Digital Commons Network^™

Body Composition Of Psychiatric Nursing Home Residents In Taiwan Assessed By Inbody, Ya-Mei Cheng, Wan-Leng Lin, Yao-Hui Huang, Chieh-Yi Wang, Jun-Dai Lin

International Nursing Research Congress (INRC)

Purpose: Residents of psychiatric nursing homes often experience chronic mental illness, prolonged psychotropic medication use, and limited physical activity, all of which contribute to reduced muscle mass and altered body composition. These conditions increase the risk of falls, obesity, metabolic syndrome, sarcopenia, and functional decline. This study assessed the body composition of residents in Taiwanese psychiatric nursing homes using the InBody analyzer to inform future health-promotion and nutrition interventions.

Methods: A cross-sectional study was conducted from April to August 2024 in a psychiatric nursing home in central Taiwan. Eighty-three residents (44 men, 39 women) were included; individuals with acute psychiatric …

Integrating Forensic And Public Health Nursing: A Social-Ecological Approach To Addressing Ipv, Darcey Mccampbell

International Nursing Research Congress (INRC)

Background: Intimate partner violence (IPV) is a pervasive public health issue with far-reaching consequences for individuals and communities. Both public health nurses (PHN) and forensic examiners (FNE) play critical roles in addressing IPV. However, despite similarities and shared goals, these specialties often operate in isolation from one another.

Aim: This narrative review aims to summarize evidence on the interplay between PHN and FNE in addressing IPV. Using the social-ecological framework, the review identifies commonalities and areas of synergy across the individual, interpersonal, organizational, community, and societal levels.

Methods: A bibliographic search was conducted using the PubMed electronic database. The search …

Aligning The Rn-Bsn Program To The Un-Sdgs: An Evidence-Based Teaching Practice, Tess B. Bernardo

International Nursing Research Congress (INRC)

Background/Introduction: The UN SDGs provide a globally recognized framework for addressing health equity, environmental sustainability, and social justice. Despite their relevance, integration of the SDGs into RN-BSN curricula remains limited and often lacks pedagogical coherence.

Purpose: This initiative aims to enhance learners’ capacity to critically engage with global health priorities and apply sustainability principles in clinical, community, and leadership contexts.

Methods or Processes/Procedures: A curriculum review was conducted to identify intersections between existing course objectives and SDGs, with emphasis on Goal 3 (Good Health and Well-being), Goal 4 (Quality Education), and Goal 10 (Reduced Inequalities). Faculty explored how a higher …

Simulation Experiences Of Eal Prelicensure Nursing Students: An Integrative Review, Megan Ross

International Nursing Research Congress (INRC)

Background: Globalization has increased the use of English as a common language in healthcare settings (Cheng et al., 2025). Additionally, nursing programs have increased the number of students who speak English as an additional language (EAL; Henry, 2023). EAL students often encounter unique challenges in nursing programs, including struggles with communication and cultural norms that can impact success (Henry, 2023). Simulation-based learning is an effective method to develop nursing students’ knowledge and skills (Alharbi et al., 2024). Despite its growing use, there was no comprehensive synthesis of research exploring EAL nursing students’ experiences with simulation-based learning at the time of …

An Adaptive Infrastructure Framework For Health Equity Integration Into Clinical Research, Keith Henri Salvado, Elidia V. Tafoya, Latanya Dean, Grissel Hernandez, Neera Ahuja

International Nursing Research Congress (INRC)

PURPOSE: The research team transformed a struggling health equity study by redesigning the clinical research infrastructure using population health management concepts and the A3 improvement methodology. The framework embeds the full cycle of clinical research in high acuity settings. This adaptive, nursing-led transformation aimed to optimize feasibility, to drive equitable access to research, and to bridge gaps in the literature.

METHODS: The research team overhauled the study using A3 improvement methodology within the framework of Lean and Plan-Do-Study-Act cycles. To optimize recruitment, our team developed workflows around sales funnel principles. Culturally competent and linguistically appropriate interactions fostered research access. Strategic …

Exploring Positive Deviance In Forensic Nursing Literature, Jodie C. Gary, Laurie Charles, Jaeda Onyemobi

International Nursing Research Congress (INRC)

Positive deviance (PD) is an intentional act of breaking rules in order to serve the greater good.¹ 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 for the nurse.¹ Nurses who use PD practice differently and more effectively to provide patient-centered care.² Although professional standards guide patient care and lay the groundwork for best practices, they are not enough to guide many nursing decisions that involve multiple levels of uncertainty and risk in their practice; therefore, nurses may …

Empowering Nursing Students Through Equity, Diversity, & Inclusion Resources – An Rnao Initiative, Christina Oleynikov, Krussny Arunanthy, Hugo Tam

International Nursing Research Congress (INRC)

In the past, nursing programs have made concerted efforts to include comprehensive Equity, Diversity, & Inclusion (EDI) education [3,6]. Despite these attempts, there is an evident lack of support for accessible, peer-led resources to improve the uptake and application of such concepts in educational and practice settings [2]. Current literature also reflects a gap in research focusing on how EDI resources impact nursing students [1]. With promising past results from peer-driven engagement to increase self-efficacy in EDI [4,5], a similar approach should be used to encourage student-led knowledge translation and leadership initiatives. The purpose of this project was to identify …

Driving Innovation: Transforming Adult Health Nursing Curricula Through Educational Advances, Suja P. Davis, Kunta Devi Punn

International Nursing Research Congress (INRC)

Background and Purpose: Traditional lectures while effective in delivering large amounts of information systematically fail to engage students actively, leading to disengagement and limited critical thinking.[1] Research indicates that active learning methods using educational innovations increase student participation, enhance their critical thinking and problem-solving skills. [2 ]The purpose of this project was to evaluate the learning outcomes of educational innovations implemented in an adult health course for nursing at Department of Nursing, Kathmandu University School of Medical Sciences (KUSMS), Nepal.

Methods: Several educational innovations such as flipped classroom, concept mapping, problem based learning, case study analysis, 2D illustrations and animations, …

Opioid Overdose Education For Outpatient Settings And Simulation Development, Nancy S. Goldstein, Tyler Langley, Brook Van Buskirk

International Nursing Research Congress (INRC)

In 2023, the National Institute of Health reported 79,358 U.S. overdose deaths caused by opioids. This value is 166% higher than data from 2017, with an opioid-induced death toll of 47,600.¹ The rising rates of overdose require clinics to be prepared to respond to overdose emergencies.² Literature analysis revealed gaps in provider response capability for opioid overdose in healthcare outpatient settings.^{3, 4, 5, 6} Thus, there is a need to address the gaps in emergency preparedness for an opioid overdose through simulation training of outpatient staff. The purpose of the pilot study is to develop a simulation …

Exploring Feasibility Of Neurofeedback To Alleviate Cognitive Impairment And Fatigue In Long Covid, Marian Luctkar-Flude, Jane Tyerman

International Nursing Research Congress (INRC)

Background: Long COVID affects a substantial number of individuals with persistent symptoms such as cognitive impairment, fatigue, and emotional distress impacting quality of life and functionality.1 Current management primarily relies on supportive care, underscoring an urgent need for novel therapeutic approaches to alleviate these enduring symptoms. Neurofeedback is a non-invasive complementary therapy that promotes self-regulation by training the brain to achieve optimal functioning via auditory feedback with demonstrated improvements in symptoms of cognitive impairment, fatigue, anxiety, depression and sleep problems in other patient populations including cancer survivors.2,3 We propose neurofeedback could be used to address persistent symptoms associated with Long …

Minority Stress As Mediator Of Ace-Substance Use Pathways: Sem Analysis Of Sexual Minorities, Meghna Shukla, Marvin Schilt-Solberg

International Nursing Research Congress (INRC)

Background: Adverse childhood experiences (ACEs) are known determinants of negative health outcomes. Sexual minority (SM) individuals have higher ACE scores than non-SM individuals, and as a result also have worse health outcomes.According to the WHO, ACEs such as abuse & neglect are among the most severe forms of stress an individual may face, with extant literature identifying SM status and ACEs as predictors of substance use. There is a paucity of evidence examining the pathways between ACEs and substance use in SMs. Burgeoning evidence indicates minority stress is a strong predictor of substance use in SMs.

Purpose: To examine the …

Transforming Telehealth With Thrive: An Online Intervention For Nps Caring For Young Adults, Lisa V. Duffy

International Nursing Research Congress (INRC)

AIM: To develop an online, video-based intervention for nurse practitioners (NPs) that illustrates best practices to establish therapeutic relational connection (TRC) during telehealth visits.

BACKGROUND: Telehealth offers many benefits for chronically ill young adults. Despite the potential benefits of virtual visits, little attention has been given to the quality of the virtual provider-patient relationship and its consequences. Relationships with healthcare providers that are characterized by a sense of TRC have the potential to increase self-management skills which are associated with improved physical, mental, and behavioral health outcomes. Although there are known benefits to TRC, what is not known are the …

Reimagining Access In Nursing Research Methodologies, Elizabeth Straus

International Nursing Research Congress (INRC)

Dismantling structural and systemic ableism in nursing research is essential to the promotion of equity with disability communities; however, issues of access and ableism rarely find their way into dialogues about equity-oriented and anti-oppressive research in nursing. We think with disabled scholars of colour, such as Campbell (2001) and Lewis (2022), who define ableism as a system of beliefs and values that “assigns value to people's bodies and minds based on societally constructed ideas of normalcy, productivity, desirability, intelligence, excellence, and fitness” (Lewis, 2022). Nursing research methodologies and practices tend to be enacted under an assumption that people move, think, …

Acp Roles, Barriers, And Emotional Labor Of Home Health Nurses In Japan: A Text-Mining Analysis, Yoko Hashimoto, Kumiko Kotake

International Nursing Research Congress (INRC)

Background: Home care in Japan has increased rapidly among older adults and individuals with cancer, neurodegenerative diseases, and chronic conditions (Ministry of Health, Labour and Welfare, 2021). Within this expanding community-based care system, Advance Care Planning (ACP) is essential for supporting patients’ values and end-of-life preferences (Rietjens et al., 2017). Home health nurses, who observe patients’ daily lives closely, play a central role in ACP (Chan et al., 2020). However, their roles and emotional burdens remain underexplored.

Objective: To clarify the roles, barriers, and emotional experiences of home health nurses in ACP support in Japan and identify implications for educational …

Impact Of Debriefing Methods On Psychological Outcomes In End-Of-Life Simulation, Jennifer A. Wentzel, Julie Steele, Desireé Hensel

International Nursing Research Congress (INRC)

Introduction: Nursing students do not feel adequately prepared to care for patients at the end of life (EOL) (Yoong et al., 2023). Current EOL education focuses on students’ learning outcomes instead of their psychological needs (Harder & Harwood, 2019). This is the first study to compare the impact of debriefing methods on psychological outcomes in EOL nursing education.

Purpose: Guided by the Transactional Model of Stress and Coping and Kolcaba’s Comfort Theory, this study examined the impact of the Trauma-informed, Psychologically Safe (TiPS) debriefing method on coping with death, attitudes toward care of the dying, and debriefing experience in undergraduate …

Supporting My Resilience And Well-Being: Reflections From Pre-Nursing Student, Leslie A. Jennings, Regina W. Urban, Adrianna Vinar

International Nursing Research Congress (INRC)

Background: In 2022, over 138,000 nurses left the U.S. workforce, primarily due to stress and burnout (Smiley et al., 2025). Because nursing students also experience high levels of burnout (Gómez-Urquiza et al., 2023), efforts to reduce burnout should begin during their training. Psychosocial factors, like stress and resilience, are associated with burnout (Al-Alawi et al., 2020) and affect nursing student retention (Sanderson et al., 2021) but are rarely examined in students preparing for admission to nursing school. Among these students, stress is negatively associated with resilience and persistence (Names Withheld, 2022). Strategies to reduce stress must go beyond academics and …

Online Simulation With Actor And Facilitator To Assist Iens Develop Strategies To Address Incivility, Patricia Ann Bradley, Linda Patrick, Elaine Santa Mina, Kirsten Woodend, Ayesha Bhatti

International Nursing Research Congress (INRC)

Internationally educated nurses (IENs) may face obstacles transitioning into the Canadian healthcare environment due to incivility (Cruz, Quicho & Ibañez, 2022). Workplace incivility describes workplace behaviour that is rude, disruptive, and disrespectful and that promotes discord and disharmony (Clark et al., 2020). Incivility has an impact on nurses’ well-being, patient engagement, and patient outcomes (Jackson, Usher, & Cleary, 2024).

We will share the virtual simulation multi-dimensional design, development, and evaluation outcomes that features actors as simulated participants (SPs) and facilitators for the provincially funded Ontario Internationally Educated Nurses Course Consortium concept and competency-bridging program of study for IENs. The learning …

Sustaining A Sense Of Unknowing Of The Risk For Coronary Artery Disease After Gestational Diabetes, Daisy Baldwin

International Nursing Research Congress (INRC)

Background: Coronary artery disease (CAD) is a major global health issue (Khan et al., 2020; Roth et al., 2017; Virani et al., 2021) and affects many women, with one death every 16 minutes in Canada (Heart and Stroke Foundation of Canada, 2023; Norris & Mulvagh, 2024). Gestational diabetes mellitus (GDM), a rising non-traditional CAD risk factor (Garcia et al., 2016; Mussa et al., 2021; Saeedi et al., 2019), increases women’s CAD risk fourfold (Garcia et al., 2016). Despite this, women often lack knowledge of the long-term risks associated with GDM (Craig et al., 2020; Khooshehchin et al., 2016; Lennon, 2018; …

Co-Designing Success: Supporting New Rns In Their Transition To Practice, Morgan Hoffarth, Robert Mihan, Shanoja Naik, Hasitha Wimalarathna, Doris Grinspun

International Nursing Research Congress (INRC)

Newly graduated nurses (NGNs) face disproportionately high turnover rates compared to experienced nurses, with estimates ranging from 18% to 43% globally¹. This persistent challenge has prompted increased attention to transition-to-practice programs, which aim to support NGNs during their critical first year of work³. Research has identified key facilitators and barriers to successful transition through thematic analysis; however, their recommendations lacked direct input from NGNs themselves, highlighting a gap in participatory approaches³. Understanding the transition experience from NGNs and mentors is essential to design effective, responsive supports⁵. The urgency of this issue has …

Exploring The Relationship Between Registered Nurses’ Resilience And Disaster Response Readiness, Jessica Parrott, Janice Evans Hawkins, Beth Tremblay, Robert Joseph Hawkins

International Nursing Research Congress (INRC)

Nurses play a critical role in disaster response and readiness. While there is significant research that speaks to the importance of resiliency in the nursing profession, there is a lack of research specific to the relationship between resiliency and disaster response readiness. The purpose of this study is to examine the relationship between RNs’ resilience and their readiness to respond to disasters. This descriptive cross-sectional study used purposive and snowball sampling to recruit participants. Data were collected via an anonymous online survey. Descriptive, non-inferential, and inferential statistics were used for data analysis. The sample included 352 RNs representing 271 distinct …

Evaluating Fall Prevention Implementation Approaches Through Natural Language Processing, Shanoja Naik, Hasitha Wimalarathna, Doris Grinspun

International Nursing Research Congress (INRC)

Background: Falls are leading causes of injury, hospitalization, and reduced quality of life among older adults in long-term care (LTC) settings(2,8) .This study explores the use of Natural Language Processing (NLP) to evaluate the uptake and impact of Preventing Falls and Reducing Injury from Falls (2017) best practice guideline (BPG)(4,5,6) in Ontario LTC homes.

Methods: A retrospective qualitative content analysis design was employed, and data were collected from 153 LTC reports submitted between 2015 to 2022 to a qualitative nursing data reporting system(3,4). Unstructured narrative text was processed through tokenization, part-of-speech tagging, stop-word removal, stemming/lemmatization, and keyword extraction via Rapid …

Development Of A Cervical Cancer Prevention Education Program For North Korean Female Defectors, Kyung-Hwa Choi, Soo-Young Yu

International Nursing Research Congress (INRC)

This mixed-method study developed and evaluated a culturally tailored cervical cancer prevention education program for North Korean females, reflecting their unique cultural and health needs. Guided by the Health Belief Model and the ADDIE instructional design, the four-session, 120-minute-per-week program aimed to enhance knowledge of cervical cancer and HPV, strengthen perceived benefits, reduce perceived barriers, and improve self-efficacy regarding preventive behaviors. Educational strategies included interactive lectures, audiovisual materials, cervical model demonstrations, culturally relevant role model sharing, and group discussions to promote engagement and understanding.

A non-equivalent control group pretest–posttest design was applied. The experimental group consisted of 28 females residing …

R3: Reverence, Reciprocity, & Relationality: Indigenous Entheogen Perspectives In Health Curricula, Christine Rodriguez, Samantha Korbey

International Nursing Research Congress (INRC)

The resurgence of the Western psychedelic movement has raised concerns among Indigenous Nations regarding colonization, bioprospecting, commodification, and cultural appropriation of sacred medicines. These practices perpetuate exclusion in research, scalability, and commercialization, silencing Indigenous voices and eroding the profound ecological and cultural wisdom contained therein (Celidwen, Redvers, Githaiga et al., 2023; Ens, 2021; Fotiou, 2020).

As Fotiou (2020) notes, the intensifying Western psychedelic movement faces a critical bifurcation: to perpetuate the hegemonic, ethnocentric paradigms of Western science or to re-examine Western frameworks through pluralistic, cross-epistemological approaches. The latter invites methodological expansion, ethical reflexivity, and deeper community engagement to drive future …

Implementing An Intercultural Journal Club For Graduate Nursing Students, Becky Davis, Helen Ewing, Shelly Luger, Augustine Ndaimani

International Nursing Research Congress (INRC)

In June of 2025, two private universities – one in the Midwestern US and the other in Rwanda, Africa, entered a partnership and began collaborating on a DNP program with emphasis on global health, leadership, and advanced level nursing. While the idea of international academic partnership is not new, in this case, the mutually agreed outcomes were intentional and reciprocal. Both universities have graduate Nursing programs that include a Leadership focus. Even though students are geographically diverse, they are all focused on advancing their professional identity as nurse leaders. As a result, faculty partners launched the intercultural Journal Club (JC) …

Development, Implementation And Evaluation Of A Digital Health Best Practice Guideline, Christine Buchanan, Lyndsay Howitt, Giulia Zucal, Jennifer Yoon, Maureen Charlebois, Michelle Rey, Doris Grinspun

International Nursing Research Congress (INRC)

Introduction: A best practice guideline (BPG) including four recommendations for health providers, organizations and health systems in the context of a digital health environment was developed by the Registered Nurses’ Association of Ontario (RNAO) (1). The scope includes many digital health technologies, including virtual care technologies and predictive analytics (1). This presentation will discuss the recommendations in the BPG, and implementation and evaluation considerations noted by a Canadian hospital partnered with RNAO through its Best Practice Spotlight Organization® program.

Methods: The RNAO team worked with an expert panel to develop the BPG (2). Five research questions and corresponding outcomes were …

Digital Pressure Sensing Technology For Dysphagia Rehabilitation: A Nursing-Led Pilot Study, Nai Ching Chen, Yu-Ru Lin, Yi Chou, Huei-Yu Chen, Chia-Shu Lin, Jui-Yu Weng, Jinn-Rung Kuo

International Nursing Research Congress (INRC)

Purpose: Advances in artificial intelligence and sensor-based health monitoring are transforming dysphagia care from early screening to personalized rehabilitation (Wong et al., 2025; Alter et al., 2025). This study evaluated the feasibility of the Digital Swallowing Pressure Ball (DSPB), a nursing-led innovation integrating real-time pressure sensing, Bluetooth Low Energy (BLE) transmission, and cloud analytics to enhance individualized swallowing rehabilitation. The DSPB addresses limitations of conventional Chin Tuck Against Resistance (CTAR) exercises, which lack quantifiable feedback and remote monitoring (Archer et al., 2020).

Methods: A four-week pilot study was conducted with 11 participants with dysphagia after stroke or traumatic brain injury. …

The Future Of Nursing Education: Discovering Al Avatars For Interactive Online Asynchronous Classe, Christina Baker, Dawon Baik, Sharon Giarrizzo-Wilson

International Nursing Research Congress (INRC)

This project introduces an innovative telehealth simulation using artificial intelligence avatars in a graduate-level online informatics course to enhance student engagement and develop digital health competencies aligned with national nursing education standards. Nursing education has historically lagged in integrating interactive, competency-based digital health training, particularly in online environments, despite the growing role of technology in healthcare delivery (Kleib et al., 2024; El Arab et al., 2025). Traditional simulation approaches often fail to incorporate emerging technologies such as artificial intelligence (AI), leaving a gap in preparing nurses for technology-driven practice (Chan et al., 2025; Buchanan et al., 2021). The project intervention …

Tackling Nurse Faculty Preparedness And Retention: A Fami-Md Quality Improvement Initiative, Lisa A. Seldomridge, Tina Brown Reid, Nicole J. Hall, Bradley P. Hauck, Beverly P. Payne

International Nursing Research Congress (INRC)

The ability of nursing programs to graduate more students is constrained by a shortage of qualified faculty, limiting program capacity and narrowing the pipeline of new registered nurses (AACN, 2024; Lubhy, 2023). Addressing this gap requires targeted solutions. One proven approach is the Faculty Academy and Mentorship Initiative of Maryland (FAMI-MD), a program launched in 2011 to help registered nurses transition into clinical faculty roles. To date, 684 nurses have completed the Academy, with 70% serving in teaching positions across Maryland—demonstrating its effectiveness as a faculty pipeline.

This presentation highlights outcomes of a quality improvement project to update FAMI-MD’s Introductory …

A Path Forward: Improving Care For Victims Of Violence Across Romania, Janice Ceccucci, Nancy Harris

International Nursing Research Congress (INRC)

Purpose: In 2016, the Country entered the Istanbul Convention, an international treaty addressing violence against women. This treaty is monitored and assessed by GREVIO (2022). During the initial assessment, a lack of reporting, education, and access to healthcare services was noted, as well as limited services for child violence and forced marriage. The purpose of this project was to aid in the improvement of education on sexual violence and improve healthcare services for victims of sexual violence across the Country.

Method: Medical-Legal centers were visited in both rural and urban areas across the Country (N = 14). Centers were evaluated …

Depressive Symptoms As A Mediator Of Self-Stigma And Recovery In Patients With Schizophrenia, Po Chun Fu, Chiu-Yueh Yang

International Nursing Research Congress (INRC)

Background: Self-stigma has consistently been identified as a significant factor that hinders recovery in people with schizophrenia. When feel internalize stigma, it can intensify depressive symptoms, which may reduce sense of recovery. The mechanism that connects self-stigma, depression, and perceived recovery is not yet well understood.

Aims: investigate the mediating effects of depressive symptoms on self-stigma and perceived recovery among people with schizophrenia.

Methods: Involved 200 participants , recruited from community of a medical center. Examined demographic data, self-stigma (measured using the Internalized Stigma of Mental Illness scale), which served as the independent variable, and depressive symptoms (assessed using the …