Digital Commons Network^™

Augustine’S Lessons On Friendship And Health: A Humanistic Perspective On Connection And Well-Being, Emily Anne Barr

International Nursing Research Congress (INRC)

Purpose: Friendship has long been recognized as essential to human flourishing. St. Augustine of Hippo (354–430) wrote about friendship as a source of meaning, growth, and healing. The purpose of this presentation is to explore Augustine’s insights on friendship through a contemporary nursing lens by integrating his teachings with Kristen Swanson’s Theory of Caring. This approach examines how ancient wisdom aligns with modern understandings of relational health, connection, and caring in nursing practice.

Methods: An integrative conceptual approach was used to examine Augustine’s writings and their alignment with Swanson’s Theory of Caring. The presentation incorporates visual art, symbolic imagery, and …

Mentorship Matters: Inspiring Growth And Securing The Future Of Nursing, Terri Thompson

International Nursing Research Congress (INRC)

Purpose/Aims: This project aimed to conduct a systematic literature review examining how mentoring impacts resilience, longevity in the profession, and prevention of nurse-to-nurse bullying.

Background: Mentorship in nursing is essential for supporting new graduates as they transition into practice and for nurses assuming new roles in clinical or academic settings. Despite its proven strategy for retention and professional growth, formal mentorship programs are not consistently implemented. Bullying remains a persistent issue, undermining confidence, job satisfaction, and well-being, while contributing to stress, burnout, and attrition that worsen the nursing shortage. New nurses are especially vulnerable, often resigning prematurely. Effective mentoring fosters …

Caring Science And A Magnet Culture Positively Influence Patient Experience: A Theoretical Framework, Mary E. Lough, Grissel Hernandez, Kathleen Bradley, Alice Yan, Cassendra Munro, Rachyl Pines

International Nursing Research Congress (INRC)

BACKGROUND: An academic hospital implemented both Watson Caring Science and a Magnet® culture to support nurse wellbeing and optimize patient outcomes.^1-3 The goal was to create a culture of caring. The research challenge was how to measure culture, which is complex, intangible and often difficult to quantify. Few healthcare organizations deploy theory-driven quantitative evaluations. Most rely on atheoretical data mining rather than conceptually grounded frameworks.

PURPOSE: To develop a theoretical framework to test the hypothesis that: (1) Human Caring Culture directly influences Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS); (2) Human Caring Culture indirectly influences HCAHPS’ outcomes …

Generative Ai In Nursing Education: Opportunities, Challenges And Educator Preparedness, Elizabeth L. Woods, Desiree Mullis Clement, Kandice Pampuri, Maggie Pustinger, Quyen Phan

International Nursing Research Congress (INRC)

Background: Generative AI is transforming clinical nursing education, highlighting the urgent need to train nurse educators with the knowledge, tools, and confidence for practical use. AI tools are quickly impacting content, student preparation, and teaching methods, creating both opportunities and challenges. AI offers both advantages and obstacles in clinical content creation; however, advantages do not replace nursing experience. Due to its rapid integration into education, many educators remain cautious about responsible implementation because of ethical concerns.

Purpose: This study examines changes in participant knowledge and confidence in the use of AI tools in clinical education among clinical nurse educators from …

Changes In Psychological Adjustment Among Laryngectomized Patients Through Nursing Intervention: Rct, Kumiko Kotake, Kaori Haba, Mami Kurita, Ichiro Ota, Kazuyo Iwanaga, Yoshimi Suzukamo, Ichiro Kai, Aya Takahashi, Yoko Ishibashi, Yoriko Hara, Hirokazu Uemura

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to examine changes in psychological adjustment among laryngectomized patients through nursing interventions and to verify the effectiveness of these interventions.

Methods: Of the 76 hospitalized laryngectomy patients who received the study explanation and provided consent, 74 were included. The intervention involved providing information through interviews and a guidebook. The study method involved conducting follow-up surveys at preoperative, pre-discharge, and three months, six months, and one year post-discharge to examine the temporal changes in psychological adjustment. This study used the Nottingham Psychological Adjustment Scale for laryngectomized patients. The higher the subscale score, the greater …

Strengthening Disease Surveillance In Malawi: Lessons From The 2022 Polio Outbreak, Zione N. Dembo, Mike Nenani Chisema, Joyce Beyamu, Tamandani Kapenga Nazimera

International Nursing Research Congress (INRC)

Background: Infectious disease outbreaks remain a persistent public health threat in Malawi. The 2022–2024 polio outbreak highlighted the central role of enhanced surveillance in timely detection and effective response. This abstract examines key strategies, outcomes, and lessons for strengthening surveillance and preparedness.

Methods: The response leveraged multiple surveillance approaches, including Acute Flaccid Paralysis (AFP) and environmental surveillance, improved specimen transport, digital tools for case investigation, and multiple supplementary immunization campaigns. Data from surveillance indicators and outbreak response activities were analyzed to assess performance and identify challenges.

Results: Enhanced surveillance proved effective, with rapid laboratory confirmation of the index case triggering …

Strategies For Successful Postgraduation Next Generation Nclex (Ngn) Preparation, Kristy P. Ludy

International Nursing Research Congress (INRC)

Background and Problem: In 2023, the Next Generation NCLEX (NGN) was implemented after a strategic practice analysis conducted by the National Council of State Boards of Nursing (NCSBN) to improve evaluation of Clinical Judgment and decision-making of nursing graduates (Jessee et al., 2023; Poorman & Mastorovich, 2020). Initially, first-time pass rates (FTPRs) rose after the NGN’s implementation, but have fluctuated on national and state levels (National Council of State Boards of Nursing, 2025). Nursing faculty have been focused on preparing students for the NGN (Boev, 2023; Sturdivant & Allen-Thomas, 2022). However, becoming aware of how graduates prepare after graduation and …

The Effect Of A Mindfulness Based Stress Reduction Program On Stress And Burnout Among Nurses, Shanda Sutherland

International Nursing Research Congress (INRC)

Following COVID19, hospitals were faced with prolonged staff shortages, nurse burnout, and an exodus from bedside nursing (White, et al., 2025). As human resources become increasingly challenged, leaders must think and act outside the box to promote and sustain the well-being of the nursing workforce (Hazelett-Stevens, 2020). This quasi-experimental study examined the effect of a Mindfulness Based Stress Reduction Program (MBSR) on perceived stress and burnout among medical-surgical nurses in a hospital setting. Stress reduction programs have been shown to positively impact stress among nurses and may support them to function at their highest cognitive ability (Burdette, 2020). The consistent …

It Takes A Community: Barbershops As Healing Spaces For Black Men, Aron Anthony King, Piri W. Ackerman, Patricia Fernandez

International Nursing Research Congress (INRC)

Black men in the United States experience disproportionately poor mental health outcomes yet remain significantly underrepresented in accessing care. According to the U.S. Department of Health and Human Services Office of Minority Health, African American adults are 20% more likely to report serious psychological distress and are more likely to experience feelings of sadness, hopelessness, and worthlessness compared to their white counterparts. Despite these disparities, less than half of Black men experiencing mental illness seek treatment. Intersecting factors such as racism, stigma, medical mistrust, and traditional notions of masculinity contribute to these gaps, highlighting the need for more culturally responsive …

Sleep Quality Trajectories In Mothers And Fathers During The Postpartum Period, Shu-Yu Kuo, Hsin-Yi Lai

International Nursing Research Congress (INRC)

Purpose: Sleep disturbance is a common experience among families during the postpartum period and can impair parental adjustment and infant care. Few studies have examined sleep quality over time within a family dyad. This study aimed to investigate the sleep trajectories of mothers and fathers from the early postpartum period to three months postpartum

Methods: We conducted a prospective follow-up of mother-father dyads at 1 week, 1 month, and 3 months postpartum. Inclusion criteria were age ≥18 years and a singleton, full-term pregnancy; parents or infants with high-risk complications were excluded. Demographic and health information were collected using a structured …

Preventing The Next Tragedy: Applying Root Cause Analysis (Rca) In A Military Suicide Event, Li-Ling Lin, Kai-Wen Li, Yun-Shih Lin

International Nursing Research Congress (INRC)

This study examines a near-miss suicide by a high-risk military patient in an acute psychiatric ward. Using Root Cause Analysis (RCA), latent errors in system design and communication were identified, guiding strategies to enhance patient safety and care quality.

Objective: The purpose of this study was to implement RCA in a military suicide event and improve the process of care in an acute psychiatric ward.

Methods: The RCA process involves identifying the problem, establishing a timeline, identifying the causes, creating a cause-and-effect diagram, and implementing strategies. We conducted personnel interviews and on-site walk to understand the operations and environment, reconstructing …

Lymphatic Massage For Reducing Upper-Limb Edema In Icu Patients: A Quality Improvement Project, Ying-Fang Huang, Tzu-Ting Huang

International Nursing Research Congress (INRC)

Purpose: Upper-limb edema commonly occurs among critically ill patients due to immobility, inflammation, and fluid overload, leading to discomfort, impaired mobility, and higher pressure injury risk. Based on lymphatic physiology and prior evidence, this quality improvement (QI) project aimed to reduce edema severity through a structured nurse-led lymphatic massage intervention in the medical intensive care unit (MICU) of a northern Taiwan medical center.

Methods: This QI project was conducted from March to May 2025 using the Plan–Do–Check–Act framework. Baseline audit showed that 75% of patients had moderate to severe edema (≥ +2). Twenty adult patients were enrolled—10 in the intervention …

Identification Of Positive Deviance In Forensic Nursing Practice, Jodie C. Gary, Laurie Charles, Jaeda Onyemobi

International Nursing Research Congress (INRC)

Violence is a sustained global public health issue.¹ Forensic nurses (FNs) receive specialized education to apply nursing knowledge and skills within the intersection of the healthcare and legal systems, focusing on people who experience or perpetrate violence, trauma, abuse, and maltreatment.² Positive Deviance (PD) in nursing is intentional and honorable behavior that departs or differs from an established norm and contains elements of innovation, creativity, and/or adaptability; it also involves risk.³ These nurses practice differently and more effectively to provide patient-centered care.⁴ Although professional standards guide care and lay the groundwork for best practices, they are …

Predictors Of Adverse Events After Emergency Transfers In Long-Term Care: A Secondary Analysis, Yu-Chi Chen, Yi-Ru Liao

International Nursing Research Congress (INRC)

Long-term care residents worldwide frequently require emergency medical care due to multimorbidity, frailty, and functional impairment. After returning to long-term care facilities, many experience rapid health changes, leading to preventable adverse events, reduced care quality, and safety concerns. Identifying predictors of such events is essential to inform risk stratification and proactive nursing surveillance in long-term care settings. This study aimed to examine predictors of adverse events after emergency transfers, using Taiwan as a population-level case context.

A secondary data analysis was conducted using medical records from 19 long-term care facilities in northern Taiwan between October 2022 and September 2023. A …

Healthcare Professionals' Experiences Of Mental Health Crises Among People Experiencing Homelessness, John P. Gilmore

International Nursing Research Congress (INRC)

Background: People experiencing homelessness face significant barriers to accessing mental health care, often resulting in untreated psychological distress and crisis presentations. In Ireland, the absence of dedicated mental health services for this population means that frontline clinicians frequently manage acute mental health deterioration within generalist settings not designed or resourced for such care.

Aim: To explore the experiences of healthcare professionals responding to mental health crises among individuals experiencing homelessness and to identify systemic, relational, and organisational factors influencing care delivery.

Methods: A descriptive qualitative study informed by critical realism was conducted using semi-structured interviews with 14 healthcare professionals, including …

Gloves On Or Off? A Critical Ethnographic Study Exploring Non-Sterile Glove Use In Hospital Settings, Navisha Weerasinghe, Fiona A. Miller, Lisa Cranley, Quinn Grundy

International Nursing Research Congress (INRC)

Globally, the COVID-19 pandemic sparked a surge in the production and use of plastic single-use medical products, particularly single-use gowns, masks, and gloves. The proliferation of single-use medical products in care work highlights significant tensions between safety, cost, infection prevention and control (IPAC), and environmental concerns. Nurses are critical stakeholders in driving environmental sustainability within health systems as they are uniquely positioned at the intersection of patient care, supply utilization, IPAC, and waste generation. In recent years, ‘gloves-off’ campaigns have been introduced at some hospitals globally and in Ontario to attend to the environmental harms associated with unnecessary glove use. …

Impact Of Electronic Health Records On Nursing In Low-And Middle-Income Countries: A Scoping Review, Wahab Osman, Kimberley Widger, Alexandra Harris, Vida N. Yakong, Charlene Chu, Stephanie Asah-Ofori

International Nursing Research Congress (INRC)

Background: Electronic health records (EHR) are increasingly being implemented in low- and middle-income countries (LMIC), a significant shift from paper-based documentation, with goals to enhance clinical decision-making (1-5). However, implementation challenges such as lack of technical skills, funding constraints, and equipment issues exist (2-4). Furthermore, there is a lack of research focused on the impact of EHR implementation on nurses in LMIC, despite the critical role of nursing documentation on care decisions and planning (1-5).

Aims: To map evidence and identify research gaps from primary studies on the impact of electronic health records on nursing care in LMIC from 2015 …

Characterizing Stigma In Congenital Heart Disease: A Scoping Review, Tieghan Killackey, Valerie Tan, Mark Sochaniwskyj, Maryjo Antonio, Mohit Prashar, Ashley Farrell

International Nursing Research Congress (INRC)

Congenital heart disease (CHD) is the most common congenital malformation in Canada with a prevalence of 1.3%. (1) While medical advancements have improved survival rates, individuals with CHD have reported experiencing social exclusion, isolation, discrimination and bullying due to their condition, which impacts their social, professional, and emotional well-being.(2,3) This type of stigmatization can impact mental health, treatment adherence, and quality of life in patients (4); however limited research has focused on the experience of stigma in patients with CHD.

The purpose of the scoping review is to synthesize evidence on the various manifestations of stigma in the lives of …

Advancing Accessibility: Integrating Inclusive Design And Ai To Support Students With Disabilities, Stephanie Black, Jennifer Green

International Nursing Research Congress (INRC)

 Nursing students with disabilities often face barriers in didactic, simulation, and clinical environments that can limit academic success and contribute to underrepresentation in the nursing workforce. The purpose of this presentation is to highlight practical, evidence-based strategies for promoting accessibility in nursing education through universal design principles, collaboration with internal and external partners, and selective use of emerging technologies, including artificial intelligence (AI). This session will explore approaches such as flexible learning activities and assessments, accessible simulation experiences, and technology-assisted supports that complement traditional accommodations. While AI can enhance accessibility - through adaptive study aids, note-taking supports, and alternative content …

Predictors Of Choking In People With Schizophrenia In A Psychiatric Hospital: A Case-Control Study, Ying-Jyun Tsung, Chiu-Yueh Yang

International Nursing Research Congress (INRC)

Background: Choking risks include advanced age, swallowing disorders, poor dental health, rapid eating, and large bites, especially in older adults and those with intellectual disabilities. Protective factors are adequate chewing and slower eating. More research is needed on psychiatric inpatients, especially those with schizophrenia.

Purpose: This study aimed to identify factors related to choking in psychiatric inpatients with schizophrenia.

Methods: A total of 250 participants were recruited from a psychiatric institution in Northern Taiwan. The case group comprised 50 high choking-risk participants, identified by a history of choking and a Choking Risk Assessment (CRA) score above 20 or a “Yes” …

Clarifying The Concept Of Virtual Nurse: A Concept Analysis For Aging And Chronic Care, Chia-Hui Chou, Heng-Hsin Tung

International Nursing Research Congress (INRC)

As the global healthcare landscape grapples with aging populations and the growing burden of chronic diseases, digital innovations like the Virtual Nurse (VN)—AI-powered embodied conversational agents—are gaining recognition for their potential to support patient self-management and improve care delivery. This study applies Walker and Avant's 8-step concept analysis to clarify the definition, boundaries, and essential characteristics of the Virtual Nurse. Thirteen peer-reviewed articles published from 2010 to 2021 were reviewed, focusing on their applicability to older adults and chronic disease management. Four defining attributes emerged: (1) clinical interactivity, (2) human-like empathy, (3) accessibility and understandability, and (4) scalability with feedback …

Male Partners' Experiences During Their Spouses' Menopausal Transition, Veronica Adwoa Agyare, Martha Yawa Benti, Martha Atiemo

International Nursing Research Congress (INRC)

Background: Menopause involves a range of physical, emotional, behavioural and physiological changes that may affect the quality of life of women and their partners. Usually, men endure in silence and seem invisible. Evidence shows a dearth of literature on men’s perspectives regarding their spouses’ menopause in Sub-Saharan Africa (Zhang et al., 2020; Matina et al., 2025). The study explored Ghanaian men’s experiences during their spouses menopausal transition.

Method: The study utilised an exploratory, descriptive qualitative approach to understand the phenomenon. Thirteen men living with wives experiencing menopause involved in the study based on information power. Interviews were conducted face-to-face and …

Exploring Presenteeism Experiences Among Nurses In Taiwan: A Qualitative Study, Hsiao-Wei Cheng, Ai-Fu Chiou

International Nursing Research Congress (INRC)

Background: Nurses often work despite illness due to heavy workloads, professional expectations, and limited staffing. Such presenteeism may affect performance, well-being, and long-term occupational health. In Taiwan, little is known about how nurses perceive and experience working while unwell. Therefore, this study aimed to explore Taiwanese nurses’ awareness and lived experiences of presenteeism using a qualitative approach.

Methods: A qualitative descriptive design was used. Six nurses from intensive care units and general wards in a medical center in northern Taiwan were recruited through purposive sampling. Data were collected through face-to-face, semi-structured interviews that focused on decision-making regarding attendance, perceived pressures, …

Using Simulation To Translate Theory Into Practice: Lessons Learned & Next Steps, Margarett Alexandre, Fern Baudo, Vanessa Carew

International Nursing Research Congress (INRC)

NIH notes adverse events can be avoided (Patient Safety, 2023). Simulations using high-fidelity mannequins offer an interactive environment for students to learn critical thinking skills. Simulations allow students to practice skills in a safe environment before working with real patients (Zenani, 2023; Durham & Alden, 2008). Saylor, Graber, and Trinkaus (2024) note that simulation-based learning experiences can increase confidence in undergraduate nursing students.

Purpose: To explore the impact of increase simulation with senior nursing students in an upper-level med/Surg course, incorporating guided reflective journaling to address students’ assessment of knowledge, understanding of theoretical and practical skills learned, and reflect on …

Assess The Effectiveness Of Sleep Hygiene Education Programe On Sleep Quality Among Students, Narinder Kaur Walia

International Nursing Research Congress (INRC)

Introduction: Sleep is essential for physical, cognitive, and emotional well-being. According to WHO, good sleep involves 7–9 hours of rest, minimal sleep latency, and the absence of disturbances like insomnia. However, many students lack awareness of proper sleep hygiene. Poor sleep quality is common among nursing students due to academic pressure, clinical rotations, irregular schedules, and lifestyle habits like caffeine use and social media. These issues can affect mental and physical health, academic performance, and patient care. Sleep disturbances are a growing concern among the general population, with global prevalence ranging from 3.9% to 45%. In India, studies show 36.3% …

Supportive Technology Promotes Research Engagement Among Nurses And Allied Health Professionals, Rachael Haskell, Zoe Samson, Justin Peterson, Kristiina Hyrkas

International Nursing Research Congress (INRC)

Nursing research can support improved clinical outcomes for patients and nursing workforce outcomes, such as workplace engagement and job retention. However, nurses report significant barriers to research engagement, such as limited time, lack of mentorship, and insufficient access to resources.1 In 2024 our Magnet-designated organization implemented Ovid® Synthesis, a structured virtual platform designed to help clinical staff complete research projects.

The aim of this project is to examine how Ovid® Synthesis addresses known barriers to research participation and influences staff perception and engagement in scholarly work.

A survey was distributed via REDCap to clinical staff registered with Ovid® Synthesis (N=591) …

Hierarchical Models Of Caring Culture, Magnet Culture, And Their Impact On Patient Experience, Alice Yan, Grissel Hernandez, Mary E. Lough, Kathleen Bradley, Cassendra Munro, Rachyl Pines

International Nursing Research Congress (INRC)

BACKGROUND: Empirical evidence is lacking to quantify whether Watson’s Human Caring Culture and Magnet aligned nurse behaviors influence patient-experience outcomes.¹

PURPOSE: To evaluate whether Caring Culture,¹ and nursing behaviors aligned with Magnet professional excellence,^2-4 predicts Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) outcomes, specifically: Hospital Rating and Likelihood to Recommend.⁵

METHODS: HCAHPS data (2021–2023) from a large academic hospital were analyzed. The dataset included five validated Caring Culture questions averaged as a composite measure. Magnet aligned nursing behaviors (communication, responsiveness, teamwork, and patient-centered care transition) were analyzed as predictors. Descriptive and univariate analyses were …

Interventions To Improve Nurse Outcomes In South African Private And Public Hospitals: A Case Study, Babalwa Tau, Siedine Knobloch Coetzee, Nicholin Scheepers

International Nursing Research Congress (INRC)

Background: South African nurses face ongoing challenges, including escalating healthcare needs of a growing population, staff and resource shortages, and deteriorating infrastructure, all of which negatively affect their health and wellbeing, relationship with work, productivity and effectiveness and satisfaction with work (South Africa, 2024). Although numerous studies explore interventions to improve these nurse outcomes (Niskala et al., 2020; Ramachandran et al., 2023; Xu et al., 2020), few address the realities of developing countries such as South Africa.

Methods: An exploratory multiple-case study design was employed (Yin, 2014). Secondary data from a national hospital database (n = 143) were analysed to …

Decent Work In Nursing: A Walker And Avant Concept Analysis, Mu-Hsi Deborah Young, Chiu-Yueh Yang

International Nursing Research Congress (INRC)

Background: Although the WHO and the International Labour Organization have repeatedly emphasized the importance of promoting decent work to ensure a sustainable nursing workforce, the concept of decent work within nursing remains insufficiently defined, creating challenges for implementation.

Objective: The purpose of this article is to analyze the concept of decent work in nursing.

Method: A literature review was conducted following Walker and Avant’s concept analysis method. Searches were performed in PubMed, EBSCOhost (including CINAHL Complete, CINAHL Ultimate, MEDLINE, APA PsycArticles, and APA PsycINFO), ProQuest, Web of Science, Cochrane Library, and Airiti Library through April 2025.

Result: Twenty studies were …

Transforming Nursing Practice Through Data Ownership And Leadership In A Quaternary Hospital, Nabiha Tashkandi, Merry Jo Dione Levers

International Nursing Research Congress (INRC)

Background: Globally, healthcare systems are increasingly recognizing the vital contributions of nursing to safety, quality, and patient experience. However, in some organizations, nursing remains underrepresented in executive decision-making, limiting its influence on strategic priorities (Sherwood & Barnsteiner, 2021). At the Ministry of National Guard Health Affairs (MNGHA), the nursing leadership sought to overcome this challenge by using data to amplify nursing’s voice, demonstrate its value, and improve care outcomes (Dempsey et al., 2014).

Purpose: This project aimed to strengthen nursing’s visibility and credibility within the organization by aligning nursing-sensitive indicators with corporate priorities, creating a culture of transparency, and leveraging …