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Teaching Strategies To Reduce Cognitive Bias In Diagnostic Decisions: A Quasi-Experimental Study, Daniel Forrest Hatch

International Nursing Research Congress (INRC)

Background and Significance: Diagnoses based on previous patient experiences, heuristics, and pattern recognition have the potential for leading to bias and misdiagnosis (Doherty, 2020). A teaching technique that has shown to be successful in improving Diagnostic Decision Making (DDM) is guided reflection (Prakash et al., 2019). According to Griffith et al. (2020, 2023), structured reflection demonstrated the most consistent improvement in diagnostic accuracy when studying medical and nurse practitioner students. Cognitive bias occurs when a healthcare provider selectively determines a diagnosis without considering alternatives (Doherty & Carroll, 2020). Numerous debiasing educational techniques have been explored noting mixed results (Tung & …

The Experience Of Fathering A Child With Autism Spectrum Disorder And The Challenge Of Self-Care, Mary Lynn Fahey

International Nursing Research Congress (INRC)

Parenting a child with autism spectrum disorder (ASD) is associated with a high level of chronic stress which has the potential to negatively impact the well-being of the parents and may be mitigated by self-care. To date, there has been little research about the experience of fathering a child with ASD, and self-care among these fathers. This study used a qualitative descriptive narrative design with Story Theory as the theoretical framework and Story Inquiry Method as the methodology to explore the experience of fathering a child with ASD and the challenge of selfcare.
Several themes and sub-themes related to the …

The Language Barrier In Nursing Education For Migrant Parents Who Do Not Speak The Native Language, Lurdes Lopes Lomba

International Nursing Research Congress (INRC)

Introduction: With the increase in global migration, encounters between people speaking different languages are becoming more common. In healthcare, effective communication is the cornerstone of quality care. In pediatric settings, communication between nurses and parents who speak languages other than the official language can become a barrier to nursing education.

Objectives: To identify how immigrant parents' lack of proficiency in the native language affects their understanding of pediatric nursing education in Portugal, and to explore the strategies Portuguese nurses use to overcome the language barrier when educating parents.

Methodology: This is a qualitative, descriptive study. Data collection was carried out …

Family Caregiver's Burden Of Women With Breast Cancer And Relation With Social Support, Self-Efficacy, Anoud Said Al Abdulsallam, Sulaiman Al Sabei, Fawwaz Alaloul

International Nursing Research Congress (INRC)

Background: Due to the rising incidence of breast cancer and shorter length of hospital stays, more pressure is being placed on family members to care of their close relatives who are ill. However, studies investigating caregivers’ burdens in Middle Eastern countries, including Oman, are limited. Objectives: To assess the level of burden among family caregivers of women with breast cancer and examine its relationship with caregivers' social support and self-efficacy. Methods: A descriptive cross-sectional design was used. Patients and their family caregivers were recruited. Zarit Burden Interview scale, the Multidimensional Scale of Perceived Social Support, and the General Self-Efficacy scale …

Cognitive Behavioral Therapy In Improving Sleep Quality And Emotional In Patients With Stroke, Chia-Yu Chiu, Mei-Ling Chung

International Nursing Research Congress (INRC)

Background/Purpose: Post-stroke patients often have sleep and emotional problems. Cognitive behavioral therapy has been recommended to be included in the treatment of insomnia patients. However, its effectiveness in treating stroke-related sleep and emotional problems is unclear. This systematic review aims to explore the effect of cognitive behavioral approach while application in stroke patients.

Method: This study searched for research literature before October 2024 in nine Chinese and English databases including Pubmed, Cochrane, CINAHL, PsycArticles, Embase, Medline, CNKI, CEPS (Huayi), and SportDiscus with Full Text, regardless of age and gender , no language restrictions in Chinese and English, the research design …

Essential Community-Based Support For Pregnant Populations At Risk: M-Nest, Khin Aungthein, Carrie Belin, Annemarie B. Curnin, Melanie Mariano, Shannon Whitten

International Nursing Research Congress (INRC)

80% of maternal deaths in the U.S. are preventable, with many resulting from inequities.¹ Pregnant populations, such as Black mothers, are dying at a disproportionate rate: 49.5 maternal deaths/100,000 live births.² M-NEST: The Maternal Newborn, Essential Support Team, provides a community-based supplemental pregnancy program that includes risk assessment, mental health services, doula care, and guaranteed basic income (GBI).³

M-NEST is a person-centered, multidisciplinary team approach with GBI addressing structural inequities. Each team member meets with the pregnant person during the pregnancy and postpartum period. Virtual team meetings are conducted to discuss the continued plan of care.

The …

The Effects Of The Nice-Support Program On Frailty And Quality Of Life In Heart Failure Patients, Tzu-Chieh Wang, Ai-Fu Chiou, Yu Cheng Hsieh, Chii Ming Lee, Chiu Yueh Yang, Chieh-Yu Liu

International Nursing Research Congress (INRC)

Background: Frailty affects 63% of heart failure patients, significantly diminishing their quality of life (QoL). Targeted interventions are crucial to mitigate frailty and enhance patient outcomes. However, existing research largely focuses on the elderly. This study examines the impact of the NICE-Support program, which includes nutrition, nursing instruction, combined exercise, and support, on frailty and QoL in heart failure patients.

Methods: This randomized controlled trial assessed the effectiveness of the NICE-Support program in reducing frailty and enhancing QoL in heart failure patients. A total of 240 patients were recruited from two medical centers in Taiwan through convenience sampling and randomly …

Patient’S Sexual Dignity Discomfort In Healthcare Setting: A Concept Development, Sihyun Park

International Nursing Research Congress (INRC)

Background: Touch and physical proximity are essential in various healthcare procedures. Despite their necessity, some procedures can evoke feelings of shame, embarrassment, humiliation, fear, and anger in patients (Brennan et al., 2023; Harriel-Hidlebaugh, 2023). Such negative experiences can lead to psychological harm, such as post-traumatic stress disorder, and may cause patients to avoid or refuse further care (Flynn et al., 2020; Harriel-Hidlebaugh, 2023).

Objective: This study aimed to develop and define the concept of “patient’s sexual dignity discomfort.”

Design: This study utilized a hybrid model of concept development, comprising three phases: theoretical, fieldwork, and analytical phases (Schwartz-Barcott & Kim, 2000). …

Development Of Online Caregiver Training For Cognitive Stimulation In Persons With Dementia, Juiting Chang, Wenchuin Hsu, Peikwei Tsay, Yi Chen Chiu

International Nursing Research Congress (INRC)

Background: Cognitive stimulation activities are a widely recognized non-pharmacological treatment for dementia, known to slow cognitive decline. The COVID-19 pandemic in 2019 led to the closure of day care centers and community facilities, halting these activities and increasing reliance on telemedicine and digital tools. In Taiwan, the use of digital technology to support family caregivers and improve outcomes for individuals with cognitive impairment remains under-researched.

Objective: This study aimed to develop an online case management system for family caregivers, focused on health education and promoting home-based cognitive stimulation activities for older adults with mild cognitive impairment (MCI). The study sought …

Elevate And Educate: Rapid Response Nurse Led Learning Sessions, Jessica Hope Gonzalez, Melissa Mark, Erin Viesselmann, Katherine Rembalski

International Nursing Research Congress (INRC)

Purpose: Traditional formal education and skill fairs are increasingly shifted to online learning creating a need for innovative educational methods to reach nurses. The purpose of this initiative is to provide education through informal presentations to creatively share key evidenced based practice to enhance patient care and foster nursing development.

Synthesis of Evidence: Studies consistently indicate that concise and informal educational sessions can be highly effective in delivering specific knowledge or skills. For example, in healthcare settings, short sessions have been shown to improve retention of information compared to longer, more traditional formats (Lee et al., 2020). Informal education methods, …

Skills And Competencies Of Nurse Preceptors In The Clinical Environment: A Literature Review, Evangeline Noble

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to review the literature on the skills and competencies of nurse preceptors that are integral to their development.

Methodolgy/Design: The study is qualitative in nature. Electronic databases (Pubmed, Helio, Elsevier) websites and reference lists were searched. Published studies between 2020-2024 were included if they are: 1) Were original research studies published in peer-reviewed journals in English, and 2) Involve skills and competencies of nurse preceptors in the clinical environment. The study's designs are scoping review, a nominal group technique study, and a Delphi technique via email among clinical experts. …

The Efficacy Of The Strengths-Based Resilience Intervention Among Thai First-Year Nursing Students, Siriphorn Na Nakorn, Genevieve Elizabeth Chandler

International Nursing Research Congress (INRC)

The prevalence of mental health problems among college students was rising even before the COVID-19 epidemic. The university-age population was affected by the epidemic, and studies have shown that this group is more vulnerable to COVID-related stress, anxiety, and depression. The adjustment to college is difficult during the pandemic, leading to high-stress levels and other mental health problems. Strengthening oneself and developing resilience can improve one's mental health and prevent adverse health effects. This research aimed to evaluate the Strengths-Based Resilience Intervention, focused on leveraging personal strengths to improve first-year nursing students' access to resources that affect their perceived stress, …

Sexual Dysfunction Among Patients Living With Interstitial Lung Diseases: A Scoping Review, Gyeryung Park, Jeongok Park, Daun Lee

International Nursing Research Congress (INRC)

Although sexual function is an important facet of quality of life (1, 2), it is an aspect that is frequently overlooked by healthcare professionals in patients with interstitial lung diseases (ILDs) (3, 4). It is known that living with chronic lung diseases such as COPD, asthma, and cystic fibrosis makes maintaining sexual function strenuous (4, 5). Although patients with ILDs face similar difficulties, they have been underrepresented in academic research.

This scoping review aimed to explore the subtypes of sexual dysfunction (SD) encountered by patients with ILDs and to identify its associated factors.

This study was guided by Joanna Briggs …

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.

A Community-Engaged Approach In Nursing Research: The Use Of Mapping Tools, Sally Moyce

International Nursing Research Congress (INRC)

Nursing researchers seeking to reduce health inequities often work within communities to identify potential solutions, yet translating research methods for laypeople without formal training may present challenges.¹ Visual tools such as diagrams and mapping are effective research methods that help engage the community in the process and encourage active participation in generating potential solutions to a complex health problem.² In participatory research, these methods help bridge potential communication gaps between community partners and nursing researchers and fosters a sense of ownership among community members, thereby enriching the quality and relevance of the research.³ The purpose of this …

Comparative Analysis Controlled Substances Prescribing: A Review Of National And State-Level Data, Carrieann Matyac, Mary Ellen Biggerstaff, Renzhi Cao

International Nursing Research Congress (INRC)

The expansion of nurse prescribing authority in parallel with widespread policy response to the opioid epidemic has altered the landscape of healthcare delivery, and prescription of controlled substances. This study provides a comparative analysis of nurse and non-nurse prescribing patterns using national and state-level data from the United States. Utilizing comprehensive datasets from the National Institute on Drug Abuse (NIDA), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Washington State Medical Association, this analysis identifies trends in opioid and other controlled substance prescriptions among Nurse Practitioners (NPs) and other providers. These findings help evaluate the impact of …

Adverse And Positive Childhood Experiences Affect General Health In Asian American Emerging Adults, Wenyi Chen, Chakra Budhathoki, Maichou Lor, Deborah Gross

International Nursing Research Congress (INRC)

Background: Positive childhood experiences (PCEs) are safe, stable, and nurturing relationships and environments in childhood.1 Both PCEs and adverse childhood experiences (ACEs) are common and can co-occur. Empirical studies have shown that PCEs not only buffer the negative effects of ACEs,2, 3, 4 but also positively impact physical and mental health outcomes independent of ACEs.5, 6, 7, 8 However, few studies have simultaneously examined the influence of ACEs and PCEs in Asian American populations. This study examined the association between ACEs and general health and assessed whether PCEs moderated this association among Asian American emerging adults from diverse backgrounds. …

Implementing Flipped Classroom In The Nurse Anesthesia Curriculum: A Quality Improvement Project, Pedro Hernandez, Yasmine Nicole Campbell, Valerie J. Diaz

International Nursing Research Congress (INRC)

Current research indicates that most faculty members are from the Baby Boomer generation (1946-1964) or Generation X (1965-1980), in which the instructor assumes the principal role of knowledge. Current evidence precludes that 91% of graduate nursing students are from Generation Y (1981-1996) and Generation Z (1997-2012) with a fondness for a flipped classroom, where student autonomy in classroom preparation is prioritized. The application of this technique has been widely evaluated using student exam scores. Utilization of generational pedagogical preferences is crucial for student success and critical thinking. This quality improvement project aims to answer the question: In multigenerational nurse anesthesia …

Accelerate: Growing Frontline Nurse Leaders Through A Year Long Innovative Leadership Cohort, Julie Stephenie Stefanick, Melissa K. Gonzalez, Clara Brown

International Nursing Research Congress (INRC)

Accelerate Program is a year-long, frontline leadership development initiative, aimed at creating a pipeline of future nurse leaders designed and implemented at a large academic medical center. Focus centers on supporting the career advancement and succession planning of informal nurse leaders, enhance and develop nursing leadership competencies, provide innovative leadership development opportunities as well as promoting interprofessional learning and collaboration to achieve effective, impactful outcomes. The first cohort consisted of nurse clinicians from inpatient, procedural, emergency department and ambulatory settings.

Curriculum design was guided by The American Organization for Nursing Leadership leader core competencies and was presented by experts from …

Care Coordination: 20 Years Of Lessons Learned And Future Visions, Janine Marie Petitgout

International Nursing Research Congress (INRC)

Problem/Purpose: Health systems are challenged to provide and lead care coordination for patients with efficient, effective discharge plans. All healthcare systems need care coordination programs focused on high-risk patient populations to help throughput. A family-centered team approach can be used for children with complex healthcare needs. The purpose of this presentation is to describe a hospital-based care coordination program; outline implementation strategies and processes; discuss staffing mix; and share lessons learned and future visions.

Program Description: A hospital-based care coordination program for children with complex healthcare needs was developed over 20 years ago in an academic medical center in the …

Evolution Of Scientific Production In Rehabilitation Nursing: A Bibliometric Analysis, Vitor Parola, Adriana Coelho, Hugo Neves, Catarina Lobão, Andreia Lima, Jorge Ferreira, Rafael Alves Bernardes

International Nursing Research Congress (INRC)

This study provides a comprehensive analysis of the evolution of scientific production in rehabilitation nursing from the earliest records in 1946 to 2024. Using PubMed as the primary search platform, a total of 11,837 articles were identified, showcasing a significant increase in research output, especially from the 2000s onwards, with a marked rise in publications in recent years[1]. The bibliometric analysis highlights key trends, including exponential growth in research focused on clinical practice, intervention efficacy, and care management, with 820 articles published in 2023 alone.

The analysis further explores the distribution of themes through co-occurrence maps, identifying distinct research clusters. …

Enduring Uncertainty Through The Lens Of Osteoporosis: A Mixed Methods Study, Caitlin M. Vlaeminck

International Nursing Research Congress (INRC)

Osteoporosis is a chronic illness that affects individuals globally, is underdiagnosed, and often poorly managed. Uncertainty is a phenomenon experienced by individuals diagnosed with chronic illness and is defined as the inability to determine the meaning of illness-related events. Experiencing uncertainty can lead to decreased quality of life (QOL), delays in decision-making, and negative impacts on relationships.

Purpose: This study aimed to determine if individuals diagnosed with osteoporosis experience uncertainty and to determine the lived experience of individuals with osteoporosis. Mishel’s Uncertainty in Illness Theory was used as the theoretical framework.

Method: Participants completed The Mishel Uncertainty in Illness …

Opportunities In Emergency Preparedness Through Community Partnerships, Katie Hooven

International Nursing Research Congress (INRC)

The two-part project was primarily focused on expanding disaster management and emergency preparedness learning experiences in our nursing courses by partnering with our local community agencies.

To diversify our student experience and work within our local community we established a mutually beneficial partnership to create an opportunity to expose students to emergency management and disaster preparedness. We asked the local County Medical Reserve Corporation Coordinator to partner with us to offer their eight required training courses which would allow interested sophomore students to become MRC members. The national MRC organization developed the MRC Core Competencies as a guide for training …

Clinical Placements For Nursing Education And Student Perceptions In Correctional Healthcare, Kimberly A. Rumsey, Shinu Joy

International Nursing Research Congress (INRC)

Background: Texas has the largest prison population in the United States, with approximately 134,000 individuals currently incarcerated. Ensuring quality healthcare for all patients, including incarcerated individuals, is essential to uphold ethical standards and legal requirements. However, correctional health facilities face unique challenges in recruiting and retaining skilled nursing staff due to the demanding nature of the work, safety concerns, lower pay, and the stigma of working in a prison environment (Chafin & Biddle, 2013). Introducing nursing students to correctional healthcare through positive clinical experiences may increase their interest in this field for future employment.

Purpose: The project investigated nursing students’ …

Evaluating The Impact Of Interactive Virtual Modules On Mental Health Content Mastery Assessment, Kunwal Molwani Scott

International Nursing Research Congress (INRC)

Introduction: In today's rapidly evolving technological landscape, education must adapt to effectively engage students and enhance learning outcomes. As technology becomes increasingly integrated into daily life, it is essential to reevaluate teaching strategies to align with students’ preferences and improve academic performance. Utilizing virtual active learning pre-lecture assignments have shown to increase student engagement for learning. This study aims to investigate the effectiveness of pre-lecture virtual assignments and their impact on student achievement, as measured by content mastery assessment levels, in an undergraduate mental health nursing course.

Methods: This study retrospectively analyzes content mastery assessment data from four cohorts of …

Three-Month Trajectories And Key Factors Of Preventive Treatment Efficacy In Patients With Migraine, Ming Jung Tsai, Yen-Feng Wang, Shuu-Jiun Wang, Yu-Chi Chen

International Nursing Research Congress (INRC)

1. Purpose: The primary aim of this study is to explore the trajectories of monthly headache days (MHDs) among patients with migraine over a three-month period following preventive treatment. The secondary aim is to identify key factors that influence these trajectories, providing insights for effective nursing interventions that emphasize health promotion and chronic disease prevention to alleviate the chronic burden of migraine.

2. Methods: A prospective cohort study was conducted at a neurology outpatient clinic in Taiwan, involving 132 migraine patients, of whom 116 completed the 3-month follow-up. Nursing assessments included evaluations of personality traits, sleep quality, anxiety, depression, and …

Effects Of A Peer-Facilitated, Recovery-Focused Illness Self-Care Program For Early-Stage Psychosis, Wai Tong Chien, Richard Gray

International Nursing Research Congress (INRC)

This assessor-blinded, multicenter randomized controlled trial aimed to examine the effectiveness of a peer-facilitated, recovery-focused self-management of Psychosis (PRSP) program supported by a psychiatric nurse (case manager) in improving recovery, mental state, problem-solving ability and other health outcomes of adults with early-stage psychosis over an 18-month follow-up (at immediately and 9 and 18 months post-intervention). The effects of the PRSP were compared with a nurse-led psychoeducation and a usual care group.

198 Chinese patients with early-stage psychosis randomly selected from 4 Community Centers for Mental Wellness (Feb-Aug 2023) and randomly assigned into 1 of the 3 study groups (PRSP, psychoeducation …

Effects Of A Communication Intervention On Nursing Home Quality Indicators, Kristine Williams, Clarissa Shaw, Maria Hein, Yelena Perkhounkova, Carissa Coleman, Frances M. Yang, Maria Roche-Dean

International Nursing Research Congress (INRC)

There is a critical need to improve quality of care in long term service and support settings (LTSS).1 Elderspeak communication is linked to behavioral and psychological symptom responses (BPSD) in nursing home (NH) residents with dementia.2 The Changing Talk (CHAT) intervention improved staff communication and reduced resident BPSD in NH care.3,4 To evaluate effects of the CHAT intervention, we compared NH-level quality measures before and after participation in intervention and control groups. Aggregate minimum data set data was extracted for the quarter before and after NHs participated as intervention or no-treatment controls in years 1 and 2 of the CHATO …

A Pilot Study Of Integrating Vr Into Innovative Nursing Education By Interprofessional Collaboration, Luna Chang, Shu-Chuan Chen, Hsiao Hua Kao, Pei Jung Hsieh, Yi-Ying Tsao

International Nursing Research Congress (INRC)

Due to global threats from infectious diseases, aging populations, and rising community health care needs such as chronic illnesses and dementia, nursing students face significant pressure when dealing with complex patient scenarios and health behavior challenges. There is an urgent need to develop innovative nursing curriculum designs through interdisciplinary collaboration, teaching students to integrate information technology into health care [1,5,6]. This approach will help cultivate their self-directed learning, innovation, and problem-solving skills, better preparing them for the evolving health care environment [2,3,4].

This study employs a comparative research design, with data collection conducted from May 2023 to September 2023. The …

Development Of A Cancer Rehabilitation Programme For Women Treated For Gynecological Cancer, Ka Ming Chow, Carmen W. H. Chan, Alexandra Mccarthy, Jiemin Zhu, Kai Chow Choi, Alice W. Y. Leung

International Nursing Research Congress (INRC)

Introduction: Gynaecological cancer (GC) is the second most common cancer worldwide.1 While incidence is rising, advances in cancer diagnosis and treatment mean more women with GC now live longer lives. Cancer rehabilitation has been recommended for people treated for cancer to facilitate their recovery. Women treated for GC report a strong desire for supportive care to motivate them to make the changes necessary to reduce their risk and promote their health post-treatment.2 However, no structured rehabilitation and supportive programme tailored for women treated for GC is available.

Methods: A multimodal cancer rehabilitation programme (MRCI) was developed based on Level I-II …