Digital Commons Network^™

Efficacy Of Cardiac Telerehabilitation In Coronary Artery Disease Patients, Pei-Tzu Liu, Shu-Fen Su

International Nursing Research Congress (INRC)

Background: Cardiac rehabilitation can effectively reduce recurrence of coronary artery diseases (CADs). Telehealth with wearable devices enables CAD patients to do rehabilitation at home, but it’s efficacy remains unclear.

Purpose: This study evaluated the efficacy of cardiac telerehabilitation in cardiovascular risk profile of CAD patients.

Methods: A systematic review of using PICO keywords, P: coronary artery disease, I: cardiac telerehabilitation, C: center-based cardiac rehabilitation, O: cardiovascular risk profile (body mass index, waist circumference, cholesterol, triglycerides), was used to search English and Chinese articles from 2019 to 2024 in Cochrane library, PubMed, CINAHL, and Chinese Electronic Periodical Services. Ten randomized controlled …

Enhancing Nursing Curriculum With Ai: Integrating Generative Technology In Nursing Education, Karen E. Alexander, Kechi Iheduru-Anderson

International Nursing Research Congress (INRC)

Purpose: This presentation aims to explore integrating generative AI technology, such as ChatGPT, into nursing education to support curriculum development, enhance student engagement, and improve learning outcomes. This study examines how AI can be incorporated to enrich pedagogical approaches in nursing, ensuring that students are well-prepared for complex, evolving healthcare environments.

Background: As healthcare settings become increasingly technologically advanced, nursing education must evolve to prepare students for ever-changing clinical practice. AI technologies, particularly generative AI models, present significant potential for transforming nursing education by promoting active learning, fostering critical thinking, and enabling personalized learning pathways. However, AI in education poses …

Musculoskeletal Health And Physical Performance In Gynecological Cancer Women During Chemotherapy, Yu-Yun Hsu, Keng-Fu Hsu, Cheng-Feng Lin

International Nursing Research Congress (INRC)

Background: Chemotherapy-related musculoskeletal adverse effects, such as muscle wasting, reduced muscle mass, muscle and joint pain, decreased bone density, joint stiffness, and inflammation, can impair physical activity and impact overall survival (Sutton et al., 2019; Sturgeon et al., 2019; Pin et al., 2018; Jang et al., 2020; Lee et al., 2019). However, limited research exists on the changes in musculoskeletal health and physical performance among women with gynecological cancer throughout chemotherapy.

Purpose: This study aimed to examine changes in musculoskeletal health and physical performance across chemotherapy cycles and identify factors influencing these changes.

Methods: A prospective longitudinal …

A Research Study Of Art-Based Pedagogy In Nursing Education, Lauren Holloway, Lila De Tantillo

International Nursing Research Congress (INRC)

Objective: Art-based pedagogy (ABP) is a non-prescriptive teaching strategy that facilitates understanding of multiple perspectives and connects students and educators in the learning process (Obara et al., 2022; Rieger et al., 2020; Rieger & Chernomas, 2013). One nursing school has incorporated this approach in its undergraduate nursing research course. This cross-sectional study aims to evaluate the impact of incorporating ABP in the curriculum.

Background: This investigation was guided by David A. Kolb’s Experiential Learning Theory (Kolb & Kolb, 2009; Rieger & Chernomas, 2013). This educational theory, which focuses on adult learners, emphasizes participation and reflection to promote student engagement and …

Addressing Lgbtq+ Health In Ireland: A Scoping Review To Identify The Current Landscape, John P. Gilmore, Tonda Hughes, Laurie Drabble, Chris Noone, Siobhan Thomas, Sean Kearns, Diarmuid Stokes, Lauren Bochicchio

International Nursing Research Congress (INRC)

Introduction: Sexual and gender minority (SGM) health research in Ireland remains limited, with substantial gaps in knowledge concerning health disparities among diverse LGBTQ+ populations. This scoping review provides a comprehensive synthesis of the current evidence, offering a foundational understanding of the existing research landscape and pinpointing areas for future exploration.

Aims & Objectives: The review aims to map the scope of SGM health research in Ireland, identifying primary areas of focus and critical gaps in representation to guide future research priorities and policy development.

Methods: A systematic search was performed across PubMed, PsycInfo, CINAHL, and Embase, utilising search terms created …

C.A.R.E. Symposium And Caritas: Co-Creating Community Engagement To Advance Health Equity, Shelitha R. Campbell

International Nursing Research Congress (INRC)

The foundation of nursing lies in the art of caring, addressing emotional, spiritual, and psychosocial health beyond the physical. Jean Watson's Theory of Human Caring and the eighth Caritas Process, Co-Create, which focuses on creating healing environments at all levels, offers a guiding framework for nurses, healthcare providers, survivors, and community members to bridge divides created by social drivers of health, such as those perpetuated by human trafficking.

The inaugural C.A.R.E. Symposium: An Anti-Trafficking Movement offered a platform to address the global health crisis of human trafficking. It provided a collaborative space for community members and advocates to promote health …

Relationships Between Maternal Employment, Breastfeeding Relationships, And Maternal Emotions, Natsuko K. Wood, Justice Nii-Ayitey

International Nursing Research Congress (INRC)

Objective: The COVID-19 pandemic changed maternal employment (e.g., telework options) and caregiving infrastructure in the US (Bauer & Yu Want, 2023). The purpose of this study was to examine the impact of maternal employment on breastfeeding relationships, i.e., mutual responsiveness during direct breastfeeding in response to perceived adequate milk supply (Wood et al., 2022 & 2023) and its relation to maternal emotions (Watson et al., 1988). Additionally, breastfeeding experiences were explored qualitatively.

Methods: A prospective, mixed methods, between groups repeated measures design was used (N = 81). Data were obtained between June 2022 and August 2023 through online …

Effect Of Storytelling On Nursing Student Engagement And Patient Perceived Empathy, Catherine Quay

International Nursing Research Congress (INRC)

Purpose: Evidence has shown that engaging, immersive learning experiences that promote the understanding of another person are most effective at improving empathy in nursing students (Bas-Sarmiento et al., 2020; Cho & Kim, 2024; Levett-Jones et al., 2019). There is a lack of evidence, though, related to the clinical significance of these learning experiences on patient perception of empathy. This study examined the effect of storytelling through an immersive virtual reality (IVR) intervention on nursing student engagement and patient-perceived empathy.

Methods: Guided by Transportation Theory (Green & Brock, 2000), a quasi-experimental comparison group, posttest design was used. Participants included 60 second-degree, …

Health Department Factors That Support Cross-Sectoral Collaborations In Promoting Physical Activity, Kimberly Brinker, Sarah Gimbel, Katherine Stamatakis, Betty Bekemeier

International Nursing Research Congress (INRC)

This study aims to identify factors within local health departments (LHDs) that assist in maintaining engaged and sustainable cross-sector collaborations that promote physical activity (PA) in the Hispanic community.

Physical inactivity is a common modifiable risk factor for chronic conditions which disproportionately impact the health of Hispanics in the US.¹ The prevalence of physical inactivity is highest among the Hispanic adult population at 32% compared with non-Hispanic black (30%), non-Hispanic white (23%), and non-Hispanic Asian (20%) adults.²

LHDs play a critical role by supporting programs that promote PA,³ through cross-sector collaborations. The social determinants of health (SDOH) …

Post-Pandemic Stress, Depression, And Anxiety After Difficult Or Distressing Shifts In The Ed, Ellen Beth Daroszewski, Dawn Zakzesky, Terrie Cole, Katie Mellgren, Sue Schoenbeck, Mark Semrad

International Nursing Research Congress (INRC)

Introduction: The emergency department (ED) has always been complex and stressful. Nurses face unique causes of stress from the physical, psychological, and social features of ED practice (Alomari, et al., 2020). Browning, et al. (2007) found ED nurses had more distressing work environments than other nurses resulting in higher persistent stress. In a review of 25 years of research, Adriaenssens, et al. (2015) found a 25% burnout rate in ED nurses. Prior to the pandemic, the WHO estimated that one-third of ED staff were at high risk for stress disorders (Stéphane, et al. 2016). Moukarzel, et al. (2019) found 50.7% …

Beyond Borders: Sustainable Development Goals As A Nursing Education Framework, Olivia Catolico, Jane Anyango, Andrea Boyle

International Nursing Research Congress (INRC)

Introduction: Nurse educators prepare graduates as effective and compassionate clinicians. Global conditions demand sustainable health solutions centered within cultural contexts. The United Nations Sustainable Development Goals (SDGs) that intersect with health are a vital framework for education. The impacts of Covid on learning and infrastructure losses have long term consequences on quality education, and loss of human capital (UN, 2024; ICN 2023).

The SDGs and social determinants of health framed educational project goals between two schools in different countries: (1) to engage students and faculty in collaborative learning experiences, and (2) to collectively explore social determinants of health and care …

Impacting Nursing Students' Clinical Reasoning Through An Innovative Series Of Obstetric Simulations, Alison H. Davis, Gloria Giarratano

International Nursing Research Congress (INRC)

Purpose: Most maternal deaths in the United States are attributed to avoidable medical causes. Clinical reasoning has been indicated as an essential competency for nurses to successfully manage patient care (Liou et al., 2015; Tyo & McCurry, 2019). New graduate nurses are often considered inadequately prepared for practice, lacking clinical reasoning skills to make critical decisions (Liou et al., 2015). Nursing students must develop clinical reasoning in high-risk obstetric care to reduce maternal mortality. Simulation provides an evidence-based approach to develop clinical reasoning using higher-order cognitive skills (Theobald et al., 2021; Tyo & McCurry, 2019).

The purpose of this quantitative …

Creating Practice-Ready Nurse Practitioners Through The Clinical Expert Model, Tarnia Newton, Lori Martin-Plank

International Nursing Research Congress (INRC)

Background: In today's dynamic healthcare landscape, nurse educators are pivotal in preparing practice-ready Nurse Practitioners (NPs) (Dumphy et al., 2019). This abstract examines the clinical expert model's role in equipping NP students with essential skills and readiness for autonomous practice. Educators are instrumental in transitioning students from registered nurses to advanced practice roles, a shift that demands new competencies, in-depth clinical knowledge, and a mindset for autonomous decision-making (Finneran & Kreye, 2019). This transition presents significant challenges, as NP students must master advanced skills and embrace leadership in patient care (Faraz, 2019). As the demand for "practice-ready" graduates grows, …

Does The Language Spoken In The Home Affect Family Asthma Management For Hispanic Children?, Sharon D. Horner, Megan C. T. Hebdon

International Nursing Research Congress (INRC)

Purpose: This study of Hispanic families with school-aged children (ages 7-12) who are diagnosed with asthma examined the influence of language spoken in the home on family asthma care and access to care.

Background: Asthma is the most common chronic condition in childhood, affecting 8% of all U.S. children. Children who live in poorer families or who are members of ethnic minority groups are disproportionately burdened. Hispanic individuals have 1.2 greater odds of having asthma compared to non-Hispanic white individuals. In Texas, Mexican Americans make up the largest portion of Hispanics, and 11.5% of Mexican American children have asthma …

An Evaluation Study Of Entry-To-Practice Competency Requirements For Rns In The Kingdom Of Eswatini, Bethany A. Murray, Nkosinathi Rejoice Nkwanyana

International Nursing Research Congress (INRC)

The purpose of this study was to evaluate the entry-to-practice (ETP) licensure requirements for RNs in The Kingdom of Eswatini. Eswatini implemented RN licensing requirements in 2020. Previously, RNs were licensed by graduation from a nursing training institution. Now, nurses must also pass a written general nursing exam and submit a signed record book of clinical practice skills (SCCRB) (1). RNs who want to practice midwifery or mental health have additional requirements. In 2023, the Eswatini Nursing Council (ENC) collaborated with a midwestern U.S. nursing school to evaluate the ETP requirements. The Nursing Registrar of Eswatini and nursing faculty from …

Distress To Success: Video-Based Interventions To Enhance Nursing Student Mental Health, Kacie Duncan, Heather S. Cole, Suzanne Prevost, Staci Simmons

International Nursing Research Congress (INRC)

Background: Nursing students have high stress levels that significantly impact their mental health, making them vulnerable to mental health disorders, burnout, poor academic performance, and dropout, ultimately contributing to the ever-increasing nursing shortage. Unaddressed mental health issues in nursing raise the risk of medication errors and the inability to focus. The purpose of this study was to introduce Mastering Mindset: A Mental Health Initiative, which aims to empower students to manage stress and succeed in their careers by using short TikTok-style videos.

Methods: A quasi-experimental study was conducted with 291 baccalaureate nursing students to assess changes in mindset, wellness, …

Exploring Factors Affecting Global Health Nurse Partnerships: Rwanda Human Resources-Health Program, Nanyombi Lubimbi, Jillian Pintye, Leah C. Neubauer, Madeleine Mukeshimana, Natasha Crooks, Rohan Jeremiah, Sarah Abboud, Cynthia Fritschi

International Nursing Research Congress (INRC)

Background: Low- and lower-middle-income countries (LMICs) account for 89% of the global shortage of nurses and midwives,^1,2 with inadequate training to address population health needs.^3,4 Nurse leaders are vital in addressing this shortage through education and training.⁵ One approach to nurse leadership development is to foster partnerships between institutions and governments in high-income countries and LMICs through twinning.⁶ Twinning partnerships were exemplified by the Rwanda Human Resources for Health (HRH) program (2012-2019). While twinning partnerships are beneficial in training nurse leaders in LMICs,^7,8,9 not enough is known about the factors that affect global health nurse …

Experiences Of Registered Nurses In Managing Hiv/Ptb Co-Infection In Primary Healthcare, Lwandile Tokwe, Portia Janine Jordan, Rugira Regis Marie Modeste

International Nursing Research Congress (INRC)

Globally, approximately 39.9 million people were living with Human Immunodeficiency Virus (HIV) in 2023 (World Health Organization, 2024). In South Africa, an estimated 8.0 million people were living with HIV in 2024 (Statistics South Africa, 2024). The People Living with HIV (PLWH) become prone to developing other co-morbidities such as Pulmonary Tuberculosis (PTB) (Darraj et al. 2021). The PTB is a common opportunistic disease in PLWH (Shaw & Matin, 2022). South Africa is burdened with HIV/PTB co-infection. However, it there is a paucity of research on the experiences of registered nurses in managing HIV/PTB co-infection especially in Primary Health …

Perceived Stress And Compassion Satisfaction Among Nurses: The Mediating Role Of Disaster Readiness, Hsueh-Hsing Pan, Peng-Ching Hsiao

International Nursing Research Congress (INRC)

Background: Nurses’ disaster readiness is influenced by stress, self-efficacy, and family support. Understanding the mediating roles of these factors is crucial for enhancing preparedness and ensuring effective patient care during disasters. With the increasing occurrence of disasters, understanding how stress impacts disaster readiness and the potential mediating roles of self-efficacy and family support is essential.

Aim: To examine whether self-efficacy and family support mediate the relationship between stress and disaster readiness among nurses.

Methods: A cross-sectional study was conducted with 476 registered nurses. Data were collected on demographics, work-related characteristics, the Perceived Stress Scale-14, the General Self-Efficacy Scale, perceived …

Nurses And International Service Work: Do Short-Term Trips Really Make A Difference?, Stephanie Matthew

International Nursing Research Congress (INRC)

Introduction: Nursing students often have international service-learning (ISL) experiences (Huang et al., 2020; McClure et al., 2020; McKinnon et al., 2022). ISL often includes ethical concerns (Claire et al., 2022; Greig et al., 2022; Rowthorn et al., 2019). Additionally, we do not have strong studies linking ISL to effects on nursing practice later. Many trips show short-term benefits for nurses, but it is unclear whether ISL will improve patient care at home later (Wu et al., 2020).

Purpose Statement: The purpose of this study was to explore the reflections of registered nurses to discover how past ISL influence their current …

Enhancing Patient Safety: Nurses’ Perspectives On Barcode Point-Of-Care Systems, Jimi Han, Hee Sun Kang

International Nursing Research Congress (INRC)

Background: Barcode technology in healthcare has advanced significantly and has become essential for patient safety. Multifunctional devices, such as personal digital assistants (PDAs), are integrated with electronic health records, enabling real-time documentation through barcode scanning at the patient’s bedside.

Aim: This study aimed to explore nurses’ perspectives regarding the barcode point-of-care (POC) system using mobile PDAs, focusing on medication administration, blood transfusions, and specimen collection.

Methods: This qualitative descriptive study collected data through focus group interviews with 24 nurses between September and November 2023. The data were analyzed using content analysis.

Results: Participants acknowledged that although …

Behavioral Symptoms Of Dementia Management: Learning Experiences Of Healthcare And Allied Students, Modupe Adewuyi, Joy Li, Debbie Blay, Ifeoma Falilatu Ohaya

International Nursing Research Congress (INRC)

Background: Alzheimer's disease is the most common form of dementia in the U.S., with expected cases rising from 6.7 million to about 13.8 million by 2060 [1]. Over 90% of individuals with Alzheimer's and related dementias (Pw-ADRD) experience behavioral symptoms such as agitation [1]. Studies have shown that these symptoms are positively correlated with functional and cognitive impairment, leading to earlier placement in nursing homes, hospitalizations, and increased caregiver burden [2-3]. Non-pharmacological interventions have been shown to be effective in preventing and managing those symptoms [4-5]. However, many healthcare and allied professionals lack the knowledge and skills to implement these …

Chatbot-Facilitated Hpv Education Improves College Students' Knowledge And Vaccination Intentions, Ching-Yi Lai

International Nursing Research Congress (INRC)

Background: Human papillomavirus (HPV) is a common sexually transmitted infection linked to various cancers, posing health risks for college students. Many students lack sufficient knowledge about HPV and its vaccine, resulting in low vaccination rates. Traditional lecture-based education often fails to engage students. Chatbot-facilitated HPV education may provide real-time feedback, attract attention, aid retention, and enhance HPV knowledge and vaccination intentions.

Purpose: This study aimed to evaluate the effectiveness of chatbot-facilitated HPV prevention education in improving HPV knowledge and vaccination intentions among college students.

Methods: A randomized controlled trial with 88 students from a university in central Taiwan was conducted. …

Enhancing Dnp Pmhnp Training For Early Recognition Of Suicidality And Psychiatric Crises, Mckenzie Nava, Nia Adimu-Ceja Josiah, Tamar Rodney

International Nursing Research Congress (INRC)

There are current gaps in traditional Doctor of Nursing (DNP) Psychiatric Mental Health Nurse Practitioner (PMHNP) curricula regarding the early recognition and management of suicidality and psychiatric crises. By examining limitations in existing educational frameworks and assessing targeted interventions like simulation-based education training, this research aims to propose evidence-based recommendations for enhancing PMHNP competency in recognizing early signs of suicide risk, managing psychiatric crises collaboratively, and enhancing practice readiness.

Suicide is a leading cause of death in the United States and early recognition of suicidality and psychiatric crises is critical. Traditional DNP PMHNP programs fail to equip students with skills …

Variations In Bio-Psycho-Behavioral Profiles And Quality Of Life Among Obesity Subtypes, Ching-Ling Lin, Yu-Ju Chen, Lih-Yeu Huang, Shu-Ling Chu

International Nursing Research Congress (INRC)

Background: Obesity, a complex metabolic condition, is linked to chronic diseases and reduced quality of life (QoL) (Ben Othman et al., 2023). Traditional metrics like Body Mass Index (BMI)fail to capture the full spectrum of metabolic health impacts (Iacobini et al., 2019). A nuanced classification into obesity subtypes—metabolically healthy normal weight (MHNW), metabolically unhealthy normal weight (MuHNW), metabolically healthy obese (MHO), and metabolically unhealthy obese (MUO)—reveals significant variations in health outcomes (Després, 2023). Understanding these differences in bio-psycho-behavioral aspects and QoL is crucial but underexplored.

Aim: This study examines bio-psycho-behavioral factors and QoL variations across different obesity subtypes.

Methods: In …

Trajectory Of Meaning In Life After Heart Failure Hospitalization Is Associated With Quality Of Life, Min Hui Liu, Chao-Hung Wang, Ai-Fu Chiou

International Nursing Research Congress (INRC)

Background and objective: Patients with heart failure (HF) are at a high risk of sudden death and have poor health-related quality of life (QOL). The uncertainty of living substantially challenges the presence of their meaning in life (MiL). Previous studies suggest that the presence of a strong MiL has a protective effect for patients to face this incurable disease and help them improve their QOL. We hypothesized that characterizing the trajectories of MiL can help identify the patients at the high risk of developing poor QOL for early therapeutic interventions.

Methods: We prospectively enrolled 200 patients with HF hospitalization. From …

The Explorative Of Eating Behavior, Quality Of Life And Related Factor In Bariatric Surgery Patients, Shih-Ting Lo, Shu-Fen Wu, Yu-Rong Hsu, Tien-Chou Soong

International Nursing Research Congress (INRC)

Background: Obesity is now recognized as one of the most important public health issues worldwide. Bariatric surgery is the most durable weight-loss solution for patients with morbid obesity. However, adopting healthy eating behaviors is essential for successful weight loss and improving health-related quality of life.

Purpose: This study aimed to assess the association between eating behaviors and health-related quality of life (HRQOL) and examined influencing factors among patients after bariatric surgery.

Methods: The cross-sectional study design was adopted with convenience sampling conducted at bariatric center in Southern Taiwan. A total of 296 morbid obesity patients were recruited. Data were collected …

Nurses' Understanding Of Lgbtq+ Populations: A Needs Assessment, Danielle Brochu

International Nursing Research Congress (INRC)

Background: Recent literature illustrates the lack of nursing knowledge regarding health considerations specific to the LGBTQ+ population, both among nursing students and registered nurses (Medina-Martínez et al., 2021). A systematic review of the evidence by Sherman et al. (2023) concluded that formal education on this topic remains limited, as a comprehensive method to providing this education to nursing staff and other healthcare providers has yet to be identified. From a higher education standpoint, many pre-licensure BSN/RN students report a lack of formal education on caring for LGBTQ+ populations and have little exposure to this population in the clinical setting (Morris …

Auditory Hallucinations As Patients' Allies: Challenges For Psychiatric Nurses In Clinical Care, Su-Chen Lo, Jia-Min Li, Chiu-Yueh Yueh Yang

International Nursing Research Congress (INRC)

Background: Auditory hallucinations are a prevalent positive symptom in schizophrenia, with 20-60% of patients experiencing them even with regular medication. Nurses' expertise in managing these hallucinations directly influences symptom stability. Nurses who feel overwhelmed by handling auditory hallucinations may also consider leaving the profession. Thus, understanding psychiatric nurses' experiences and challenges in managing auditory hallucinations is valuable.

Aim: To explore psychiatric nurses' experiences in caring for patients with auditory hallucinations.

Methods: This qualitative study included 39 nurses (10 male, 29 female) across four psychiatric hospitals. Three rounds of focus group interviews were conducted weekly from June to August 2024, and …

Bridging The Gap: Opportunities And Barriers In Diabetes Self-Management Education, Paul R. Boy, Sorina Long, Manpreet Sidhu, Barbara Roces, Dante Anthony Tolentino

International Nursing Research Congress (INRC)

Diabetes self-management education and support (DSMES) programs are essential for navigating the complexity of diabetes management, yet engagement in these programs is poor.^1,2 A gap remains in understanding AAs' DSMES engagement due to the exclusion of their perspectives and the tendency to treat them as a monolithic group,³ missing nuanced experiences. This lack of understanding prevents the creation of interventions to improve DSMES engagement among AAs. Therefore, this study aimed to describe the determinants of DSMES engagement among AAs with T2DM. We used an interpretive descriptive qualitative approach to explore how AAs engage with DSMES programs. We conducted …