Digital Commons Network^™

Predicting Telemedicine Patient Visit No-Shows: Discovering An Actionable Patient Risk Model, Barbara R. Medvec, John D. Knight

International Nursing Research Congress (INRC)

The objectives of this project were to evaluate a large healthcare system’s telemedicine no-show risk model, assessing accuracy in identifying (1) high-risk for no-show patients and (2) refinements to the model that would improve the prediction accuracy and ease of use. The original model factors—Portal Activation, Last Portal Log-In < 90 days, E-Check-In < 90 days, E-Check-In for Visit Completed, and Last Video Visit—showed limited predictive power, making the model challenging to apply in practice. Leadership seeks a more accurate and streamlined model to support targeted interventions aimed at reducing no-shows.

A literature review revealed limited evidence on predictive scoring models for telemedicine visit no-shows. We analyzed 525,333 telemedicine appointments from 30 clinics between 2021 and 2024. Using descriptive statistics and binary logistic regression, we: (1) assessed no-show rates by risk score; (2) calculated standardized Z scores for model factors; and (3) …

Reality Check: Nursing Graduates' Transition To Practice And Implications For Curriculum Development, Catherine A. Stubin

International Nursing Research Congress (INRC)

Nursing workforce instability has intensified due to worsening work conditions and increasing demands on nurses. Burnout disproportionately affects younger nurses and is strongly linked to early-career attrition (Labrague et al., 2025), with nearly 15% of newly licensed registered nurses leaving within their first year and over 30% within two years (AACN, 2024; NLN, 2022). Addressing burnout is vital not only for nurse retention but also for maintaining mental health and ensuring high-quality patient care (Li et al., 2024; Shah et al., 2021).

The purpose of this study was to examine nursing alumni perceptions of how effectively their undergraduate curriculum at …

When We Feel Maxed Out: Increasing Human Capacity Across Four Domains, Erica Skarda Ramey

International Nursing Research Congress (INRC)

The experience of being “maxed out” reflects depletion across emotional, cognitive, physical, and relational domains that collectively determine human capacity. Nurses frequently encounter this state in themselves, colleagues, and patients, where exhaustion and stress diminish coping and resilience. Emerging evidence demonstrates that recovery requires more than time or reduced workload; deliberate engagement in evidence-based practices produces measurable improvement across domains.

This paper introduces a multidimensional framework for human capacity and synthesizes recent findings linking mindfulness, cognitive training, physical conditioning, and social connection with improved well-being. The review identifies five common misconceptions that obstruct recovery—beliefs that time alone restores capacity, that …

Perceived Cognitive Function And Continuous Glucose Monitor Use In Older Adults: A Qualitative Study, Heather E. Cuevas, Jeeyeon Kim

International Nursing Research Congress (INRC)

CGM is used to examine glucose data against reports of diabetes self-management (DMSM) behaviors, allowing characterization of biobehavioral processes.¹ The inclusion of DMSM behaviors is crucial to a full understanding of the relationships between glucose variability and cognitive function.^2,3 Unfortunately, only a few trials have evaluated the effectiveness of CGM in older adults with T2DM.^4,5 Because older adults with T2DM are a heterogeneous group with variable functional and cognitive abilities, clinicians must consider whether each patient can use CGM and which CGM device that best fits patients' needs. The purpose of this project was to investigate how …

Impact Of High-Fidelity Simulation On Nursing Students’ Attitudes Toward Care Of The Dying, Meredith Joyner

International Nursing Research Congress (INRC)

Background: End-of-life (EOL) care is a vital yet often underemphasized component of nursing education. Limited clinical opportunities to engage with dying patients can leave nursing students unprepared to provide compassionate care. High-fidelity simulation provides an evidence-based, immersive learning environment that allows students to practice communication, decision-making, and emotional responses in a safe setting.

Research Question/Aims: This study aimed to determine whether participation in a high-fidelity simulation focused on EOL care would improve nursing students’ attitudes toward caring for dying patients. It was hypothesized that simulation participation would positively impact student attitudes as measured by a validated instrument.

Methods: A quantitative …

Graduate Nursing Faculty Work And Wellbeing Survey: Pilot Study Of Dual-Role Faculty, Erica Skarda Ramey

International Nursing Research Congress (INRC)

Burnout among nursing faculty continues to threaten workforce sustainability and academic program stability. Dual academic–clinical faculty experience compounded demands that heighten burnout risk and reduce job satisfaction. Despite recognition of these challenges, limited instruments specifically examine wellbeing in this group. This pilot study evaluated the feasibility and initial psychometric properties of the Graduate Nursing Faculty Work and Wellbeing Survey (GNFWWS), designed to assess burnout, job satisfaction, and perceived institutional support among graduate nursing faculty with concurrent academic and clinical practice roles. Guided by the Job Demands–Resources framework, the cross-sectional pilot was implemented at a large academic medical center in the …

Current & Future Priorities In Canadian Pre-Licensure Nursing Education On Care For People With Idd, Anna Don, Janet Mccabe

International Nursing Research Congress (INRC)

Using existing literature the audience will be oriented to the current state of pre-licensure nursing education about People with intellectual and developmental disabilities (IDD), review priorities identified by People with IDD and nurses, and finally suggest a course for the future nursing education about the care of People with IDD.

The findings of a recent scoping review of international pre-licensure nursing education [1] demonstrated that most education related to people with IDD was episodic at best. More recently a Canadian Delphi study was conducted in which People with IDD and nurses identified priorities for nursing education [2]. Using the current …

Advancing Learning Disability Nursing Education In Scotland, Sam Abdulla, Natasha Spassiani, Amanda Woodrow, Jacqueline Taylor, Valerie Houghton, Kyle Buchan

International Nursing Research Congress (INRC)

Across the UK, applications to undergraduate nursing programmes, especially Learning Disability (LD) Nursing have declined significantly (Royal College of Nursing, 2021), resulting in under-recruitment and, in some regions, the closure of LD Nursing programmes (Royal College of Nursing, 2024). This shortage of specialist LD Nurses risks worsening health inequalities for people with LD (House of Commons, 2024). NHS Education Scotland (2023) identified LD Nursing as a workforce priority, highlighting the need for innovation to attract new nurses and maintain high-quality, person-centred care. For those entering programmes, access to varied and appropriate placements remains a challenge due to reduced post-COVID capacity, …

From Burden To Support: Validating An Ai-Based Dementia Care Voice Assistant App, Modupe Akintomide, Xinyue Zhang, Divya Iyer, Madison Ellison, Sumaya Tamenne

International Nursing Research Congress (INRC)

The prevalence of behavioral symptoms, such as wandering and agitation, in over 90% of persons with Alzheimer's disease and related dementias (Pw-ADRD), with approximately 83% residing in home-based settings [1-3], underscores the urgent need for effective interventions to support informal caregivers. These caregivers are essential for maintaining quality care for Pw-ADRD, yet they frequently encounter substantial challenges in managing behavioral symptoms [4], revealing a significant gap in available resources and support systems.

To address this gap, we developed a prototype for an AI-based Dementia Care Voice Assistant (AI-DECAVA), powered by a large language model (LLM). The system is designed to …

Leveraging Ai-Driven Financial Resource Identification In Dementia Caregiving-Development Phase, Modupe Akintomide, Xinyue Zhang, Divya Iyer

International Nursing Research Congress (INRC)

Informal dementia caregiving imposes a substantial financial burden on families, compounded by systemic factors such as insurance coverage gaps, prohibitive long-term care costs, and the administrative complexity of navigating public and private benefit programs [1-2].

To address this challenge, we developed an artificial intelligence (AI)-driven application designed to streamline access to financial resources. The system is built on a curated dataset that links multidimensional caregiver profiles with relevant financial support programs. Profiles, encoded as input feature vectors, are derived from structured questionnaire responses capturing variables such as employment status, weekly caregiving hours, out-of-pocket medical expenses, and insurance coverage. Each profile …

Closing The Gap: Canadian Undergraduate Nursing Students’ Competencies And Training Needs In Idd, Lin Li, Yona Lunsky, Anupam Thakur, Soumya Mishra, Nagyeong Kim, Gurmanpreet Kaur

International Nursing Research Congress (INRC)

Background: People with intellectual and developmental disabilities (IDD) face persistent health inequities, including higher morbidity, premature mortality, and increased healthcare use [1–3]. These disparities are intensified by limited provider training and confidence in caring for this population [4,5], underscoring the need to strengthen nursing education in IDD. This study examined Canadian undergraduate nursing students’ attitudes, competencies, and training needs related to IDD.

Methods: From May-August 2025, a 28-item anonymous online survey was distributed through nursing programs and nursing student societies across Canada. The survey assessed knowledge, attitudes, self-perceived skills, exposure to IDD in coursework and clinical settings, and preferred learning …

Fostering Integration Of Idd Concepts Into Nursing Curriculums In The United States, Cecily L. Betz, Joyce Carolyn Graff

International Nursing Research Congress (INRC)

Background: Curriculum content pertaining to the lifespan needs of individuals with intellectual and developmental disabilities (IDD) is not evident in nursing programs in the United States (US) despite national statistics that indicate 17% of the U.S. population are identified as having IDD [1-3]. Beginning with the Kennedy Administration in the 1960s, the U.S. federal government has made significant investments to improve services for the IDD population through the establishment of interdisciplinary educational networks, such as the University Centers for Excellence in Development Disabilities (UCEDD) and Leadership Education in Neurodevelopmental and Related Disabilities (LEND) [2]. For nurses interested in IDD specialty …

Ai-Powered Gamified Extended Reality Training For Dementia Care Competence In Healthcare Students, Modupe Akintomide, Joy Li, Toi-Ann Kingsby, Dandre Williamson

International Nursing Research Congress (INRC)

The development of dementia care competence among healthcare students remains limited by the scarcity of experiential training opportunities for managing behavioral and psychological symptoms [1]. Traditional curricula often fail to provide sufficient, high-fidelity practice for the complex, emotionally charged interactions characteristic of Alzheimer’s Disease and Related Dementias (ADRD) care [2].

To address this gap, we developed an AI-powered, Gamified Extended Reality (XR) Dementia Behavioral Training App. This immersive platform simulates authentic caregiving encounters with persons living with ADRD. It employs an AI-generated animated patient agent and integrates adaptive difficulty scaling within clinically relevant, scenario-based modules to mirror the complexity of …

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

International Nursing Research Congress (INRC)

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

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

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

Dilemmas And Prospects Of Infectious Disease Prevention In Long-Term Care: A Qualitative Study, Po-Jen Kung, Ching-Min Chen, Nancy Reynolds

International Nursing Research Congress (INRC)

Aim: To explore the experiences of long-term care workers in preventing emerging infectious diseases, the challenges they faced during the pandemic, and how they were addressed.

Design: This study used an exploratory qualitative research design.

Methods: The study involved various long-term care institutions across Taiwan. Twelve interviewees, including four nurses, four nursing assistants, and four managers, were recruited via purposive sampling. All interviewees worked in the sector during the COVID-19 pandemic, were actively involved in clinical care or institutional management, and were proficient in Mandarin. In-depth interviews were conducted face-to-face between July and August 2024, and data …

Pandemic Prevention Competencies Of Long-Term Care Institution Workers: A National Survey In Taiwan, Po-Jen Kung, Ching-Min Chen, Katherine Ornstein

International Nursing Research Congress (INRC)

Aim: To assess the self-perceived pandemic prevention competencies of health and care workers in Taiwan’s long-term care institutions and identified key factors influencing these competencies.

Methods: A cross-sectional online survey was conducted from June to July 2024 using stratified proportional sampling of health and care workers (nursing and nursing assistants) from various types of long-term care institutions (assisted living facilities, residential care homes and nursing homes). Participants were actively employed during the survey, involved in COVID-19 prevention efforts, and proficient in reading traditional Chinese. Data on pandemic prevention competencies were collected, using the Emerging Infectious Disease Prevention Competencies …

Developing And Validating An Emerging Infectious Disease Prevention Competencies Scale, Po-Jen Kung, Ching-Min Chen

International Nursing Research Congress (INRC)

Aim: To develop an instrument and evaluate its psychometric properties for emerging infectious disease assessing prevention competencies among health and care workers in long-term care institutions.

Design: A cross-sectional, descriptive design utilizing both qualitative and quantitative methods was employed.

Methods: The scale was developed according to scale development guidelines in two phases, namely the scale development phase and scale testing phase, with the staff of long-term care institutions as the study population and their workplaces as the sampling unit.

Results: The scale comprises 27 items across three dimensions: 14 items pertaining to professional role performance, 7 items addressing workplace resources, …

Health And Care Workers’ Roles In Infectious Disease Prevention In Long-Term Care: A Scoping Review, Po-Jen Kung, Ching-Min Chen, Yi-Yuan Cheng

International Nursing Research Congress (INRC)

Aim: To describe how health and care workers contribute to the prevention of emerging infectious diseases in long-term care facilities.

Design: A scoping review.

Methods: A systematic search of literature dating from 2002 to 2022 was conducted in the following databases: EMBASE, Medline (Ovid), Cochrane Library, CINAHL Plus with Full Text (EBSCOhost), Web of Science, and AgeLine. Studies were selected if they focused on health and care workers in long-term care facilities, offered a perspective on the prevention of emerging infectious diseases or infection prevention and control, and were original qualitative or quantitative studies in English. Data were extracted, cross-checked …

The Journey To Ebp Excellence In Healthcare: Overview, Trisha Saul, Cara Gallegos

International Nursing Research Congress (INRC)

Background. In the contemporary landscape of healthcare, evidence-based practice (EBP) has emerged as a cornerstone for ensuring optimal outcomes and enhancing the quality of care. EBP combines the best available evidence with clinical expertise and patient preferences.1 It is well-documented that when nurses engage in EBP, it leads to better patient outcomes. Nevertheless, its implementation faces several obstacles. Nurses lack confidence in fundamental EBP skills and encounter barriers such as inadequate resources, insufficient leadership support, and a lack of EBP mentors. Successfully overcoming EBP barriers at the organizational level requires the adoption of a structured conceptual framework for guiding …

Assessing Nurses’ Competency And Readiness: The First Step In A Journey To Ebp, Frances Chu, Cara Gallegos

International Nursing Research Congress (INRC)

Aims: To examine relationships between nurse characteristics and evidence-based practice (EBP) competency, beliefs, organizational culture and readiness, implementation self-efficacy, and mentors access to inform implementation of EBP.
Background. An abundance of literature demonstrates the beneficial effects of using EBP in clinical care and return on investment. Many hospitals continue to struggle with EBP adoption, and literature demonstrates that many nurses express lack EBP competence. In a healthcare system, with different organizational culture, resources, and nurses, an assessment of the current state of nurses’ EBP competency and their perceptions of support for EBP is needed to identify potential interventions to implement …

An Innovative And Equitable Approach For Global Learning: Internationalization At Home, Unni Jenssen, Tracy Taylor, Sara Edwards, Jeanie M. Bochenek

International Nursing Research Congress (INRC)

In an era of increasing global connectivity and cultural diversity, fostering cultural competence among students is paramount. It is a prevailing notion that cultural competence is primarily achieved through international mobility. However, the reality is that most students are unable to travel abroad due to economic limitations, family obligations and work commitments. With these limitations of international mobility, innovative strategies to enhance cultural competence “at home” were developed by Lovisenberg Diaconal University College (LDUC) in Norway and Ohio State University College of Nursing in Ohio. Grounded in Campinha-Bacote’s model of cultural competence, these strategies include a) systematic integration of domestic …

Blending Virtual Learning And Travel Abroad As Teaching Strategies To Develop Global Perspectives, Tracy Taylor, Unni Jenssen, Jeanie M. Bochenek, Sara Edwards

International Nursing Research Congress (INRC)

In 2022, there were 2.8 million undergraduate students in the U.S. About 6% studied abroad, leaving 94% of students without exposure to global perspectives. To enable global learning for nursing students, Ohio State University College of Nursing in Ohio and Lovisenberg Diaconal University College in Norway developed a common course on urban health whereby two separate teaching strategies were used: travel abroad to Norway/U.S. and “at home” collaborative online international learning (COIL). The purpose of these strategies is to connect COIL students with travel abroad students in both countries to enhance global learning.

In spring of 2024 prior to starting …

Linking International Students In An Exchange To Create Global Learning, Sara Edwards, Jeanie M. Bochenek, Tracy Taylor, Unni Jenssen

International Nursing Research Congress (INRC)

As globalization around the world increases, creating meaningful international experiences for students is essential in higher education. Preparing nursing students with knowledge and skills to successfully interface and care for diverse populations equips them to provide culturally competent quality care.

The purpose of this exchange was for faculty from Ohio State University (OSU) College of Nursing in Ohio and Lovisenberg Diaconal University College in Norway to collaborate, develop, and provide students with culturally rich experiences that mirrored students internationalizing at home or traveling abroad. Students’ learning experiences focused on community health care settings, common health concerns and resources that support …

Developing Empathy For Homelessness Populations Through A Virtual Reality Teaching Strategy, Jeanie M. Bochenek, Sara Edwards, Unni Jenssen, Tracy Taylor

International Nursing Research Congress (INRC)

Homelessness is a complex and growing public health concern encompassing 1.6 billion people globally. People living homeless face barriers in managing activities of daily living, existing chronic or acute health conditions, and are likely to experience more health problems and health inequities. Worldwide, nurses will encounter patients who are living homeless, therefore having an overall understanding of living homeless will help them care for their patients.

To give students a broader perspective, faculty from Ohio State University College of Nursing in Ohio and Lovisenberg Diaconal University College in Norway connected students to discuss a global health concern. The purpose of …

Integrating Genomics Into Nursing Education, Sarah Dewell, Trina Walker, Patricia Birch, Carol Cremin, Colleen Guimond, Leah P. Macfadyen

International Nursing Research Congress (INRC)

Precision health aims to tailor care for each person by incorporating genomic data and other biological information with relevant environmental, behavioural, and social determinants of health. Nurses, the largest healthcare profession globally and experts in the provision of personalized, holistic care, have a vital role in safe, quality, evidence-based precision healthcare (Dewell et al., 2024). To fully participate, nurses require an understanding of genomics relevant to their practice (Campion et al., 2019). However, integration of genomics into nursing curricula is highly variable (Calzone et al., 2018). This is in part due to lower levels of genomic knowledge among nursing faculty …

Global Progress Of Genomics Nursing Education Through Competence In Academic-Practice Partnerships, Deborah O. Himes, Ruth Lucas, Jennifer Dungan, Sarah Davis, Sarah Dewell

International Nursing Research Congress (INRC)

As healthcare transitions into the genomic era, nurses play a critical role in delivering quality, genomics-informed care. To achieve this, nursing education must address both the scientific foundations of genomics and the ethical, legal, and social considerations of its application. Despite this need, research identifies gaps in nurses’ knowledge and confidence to provide genomics-informed care and in educators’ ability to integrate genomics content into curricula (Thomas et al., 2023). Academic nurse educators globally have expressed need and desire for collaboration to improve genomics nursing education (Abad & Sur, 2022; Chair et al., 2019).

In response, the International Society for Nurses …

A Global Overview Of The Integration Of Genomics Into Nursing, Sarah Dewell, Emma Tonkin, Kathleen A. Calzone, Andrew Dwyer, Laurie Badzek

International Nursing Research Congress (INRC)

Across the globe, genomics is being applied into research and clinical practice initiatives to improve patient outcomes and decrease system costs (Stark et al., 2019). Genomics can enable earlier disease detection, guide treatment, inform prognosis, and advise preventative care (Claussnitzer et al., 2020). Nurses are the largest component of the health workforce and are instrumental in delivering genomics-informed care (Tonkin et al., 2020). However, most nurses have little to no training in genomics driven by a lack of global nursing competencies in genomics (Thomas et al., 2023). Despite this, many countries are taking action to prepare their nursing workforce for …

Psychometric Testing: College Assessment For Risk Evaluation Of Depression (Cared), Grace Gass, Julie Brandy, Theresa A. Kessler

International Nursing Research Congress (INRC)

Purpose: In a nationwide study, 44% of college students screened positive for depression, with 23% screening positive for a provisional diagnosis of major depression (Eisenberg et al., 2023). The American College Health Association [ACHA] (2024) reported significant mental health symptoms among undergraduates, with 78.8% reporting moderate to high levels of stress and 24.2% reporting a previous diagnosis of depression. Concerningly, 28.1% had a positive screening for suicide risk on the Suicide Behavior Questionnaire-Revised (ACHA, 2024). These statistics highlight the severe mental health crisis in this vulnerable population, offering a key opportunity to reach at-risk individuals during this transitional period. There …

Relationship Between Personal Resilience And Organizational Resilience In Multidisciplinary Team, Nihal Khatib

International Nursing Research Congress (INRC)

Background: This study examined the response of multidisciplinary medical teams in Israel's healthcare system during the Israel-Gaza War that began on October 7, 2023, focusing on the Haifa and Western Galilee district. The research analyzed the relationships between personal and organizational resilience and their impact on medical team functioning across diverse populations.

Objectives: The study aimed to investigate the relationship between employees' personal and organizational resilience and their effects on performance during crisis. It sought to identify factors influencing resilience and performance, and to develop an intervention program for adaptation and crisis management.

Methods: An anonymous questionnaire was administered, incorporating …

Building Bridges: A Sigma Collaborative For Health System-Based Nurse Scientists, Perry M. Gee, Esther Chipps

International Nursing Research Congress (INRC)

The pivotal role of nurse scientists within health systems and the collaborative efforts to enhance their impact will be explored in this talk. The development of a national, Sigma sponsored, collaborative for health-system based nurse scientists will be introduced.