Digital Commons Network^™

Perceived Long-Term Benefits Of An Intervention To Improve Health Equity Of Minority Grandparents, Patricia R. Lawrence, Jessica Marcus, Tonya Stoudmire, Regena Spratling

Biennial Convention (CONV)

In the United States, grandparents raise 2.6 million children in parent-absent homes (Generations United, 2022). Grandparents serving as surrogate parents for their grandchildren can take a toll on grandparents’ lives, physically and emotionally (Whitley & Fuller-Thompson, 2017). These research findings have underscored the need for effective interventions to enhance the health of custodial grandparents. One particular intervention program was designed to improve the physical, mental, and emotional well-being of minority grandparents raising their grandchildren, and subsequent studies demonstrated this program’s effectiveness in improving grandparent health. However, what is not known are the effects over time of this intervention on the …

Bridging The Gap: A Scoping Review Of Simulation Use In Np Programs With Inacsl Standards And Cbe, Alanna Elizabeth Kavanaugh, Stephanie Bork, Carla Nye

Biennial Convention (CONV)

Simulation-based education (SBE) has become an integral component of nursing education, particularly in Nurse Practitioner (NP) programs, where it is increasingly used to bridge the gap between classroom learning and clinical practice. This scoping review examines the implementation of simulation in NP programs, with a focus on its alignment with International Nursing Association for Clinical Simulation and Learning (INACSL) standards and the principles of competency-based education (CBE). The review aims to explore the current evidence, identify best practices, and highlight gaps in research regarding the integration of simulation to enhance NP competencies.

A systematic search was conducted across multiple databases, …

Aligning Strategic Goals & Personal Growth: Innovative En-Renc Teaching Strategies At Raffles Hospital, Lilian S. M. Yew, Dira D. Haridas, Jai Vaishnavi D. Jayakumar, Hui Wen Ten, Nur Shida Binte Zainal Abidin

Biennial Convention (CONV)

The Enrolled Nurse Role Expansion Nursing Nurse Course (EN-RENC) at Raffles Hospital(RH) aligns training with strategic goals & individual development. It enhances patient care, operational efficiency, and financial viability while supporting career advancement & job satisfaction for enrolled nurses (ENs).

Purpose: Demonstrates alignment of strategic objectives and individual development via innovative teaching in EN-RENC.

Program Overview: EN-RENC equips ENs with advanced skills like intramuscular injections, wound dressing, venepuncture, & diabetic foot care, improving patient care & satisfaction^1,2. Upskilling ENs reduces dependency on agency staff & overtime, lowering labor costs & optimizing workflow.

Efficiency and Cost Savings: Enhanced EN …

“Ready, Set, Prepared!” Promoting Household Emergency Preparedness Of Older Adults, Lavonne M. Adams, Charleen Mcneill, William Ellery Samuels, Tara Heagele

Biennial Convention (CONV)

Abstract Text: Introduction Older adults are at-risk for injury, illness, or death following a disaster or public health emergency, especially if they have chronic health conditions or other functional needs. Understanding their unique perspectives may inform education efforts to improve their household emergency preparedness (HEP) and safety.

Purpose This study investigated self-reported levels of HEP among community-dwelling older adults, exploring feasibility and effectiveness of offering group education virtually and in-person. It built on previous studies of the Nurses Taking on Readiness Measures intervention that examined short-term effectiveness of one-on-one HEP education.

Methods The design was a non-randomized before-after feasibility study …

Back To Basics: Empowering Our Patient Support Team Members As Healthcare Leaders, Colleen Coyne, Elizabeth Thachanalil Xavier, Cristina Romancyck

Biennial Convention (CONV)

This presentation explores "Patient Care Basics," a transformative orientation session designed to equip newly onboarded patient support staff with knowledge, skills, and confidence to deliver exceptional patient-centered care. A needs assessment revealed a gap regarding leadership and patient-centered care. This program addresses the vital role of patient support team members by adapting adult learning principles and foundational patient care concepts. We identified the unique needs of these often first-time healthcare workers by collaboration with stakeholders.

"Patient Care Basics" utilizes a two-part, session-based approach. The first session immerses participants in a collaborative hospital leadership simulation. Working in small groups, participants establish …

Characteristics Of The United States Acute Care Nurse Practitioners’ Work Environment, 2012 To 2022, Kristin Hittle Gigli

Biennial Convention (CONV)

Background: Acute care comprises a significant amount of health care, with over 35 million hospitalizations in the United States annually.¹ As the population ages and comorbidities and chronic illness increase, demand for hospital care is forecasted to grow.² To meet the demand for acute care, clinicians, healthcare organizations, and policymakers are calling for increased nurse practitioner (NP) utilization in hospital care.^3,4

Significance: Acute care NPs practice across clinical specialties and assume diverse roles providing high-quality, interdisciplinary hospital care.^3,5,6 Despite demand for NPs in hospital care, barriers, including organizational regulations and state scope-of-practice restrictions, limit …

Fundamental Care In Times Of Crisis: The Lived Experience Of Chief Nursing Officers, Devin S. Carr

Biennial Convention (CONV)

Fundamental nursing care refers to the essential and practical elements of care that involve the integration of physical and psychosocial aspects of care required for every person in any care setting. The Covid-19 pandemic created unique challenges for nurses, which inhibited their ability to consistently provide fundamental nursing care. This study explored the lived experiencs of Chief Nursing Officers and delivery of fundamental nursing care during the Covid-19 pandemic. This study employed an exploratory phenomenological approach to gain an understanding of how Chief Nursing Officers (CNOs) promoted fundamental nursing care during times of crisis. Specifically, this study explored perceptions of …

Advancing Nurse Practitioner Education Using Targeted Curriculum In Critical Care Obstetrics, Jennifer Brower, Caitlin Luebcke

Biennial Convention (CONV)

Purpose: Adult-gerontology acute care nurse practitioner (AGACNP) education has not held a historical emphasis on care of acutely ill obstetric patients. The aim of this study was to examine the knowledge base and self-efficacy of AGACNP students pre- and post-multimodal instruction in the care of this vulnerable patient population.

Background: Maternal mortality has risen in the United States from 7.2 deaths per 100,000 live births in 1987 to 23.8 deaths per 100,000 live births in 2020. Obstetric patients are more likely to be of advanced age with chronic illnesses and using reproductive technologies than in previous years. An increase in …

Development Of Comforturn: A Smart Mattress System For Automated Patient Repositioning Using The 4d Development Model (A Concept Paper), Khin Thandar Aung, Nur Alya Farhana Suhaimi, Nik Nur Aisyah Nik Sukriman, Nurul Ain Zakaria, Nur Adila Zaidi, Khin Thuzar Aung, Rafiza Abdul Razak

Individual Articles

Pressure ulcers, also known as pressure sores, are a common and preventable complication among mobile patients, resulting from sustained pressure on specific body areas. Manual repositioning is the primary strategy for prevention, but it is physically stressful, time-intensive, and not uniformly performed by care providers. Ripple mattresses provide passive pressure redistribution; however, manual tuning is still necessary and requires an automated approach. This concept paper discusses the design of Comforturn, a smart mattress system capable of automating patient turning with a programmable side tilt and wave-like motion. The goal is to lessen caregivers' work burden and increase patient safety and …

Hospital-Based Pediatric-Focused Nurse Practitioners Role Utilization: Implications For Burnout And Intention To Leave, Kristin Hittle Gigli, Ashleigh F. Bowman, Michelle Goreth

Creating Healthy Work Environments (CHWE)

During this presentation, attendees will learn about the implications of hospital-based pediatric-focused NP role utilization on burnout and intent to leave, with the aim to identify opportunities for health systems to improve the work environment impacting well-being and retention.

Detailed abstract attached.

Dilemmas And Prospects Of Infectious Disease Prevention In Long-Term Care: A Qualitative Study, Po-Jen Kung, Ching-Min Chen, Nancy Reynolds

International Nursing Research Congress (INRC)

Aim: To explore the experiences of long-term care workers in preventing emerging infectious diseases, the challenges they faced during the pandemic, and how they were addressed.

Design: This study used an exploratory qualitative research design.

Methods: The study involved various long-term care institutions across Taiwan. Twelve interviewees, including four nurses, four nursing assistants, and four managers, were recruited via purposive sampling. All interviewees worked in the sector during the COVID-19 pandemic, were actively involved in clinical care or institutional management, and were proficient in Mandarin. In-depth interviews were conducted face-to-face between July and August 2024, and data …

Pandemic Prevention Competencies Of Long-Term Care Institution Workers: A National Survey In Taiwan, Po-Jen Kung, Ching-Min Chen, Katherine Ornstein

International Nursing Research Congress (INRC)

Aim: To assess the self-perceived pandemic prevention competencies of health and care workers in Taiwan’s long-term care institutions and identified key factors influencing these competencies.

Methods: A cross-sectional online survey was conducted from June to July 2024 using stratified proportional sampling of health and care workers (nursing and nursing assistants) from various types of long-term care institutions (assisted living facilities, residential care homes and nursing homes). Participants were actively employed during the survey, involved in COVID-19 prevention efforts, and proficient in reading traditional Chinese. Data on pandemic prevention competencies were collected, using the Emerging Infectious Disease Prevention Competencies …

Developing And Validating An Emerging Infectious Disease Prevention Competencies Scale, Po-Jen Kung, Ching-Min Chen

International Nursing Research Congress (INRC)

Aim: To develop an instrument and evaluate its psychometric properties for emerging infectious disease assessing prevention competencies among health and care workers in long-term care institutions.

Design: A cross-sectional, descriptive design utilizing both qualitative and quantitative methods was employed.

Methods: The scale was developed according to scale development guidelines in two phases, namely the scale development phase and scale testing phase, with the staff of long-term care institutions as the study population and their workplaces as the sampling unit.

Results: The scale comprises 27 items across three dimensions: 14 items pertaining to professional role performance, 7 items addressing workplace resources, …

Health And Care Workers’ Roles In Infectious Disease Prevention In Long-Term Care: A Scoping Review, Po-Jen Kung, Ching-Min Chen, Yi-Yuan Cheng

International Nursing Research Congress (INRC)

Aim: To describe how health and care workers contribute to the prevention of emerging infectious diseases in long-term care facilities.

Design: A scoping review.

Methods: A systematic search of literature dating from 2002 to 2022 was conducted in the following databases: EMBASE, Medline (Ovid), Cochrane Library, CINAHL Plus with Full Text (EBSCOhost), Web of Science, and AgeLine. Studies were selected if they focused on health and care workers in long-term care facilities, offered a perspective on the prevention of emerging infectious diseases or infection prevention and control, and were original qualitative or quantitative studies in English. Data were extracted, cross-checked …

Reflection And Appreciation: A Journey To Improving Care For Older Adults After Critical Illness, Cheryl Chia-Hui Chen

International Nursing Research Congress (INRC)

With 25 years of research, my work has focused on improving outcomes for critically ill older adults by addressing delirium, frailty, malnutrition, and functional decline. I’ve advocated for care bundles to prevent complications and support recovery. In this International Nurse Researcher Hall of Fame session, I’ll share my journey to advancing care for older adults after critical illness. This award is humbling and reflects the collective efforts of my colleagues, mentors, and students.

Building A Program Of Research To Improve Communication And Care For Older Adults, Kristine N. Williams

International Nursing Research Congress (INRC)

Upon Induction to the Sigma International Nurse Researcher Hall of Fame, Dr. Williams presented the development of her program of research focused on improving communication and care for older adults.

Integrating Social Determinants Of Health Into Advanced Health Assessment: A Sustainable Model, Heather Jones, Beth Ammerman, Elizabeth Kuzma

International Nursing Research Congress (INRC)

Social Determinants of Health (SDOH), including economic stability, access to quality healthcare and education, neighborhood characteristics, and social context, are critical factors influencing the health and well-being of individuals and communities.¹ These factors are recognized as core objectives by Healthy People 2030² emphasizing the need for healthcare providers to address SDOH in clinical settings. The purpose of this initiative was to integrate content on SDOH into an Advanced Health Assessment for Advanced Practice Nurses (APNs) course, a foundational course for all APN students. Building content in this course sets the stage for further integrating this essential content and …

A Scoping Review On Childhood Immunization Reminder Strategies Available To Parents In North America, Matilda Anim-Larbi, Vivian Puplampu, Sithokozile Maposa, Akram Mahani, Mary Chipanshi

International Nursing Research Congress (INRC)

Objective: The scoping review protocol will be used to map out the immunization reminder strategies for parents’ literature to identify the effectiveness of these approaches in improving childhood vaccination uptake.

Introduction: Vaccine-preventable diseases continue to cause morbidity and mortality despite the introduction of childhood immunizations^1,2, with recent media alerts showing a surge of common childhood vaccine-preventable illnesses like measles³. Parents can play a pivotal role in ensuring their children receive vaccinations when due^4,5,6. However, effective immunization reminders could assist parents who forget or miss the immunization schedules for their children.

Inclusion criteria: The review …

Loneliness, Technology, And Culture: Insights From Older Chinese Immigrants’ Experiences, Shao-Yun Chien, Oleg Zaslavsky, Basia Belza, Annie T. Chen

International Nursing Research Congress (INRC)

Background: Loneliness and social isolation significantly impact the well-being of older adults, particularly immigrants from minority groups. Chinese immigrants are the third-largest immigrant group in the United States and may encounter unique challenges related to loneliness and social isolation due to life transitions. The prevalence of loneliness among older Chinese immigrants is 26%, significantly higher than in the broader aging population. Despite information and communication technology (ICT) interventions developed to address these issues, their effectiveness remains unclear, possibly due to neglecting the subjective nature of loneliness and the diverse backgrounds of participants, including racial and cultural differences.

Research Purpose: This …

Smartphone-Based Ecological Momentary Assessment (Ema) Tool To Collect Momentary Psychological Data From Older Adults With Mild Cognitive Impairment (Mci): A Feasibility And Acceptability Study., Rose Lin

Sigma Foundation for Nursing Research Grant Reports

Using a user-centered approach, the specific aim is to develop a feasible and acceptable smartphone-based EMA protocol to collect real-time psychological data, including momentary emotions, perceived stress levels, and environmental stressors from individuals with MCI in their everyday environments. Such a tool is a crucial step that enables testing of the theoretical framework underlying neuropsychiatric symptoms (NPS) in MCI, a significant and prevalent risk factor known to speed up progression to dementia. We will evaluate the feasibility and acceptability of this tool by examining adherence metrics (completion rate, compliance rate, response latency, number of technical support requests), and conducting qualitative …

Increasing Access To Substance Use Disorder Treatment Through Interdisciplinary Education, Noah Weatherton, Ira Kantrowitz-Gordon, Natalie Hoge, Batoul Abdulsater

International Nursing Research Congress (INRC)

The opioid and SUD epidemic drives a need to dramatically increase treatment opportunities, yet there is a dearth of practitioners who feel comfortable and competent in this area. And there are not enough specialists. To address this, we have developed an elective, online, asynchronous course for Nursing, Medicine, Pharmacy, Social Work, and Public Health housed within a DNP program at UW School of Nursing. Course content includes concepts of trauma-informed practice (and education), stigma, etc., and are woven throughout the course. Use of telehealth simulation scenarios served to prepare students for therapeutic patient interactions and to practice skills of motivational …

Managing Dementia Behavioral Symptoms: Informal Caregivers’ Experience And Needs, Modupe Adewuyi, Xinyue Zhang, Lota Iwuagwu

International Nursing Research Congress (INRC)

Background: Eighty-three percent of persons with Alzheimer's disease and related dementias (Pw-ADRD) rely on informal caregivers—mainly family and friends—for at-home care. In 2023, over 11 million dementia caregivers provided an estimated 18.4 billion hours of unpaid care, valued at $346.6 billion [1]. Although there is a wealth of literature on the roles of dementia informal caregivers, there is little data on their ability to manage the behavioral symptoms experienced by approximately 90% of Pw-ADRD [1], as well as the resources they utilize for support [2]. These symptoms have been positively correlated with functional and cognitive impairment leading to earlier placement …

Effect Of Storytelling On Nursing Student Engagement And Patient Perceived Empathy, Catherine Quay

International Nursing Research Congress (INRC)

Purpose: Evidence has shown that engaging, immersive learning experiences that promote the understanding of another person are most effective at improving empathy in nursing students (Bas-Sarmiento et al., 2020; Cho & Kim, 2024; Levett-Jones et al., 2019). There is a lack of evidence, though, related to the clinical significance of these learning experiences on patient perception of empathy. This study examined the effect of storytelling through an immersive virtual reality (IVR) intervention on nursing student engagement and patient-perceived empathy.

Methods: Guided by Transportation Theory (Green & Brock, 2000), a quasi-experimental comparison group, posttest design was used. Participants included 60 second-degree, …

Intergenerational Programs: Reducing Loneliness Of Older Adults In Congregate Care Settings, Rachel Elaine Bagley, Yolanda Rodriguez, Jacelyn Tappert

International Nursing Research Congress (INRC)

Loneliness is an increasingly recognized public health issue, especially among the elderly, where it contributes to the decline in both physical and mental health (WHO Commission on Social Connection, 2024). In the geriatric population, loneliness is associated with increased risks of depression, anxiety, cognitive impairment, cardiovascular disease, falls, and overall mortality (Holt-Lunstad, et al. 2015; Millett et al., 2024; National Institute on Ageing, 2019). Loneliness in congregate care settings is often exacerbated by residents' loss of physical mobility, death of spouses, removal of the individual from their neighborhood and community, and reduced autonomy. The COVID-19 pandemic intensified these issues, reducing …

Leveraging Resources For A Safety Net Hospital Through Academic Practice Partnerships, Sharon Stahl Wexler, Kathleen Karsten, Susan Iovino, Lin J. Drury, Vivekanand Singh, Robert Pryce

International Nursing Research Congress (INRC)

This project describes the collaboration of a safety net hospital with two academic partners (a private University and a Community College). Safety net hospitals strive to provide high quality care and achieve positive patient outcomes in a resource constrained environment.

This innovative model, based on the American Association of Colleges of Nursing/American Organization of Nurse Leaders statement on Academic Practice Partnerships assists in achieving this goal. Nurse scientists are registered nurses with advanced education and expertise in nursing research, who advance nursing practice. Two PhD prepared Nurse Scientists, who are employed by both the hospital and their respective universities, collaborate …

The Influence Of Social Determinants Of Health And Diet Quality On Symptom Experiences In Patients With Colorectal Cancer, Youran Lee

Sigma Foundation for Nursing Research Grant Reports

This study aimed to:

1. Identify subgroups in patients with colorectal cancer (CRC) with distinct symptom profiles,
2. Examine the association between SDOH characteristics and distinct symptom profiles in patients with colorectal cancer, and
3. Determine if diet quality acts as a mediator between social determinants of health variables and distinct symptom profiles.

Vr-Glasses And Serious Games To Promote Well-Being And Reduce Stress Of Older Persons In Hospitals, Iris Tamara Schneider, Daniela Karl

International Nursing Research Congress (INRC)

Over the last decades an increasing number of older persons in the population, is recognized worldwide, followed by a rising number of older patients in clinical settings (UN, 2024). Isolation, stress, less activities for the patients (Schneider, 2019), staff shortage and limited time resources are illustrated (Buchnan & Catton 2023, WHO, 2020). Technical innovations may help assist patients reduce stressors. Well examined are effects of training cognitive skills within a virtual reality environment (Apochi et al., 2024, Chan et al., 2024). VR-Glasses and serious games with immersive experiences form an environment by shielding personal surroundings and settings (Doerner et al. …

Skilled Nursing Facility Interprofessional Bedside Rounds: Perspectives From Nurses, Soliel Marianne Diez Flores, Joseann Helmes Dewitt, Lisa Moshiri, Faye Felicilda-Reynaldo

International Nursing Research Congress (INRC)

The project addresses the pressing issue of poor interprofessional collaboration in skilled nursing facilities (SNFs) and its impact on care coordination. The practice-based question guiding the study is whether the implementation of a hybrid telehealth model of structured interprofessional bedside rounds (SIBR) impacts the relational coordination (RC) survey scores of nursing staff in SNFs. The project evaluates the impact of an innovative collaborative model on RC scores in two SNFs using a quantitative quasi-experimental before and after study design. Theoretical underpinnings are grounded in the dynamic theory of RC, providing a framework that aligns with purposeful interprofessional collaborative practice principles. …

Global Advocacy For Alzheimer’S Disease And Related Dementias, Modupe F. Akintomide, Amy Reid

Global Advocacy

Background: Alzheimer's disease and related dementias represent a growing public health challenge, significantly impacting individuals, families, and healthcare systems worldwide. The increasing prevalence highlights the urgent need for effective strategies to improve care and support for those affected, in alignment with key United Nations Sustainable Development Goals (SDGs), particularly SDG 3 on health and well-being, SDG 10 on reducing inequalities, SDG 11 on sustainable cities and communities, and SDG 17 on partnerships for sustainable development.

Aim: To improve the quality of life for individuals with Alzheimer's disease and related dementias and their care partners through a multifaceted advocacy approach.

Methods: …

Implementation Of The Montreal Cognitive Assessment (Moca) Tool For Early Detection Of Dementia, Nadege Djeukui

DNP and Student Works

As the population ages, the prevalence of cognitive impairment increases (Hilsabeck et al., 2024). There are about 10 million new cases reported annually, and over 55 million people worldwide are currently living with dementia, a number projected to increase to 78 million by 2030 (WHO, 2023). Dementia is a growing public health concern that is often underdiagnosed in primary care, leading to missed opportunities for early intervention, care coordination, and patient support. Early detection of dementia is crucial for timely intervention, effective care planning, and enhanced patient outcomes. Early identification of cognitive impairment is critical in improving patient outcomes, enhancing …