Digital Commons Network^™

Readiness For Advance Care Planning In Patients With Chronic Kidney Disease: A Cross-Sectional Study, Jie-Ru Hsu, Yu-Chi Chen, Cheng-Pei Lin, Chih-Ching Lin, Chieh-Yu Liu

International Nursing Research Congress (INRC)

Background: Chronic Kidney Disease (CKD) patient often face unpredictable progression, leading to sudden deterioration that impair communication of medical preferences in emergencies. Without Advance Care Planning (ACP), treatments may conflict with patient values, causing decisional conflicts and excessive interventions. While ACP helps ensure patient autonomy, there is limited understanding of CKD patients' readiness for ACP restricts healthcare providers from delivering timely and appropriate supportive care.

Purpose: This study aims to identify factors influencing ACP readiness in CKD patients to inform strategies for patient-centered care.

Methods: A cross-sectional study was conducted with non-dialysis CKD patients using the validated Chinese version of …

Through The Looking-Glass: A Window Into The New York Haitian Community, Margarett Alexandre

International Nursing Research Congress (INRC)

Purpose: This research utilized a needs-assessment survey to collect data of services provided by 12 community-based organizations serving the Haitian immigrant community and the challenges faced by the community.

Background: New York City's Haitian Community is one of the largest in the United States. Dain & Batalova, 2023 reported a population of over 200,000 strong. While Haitians have a presence in all sectors, New York's Haitian community faces many challenges.

Methodology/Procedure: Twelve organizations completed the surveys addressing the needs-assessment and one focus groups session lasting 30-40 minutes. Prospective participants were heads of a not-for-profit organizations that provide services …

Nurses Removing Arterial Sheaths: Disseminating Evidence-Based Practices To Improve Patient Care, Vanessa Rachel Roth, Lila De Tantillo

International Nursing Research Congress (INRC)

Introduction: Arterial sheaths are vital to many minimally invasive cardiac procedures. Nurses have performed arterial sheath removal after cardiac procedures in critical care settings for over a decade (Sania et al., 2022). Nurses removing arterial sheaths is associated with improved patient safety outcomes, including decreases in hematoma formation and awareness of risk factors (Al-Lenjawi et al., 2022; Henedy & El-Sayad, 2019). Removal of arterial sheaths is an advanced skill that requires nurses to meet specific criteria and receive clinically appropriate education (Capasso et al., 2006). Preparing experienced nurses to remove arterial sheaths earlier can increase patient safety and decrease complications. …

Mentoring To Answer Applied Research Questions And Develop A Clinician-Researcher Career Pathway, Eamon Merrick, Claire Harris, Kathleen Baird, Christine Catling, Anna Williams, Margaret Fry

International Nursing Research Congress (INRC)

Aim: To develop a research mentoring program that has a measurable impact on clinical outcomes and create a career pathway for nurses and midwives.

Background: Nurse-led research and innovation are key to improving health experiences and outcomes and reducing health inequalities. Yet nurses and midwives are underrepresented in the leadership of research (Eckert et al., 2023). We present a partnership between university and government-funded health services (the Health District) to provide mentoring for nurses and midwives to lead research. The Health District employs approximately 6,000 nurses and midwives who care for over one million people in a region greater than …

Housing Challenges Affecting Well-Being Of Migrant Families In Canada: A Qualitative Study, Shela Hirani

International Nursing Research Congress (INRC)

Introduction: Immigrant and refugee families are vulnerable to cultural stereotyping and socioeconomic hardships when they migrate to a new country. Immigrants and refugees make up around 22.3% of the Canadian population. New immigrants and refugees face unique barriers that render them vulnerable to inadequate and unsafe housing conditions. Access to adequate and affordable housing has been strongly linked with all aspects of health and well-being amongst immigrants and refugee populations. There are significant knowledge gaps and limited empirical studies on the housing challenges of immigrant and refugee families, specifically in the province of Saskatchewan which has a noticeable increase in …

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 …

Integrating Community Partners Into Population Health Projects, Jaclyn Portanova, Jordan Ferris, Morgan A. Torris-Hedlund

International Nursing Research Congress (INRC)

The Population Health Project (PHP) provides an innovative approach for nursing baccalaureate students to develop policy and advocacy skills through immersive community engagement (Beiers-Jones et al., 2023). This case study highlights a community-academic partnership (CAP) between the African Youth & Community Organization (AYCO) and nursing students to address health inequities among refugees in Portland, Oregon. The purpose of this case study is to demonstrate how sustained CAPs like this can serve as a model for student-led public health initiatives.

Each term, nursing students collaborate with AYCO to identify and address specific health needs in the refugee population. A recent example …

Effects Of Short Text Message Reminders On Uptake Of Human Papillomavirus Vaccines, Irene C. Ugweje

International Nursing Research Congress (INRC)

HPV is a sexually transmitted infection linked to cervical and other cancers, but a vaccine can reduce its effects. The project site wanted to establish an evidence-based HPV vaccine intervention for adolescents due to poor uptake. This quality improvement project examined how Rand et al.'s text message reminder research affected HPV vaccination rates in 11–17-year-olds. A primary care clinic in metropolitan Maryland implemented the trial for 12 weeks. Doretha Orem's self-care deficit hypothesis and Cheryl B. Stetler's evidence-based practice reform methodology underpinned the initiative. The study included 522 adolescents: 372 in the comparing group and 150 in the implementation group. …

Internalizing Stigma And Distancing Behaviors: Social Media Youth Perspectives, Lauren L. Niles

International Nursing Research Congress (INRC)

Significance: Rates of youth mental health difficulties have risen drastically in recent years. Transition-aged youth (TAY) ages 18-24 years old represent a vulnerable population at risk for poor mental health outcomes, with depression and anxiety diagnoses increasing faster than any other age group. While the cause for this upsurge is multifaceted, these trends have occurred concurrently with the increasing popularity of social media (SM) platforms. Current evidence presents contradictory findings as to the impact of SM platforms on mental health, revealing a critical gap in knowledge.

Methods: This interpretative phenomenological study aimed to explore the social media perceptions of TAY …

Pain Management With Epidural Analgesia In Rib Fractured Patients: An Irr, Amelia Clarice Robles

International Nursing Research Congress (INRC)

Traumatic rib fractures are a diagnosis associated with high morbidity and mortality rates (Duch & Moller, 2015). When pain is ineffectively managed, patients can experience limitations in their ability to cough and mobilize putting them at risk for significant atelectasis, retention of pulmonary secretions, and pneumonia (Diwan et al., 2022). Thoracic epidural analgesia is the gold-standard for pain control in this population but other modalities for pain control such as enteral, IV, and regional ultrasound guided techniques exist. Medline Complete, CINAHL Plus with Full Text, Health Research Premium Collection, PubMed and Cochrane were searched for peer reviewed articles. Search terms …

Ready, Willing But Not Enabled: Families’ Perspectives On Participation In Early Mobilisation In Icu, Turkiah Saeed Alahmari, Peta Drury, John Rihari-Thomas, Yaseen Arabi, Bronwyn Everett

International Nursing Research Congress (INRC)

Introduction: Family participation in healthcare improves care quality and patient health outcomes (Price et al., 2022). It redirects family psychological distress into an active participatory role, humanising the patient's illness and recovery experience (Van Delft et al., 2021). Studies have focused on family participation in medical rounds, nutritional care, delirium assessment, and physical care of ICU patients (Goldfarb et al., 2023). Early mobilisation is advised for restoring functional ability, but patient-related issues, staffing shortages, and budget limitations may prevent its use in ICU settings (Bakhru et al., 2016). Current approaches to facilitate early mobility can be time-consuming, increase nurse burden, …

Structure, Processes & Outcomes Of Sci Peer Mentoring: A Community-Engaged, Cross-Sectional Survey, Susan D. Newman, Martina Mueller, Marychris Pittman, Lindsey Elliott, Jonathan Sigworth, Bill Cawley, Marka Danielle Rodgers

International Nursing Research Congress (INRC)

Background: Peer mentoring is a vital resource for individuals with spinal cord injury (SCI), providing emotional support, practical advice, and guidance from others who share a similar lived experience (1,2,3). Additionally, peer mentoring is an important component of SCI rehabilitation and supports the role of the rehabilitation nurse in promoting effective self-management and independence after SCI. Research on the effect of community-based peer mentoring interventions' structure and processes on outcomes, as well as quality and effectiveness, is limited (4).

Aim: The primary aim of this study, informed by Donabedian's Model of quality assessment (5), was to describe the structure, processes, …

"It Is Not Easy": The Psychosocial Distress Of Ghanaian Adults Living With Chronic Blood Cancers, Dinah Asantewah Koranteng, Lillian Akorfa Ohene, Samuel Adjorlolo, Yvonne Nartey

International Nursing Research Congress (INRC)

Background: Living with chronic blood cancer can cause significant psychosocial challenges, especially in low- and middle-income countries with limited healthcare access. Compared to solid tumours, blood cancer patients experience higher rates of anxiety and depression, which are exacerbated for those with chronic blood cancers due to disease uncertainty. Without proper support, these psychological struggles can lead to a poor quality of life, underscoring the importance of identifying the psychosocial burdens and coping mechanisms among adults undergoing treatment.

Method: The study utilized descriptive phenomenology qualitative design to investigate the experiences of adults receiving treatment for chronic blood cancers at a public …

Factors Predicting Possible Sarcopenia In Community-Dwelling Older Adults, Wasana Srisuk, Noppawan Piaseu, Sukanya Tantiprasoplap

International Nursing Research Congress (INRC)

Possible sarcopenia, introduced by the Asian Working Group for Sarcopenia (AWGS) in 2019, is a guideline for early detection of sarcopenia in older adults living in the community. There is limited research on the prevalence of possible sarcopenia and its associated factors. This study aims to describe the prevalence of possible sarcopenia and identify its predictive factors in community-dwelling older adults.

This descriptive study included 117 community-dwelling older adults in Bangkok, Thailand, who were selected through stratified random sampling. Case finding and possible sarcopenia were assessed according to the AWGS guidelines. Descriptive statistics were used to determine the prevalence of …

Nationwide Cohort Study On Anticoagulant Adherence Post-Heart Valve Surgery In Older Adults, Ku Han-Chang, Chuang Tzu-Jung, Wu Yi-Lin

International Nursing Research Congress (INRC)

Background: Valvular heart disease (VHD) with calcification-induced aortic stenosis being the most common, followed by aortic regurgitation and mitral insufficiency. The 2020 ACC/AHA guidelines recommend vitamin K antagonists (VKAs), mainly warfarin, for patients with mechanical heart valves. Although VKAs are advised for anticoagulation after bioprosthetic valve replacement, literature from Germany, USA, and Japan reveals inconsistencies regarding direct oral anticoagulants (DOACs) in patients undergoing aortic or mitral valve replacement.

Purpose: This study evaluates anticoagulant adherence and adverse event rates in post-valve surgery patients using population-representative national data.

Study Design: We conducted a retrospective cohort study using the Taiwan National Health Insurance …

Effectiveness Of Arm Swing Exercise On Health Outcomes: A Systematic Review And Meta-Analysis, Noppawan Piaseu, Phatcharaphon Whaikid

International Nursing Research Congress (INRC)

Arm swing exercises (ASE) can improve health for all age groups, in line with World Health Organization guidelines that address the role of physical activity in maintaining health. Increasing exercise can effectively control diabetes, hypertension, waist circumference (WC), and high-density lipoprotein cholesterol (HDL-C). Systematic Reviews focusing on the effectiveness of ASE are still limited.

This systematic review and meta-analysis aimed to assess the impact of arm swing exercises on health outcomes.

We systematically searched four online databases—PubMed, Embase, Scopus, and Thai-Journal Citation Index Center—for studies published from inception until October 2024, focusing on randomized controlled trials (RCTs) and quasi-experimental studies …

Anxiety And Sleep Disruption Among Icu Patients: A Scoping Review, Hyunji Kim, David Ryamukuru, Talia Brown, Deena Costa

International Nursing Research Congress (INRC)

Background: Anxiety and sleep disruption are common, interrelated symptoms among intensive care unit (ICU) patients.^1,2 These symptoms contribute to psychological distress, which can persist for months and impact the patients' recovery.³ Recent clinical guidelines from the Society of Critical Care Medicine highlighted anxiety as a key risk factor for sleep disruption.⁴ Thus, understanding the interplay of anxiety and sleep disruption and developing effective interventions to mitigate both are essential.

Purpose: This scoping review aimed to identify existing literature that quantitatively examined anxiety and sleep disruption among adult ICU patients.

Methods: Following the scoping review guidelines from the …

A Novel Intervention To Prevent Depression In Youth: An In-Progress Randomized Clinical Trial, Heather K. Hardin, Allison Meyer, Julie Otte, Joanne Daggy

International Nursing Research Congress (INRC)

Purpose: Depressive symptoms are on the rise in youth, with 40% of youth reporting clinically significant levels of depressive symptoms in 2021 [1]. In youth with clinically significant depressive symptoms, nearly half will progress to major depressive disorder by age 25 years [2,3]. However, there are few treatments to prevent mild depressive symptoms in youth from progressing to major depressive disorder [4-8]. The purpose of this study is to conduct a randomized controlled trial (RCT) to assess the effect of a novel intervention, Level Up, on self-management behaviors (mindfulness, sleep) and health status (depressive symptoms, anxiety symptoms, HRQL) …

Socio-Demographic Influences On Digital Game Engagement And Self-Care In Adults With Heart Failure, Namuun Clifford, Nani Kim, Rachel Tunis, Grace Lee, Matthew O'Hair, Kavita Radhakrishnan

International Nursing Research Congress (INRC)

Background: Heart failure (HF) affects 64 million people worldwide, contributing to significant morbidity, mortality, and healthcare costs.^1,2 Effective self-care is essential for improving HF outcomes, and digital health interventions have shown promise in supporting these practices.^3-5 This study explores how socio-demographic factors influence engagement with a digital game app and related self-care behaviors in HF management, presenting preliminary data from a remote, digital health study.

Methods: Descriptive and correlational analyses were conducted on 40 adults from the intervention arm of an RCT after 6 months. Participants used a mobile game app, activity tracker, and smart scale to support …

Effectiveness Of Blended Learning In Enhancing Nursing Students' Communication With Older Adultseffectiveness Of Blended Learning In Enhancing Nursing Students' Communication With Older Adults, Ya-Ling Tzeng, Yu-Kuei Teng, Mei-Chen Ho

International Nursing Research Congress (INRC)

Background: Given the aging population, addressing specific communication needs in geriatric care is crucial in healthcare education. Traditional approaches often lack practical interaction, focusing instead on theoretical content.

Objectives: This study tests a newly developed digital material using a blended learning model that combines online and in-person components to improve students' communication skills.

Methodology: Using an experimental design, students were divided into two groups—an experimental group using digital materials and a control group using traditional learning methods. Both groups completed older adult communication modules, with assessments conducted pre- and post-study. Key outcomes measured included knowledge of aging, …

Behavioral Therapy On Relieving Urinary Incontinence And Poor Sleep Among Women With Diabetes, Pei-Hua Huang, Yuan-Mei Liao, Chun-Hou Liao, Wen-Ya Ma, Yen-Kuang Lin, Cheng-Chen Chou

International Nursing Research Congress (INRC)

Background: Urinary incontinence and poor sleep are common in women with diabetes. As a close relationship exists between urinary incontinence and poor sleep, healthcare providers should consider both when providing management. This study examined the intervention effects of a nurse-led behavioral therapy program containing pelvic floor muscle training (PFMT) and Brief Behavioral Treatment for Insomnia (BBTI) on urinary incontinence and poor sleep.

Methods: This study was a prospective, repeated-measures interventional study. We recruited women with diabetes and randomly assigned participants to an experimental group (n=28) or a control group (n=26). Both groups received information about urological …

Shared Decision-Making, Health Literacy, And Self-Care Knowledge On Hemodialysis Self-Care Behaviors, Hyohjung Lee, Mikyoung Cho

International Nursing Research Congress (INRC)

Patients undergoing hemodialysis experience various complications and physical and emotional difficulties, leading to decreased quality of life. Self-care behaviors(SCB) are essential for preventing complications and reducing mortality rates. Effective SCB significantly depend on shared decision-making(SDM), health literacy(HL), and self-care knowledge(SCK), each critical in patient self-care performance and disease management. This study aimed to determine the importance and relevance of SDM, HL, and SCK. In particular, it enhances SCB among hemodialysis patients. Further, it sought to propose practical nursing interventions based on these findings. Participants were 108 adult hemodialysis patients from the nephrology departments of three general hospitals in Region C. …

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 …

Patient Education Following Acute Stroke And Transient Ischemic Attack, Elizabeth Amma Vincent

Group: Nebraska Methodist College

Background: Stroke and transient ischemic attack (TIA), have an increasing impact on society through medical costs, low wages, and the burden on society and individuals. To prevent stroke or TIA reoccurrence, education needs to be accessible and presented in a way that gives patients the tools needed to make necessary lifestyle changes and recognize signs and symptoms of when to seek medical attention.

Objective: The objective of this study was to determine if providing an educational program on stroke and transient ischemic attack resulted in increased knowledge about the importance of adopting lifestyle behaviors following stroke or transient ischemic attack, …

How Can Midwifery Care Decrease Perinatal Morbidity And Mortality And Address Health Inequities?, Heather Bradford, Ellen Tilden, Jennifer Kaeser Jagger, Ellen Chaney Solis

International Nursing Research Congress (INRC)

U.S. perinatal morbidity and mortality rates are high and rising and feature sizeable racial and ethnic disparities. One underutilized yet proven approach to improving U.S. perinatal health involves policy reform to more widely use midwifery models of care. Increased access to midwifery care is correlated with improved outcomes for families, including lower rates of interventions, increased rates of vaginal births and breastfeeding, and lower rates of neonatal deaths. Attendees will gain an overview of current U.S. midwifery models of care, philosophy, and outcomes, as well as effective midwifery care models that can improve perinatal health, such as racially and culturally …

Student Nurses' Perceptions Of High-Fidelity Simulation-Based Learning On Critically-Ill Patients, Aldin Domaoan Gaspar, Aprille Banayat

International Nursing Research Congress (INRC)

Background and Objective. Replicating critical care practice settings in high-fidelity simulation (HFS) provides more learning opportunities to develop competencies, improve self-confidence, and learner satisfaction in a safe environment. Simulation is increasingly adopted globally as an alternative teaching strategy. Yet, data on the HFS experience of Filipino undergraduate nursing students is limited. This study describes the satisfaction, self-confidence, and perception of undergraduate nursing students on the use of HFS-based learning on critically-ill adult and pediatric patients requiring advanced life support (ALS).

Methods. A quantitative, descriptive, correlational study was conducted using purposive sampling on all fourth-year BS Nursing students enrolled …

Universal Screening Of Intimate Partner Violence During Pregnancy: A Scoping Review, Janet Wong, Haixia Ma

International Nursing Research Congress (INRC)

Background: Intimate partner violence (IPV) during pregnancy is a significant public health issue and leads to severe consequences for both the mother and fetus, including risks of preterm birth, low birth weight, and maternal psychological distress such as depression, anxiety, PTSD, and even maternal mortality. Despite its prevalence, comparable to conditions like gestational diabetes and preeclampsia, there is no global universal screening protocol for IPV.

Objectives: This presentation covers the findings and discussions on a scoping review with the content of (1) existing clinical guidelines and practices for IPV screening across different countries; (2) current screening methods and tools, and …

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 …

Fostering Cultural Competence Through Development Of An Innovative Global Health Course, Anita G. Fennessey, Amy Szajna

International Nursing Research Congress (INRC)

Purpose: This abstract outlines the development and implementation of a global health course for undergraduate nursing students. The course aims to introduce foundational global health concepts and explore the role of nurses in addressing health disparities, promoting equity, and leading health initiatives on a global scale.

Introduction: Global health issues are growing in complexity and impact, necessitating that nursing students develop competencies in cultural understanding, ethics, and leadership. This course aims to bridge global health and nursing practice, equipping students with the knowledge and skills to address health challenges among diverse populations worldwide.

Methodology/Implementation: The course is …

Breaking Down Barriers To Becoming A Nurse, Shelby Britt Hall

International Nursing Research Congress (INRC)

It is estimated that between 2021-2031 there will be 194,500 openings for registered nurses (RNs) in the United States annually. The American Nurses’ Association calls for “real solutions” to this nursing shortage crisis by addressing barriers that prohibit students from earning nursing degrees. Barriers for students include personal financial status, exorbitant tuition, an unobliging work schedule, lack of emotional support, access to nursing programs and insufficient study time. Factors that support the obtainment of a nursing degree include employer support such as a flexible work schedule, tuition reimbursement or tuition funding.

A nursing professional development (NPD) position specializing in nursing …