Digital Commons Network^™

Use Of Screening Tool For Pediatric Non-Accidental Trauma In A Rural Emergency Room Setting, Allison Louise Schroering, Ashley N. Carter, Mikel W. Hand

Biennial Convention (CONV)

Significance of problem: The rise in the number of pediatric patients seen for abuse is alarming.¹ More than 7 million reports for maltreatment were made to Child Protective Services in 2021.² Rates of reported abuse were 8.1 per 1000, with 16% of these identified as non-accidental trauma (NAT) and the greater incidence happening to those 1 year or younger.^3,4 One to two deaths per day are attributed to NAT in the US.⁵ System improvements in emergency rooms (ER) and hospitals, such as implementing screening tools or protocols, are crucial for early detection and prevention of NAT. …

Workplace Incivility And Its Impact On Vulnerability And Well-Being Of Nursing Faculty In Japan, Miwako Hoshi, Namiko Kawamura, Takumi Yoshino, Melissa Dyo

Biennial Convention (CONV)

Research Design: This research was a non-experimental descriptive study.

Subjects: A convenience sampling method was employed in this study, resulting in a total of 455 nursing faculty across Japan. The participants consisted of 52 males (10.4%) and 341 females (68.1%) with a mean age of 47.2 years (SD = 9.68). Regarding their academic positions, 94 were professors (18.8%), 68 were associate professors (13.6%), 82 were (senior) assistant professors (16.4%), 113 were (junior) assistant professors (22.6%), and 41 were research associates (8.2%).

Instruments: The survey form with open-ended questions to explore the experiences of workplace incivility such as faculty-to-faculty and …

Challenges And Difficulties Faced By Children With Special Healthcare Needs And Their Caregivers, Julia Dankanich

Biennial Convention (CONV)

Children and youth with special health care needs (CYSHCN) and children with medical complexity (CMC) encompass a broad spectrum of children with varying medical conditions and health care needs. They use a greater number of resources due to their higher level of specialty care visits, greater emergency department use, and higher rate of hospitalizations compared to children without special health care needs. The purpose of this literature review is to identify the caregivers of CYSHCN and CMC experiences and difficulties related to caring for their high-needs children. A literature search was conducted using the keywords children and youth with special …

Evaluation Of A Nurse-Led Echo® Education Series: Telementoring Priority Equitable Primary Care, Bettina H. Riley, Emily S. Bentley, Misty Guy, Pam Johnson, Shannon Powell-Lewis, Joyce Pittman, Jo Ann Otts, Katherine Bydalek, Caleb Howard

Biennial Convention (CONV)

An Extension for Community Healthcare Outcomes (ECHO®) evidence-based global model provided the framework for a nurse-led professional education series focused on priority topics supporting equitable primary care. A Nursing Recruitment and Education to Expand Access to Culturally-Aligned Healthcare (Nursing REEACH) ECHO® was a goal of a Health Resources and Service Administration (HRSA) of the U. S. Department of Health and Human Services grant. The grant provided resources to increase nursing workforce and capabilities in rural and underserved communities through deployments of graduate nurses in mobile clinics. A grant sub-goal was to expand access to evidence-based services in the community through …

Do Community-Engaged Initiatives Promote Mental Health And Well-Being In Under-Resourced Settings?, Muhammad Chutiyami, Natalie Cutler, Sopin Sangon, Tusana Thaweekoon, Patcharin Nintachan, Wilai Napa, Phachongchit Kraithaworn, Jo River

Biennial Convention (CONV)

Community-engaged initiatives are recognized as promising strategies for addressing disparities in mental health outcomes in resource-constrained settings. An understanding of the scope/effectiveness of these initiatives in diverse contexts remains limited. Our international team systematically examined community-engaged mental health and wellbeing programs in Low-Middle-Income Countries (LMICs) and under-resourced settings in High-Income Countries (HICs), evaluating level of community engagement and impact on mental health outcomes.

Five academic databases were searched for eligible primary studies published in English up to August 2024. Studies involving community members targeting one or more mental health outcomes were included. Data were extracted using a structured tool, quality …

Young Adults' Experiences With Text Messaging Intervention For E-Cigarette Cessation In Rural Areas, Redson Biswick Machongo, Vipavee Thongpriwan, Seok Hyun Gwon, Devon Noonan

Biennial Convention (CONV)

Introduction: Electronic Nicotine Delivery Systems (ENDS, commonly known as e-cigarettes) use has increased rapidly among young adults (YAs, 18-24 years) in rural communities. E-cigarette use is a higher risk factor for both cardiovascular and pulmonary diseases. Addressing the disturbing rates of e-cigarette use in YAs requires cessation resources to be available and accessible. Regrettably, rural community residents have limited access to cessation resources. The purpose of this study was to explore YAs' perceptions and experiences engaging in text-message intervention to assist with vaping cessation effectively.

Methods: A qualitative investigation with individual interviews was conducted. Participants (n = 8) were from …

Human Trafficking Simulation: Educational Tool For Developing Interprofessional Competencies, Kerri Anne Irwin, Kelly D. Caskey

Biennial Convention (CONV)

Introduction: This research is in response to the human trafficking (HT) crisis. HT affects an estimated 30 million people worldwide. Nurses are one of the few constant contacts within the hospital for these isolated victims. HT patients may feel protected under the trusted care of nurses (Morris, 2023). Raker (2023) found that “academic nursing programs represent an ideal environment to deliver human trafficking training to future graduate nurses.” The limited instruction for students led us to create an HT simulation that is being taught in a senior level nursing course.
The purpose of this research is to address the growing …

Establishing And Maintaining Equitable Leadership Practices In Nursing Education: A Way Forward, Joshua Michael Kies, Kari Mau

Biennial Convention (CONV)

There is currently a lack of diverse leadership in nursing education. This reflects multi-faceted systemic challenges that require innovative and comprehensive interventions. Current academic environments may perpetuate structures that marginalize faculty from underrepresented groups, creating significant barriers to equitable advancement and representation (Christensen, 2023).

The presentation will investigate the foundational principles of leadership development, focusing on transformative approaches that address inequities using recent research. Analyzing current demographic situations, institutional barriers, and perceived professional expectations, the discussion will uncover critical intervention points for long-term, meaningful change (Brown-DeVeaux & Glassman, 2023).

The critical importance of intentional, systemic interventions that move beyond “standardized” …

Current Practices In Undergraduate Nursing Honors Research Programs, Deanna L. Reising, Jessie Cheziwa

Biennial Convention (CONV)

Purpose/Background/Significance: Undergraduate nursing honors research programs are a method for increasing the desire for students to pursue graduate education for eventual research careers. The purpose of this study was to identify and describe the types and outcomes of undergraduate nursing honors research programs in the U.S.

Methods: A qualitative descriptive design using content analysis for data analysis. Faculty who were involved in undergraduate nursing honors research programs in the U.S. were recruited to complete an interview that elicited responses on the type and structure of the program, barriers to implementation, faculty workload models, and outcomes realized from the program.

Results: …

An International Comparison Of Staff Perceptions Of Professional Governance, Roberta Kaplow, Polly Willis, Birgit Vogt, Fanny Grüssel-Griethe, Janina Schweiger

Biennial Convention (CONV)

Objectives: The objectives of this study were to evaluate differences among RNs and nurse leaders’ perceptions regarding professional governance (PG), and discern differences in perceptions regarding demographic variables, and determine if there are differences in perceptions of SG between two hospitals.

Background: Data suggest a relationship between PG and improved patient outcomes, nurses’ job satisfaction, and workplace engagement.

Methods: A cross-sectional descriptive comparative design was used. Perception of SG at two academic medical centers were compared. The United States (US) center has Magnet designation; the German center is pursuing designation. Participants completed a demographics questionnaire and the IPNG 3.0 (50 …

Transforming Nurse Leaders: The Power Of Flexible Schedules In Healthcare, Emily Calabro, Rodica Pop

Biennial Convention (CONV)

Purpose: This pilot feasibility study investigated the impact of flexible work schedules on the mental, psychological, and physical health of healthcare workers within a large hospital system, aiming to identify innovative leadership strategies for workforce planning and development.

Background: Traditional work schedules often negatively impact productivity, well-being, and job satisfaction, contributing to challenges in recruiting and retaining nurses. This study explored the feasibility and benefits of flexible work schedules as a leadership initiative to improve workforce well-being and retention.

Methods: A quasi-experimental, mixed-methods, time-series design was implemented across a 12-hospital system with the partnership of 4-Day Global. Eligible leadership teams …

An Interdisciplinary Tabletop Simulation For Disaster Preparedness In Nursing Education, Lori Ann Minton, Gabri Warren, Lauren Rollins Lwanga

Biennial Convention (CONV)

The purpose of this study was to explore the effectiveness of an interdisciplinary tabletop simulation on student learning outcomes and American Association of Colleges of Nursing core competences related to disaster preparedness.

Nurses deliver a variety of services in the community and acute care settings and have historically been highly active in volunteerism. Disaster preparedness education can prepare future nurses to meet the needs of their communities during these emergency situations. There are opportunities to provide disaster preparedness education to nursing students using the AACN competencies and domains related to disaster response through simulation.

This IRB reviewed mixed methods study …

Building Research Capacity: Challenges And Lessons Of An Undergraduate Nursing Research Program, Elizabeth Ann Anderson, Leeanne B. Sherwin

Biennial Convention (CONV)

Background: The future of nursing scholarship relies on developing research capacity throughout the professional education trajectory. Nurse educators find motivating undergraduate nursing students to engage in the research process a challenge.¹ Understanding of the nursing research process and its link to optimal clinical practice is not well understood by undergraduate nursing students.² Global health challenges and issues impacting nursing education, such as faculty retirements and decreasing numbers of nurses pursuing research-focused doctoral degrees, necessitate introducing nursing students to the research process early, creatively, and consistently throughout their educational journey.³

Purpose: Describe the challenges and lessons …

Engaging Students In Gap Analysis In Global Service-Learning In Low-Resource Settings, Mabel Ezeonwu, Amanda Sendele

Biennial Convention (CONV)

Purpose: To describe a case study-based approach for training students in gap analysis and cultural humility to articulate and support community health needs in low-resource settings.

Background: Through collaborative academic-community partnership¹, an intensive service-learning program on health promotion was implemented in low-resourced indigenous Mayan communities of Guatemala, as part of a quarter-long 2023 hybrid study abroad course. The goals of the program were to 1) support the primary healthcare needs of the communities 2) allow students to build competencies in global health (GH) practice, including a) articulate barriers to health and healthcare in low-resource settings and b) …

Breaking The Silence: Addressing The Crisis Of Osec & The Knowledge Gap Among Health Professionals, Toni Morris, Elizabeth Ziff

Biennial Convention (CONV)

OSEC is a significant public health crisis globally. It involves the sexual abuse of minors through the internet, including creating, sharing, or possessing sexual material featuring children. OSEC is widespread yet often hidden due to its sensitive nature, making it challenging to address openly. The increasing use of digital technology and social media exacerbates this problem, providing predators with more tools to exploit children.

Children are especially vulnerable, facing serious threats to their physical and emotional well-being. Despite global efforts to combat OSEC, the ubiquity of the internet and advancements in technology have made prevention and intervention difficult. Early identification …

Comparing The Impact Of Mentorship On Confidence Among Newly Graduated Registered Nurses, Margaret Matthews

Biennial Convention (CONV)

Newly licensed nurses require professional confidence to deliver quality patient care within today’s complex healthcare settings. While nursing programs provide a foundational knowledge base, many newly graduated nurses report challenges in clinical judgment and translating learned knowledge into practice, contributing to a lack of professional confidence. Extended mentorship during the transition to practice may offer a solution to address this gap.

This study aimed to measure the impact of mentorship on the confidence levels of newly graduated Registered Nurses (RNs) during their first six months of practice. A cohort of nine newly licensed RNs completed a standard twelve-week orientation program. …

Knowledge Of Menopause And Sources Of Information In Women And Men In The United States, Roxanne Ropponen

Biennial Convention (CONV)

Problem: When it comes to health management, knowledge is power. Unfortunately, menopause education is gravely lacking in the U.S., despite the fact that menopause symptoms have a significant effect on women’s lives, including their relationships with men. Most people obtain health information from online sources or family and friends, both of which can vary from highly accurate to extremely inaccurate. Nurses, the patient educators of the health care team, are in a position to provide evidence-based menopause education. In order to create and implement such education there must be an established understanding of the population's current knowledge and sources of …

From Dialogues To Diffusion Of Generated Nursing Knowledge Of A Low-Middle Income Country, Miriam Vargas-Vilela, Luisa Orellana, Daisy Sonia Garcia

Biennial Convention (CONV)

After the pedagogical dialogues between the nursing faculty of the Seattle University and the Bolivian University of Saint Francis Xavier, a goal of working on research studies that would contribute to standardizing global nursing care was identified.¹ Thus, they completed a study on the Bolivian Nurses' Response to the COVID-19 pandemic. This study highlighted the lack of generated nursing information for nurses to safely perform during the pandemic.² Learning that few manuscripts were published after the nursing master programs were introduced in Bolivia in 1996,³ the faculty engaged in a two-phase project on knowledge diffusion of maternal …

Mental Help Seeking Behavior Of Freshman Nursing Students Of Manila Premier Local University, Gilmore Gelito Solidum

Biennial Convention (CONV)

COVID19 has caught all people in the world in surprise and has altered the way that humans live in almost all regard. The COVID-19 pandemic created an atmosphere of volatility and has caused significant stress and uncertainty. Young people were severely affected as they had to face school shutdowns, contend with social isolation from friends and significant others, and experienced amplified stress at home and in their communities. Given the unprecedented disruption caused by the pandemic, it is crucial to understand the pandemic’s impact on adolescent health and development. Mental health issues have become a growing concern during the pandemic …

Anxiety, Depression And Associated Medical Symptoms In Kenyan Hiv+ Women: Rural Vs. Urban Context, Laura L. Van Auker, Miriam Wagoro, Janet Meda, Mariana Javeza Omenda

Biennial Convention (CONV)

Background: Advances in HIV therapeutics for women living with HIV (WLWH) in sub-Saharan Africa have shifted focus from deadly AIDS to chronic disease management. This shift underscores the need for integrated mental health and HIV care in low-resource settings, particularly addressing medical comorbidities and antiretroviral (ARV) side effects that exacerbate anxiety and depression. Conditions such as anemia, diabetes, hypertension, and malaria, alongside ARV-related side effects like chronic pain, fatigue, and neuropathy, contribute to overlapping physical and mental health symptoms and challenges. Integrating mental health screening into primary care facilitates identifying primary and secondary symptom etiologies, optimizing outcomes. Urban and rural …

Contextualization Of Best Practice Guidelines For Managing Postoperative Pain In Children In Ghana, Sylvia Oger Ofosu Dwamena, Carin Maree, Seugnette Rossouw, Varshika Bhana

Biennial Convention (CONV)

Background: Acute postoperative pain is a prevalent surgical symptom that affects a significant proportion of patients, ranging from 40% to 80% (Skervin & Levy, 2020). Management of postoperative pain is critical for all groups of people, especially children. Various stakeholders are involved in postoperative pain management among children to be effective. Among these stakeholders, much of the concentration is on nurses and caregivers. Best practice guidelines are recommended for effective postoperative pain management among children. There are numerous best practice guidelines for managing postoperative pain among children globally (Cettler et al., 2022; Smith et al., 2022; Trottier et al., …

Leveraging Virtual Reality In Nursing Education To Enhance Confidence And Knowledge, Kerry Vaccaro, Amanda Bodinet, Concetta Zak

Biennial Convention (CONV)

Blood transfusion reactions can be life threatening and are rarely encountered by nursing students in clinicals. Simulation has been shown to have a positive impact on transfusion-related competence in nursing students (Brown, C. & Brown, M., 2023). BSN nursing students faced challenges in recognizing and responding to blood transfusion reactions. A Virtual Reality (VR) simulation was introduced as an innovative teaching modality. Virtual Reality provides learners with a more life-like experience that is standardized and safe (Kiegaldie & Shaw, 2023). The purpose of this study was to evaluate whether VR simulation, compared to traditional lecture, improves senior-level BSN students' confidence …

Advanced Practice Provider (App) Midline Training Initiative, Al-Zada Aguilar, Sarah D. Maute

Biennial Convention (CONV)

Temporary, non-tunneled central venous catheters (CVCs) are commonly used for vascular access in patients with vesicant infusion needs or difficult intravenous access (DIVA). However, CVCs are associated with primary bloodstream infections (BSIs), contributing to significant morbidity, mortality, and financial burdens. At our institution, central line-associated bloodstream infection (CLABSI) rates and central utilization ratios have steadily increased since 2023, rising from 0.43 to 0.75 and 0.17 to 0.21, respectively, despite system-wide infection prevention initiatives. Recognizing the limitations of current approaches, particularly for DIVA patients, midlines emerged as an alternative to both CVCs and ultrasound-guided peripheral IVs (USG-PIVs).

In response, a multimodal …

Faculty Perceptions Of Student Mental Health And Real-World Readiness, Allison A. Maloney, Meghan Pontz

Biennial Convention (CONV)

The mental health of students is a cornerstone for achieving global goals of quality education & good health and well-being. These priorities are urgent calls to action for educators and policymakers to foster sustainable economic development. The COVID-19 pandemic has magnified the vulnerabilities of educational and health systems worldwide, redefining how students are educated and prepared for the workforce. This challenge is pertinent in higher education, where faculty play a role in equipping students for professional environments while addressing their mental health needs—a determinant of future workforce resilience and productivity.

This study examines faculty perceptions of student mental health and …

Integrating Telehealth Innovation To Advance Emergency Department Flow And Nursing-Led Care, Patrice Callagy, Maria Cheung

Biennial Convention (CONV)

Purpose: Efficient patient flow is critical for managing capacity and delivering timely, equitable care in emergency departments (EDs). As patient acuity and census increased at Stanford Health Care (SHC), traditional Fast Track spaces were reassigned to higher-acuity patients, leaving lower-acuity patients with prolonged lengths of stay (LOS). Prolonged LOS increases the risk of patients leaving without treatment, impacting care outcomes. To address this, SHC’s Digital Health team and Emergency Services leadership developed an innovative Virtual Fast Track care framework using telehealth technology and multidisciplinary workflows.

Methods: This novel approach applies an "inverted telemedicine" model in which care is provided within …

Sustaining The Future Workforce With What Matters Most To Nurses, Deirdre O'Flaherty

Biennial Convention (CONV)

Introduction: Meaningful recognition confirms the value of nurses’,environments that acknowledge this influence a healthy workplace. Applying quadruple aim framework, optimizing healthcare system outcomes places wellbeing in the forefront and supports fostering resilience, hardiness, interprofessional collaboration and engagement, augmenting the work setting.

Objectives: Discussing strategies, interprofessional collaboration, engagement, fortified resilience, empowered staff and have brought value and meaning to nurses. This study compares peer-reviewed literature on the impact of leadership styles, organization culture and support among nurse managers.

Methods: We previously studied and analyzed clinical nurses’ and nurses in leadership positions perceptions of resilience, empowerment and pre-pandemic engagement. Results …

Service-Learning In Nurse And Midwifery Education: Building Capacity In The Americas, Adelais Markaki, Deborah Bowers, Emily Patton, Lisa Theus

Biennial Convention (CONV)

Introduction: Service-learning (SL) integrates purposeful and immersive community-based experiences into the curriculum while addressing health disparities.^1,2 Growing evidence from North America shows that academic service-learning nursing partnerships can lead to impactful change.³ Yet, the need to integrate SL into the curriculum must be informed by country-specific, regional evidence.

Purpose: To train in and promote integration of SL by nurse and midwife educators in alignment with the Global Strategic Directions for Nursing and Midwifery⁴ for developing clinically competent and culturally-sensitive practitioners equipped to provide population-targeted services.

Objective: Identify evidence from the Americas region on service-learning integration and best …

Goodbye Textbook: Content Creation For A Non-Clinical Nursing Course Using Ai Tools, Julie Kientz Elting

Biennial Convention (CONV)

Purpose: To provide guidance for faculty interested in creating materials using AI tools for nursing courses which allows ‘unadoption’ of textbooks.

Background: When discussing AI text generation tools like ChatGPT and Gemini (AI tools), many nursing faculty are only aware of the risks to academic writing (Abujaber et al., 2023). But there are many pedagogical benefits of AI tools that enhance student learning (Elting & Desio, 2024; Glauberman et al., 2023; Srinivasan et al., 2024) and manage faculty teaching, communication, and administrative tasks (Srinivasan et al., 2024). What is less known is how AI tools can be used to create …

Reflection On Experiences With Primary Care Providers To Improve Patient-Centered Care, Deanna Jan Emory, Thomas Kippenbrock

Biennial Convention (CONV)

Background: The Agency for Healthcare Research and Quality emphasized the assessment of the patients’ experiences along with other factors such as effectiveness and safety of care when demonstrating health care quality. To accurately gauge the patient’s experience, health care institutions must ask patients whether events in a healthcare setting occurred and how frequently they are with providers and the credentials of those providers.

Purpose: The purpose of this study was to investigate Medicaid recipients’ experiences with their respective primary care providers using responses from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) database.

Methods: The study was …

Parents’ Awareness Of Antimicrobial Resistance: A Qualitative Study Utilizing The Health Belief Model, Aaron Lapuz Alejandro, Mieghan Bruce, Cheryl Leo

Biennial Convention (CONV)

Objective: This study aimed to determine local factors that promote or prevent parents’ responsible use of antibiotics for their children in Perth, Western Australia.

Methods: The Health Belief Model was used to guide this study. Four focus group discussions were conducted, with 26 participants. Participants were recruited purposively through a parent group organisation. The Framework Method was utilised to analyse the data.

Results: Participants agreed that antimicrobial resistance (AMR) is a serious health problem. However, participants admitted that they lacked awareness of AMR, inhibiting their ability to assess the risks of developing AMR infections among their children. …