Digital Commons Network^™

What’S In A Name?: Transgender People’S Affirming And Invalidating Experiences With Preferred Names, Narciso Quildey-Rodriguez

International Nursing Research Congress (INRC)

Transgender and nonbinary (TNB) people’s gender identity differs from the sex they were assigned at birth. Approximately 1.6 million people identify as TNB in the US. Affirmation, the process of acknowledging a person’s gender identity, plays a significant role in the mental health and well-being of TNB people by reducing feelings of isolation, dysphoria, and anxiety. Invalidation, which occurs when a person’s gender identity is denied, can have significant adverse effects on the mental and emotional well-being of TNB people. This presentation explores TNB people's affirmative and invalidating experiences related to using preferred names and pronouns. Twenty semi-structured interviews with …

Caring For A Child With A Tracheostomy At Home: A Photovoice Study, Julie Van Orne, Kia Mccoy

International Nursing Research Congress (INRC)

The population of children with a tracheostomy (trach) continues to grow as technological advancements have shifted how care is provided to children born with complex conditions, including more of them being offered a trach to prolong life.¹ Home-based supportive services for children with a trach are underfunded and understaffed, putting the onus of care on the child’s family.² The daily life of caregivers of these complex children has not been well documented.³ The home is an intimate and person-specific space with its own context, patterns of relationships, power structures, and rules that are uniquely different from other …

A Systematic Review Of Artificial Intelligence And Nursing Education: What Do We Know?, Rayhanah R. Almutairi

International Nursing Research Congress (INRC)

Problem: Artificial intelligence (AI) has driven a global change in nursing education and is becoming more prevalent worldwide. Integrating AI into nursing education could revolutionize the preparation of future nurses and equip them with the necessary knowledge and skills related to AI. However, the existing literature on the intersection of nursing education and artificial intelligence is sparse, consisting primarily of commentaries, editorials, and opinion articles. To our knowledge, there is a notable gap in the comprehensive review that systematically synthesizes the current use of AI in nursing education.

Purpose: The aim of this systematic review was to synthesize the body …

Detecting Bad Actors In Social Media Research Recruitment: Ai And Bots, Oh My!, Sarah E. Patel, Steven R. Chesnut

International Nursing Research Congress (INRC)

Purpose: Researchers can use social media to recruit diverse populations for research studies with targeted posts in groups and across platforms with marketing. Sadly, Meta estimates 3% of the active 3.07 billion Facebook accounts are fake. Fake accounts that use bots and artificial intelligence (AI) threaten the integrity of research findings. Unfortunately, no guidelines exist to help researchers identify bad actors, or individuals not engaging with a survey in good faith via bots or AI assistance. We discuss our strategies to detect and remove bad actors.

Methods: We recruited participants from a Facebook pelvic congestion syndrome support group …

Global Learning Innovation: Addressing The Sdgs In An Interprofessional Partnership In Cyprus, Dianne Morrison-Beedy

International Nursing Research Congress (INRC)

Background/Purpose: Recognizing the importance of interprofessional educational experiences and graduating global citizens, nursing must think creatively to develop learning opportunities for global interaction. Challenges exist in offering study-abroad nursing experiences as curriculums are very full, controlled for content, and oftentimes accelerated. Building interdisciplinary collaborations outside of health may provide an untapped, innovative opportunity for building partnerships to enhance global educational outcomes. This presentation describes a unique partnership between nursing and geography designed to develop students’ understanding of the Sustainable Development Goals (SDGs) from diverse perspectives.

Methods: Our brief study abroad experience in Cyprus integrated joint field immersion experiences focused …

Prioritizing New Nurse Well-Being: Factors Affecting Patient Safety, Errors, And Turnover, Cory D. Church, Seungman Kim

International Nursing Research Congress (INRC)

Purpose: The well-being of new nurses influences individual health and organizational performance, including job satisfaction, turnover intent, and patient safety (NASEM, 2019). In the global healthcare landscape, addressing these concerns is essential for promoting leadership in organizational development. This study explores the relationship between the well-being of new nurses and organizational outcomes, focusing on leadership strategies that enhance well-being and improve healthcare system functionality.

Background and Significance: New nurses face significant challenges transitioning into professional practice. Transition shock, experienced by new nurses within their first 18 months of practice, leads to stress and burnout (Duchscher, 2018; Eckerson, 2018). Healthcare systems …

Re-Fracture Within One Year After Hip Fracture Surgery In The Elderly And Its Related Factor, Shuwen Cheng, Tsae-Jyy Wang

International Nursing Research Congress (INRC)

Background and Purpose Hip fracture is the most common cause of trauma admissions in the elderly. The incidence of contralateral hip fracture after hip fracture in the elderly is 10.8%, resulting in more disability, mortality, and increased medical cost. The study is to investigate the incidence of re-fracture in the elderly and possible related factors, including demographics, fracture types and treatments, osteoporosis parameters, lifestyle, body mass index, comorbidities, and clinical visits.

Methods This is a retrospective study. Data were collected from chart reviews of older adults who received hip fracture surgery at a hospital in Taiwan between 2018 and 2021. …

The Effectiveness Of Medical-Grade Honey Towards Burning Wound Healing: An Evidence-Based Approach, Ting-Ting Yang, Hsiang-Chu Pai

International Nursing Research Congress (INRC)

Background: According to World Health Organization, there are approximately 18,000 people die due to burns around the world every year. Burns often lead to prolong hospitalization, affect outlooks, increase treatment cost, and even disability. Besides, people might reject the burning patients owing to their appearance which could also affect their mental health.

There was a burning patient received the standard wound care method, then put on medical-grade honey gel with foam dressing, and it gradually helped wound healing.

Literature Review: After reviewing literature with PICO in different databases (e.g., Medline, PubMed and Cochrane), which P refers to burning wound, I …

Bridge-Icu: A Novel Approach To Reducing Futile Care Through Early Goal Alignment In Critical Care, Bryan Frankovitch, Kristin Bott, Joy Elwell, Anna-Rae Montano

International Nursing Research Congress (INRC)

Futile care in critical care settings creates ethical dilemmas and places emotional, physical, and financial burdens on patients and healthcare systems. The BRIDGE-ICU algorithm was developed to address these challenges by aligning ICU interventions with patient prognosis and goals-of-care early in the ICU admission process. This quality improvement project, conducted in a 12-bed medical ICU, aimed to reduce the incidence of non-beneficial care through interdisciplinary collaboration and early structured conversations. Patients flagged for potentially futile care were identified by the interdisciplinary care team based on clinical indicators and prognosis. Data collected over two months showed a significant 22.69% reduction in …

Improving Collaboration And Data Storage At An Ihs Facility: Kotter’S Method Of Organization Change, Madison Spellman, Dwight Kappl

International Nursing Research Congress (INRC)

Purpose: Inefficient communication and knowledge sharing have been linked to delayed patient care and reduced staff collaboration¹. The integration of applications for healthcare communication and knowledge storage² can improve clinic efficiency and staff communication³.

Documents and data at an IHS facility are stored on the clinic’s Z-Drive: a collection of folders on a clinic server containing outdated documents. If a staff member is editing a shared document in the Z-Drive, another staff member cannot also be editing the same document. If staff do not save a document correctly, multiple copies of the same document can …

Enhancing Pediatric Stoma Nursing Care: Analyzing Youtube Videos For Pediatric Stoma Care Techniques, Aylin Akca Sumengen, Inci Kirtil, Damla Ozcevik Subasi, Gokce Naz Cakir, Gozde Turkmenoglu Kucukakca

International Nursing Research Congress (INRC)

Background: Stoma care requires a multidisciplinary team, but when the patient is a child, family-centered care is crucial [1, 2, 3]. Caregivers and patients without prior experience in ostomy care often share their experiences and seek answers to their questions on digital platforms like social media and YouTube [3, 4]. YouTube is considered a valuable resource for educating pediatric patients and parents. It provides interactive and visual education, which is more accessible than traditional written materials [4, 5, 6]. However, it's important to assess the reliability and validity of these videos through content analysis.

Purpose: The purpose of this study …

Nursing Pedagogy: Using Gaming For Multifaceted Knowledge And Skills For Emotional Intelligence, Ashley Lanai Harmon, Jill Jackson Van Der Like

International Nursing Research Congress (INRC)

The current academic climate shows that students entering nursing school do not have the emotional mindset that will allow them success and longevity post-graduation in nursing (Budler et al., 2022; Christianson, 2020; Cleary et al., 2018; Crawford et al., 2021; Dugué et al., 2021) . Students often struggle through their program, with clinical and didactic or either independently in relation to academic success or performance. Additionally, once these students pass their NCLEX exam, they tend to find themselves overwhelmed and emotionally unable to withstand the pressures of floor nursing. As of 2024, research has shown that nationally, about 31% of …

Effects Of Exercise Program On Symptom And Psychological Distress In Frail Cardiac Surgery Patients, Li-Kai Cheng, Ai-Fu Chiou

International Nursing Research Congress (INRC)

Background: Postoperative cardiac surgery patients often experience symptoms such as chest pain, poor sleep, depression, and anxiety. Healthcare providers need to identify effective interventions to alleviate these physical and psychological issues.

Objectives: This study evaluated the impact of a multidimensional exercise program on symptom and psychological distress in frail patients after cardiac surgery.

Methods: A randomized controlled trial was conducted with 88 cardiac surgery patients from two medical centers in northern Taiwan. Patients were randomly assigned to the intervention group (n = 45) or control group (n = 43). The intervention group participated in a 12-week multidimensional exercise program, which …

Cross-Cultural Adaptation And Validation Of Social Abuse Scale In South Korea And Turkey, Kader Tekkas-Kerman, Sihyun Park

International Nursing Research Congress (INRC)

Background: Intimate partner violence (IPV) is a pervasive issue worldwide (United Nations, 2024). Various forms of IPV have been investigated (Henry et al., 2021), including the recently explored concept of social abuse. Social abuse refers to the intentional act of violating an individual’s rights and needs for social belonging within an intimate relationship (Park & Jeon, 2022). These actions can lead to a myriad of negative effects on the victims’ mental health and social relationships, as well as result in the victims’ social isolation (Stoff et al., 2021). Recently, we have developed an English version of the Social Abuse …

Examining Latent Class Variations In Adult Women Diagnosed With Pelvic Congestion Syndrome, Sarah E. Patel, Steven R. Chesnut

International Nursing Research Congress (INRC)

Purpose: Pelvic pain is a classic textbook symptom of pelvic congestion syndrome (PCS). Historically, PCS pain has been described as dull and achy. Yet, women’s PCS pain experience and description may differ from classic textbook presentations. In recent work, women’s PCS pain profiles are either intense and debilitating or mild but consistent. Women in the intense and debilitating group reported pain as intense, unbearable, sharp, stabbing, shooting, sickening, and exhausting, while women in the mild but consistent class reported pain as nagging, troublesome, tiring, aching, and pressing. These differences may explain variability between groups of women with PCS …

Take The Vitals Of Council Health! Re-Empowering Shared Governance, Justin Peterson, David Smith, Kristiina Hyrkas

International Nursing Research Congress (INRC)

Background: In our academic Magnet® hospital, we have six shared governance councils including an active Interprofessional Research and Innovations council (IRIC). The nursing council structure serves as the nexus between organizational planning and frontline delivery of healthcare. Like the patients we provide care for, the health of our councils need periodic checks for intended function and health. The current literature has suggested that by surveying council members, especially during times of change, we can gain insight into the strengths and areas for potential improvements as they relate to council structure, processes, and outcomes. Our organization merged in 2024 with two …

Effects Of Led Light Therapy On Pressure Ulcers, Nutrition, And Body Mass Index In Nursing Homes, I-Hua Lai, Li-Yin Chien, Chen-Jei Tai

International Nursing Research Congress (INRC)

Purpose: This study was grounded in the theories of low-level LED light therapy (LLLT) and traditional Chinese medicine, which propose that applying photo energy to acupoints can improve microcirculation, facilitates energy transmission to mitochondria in the skin, augments the activity of the respiratory chain, and increases adenosine triphosphate (ATP) production. The aim of this study was to evaluate the feasibility of using LLLT to prevent pressure ulcers, improve nutritional status, and regulate Body Mass Index (BMI) in older adults in nursing homes.

Methods: This study applied a one-group pre and post-test design. Data were collected from December 2019 through February …

Implementation Of A Mobile-Based Mindfulness Intervention To Mitigate Nursing Student Stress, Wendy S. Carley

International Nursing Research Congress (INRC)

This project analyzed the effect of the daily use of a mindfulness-based mobile application on associate degree nursing undergraduate prelicensure students' perceived stress levels. Nursing students experience elevated stress levels that may be reduced through mindfulness behaviors. Undergraduate, prelicensure nursing students participated in establishing the impact of mindfulness on perceived stress levels in a quantitative pre/post-intervention study. The evidenced-based studies chosen for this review consisted of randomized controlled trials, pilot studies, pre/posttest designs, systematic reviews, quantitative and qualitative studies. Project research data was collected using a pre/posttest design to evaluate the effectiveness of a stress management program in reducing stress …

Fostering Collaboration & Engagement In Virtual Ebp Workshops: Strategies For Success, Elizabeth Corless, Janine S. Roberts

International Nursing Research Congress (INRC)

As a large system increased efforts to cultivate a culture of evidence-based practice (EBP), the EBP team recognized an opportunity for growth and improved effectiveness in its educational offerings. The goal was to create an engaging, comprehensive EBP course which encouraged active learning and real-time application.

A virtual learning environment was chosen as the primary setting to increase equitable access despite the large geographical reach of the system. Virtual settings traditionally present challenges, including poor participant engagement, higher levels of distraction, and limited small-group coaching opportunity compared to traditional in-person settings.

While virtual courses are not novel, the team integrated …

Cultivating Caring: The Heart Of Online Nursing Education- An Integrative Review, Jihane Frangieh, Vickie Hughes, Laura Sarver

International Nursing Research Congress (INRC)

With the widespread adoption of online education, nursing educators have observed significant challenges related to learner engagement and participation. Over the past decade, the implementation of Caring has consistently displayed a beneficial influence on creating and maintaining a sustainable online learning environment.
However, existing online nursing curricula often lack a Caring and learner-centered approach. The aim of this integrative review is to analyze existing research and gain a comprehensive understanding of the factors that promote a sense of Caring in online nursing education programs. A systematic search for published peer
reviewed, English language literature identifying the factors that contribute to …

Strengthening Global Health Curriculum Via International Partnerships, Carolyn Meehan, Julie Mcculloh Nair

International Nursing Research Congress (INRC)

Nurses worldwide play an important role in improving global health due to their collective education and clinical practice experiences. They bring a patient centered focus to care delivery and their hands-on experience enables them to better observe how healthcare policies and programs affect people and their communities (Salvage & White, 2020). While nursing curriculum includes elements of global health, the need for an academic framework was identified that prepares nurses to improve global health outcomes for all clients (Bain & Adeagbo, 2022). Nursing practice has witnessed increased mobility, as more than 12% of nurses work in a country other than …

Improving Chlamydia Screening In Rural Clinics - Nurse Practitioner And Staff Perspectives, Denise Cummins, Lydia Jorgensen, Adrianna Lorraine Watson

International Nursing Research Congress (INRC)

Regular Chlamydia trachomatis (CT) screening is imperative for sexually active young women in rural areas, where CT is increasingly prevalent^1,2. Females age15-24 are at highest risk among all populations of acquiring CT³. Symptoms of CT are absent or subtle, often delaying detection and treatment. Without treatment, CT may lead to pelvic inflammatory disease (PID), increasing the risk of infertility and life-threatening tubal pregnancy⁴. Chlamydia screening is a high impact service⁵ that reduces the incidence of PID by up to 60%⁶. Screening resources mitigate a “double disparity”⁷ of low healthcare access …

Harness The Power Of An Evidence-Based Practice Toolkit To Drive Nursing Ebp Competency, Margo A. Halm

International Nursing Research Congress (INRC)

Background: Good health and well-being for all people is a key United Nations (UN) sustainable development goal. Better health outcomes are achieved with evidence-based care. Yet, evidence-based practice (EBP) competency of U.S. nurses lags¹ and EBP implementation in low-middle income countries is suboptimal to moderate.² Nurses can commit to this UN's goal by achieving proficiency in EBP. While it could be argued education advances EBP competencies, clinician and system factors influence routine implementation of EBP.^1,3,4

Objective: The purpose of this presentation is to increase awareness and adoption of a collection of valid and reliable EBP tools4 to …

Food Insecurity, Sodium-Restricted Diet Adherence, And Mental Health In Patients With Hypertension, Reimund Serafica

International Nursing Research Congress (INRC)

This study aims to investigate food insecurity, attitudes toward sodium-restricted diets, and mental health outcomes among Filipino-Americans with hypertension in a primary care setting.^1,2 Additionally, it seeks to explore patient perceptions of dietary restrictions and how nurse practitioners can use this information to enhance clinical management.^3,4

A two-phase, mixed-methods approach was employed. In Phase 1, a cross-sectional study was conducted, recruiting a sample of 135 Filipino-American adults with hypertension from a primary care clinic in Southern Nevada. Data collection tools included demographic surveys, the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), the Dietary Sodium Restriction Questionnaire (DSRQ), …

Cross-Cultural Adaptation Of The Sinhala Version Of The Self-Care Self-Efficacy Scale, Sujeewa Dilhani Maithreepala, Sriyani Padmalatha Konara Mudiyanselage, Bih-Ching Shu

International Nursing Research Congress (INRC)

Background and Objective: The Self-Care Self-Efficacy Scale (SCSE) assesses a patient's confidence in managing their self-care in chronic conditions, such as heart failure (HF). Higher levels of self-efficacy are strongly linked to improved self-care behaviors and better clinical outcomes. No culturally adapted instrument is available in Sinhala to assess SCSE in Sri Lanka. This study aimed to translate, culturally adapt, and test the reliability of the SCSE among HF patients in Sri Lanka.

Methods: The cross-cultural adaptation followed a structured process based on established guidelines for self-report measures. In Stage 1, two bilingual experts fluent in Sinhala independently performed forward …

Learning And Trending From Workplace Violence Incident Reports: Five Years Of Data, Carol A. Boswell, Rebekah Powers, Christina Ramdeo, Nancy Ornelas

International Nursing Research Congress (INRC)

Workplace violence in healthcare settings is a multifaceted challenge and must be tackled using diverse strategies. Utilizing the data collected over a five-year period, the purpose of this project was to analyze the workplace violence incident report data to identify and determine innovative techniques to reduce or eliminate workplace violence. This agency has worked aggressively in the area of workplace violence since 2018 with the acquisition of three workplace violence grants directed toward educating and engaging nursing staff with developing a safe work environment. Two of the grants were completed by August, 2024 with the third grant funding being initiated …

Barriers To Use Of Antenatal Services Among Pregnant Women. A Temporal Decision-Making Perspective, Rose Muthoni Maina

International Nursing Research Congress (INRC)

Antenatal care (ANC) is essential for reducing maternal morbidity and mortality, yet utilization rates remain low across sub-Saharan Africa, including Kenya. This study explores pregnant Kenyan women’s experiences with ANC, focusing on how temporal decision-making affects their access to and attendance during pregnancy. Using a qualitative descriptive approach, 20 pregnant women, were purposively sampled, to understand their perspectives on ANC access and use through in-depth interviews. Analysis, based on the Betty Neuman systems model, categorized factors influencing ANC attendance into three primary areas: intrapersonal (individual beliefs and perceptions), interpersonal (social, cultural, and economic influences), and extra-personal (systemic and structural barriers). …

Evidence Based Practice Tools And Nurses’ Self-Efficacy, Amy Knowles, Penelope Neal

International Nursing Research Congress (INRC)

Improving access to evidence-based guidelines may impact nurses’ confidence and ability to provide high-quality care (Melnyk, 2014). The purpose of this study was to evaluate use of Point of Care Tools (PoCTs) and relationship between PoCTs use and nurses’ confidence in their ability to perform their job. Information about other sources of evidence nurses utilize for clinical guidance was sought to gain a deeper understanding of where nurses obtain answers to clinical questions.

A descriptive correlational design with a 26-question survey was administered to a convenience sample of 52 nurses at a 500-bed community hospital. Survey used was a modified …

From Dirt To Data: Resilience Stories In Ebp, Qi, And Research – We Are The Stories We Tell, Cecelia Lorayne Crawford, Hazel Torres

International Nursing Research Congress (INRC)

Purpose: Storytelling is foundational to the human experience and cuts across all cultures by conveying norms, ethics, and connectedness. Nursing narratives are used to relate stories of compassion, caring, and resilience. Research, evidence-based practice (EBP), and quality improvement (QI) also have their own stories of translating science into patient care. This presentation describes how resilient storytelling can integrate new knowledge in all settings, with “lessons-learned” for nurses globally, regardless of gender, generation, or culture.

Relevance/Significance: Research, EBP, and QI represent common ground for nurses to transform equitable care, engage nursing practice, and develop inclusive relationships. Literature discusses storytelling …

Examining Proning Covid-19 Patients With Continuous Enteral Feedings: A Retrospective Study, Michael Legal, Sari Winham, Jennifer Ernst

International Nursing Research Congress (INRC)

The COVID-19 pandemic introduced a unique patient population requiring a triad of therapies: oxygen, nutrition, and patient positioning support. This study investigates the risk of aspiration pneumonia in COVID-19 patients placed in a prone position while receiving continuous enteral nutrition (EN). The retrospective, single-center study reviewed 97 electronic health records (EHR) of patients admitted between March 15, 2020, and June 1, 2022, at a southwest academic medical center. Patients included were diagnosed with COVID-19, aged 18 or older, and received continuous EN via nasogastric or nasoduodenal tubes while on high-flow oxygen support, excluding those on mechanical ventilation.

The study aimed …