Digital Commons Network^™

Mixed Reality In Modern Nursing Practice: A Systematic Review Of Clinical Applications, Chandler H. Moser, Changhwan Kim, Bindu Charles, Renila Tijones, Elsa Sanchez, Jedry G. Davila, Hemilla R. Matta, Erin Barker, David Goldenberg, John Madara, Michael J. Brenner, Cildi-Clabsi Study Team, Vinciya Pandian

International Nursing Research Congress (INRC)

Objective: This study aims to review recent literature on using mixed reality (MR) in nursing practice, focusing on outcomes related to nursing efficiency, satisfaction, ergonomics, competency, and team effectiveness. The research addresses the growing interest in using MR technology to enhance nursing care delivery and improve access to care.

Methods: A systematic review was conducted following PRISMA guidelines and registered in PROSPERO. Multiple databases, including MEDLINE, Embase, and Scopus, were searched for relevant literature from January 2013 to January 2023. Inclusion criteria were studies that employed MR in nursing settings with measurable outcomes in efficiency, satisfaction, ergonomics, competency, or team …

Why All The Noise? How To Reduce Alarm Fatigue In The Intensive Care Unit, Dawn-Marie Jackson Hall

International Nursing Research Congress (INRC)

Background: Intensive care units have copious amounts of alarms and sounds that can lead to patient distress and alarm fatigue for staff, resulting in delayed responses to an alarm in a patient’s room. With so many alerts in the intensive care unit (ICU), staff can become desensitized to the noises, and patient care is affected, increasing the likelihood of adverse events (Gorisek et al., 2021; Leigher et al., 2020). The project examines the effects of changes in patient care to reduce the number of alarm alerts to impact the potential of alarm fatigue in nurses working in a busy ICU. …

The Effects Of Lactation Practices On Lactational Amenorrhea: A Systematic Review, Helen Baker, Anna Newton-Levinson, Sharon Leslie

International Nursing Research Congress (INRC)

Background: Lactational amenorrhea (LA) is a contraceptive method that suppresses ovulation postpartum through frequent and exclusive breastfeeding, with up to 98% effectiveness in the first six months if practiced optimally (Curtis et al., 2024). LA relies on consistent breastfeeding intervals and nipple stimulation, which inhibit gonadotropin-releasing hormone (GnRH) secretion (McNeilly, 2001). Factors such as supplemental feeding, breast pump use, and early return to work may reduce LA's efficacy (Stuebe & Chen, 2022). This review assesses the impact of various lactation practices on LA to provide current insights and support informed counseling on breastfeeding as a contraceptive method.

Methods: Following PRISMA …

Nurses' Involvement Of Caregivers In Managing Childhood Illnesses In Vhembe District, South Africa, Sophy Mogatlogedi Moloko

International Nursing Research Congress (INRC)

Nurses are responsible for improving family and community component of the Integrated Management of Childhood Illness (IMCI) strategy [1] by providing counselling and health education to caregivers of children under-five years [2]. However, some caregivers still delays seeking healthcare for their children. The delay results from lack of recognition of disease severity, cultural and religious beliefs regarding child health and illnesses [3]. The aim of the study was to explore nurses' involvement of caregivers in the prevention and management of childhood illnesses in Vhembe district, South Africa.


A qualitative exploratory description design was applied in the study. A sample of …

A Mixed Method Study On Nurses Pain Management For Hospitalized Persons Living With Dementia, Beverley F. Ingelson

International Nursing Research Congress (INRC)

Purpose Statement: To assess factors influencing nurses’ beliefs and knowledge when assessing and managing pain in hospitalized older persons living with dementia (PLWD).

Background: Hospitalized PLWD often experience unrelieved pain. Pain is common in PLWD. Undermanaged pain accelerates changes in cognition, memory loss, and functional decline. Nurses’ personal feelings and professional experiences with pain may lead to inaccurate knowledge and beliefs based on negative stereotypes of aging and dementia.

Methods: A mixed method study was conducted using an explanatory sequential design. The quantitative cross-sectional survey study measured nurses’ self-perceived knowledge and beliefs about pain assessment and management in PLWD. The …

Vaccine Hesitancy In Rural Southeastern United States, Janet Brown, Leigh Ann Bray Dayton, Kimberly Rogers

International Nursing Research Congress (INRC)

Purpose: Minority populations in the United States (U.S.) have lower COVID-19 vaccination rates compared to the overall U.S. vaccination rates. COVID-19 vaccination rates in the United States are 81% for all races and ethnicities combined, while the vaccination rate for those identifying as Hispanic or Latino is 67%. This has not significantly improved from a 29% rate of vaccine hesitancy among those who identified as Hispanic in 2021. Community-engaged research has been found to be effective in identifying and understanding factors related to vaccine hesitancy and the broad reach of public libraries provides unique opportunities for outreach efforts to …

Hemoglobin A1c And Timing Of Sternal Wound Infection Recognition In Cardiac Surgery, Marisa Tran Le, Sarah Craig

International Nursing Research Congress (INRC)

SWIs remain a critical concern in cardiovascular surgery, contributing to significant morbidity and mortality among patients. The literature review examined multiple studies establishing the relationship between elevated HbA1c levels and increased risk of postoperative complications in relation to glycemic dysregulation and its detrimental effects on wound healing and postoperative infection. Despite existing research exploring the incidence of SWIs and HbA1c levels, a notable gap exists in the literature regarding the time of recognizing SWIs in patients categorized by specific HbA1c benchmarks following cardiac surgery. My research aims to address this gap by evaluating the difference in the time it takes …

Antimicrobial Resistance (Amr): Policy And Practice Challenges In West Africa, Charles Kwanin

International Nursing Research Congress (INRC)

Antimicrobial resistance is a complex global health challenge we face now in our world. There are global solutions developed to tackle this challenge. To explore the challenge, Ghana and Liberia were the countries of focus. Using policy analysis of data from the Tripartite Antimicrobial Resistance Country Self-Assessment Survey (TrACSS) by the World Health Organization data Global database as of 2022 on AMR an analysis of the various policies both governments have been implemented was conducted. A semi-structured interview was conducted among three selected from each country. The results of this study indicate that AMR is a global health security challenge; …

Effects Of Health Literacy Empowerment Education In Korean Nurses, Gun Ja Jang

International Nursing Research Congress (INRC)

This study aimed to examine the effects of health literacy empowerment education on the health literacy and cultural competence of nurses working in a Korean public hospital, which is easily accessible to vulnerable populations, including Medicaid beneficiaries and multicultural groups. The study was designed as a randomized controlled trial. Participants included 60 nurses employed at public hospitals who directly engaged in patient care and consented to participate in two educational programs on October 17, 2024. Odd-numbered applicants were assigned to the control group, while even-numbered applicants were placed in the experimental group. The control group (30 nurses) received a standard …

Pay It Forward: A Peer Mentoring Program For Doctoral Nursing Students, Holly Evans Madison, Michelle Julian, Marti Snyder, Joanne Masella, Kim Sand

International Nursing Research Congress (INRC)

Globally, nursing needs a diverse group of individuals with doctoral preparation to transform the profession through leadership, scholarship, and practice. Since Ph.D. and Doctor of Nursing Practice (DNP) programs are challenging, mentoring can provide a mechanism for student success. Mentoring occurs when someone with more experience supports someone with less experience (1). The purpose of this mixed methods interventional study was to evaluate the efficacy of a mentoring educational intervention on doctoral nursing students’ self-appraisal of their competency regarding mentoring, and to describe the experience of doctoral nursing students’ who mentored and their mentees. Based on the outcomes, this study …

Technological Competency As Caring In Prelicensure Nursing Students: A Us Survey Using The Tccni-R, Clarissa Afable, Chitra Paul-Victor, Angela S. Prestia, Jessica Roman

International Nursing Research Congress (INRC)

Background. In the U.S., prelicensure nursing students (PNSs) lack informatics competencies due to a lack of educational opportunities and resources. Therefore, there are implications in nursing education for preparing PNSs for patient-centered care using Locsin’s technological competency as caring in nursing theory.

Purpose. The purpose is to evaluate the psychometric properties and establish the reliability of the English translation of the TCCNI-R through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and validity via structural equation modeling to examine if the instrument applies in U.S. academic nursing education in PNSs.

Methods. The proposed study utilizes a descriptive, cross-sectional …

The Influence Of Substance Use On Sleep Architecture In College Students: A Cross-Sectional Analysis, Odunayo A. Elijah, George T. Mugoya, Mercy Ngosa Mumba, Shameka Cody, Dhikrullah Mudathir

International Nursing Research Congress (INRC)

Background: Substance use and poor sleep quality are prevalent issues among college students, often impacting their physical, mental, and academic well-being. This study examines the relationship between substance use and sleep quality.

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 employed adjusted logistic regression models to assess associations between tobacco, alcohol, and cannabis use risks and multiple dimensions of sleep quality, including sleep onset latency, early awakening, daytime fatigue, and difficulty falling asleep. Substance use risk was calculated using the …

Defining Caring Behaviors In Online Nursing Education: A Faculty Perspective, Katy Fisher-Cunningham, Vanessa Wright, Sheryl Buckner

International Nursing Research Congress (INRC)

The shift to online nursing education, driven by the COVID-19 pandemic, has underscored new challenges in fostering caring interactions, a core component of effective nursing pedagogy. While research highlights the importance of perceived caring behaviors by faculty for positive student outcomes, tools for standardizing and assessing these behaviors in virtual settings remain limited. Findings point to the need for resources, training, and assessment tools specifically designed for online teaching. This study will explore nursing faculty perspectives on essential caring behaviors in online environments, aiming to bridge this gap and enhance the student experience in online nursing education.

Using a descriptive, …

Predicting Preceptorship: A Multi-State Survey Study, Leonie Declerk, Martha Rojo

International Nursing Research Congress (INRC)

Preceptorship, students working with expert clinicians, is a common model of clinical education for health professions. Preceptorship allows students to apply knowledge, refine skills, and adopt professional attitudes. However, an ongoing preceptor shortage hinders nursing education at all levels. The purpose of this study was to evaluate factors influencing nurse practitioners’ (NPs) decision to be preceptors. We deployed an online survey to NPs residing in the United States. We used quantitative and rapid qualitative analysis to evaluate the influence of 11 factors on preceptorship status and intent to be a future preceptor. We received 1,295 responses. Employer support, self-efficacy, NP …

Program Evaluation Of Delirium Screening, Notification And Management, Savvy Louie, Sharon Norman, Jaymie Bryan, Dalton Vanderpol, Shelley Schoepflin Sanders

International Nursing Research Congress (INRC)

Background: Delirium is an acute confusion state associated with poor health outcomes, such as increased mortality and long-term cognitive impairments (Fong & Inouye, 2022; Mattison, 2022; Pereira et al., 2023; Rieck et al., 2019). Hospitalized older adults, ages 65 years and older, and patients with dementia are at increased risk of developing delirium (Mattison, 2022; Pereira et al., 2023). Delirium is prevalent and occurs in 2.6 million hospitalized older adults every year (Fong & Inouye, 2022). Despite the adverse impact of delirium on health outcomes, delirium diagnosis is often missed in routine hospital care. While delirium identification is integral to …

Are Open Or Enclosed Nursing Stations Better, And For Who?, Sydney Lauren Long, Annette Bourgault, Mona Shattell

International Nursing Research Congress (INRC)

The benefits of enclosed versus open nursing stations are frequently discussed among inpatient nurses and hospital administrators. This scoping review synthesizes the state of the science on architectural best practices for inpatient psychiatric units and identifies gaps in the literature about enclosed versus open nursing stations. Peer reviewed articles from PubMed, CINAHL, EBSCO, and Web of Science were extracted for review. These articles were written in English and published between 2015 and the present (2024). All studies occurred on adult inpatient psychiatric units. Qualitative and quantitative studies whose sample included inpatient nurses, nursing staff, and clients were included. Findings suggest …

The Eat, Sleep, Console Method In The Neonatal Intensive Care Unit: An Integrative Research Review, Kelsey Seigman

International Nursing Research Congress (INRC)

The use of opioids during pregnancy has risen dramatically in the last 25 years, resulting in an increased rate of newborns experiencing neonatal abstinence syndrome (Chyi et al., 2023). The primary assessment tool used to care for these infants has historically been the Finnegan Neonatal Abstinence Scoring System (FNASS). In recent years, the FNASS tool’s subjective nature has turned interests to the novel Eat, Sleep, Console assessment tool (Amin et al., 2023). This integrative research review was conducted by using a modified methodology suggested by Whittemore & Knafle (2005) and seeks to answer the research question, “For neonates of greater …

Baccalaureate Nursing Students' Knowledge Of Trauma-Informed Care And Infertility, Hildreth Eloi, Darlene E. Acorda, Martina Raquel Gallagher

International Nursing Research Congress (INRC)

Background: Globally, 48.5 million couples experience infertility.1 Experiencing infertility and miscarriage is a traumatic experience for many couples.2 Whenever couples engage in the healthcare setting to address issues of infertility, distress, and re-traumatization can occur.3 To provide patient-centered care, the healthcare team, especially nurses, needs to acknowledge infertility as a traumatic experience in reproductive health settings.4 However, there is limited knowledge of how nursing students conceptualize trauma in relation to infertility. This knowledge will be implemented into the Reproductive Health Care course in a pre-licensure program.

Aim: The purpose of this quality improvement project is to obtain insight into …

Text Message Intervention Among Northeast Louisiana Women With Cardiovascular Disease, Sherrie Roberson

International Nursing Research Congress (INRC)

Background: Physical activity plays a significant role in preventing cardiovascular disease (CVD) and reoccurring cardiac events. Physical inactivity is a global burden, and women are self-reporting physical inactivity or insufficiency is higher (8%) than males. In Louisiana, women ages 55 to 64 had the highest risk factors for CVD and heart attack. The purpose of this study was to examine the impact of a 6-week text messaging intervention on the effects of physical activity and physical activity self-efficacy among Northeast Louisiana women with cardiovascular disease.

Methods: Female subjects (N = 46) were recruited from the different parishes of Northeast …

Exploring The Latent Growth Trajectory Of Depression In Arthritis Patients, Yoonjung Ji, Wonhee Baek

International Nursing Research Congress (INRC)

Arthritis markedly diminishes the quality of life, compromises independence, and substantially escalates healthcare expenditures [1]. Numerous studies have identified a link between arthritis and depression. A meta-analysis indicated that depression is highly prevalent among individuals with arthritis and is linked to worse outcomes [2]. Additionally, some research suggests that individuals with depression have a higher likelihood of developing arthritis compared to controls [3]. However, there is a lack of research examining how depression progresses over time following an arthritis diagnosis and identifying the factors that influence these changes.

To investigate the trajectory of depression over time in patients diagnosed with …

Nurses Do It, Why Can't We? Social Media Use In The Prelicensure Clinical Setting, Christine Ann Sloan, Jane A. Tiedt, Joan M. Owens

International Nursing Research Congress (INRC)

Background: Nomophobia is defined as the fear of being detached from mobile phone use. The use of smart phones during clinical education is highly regulated by healthcare facilities and nursing schools alike. A meta-analysis of smart phone use among nursing students indicates the prevalence of nomophobia at 22% in a sample of 2780 nursing students (Osorio-Molina et.al, 2021). Nursing student use of cell phones in the clinical setting is associated with increased levels of procrastination, hypervigilance and “buck-passing” which can affect both their clinical and academic performance (Marquez-Hernandez et al, 2020).

In the fall of 2022, nursing faculty received an …

Symptoms Of Pain And Fatigue Among Adults With Gaucher Disease Type 1, Shauna L. Mangum, Stephen H. A. Hernandez, Elizabeth L. Dickson, Wendy Packman, Beth B. Tigges

International Nursing Research Congress (INRC)

People with rare disease have lower health-related quality of life (HRQoL) than the general population (Megari, 2013). Gaucher disease type 1 (GD1) is a rare, autosomal recessive, lysosomal storage disorder, caused by a deficiency of the lysosomal enzyme, glucocerebrosidase, that affects multiple bodily systems and is classified by the absence of neurodegenerative disease (Mistry et al., 2015; Stirnemann et al., 2017). An estimated 125,000 people have GD1 worldwide with about 6,000 people in the U.S. Pain and fatigue are the most commonly reported symptoms (Hayes et al., 1998), but both have been understudied (Drelichman et al., 2016; Zion et al., …

Linking Ethical Leadership To Nurses’ Internal Whistleblowing Through Psychological Safety, Sally Mohammed Farghaly Abdelaliem, Nadiah A. Baghdadi, Heba Emad El-Gazar, Mohamed Ali Zoromba

International Nursing Research Congress (INRC)

Background: Cultivating internal whistleblowing among nurses is of paramount importance to nurse leaders. Yet, the literature on how nurse leaders can foster this phenomenon among nurses is limited. Additionally, the underlying mechanisms linking leadership behaviors to internal whistleblowing intentions remain underexplored.

Aim: This study aimed to examine how ethical leadership is linked to internal whistleblowing intentions among nurses through the mediating effect of psychological safety.

Research design: A multicenter cross-sectional research design was used for this study.

Participants and research context: This study involved 201 nurses working in three tertiary governmental hospitals across three cities in Egypt. Data were collected …

Situating Nursing Education Within Cognitive And Sociocultural Perspectives For Meaningful Learning, Krista Searles

International Nursing Research Congress (INRC)

Nurse educators are subject matter experts in nursing science and practice, but designing meaningful instruction and assessment that meets the unique needs of a diverse group of learners requires additional knowledge from education and learning science, including educational theory and an understanding of the underlying nature of knowledge, learning, and transfer. While learning theorists have disagreed on the definitions of these foundational concepts over the last century, it is clear that “the assumptions we make about how people learn fundamentally drive the ways we design to support that learning” (Danish & Gresalfi, 2018, p 39). Whether pedagogies and assessment strategies …

Using Simulation To Assess Knowledge And Attitudes Of Healthcare Providers Regarding Cpr, Nausheen Barkat Ali Noorani

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to assess knowledge and attitudes of doctors, nurses and nursing technicians regarding cardiopulmonary resuscitation (CPR) before and after simulation-based learning (SBL).

Background: The Cardiopulmonary Resuscitation (CPR) is a vital component of the chain of survival for people who undergo cardiac arrest. The global incidences of cardiac arrest have increased over the past years (Lim et al., 2020). Subsequently, the incidences of cardiac arrest in the lower middle-income countries are higher with alarmingly poorer survival rates (Ahmed et al., 2021). This imposes greater responsibility on the healthcare system to respond to the cardiac arrest …

Ai Is Everywhere And Our Patients Are Turning To It For Answers, Vincenta Leigh, Beena Nair, Barbara Mcgee, Hoyle Leigh, Nathan Futoran, Nikhil Nair, Philip Insel

International Nursing Research Congress (INRC)

Artificial Intelligence (AI) is available to everyone, including our patients and clinicians, and offer us, at our fingertips, differential diagnosis, risk prediction, clinical decision support. How consistent and useful is AI in mental health, somatic and stress related questions? We developed 10 realistic scenarios/questions incorporating depression, anxiety, stress issues, and somatic concerns of patients. We submitted them as clinicians or patients to two AI platforms, Google Gemini and Microsoft’s Chat GPT. The responses were very different, and the references supporting their answers, were variable, sometimes nonexistent. The response to patient racial differences with the same symptoms was notably different. An …

The Impact Of Music Experience Sessions On Participants With Agitation Related To Dementia, Amy Redd, Kimberly Taylor, Kate Jones

International Nursing Research Congress (INRC)

Problem Statement: As dementia progresses, a person can experience behavioral and psychological symptoms of dementia (BPSD). There are numerous ways BPSD can affect people with dementia (PWD), caregivers, and society, causing a negative impact on quality of life, stress, caregiver burnout, and economic stability for society (Lorusso & Bosch, 2018; Maseda et al., 2018).

Purpose: The purpose of this project was to determine if the intervention would decrease episodes of BPSD without using pharmacological interventions.

Methods: The intervention was performed for an eight-week time frame were facilitated with participants with a known history of dementia.

Analysis: The Cohen-Mansfield Agitation Inventory …

Spatial Habits Advance Personal Excellence: Examining School Environments And Student Well-Being, Megan L. Jester, Dawn Loraas, Cian L. Brown, Madelynn Henderson

International Nursing Research Congress (INRC)

Schools are increasingly becoming the primary access point for health services for students, as families turn to schools to identify and address growing whole health needs. Before the COVID-19 pandemic, over 70% of children received mental health services solely through their schools (Kaskoun & McCabe, 2022). The built environment is a social and structural determinant (World Health Organization, 2010) influencing educational outcomes (Ikegbusi et al., 2022) including the readiness to learn (Colvin, 2024). Still, many schools lack the design necessary to support mental and physical health. There is limited nurse-driven research on how physical attributes impact students during critical transition …

The Lingering Effects Of The Covid-19 Pandemic On Nurses, Linda H. Yoder, Jacqueline M. Gordon, Noah Zanville

International Nursing Research Congress (INRC)

Background: Posttraumatic growth (PTG) is the experience of positive psychological change after struggling with major life crises, often resulting in a re-evaluation of priorities, greater appreciation for life, and spiritual/existential growth. The purpose of this national study was to measure PTG levels among nurses caring for patients during the ongoing COVID-19 pandemic.

Design: The survey study consisted of 2,077 U.S. based Academy of Medical-Surgical Nurses (AMSN) members and nurses from 23 hospitals in HCA Healthcare. The Posttraumatic Growth Inventory-Expanded (PTGI-X) and a demographic data collection sheet were used to collect data. Descriptive statistics and reliability testing were performed, as well …

Impact Of An Immersion Program On The Academic Readiness Of Underrepresented Minority Bsn Students, Demetrice Smith, Benita N. Chatmon

International Nursing Research Congress (INRC)

Background: Underrepresented minority (URM) students often face unique challenges in nursing education, including lower levels of academic preparedness, confidence, and peer support, which can affect retention and success rates. Increasing the diversity of the nursing workforce is critical to improving health equity and culturally competent care, making it essential to support URM students in their transition to nursing school. To address these barriers and contribute to a more diverse nursing workforce, an immersion program was developed to support URM students entering nursing school. This evidence-based project aims to evaluate student perceptions of preparedness, confidence, motivation, and support following the program. …