Digital Commons Network^™

Sustainability In Undergraduate Nursing Clinical Simulation: A Mixed Methods Study Exploring Attitudes, Knowledge And Practices, Bangyun Wang, Louise Sheehy, Astrid Frotjold, Tamara Power, Gemma Saravanos

Individual Articles

Climate change is among the greatest of threats to human health. Paradoxically the health system is a contributor to planetary degradation through emissions and waste. Climate change and sustainability are important issues for the nursing profession. We explored the impact of an education module with embedded sustainability principles in the context of clinical simulation. This mixed methods study used pre- and post-intervention waste audits and student surveys to explore attitudes, knowledge and practices relating to climate change and sustainability. The intervention, a digital clinical simulation education module, included three themes: 1) professional conduct, 2) work health and safety, 3) resource …

Prevalence Of And Factors Associated With Nurse Burnout In The Us, Megha K. Shah, Nikhila Gandrakota, Jeannie P. Cimiotti, Neena Ghose, Miranda Moore, Mohammed K. Ali

Individual Articles

IMPORTANCE Clinician burnout is a major risk to the health of the US. Nurses make up most of the health care workforce, and estimating nursing burnout and associated factors is vital for addressing the causes of burnout.

OBJECTIVE To measure rates of nurse burnout and examine factors associated with leaving or considering leaving employment owing to burnout. DESIGN,

SETTING, AND PARTICIPANTS This secondary analysis used cross-sectional survey data collected from April 30 to October 12, 2018, in the National Sample Survey of Registered Nurses in the US. All nurses who responded were included (N = 50 273). Data were analyzed …

Advanced Practice Registered Nurse Burnout In Magnet Hospitals: Opportunities For Organizational Intervention, Lori Kennedy, Heather Brom, Karen B. Lasater, Nancy M. Albert, Barbara Holmes Gobel, Christi Delemos, Lisa M. Williams, Linda H. Williams, Linda H. Aiken

Individual Articles

OBJECTIVE: To determine modifiable organizational factors associated with advanced practice RN (APRN) burnout in Magnet®-designated hospitals to guide organizational interventions to improve APRN well-being and retention.

METHODS: Cross-sectional study of work environments of 50 US Magnet hospitals and the associated well-being of 21 855 of their clinicians (APRNs, physician assistants, physicians [MDs], RNs).

RESULTS: Overall, 37%of APRNs experienced high burnout compared with 34% of MDs (P < 0.05) and 49% of RNs (P < 0.001); additionally, 32%of APRNs intended to leave their jobs. APRN burnout was significantly lower in organizations that minimized chaotic working conditions, provided APRNs more control over their workloads, involved APRNs in shared governance, improved clinician and management relations, and improved interprofessional teamwork.

CONCLUSIONS:Well-being and retention of APRNs in Magnet hospitals require their greater engagement in organization processes and systems that improve work environments.

Personal And Work-Related Factors Associated With Nurse Resilience: An Updated Systematic Review Using Meta-Analysis And Narrative Synthesis, Fiona Yu, Deborah Raphael, Lisa Mackay, Melody Smith, Ritin Fernandez

Individual Articles

Background: Nursing shortages and increased workforce turnover have significantly increased nurses’ workloads, thus increasing the risk of burnout and stress, particularly during the COVID-19 pandemic. A systematic review published in 2019 suggested that resilience could act as a buffer to adversity; however, the factors associated with resilience during and after this global pandemic have not been identified.

Objectives: To identify personal and work-related factors associated with nurse resilience, including the period during and after the COVID-19 pandemic.

Design: Systematic review.

Data Sources: The search was conducted between January and February 2024 in the following databases: CINAHL Plus, MEDLINE (Ovid), PsycINFO, …

Costs And Cost-Effectiveness Of Improved Nurse Staffing Levels And Skill Mix In Acute Hospitals: A Systematic Review, Peter Griffiths, Christina Saville, Jane Ball, Chiara Dall'ora, Paul Meredith, Lesley Turner, Jeremy Jones

Individual Articles

Increasing registered nurse staffing and skill mix can be a net cost-saving solution to nurse shortages. Contrary to the strong policy push towards a dilution of nursing skill mix, investment in supply of RNs should become the priority.

Evidence-Based Practice Improves Patient Outcomes And Healthcare System Return On Investment: Findings From A Scoping Review, Linda Connor, Jennifer Dean, Molly Mcnett, Donna M. Tydings, Amanda Shrout, Penelope F. Gorsuch, Ashley Hole, Laura Moore, Roy Brown, Bernadette Mazurek Melnyk, Lynn Gallagher-Ford

Individual Articles

Background: Evidence-based practice and decision-making have been consistently linked to improved quality of care, patient safety, and many positive clinical outcomes in isolated reports throughout the literature. However, a comprehensive summary and review of the extent and type of evidence-based practices (EBPs) and their associated outcomes across clinical settings are lacking.

Aims: The purpose of this scoping review was to provide a thorough summary of published literature on the implementation of EBPs on patient outcomes in healthcare settings.

Methods: A comprehensive librarian-assisted search was done with three databases, and two reviewers independently performed title/abstract and full-text reviews within a systematic …

Ai-Assisted Tailored Intervention For Nurse Burnout: A Three-Group Randomized Controlled Trial, Gumhee Baek, Chiyoung Cha

Individual Articles

Background: High-stress environments, heavy workloads, and the emotional demands of patient care, which are common challenges faced by nurses, are factors that can lead to burnout. Shift work can make traditional burnout interventions costly and difficult to implement. Artificial intelligence (AI) could offer solutions that are less constrained by time, resources, and labor.

Aim: To investigate the effectiveness of an AI-assisted intervention in reducing nurse burnout.

Methods: A single-blind, three-group, randomized controlled trial of 120 nurses (40 per group) was conducted from June 2023 to July 2023. The AI-assisted tailored intervention included two 2-week programs, delivering one of four programs …

Mediating Role Of Lifestyle Factors In The Resilience–Job Satisfaction Relationship Among Nurses: A Descriptive Correlational Study, Lena I. Serafin, Katarzyna Wesołowska-Gorniak, Angeli Malewska, Karolina Kruszewska, Justyna Kujawa, Bozena Czarkowska-Pączek

Individual Articles

Given the global nursing shortage and the increasing prevalence of workplace stressors, resilience has emerged as a crucial factor influencing job satisfaction, preventing burnout, and ensuring high-quality patient care. While previous research has established a connection between resilience and various occupational outcomes, the mediating effect of health-promoting behaviors—such as physical activity, diet, and sleep—remains largely unexplored, underscoring the need for further investigation in this area. Therefore, the objective of this study is to examine the effect of chosen lifestyle aspects on the connection between resilience and job satisfaction among nurses.

Nursing Leadership Strategies In A New Paradigm For Nursing's Economic Value, Marianne Weiss, Sharon H. Pappas, Maureen Chadwick, Beth Oliver, Olga Yakusheva

Individual Articles

Nursing leaders increasingly recognize that, in today's complex healthcare environment, nurses are a crucial revenue-generating human capital asset, not just a costly labor input. In this article, the authors discuss nursing leadership strategies to amplify nursing's economic value to healthcare organizations.

Investigating The Knowledge, Attitudes And Practices Towards Type 2 Diabetes Mellitus In A Student Population In The United Kingdom: A Quantitative Study, Philip Boadu Anim

Theses

Aim: To explore the knowledge on the risk factors, signs and symptoms, management, and complications of Diabetes, attitudes, and practices towards prevention of Diabetes Mellitus among university students in the United Kingdom.

Methods: The researcher utilised a quantitative study design in carrying out the study. The study was conducted at Cardiff Metropolitan University with Cardiff Met students being the target population. Thirty (30) participants were recruited through convenient sampling. Data was collected through questionnaires using closed ended questions. The Statistical Package for Social Science (SPSS) version 27 as used to analyse the data collected. Statics were performed to form a …

Organizational Return On Investment In Nursing: A Systematic Review, Olga Yakusheva, Kathryn Lee, Alissa V. Fial, Marianne E. Weiss

Individual Articles

Background: High-quality nursing care is crucial for healthcare quality and safety, yet there’s limited understanding of the business case for investing in nursing from an organizational perspective. This study seeks to address this evidence gap by identifying and synthesizing data on the organizational return on investment in nursing human capital, considering initial investment costs and the resulting impact on production costs and revenue.

Method: We conducted a systematic review using four databases (PubMed, CINAHL, EconLit, Web of Science) to find nursing human capital studies from January 1990 to June 2024. Studies were eligible for inclusion if they examined nurses …

The Nursing Human Capital Value Model, Olga Yakusheva, Kathryn A. Lee, Marianne Weiss

Individual Articles

Nursing's economic value is presently framed within the dominant “outcomes-over-cost” value framework. Within this context, organizations employing nurses often use nursing budget reductions as a cost-minimization strategy, with the intent of retaining high quality outcomes. However, persistent issues such as nurse understaffing, burnout, and turnover threaten healthcare systems' capacity to deliver the quality, equitable, affordable patient care that the public requires. In this paper, we propose a new conceptual model and definition of nursing's economic value. The model development is guided by the convergence of three classic economic frameworks:human capital theory, production theory, and value theory. Grounded in these theories, …

Retrospective Pre-Post Evaluation Of Faculty Teaching Practices And Student Outcomes Before And After Acue Certification At Mervyn M. Dymally College Of Nursing (Mmdcon), Charles R. Drew University Of Medicine And Science (Cdu), Charity M. Chimwala-Selico, Davian Quezada, Leah Fitzgerald

General Submissions: Academic Settings and Education-based Materials

Background/Significance: Charles R. Drew University of Medicine and Science (CDU) is committed to advancing equity, academic excellence, and student success through faculty development. In alignment with this mission, CDU partnered with the Association of College and University Educators (ACUE), whose certification program provides evidence-based teaching strategies designed to enhance instructional effectiveness, foster student achievement, and strengthen institutional outcomes. This faculty development initiative is significant for nursing education, where effective pedagogy directly impacts program retention, graduation rates, and preparation of a diverse nursing workforce.

Purpose: This study evaluates the impact of ACUE certification on teaching practices and pre-licensure nursing student outcomes …

Workplace Dignity Amongst Clinical Nurses, Jennifer De Beer, Hawazen Rawas, Wadea Beheri

Individual Articles

Background: The workplace environment plays a pivotal role in employees’ lives as they spend many hours there. Recently, greater attention has been placed on workplace conditions as a key social determinant of health. One way through which workplace conditions may affect health is workplace dignity. This study aimed to describe clinical nurses’ workplace dignity.

Methods: The study design was descriptive and cross-sectional. Clinical nurses within a tertiary institution were randomly sampled. Data collection included the Workplace Dignity scale which is an 18 item-seven-point Likert scale consisting of dignity and indignity questions (α.98, and 0.95, respectively). Data collection commenced with a …

Clinical Nurses' Perceived Educational Value Of Nursing Journal Clubs, Jennifer De Beer, Elham Alsanea, Joynalyn Barrios, Shahd Brnawi, Wejdan Barayan, Wadea Beheri, Emily Lenore Heaphy

Individual Articles

Background: Evidence-based practice plays a pivotal role in modern nursing decision-making. Healthcare organizations must ensure that nurses consistently have access to and apply the most current evidence. The journal club is a key method for evidence-based education among healthcare professionals. The study aimed to evaluate the perceived educational value of journal clubs among clinical nurses.

Methods: The study used a cross-sectional descriptive survey approach. The setting included a large tertiary hospital in the western region of Saudi Arabia. A total of 208 nurses (mean age 38.9 ± 9.1 years; 88.9% female) were randomly sampled. Participants had attended an EBP workshop …

Exploring Anxiety And Noticing Within Virtual Reality Nursing Simulation, Janet M. Reed

Sigma Foundation for Nursing Research Grant Reports

The overall objective of this pilot study was to explore how anxiety affects students’ noticing of key information within a virtual reality nursing simulation. The aims of this study were to 1) distinguish simulation anxiety into facilitating and debilitating components by using the Alpert and Haber (1960) Achievement Anxiety Test (AAT) for novel use in VR simulation for undergraduate nursing students; 2) Describe the relationship between debilitating and facilitating anxiety and noticing in VR simulation; and 3) Describe the psychometric properties for the AAT when used to describe anxiety in nursing simulation.

Experiences Of Transgender Individuals In Healthcare: Towards Establishing An Affirming Model Of Care, Nathan Levitt

Biennial Convention (CONV)

Issue: In recognition of the health disparities among the lesbian, gay, bisexual, and transgender (LGBT) population, health authorities have called for increased knowledge and research. Evidence shows that transgender individuals often face the most severe forms of discrimination and health disparities. Given this, establishing an affirming care model is crucial for guiding both research and practice. The purpose of the literature review is to provide insight into the current state of knowledge on the experiences of transgender communities in healthcare to contextualize the need for an affirming framework.

Description: Relevant peer-reviewed articles were retrieved from Ovid MEDLINE(R), OVID …

Responding To Mental Health Care Needs: Outcomes Of A Telehealth Services Expansion In A Rural State, Chizimuzo T.C. Okoli, Tianyi Wang, Sarret Seng, Bassema Abufarsakh, Zainab Almogheer, Jarrah Al-Kayed, Pooja Bhattarai, Andrew Makowski, Holly Stith

Biennial Convention (CONV)

Background: One in five adults in the U.S. is living with a mental illness (MI) (Substance Abuse and Mental Health Services Administration, 2024). Among Medicaid beneficiaries (MB), this prevalence is estimated to be 48% (Adelmann, 2003). MB with MI often have challenges in accessing available mental health treatment (Fry et al., 2021; McConnell et al., 2020). However, telehealth has become a responsive modality to enhance mental healthcare by improving access and reducing barriers (Guth, 2023; Mulvaney-Day, Dean, Miller, & Camacho-Cook, 2022).

Purpose: The purpose of this study was to examine the changes in the use of telehealth services …

Early-To-Rise And Mobility, Opal Livelee, Helen Grace Baldo

Biennial Convention (CONV)

Background: Immobility in hospitalized patients presents numerous physical and physiological complications. Evidence suggests circadian variation negatively impacts various bodily functions and overall quality of life. Interventions such as waking patients during the day and keeping them active can help maintain a normal sleep-wake cycle. This early-to-rise and mobility project builds on a successful pilot in the hospital’s stroke unit that demonstrated a decrease in the length of stay (LOS) of stroke patients after three months.

Purpose: To prevent complications and improve efficiency, the project aims to increase patients’ mobility, decrease patients’ LOS, and lower the LOS index.

Methods: The Plan, …

Understanding Medication Adherence Among American Indian/Alaska Native People With Type 2 Diabetes Within A Commercial Health System, Leandra Bitterfeld

Dissertations

American Indian/Alaska Native (AI/AN) adults experience higher rates of type 2 diabetes and worse glycemic control than non-Hispanic White Americans. Despite the importance of medication adherence for T2DM management, there is only one study in the last 15 years examining the relationship between medication adherence and A1C among AI/ANs. Furthermore, T2DM research among AI/ANs has largely been conducted within Indian Health Service and Tribal healthcare systems, though most AI/ANs live outside of reservations, meaning many use commercial health systems. The purpose of this dissertation is twofold. We sought to first understand the experience of AI/AN people accessing T2DM in a …

Cervical Cancer Screening In Women Over 65 Years Of Age, Tamela Fonseca

General Submissions: Clinical Settings Materials

The study aimed to assess cervical cancer screening practices among at-risk women aged over 65 years, describe adherence to nationally recommended cervical cancer screening guidelines for this same patient group, and provide preliminary insights into adherence among primary care providers (PCPs) and gynecologists.

Medical Cannabis Conversation Between Adult Oncology Patients And Provider: The Impact Of Provider Education, Jodi Mcclain

DNP and Student Works

Background: It is estimated up to 40% of adult oncology patients use medical cannabis (MC) for a myriad of symptoms, including not limited to, nausea, pain, appetite, and anxiety. Conversely, less than one-third of oncology health care providers (HCPs) feel confident making cannabis recommendations. Furthermore, studies have shown low disclosure rate and poor communication between oncology patient and provider regarding integrative medicine, which includes cannabis. This study sought to examine the degree of correlation between the desire for information regarding cannabis in the adult oncology population, the level of communication regarding cannabis between patients and providers, and educational efforts to …

Race, Fear Of Falls, Built Environment And Physical Activity In Older Adults With Cancer, Kristen Fessele

General Submissions: Community and Population-based Materials

Motivation for older adults with cancer (OAC) to engage in physical activity (PA) during and after cancer treatment may be limited by many factors. OAC may be affected by persistent symptoms limiting PA capability such as fatigue, pain and dyspnea, or lack safe home or neighborhood spaces to engage in activity. Fear of falling (FOF) is a major concern among OAC and may decrease PA and life-space mobility. To understand how OAC perceptions of cancer treatment, FOF and their local built environment (BE) influence PA behaviors, we partnered with ResearchMatch.org to recruit a sample of 19 people with a history …

Crisis Response In Nursing Education: An Integrative Review Of Nursing Programme Adaptation To Covid-19, Monina A. Hernandez, Gina B. Diaz, Pearl Ed G. Cuevas

International Nursing Research Congress (INRC)

Purpose: To synthesize and examine published research on the ways in which undergraduate Nursing education programmes in various countries adapted to the COVID-19 pandemic.

Methods: Whittemore and Knafl’s (2005) integrative review approach informed this review. This approach was chosen by the researchers because it allows inclusion of various research methodologies to highlight different perspectives regarding a research problem. The five-stage framework includes: problem identification, literature search, data evaluation, data analysis and presentation of findings.

Key words were used in conjunction with Boolean operators, truncation, and spelling variants to search three electronic databases. The search terms used were: “nursing education” OR …

Reflect: Glmc Building On 10-Years Of Global Leadership Mentoring Experience, Ellen B. Buckner, Tanya F. Lott, Brenda Owusu, Karen Morin, Khalilah M. Mccants

Biennial Convention (CONV)

Introduction: Sigma members reflect a caring culture to show desired change. Following Sigma’s initiation of Global Regions in 2011, a group of visionary Sigma leaders established the Global Leadership Mentoring Community (GLMC).¹

Purpose: The GLMC mentor-mentee relationships broaden nurses ability to reflect on personal and professional leadership growth. The vision of the GLMC is through successful mentoring, participants will enhance their confidence in their global nursing leadership, gaining greater cultural awareness of the issues challenging professional nursing and be personally enriched. This unique mentoring opportunity has demonstrated that global leadership mentoring can strengthen nurses in all settings and help …

Piloting A Simulated Electronic Health Record In Cambodia For Nursing Students In A Nursing Informatic Course, Eam Mao, Tricia Hester, Sreypeov Tun, Monirath Soun, Cheryl D. Parker

Individual Articles

Introduction: Electronic health records (EHR) integration is vital in modern healthcare, yet there is limited research on EHR training in nursing education in Cambodia and the ASEAN region. This study explores the implementation of simulated EHR training for Cambodian nursing students and its potential benefits for the curriculum.

Method: A four-week pilot was conducted with 62 Cambodian nursing students at the University of Puthisastra. Students participated in simulated EHR activities and completed a post-course survey to identify challenges such as medical terminology, computer literacy, and English proficiency.

Results: 93.5% of students recommended continuing EHR training despite challenges, including difficulties with …

Implementation Science As Common Ground For Researchers And Practitioners, Robin P. Newhouse, Carol J. Howe, Maja Djukic

Biennial Convention (CONV)

Within the larger context of healthcare transformation, nurse scholars are crafting revitalized roles in both implementation research and implementation practice. The foci of these roles are overlapping and have hybridized into new models and activities that reflect quality improvement, change management, development of pragmatic research design and methods, and establishment of practice facilitation activities in healthcare delivery. The basics of implementation science will be described and demonstrated through case study analysis.

Courage To Lead Translational, Dissemination And Implementation Sciences, Mary A. Dolansky

Biennial Convention (CONV)

This presentation describes the bold foundations of nursing leadership in evidence-based quality improvement and patient safety and points to present and future directions in the field. National initiatives have surged forward to achieve the goal of safe, timely, effective, efficient, equitable and patient centered care. The nursing perspective in this rapidly expanding field of translational science is essential to achieve the greatest impact on best practices, strong care systems, and improved population health.

National Resources To Maximize Nursing’S Implementation Capacity And Influence, Kathleen R. Stevens

Biennial Convention (CONV)

This presentation will describe the current availability of capacity building resources, pointing to ways of leveraging existing national resources and adding the nursing perspective. The panel’s consensus strategies will be outlined. Panelists will engage the broad base of nurse scholars in attendance to further delineate strategies. Recommendations will be solicited regarding implementation science theories, methods, and strategies that inform practice change and implementation science research through a nursing lens. The session will be summarized with a focus on the next bold steps to increase nursing capacity and influence on implementation science in research and practice.

Represent: Glmc Bringing Sigma’S Global Regions Together, Viji George, Dorette Sugg Welk, Juana Mercedes Gutierrez Valverde, Elizabeth Wescott

Biennial Convention (CONV)

As professional nurses and Sigma members, the Global Leadership Mentoring Community (GLMC), with its outreach, connects Sigma’s vast diversity and capability of representing global nurses, a Sigma Call to Action (2023-2025).¹

Purpose: To understand the impact of GLMC on serving as ambassadors of Sigma, coming together through mentoring relationships to build a cross-cultural leadership platform, and seeking collective solutions for global healthcare issues.

Background: Sigma brings nursing expertise across the globe and emphasizes how nurses play key role in achieving Sustainable Development Goals (SDM),² Global nurse leaders impact healthcare and cost-effectiveness on quality, safety, and outcomes.³ Mentorship …