Digital Commons Network^™

Effect Of Post-Pandemic Nurse Staffing Improvements On Nurse Job Outcomes In Chilean Public Hospitals, Marta Simonetti, Alejandra Galiano

International Nursing Research Congress (INRC)

Introduction: A Meta-analysis of cross-sectional studies showed that nurse staffing is associated with nurses’ burnout, dissatisfaction, and intent to leave (Shin, 2018). Although these results suggest that staffing improvements would positively affect nurse job outcomes, there is little evidence that captures measures of change. In Chile, before the pandemic, the average patients per nurse assignment was 14 in med-surgical units (Aiken, 2021). During the pandemic, the government allocated resources to improve staffing.

Purpose: To compare pre- and post-pandemic nurse staffing measures in Chilean hospitals and to analyze the effect of these changes on nurses' post-pandemic burnout, dissatisfaction, and intent to …

Reducing Patients’ Relapse In Schizophrenia Using A Community Model: A Quality Improvement Project, Lawal Almustapha Kaura, Phillisters Wanyama Ariko, Augustine Ndaimani, Catherine Uwimana, Madeleine Mukeshimana

International Nursing Research Congress (INRC)

Relapse in schizophrenia poses significant challenges for mental health management, especially in community settings (Almond, et al., 2018; Almuqrin et al., 2023). This quality improvement (QI) project aimed to reduce relapse rates in patients with schizophrenia in Bermuda by leveraging community empowerment and implementing an Assertive Community Treatment (ACT) model. The project engaged a cohort of 59 high-risk patients and focused on interventions such as medication adherence, social support, vocational activities, and training community members and family in relapse prevention. Over a six-month period, from November 2023 to May 2024, the project sought to decrease relapse rates from 87% to …

Ec Use Among Adolescent Girls And Young Women Seeking Srh Services At Retail Pharmacies In Kenya, Harison Kiplimo Lagat, Bernard Nyerere, David Katz, Zachary Kwena, Meena Lenn, Felix Mogaka, Melissa Mugambi, Josephine Odoyo, Victor Omollo, Katrina F. Ortblad, Benard Rono, Greshon Rota, Monisha Sharma, Elizabeth Anne Bukusi, Jillian Pintye

International Nursing Research Congress (INRC)

Background: Unintended pregnancy remains a public health challenge for adolescent girls and young women (AGYW) worldwide. Among AGYW in Kenya, sexual and reproductive health (SRH) services are often accessed in retail pharmacies, including emergency contraception (EC) and other family planning methods. Understanding factors associated with purchasing EC among AGYW at retail pharmacies in Kenya could inform pharmacy-delivered SRH services for this population.

Methods: We analyzed data from an ongoing cluster-randomized trial comparing pharmacy-based PrEP delivery models among AGYW at 20 retail pharmacies in Kisumu, Kenya (NCT05467306). All AGYW (15-24 years) purchasing contraception (EC, oral pills, injectables, implants, condoms) at retail …

Strategies To Recognize And Prevent Workplace Violence, Anna Dermenchyan

International Nursing Research Congress (INRC)

Since the beginning of the COVID-19 pandemic, United States healthcare facilities have experienced a rise in workplace violence, placing significant stress on health systems and their employees. Incidents such as bullying, intimidation, verbal abuse, and assaults also put our patient safety, experience, and quality outcomes at risk. Nurses face a significant risk of experiencing workplace-related violence. Studies have demonstrated that almost half of all nurses experience some lateral or horizontal violence during the first year of their nursing career.

There is a prevailing attitude that workplace violence is a culturally accepted and expected part of one’s occupation. According to the …

A Correlational Study Of Pharmacology Knowledge Versus Confidence Levels In Student Nurses, Christine A. Sump, Lynn Wiles

International Nursing Research Congress (INRC)

Background: Student nurse knowledge and confidence levels when administering medications play a large role in error risks. Little information exists about the complex relationship between medication knowledge and error risks influenced by perceived certainty (Caboral-Stevens, M, et al, 2020.) Graduate nurses’ educational experiences affect their ability to meet novice nurse competencies such as safe medication administration (MA) practices (Musharyanti, L.,et al 2021, Tsegaye, D., et al, 2021.)

Purpose: The purpose of this study was to compare student medication knowledge and decision-making skills with their self-identified confidence levels.

Methods: This correlational study design compared 270 junior and senior BSN nursing students’ …

Acceptability Of Companion Dog Walking To Improve The Well-Being Of Intensive Care Unit Survivors, Lindsey Nelson

International Nursing Research Congress (INRC)

Intensive care unit (ICU) survivors are at risk for developing post intensive care syndrome (PICS), the physical, cognitive, psychological, and/or social conditions that persist after hospital discharge (Yuan et al., 2021). Current approaches aimed at addressing PICS tend to employ a singular focus on physical health; prevention and treatment strategies focused on the holistic needs of ICU survivors that extend beyond the confines of formal settings and into the community and home are needed (Geense et al., 2019).

A complementary intervention not previously explored in the ICU survivor population is companion dog walking. Companion dogs have been linked to improved …

The Nurses Perceived Educational Value And Experience Of Journal Club Activities, Elham Mansour Alsanea, Jennifer De Beer, Joynalyn Barrios, Shahd Brnawi, Wejdan Barayan

International Nursing Research Congress (INRC)

The nursing journal club is a widely implemented educational tool that promotes evidence-based practice, enhances critical appraisal skills, and advances nursing knowledge, ultimately leading to potential improvements in patient care and professional development. This study evaluates the perceived educational value of journal club activities among clinical nurses, emphasizing how these activities contribute to nursing practice, policy, and leadership development.

A quantitative cross-sectional design was employed in this study, conducted across three nursing departments within King Faisal Specialist Hospital and Research Centre in Jeddah, Saudi Arabia. A sample of 190 clinical nurses, randomly selected from a total population of 400, participated …

Cultivating Compassion: Integrating Trauma-Informed Care Into A Bsn Nursing Curriculum, Kelli Galle, Anitra Frederick, Darlene Acorda, Linda Sheen, Hildreth Eloi, Brandi Virgin, Martina Gallagher, Vuong Prieto

International Nursing Research Congress (INRC)

Background: Trauma-Informed Care (TIC) is a framework that recognizes the impact of trauma on individuals' health and well-being.^1-5 Nurses play a key role in creating healing environments for trauma-affected patients. To prepare future nurses, it is crucial to integrate TIC education into nursing programs. This quality improvement project aims to incorporate TIC principles into an accelerated pre-licensure nursing curriculum, ensuring students gain the knowledge and skills necessary to provide trauma-sensitive care.

Methods: This continuous quality improvement project assesses nursing students' current understanding of TIC and their learning preferences through a survey. TIC principles will be embedded throughout the nursing …

The Intersection Of Tradition And Health: Insight To Herbal Medicine Use In Pregnancy, Olabisi Fatimo Ibitoye, Abokede O. Oluwaseun

International Nursing Research Congress (INRC)

Background: The use of herbal medicines has increased significantly with around 80% of consumers worldwide particularly among women (Afriyie & Kumi-Kyereme, 2023). The prevalence of herbal medicine use during pregnancy varies by country, from 7% to 55%, influenced by social status, ethnicity, and culture (Illamola et al., 2020). In Australia and the UK, rates range from 52% to 58%, while Norway and Italy report 40% to 48%. In contrast, Canada and the US show lower rates of 6% to 9%, and in parts of Africa, such as Nigeria, rates range from 12.08% to 66.7% (Adamolekum etal 2023; Orief et al., …

Association Between Care Recipient Factors, Caregiver Health Literacy, And Caregiver Burden, Yung-Chen Yu, Yi-Lin Wu

International Nursing Research Congress (INRC)

Background: Family caregivers play a crucial role in senior care in Taiwan, where caregiver burden is a significant issue. Health literacy is essential for effective caregiving and navigating healthcare systems. This study aims to investigate the relationship between caregiver health literacy, care recipient factors, and caregiver burden.

Methods: We conducted a cross-sectional study in a medical center and community settings in Southern Taiwan, targeting adults aged 65+ and their caregivers. The study examines caregiver demographics (age, gender, education, employment, living arrangement, spousal status), health status, health literacy (HLS-EU Q16), caregiver burden (ZBI score), and the Activities of Daily Living(ADL) of …

Development Of A Prone Cpr Protocol, Ka Wing Lai, Tsz Kee Wan, Yiu Ming Lam, Shuk In Li, Sharon Lai

International Nursing Research Congress (INRC)

Background: The COVID-19 pandemic highlights the challenges associated with managing cardiac arrest in patients positioned in the prone position due to refractory respiratory failure (Guérin et al., 2013; Ludwin et al., 2020). Studies suggest that clinical staff often lack confidence in delivering effective prone resuscitation (Amien et al., 2022; Genç et al., 2023), indicating a need to review literatures on the efficacy, feasibility, and the proper technique for performing prone cardiopulmonary resuscitation (CPR).

Aim: This project aimed to identify the effective approach for performing prone resuscitation and to translate the best available evidence into a prone CPR protocol.

Methods: The …

A Systematic Review Of Risk Factors For Accidents In Motorcycle Workers, Sookyung Kim, Soomin Hong, Min Soo Woo

International Nursing Research Congress (INRC)

Purpose: A systematic review is a reliable strategy for integrating empirical evidence that guides practice. This systematic review aims to identify and synthesize studies on risk factors for accidents among motorcycle workers. To effectively reduce accidents in this population, interventions should be based on evidence regarding relevant risk factors.

Methods: We followed the Systematic Reviews of Effectiveness in JBI Manual for Evidence Synthesis. Six electronic databases were searched: PubMed, Medline, Cochrane, Web of Science, Embase, and CINAHL. The inclusion criteria comprised observational studies (cross-sectional, case-control, retrospective, cohort, and case studies) that reported on accidents involving motorcycle workers. Only articles …

Prevalence Of Stress And Depression In Nursing Students: A Systematic Review And Meta Analysis, Ling Xu, Michael Joshua Gozum Morales, Thomas Hoffmann, Cherry Leung

International Nursing Research Congress (INRC)

Background: Undergraduate nursing students have a high level of stress and depressive symptoms. Despite growing awareness of mental health issues in nursing students, no recent systematic review assessed the global prevalence of stress and depressive symptoms in undergraduate nursing students, nor the contributing sociodemographic and interpersonal factors.

Purpose Statement: The purpose of this review is to 1) identify the prevalence of stress and depressive symptoms among undergraduate nursing students, and 2) identify the sociodemographic and interpersonal factors that contribute to these symptoms.

Methods: This review follows the PRISMA guidelines. Four databases were searched. Narrative synthesis was used to explore …

Unmet Care Needs: Perspectives Of Colorectal Cancer Patients, Caregivers, And Healthcare Providers, Young Man Kim, Gi Won Ha, Min Ro Lee, No Eul Kang

International Nursing Research Congress (INRC)

Purpose: Unmet care needs in colorectal cancer care extend beyond medical treatment, significantly affecting both patients and their caregivers. While patients and caregivers express strong needs for information, psychosocial support, and continuity of care, healthcare providers may perceive and prioritize these needs differently. This study compares the perspectives of patients, caregivers, and healthcare providers, identifying key areas for improvement in patient-centered cancer care.

Methods: This study used a qualitative design involving in-depth, semi-structured interviews with three days of colorectal cancer patients and family caregivers, as well as eight healthcare providers. Data collection took place from September 2023 to August 2024. …

Primary Care Connectedness Among Young Adults With Chronic Conditions: A Mixed Methods Design, Tyra Girdwood, Susan Silva, Remi Misiewicz, Madison Baba, Madiha Khan, Manasvi Reddy, Angelina Zhang, Stephanie Hart, Mariam Kayle, Gary Maslow, Sharron Docherty

International Nursing Research Congress (INRC)

Background: Primary care providers (PCPs) can coordinate care, reduce medical exacerbations, and lower healthcare spending during the transition from pediatric to adult healthcare.¹ However, a 2022 U.S. national survey estimated 1.9 million adolescents with special healthcare needs did not have a preventative PCP visit, and 9.2 million did not have a medical home.² These gaps suggest a limited understanding of young adult-perceived connectedness to primary care services that promote positive patient-provider relationships.^3,5

Purpose: To examine primary care connectedness among transition-age young adults 18-26 years old with one of nine chronic conditions (e.g., cancer, diabetes), after …

[Excerpt From] High Reliability Organizations (3rd Ed.), Cynthia Oster

Sigma Publications: Book Excerpts

Patient safety and quality of care are critical concerns of healthcare consumers, payers, providers, organizations, health systems, and governments. Evidence shows that high reliability methods enable the most efficient, safe, and effective care; however, these methods are not the standard in all healthcare systems.

Nurses—who are on the front line of providing safe and effective care—are ideally situated to drive high reliability. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Third Edition, equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. In this new edition, authors Cynthia A. Oster …

Facilitators & Barriers To Self-Management Of T2d In Elderly Black African And Afro-Caribbean People, Dionne Ashaloy Anglique Henry

International Nursing Research Congress (INRC)

Background: Self-management helps to reduce the rate of morbidity, mortality and healthcare costs associated with uncontrolled diabetes due to various complications such as neuropathy, retinopathy and nephropathy. Ageing increases the risk of developing health conditions such as Type 2 Diabetes (T2D), and there is a global increase in the number of people living longer. Older adults who are from ethnic minority backgrounds in the United Kingdom (UK) are placed at a greater disadvantage, as their financial situation, employability, and social networks are gravely lower than that of their White Counterparts. Additionally, there is a paucity of research focusing on the …

Pregnancy Ambivalence, Contraception, And Pregnancy Incidence Among Youth Experiencing Homelessness, Diane Santa Maria, Mary Catherine Lingwall

International Nursing Research Congress (INRC)

Background: Youth experiencing homelessness (YEH) are 5-8 times more likely to become pregnant than their housed peers, with pregnancy estimates ranging from 30-60%. Similar to their housed peers, the majority of these pregnancies are unintended, a factor associated with negative health, economic, and social outcomes. Contraceptive use has been considered the behavioral link between attitude toward pregnancy and incidence of pregnancy; however, recent studies suggest that pregnancy attitudes and contraceptive use behaviors may be less consistent than previously thought, especially for marginalized individuals, such as YEH.

Purpose: The purpose of this study is to describe pregnancy ambivalence, pregnancy, and contraceptive …

Effect Of A Culturally Focused Parenting Program On Korean Parents And Children: A Pilot Study, Gloria Park, Theresa Garcia

International Nursing Research Congress (INRC)

Traditional Korean parenting practices, heavily grounded in Confucianism which emphasizes educational success, family obligations, and repressed emotionality¹, may be related to children’s mental health issues². The Ottuki Korean Parenting Program (OKPP)³, integrated Korean culture and values, was recently developed for Korean American parents to improve the parent-child relationship. The purpose of this study was to investigate the effect of the OKPP on Korean American parenting practices, parental confidence, and child mental health.

Method: Participants were assigned to either the Intervention group or the Control group. The intervention group received a 3-hour parenting class weekly …

Innovative Solutions To Retain Nurses: Expanding Leadnursingforward.Org Via Statewide Collaboration, Kaynabess Freda, Elizabeth A. Seldomridge, Abigail Johnson

International Nursing Research Congress (INRC)

The global nursing shortage is urgent, with Maryland (MD), USA, experiencing heightened demand across settings (Maryland Hospital Association, 2022). Pandemic-related burnout, stress, and health issues have led many nurses to consider leaving the profession (American Nurses Foundation, 2022; International Council of Nurses, 2022). To mitigate these challenges, a statewide collaboration led to an expansion of LeadNursingForward.org, providing targeted information and tools to retain nursing professionals. The “Be a Maryland Nurse” page offers interactive dashboards with regional data on nursing demographics, employment projections, and compensation. It features nursing narratives and workplace initiatives with positive impact, aligning with findings that workforce …

Cardiovascular Awareness, Risk Factors Awareness, And Select Risk Reduction Interventions, Kimberly Ann Henderson

International Nursing Research Congress (INRC)

Cardiovascular disease (CVD) remains the leading cause of death globally, with African American (AA) females experiencing a disproportionately higher burden of CVD compared to other racial and gender-ethnic groups. This disparity is particularly pronounced among premenopausal and middle-aged AA females. While CVD is primarily preventable, addressing social determinants of health (SDoH) and achieving equitable health requires a comprehensive understanding of the factors influencing CVD risk and health behaviors.

This descriptive correlational study employed a secondary data analysis using the 2020 National Health Interview Survey (NHIS) datasets to examine the relationships among CVD awareness, modifiable risk factor awareness, clinician cues to …

Theoretically Guided Strategies For Teaching Quantitative Methods For Dnp Scholarship, Randall Stennett, Stephan R. Smith, Joann D. Long, Emilia Garcia, Vanessa Bolyard

International Nursing Research Congress (INRC)

Doctor of Nursing Practice (DNP) programs continue to increase across the nation (American Association of Colleges of Nursing [AACN]). Graduates are charged to be practice scholars and leaders who work well in multi-disciplinary teams to improve healthcare metrics (AACN, 2024). Yet, wide variation across programs, and lack of curricular consistency contributes to confusion among students, faculty, and organizations who hire DNP prepared nurses regarding expected outcomes (Wright, et al., 2022). Acquiring the skills needed to use quantitative methods with scientific rigor in DNP practice projects remains a notable challenge (Sowan & Chinman, 2024). Evidence-based methods to support teaching and curricular …

Integrating Social Determinants Of Health Into Clinical Practice, Jenna Poraharju, Saija Inkeroinen, Heli Virtanen, Helena Leino-Kilpi

International Nursing Research Congress (INRC)

Background: Health is a concept with multiple definitions, and it is influenced by a range of determinants. Social determinants of health (SDOH) are societal systems and resources that cause health consequences, by influencing the distribution of health-supporting factors and risks across populations (Hahn, 2021). SDOH are widely associated with health outcomes (Enard et al., 2023; Glauser et al., 2022; Vince et al., 2023), and they are recognised in various national (Flaubert et al., 2021; Kuehnert et al., 2022) and international health strategies (United Nations, 2015; World Health Organization, 2019). SDOH affect on individual’s health regardless the effectiveness of the care, …

Haitian Nurses’ Perception About Disaster Preparedness And Disaster Nursing, Jacqueline Cassagnol

International Nursing Research Congress (INRC)

Purpose: Disasters happen worldwide. They devastate infrastructure, livelihoods, and often result in mass casualties. The increased occurrence of disasters means that disaster preparedness training is essential. Studies have shown that nurses make up the largest number of healthcare providers and are often the first point of contact for disaster survivors. The International Council of Nursing calls for nurses to be involved in all aspects of disaster preparedness, from risk assessment to multidisciplinary management. Nurses and nursing associations are urged to take leadership roles in preparing their countries for disasters. In a country such as Haiti that is prone to natural …

Exploring Workplace Dignity Among Clinical Nurses In Taiwan, Shu-Yin Huang, Chiu Yueh Yang

International Nursing Research Congress (INRC)

Background: The issue of dignity in the nursing workplace is critical for enhancing the efficiency and performance of nursing professionals. Workplace conditions are a key social determinant of health, and workplace dignity positively influences job performance. When nurses feel respected and valued in their work environment, they are more equipped to provide empathetic and professional care to patients, ultimately improving the quality of care.

Purpose: This study aimed to describe the sense of workplace dignity among clinical nurse practitioners in Taiwan and to understand the relationship between nurses' perceptions of workplace dignity, self-esteem, and psychological distress.

Methods:This study employed …

Innovative Pain Care: Using Ivr To Improve Postoperative Pain And Anxiety, Sue Schuelke, Krystal Davis, Susan Barnason, Megan Dubas

International Nursing Research Congress (INRC)

Purpose: This study aimed to determine the efficacy of an Immersive Virtual Reality (IVR) relaxation intervention for postoperative surgical patients, focusing on evaluating postoperative pain and anxiety by group, examining differences in postoperative outcomes, and assessing the perceived usefulness of IVR relaxation.

Background: Surgery often results in significant acute postoperative pain and anxiety, which can impair recovery. These issues can lead to increased use of analgesics, hemodynamic instability, poor quality of life, longer hospital stays, and compromised functioning. Complementary and alternative medicine (CAM) therapies can help optimize postoperative pain management and reduce anxiety.

Methods: A two-arm randomized control study compared …

Facilitators And Barriers In Using Technology In Caregiver Support For Hospital Discharge, Cristina C. Hendrix, Dingyue Wang

International Nursing Research Congress (INRC)

Despite advances in virtual technology, many hospital nurses still widely use bedside, face-to-face teaching to prepare family caregivers for hospital discharge of their loved ones (Gatto & Newcomb, 2022; Hayajneh et al., 2020). In this pilot study, we investigated facilitators and barriers in using Communication, Learning, Advocacy, Resources and Expertise (CLARE), a digital application to support caregivers for hospital discharge. CLARE contained materials on hospital discharge preparation such as information on patient care and caregiver self-care. Twenty caregivers participated in individual interviews to explore their experiences in using CLARE. We used the Unified Theory of …

Student Leadership Roles In A Large-Scale Interprofessional Mock Paging Simulation, Rebeka B. Watson Campbell, Sidra Qureshi, Amy Gonzalez, Shatoi T. King

International Nursing Research Congress (INRC)

A large-scale Mock Paging Activity was developed to address the interprofessional education collaboration (IPEC) core competencies (IEC, 2016; IEC, 2023) within the senior classes of a large academic health science center’s School of Medicine (SOM) and School of Nursing (SON) and implemented in the final semester of each school’s curriculum. This low-risk simulation demonstrated a statistically significant (two sample t-test, p value < 0.001) increase in interprofessional communication, collaboration, roles and responsibilities, patient centered management, and conflict management for students in both schools as measured by the Interprofessional Collaborative Competency Attainment Scale (ICCAS) (Kruger et al., 2023; Schmitz et al., 2017).

An unanticipated, yet important aspect of this large-scale activity was the inclusion of student “Champions” to represent the approximately 350 students who participate yearly. Select students from each school (~10-20) volunteered to serve as leaders and representatives of …

A Longitudinal Study Of Illness Perceptions Of Hospitalized Patients With Acute Coronary Syndrome, Freda Dekeyser Ganz, Genday Shafir, Levana Jakobson

International Nursing Research Congress (INRC)

Background: Illness Perceptions (IPs) are associated with health behaviors and health outcomes among those with Acute Coronary Syndrome (ACS)^1,2,3. IPs can change over time^4,5. They are also associated with emotional factors5,6 and previous medical history².

Purpose: To describe factors associated with changes over time in IPs among those hospitalized with ACS.

Methods: A national survey of all patients admitted to Israeli hospitals with ACS over 2 months in early 2024 were included. Patients were surveyed while hospitalized and 3 months later by telephone. Demographic and medical history data were obtained from medical records. …

Understanding Sexual And Gender Minority Patients’ Experiences To Inform Provider Training, Marvin Allan Schilt-Solberg, Joseph Schwartz, Sarah Kiperman, Brayden Misiolek, Rick Zimmerman

International Nursing Research Congress (INRC)

Background: Despite increasing visibility in the United States and worldwide, sexual and gender minority (SGM) individuals continue to face significant health disparities, including increased substance use (Schuler et al., 2018), poor mental health (SAMHSA, 2023), and risky HIV behaviors (Solberg et al., 2023). These disparities often stem from negative experiences within the healthcare system, resulting in delayed care or lack of care for health problems (Ayhan et al., 2019). This study seeks to understand the experiences of SGM individuals in healthcare settings and was guided by insights from Uncertainty Management Theory (Brashers, 2001).

Methods: Participants were recruited online and from …