood Johnson Foundation and Northwest Health Foundation: Partners Investing in Nursing’s Future (PIN).

2009 Cramer, M. (PI) .20 fte, Jones, P. (Co-I), & Roberts, S. Smoke-free policy in multi-unit housing: Comparison of landlord and tenant knowledge, attitudes and behaviors. Nebraska Health and Human Services System, Tobacco Free Nebraska.

2009 Cramer, M. (PI), (.18 fte), Chen, L, & Roberts, S. Impact of community-based case management on Birth outcomes: External evaluation Omaha Healthy Start. HRSA Maternal and Child Health Bureau.

2008 Cramer, M. (PI), Jones, K., & Hertzog, M. Nurse staffing in critical access hospitals. Nebraska Health and Human Services System, Office of Rural Health.

2008 Cramer, M. (PI) (.15 fte), Jones, P., & Stevens, E. Evaluating the impact of community-based education on smoke-free policy implementation. Nebraska Health and Human Services System, Tobacco Free Nebraska.

2006 Cramer, M. (PI) (.20 fte), & Stevens, E. Evaluation of community-based programming for smoking prevention. Nebraska Health and Human Services System, Tobacco Free Nebraska.

2005 Cramer, M. (PI) (.20 fte), Chen, L.W., & Roberts, S. Epidemiological birth outcomes in two cohort groups: External evaluation for Omaha Healthy Start. HRSA Maternal and Child Health Bureau and National Healthy Start Association.


*Cramer, M., Atwood, J., & Stoner, J. Internal Coalition Effectiveness (ICE©) instrument. United States Copyright Office. TX 6-444-270.


Cramer, M. (2012, August). Invited Panel Presenter: Research Informs Smoke-free Policy Changes in Nebraska: Findings from the Landlord and Tenant Surveys. Paper presented at National Conference on Tobacco or Health (NCTOH), Ancillary Meeting, Kansas City Convention Center, Room 2505A, Kansas City, Missouri.

Gofin, J., Gofin, R., Margalit, R., Brown, D., Cramer, M., & el-Mohandes, A. (2011, October). Promoting Healthy Communities: Integrating Public Health and Medicine in the Training of Public Health Workforce. Paper presented at 139th Annual American Public Health Association National Convention, Washington DC.

Cramer, M., & Van Ekeren, G. (2011, October). Sustainability of PIN projects: Moving to the national stage. Invited presentation at Robert Wood Johnson Foundation Partners Investing in Nursing Annual Conference. Washington, DC.

Cramer, M., & Nayar, P. (2011, October). Internal Coalition Effectiveness (ICE©): Results of a process evaluation of the RWJF Geriatric Nursing Education Quality Improvement Program. Presented at 139th Annual American Public Health Association National Convention, Washington DC.

Cramer, M., & Bevil, C. (2011, September). Results of the RWJF/NWHF Partners Investing in Nursing Project: Midwest Partners Improving Geriatric Nursing Care. Invited paper presentation at American Health Care Association Annual Convention, Las Vegas, NV.

Culross, B., Marks-Conley, D., Cramer, M., Sather, L, Rejda, P. ( 2011, July). Transforming knowledge through technology: an on-line learning experience to enhance gerontological nursing and leadership competence in long term care. Poster presentation at Emerging Technologies in Nursing Education, San Francisco, CA.

Cramer, M., Stevens, E., Roberts, S., & Xu, L. (2010, November). Smoke-free policies for multi-unit housing: A descriptive comparison of the perceptions and experiences of landlords and tenants. Invited panel presentation at American Public Health Association National Convention, Denver, CO.

Marks-Conley, D., Culross, B., Cramer, M., & Rejda, P. (2010, October). Transforming knowledge through technology: An on-line learning experience to enhance gerontological nurse competence in LTC. Presentation at National Gerontological Nursing Association, Palm Springs, CA.

Cramer, M. , & Stevens, E. (2010, March). Cost effectiveness of community-based prenatal care: the Douglas County Healthy Start project. Paper presentation at National Healthy Start Annual Conference, Washington, DC.

Professional Service/Recognition (2006 to present)

  • Fellow, American Academy of Nursing
  • Chair, Department of Community Based Health (2005 – 2012)
  • Executive Board, Nebraska Action Coalition
  • AHRQ Panel Participant: Prioritizing the Research Agenda for Public Health Nursing