Digital Commons Network^™

The Sibling Experience Of Pediatric Patients Discharged From The Picu: Qualitative Meta-Synthesis, Jessica Keller

International Nursing Research Congress (INRC)

A QMS was conducted to describe the sibling experiences of children discharged from the PICU to promote future research of the sibling experience and identify interventions for sibling support. The research question was: what are the experiences of siblings of children discharged from the PICU?

When a child is in the PICU, the family must face life-threatening diagnoses and difficult decisions. This stress impacts family dynamics shared by parents and children (Rennick et al., 2021). Siblings may assume additional responsibilities without having the support of their parents. Manning et al. (2017) identified siblings have unmet needs that are not fully …

Validation Of The Affiliate Stigma Scale For Asian Indian American Dementia Family Caregivers, Anju Wadhawan, Rula Btoush, Peijia Zha, Olga F. Jarrin

International Nursing Research Congress (INRC)

Background/Purpose: The Affiliate Stigma Scale is a commonly used instrument for measuring stigma experienced by caregivers of persons with intellectual disabilities and mental illness (Mak & Cheung, 2008). It is particularly relevant within the Asian Indian community, where dementia may sometimes be considered a punishment for past life sins of the patient or their loved ones (Chenug et al., 2019; Hossain & Khan 2019; Hussain et al., 2024; Krishnamurthi et al., 2022). Building on prior work to culturally adapt the affiliate stigma scale for Asian Indian American dementia family caregivers, this study aims to assess the reliability and validity of …

Thriving As A Recent Graduate With Learning Disability: A Mixed Methods Study, Eunice Korkor Assem-Erhaze, Nicole Harder, Wanda Chernomas

International Nursing Research Congress (INRC)

The nursing shortage is critical globally (Buchan & Catton, 2023). Several factors contribute to this, including disability. Promoting retention measures for nursing graduates, particularly those with learning disabilities (LD), helps address the nurse shortage in line with equity, diversity, inclusion, and accessibility. Federal laws mandate that academic institutions offer reasonable accommodation to students with LD to enhance their educational outcomes. However, the automatic accommodations offered to these students ‘fade away’ after graduation, although LD is a lifelong difference. Workplace stress and lack of transition support increase graduate nurse turnover, which LD exacerbates. Recent graduates with learning disabilities (RGwLD) are required …

Access Disparity: Association Of Race, Graft Failure, And Insurance Status On Transplant Wait Times, Matthew Siregar, Gregory Carter

International Nursing Research Congress (INRC)

Purpose Transplant is a life-saving surgery for patients diagnosed with many diseases that cause end-stage liver, kidney, and pancreas diseases. An essential outcome of a transplant is graft function post-transplant. Graft failure is a complication and poor outcome for patients who have received a transplant. The aim of this study is to investigate how the duration of time spent on the transplant list, insurance type, and patient race influence graft failure rates.

Methods A retrospective chart review of adult patients who received an abdominal transplant was conducted. The following variables were collected for each adult patient who received an abdominal …

Faith-Based Transitional Care Model (Tcm) Clinic: Pilot Project, Youn Kyeong Cummings, Victoria Chaudhary, Mary Lynn Knighten, Deborah J. Ziebarth, Sang Ah Shiah

International Nursing Research Congress (INRC)

Hospital readmission rate is highest among underserved communities. Providing continuum of care to these populations will yield a greater reduction in readmission rate. Church and faith-based clinics often help underserved communities. Equipping them with the transitional care model (TCM) and an Advanced Practice Registered Nurse (APRN) with specialized training as a Faith Community Nurse (FCN) can implement whole-person care and reduce hospital readmission and improve the health of the community. Monterey County has a readmission rate of 13.4%. Only one out of four community hospitals has a transitional care department only for diagnoses specified in the Hospital Readmissions Reduction Program …

Virtual Dementia Tour For Family Caregivers: Thematic Analysis, Zina Karana, Olimpia Paun, Amber Kujath, Ben Inventor

International Nursing Research Congress (INRC)

Purpose & Background: In the United States, over 90% of persons with dementia (PWD) receive assistance from family caregivers (Alzheimer’s Association, 2024). Family caregivers of PWD experience greater caregiving challenges and increased burden compared to caregivers of older adults without dementia (Alzheimer’s Association, 2024). Caregiver empathy increases caregiver wellbeing and reduces caregiving burden (Han, 2020). Simulation interventions have been identified as tools to effectively increase empathy (Batt-Rawden et al., 2013; Peng et al., 2020; Slater et al., 2021). The purpose of this study was to evaluate how the Virtual Dementia Tour (VDT) simulation affected empathy levels in family caregivers of …

Best Practices For Nurse Practitioners Caring For Patients With Non-English Language Preference, Jaypee Benitez Buhisan, Donna Martin, Elsie Duff, Terilyn Hunter

International Nursing Research Congress (INRC)

Communication is paramount in any provider-patient relationship. In nurse practitioner roles, health teachings are provided to prevent and manage illnesses and promote health. Language discordance between patients and providers is a significant barrier for persons with Non-English Language Preference (NELP). Patients with NELP tend to delay accessing healthcare services, which is a challenge for primary care providers to perform their role as promoters of health. The purpose of our work was to describe best practices for nurse practitioners caring for persons with NELP. A narrative review of the literature was conducted, with librarian consultation. We used keywords, and MeSH terms …

Telemedicine For Improving Healthcare Access In Communities, Nicole Marks, Manju Daniel

International Nursing Research Congress (INRC)

Purpose/Background: Telemedicine reduces barriers to access which can decrease inappropriate emergency room use. This quality improvement project aimed to connect a community-based organization (CBO) to a telemedicine urgent care in the Midwest.

Framework: The PRECEDE-PROCEED framework guided the population assessment and the Theory of Planned Behavior guided the project development/implementation.

Methods: A mixed method design was used (interviews and pretest/posttest) for the development and implementation of a 12-week project at a large academic medical center. This project included (a) interviewing CBO staff and utilizing pre-test survey to determine awareness/utilization of telemedicine, (b) development of CBO staff education and training …

Discharge Readiness Checklist Impact On 30-Day Readmission Rates In Gynecologic Oncology Patients, Kiara Whitney, Jeri Striplin, Jayne Dunlap

International Nursing Research Congress (INRC)

Hospital readmissions remain a critical challenge in healthcare, particularly in oncology, where complex treatment regimens and post-discharge complications contribute to unplanned hospitalizations. These readmissions increase healthcare costs and negatively impact patient outcomes, quality of life, and institutional performance metrics. This quality improvement project evaluated the impact of a Discharge Readiness Checklist (DRC) on 30-day medical readmission rates among gynecologic oncology patients at an academic hospital. The primary objective was to determine whether implementing a structured discharge checklist would enhance patient readiness, improve care transitions, and reduce preventable readmissions.

A pre and post-intervention design over 9 weeks was used to assess …

A Comprehensive Scoping Review On Problematic Media Use & Psychopathology In Children & Adolescents, Katelin Crane, Helene Moriarty, Guy Weissinger, Sarah Domoff, Paul Bernhardt, Sydney Harris, Sarah Hughes, Jennifer Yost

International Nursing Research Congress (INRC)

Background: While existing research on psychopathology and problematic media use (PMU) in children and adolescents continues to grow and presents a complex, multifaceted issue, the direction of this relationship remains unclear. This scoping review aims to map the directionality of the relationship between PMU and psychopathology (encompassing both symptoms and diagnoses) in children and adolescents.

Methods: This scoping review examines longitudinal studies that addressed the relationship between psychopathology and PMU in children and adolescents (ages 6 to 18 years old). Searches of databases, reference lists of included studies, and relevant conference abstracts were performed to identify studies meeting the inclusion …

The Neonatal Intensive Care Unit Care Experiences Of 2slgbtqia+ Parents, Ashley Bell, Roberta L. Woodgate

International Nursing Research Congress (INRC)

Purpose: The prevailing cis-heteronormative environment of the Neonatal Intensive Care Unit (NICU) can negatively impact the well-being of 2SLGBTQIA+ parents.¹ The purpose of this study is to explore the lived NICU care experiences of 2SLGBTQIA+ parents in Canada, the meanings parents assign to these experiences, and their recommendations for NICU care.

Methods: Guided by van Manen’s hermeneutic phenomenology, this study utilizes semi-structured interviews with journey maps. Purposeful sampling is being used to select English-speaking participants who identify as a 2SLGBTQIA+ parent and who had an infant in a Canadian NICU within the past 5 years. Recruitment is being done …

Using Gamified Teaching Platforms In The Medical Education Of Medical Officers And Soldiers, Ming-Huei Wang, Gui-Yun Wang, Hsiao-Yun Wu, Hung-Hsun Hsu

International Nursing Research Congress (INRC)

Background: Health service nursing officers and soldiers are responsible for maintaining the health of both military personnel and civilians. Their training mainly focuses on classroom lectures and technical operations. With an increase in volunteers specializing in medicine and nursing, the demand for enhanced medical education has grown. Adjusting the environment and teaching models to boost learners' intrinsic and extrinsic motivation—while balancing academics and practice and incorporating military medical experts' experience—is crucial. We aim to introduce innovative teaching into traditional models to study its correlation with learning effectiveness among military medical personnel.

Methods: We replaced traditional homework assignments with a gamified …

Burnout Among Racial Minority Registered Nurses Working In Nursing Homes, Omotayo Omobola Omotowa

International Nursing Research Congress (INRC)

Purpose Statement: There is an ongoing increase rate of growth in the older adult population, ages 65 and above in the United States. In 2020, 1.4 million (2.5%) older adults, including racial minorities, lived in nursing homes (Caplan & Rabe, 2023). This growth necessitates increased nursing care that could be provided by registered nurses (RNs) who are already understaffed, overworked, and burned out in diverse care settings (Dall’Ora et al., 2020), especially nursing homes.

Burnout affects 62% of nurses and has adverse consequences on patient safety, outcomes, satisfaction, and nurses’ health (ANA, n.d.; Jun et al., 2021). Nurse burnout have …

Improving Healthcare Provider Knowledge & Satisfaction With The Organ Procurement Process, Brooke Judd, Sandra Rogers

International Nursing Research Congress (INRC)

Introduction / Background:
Most people understand the term death. However, in the world of organ donation, death can have different meanings. Donation after brain death (DBD) is when there is irreversible cessation of all brain activity due to lack of blood and/or oxygenation, a condition commonly referred to as being “brain dead.” The other form is donation after circulatory death (DCD) in which the patient has not deteriorated to brain death but there still may be an opportunity for families to opt for organ donation. Research has shown that healthcare providers working in intensive care units (ICUs) are not always …

Integrating Traditional And Modern Postpartum Care By Tai-Yuan Caregivers: A Phenomenological Study, Prangthip Thasanoh Elter, Namfon Vorawalai, Palita Phota

International Nursing Research Congress (INRC)

Thai hospitals increasingly integrate local wisdom into postpartum care.¹ Tai-Yuan, an ethnic Tai group from the ancient Lanna Kingdom, is distinguished by their unique dialect and cultural practices that continue to thrive in various regions of Thailand.² Nakhon Ratchasima Province Thailand’s Tai-Yuan community maintain cultural practices that combine Buddhist beliefs with ancestral wisdom. While traditional practices show beneficial properties,^3-4 understanding of caregivers' experiences is limited. This research explored the experiences of caregivers providing postpartum care for Tai-Yuan women.

We employed Heidegger’s interpretative phenomenology to collect data from seven primary caregivers via semi-structured interviews. Analysis followed Interpretative Phenomenological …

Cervical Cancer Screenings For Rohingya Refugees: A Project To Promote Uptake At An Fqhc, Talia Coveleski, Barbara Shaw, Jehan Adamji

International Nursing Research Congress (INRC)

Cervical cancer remains a significant health issue globally, particularly in low and middle-income countries, with over 350,000 deaths in 2022. Disparities in cervical cancer screening (CCS) rates persist, notably among vulnerable populations such as refugee and immigrant women. This project addresses these disparities within the Rohingya refugee community at a Midwest Federally Qualified Health Care Center (FQHC), where only 21.74% of eligible Rohingya women had CCS appointments scheduled in 2023. The intervention aims to increase CCS rates among Rohingya women aged 21 and older through culturally tailored approaches. The project involves developing an educational video, standardizing workflows, engaging Community Health …

A Train The Trainer Approach To Fostering Critical Thinking In Emergency Nursing, Jennifer Wilde, Emily Calabro

International Nursing Research Congress (INRC)

Purpose/Background: Emergency departments (EDs) globally present a challenging environment for new graduate nurses (residents), often impacting proficiency and retention. This pilot study evaluates the effectiveness of an ED Train the Trainer (T3) program in improving resident proficiency, confidence, and retention, as well as preceptor confidence. The program focused on critical thinking and task management skills using the Identify, Intervene, Assess, and Reassess (IIAR) model, addressing the gap between academic preparation and clinical practice.

Methods: A time-series design was employed. The T3 program incorporated various learning modalities, including face-to-face sessions, instructional videos, and hands-on skills practice. Preceptors learned to …

Scoping Review: Ethical Issues Involved In Using Mhealth Technologies In Home Care For Older Adults, Miaomiao Shen

International Nursing Research Congress (INRC)

Background: Advancements in mobile health (mHealth) technologies have reshaped the delivery of healthcare, offering new possibilities for improving the quality of care, particularly for older adults receiving care at home. While the potential benefits of mHealth are considerable, integrating technology into home care for older adults raises several ethical concerns.

Purpose: To explore and map the ethical issues associated with using mHealth technologies in the home care of older adults.

Inclusion criteria: Studies that focus on mHealth technologies used in home care for older adults (aged 65+); Studies that explicitly discuss ethical issues; Original studies incorporating quantitative, qualitative, …

Advancing Nursing Practice With Ai: Mri-Enhanced Machine Learning For Schizophrenia Screening, Yi Hsuan Chiang

International Nursing Research Congress (INRC)

Background: The integration of artificial intelligence (AI) into healthcare, especially nursing, offers transformative possibilities for mental health diagnosis. This study explores how MRI-based machine learning can support nurses in accurately identifying schizophrenia, addressing a growing need for innovative diagnostic support in nursing practice.

Objective: To evaluate the effectiveness of AI algorithms utilizing MRI data in differentiating patients with schizophrenia from healthy individuals, focusing on the practical applications for nursing in clinical environments.

Methods: MRI data, including Functional Network Connectivity and Source-Based Morphometry from 86 participants (40 patients with schizophrenia, 46 controls), were used to train machine learning models such as …

Lessons Learned: Creation Of A Global Classroom Initiative, Kim Alexander Decker

International Nursing Research Congress (INRC)

Creating global classroom initiatives are incredibly important for future health care providers as they enter a rapidly changing and complex health care environment as demonstrated by the recent pandemic. Global classroom initiatives promote student readiness to become global citizens. This presentation will describe an international academic experience between a school of nursing in the Midwestern United States and a school of nursing in the United Kingdom. The goal was to add an international dimension to a senior level community health nursing didactic course (USA) and a baccalaureate nursing honors course (UK) without leaving their campuses. Both courses focused on the …

Experience Of Managing Financial Impact Of Cancer And Cancer Treatment, Chu Hua Chung, Shiuyu Katie C. Lee, Chun-Liang Lai, Yen-Shen Lu, Chiao Lo

International Nursing Research Congress (INRC)

Background: Not all of cancer treatment will be covered by health insurance, even in the country providing public coverage, such as in Taiwan. Treatment costs, medical necessity, and care processes may impose a significant financial and emotional burden on patients and their families, especially facing with diverse coverage of national or commercial health insurance for new cancer drugs or systemic treatments. Financial burdens may involve absences from work, and hidden costs related to the alteration of family roles. That's how to manage the burden remains to be uncovered for further development of supportive care.

Purpose: This study aimed …

Healthy Aging And Pet Caretaking: Findings From The Health And Retirement Study, Beth A. Pratt, Erika Friedmann

International Nursing Research Congress (INRC)

The global population of 1 billion people ≥ age 60 is expected to double by 2050, likely increasing the prevalence of age-related cognitive decline (Alzheimer’s Association, 2019). Examining biological, psychological, and social (biopsychosocial) factors and possible moderation by other critical factors, including neighborhood physical disorder (i.e., graffiti, litter, vandalism, safety) and cohesion (i.e., mutual trust/solidarity between neighbors), may inform development of targeted interventions to improve biopsychosocial and cognitive health. Human-animal interaction (HAI) has been found to improve health outcomes and may be a viable option to enhance biopsychosocial factors and delay cognitive decline in older adults (Gee et al., 2017). …

Tangology Simulation: An Experiential Simulation To Understand Leadership And Followership, Martina Gallagher, Linda Sheen, Darlene Acorda, Kelli Galle

International Nursing Research Congress (INRC)

Background: Leadership is emphasized in many healthcare disciplines, especially nursing¹. However, learning about leadership typically occurs in the context of readings and discussions, which do not provide students with the visceral experiences needed to critically reflect on what is required of them to lead effectively². Furthermore, there is limited discussion about followership, or what is required of a good follower to collaborate effectively within a healthcare team³.

Purpose: The purpose of the Tangology Simulation is to provide students with an experiential activity that emulates the roles of leadership and followership in a non-threatening environment. …

The Mini Nurse Academy: Diversifying Nursing Through Partnership And Community Engagement, Valerie Clary-Muronda, Clarissa Collier

International Nursing Research Congress (INRC)

Purpose To describe the implementation and evaluation of a community engagement program using the NBNA Collaborative Community Health Model to address health equity by educating school students about health literacy and careers in nursing.

Global Health Equity Lack of diversity within the nursing profession contributes to persistent health disparities (Bartlett et al., 2022). Evidence suggests that a nursing population that mirrors the diversity of communities served is more likely to improve health outcomes. The Mini Nurse Academy (MNA) offers an innovative approach to increasing the diversity in nursing by introducing elementary school students to the nursing profession while educating them …

Development Of A Novel Kt Tool For Parents Of Children With Idd Seeking Emergency Care, Shannon Scott, Sarah Elliott, Hannah M. Brooks, Gwen Erdmann, Lisa Hartling

International Nursing Research Congress (INRC)

Background: Children with intellectual developmental disorders (IDD) are generally defined as those under 18 years old who have conditions that can adversely impact their physical, intellectual, and/or emotional development. Taking a child to an emergency department (ED) is often unexpected and stressful for the parents and child. Children with IDDs are among the highest users of emergency health care services in their age group (3), with complex and challenging ED experiences. Digital knowledge translation (KT) tools can effectively share experiences and health information while addressing the learning needs of parents.

The aim of this study is to report on the …

Valid And Reliable? Psychometric Evaluation Of A Preceptorship Survey, Leonie Declerk

International Nursing Research Congress (INRC)

Health professions use a preceptorship model for clinical education. Numerous studies have evaluated barriers and facilitators to nurse practitioner (NP) preceptorship. However, few used theory-guided, psychometrically-sound, survey instruments. My purpose was to develop and test validity and reliability of a preceptorship survey, using the Integrated Behavioral Model (IBM) as a framework. I developed a pool of 82 survey items that reflected 11 constructs in the IBM from published literature and unpublished research findings. Eight faculty and 12 NP preceptors evaluated content-validity and clarity of the items, and one item was removed. The survey was deployed to a sample …

Qualities Of An Effective Mentor In Clinical Practice: Insights From Nurses And Midwives In Rwanda, Yvonne Kasine

International Nursing Research Congress (INRC)

Introduction: Globally, many countries have adopted mentorship programs to support new and less experienced nurses in enhancing their skills (Hoover et al., 2020). In Rwanda, mentorship has been a part of the professional development of nurses and midwives (Musabwasoni et al., 2020; Nyiringango et al., 2021). Mentorship offers numerous benefits, serving as a tool for professional growth and fostering camaraderie among nursing and midwifery professionals. From 2016 to 2020, a clinical mentorship program named Training, support, and Access Modal (TSAM) was implemented to help nurses and midwives improve their competencies in providing maternal and neonatal care at selected health facilities …

The Association Between Substance Use And Mental Health In College: A Multi-Substance Analysis, Odunayo A. Elijah, George T. Mugoya, Mercy Ngosa Mumba

International Nursing Research Congress (INRC)

Background: Substance use, including tobacco, alcohol, and cannabis, is widespread among college students and has been linked to mental health issues. This study investigates the relationship between substance use risk and serious mental illness (SMI) in a large college student sample, examining how different levels of use correlate with mental health outcomes.

Methods: Utilizing variables from the American College Health Association National College Health Assessment III (Fall 2019-present) Spring 2022 reference group dataset (n = 69,131 students), we assessed the association between levels of substance use (tobacco, alcohol, cannabis) and SMI, controlling for demographic and behavioral covariates. The …

An Observational Study Of Personalized Mhealth To Promote Wellness In Healthcare Workers, Mary S. Mccarthy

International Nursing Research Congress (INRC)

Background: Healthcare workforce resilience weakened during and after the pandemic. Nutrition, physical activity, and sleep deficits further diminish health status. Providing just-in-time resources may promote healthier behaviors in direct-care hospital staff. We had two study aims: 1) coach healthcare workers (HCWs) to make lifestyle changes that enhance wellness, and 2) compare high and low engagement with mHealth resources to achieve recommendations for cardiometabolic health.

Methods: In this 1-year prospective observational study, HCWs had 24/7 access to a dashboard built for personalized health messages and wore an activity and sleep tracker continuously. On-demand UVB phototherapy was available to boost vitamin D …

Research Findings Describing Home-Based Nurses’ International Scope And Standards Of Practice, Susan M. Hinck, Mary C. Narayan

International Nursing Research Congress (INRC)

Background. The International Home Care Nurses Organization and the American Nurses Association (ANA) are collaborating to develop the International Scope and Standards of Home-Based Nursing Practice. The first step was to conduct research with home-based nurses (HBNs; nurses who provide care for patients in their homes) to develop an evidence-base for the international scope and standards document.

Methodology. This IRB-reviewed study consisted of a literature review to locate key documents (e.g.; ICN, 2021; Narayan et al., 2017; Nursing and Midwifery Council, 2024; Rusli et al., 2021, Saari et al., 2024) and four surveys: 1) status of country’s Home-Based Nursing …