Digital Commons Network^™

Np Full Practice Authority: Does Increasing Access To High Quality Care Make A Difference?, Cynthia Sanchez

International Nursing Research Congress (INRC)

The purpose of this presentation is to compare outcomes for states that had full practice authority (FPA) for NPs to those that do not.

The aim of this study was to examine the impact of FPA on patient outcomes. A principal factor in the excess mortality rate of the U.S. is the health disparities that exist in this country, which are influenced by the social determinants of health.

CDC and NIH data were utilized after the official end of the Covid 19 pandemic mortality rates, utilization of services and health status were used to compare states that had full practice …

The Effects Of Team-Based Learning On Students’ Perceptions Of Interprofessional Collaboration, Donna Copeland-Streeter

International Nursing Research Congress (INRC)

Introduction: Effective interprofessional teamwork is essential for collaborative, patient-centered care, yet health science students often lack structured opportunities for shared learning. Incorporating intentional and continuous interprofessional education (IPE) throughout the curriculum is critical for building the communication and collaboration skills needed for team-based clinical practice.

Background: Although the value of IPE is well established, health science students are rarely trained together before entering practice. Barriers such as rigid curricula, limited resources, inconsistent leadership support, and institutional resistance hinder implementation. These gaps contribute to communication failures, workflow inefficiencies, and compromised patient safety. Embedding IPE into cross-disciplinary curricula can provide authentic teamwork …

Recharging Pacu Essential Skills Through An Annual Back-To-Basics Bootcamp, Rona Khadka

International Nursing Research Congress (INRC)

Post-Anesthesia Care Units (PACUs) require nurses to rapidly assess and manage patients emerging from anesthesia, often responding to airway concerns, hemodynamic instability, and unexpected clinical deterioration. Walter 3 PACU is a high-acuity, 24/7 unit caring for 45–55 postoperative cases daily across multiple surgical specialties. When staffing is supported by on-call staff including RNs from other PACUs during nights and weekends, nurses may experience anxiety and uncertainty when working outside their home environment. To strengthen confidence and essential clinical skills, Walter 3 launched its Back-to-Basics Bootcamp, an annual education initiative focused on reinforcing core emergency management competencies in a supportive learning …

An Analysis Of Electronic Nursing Documentation In The Emergency And Trauma Department, Nurul'ain Ahayalimudin

International Nursing Research Congress (INRC)

Introduction: Electronic nursing documentation (END) is fundamental to emergency care, ensuring effective communication, patient safety, and legal accountability. However, issues such as incomplete entries, variability in documentation quality, and limited use of standardised nursing language, particularly NANDA-I, continue to challenge the delivery of accurate and holistic care.

Objective: This study analysed the use of electronic nursing documentation in the Emergency and Trauma Department (ETD) of one tertiary hospital, examined patterns of recorded information, and compared it with the NANDA-I framework.

Methodology: A qualitative document analysis was conducted using purposive sampling of END records from April 2022 to February 2025. The …

Impact Of Consumer-Led Education On Stigma Reduction In Mental Health Nursing, Anju Sreeram

International Nursing Research Congress (INRC)

Mental Health Nurses who have direct contact with consumers can exhibit discriminatory attitudes towards people with mental illness. Evidence shows that anti-stigma interventions are effective in improving stigmatised attitudes towards mental illness to facilitate the recovery of people with mental illness, and the contact-based interventions are more impactful than other modalities of education and training.

The current study aimed to examine the effectiveness of consumer-led education in reducing stigmatised attitudes among mental health nurses. A quasi-experimental pre- and post-test design was used to assess the impact of consumer-led education.

The results show that Mental Health Nurses generally held positive attitudes …

Relational Safety In Practice: Examining How Nurses And Patients Co-Create Safe Clinical Encounters, Jitana P. Benton-Lee

International Nursing Research Congress (INRC)

Psychological safety is central to patient-centered care and effective nurse-patient relationships. When relational safety is present, patients report better experiences, outcomes, and trust, and nurses benefit from strengthened confidence and teamwork. However, the relational processes through which psychological safety is co-created in acute care remain insufficiently described.

This study examined the emotional, cognitive, and social processes that shape psychological safety within nurse-patient relationships and explored how relational safety emerges and influences care experiences. The study sought to generate theoretical insights explaining how relational safety emerges, is negotiated, and influences care experiences in acute care environments.

Using a constructivist grounded theory …

Np-Led Family-Assisted Dyspnea Management To Enhance Comfort In A Respiratory Ward, Shih-Ying Chang, Chia-Chi Chang, Shih-Ying Lin, Cheng-Pei Wang

International Nursing Research Congress (INRC)

Background: Dyspnea is a frequent and distressing symptom among patients in respiratory care wards (RCWs), especially those requiring prolonged ventilatory support. Breathlessness contributes to anxiety, impaired communication, and reduced rehabilitation. Although family engagement improves patient comfort and care continuity, structured family-centered dyspnea interventions remain limited. Nurse practitioners (NPs) play a central role in patient–family communication and are well positioned to lead such programs.

Purpose: To evaluate the feasibility, effectiveness, and acceptability of an NP-led family-engagement dyspnea care program designed to reduce dyspnea and strengthen caregiving confidence in an RCW.

Methods: A quasi-experimental pre–post pilot study was conducted in an RCW …

Integrated Patient Care Practice In Intensive Care Unit Related To Abcdef Bundle: A Correlation Study, Sahar Saleem Aljadani, Hanan M. Alyami

International Nursing Research Congress (INRC)

Background: Intensive Care Units (ICUs) provide critical care for severely ill patients requiring sedation and mechanical ventilation, which can lead to adverse outcomes (Temesgen et al., 2021; Park & Lee, 2019). The ICU Liberation bundle, from the Society of Critical Care Medicine's guidelines, prioritizes Pain, Agitation/Sedation, Delirium, Immobility, and Sleep disruption (PADIS), collectively known as the ABCDEF bundle. This strategy seeks to enhance outcomes through pain management, Spontaneous Awakening Trials (SAT), Spontaneous Breathing Trials (SBT), delirium management, early mobility, and family involvement (Mart et al., 2021).

Aims: This study examined nurses' profiles, knowledge, and practices related to the ABCDEF bundle …

Mission-Scoped 5g Network Lifecycle With Disconnected Udm Cache And Cryptographic Revocation, Bart Van De Velde, Andreas Enotiadis

Defensive Publications Series

A system is proposed herein that defines fifth-generation (5G) subscriber, credential, and policy state for a mission as a machine-readable mission object. The mission object can be staged, instantiated, operated during a loss of central connectivity using a scoped local Unified Data Management (UDM) cache, and dissolved under policy control. The system combines a mission lifecycle state machine with cryptographic revocation of subscriber identity module (SIM), embedded SIM (eSIM), device, and policy assets at mission end.

Access In Teaching Stem Subjects To The Blind, Ashley E. Neybert

Journal of Science Education for Students with Disabilities

There are still many gaps in the literature regarding the difficulties faced by instructors of students who are blind and low vision and who teach Science, Technology, Engineering, and Math (STEM) subjects. We surveyed 26 K-12 STEM teachers about accessible materials they are aware of versus which accessible materials they use in their classrooms, their thoughts on how common challenges identified in the extent literature affect them in their teaching, and their perspective on how much extra time may be required for blind and low vision students (if any) to effectively learn STEM subjects.

Selections From American Poetry League Bulletin, Fall 1973, Lydia O. Jackson, American Poetry League

Lydia O. Jackson Papers

A selection of pages from the Fall 1973 issue of the American Poetry League Bulletin. Included is the bulletin cover, title page, Lydia O. Jackson’s poem, “Books,” and an anonymous article, “A Brief History of the American Poetry League from 1922 to 1964.” The American Poetry League (APL) was first founded in 1922 as the Midwest Poetry League. Jackson was a member of the APL and frequently published poems in the Bulletin. Her collection includes dozens of issues of the Bulletin, as well as related organizational materials. Her poem, “Books,” expresses her love of books and reading.

Event Program For Venison Dinner Honoring Governor And Mrs. Fred G. Aandahl, 1947, Republican Organizing Committee

Lydia O. Jackson Papers

A program, with handmade cover, for a dinner event honoring North Dakota Governor Fred G. Aandahl and his wife, Luella Aandhal nee Brekke. The event was sponsored by the Republican Organizing Committee (ROC) of Grand Forks, Pembina, and Walsh Counties. Aandhal was a founder of the ROC, a conservative faction within the North Dakota Republican Party. He served as governor 1945-1951. The evening included the reading of a poem which Lydia O. Jackson wrote in Aandahl’s honor; it is printed in full on the back of the program. The poem speaks to Aandahl’s agricultural background and public image as a …

Transforming Military Spectrum Management With Spectrack, Rachel Mccoy, Rafa Gould, Abby Fornadel

James Madison Undergraduate Research Journal (JMURJ)

The U.S. military faces operational and financial challenges due to inefficient electromagnetic spectrum
management. This poster and accompanying research statement introduce our minimum viable product, SpecTrack, which we created in response to a challenge presented by the U.S. Department of Defense's Joint Spectrum Agency. SpecTrack centralizes and visualizes spectrum requests to offer insights, streamline communication, and reduce costs. It integrates with current tools like Spectrum XXI and HUNSWDO while enhancing usability through a visual Common Operating Picture (COP). Our user-centered design process included stakeholder interviews and site visits to Germany. The result: a scalable platform that modernizes and simplifies military …

Spinozas Stellung In Der Vorgeschichte Des Dialektischen Materialismus; Reden Und AufsäTze Zur Wiederkehr Seines 250. Todestages, August Thalheimer, A M. Deborin

Hannah Arendt Marginalia - All

Wien, Verlag für Literatur und Politik [1928]

Call #: B3998 .T45

Contains marginal lining PDF information: 17 pages - 11.6 MB

Using Digital Engagement Methods To Balance Democracy And Efficiency In Public Decision Making, Catherine Zietse

PNHA Review

At the bedrock of our democratic society is the active participation of everyday people in shaping public affairs. Local governments seek to build inclusive and democratic processes for decision making, while at the same time being good stewards of scarce resources to efficiently address immediate needs of the community. This paper explores the role of digital engagement in balancing democracy and efficiency in public decision-making by looking at both theory and practice. Academic literature and case studies from the field show that technology and digital engagement platforms do not circumvent the risks of traditional engagement methods but provide both opportunities …

Fitness Standards For Police, Kam Robles

PNHA Review

This research addresses the inherent stressors within police work and the health and wellness problems prevalent among law enforcement officers. Police officers are at a higher risk of many of the health concerns currently plaguing the population of the already unhealthy United States. Of particular note is that back injury and pain stands out as potentially the most prevalent among the health issues experienced by law enforcement personnel. Worsening this fact is the recent trend of law enforcement administrators shying away from the issue of the unhealthy employees of law enforcement agencies. The solution of implementing widespread voluntary physical fitness …

Social Innovation As A Catalyst To Achieving The United Nations Sustainable Development Goals (Sdgs), Patricia Okolo

PNHA Review

This research explores the re-shaping role of social innovation in advancing the Sustainable Development Goals (SDGs), developed by the United Nations in 2015. In the midst of global challenges such as poverty, inequality, and climate change, this research examines social innovation as an important mechanism for achieving sustainable development. The article highlights the significant contributions of social innovation across various sectors, emphasizing its ability to address unmet social needs, promote environmental sustainability, and foster economic development. It identifies critical factors for the success of social innovation, including community involvement, scalability, access to resources, and supportive policy environments, and highlights the …

The Psychology Of Healthy Aging: A Blend Of Cognitive And Behavioral Aspects For Staying Healthy, Esther B. Noah

PNHA Review

Human life expectancy has increased in most parts of the world with a noticeable demographic shift toward a larger population of older adults. This increase and shift have created an unexpected gap in our healthcare system and society. With these changes, how can older adults be guaranteed increased longevity, quality of life, and a healthy life span? This article explores the psychology of healthy aging, emphasizing that proactive health management plans and positive health behaviors contribute to healthy aging among the older adult population. While primary data collection through interviews was conducted to support the study, the analysis primarily relies …

From The Editor-In Chief, Richard W. Jelier

PNHA Review

No abstract provided.

A New Age Of Leaders: Examining The Empowering Effect Of Collaborative Leadership In Nonprofit Organizations, Colton C. Hyble

PNHA Review

In the changing environment in the nonprofit sector, leaders are under increasing pressure to satisfy stakeholders and bring change to their communities. The collaborative leadership style, proposed and built upon by various authors in the twentieth century, is one potential solution. A theoretical analysis was conducted to understand the collaborative style, its strengths and weaknesses, and its applicability to the nonprofit sector. Results showed overwhelmingly positive findings in the impact on the organization, highlighted by increased organizational performance, a positive workplace environment, and superb employee job satisfaction. Few drawbacks and potential pitfalls exist in slowness, the possibility of a narrow …

Director’S Message, Neal Buckwalter

PNHA Review

No abstract provided.

Front Matter, Pnha Review

PNHA Review

No abstract provided.

A More Comprehensive Response: Collaboration Between Nonprofit Organizations, Abigail J. Punt

PNHA Review

Collaboration between nonprofit leaders and organizations has gained increasing attention as a potential solution to the challenges of funding and program design nonprofits experience in the face of complex social issues. Could collaborative arrangements between nonprofits create more innovative solutions and unlock access to greater resources in an increasingly competitive environment? While much attention has been paid to the role of resource dependency in driving organizations to collaborate, there are additional aspects of these arrangements that must be considered. While the benefits of collaboration are typically shared collectively by partnering organizations and the communities they serve, the costs associated with …

Makers And Small-Scale Manufacturing In Cities: Strategies For Fostering Place, Urban Production, And Economic Growth, Charles Steven Hively

PNHA Review

This paper seeks to answer whether incentivizing makers and small-scale manufacturing has any effect on the economic development or economic growth of a region. Currently, no research exists indicating a causal link between economic growth and incentivizing makers and small-scale manufacturing. Much of the previous conversation from economic development focuses on place-making and revitalization of distressed areas. This paper attempts to link three observations together to infer a positive correlation with economic growth: that higher productivity cities have higher levels of wages and employment; that incentivizing or promoting small-scale manufacturing increases their number and success; and that these small businesses …

Mental Health Standards In Michigan Juvenile Detention Facilities: At Odds With Best Practice And State’S Own Public Health Code, Jessica M. Montgomery

PNHA Review

This paper details the current standards and qualifications established for mental health providers in Michigan juvenile justice system (JJS) detention facilities. The state policies regulating JJS detention facilities are compared with Michigan’s Public Health Code Act (1978) and best-practice recommendations published by national mental health and juvenile justice authorities. This paper finds that Michigan policies regulating JJS detention facilities fall below both national best-practice recommendations and the state Public Health Code (1978), and effectively establish a standard of mental health care for youth in JJS detention facilities that is below what is established for youth in the general public. It …

Transforming Healthcare With Ai: The Illusion Of Control, Garrett L. Heaney

PNHA Review

Artificial intelligence is a new technology that has paved a path into the future for our healthcare sectors. This technology uses machine learning methods and big data to conduct its intended purpose within its designated parameters; however, researchers and consumers have experienced unintended outcomes. Artificial intelligence is deployed throughout our daily lives, so our society looks at this immense responsibility superficially. As organizational leaders experience short-sighted tunnel vision and push for innovative artificially intelligent programs, they do not realize the potential severe dangers.

This paper argues for a graded approach to studying and implementing artificially intelligent machines in healthcare. Our …

High Times Or Hazy Horizons? Michigan’S Cannabis Market As A Rural Economic Development Tool, Jakob L. Bigard

PNHA Review

Since legalizing cannabis for adult use in 2018, Michigan’s (recreational) cannabis market has become the second largest in the nation. As the state’s market sees rapid maturity, it serves as a model for other states with ongoing legalization efforts. Michigan’s actions, and others like it, have begun to impact movement at the federal level, with multiple cannabis-related bills being introduced in Congress to President Biden signing the first standalone marijuana reform bill earlier this month. As Michigan’s cannabis market continues to mature and grow, it deserves attention from economists and academics alike. Using traditional economic development metrics, this paper evaluates …

From The Editor-In-Chief, Richard Jelier

PNHA Review

No abstract provided.

Director’S Message, Raymond J. Higbea

PNHA Review

No abstract provided.

Front Matter, Pnha Review

PNHA Review

No abstract provided.