Alexandra Michel, PhD, CNM, FACNM

Dr. Michel, an Army veteran, obtained her BSN and MSN from Wayne State University, Detroit, MI, and her PhD from the University of Colorado Anschutz Medical Campus (AMC), Aurora, CO. She has completed Nursing Education (University of Colorado AMC) and Post-Doctoral Research (University of Hawaii at Manoa) Fellowships and is a Jonas Veterans Scholar. She is a licensed Certified Nurse-Midwife (CNM). As a registered nurse she worked in Detroit providing care to families at high risk for poor maternal and neonatal outcomes due to the effects of the Social Determinants of Health on her population. Once a CNM, she worked first in a Title X funded Family Planning Clinic in Genesee County, MI, followed by full-scope midwifery care across the country providing care at military treatment facilities in Washington State, North Carolina, and Hawaii. Her research has focused on improving population health with a focus on the improvement of prenatal care and our understanding about screening and vaccination guidelines uptake by providers and patients alike. In this role she published in a multitude of peer-reviewed journals and presented at local, regional, and national conferences. In her current role, she employs diverse didactic strategies to support active learning. As part of her approach, she includes simulation, empathy simulation, and gamification to introduce new materials and reinforce previously learned concepts.

• Fuzzell, L., Brownstein, N., Fontenot, H.B., Lake, P., Michel, A., Perkins, R.B., & Vadaparampil, S. (2025). Clinician characteristics associated with adoption of updated national colposcopy guidelines. Journal of Lower Genital Tract Disease, 29(2). 153-160. https://doi.org/10.1097/LGT.0000000000000877
• Perkins, R. B., Fuzzell, L., Brownstein, N. C., Fontenot, H. B., Michel, A., Neggers, M., Lake, P., & Vadaparampil, S. T. (2025) A mixed-methods study examining guideline-concordant colposcopy practices among a national cohort of US colposcopists. Journal of Lower Genital Tract Diseases, 29(2). 161-167. https://doi.org/10.1097/LGT.0000000000000876
• Perkins, R.B., Fuzzell, L., Brownstein, N.C., Fontenot, H.B., Michel, A., Kajtezovic, S., Lake, P., & Vadaparampil. (2024). Factors associated with willingness to perform expedited excisional treatment for patients at high risk for cervical cancer. Gynecologic Oncology Reports, 57. Article 101545. https://doi.org/10.1016/j.gore.2024.101545
• Fontenot, H.B., Fuzzell, L., Brownstein, N.C., Lake, P., Michel, A., Vadaparampil, S.T. & Perkins, R. (2024). Health care provider willingness to recommend self-collected HPV tests: A mixed methods examination of associated factors. Women’s Health Issues, 34(5). https://doi.org/10.1016/j.whi.2024.05.005
• Michel, A., Fontenot, H.B., Fuzzell, L., Brownstein, N., Lake, P., Vadaparampil, S., & Perkins, R. (2024). Attitudes toward American Cancer Society’s 2020 cervical cancer screening guidelines: A qualitative study of a national sample of US clinicians. Cancer, https://doi.org/10.1002/cncr.35269
• Fontenot, H., Guist, K.M., Glaubermann, G., Michel, A. & Zimet, G. (2024). Impact of COVID-19 pandemic on social media utilization, influences related to parental vaccine decision making, and opinions on trustworthy social medial vaccination campaigns: A qualitative analysis. Human Vaccines & Immunotherapeutics. 20(1). Article 2311476. https://doi.org/10.1080/21645515.2024.2311476
• Perkins, R. B., Fuzzell, L., Lake, P., Brownstein, N. C., Fontenot, H. B., Michel, A., Whitmer, A., & Vadaparampil, S. T. (2024). Factors associated with guideline-concordant and excessive cervical cancer screening: A mixed methods study. Women's Health Issues, 34(3), 257–267. https://doi.org/10.1016/j.whi.2024.01.001
• Thumm, E.B., Schaeffer, A., Michel, A., McFarland, A.K., Long, M.H., & Giano, Z. (2024). The relationship between restrictive regulation of midwives and professional burnout: A 7-state mixed-methods comparison of autonomous and restrictive regulatory environments. The Journal of Perinatal and Neonatal Nursing, 38(2). 137-146. https://doi.org/ 10.1097/JPN.0000000000000810
• Fuzzell, L., Brownstein, N.C., Fontenot, H.B., Lake, P., Michel, A., Whitmer, A., Rossi, S.L., McIntyre, M., Vadaparampil, S., Perkins, R. (2023). Examining the association of clinician characteristics with perceived changes in cervical cancer screening and colposcopy practices during the COVID-19 pandemic. eLife, 12. Article e85682. https://doi.org/ https://doi.org/10.7554/eLife.85682.
• Fuzzell, L, Lake, P., Brownstein, N.C., Fontenot, H.B., Whitmer, A., Michel, A., McIntyre, M., Rossi, S., Kajtezovich, S., Vadaparampil, S.T. & Perkins, R. (2023). Examining the impact of the COVID 19- pandemic on cervical cancer screening practices among clinicians practicing in Federally Qualified Health Centers: A mixed method study. eLife, 12. Article e86358. https://doi.org/10.7554/eLife.86358
• Vadaparampil, S. T., Fuzzell, L. N., Brownstein, N. C., Fontenot, H. B., Lake, P., Michel, A., McIntyre, M., Whitmer, A., & Perkins, R. B. (2023). A cross-sectional survey examining clinician characteristics, practices, and attitudes associated with adoption of the 2019 American Society for Colposcopy and Cervical Pathology risk-based management consensus guidelines. Cancer, 129(17), 2671–2684. https://doi.org/10.1002/cncr.34838
• Glauberman, G., Zimet, G., Michel, A., Fontenot, A. (2023). Emergency preparedness is a healthcare issue: COVID-19 pandemic’s influence on attitudes and behaviors among a national sample of parent. Journal of Pediatric Nursing. 71. 88–94 https:://doi.org/10.2139/ssrn.4302579
• Lake, P., Fuzzell, L., Brownstein, N.C., Fontenot, H., Michel, A., McIntyre, M., Whitmer, A., Rossi, S., Perkins, R.S., & Vadaparampil, S.T. (2023). HPV vaccine recommendations by age: a survey of providers in federally qualified health centers. Human Vaccines & Immunotherapeutics. 19(1). Article 2181610. https://doi.org/10.1080/21645515.2023.2181610
• Michel, A. & Lowe, N, (2023). Accuracy and interrater agreement of registered nurses’ assignment of Apgar scores to standardized clinical vignettes. Clinical Nursing Research; 32(3). 452-462. https://doi.org/10.1177/10547738231155266
• Michel, A., Minton L., Sullivan, C., Fontenot, H., & Lee, M.-J. (2023). Integrating mobile and portable technologies with in-person and telehealth care to increase perinatal health care equity for the unstably housed. The Journal of Perinatal and Neonatal Nursing, 37(1). 27-35. https://doi.org/10.1097/JPN.0000000000000705
• Michel, A. & Fontenot, H.B. (2023). Adequate Prenatal Care: an Integrative Review, Journal of Midwifery and Women’s Health, 68(2). 233-247. https://doi.org/10.1111/jmwh.13459
• Hale, F.B., Mattheus, D., Fletcher, B., Michel, A., & Fontenot, H. B. (2022). Effects of the COVID19 pandemic on school nurses’ resiliency and ability to cope: a mixed methods study in the State of Hawaii. The Journal of School Nursing, 39(2). 133–142. https://doi.org/10.1177/10598405221124423
• Fontenot, H., Michel, A., Lim, E., Ryan, N., Davis, K.F., Glauberman, G., Zimet, G., Mattheus, D. (2022) Impact of the COVID-19 pandemic on Hawaii’s nurses’ intention to leave the nursing workforce. Hawaii Journal of Health and Social Welfare, 81(5). 119- 126.
• Fontenot, H., Mattheus, D., Lim, E., Michel, A., Ryan, N., Knopf, A, Abuelezam, N., Stamp, K., Hekel, B., Branson, S. & Zimet, G. (2021). Assessing undergraduate nursing students COVID-19 vaccine attitudes and intentions: A national survey. PLOS ONE, 16(12). Article e0261669. https://doi.org/10.1371/journal.pone.0261669
• Hekel, B., Branson, S., Lim, E., Michel, A. & Fontenot, H.B. (2021) Factors associated with Texas Nurses’ consideration to leave the nursing workforce: impact of the COVID-19 pandemic. Texas Journal of Public Health, 73(4). 30-34.
• Fontenot, H., Mattheus, D., Lim, E., Michel, A., Ryan, N., Davis, K.F., & Zimet, G. (2021). Assessing licensed nurses COVID-19 vaccine attitudes and intentions: A cross-sectional survey in the State of Hawaii. Human Vaccines and Immunotherapeutics. 17(11). A3933-3940. https://doi.org/10.1080/21645515.2021.1947097
• Branson, S., Hekel B., Lim E., Michel A., Mattheus D., Zimet G., Fontenot, H. (2021). COVID-19 vaccination rates, intention to vaccinate, and predictors of vaccination among Texas nurses. Texas Journal of Public Health. 73(4). 24-29
• Michel, A., Ryan, N., Mattheus, D., Knopf, A., Abuelezam, N., Stamp, K., Branson, S., Hekel, B., & Fontenot, H. (2021). Undergraduate nursing students’ perceptions on nursing education during the 2020 pandemic: A national sample. Nursing Outlook, 69(5). 903-912. https://doi.org/10.1016/j.outlook.2021.05.004
• Michel, A. (2022). Review of the reliability and validity of the Apgar score. Advances in Neonatal Care, 22(1). 28-34. https://doi/org/10.1097/ANC.0000000000000859
• Michel, A. & Lowe, N. (2017). The successful immediate transition to extrauterine life. Biological Research for Nursing. 19(3). 287–294. doi:10.1177/1099800416685178