Digital Commons Network^™

Developing The “Cicare Rainbow Communication” Microlearning System For Lgbtq+ Nursing Education, Mei-Chen Su, Pei-Yun Tseng

International Nursing Research Congress (INRC)

Background: A critical gap persists in global nursing education concerning practical training for communication with gender-diverse individuals. Insufficient preparation contributes to discomfort and miscommunication in clinical interactions, compromising culturally safe and equitable patient care. Addressing this gap requires innovative, evidence-based, and inclusive educational solutions.

Objectives: This study describes the systematic development and initial validation of the CICARE Rainbow Communication system—a digital microlearning intervention designed to enhance nursing students’ competence in communicating with gender-diverse patients.

Design: A multi-phase developmental research design was adopted, encompassing a qualitative needs analysis, system design and development, and expert content validation.

Methods: An initial qualitative study …

Predicting The Unpredictable: Nursing Innovation For Early Identification Of Violence Risk, Heather Lynn Watson, Carol B. Thompson, Jihane Frangieh, Medeleine Whalen

International Nursing Research Congress (INRC)

Background: Workplace violence (WPV), including verbal threats and physical assaults, toward healthcare professionals is an escalating threat to workforce safety, well-being, and retention. Although structured tools exist to assess aggression risk, most have been developed for psychiatric or emergency settings, and evidence supporting their validity or consistent use in general inpatient care remains limited. The Violence Risk Assessment (ViRA) is a proactive, nurse-administered, electronic health record (EHR) embedded tool designed to detect early behavioral and historical precursors of verbal or physical violence.

Purpose: To evaluate the reliability, internal consistency, and predictive validity of the 9-item ViRA across diverse inpatient and …

Innovations In Educational Leadership To Improve Nursing Student Attendance And Engagement, Ritin Santiago Fernandez, Eleni Kata

International Nursing Research Congress (INRC)

Background: Nurse education is adapting to an evolving healthcare landscape marked by technological advances, resource constraints, and shifting patient demographics (1) Absenteeism among nursing students in classroom and clinical settings poses significant challenges to academic performance, clinical competency, and program completion (2,3). Effective leadership and advances in education are essential to identify underlying causes and implement strategies that foster students’ engagement to improve their learning outcomes thus preparing a competent healthcare workforce (4).

Aim: This scoping review aimed to map the literature on absenteeism among undergraduate nursing students, highlighting leadership and advances in education. Objectives included: (a) identifying factors contributing …

Ecological Momentary Assessment Of Caregiver Distress In Home Hospice Caregivers: A Study Protocol, Tuzhen Xu, Ya-Ching Huang

International Nursing Research Congress (INRC)

Background: Caregivers of hospice patients, often family or close friends, provide continuous support for individuals with a life expectancy of six months or less. In 2022, 1.72 million Medicare beneficiaries received hospice care, most at home, with an average stay of 98 days. Caregivers manage medications, symptoms, personal care, emotional support, and provider coordination, placing them at high risk for fatigue, anxiety, depression, sleep disturbance, and burnout. Traditional surveys or single-point interviews often fail to capture the dynamic nature of distress, especially during nighttime care or crises.

Purpose: To characterize real-time patterns of physical and psychological distress among home hospice …

Psychometric Evaluation Of The Chinese Version Of The Death Literacy Index Among Nursing Students, Shu-Fen Wu, Li-Er Hung, Hsiu-Chen Liao, Shih-Ting Lo, Chia-Yu Chen

International Nursing Research Congress (INRC)

Background: Death literacy encompasses the knowledge and skills enabling individuals and communities to access, understand, and act on end-of-life care options. For nurses, it influences communication, decision-making, and palliative care quality. However, few studies have examined death literacy among healthcare providers, and no validated Chinese instruments exist for its assessment.

Purpose: To translate the Death Literacy Index (DLI) into Chinese and examine its reliability and validity among nursing students in Taiwan.

Methods: A cross-sectional correlational study was conducted. The DLI underwent translation and back-translation to ensure conceptual and linguistic equivalence, followed by expert review for content validity. Convenience sampling was …

Return-To-Work After Out-Of-Hospital Cardiac Arrest: A Scoping Review, I-Ying Lu, Meei-Fang Lou, Yi-Hui Chen, Shir Lynn Lim, Nien-Tzu Chang

International Nursing Research Congress (INRC)

Objectives: Return to work (RTW) after out-of-hospital cardiac arrest (OHCA) reflects neurological, psychological, and social recovery. Although survival after OHCA has improved, evidence on RTW prevalence, assessment methods, and influencing factors remains limited. This scoping review aimed to synthesize current evidence on RTW definitions, rates, and determinants among OHCA survivors.

Methods: Six databases (PubMed, Embase, Scopus, CINAHL, Web of Science, and PsycINFO) were searched from inception to July 2025. Studies involving adult OHCA survivors that reported RTW outcomes were included; those focusing solely on in-hospital cardiac arrest or without RTW data were excluded.

Results: Ten observational studies, including 4,465 survivors, …

Reliability And Validity Of A Spiritual Health Scale For Older Adults In Long-Term Care Facilities, Kuan-Pei Lee, Ya-Lie Ku

International Nursing Research Congress (INRC)

Purpose: This study aimed to develop a Spiritual Health Scale designed for elderly residents in LTC facilities and to establish the reliability and validity of the instrument.

Methods: This study adopted a scale development approach. Based on the Elderly Spiritual Health Scale by Li and Shih (2021), the researchers integrated additional components derived from the conceptual framework to create a revised scale consisting of 16 items distributed across four dimensions—personal, community, environmental, and transcendental—with four items per dimension. A dichotomous scoring system was employed with responses coded as 1 (presence) or 0 (absence) of a spiritual issue scores ranged from …

Personality Traits, Work Values, And Organizational Commitment Predict Retention In Emergency Nursing, Boyu Wang, Bo-Cyuan Wang, Jun-Yu Fan, Li-Chen Chen, Li-Chin Chen, Yi-Ting Wang

International Nursing Research Congress (INRC)

Purpose: Retention of skilled emergency nurses has become a growing challenge worldwide. This study examined how personality traits, work values, and organizational commitment relate to the intention to remain in the workplace. The findings aim to help nursing leaders identify practical approaches to improve retention and strengthen organizational culture.

Methods: A cross-sectional study was carried out in the emergency department of a medical center in northern Taiwan. Data were collected from 120 emergency nurses between December 1 and 31, 2023, using validated Chinese versions of the IPIP-15 Big Five Personality Scale, Work Values Questionnaire, Organizational Commitment Scale, and Intent to …

Exploring The Lived Experiences Of Nurse Well-Being Among Clinical Nurses In The Inpatient Setting, Annabelle Arnston, Ora Asheton, Malorie Brooks, Julie Van Orne

International Nursing Research Congress (INRC)

Background: Nurse well-being is a critical factor influencing patient safety and the sustainability of the nursing profession. Organizations that foster nurse well-being report improved staff retention, satisfaction, and engagement. Low nurse well-being can lead to burnout, compassion fatigue, job dissatisfaction, and high turnover. A nursing evidence-based practice and research council at a pediatric hospital conducted a concept analysis of nurse well-being, which guided the development of a mixed-methods study protocol to examine and enhance nurse well-being. This study explores the lived experiences of clinical nurses regarding wellness in an inpatient pediatric hospital, with the aim of informing the development of …

Effectiveness Of Telehealth For Dsmes Among Type 2 Diabetes: A Systematic Review And Meta-Analysis, Ramida Subpaiboonkit, Asmat Burhan, Hsiu-Ting Tsai

International Nursing Research Congress (INRC)

Aim: Diabetes Self-Management Education and Support (DSMES) is recommended as standard care. Telehealth may extend DSMES beyond clinic settings, but its effects on self-efficacy and quality of life are unclear. We evaluated the effectiveness of telehealth for DSMES on (1) self-efficacy and (2) quality of life (QoL) in adults with type 2 diabetes mellitus.

Methods: This study is a systematic review and meta-analysis of randomized controlled trials following the Cochrane Handbook guidelines and PRISMA2020. Following PRISMA, six databases (PubMed, Scopus, Embase, Cochrane, CINAHL, Web of Science) were searched from 2000 to 10 October 2025, plus reference lists. Eligible studies were …

Debunking Toxic Social Media Bias With The Implementation Of Evidence-Based Nursing Education, Brittany Nettles, Julie Baker-Townsend

International Nursing Research Congress (INRC)

Social media has become a powerful influence on student nurses in the United States, shaping both their personal values and professional behaviors. Its impact is multifaceted, with evidence pointing to both positive and negative effects, particularly in relationship to nursing student empathy (Nihayati et al., 2025; Tan, Ni, Liu, & Shorey, 2024). Empathy, which is to understand and value another person’s experiences, is the cornerstone of nursing practice and remains central to ethical patient care, particularly in relation to the principles of beneficence, nonmaleficence, autonomy, justice, fidelity, and dignity. In 2024, a new ideology emerged on social media platforms: “Toxic …

Night To Light Revive Before You Drive, Imelda S. Oca, Grace Marie Delgado, Mary Ann Sison, Armie Poralan

International Nursing Research Congress (INRC)

At times, night shift nurses had little or no recollection of their commute home emphasizing the exhaustion experienced after working an overnight shift. Night To Light Revive Before You Drive is a project aimed to increase safety awareness to combat drowsy driving among night shift nurses through targeted interventions promoting wellness and safety. This in turn, positively enhanced the work environment, decreased the job burnout scores and lowered the night shift RN Vacancy and Turnover rates.

The Night to Light Revive Before You Drive is a pre-post interventional study design with an implementation timeline of twelve months focused on awareness …

Enhancing Resilience For Well-Being To Reduce Health Inequity In Global Nursing Professionals, Fiona Yu, Deborah Raphael, Lisa Mackay, Melody Smith, Ritin Santiago Fernandez

International Nursing Research Congress (INRC)

Nurses, as the largest population in the healthcare service, play a critical role in achieving global health equity to sustain the health of the entire population (1). They are key when providing care in health promotion, disease prevention, treatment, and rehabilitation across diverse populations and clinical settings (2). However, nurses face significant challenges, and the COVID-19 pandemic has exacerbated their situations. Specifically, nursing shortages have a significant impact on frontline nurses, contributing to a heavy workload and unsafe practice, and placing them at a high risk of burnout, stress, fatigue, and ill health, thereby increasing turnover (3, 4).

Research shows …

Modeling Cognitive Function With Functional Fitness And Daily Function: A Pls-Sem Approach, Kuei-Min Chen, Hsiao-Ting Tung

International Nursing Research Congress (INRC)

Purpose: Cognitive decline is a clinically significant issue among older adults with dementia, often compromising their functional independence and quality of life. However, limited research has explored how functional fitness and daily function contribute to cognitive performance in this population. This study aimed to validate a structural model of cognitive function among older adults with dementia, focusing on the roles of functional fitness and daily function as key influencing factors.

Methods: A cross-sectional study was conducted among 258 older adults with dementia recruited from adult daycare centers. Participants were identified either through a physician’s clinical diagnosis of dementia or by …

Prevalence And Risk Factor Of Chronic Illnesses Among Staff Attending Employee Wellness Clinic, Elham Mansour Alsanea

International Nursing Research Congress (INRC)

Background: Chronic diseases (CDs) such as hypertension, diabetes, dyslipidemia, and obesity represent a major public health concern globally and nationally. In Saudi Arabia, one-third of adults are affected, and the economic cost exceeds $24 billion annually. Despite ongoing national efforts, limited evidence exists regarding the prevalence and risk profile of chronic diseases among healthcare workers (HCWs)—a group exposed to unique occupational stressors and lifestyle risks.

Aim: This study aimed to assess the prevalence of chronic diseases, modifiable risk factors, and preventive screening uptake among HCWs attending the Virtual Employee Wellness Clinic at King Faisal Specialist Hospital and Research Centre – …

Secondary Traumatic Stress In Baccalaureate Nursing Students, Kristen N. Oakley, Linda Carman Copel, Jennifer Gunberg Ross

International Nursing Research Congress (INRC)

Nursing students undergoing clinical training are at risk of developing negative physical and psychological secondary traumatic stress (STS) symptoms. However, the study of STS in this population has been limited by both a lack of clarity on the concept of STS and the lack of generalizable findings. Therefore, the purpose of this multi-method study was to determine the prevalence, severity, and experience of STS in traditional, non-accelerated prelicensure baccalaureate nursing students in the United States. The relationship between STS and personal and clinical learning environment factors was also explored. A descriptive, correlational multi-method survey design was used. Instruments included a …

Sleep And Mood In New Fathers: A Longitudinal Study From Pregnancy To Six Months Postpartum, Hiroko Iwata, Marika Seki, Emi Mori, Kunie Maehara, Kayoko Kimura, Fusae Toyama

International Nursing Research Congress (INRC)

Aims: Parents often experience sleep disturbances during the neonatal period. However, few studies have examined both objective and subjective sleep quality in fathers. The purpose of this study was to characterize men’s sleep quality from pregnancy through 6 months postpartum, and to explore its association with depressive symptoms.

Methods: This prospective observational study was performed in Japan. Men with primiparous partners at greater than 20 weeks gestation were recruited. Sleep was assessed both objectively and subjectively using actigraphy and the Pittsburgh Sleep Quality Index, respectively, and depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale. Data were collected at …

Early Indicators Of Transition To Severe Dependency In Older Adults With Dementia, Kuei-Min Chen, Szu-Yu Chen

International Nursing Research Congress (INRC)

Purpose: Functional assessment plays a critical role in monitoring dementia progression. However, the early identification of individuals who are at risk of rapidly deteriorating into severe functional dependency remains a significant challenge in dementia care. This study aimed to address this issue by examining the association between cognitive impairment and functional ability among older adults with dementia.

Methods: This study employed a cross-sectional survey design, recruiting 258 older adults from 22 adult daycare centers in southern Taiwan. Data collected included demographic characteristics (age, sex, education, marital status, and cohabitation status), chronic diseases, cognitive impairment, psychiatric and behavioral symptoms, and functional …

Effects Of A Mobile Web-Based Video Patient Education Program On Anesthesia And Recovery, Sinjung Jung, Eun-Hyun Lee, Chun-Ja Kim, Ji Yea Lee

International Nursing Research Congress (INRC)

Background and Purpose: Patients awaiting surgery often experience fear and anxiety related to limited information about surgery, concern about not waking up from anesthesia, uncertainty, surgical outcomes, and postoperative pain [1-3]. Preoperative education has been shown to improve these psychological problems [4, 5], and video-based education in particular is increasingly recognized as an effective teaching tool [1]. However, most preoperative education interventions primarily focus on the surgery itself, and rarely directly address major anesthesia-related issues, such as anesthesia safety or postoperative pain [6]. Therefore, in this study, we developed a mobile web-based video education program on general anesthesia and recovery, …

Barriers And Facilitators To Family Engagement In Critical Care, Brigitte S. Cypress

International Nursing Research Congress (INRC)

Background: Family engagement in care for critically ill patients remains an inconsistent practice and an understudied area of nursing science. Rounds for this study are an interdisciplinary activity conducted at the bedside in partnership with patients, their families, and the healthcare professionals involved in providing the care.

Aim of the Study: We sought to explore and describe the facilitators and barriers to family engagement during patient and family-centered interdisciplinary rounds in the intensive care unit.

Methods: This qualitative exploratory study is part of a multisite experimental study (#Pro2020001614; NCT05449990). We analyzed the narrative data from the qualitative questions added to …

Severe Hypertension In Postpartum: How A Nurse Driven Protocol Can Decrease A Delay In Treatment, Kayleigh Momme

International Nursing Research Congress (INRC)

Severe hypertension in the postpartum period is a significant contributor to maternal morbidity and mortality, affecting up to 10% of pregnancies. Prompt and standardized treatment of severe blood pressure elevations is critical to prevent complications such as stroke, heart failure, and eclampsia. At the practicum site, delays were identified in administering intravenous (IV) antihypertensive medications due to reliance on resident physicians to give the medication, resulting in inconsistent and prolonged treatment times. The purpose of this quality improvement project was to implement an evidence-based nurse-driven protocol for administering IV antihypertensives to postpartum patients with severe hypertension, defined as systolic blood …

Wait! Do Longer Wait Times Lead To Preventable Harm?, Jamie L. Warg, Dawn Bowker

International Nursing Research Congress (INRC)

Background: Since the onset of COVID-19 in 2020, hospitals have experienced significant increases in Emergency Department (ED) wait times and extended hospitalizations. These delays have led to capacity challenges, with patients often held in the ED due to the unavailability of inpatient beds. Prolonged ED stays may increase the risk of preventable patient harm. As Pak et al. (2021) noted, “wait time estimates are critical for delivering safe, effective care to patients in an emergency department.”

Research Aim: This study aims to examine whether prolonged ED stays (greater than 3 hours) are associated with an increased incidence of preventable patient …

Effects Of Tongue Resistance And Strengthening Exercises In Elderly With Mci: A Double-Blind Rct, Kuei-Ru Chou

International Nursing Research Congress (INRC)

Purpose: Frail older adults with mild cognitive impairment (MCI) often experience reduced tongue function, resulting in inefficient bolus transport and swallowing difficulties. Tongue resistance exercises (TRE) use isometric or isotonic movements against resistance to enhance tongue strength, while tongue strengthening exercises (TSE) involve repetitive, high-intensity movements to improve tongue pressure and swallowing coordination. This study aimed to evaluate the effects of a combined TRE + TSE program on tongue function, swallowing pressure, swallowing performance, and quality of life (QoL) in frail older adults with MCI.

Methods: A prospective, double-blind, three-arm randomized controlled trial was conducted. Participants (n = 89; mean …

The Effect Of Shangshou Daoyin Qigong On Sleep Quality In Patients With Schizophrenia, Kuei-Hua Chang, Jun-Dai Lin

International Nursing Research Congress (INRC)

Purpose: This study aimed to examine the effectiveness of Shangshou Daoyin Qigong, a traditional Chinese mind–body exercise, in improving sleep quality among patients with schizophrenia. Sleep disturbance is highly prevalent in this population and has a substantial impact on daily functioning and quality of life. The study sought to provide evidence for a safe, non-pharmacological nursing intervention applicable in psychiatric settings.

Methods: A quasi-experimental design was conducted in the chronic rehabilitation wards of a psychiatric teaching hospital in central Taiwan. Seventy-four inpatients diagnosed with schizophrenia were purposively sampled and divided into an experimental group (n = 37) and a control …

Hypertension Management And Addressing Health Equity, Jenny Uguru

International Nursing Research Congress (INRC)

Purpose: Worldwide, 1.28 billion adults between 30-79 years of age have Hypertension (HTN) (WHO, 2023). HTN is the most common medical diagnosis in the U.S. and individuals with social, economic, and cultural factors have higher prevalence and poor control of their ability to self-manage the disease (Ware, Chidume, & Chou, 2023). HTN has the highest risk for mortality related to cardiovascular disease (Cheng et al., 2022). Care coordination and CHWs provide resources, especially those related to social determinants of health (SDOH), and can improve patient engagement and support improved quality of care (Ibe et al., 2021). SDOH increases the prevalence …

Leveraging Artificial Intelligence To Enhance Evidence-Based Nursing Practice, Kimberly Abraham

International Nursing Research Congress (INRC)

Background: Artificial Intelligence (AI) is transforming healthcare education and clinical practice, yet many registered nurses returning to complete their Bachelor of Science in Nursing (BSN) have limited experience with AI literacy, ethical application, and informatics integration.

Purpose: To address this gap, faculty developed an innovative, asynchronous assignment within an online RN to BSN program to enhance students’ digital literacy, confidence, and ethical awareness in applying AI responsibly to support evidence-based practice (EBP) and critical thinking.

Methods: Students used a free version of ChatGPT and (1) developed a clinical PICO(T) question; (2) used AI to generate five keywords and summarize best …

Global Partnerships As Catalysts For Reciprocal Mentoring In Nursing: A Scoping Review, Michele J. Upvall, Adelais Markaki, Shelby L. Garner, Elizabeth E. Fildes, Jerry J. Ouner, Debra Hain, Courtney Sullivan, Allison Walsh

International Nursing Research Congress (INRC)

Background: Despite a global increase in the number of nurses, disparities persist in educational preparation and distribution across regions and countries (World Health Organization [WHO], 2025). Distribution gaps are projected to be most severe in the Global South (WHO, 2024).

Mentorship has emerged as a global, transformative strategy for developing and retaining nurses and midwives across the career continuum (National Academies of Sciences, Engineering, and Medicine, 2021). However, there is a growing need to shift from traditional mentorship models to reciprocal mentorship with nurses and midwives from the Global South and Global North sharing ideas, resources, and power structures, promoting …

Digital Empowerment For South Asian Immigrants: An Intervention For Metabolic Syndrome (Desi-Mets), Amir U. Islam, Sharon Wexler, Lin Drury, Jeffery A. Stahl

International Nursing Research Congress (INRC)

Background: South Asian immigrants (SAIs) in the US have a disproportionately high prevalence of metabolic syndrome (MetS), leading to increased risks of cardiovascular disease and diabetes. Increased waist circumference and early-onset heart disease further potentiate health disparities, underscoring the need for culturally tailored interventions. Digital health interventions (DHIs) have been recognized for their potential to effectively support lifestyle modifications in minority populations, including SAIs, by providing accessible and culturally tailored health management solutions.

Purpose: The purpose of the study is to evaluate the effectiveness of a culturally tailored digital health intervention (CT-mHealth) in reducing MetS among SAIs in Hudson Valley, …

Adolescent With Pediatric Liver Transplantation: The Perspectives Of Quality Of Life And Self-Care, Ya-Hui Chang, Bih-Shya Gau, Ming-Chih Ho, Jia-Feng Wu, Hsiao-Ling Yang

International Nursing Research Congress (INRC)

Background and Significance: Many children with end-stage liver disease have their lives extended by liver transplantation, growing into adolescence and even adulthood. Therefore, it is important to understand the long-term health outcomes of liver transplantation and provide relevant assistance during this developmental process. However, there is a lack of domestic research on the long-term and comprehensive health outcomes of pediatric liver transplantation, and less attention is paid to the children's own self-care ability and development.

Objective: To understand the attributes, health-related quality of life, and chronic disease self-care ability of adolescents who have received liver transplantation in early childhood and …

The Development Of The Theory Of Sociocultural Determinants In Breast Cancer Screening, Corvette Vanessia Yacoob, Indra Hershorin

International Nursing Research Congress (INRC)

Background: Breast cancer is a disease that strikes women globally every 14 seconds, making it a global health issue. It is among the most common cancers in women and the second leading cause of cancer death in the United States. Black women face disproportionately higher mortality, underscoring the need for early, equitable screening.

Purpose: To explore the key factors shaping breast cancer screening habits among Caribbean-American Women of African ancestry. The study developed a substantive theory of sociocultural determinants to address and improve early and equitable breast cancer screening methods.

Philosophical underpinnings, including constructivism, pragmatism, and symbolic interactionism, guided the …