Digital Commons Network^™

Effect Of Non-Pharmacological Interventions In Depression And Anxiety In Children And Adolescents Ma, Rajesh Kumar, Maya Sahu, Kalpana Beniwal, Yogesh Bahurupi, Anindya Das

International Nursing Research Congress (INRC)

Objectives: Research has shown that non-pharmacological interventions can effectively reduce anxiety and depression in children and adolescents; however, there remains a lack of agreement on this topic. This review aims to assess the effectiveness of non-pharmacological interventions (NPIs) in alleviating depression and anxiety in children and adolescents when compared to control groups.

Methods: A comprehensive search of electronic databases, including PubMed, PsycINFO, OVID, ProQuest, EBSCO host, and Cochrane, was conducted for studies published from 2009 to May 2023. Studies that employed non-pharmacological interventions to evaluate their impact on anxiety and depression in children and adolescents were included.

Results: Out of …

Community-Based Smart Health Monitoring System For Older Adults Experiencing Poverty, Roschelle L. Fritz, Connie Kim Yen Nguyen-Truong

International Nursing Research Congress (INRC)

Background: By 2050, adults age 60+ will comprise 22% of the world’s population.1 95% of Americans have a chronic condition2 and 63% live in poverty.3-4 Innovative low-cost solutions are needed to support aging-in-place.5-7 The purpose of this case study is to examine the experience of one older adult using a low-cost Smart Health System (SHS) designed to assist with managing chronic conditions. The prototype health monitoring system was retrofitted in existing homes. It included 1 multisensor per room (motion, light, humidity); 2 door use sensors (main entry, refrigerator); an algorithm continuously processing sensor data and sending alerts when the resident …

Development Of A Patient Decision Aid For South Korean Couples Undergoing Ivf, Sooyeon Lim, Sihyun Park

International Nursing Research Congress (INRC)

Background: Infertility is a global health issue, and it is estimated that around 48million couples and 186 million individuals are affected worldwide^1,2. South Korea is currently facing a significant demographic challenge, with a fertility rate of 0.72 in 2023—the lowest among OECD countries³. Notably, 9.3% of births in 2022 were from government-supported fertility treatments⁴. Despite an increasing proportion of births resulting from such treatments, there are still no established guidelines to protect couples' confidentiality.

Purpose: The purpose of this ongoing study is to develop a patient decision aid (PtDA) tailored for South Korean couples …

Implementing Emerging Technology In Global Healthcare: An Integrative Review On Virtual Nursing, Madeleine Whalen

International Nursing Research Congress (INRC)

Background: The COVID-19 pandemic catalyzed many changes in global healthcare and the nursing workforce (1). Among these evolutions were the rapid advances in the use of technology to facilitate patient care. Many patients and providers have had experience with tele-health for outpatient visits or specialty consultations, but truly embedding technology, in the form of virtual nursing to support the provision of in-patient, non-ICU nursing care, is a newer phenomenon. Virtual nursing may be able to address many issues at the patient, staff and organizational level, however the best practices for implementing this staffing model are unknown (2).

Purpose: This presentation …

Enhancing Nursing Student's Communication Skills For Antimicrobial Stewardship Via Simulation, Sierra Gage, Rita Drummond Olans, Maureen Hillier

International Nursing Research Congress (INRC)

This pilot study evaluates the impact of high-fidelity pediatric simulation training on nursing students’ communication skills related to antimicrobial stewardship (AMS) with caregivers and families. The research focuses on developing and testing a simulation lab to enhance students’ decision-making, patient education, and therapeutic communication in AMS contexts. Using a quasi-experimental design, pre- and post-simulation surveys assessed effectiveness, with the Simulation Effectiveness Tool - Modified (SET-M) by Leighton et al. (2015) as the post-survey measure. Conducted over three months in the Northeastern United States, the study involved 103 pediatric prelicensure nursing students, with over 95% affirming enhanced communication abilities and confidence …

School Nurses’ Role In Screening, Brief Intervention, And Referral To Treatment For Mental Health, Andrea Lynn Tanner, Claire Burke Draucker

International Nursing Research Congress (INRC)

In a 2023 United States survey by the Centers for Disease Control and Prevention, 40% of high school students reported symptoms of depression, and 10% reported an attempted suicide.¹ For students experiencing mental health symptoms, school nurses are ideally positioned to identify and respond to them.² However, few school nurses employ a comprehensive intervention strategy that includes all three components of SBIRT: 1) screening for mental health concerns, 2) in-the-moment brief intervention, and 3) referral to mental health treatment if warranted.^2-4 The purpose of this study was to describe how school nurses perceive their role in addressing …

Impact Of High-Fidelity Simulation Training On Pediatric Nurses' Competence In Seizure Management, Wan Ting Wu

International Nursing Research Congress (INRC)

Purpose: Traditional training methods for new graduate nurses often rely on bedside experiences and lectures, which may limit the development of clinical skills essential for hands-on patient care. This study evaluates the effectiveness of high-fidelity simulation training in improving clinical competencies among newly graduated pediatric nurses in Taiwan, specifically in managing seizure emergencies. The study examines gains in cognitive, psychomotor, and affective domains.

Methods: A one-group pre- and post-test design was implemented using the Sim Junior high-fidelity simulation model alongside situational teaching strategies. Participants included Nurse Post Graduate Year (NPGY) pediatric nurses who received a structured “High-Fidelity Simulation Training Plan …

Global Nursing Education Through Simulation Technology: Enhancing Mass Casualty Training, Matt Anderson, Adrianna Lorraine Watson, Jeanette Drake, Sonrdra Heaston, Chynna Hartle, Lauralee Preece

International Nursing Research Congress (INRC)

Background: Nursing education is a global requirement, with many institutions worldwide struggling to find adequate space, time, personnel, and finances to invest in high-quality educational modalities for disaster preparedness and interdisciplinary communication or teamwork. This modality was designed with the global implications of a scalable approach to high-quality education while anticipating financial and logistical challenges.

Purpose: to assess the self-efficacy and experiences of undergraduate student nurses and EMTs participating in a mass casualty incident simulation (MCIS).

Methods: This study was designed as a mixed-methods study in which proportional odds logistic regression was paired with thematic analysis to present a complete …

Mitigating Racism In Nursing Using The Socio-Ecological Model, Kechi Iheduru-Anderson

International Nursing Research Congress (INRC)

Background: In 2021, the CDC identified racism as a major public health threat, highlighting its impact on social and economic determinants of health, such as education, housing, and employment, which in turn affect health outcomes (CDC, 2021; Waite et al., 2020). The nursing profession is not exempt from these effects; a 2021 survey of nurses revealed prevalent racism within nursing, influencing education, practice, and patient care (National Commission to Address Racism in Nursing, 2021). A comprehensive, multi-level approach within nursing is essential to address this issue.

Purpose: This study employs the socio-ecological model (SEM) to analyze racism in nursing and …

Interdisciplinary Simulation With Psychiatric Nurse Practitioner And Midwifery Students, Marissa Decesaris Siegel, Abigail Howe-Heyman, Joseph Schatz

International Nursing Research Congress (INRC)

Background: Mental health is the leading cause of pregnancy-related mortality in the United States.¹ Both psychiatric and midwifery providers often lack confidence in managing mental health disorders in perinatal patients and may also lack experience in interprofessional collaboration, a key domain of the American Association of Colleges of Nursing’s Essentials.² We are not aware of any existing programs that use interprofessional education to address perinatal mental health.

Purpose: The purpose of this project was to assess the feasibility of a post-partum depression simulation with psychiatric/mental health nurse practitioner (PMHNP), women's health/gender-related health nurse practitioner (WHGRNP), and nurse- midwifery …

Trust, Blame, And The Words Nurses Use, Jane K. Dickinson, Susan J. Guzman, Jennalee Wooldridge

International Nursing Research Congress (INRC)

The purpose of this study was to quantify emotional responses, including trust and blame, of people with diabetes, when exposed to problem words.
People with diabetes experience words that are judgmental and based on blame.¹ Language guidance papers have been developed in multiple countries, because negative messages can be harmful to people with diabetes.² A recent integrative review synthesized studies on communication and diabetes outcomes and concluded that negative messages can lead to diabetes distress, decreased health behaviors, and poor health outcomes. On the other hand, positive or supportive messages can lead to positive health behaviors.³
Trust …

A Model Of The Determinants Of Maternal Mortality In Indigenous Women, Jennifer L. Heck, Judy Goforth Parker, Kathryn M. L. Konrad, Ingrid Svenson, Annika Jennings

International Nursing Research Congress (INRC)

Despite increasing attention to the well-documented maternal health crisis in the U.S., stark disparities persist between groups of women. In December 2021, Indigenous mothers experienced 118.7 maternal deaths per 100,000 live births, whereas their White counterparts had 26.6 [1]. Maternal mortality is a multifaceted, complex issue that complicates the health and wellbeing of Indigenous women, yet the root causes of this disparity are not well-described. We need a deeper understanding of the determinants of health (social, structural, biological, political) that contribute to Indigenous maternal mortality. Indeed, the existing literature lacks adequate theoretical understanding to address this phenomenon. Therefore, the purpose …

Ehric Model For Non-Fatal Strangulation: A Novel Risk Assessment Framework, Chelsea Knutson, Patricia Ann Carter

International Nursing Research Congress (INRC)

Abstract Text: Background: Non-fatal strangulation (NFS) is a critical yet often overlooked form of violence, frequently occurring within sexual assault and domestic violence contexts. Despite its severity and prevalence, significant gaps remain in understanding NFS risk factors, hindering effective prevention and intervention strategies.

Purpose: This study aims to synthesize current literature on NFS risk factors and develop a novel conceptual model to aid in identifying high-risk individuals, informing clinical practice and policy-making in nursing and healthcare.

Methods: A comprehensive literature review was conducted using MEDLINE and CINAHL databases, with the keyword 'non-fatal strangulation', up to August 2024. The search was …

Translational Science Of Blended Tube Feedings, Amy Spurlock, Noah Thomas

International Nursing Research Congress (INRC)

The purpose of this research synthesis is to summarize translational science on Blended Tube Feeding (BTF) and the commentary that led to further research in the field.

Since 2013, nine papers have been published by a team on BTF. These papers utilized a variety of research methods to investigate the safety, efficacy, and patient outcomes of BTF compared to commercial formulas (CF). A case study explored the clinical improvement of a child post-transition to BTF, revealing reduced gastrointestinal (GI) symptoms and increased oral intake¹. Survey research was employed with Registered Dietitians and caregivers to assess attitudes, experiences, and …

Building Grit And Understanding Drivers Of Dropout Intentions Among Nursing Students, Marianne Biangone, Daniel Terry, Blake Peck, Jeong-Ah Kim, Linda Jones

International Nursing Research Congress (INRC)

Introduction: Defined as a combination of passion, perseverance, and long-term commitment, grit is the sustained effort to achieve difficult goals over time.^1,2 Nursing students have grit, which continues to develop as they enter the profession. However, nearly 20% of students do not complete their studies, despite academic and pastoral support.³ Interventions designed to develop mindsets, such as the six-week ‘Grow your Grit’ program⁴, better equip students for the rigors of academia. However, limited insights regarding the granular issues that drive dropping out exist.⁵

Purpose: To understand challenges that lead to increased dropout intentions among first-year …

Representing A Globally Diverse Profession: Implementing A Holistic Interview Process For Applicants, Courtney Chovanetz, Laura Opton, Irene Salinas, Kara Moellenberg

International Nursing Research Congress (INRC)

As the national nursing shortage rises across the United States, educators continue to focus on providing quality education and producing competent bedside nurses. However, there remains a lack of diversity in the nursing profession (Breland, 2020). Ensuring a student body is representative of various experiences and personal attributes creates a nursing workforce that more closely reflects the population and is prepared to successfully lead and impact health outcomes equity (Wagner et al., 2020). Implementing holistic interview processes will allow for the evaluation of life experiences and core values demonstrating a more accurate representation of how individuals will practice as professionals …

Unfolding Narratives: An Arts Health Project To Promote Empathy And Compassion In Nursing Education, Diana Catherine Jefferies, Stephen Mcnally, Paul Glew, Annette Stunden, Aileen Pamonag Lane, Lucie Michelle Ramjan

International Nursing Research Congress (INRC)

Empathy and compassion are core attributes when nurses are developing therapeutic relationships with vulnerable people in their care (Levett-Jones et al., 2019). The Unfolding Narratives uses a co-design arts health approach to create authentic, engaging and evidence based short films. The purpose of the films is to encourage pre-registration nursing students to reflect on their communication skills when caring for people who are living with mental ill health, dementia or are distressed by their life circumstances. Using a sliding door approach the films show how health outcomes are improved by empathetic and compassionate communication. They also demonstrate that without these …

Empowering Nurses Through Scope Advancement: Strategies For Professional Growth, Venise Bryan, Kristin Petrovic, Kelly Decoste

International Nursing Research Congress (INRC)

Nurses globally work within various scopes of practice, from entry-level to advanced roles, and play a vital role in meeting the health needs of individuals and communities across diverse healthcare settings. Nurses can further their education, to advance their scope, such as diploma-prepared Licensed/Registered Practical Nurses (LPNs/RPNs) completing their Bachelor of Nursing (BN) to become Registered Nurses (RN). In Canada, select BN programs use innovative pedagogies to specifically bridge curriculum that recognizes LPN/RPN experience (Chachula et al., 2020). LPN/RPN to BN learners bring rich clinical experience and diversity as they engage in career advancement and professional development (Almost, 2021).

A …

Trauma-Informed Practices In A School Of Nursing: An Assessment, Oluwatoyin Olukotun, Kala Mayer

International Nursing Research Congress (INRC)

Trauma-informed environments have been shown to foster academic success by creating trauma-sensitive learning spaces (Crosby, 2015), aligning with nursing’s core values of empathy, patient-centered care, and holistic health. However, despite the increasing use of trauma-informed approaches in K-12 settings, their application in higher education, particularly in nursing schools, remains underexplored (Doughty, 2018; Ernest et al., 2022; Henshaw, 2022; Thomas et al., 2019). This study aimed to assess the implementation of trauma-informed practices at a U.S. school of nursing (SON) from the perspectives of faculty and staff. In Spring 2024, an online Qualtrics survey was administered to faculty and staff at …

Measurement Tools Of Multiple Subjective Post-Intensive Care Syndrome Symptoms: A Scoping Review, Yoonsoo Eo, Rachel Hawn, Jennifer Stevens, Kristen Pecanac, Kristine Kwekkeboom

International Nursing Research Congress (INRC)

Background: A growing number of intensive care unit (ICU) survivors experience a range of distressing physical, mental, or cognitive problems post discharge, known as post-intensive care syndrome (PICS)¹. Increasing evidence suggests that PICS spans multiple domains^{2, 3}; however, prior reviews have noted a reliance on measures of individual symptoms and objective impairments^4-6. There is growing recognition of the need for measurement tools that comprehensively assess subjective PICS symptoms across multiple domains⁷.

Purpose: We conducted a scoping review of studies reporting two or more self-reported subjective symptoms of PICS. In the current analysis, …

The Lmpact Of The Covid-19 Pandemic On Registered Nurses, Mary Ellen Roberts, Joyce M. Knestrick, Lenore Resick

International Nursing Research Congress (INRC)

Background: The Covid –19 pandemic is a new experience with a substantial impact on the health and well-being of nurses caring for the patients diagnosed with the disease. Increased work and family demands have not been studied in these frontline workers. COVID-19 has altered many US nurses’ career plans. Over the past two years, the researchers have spoken with nurses who consistently, and increasingly, report planning to leave the workforce. This study looks at the impact of COVID-19 on the professional and personal lives of nurses.

Purpose: To understand the effects of COVID-19 a global pandemic on nurses caring for …

Nurses’ Lived Experiences During The Covid-19 Pandemic: A Descriptive Phenomenological Study, Kala Mayer, Jo Anne Bennett, Elizabeth Reifsnider, Jeanie Skibiski, Soojung Jo

International Nursing Research Congress (INRC)

The COVID-19 pandemic presented unprecedented challenges for nurses, including confronting end-of-life decisions, witnessing patient suffering, and burnout. Nevertheless, many nurses demonstrated resilience and personal growth despite adversities. Notable gaps in the literature include limited exploration of the long-term impacts of the pandemic on nurses, variations in experiences based on geographic, gender, and cultural factors, as well as the role of leadership and organizational response. Likewise, how nurses adapted to innovations such as new technologies and the impact of their pandemic experiences on patient outcomes and care quality remain underexplored. This study employed a phenomenological descriptive approach to capture nurses’ lived …

Creating A Quality Improvement Academy To Advance The Professional Development Of Front-Line Nurses, Andrea Paddock

International Nursing Research Congress (INRC)

Involving nurses in quality improvement (QI) is associated with improved quality care, operational efficiency, cost, and job satisfaction (Djukic et al., 2021; Robinson & Gelling, 2019; Tschannen et al., 2023). For nurses to engage in QI, they need proper structure, education, supportive leadership, and resources (Connor et al., 2023; Tschannen et al., 2021). Without such, they are ill-equipped to improve or sustain current practices with confidence and competence.

A gap was identified in an organization’s nursing structure in which a QI methodological approach and supporting resources was lacking. To address this gap, an 8-month QI Academy pilot was developed to …

Stress And Trauma In Nursing Students Over Time: A Longitudinal Study, Heidi Gilroy, Kala Mayer, Chelsea Ratcliff, Devon M. Berry, Sally Stephanie Rothacker-Peyton, Alice Ahn, Kennedy Anderson

International Nursing Research Congress (INRC)

Nursing students are exposed to trauma, toxic stress, and traumatic experiences during their education, contributing to mental health challenges such as anxiety, burnout, and symptoms of post-traumatic stress disorder (PTSD) (Gilroy et al., 2024). These experiences have significant implications for students' learning, academic performance, retention in nursing programs, and ultimately patient care. However, how these stressors and mental health symptoms evolve over the course of nursing education remains largely unexplored. This study aimed to describe changes in trauma exposure, risk and protective factors, trauma symptoms, and mental health among undergraduate Bachelor of Science in Nursing (BSN) students as they progressed …

Improve Exclusive Breastfeeding Rates Through Early Initiation, Camille Chua

International Nursing Research Congress (INRC)

Exclusive breastfeeding can be challenging to maintain. At the project site there was an inconsistent process for breastfeeding support, so an evidence-based solution was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if or to what degree the implementation of the World Health Organization (WHO) Guideline’s Baby-Friendly Hospital Initiative (BFHI) Step Four would impact exclusive breastfeeding rates (EBFRs) when compared to current practice among adult postpartum patients in an acute care hospital in Southern California over four weeks. Nola Pender’s middle-range nursing theory utilizing the health promotion model (HPM), and Kurt Lewin’s change theory provided …

Shared Decision-Making To Increase The Pre-Establishment Rate In First-Time Dialysis Patients, Shu Ju Chang, Yen Ping Tsai

International Nursing Research Congress (INRC)

Background: The number of people living with kidney disease (acute kidney injury, chronic kidney disease, and treated kidney failure) worldwide is reported to exceed 850 million (Bello et al., 2024). The number of people undergoing maintenance dialysis globally has increased dramatically. Chronic kidney disease (CKD) is not only a public health issue but also creates an economic burden (Lee et al., 2023). For patients with ESRD, a planned approach to establishing dialysis access is a critical priority.

Purpose: The pre-establishment of permanent vascular access and peritoneal catheters for dialysis is essential to reduce the need for repeated temporary tube placements, …

Intergenerational Programs: Reducing Loneliness Of Older Adults In Congregate Care Settings, Rachel Elaine Bagley, Yolanda Rodriguez, Jacelyn Tappert

International Nursing Research Congress (INRC)

Loneliness is an increasingly recognized public health issue, especially among the elderly, where it contributes to the decline in both physical and mental health (WHO Commission on Social Connection, 2024). In the geriatric population, loneliness is associated with increased risks of depression, anxiety, cognitive impairment, cardiovascular disease, falls, and overall mortality (Holt-Lunstad, et al. 2015; Millett et al., 2024; National Institute on Ageing, 2019). Loneliness in congregate care settings is often exacerbated by residents' loss of physical mobility, death of spouses, removal of the individual from their neighborhood and community, and reduced autonomy. The COVID-19 pandemic intensified these issues, reducing …

Development Of A Nurse-Led Interprofessional Community Health Nursing Education Program, Kim Alexander Decker, Wendy R. Miller

International Nursing Research Congress (INRC)

This presentation will describe an interprofessional community health nursing education project in a 5-county region. The preliminary phase of the project was to create a nurse-led interprofessional advisory group to direct a comprehensive health needs assessment with county health departments, area clinics and school officials, to determine community-based priorities. This phase was followed by an investigation of evidence-based interventions to address the acknowledged community health needs of substance use prevention and mental health promotion. Program costs and funding were identified and obtained through alumni donor gifts and internal university grants. A trained facilitator was selected to educate community health nursing, …

Trauma-Informed Design And Student Well-Being In Higher Education: An Exploratory, Descriptive Study, Isabelle Sadorra, Kala Mayer, Cara Poor, Olivia Mattern, Bella Small

International Nursing Research Congress (INRC)

Since the COVID-19 pandemic, there have been heightened reports of stress and trauma among students. Despite increasing evidence of the importance of trauma-informed design (TID) in healthcare and housing, its application in higher education settings remains underexplored. TID incorporates elements that create environments conducive to safety, well-being, and healing, which are critical for academic success. Design elements in the built environment that have the potential to reduce student and nurse stress and promote learning include access to nature and outside areas, safety and privacy features, and ambient noise and sound dampening features, for example. This study aims to assess students' …

Instrument Adaptation Through Focus Group Insights Of Clinical Nurse Specialist Practice, Sheree A. Scott, Kelley Kilpatrick

International Nursing Research Congress (INRC)

Background/Purpose: The Clinical Nurse Specialist (CNS) profession globally and across the US is facing challenges including workforce shortage and low CNS academic program enrollment. Role confusion and dissemination of outcomes directly tied to CNS practice may contribute to the issue. This study aims to address this gap by adapting a validated time in motion instrument, originally developed in Canada, to gather comprehensive data on the practice of the CNS in diverse care settings across southern California. The purpose of phase 1 is to ensure that the CNS time in motion instrument is tailored to the local healthcare environment.

Methods: The …