Digital Commons Network^™

Poor Dietary Habits And Physical Inactivity In Obese And Overweight Children: A Concept Analysis, Mahdiyeh Ahmadi, Marti Rice, Felesia Bowen

International Nursing Research Congress (INRC)

Aim: The aim of this poster is to analyze the concepts of poor dietary habits and physical inactivity, which are defined differently by various researchers, in obese and overweight school-aged children.

Background: Poor dietary habits and physical inactivity are two common modifiable lifestyle behaviors, contributing to overweight/obesity in children.

Design: Rodgers' method of concept analysis guided the review, including sample and setting, literature search, and data analysis.

Data Source: PubMed and CINAHL were searched for relevant literature.
Results: Antecedents included changes in children's lifestyles, increased dependence on transportation, parental, caregivers’, and peer influence, cultural and social norms, and environmental factors. …

Exercise Dependence: A Qualitative Study Of Fitness Enthusiasts’ Motivations For Excessive Workouts, David Paul Rubia Ramos, Edith Gili Habig, Jessica May Guillermo

International Nursing Research Congress (INRC)

More and more people around the globe are motivated to be physically fit and healthy. While a lack of regular physical activity can be a barrier to a healthier lifestyle, too much or excessive exercise may lead to exercise dependence and may pose serious health concerns. Excessive exercise or exercise dependence refers to a maladaptive pattern of exercise which can lead to clinically significant impairment or distress. This qualitative study explores the motivations for excessive exercise and contributing factors to exercise dependence among at-risk Filipino fitness enthusiasts. Using descriptive qualitative research, we conducted in-depth interviews with ten gym regular members …

Evaluation Of Practical-Based Instruction In Oncology Nursing Curriculum For College Students, Chih-Yin Chien, Tsae-Jyy Wang

International Nursing Research Congress (INRC)

Background: Vocational education not only focuses on knowledge transfer but also emphasizes practical application. The cultivation of practical-based learning is a crucial core of vocational education, balancing theory and practice while addressing students' diverse development.

Purpose: The purpose of this study was to develop an oncology nursing practice curriculum aligned with core competencies and to evaluate its effectiveness. The curriculum was designed around a practical-based learning approach, encouraging students to engage in discussions that foster learning engagement, enhance self-efficacy.

Methods: This study utilized a single-group pre-test and post-test design with a convenient sample of 27 students. The questionnaire assessed self-directed …

A Solitary Weight Loss Journey: Exploring The Lived Experiences And Perceptions Of Obese Adolescents, Yueh Tao Chiang, Fu-Sung Lo

International Nursing Research Congress (INRC)

Background: Adolescent obesity is a global public health concern, as habits formed during this critical stage can have long-term health consequences. Understanding how adolescents perceive and experience obesity is crucial for developing effective weight management strategies and promoting overall well-being.

Aims: This study aims to explore the lived experiences and perceptions of obese adolescents in Taiwan, providing deeper insights into their life context.

Method: This phenomenological study recruited participants from a pediatric endocrinology outpatient clinic in northern Taiwan from March to July 2022. Adolescents aged 12-18 with a BMI above the 95th percentile were included. Data was gathered through individual …

Factors Affecting Work Productivity Loss During The Covid-19 Pandemic: A Meta-Correlation Analysis, Jiyeon Jung, Inhae Cho, Jihyun Moon

International Nursing Research Congress (INRC)

Backgrounds: The COVID-19 pandemic has caused a decline in work productivity across various sectors. Identifying the factors influencing the loss of work productivity during a pandemic can have significant implications for health promotion and management among workers.

Objectives: This study aims to evaluate work productivity loss (including absenteeism and presenteeism) among workers during the COVID-19 pandemic by analyzing potential risk factors, such as demographic, individual, psychosocial, and organizational factors.

Design: We conducted a systematic review and meta-correlation analysis to identify risk factors influencing work productivity loss during the COVID-19 pandemic.

Review methods: Data were comprehensively searched across …

Developing A Value Clarification Exercise For Identifying Preferences For Breast Cancer Treatment, Ka Ming Chow, Carmen W. H. Chan, Winnie Yeo, Kai Chow Choi, Jiemin Zhu

International Nursing Research Congress (INRC)

Introduction: Most breast cancer (BRC) cases are diagnosed at an early stage and can be treated with either breast-conserving therapy or mastectomy, followed by optional breast reconstruction. However, studies have indicated that mastectomy is more commonly performed than breast-conserving surgery among young women with BRC, despite the absence of significant difference in survival rates between the two surgical procedures [1,2]. Women undergoing mastectomy without breast reconstruction were likely to experience poorer physical health, body image, and sexual health compared with those undergoing breast reconstruction or breast-conserving surgery [3]. Value clarification helps patients make more informed clinical decisions [4], reducing decisional …

Nurses’ Work Interruption And Response: Medication Tasks And Difference By Nursing Delivery System, Kyung Jin Hong

International Nursing Research Congress (INRC)

Purpose: Work interruption is a major factor that increases nurses’ workload, and multitasking during medication tasks is associated with medication errors. This study aimed to report the frequency, source, and response of interruptions during work, focusing on medication tasks and the differences between functional nursing and integrated team nursing delivery systems.

Methods: This study was conducted in August 2023 in two wards operating under different nursing delivery systems in a general hospital in South Korea. The observers shadowed each nurse individually, monitoring their work hours; 12 shifts (five day and seven evening shifts) for the functional nursing …

Exploring Cultural Dimensions Of Nurses' Experiences During Covid-19 In The Us And Hungary, Kala Mayer, Judit Staller, Jo Anne Bennett, Zoltán Balogh, Jeanie Skibiski, Anna Jeney, Soojung Jo, Elizabeth Reifsnider

International Nursing Research Congress (INRC)

Both the Hungarian and U.S. public health and care systems were inadequately prepared to manage the COVID-19 pandemic, contributing to significant distress among nurses. The role of geographical, gender, and cultural factors, along with leadership and organizational response during the pandemic between countries, remains underexplored in the literature. Nurses around the world are now more likely than before the pandemic to leave direct patient care roles. Cultural influences and healthcare system structure play crucial roles in shaping nurses' decisions to stay in or leave the profession. To address this research gap, we are using the lens of Hofstede’s Cultural Dimensions …

Preparing Nurse Preceptors And Clinical Nurse Educators To Advance Health Equity, Tiffany Allen, Emily Elliott, Joanne Noone

International Nursing Research Congress (INRC)

The purpose of Oregon Nursing Education Academy (ONEA) is to recruit, retain, and educate nurses in Oregon, Idaho, Washington and Alaska to serve as nurse preceptors and clinical nurse faculty to address the nursing workforce shortage and improve health equity. The United States nursing shortage is unlike others in the past due to several factors, including the extraordinary demands of the Covid-19 pandemic and its continued impact on nurses. Effective training and support are needed to effectively support new nurses (Bakewell-Sachs et al., 2022). Additionally, nurse educators must have a foundational understanding of health equity and social determinants of health …

Psychometric Evaluation Of Nursing Perceptions In Caring For Patients With Delirium Scale, Yunchuan Zhao, Elena Jacobs, Brittany Kelley, Anna C. Quon, Laura J. Tivis

International Nursing Research Congress (INRC)

Background/Purpose: Delirium is a serious and often under-recognized condition in hospitalized patients, particularly in critical and acute care settings. Nurses play a key role in delirium prevention, screening, and management.1 However, nurses may not consistently use evidence-based practices when caring for patients with delirium.2,3 Research shows that nurses’ attitudes and perceptions towards delirium can significantly affect the quality of delirium care.4,5 It is important to identify and understand nursing perceptions of delirium to address barriers in delirium prevention and management. Currently, there is no valid instrument to assess nursing perceptions when caring for patients with delirium. The study aimed to …

Physical Activity Level Associates With Long Covid Symptoms And Quality Of Life, Chia-Huei Lin

International Nursing Research Congress (INRC)

Background: Long COVID has emerged as a significant global health concern, leading to functional impairments, sleep disturbances, and a reduced quality of life (QoL). Moderate-to-high levels of physical activity (PA) have been shown to reduce the risk of health complications, improve cardiovascular health, and enhance patient-reported outcomes in chronic diseases. However, limited evidence exists regarding its impact on long COVID symptoms, sleep quality, and QoL in individuals with long COVID.

Objective: To investigate whether a moderate-to-high level of PA level associates with long COVID symptoms, sleep quality, and QoL in individuals with long COVID.

Methods: A cross-sectional …

Bridging Theory-Practice Gaps: Military Nurses' Combat Palliative Praxis And Care Competency, Deborah Kenny, Sean Reed

International Nursing Research Congress (INRC)

Background/Purpose: Evidence-based national guidelines establish traditional palliative care standards, yet there are gaps in applying competencies amidst combat nursing complexity, frontline fluctuations, and mass casualties. During the most recent wars, nurses related reluctance in triaging and not knowing how to care for severely ill and dying young service members (Kenny & Kelley, 2019; Kelley, Kenny, & Donley, 2017). Relevant nursing theory integration is lacking to guide this distinctly difficult context marked by severity and suffering, requiring theoretical nursing models attuned to combat conditions.

Aims/Outcomes: This presentation aims to describe an ongoing study using an adapted unitary caring science model (Reed …

Psychometric Properties Of Epds And Phq-9 Tools For Partners Of Pregnant Women In Karachi, Pakistan, Salima Sulaiman, Ilona S. Yim, Aliyah Dosani

International Nursing Research Congress (INRC)

Background: The Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire-9 (PHQ-9) are widely used to measure perinatal depression, which can negatively affect children's emotional, behavioral, and developmental well-being (Niel & Payne, 2020; Ashraf et al., 2023). Male partners in low- and middle-income countries (LMIC) are at higher risk for perinatal depression but remain significantly underrepresented in research (Rao et al., 2020). No studies have explored the factor structure of the EPDS and PHQ-9 for male partners in LMIC. This study aims to evaluate the psychometric properties of the EPDS and PHQ-9 for male partners during the antenatal period in …

Barriers And Facilitators Of Implementing A Novel Pediatric Nurse Preceptor Program In Malawi, Brittney Van De Water, Kelsey Renning, Olivia Yang, Ijaabo Ali, Blessings Chiluzi, Chimwemwe Mula, Julie Mann, Netsayi Gowero, Ando Nyondo, Lignet Chepuka

International Nursing Research Congress (INRC)

Purpose: Examine barriers and facilitators to implementation of a novel pediatric critical care preceptor program in Malawi.

Background: Malawi is a low-middle income country in sub-Saharan Africa with significant gaps in the availability of pediatric critical care nurses. We conducted a needs assessment in 2022 and developed a novel preceptor program to address these shortages.^1,2 The program was found to be effective;³ however, to understand barriers and facilitators to the implementation of this preceptor program in Malawi, we conducted followed-up interviews with participants.

Methods: Using the Consolidated Framework for Implementation Research (CFIR), interviews were conducted …

Enhancing Nurses’ Delirium Assessment Competence Through Svvr Approach A Randomized Controlled Trial, Yin-Ling Hung, Wen-Chii Tzeng

International Nursing Research Congress (INRC)

Background: With the rapid advancement of information technology, Virtual Reality (VR) has become increasingly prominent in nursing education. VR-based education offers immersive, interactive, and realistic clinical experiences, holding great promise for enhancing nurses' clinical competencies, particularly in complex tasks such as delirium assessment.

Purpose: This study aims to assess the effects of Spherical Video-based Virtual Reality (SVVR) technology on improving nurses’ clinical knowledge, assessment abilities, and attitudes toward managing delirium in clinical settings. By integrating SVVR, this study seeks to provide an innovative, immersive educational approach that allows learners to practice real-world scenarios, thereby enhancing their practical skills.

Methods: The …

Using Arts-Based Learning To Teach Clinical Judgement In An Undergraduate Nursing Leadership Course, Ashley Roach, Patricia Kingsbury, Ryan Chandler

International Nursing Research Congress (INRC)

Background: Arts-based learning is a pedagogy that uses art, literature, and writing to enhance listening and observation skills and can be used in nursing education (Lovell, et al., 2021; Raber, & Vermeesch, 2022; Reiger et al., 2016). A core competency of baccalaureate nursing education to apply knowledge from arts and humanities to their nursing practice (American Association of Colleges of Nursing, 2021). However, there is still little known about how this can be practically done in undergraduate nursing curricula to teach clinical judgment and leadership concepts.

Methods: In an undergraduate nursing leadership course, art, poetry, short stories, and creative writing …

“I Would’Ve Froze”- A Multi-Patient Simulation With Diverse Patients In A Rural Setting, Allison Sadowsky, Kathy Roth, Joanie Weigel, Ashlee Fettig

International Nursing Research Congress (INRC)

Nine percent of new graduate nurses meet entry-level expectations for clinical judgement skills (4). The 2021 Essentials called for a transition to competency-based education to better prepare nursing graduates. Simulation allows an opportunity to care for multiple diverse patients in unique settings to develop clinical judgement and communication skills necessary for delivering quality care while being immersed in real-life system process limitations. “Exposure to clinical scenarios including rural concepts helps students develop a broader understanding of rural healthcare disparities and cultural competence. Integrating rural simulation into nursing education can boost students' confidence in their clinical abilities" (6). A gap was …

A Feminist Analysis Of Kenyan Women’S Use Of Hiv Pre-Exposure Prophylaxis During Pregnancy, Marin Strong, Tessa Concepcion, Felix Abuna, Eunita Akim, Helen Aketch, Lauren Gomez, Bih Moki Suh, Emma Mukenyi, Nancy Ngumbau, Jerusha Nyabiage Mogaka, Sarah Obatsa, Ben Ochieng Odhiambo, Caroline Omom, Salphine Watoyi, Kenneth Ngure, Kristin M. Beima-Sofie, Grace C. John-Stewart, John Kinuthia, Jillian Pintye

International Nursing Research Congress (INRC)

Background: HIV incidence remains high among pregnant and postpartum women in Kenya despite access to HIV pre-exposure prophylaxis (PrEP).1–4 Male partners influence women’s individual PrEP decisions,5–7 yet few studies evaluate community-level gender and power dynamics. Aligned with calls for feminist global health research,8,9 we explored gender-based determinants and structural challenges of pregnant women’s PrEP use through a feminist lens.

Methods: We conducted focus group discussions (FGDs) in English, Dholuo, and Swahili with healthcare workers (HCW) and community advisory board (CAB) members of a randomized trial (NCT04472884) that enrolled pregnant women initiating PrEP at antenatal clinics in western Kenya.10 FGD …

Ethics In Practice: Exploring Ethics And Values With Newly Licensed Nurses, Kimberly Hodges, Kayla Dunagan

International Nursing Research Congress (INRC)

Purpose: Exploring ethics and moral values with newly licensed nurses (NLN) is a novel approach to addressing the application of healthcare ethics in ethical dilemmas across healthcare environments. Recent data trends and the literature indicates ethical and moral distress impacts the profession’s emotional stability (Berhie et al., 2020).

Background & Significance: Historically, the organization’s Registered Nurse Residency program covered ethics content during one session. An objective of the project was to increase opportunities for NLNs to explore their role in ethical dilemmas (American Nurses Association, 2015). A gap analysis including previous evaluation data revealed a need for frequent ethics discussions. …

"With So Much Trauma In The World, It's A No-Brainer": Dissociative Disorders In Nursing Education, Briana Lynn Snyder, Mary Sharon Curran, Caroline Cooney

International Nursing Research Congress (INRC)

Background: According to the World Health Organization (2024), about 70% of people worldwide will experience trauma at some point in their lives. Dissociative disorders (DDs) can result from experiencing and witnessing trauma, including child maltreatment, abuse, neglect, and more, and although the prevalence of DDs is up to 10% of the general population (American Psychiatric Association, 2022), psychiatric-mental health (PMH) registered nurses lack training and education on how to treat individuals diagnosed with these disorders (Snyder & Keepers, 2023).

Methods: Sixty-two PMH nurse educators completed an anonymous online survey that included quantitative (yes/no and multiple choice-style) and qualitative (free-text) questions …

Outpatient Transfusion For Oncology Patients: Development And Evaluation Of Staff Education, Madison Kaylie Strebel, Christine Rae Platt, Michael Scott Robinson, Taylor Russell, Sheri Tesseyman, Jeanette Drake, Marie Prothero

International Nursing Research Congress (INRC)

Background: An estimated 30% of oncology patients receiving chemotherapy will require a blood transfusion at least once for survival. At our designated infusion clinic, blood transfusions are not provided, forcing patients into emergency departments for treatment. Clinic staff expressed the desire to administer transfusions on-site, but nurses lacked the necessary training and support. This QI project aimed to create and evaluate an educational module to ensure staff competency and aid in administering blood transfusions in the clinic.

Methods: The Johns Hopkins Nursing Evidence-Based Practice Model and the Practice Evidence Translation process were utilized to identify key stakeholders and address barriers. …

Investigation Of The Influences Of Planned Exercise On Food Choices In School-Age Children, Carol Frances Holt, Dan Cooper, Gwen Van Servellen, Lynn Doering, Andria Pontello

International Nursing Research Congress (INRC)

This investigation explored the influence of a single bout of planned intense exercise on food choices (calories and macronutrients) in a controlled laboratory setting, in normal-weight school-age children. The National Heart, Lung, and Blood Institute (2022) reports that 1 in 5 children have obesity. Yet, research on the effect of exercise on children is limited. Studies often lack controls for environmental, social, or behavioral influences that may impact food choices. Also, studies often provide limited food options to identify macronutrient choices. (Donnelley et al., 2014) (Fearnbach, et al., 2016) (Kristina, et al., 2021) (Noll, et al., 2017).

A quasi-experimental …

Mental Health Awareness For Carers And Parents Of Young People With Migrant Backgrounds In Australia, Bindu Anna Joseph, Robeena Emmanuel

International Nursing Research Congress (INRC)

Australia is a multicultural nation with 30% of people born overseas (Australian Bureau of Statistics, 2023). Mental illness is highly prevalent among migrants with delayed help-seeking (World Health Organisation, 2021). Addressing the unique mental health care needs of these communities is paramount for improving inclusive and timely mental health care. ). Indian – born population is the second largest migrant community in Australia (Department of Health and Aged Care). Addressing the unique mental health care needs of these communities is paramount for improving inclusive and timely mental health care. The current phase of this research focused on Indian migrants.

This …

Substance Use In Nursing: Barriers And Facilitators In Returning To Work Under Monitoring, Jordan Ferris, Marian Wilson, Janessa M. Graves, Victoria Sattler

International Nursing Research Congress (INRC)

Background: The US is currently experiencing a substance use epidemic, with overdose deaths rising significantly. Substance use disorders (SUD) affect 17.3% of individuals aged 12 or older, including nurses (RNs) who face unique occupational stressors. RNs with SUD pose risks to both personal & patient safety. Regulatory bodies often impose monitoring & disciplinary actions on RNs with SUD, creating challenges for their return-to-work (RTW). Little is known about what supports & hinders successful return-to-work for RNs after substance use discipline

Methods: This study used Group Concept Mapping (GCM) to identify & prioritize facilitators and barriers in the RTW process for …

Navigating Interpersonal Connections: Relationships Of Pregnant Women Following Hiv Diagnosis, Andile Glodin Mokoena-De Beer, Sister Vanessa Mahlangu, Eugene Musiiwa Makhavhu

International Nursing Research Congress (INRC)

HIV remains a complex and public health concern in South Africa. The country’s population by mid-year 2024 was 63,02 million with 8,0 million estimated to be living with HIV. The prevalence rate of HIV in the country is approximately 12,7% with 4 900 00 women living with HIV by 2023, of these women 257 171 were pregnant women receiving antiretroviral therapy (ARVs) to prevent mother to child transmission^1,2. Pregnancy is a complex phenomenon linked to heighted anxiety about the birth processes and safety of the unborn baby. An HIV diagnosis at this time could worsen the mental wellbeing …

Losing All Faith In Women’S Healthcare: Women’S Experience With Pelvic Congestion Syndrome Pain, Sarah E. Patel, Sarah Mary George, Mercedez Dowah Boateng, Mei R. Fu

International Nursing Research Congress (INRC)

Purpose: Pelvic congestion syndrome (PCS) is an underdiagnosed cause of chronic pelvic pain, which accounts for nearly 30% of gynecological visits. Chronic pelvic pain due to PCS is often exacerbated from long periods of standing or walking, sexual intercourse, and menstruation. Research on PCS mainly uses quantitative approaches that focused on evaluating the effects of pharmacological or medical procedures for PCS and associated pain and symptoms. There is limited evidence that provides deep understanding of the experiences of chronic pelvic pain from the women’s perspectives. Using a qualitative, descriptive phenomenological design, the purpose of this study was to describe …

Experience Of Bowel Dysfunction In Rectal Cancer Patients: A Systematic Review And Mmeta-Synthesis, Min Jeong Kim, Eun Young Kim, Young Man Kim

International Nursing Research Congress (INRC)

Purpose: Low anterior resection syndrome (LARS) is a common and distressing outcome for many rectal cancer patients following low anterior resection (LAR), significantly affecting their quality of life. Numerous studies have explored patient experiences with bowel dysfunction; however, due to varying results, there are limitations to understanding these experiences comprehensively. Therefore, this study aims to synthesize diverse qualitative research findings to reveal a more comprehensive perspective.

Methods: A meta-synthesis of qualitative studies was performed through a rigorous and thorough systematic review, encompassing databases such as PubMed, EMBASE, CINAHL, SCOPUS, Web of Science, and the Cochrane Library. Additional studies were identified …

Effects Of Digital Interventions On Sleep Among College Students And Young Adults: A Meta-Analysis, Yi-An Lu, Pei-Shan Tsai

International Nursing Research Congress (INRC)

Background: College students and young adults (aged 18 to 25) frequently experience poor sleep quality, with insomnia being particularly prevalent in this population. Given the widespread use of digital devices, electronic device-based sleep interventions may provide a promising solution for improving sleep outcomes. However, the effects of these digital interventions on sleep in this group have not been fully evaluated. This study aims to review the current evidence on the effectiveness of electronic device-based interventions in enhancing sleep outcomes among college students and young adults.

Methods: A comprehensive search of five databases (PubMed, CINAHL, Cochrane Library, Embase, and Web of …

The Art Of Nursing, A Retention And Recognition Program Evaluation, Nadine Rosenblum, Heather Watson

International Nursing Research Congress (INRC)

Purpose: This presentation will describe an evaluation of a nurse retention and rewards program using a mixed methods research design.

Introduction: Recognition and reward programs may support retention and engagement while encouraging staff investment in hospital outcomes1, 2, 3. Hospital leaders developed an innovative strategy; The Achieving Professionally, Recognizing Contributions and Talent Sharing (ARTs) program to recognize clinical nurses for work beyond their defined job duties, while encouraging professional investment in the organization. Participants are matched with a coach to complete an annual portfolio and obtain a monetary reward.

Design: This study used a convergent mixed methods design supported by …

Interventions To Optimize Dietary Patterns In Black Pregnant Individuals: An Integrative Review, Katherine Erbe, Anne Thorndike, Melissa Nelson, Melis Lydston, Sara Looby

International Nursing Research Congress (INRC)

Black pregnant individuals bear an inequitable burden of maternal morbidity and mortality and adverse fetal outcomes.¹ Behavioral factors including dietary patterns² and adverse social determinants of health (SDOH) influence these disparities. Nutrition and diet quality are modifiable risk factors that can reduce pregnancy-related complications including cardiometabolic disease.¹ The objective of this integrative review is to identify and evaluate research exploring interventions to optimize dietary patterns in Black pregnant individuals.

This review was reported based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses. A comprehensive electronic database search was conducted. Inclusion criteria: full-text articles on intervention …