Digital Commons Network^™

Building Bots That Teach Thinking: Using Custom Ai Chatbots To Enhance Critical Thinking And Decision-Making, Megan Biagi

AI in the Classroom: A Virtual Summit

Generative AI is increasingly common in education, but its effect on student learning depends largely on how it is used. This interactive session will introduce practical strategies for creating custom AI chatbots that encourage students to think through problems rather than simply ask for answers. Participants will explore ways to design bots that ask learners to explain their reasoning, consider alternative perspectives, identify assumptions, and revise their thinking before receiving feedback.   Examples from healthcare education and other disciplines will show how these tools can support guided inquiry, reflective questioning, clinical reasoning, and decision-making. Participants will review and revise sample chatbot …

Crafting Resilient Ai Policies For Education, Delight Ejiaka, Miranda Hannasch, Branden Cunningham

AI in the Classroom: A Virtual Summit

The rapid integration of generative artificial intelligence into academic spaces requires a shift from passive restriction to resilient, active pedagogical frameworks. This virtual panel explores actionable strategies to protect academic integrity, promote deep critical thinking, and manage AI use, particularly in foundational courses. Panelists will discuss the implementation of high-engagement classroom interventions. The will offer frameworks for transparent student disclosure practices. Attendees will leave with practical templates for syllabus policies, assignment rubrics, and disclosure benchmarks designed to foster a culture of transparency and process-oriented learning in an AI-permeated landscape.

Rompiendo Fronteras: Addressing Language Barriers In Hispanic Palliative Cancer Care, Carla Mcnulty, Catherine Finlayson

International Nursing Research Congress (INRC)

Background: Cancer is the leading cause of death among Hispanic people, accounting for 20% of deaths (American Cancer Society, 2023). In 2024, the American Cancer Society predicted that 195,300 Hispanics would be diagnosed with cancer in the United States, and 50,400 (25%) would die from their disease, leaving approximately 144,900 (75%) living with cancer. As the Hispanic population rises in the United States, one can predict that cancer diagnoses will also increase. This is likely to result in a higher number of cancer-related deaths, as well as more individuals living with cancer. Consequently, there will be an increased demand for …

Supporting Socialization & Expression In Ltc: A Scoping Review Of Language Barriers & Older Adults, Christina Oleynikov, Amanda Mcintyre

International Nursing Research Congress (INRC)

Communication is central to socialization and the expression of cultural identity [7]. In multilingual societies such as Canada, language barriers can hinder full integration, affecting social participation and overall quality of life [6,7,9]. The proposed study focuses on language barriers faced by minority older adults in long-term care settings. Non-English speaking residents who face barriers in communication and lack the adequate support necessary to overcome them, become vulnerable to impaired meaningful interactions and social isolation [3,11]. This study plans to gather and review existing scientific literature on how these barriers affect older adults and impact their socialization needs. A scoping …

Utilizing The Health Belief Model To Explore Mental Health Help-Seeking In Chaldean Adults, Dali Majeed

International Nursing Research Congress (INRC)

Since the United States’ invasion of Iraq in 2003, three-fourths of the Chaldean population fled the country, seeking refuge from persecution, resulting in a Chaldean diaspora with hundreds of thousands dispersed outside Iraq. Michigan is home to approximately 160,000 Chaldean people, the highest concentration in the U.S. Depression, anxiety, and post-traumatic stress disorder (PTSD) are a growing concern, yet are likely underreported due to community stigmas and cultural beliefs, leading to unhealthy coping behavior and delayed mental health treatment. While evidence supports a high incidence of mental health illnesses among the Arab population, literature assessing the Chaldean population remains understudied. …

Eating Disorders In Male Athletes, Robbie-Lynn C. Puspoky

International Nursing Research Congress (INRC)

The purpose of this integrative review was to explore the risk of eating disorders in male athletes aged 15-36 years old in high performance sports. Whittmore and Knalf’s integrative review method was followed to address this research aim. Two databases (Ovid MEDLINE 1946 to present and CINAHL) were searched between the years of 2000 and 2023. Suitability for inclusion was assessed, and data were extracted and analysed using thematic analysis. Twenty-three articles met the inclusion criteria for this review. Three themes were identified and reflect the risk of eating disorders in male athletes in high performance sports between the ages …

Virtual Reality Pedagogy To Improve Clinical Judgment And Work-Readiness: An Integrative Review, Maria Hurd

International Nursing Research Congress (INRC)

Aims: To appraise the literature examining the impact of virtual reality (VR) on the development of clinical judgment and work readiness in undergraduate nursing students.

Background: Preparing nursing students for safe entry into practice remains challenging due to limited clinical placements and increasing expectations for competence. VR simulation provides immersive, repeatable pedagogical experiences that support clinical reasoning and decision-making [1,2]; however, its effectiveness in developing work readiness remains unclear.

Methods: PubMed and CINAHL were searched for studies examining VR-based pedagogical approaches and outcomes related to clinical judgment and work readiness. Of 216 articles identified, 193 were screened after duplicates were …

Examining Social Support Among Black Dementia Caregivers In The Greater Toronto Area, Deanna Marie Black

International Nursing Research Congress (INRC)

Background: Dementia affects more than 55 million people globally and disproportionately impacts Black populations due to inequities in healthcare access. In Canada, Black communities face higher dementia risk and greater barriers to timely, culturally aligned care. In the Greater Toronto Area, Black caregivers carry major responsibilities while navigating fragmented services shaped by race, gender, and socioeconomic status. Although social support reduces caregiver burden, little is known about how Black caregivers access and use support within intersecting social and structural constraints.

Purpose: This study will examine how Black adult caregivers in the Greater Toronto Area construct, access, and mobilize social support …

Experiences Of Acute Psychiatric Inpatients: A Literature Review, Sheng-Tsung Lan

International Nursing Research Congress (INRC)

Patients’ perceptions of psychiatric wards often differ from staff views. Closed wards may feel oppressive, and restrictive practices can increase anxiety. In contrast, open-door policies, meaningful activities, and social connections improve perceived safety. Safewards strategies, such as Calm Down Methods and Reassurance, help create a calmer environment but require sufficient staffing, training, and alignment with ward culture. High staff turnover and inconsistent training threaten sustainability.

Interactions between staff and patients strongly influence the inpatient experience. Patients value respect, empathy, and genuine engagement. Impersonal or standardized responses can increase feelings of neglect. Safewards encourages humanized communication through Soft Words, Talk Down/Through, …

An Analysis Of Electronic Nursing Documentation In The Emergency And Trauma Department, Nurul'ain Ahayalimudin

International Nursing Research Congress (INRC)

Introduction: Electronic nursing documentation (END) is fundamental to emergency care, ensuring effective communication, patient safety, and legal accountability. However, issues such as incomplete entries, variability in documentation quality, and limited use of standardised nursing language, particularly NANDA-I, continue to challenge the delivery of accurate and holistic care.

Objective: This study analysed the use of electronic nursing documentation in the Emergency and Trauma Department (ETD) of one tertiary hospital, examined patterns of recorded information, and compared it with the NANDA-I framework.

Methodology: A qualitative document analysis was conducted using purposive sampling of END records from April 2022 to February 2025. The …

Social Frailty In Asia: A Scoping Review Of Interventions, Gaps, And Priorities, Julienne Ivan Dagondon Soberano, Jed Montayre

International Nursing Research Congress (INRC)

Aim: Social frailty (SF) is a multidimensional state of social vulnerability linked to adverse outcomes in older adults. Asia’s rapidly aging population poses challenges for health systems, particularly in addressing SF-related conditions. This scoping review aimed to describe existing SF interventions in Asian countries, assess evidence volume and characteristics, and identify research gaps.

Methods: A systematic search of eight databases (PubMed, Scopus, CINAHL, Embase, Web of Science, PsycINFO, Cochrane Library, Google Scholar) identified English-language studies published from January 2020 to September 2025. The review followed Arksey and O’Malley’s framework and PRISMA-ScR guidelines. Interventions were synthesized across the care continuum (prevention, …

Effectiveness Of Nurse Led Home Based Cardiac Rehabilitation On Compliance And Health Outcomes, Sawroop Dhillon, Harmeet Kaur Kang

International Nursing Research Congress (INRC)

Background: India is facing a high burden of coronary artery disease(1,2), yet gaps in awareness, access to care, and non-compliance with treatment lead to poor outcomes(3,4). Engaging cardiac nurses to connect hospital care with community rehabilitation services is the need of hour in India(5).

Purpose: The study aimed to evaluate the effectiveness of nurse-led home-based cardiac rehabilitation (HBCR) program on the compliance and selected health outcomes among cardiac patients.

Methods: An RCT was conducted on 196 cardiac patients, randomly assigned to either the experimental or control group. A 12-week nurse-led HBCR program offered to experimental group (n=97) was compared with …

Sub-Saharan African Women’S Experiences Of Social Support During Childbirth In Finland, Emma Kwegyir-Afful, Anita Wikberg

International Nursing Research Congress (INRC)

Background: Over 50% of the estimated 90 million international migrants in Europe are women, many of whom are of childbearing age (Fair et al., 2020). Poorer pregnancy and birth outcomes are common among ethnic minority women (Soltani et al., 2020). In Finland Sub-Saharan African women (SSAW) are more likely to undergo caesarean section than Finnish women (Bastola et al., 2020).

Social support which is both informational (providing information for problem-solving) and emotional (offering care and/or trust) is key social determinant of health. It can be acquired through informal networks such as friends, family, and ethnic communities or through formal networks …

Nurse-Driven, Human-Centered Ai: The Concern Early Warning System, Sarah Collins Rossetti

International Nursing Research Congress (INRC)

Human-centered AI offers a powerful opportunity to advance nursing practice and improve patient outcomes. The CONCERN Early Warning Score (EWS) is a nurse-driven AI-based predictive model that uses patterns of nursing surveillance for early prediction of deterioration outcomes. In a multi-site randomized controlled trial, use of CONCERN EWS was associated with a 35.6% reduction in mortality risk, 7.5% reduction in sepsis risk, shorter length of stay, more timely escalation, and cost savings.

Caregiver Perspectives On Barriers And Facilitators To Adolescent Asthma Self-Management, Sangita Pudasainee-Kapri, Mei Rosemary Fu, Mary Wunnenberg

International Nursing Research Congress (INRC)

Background: Asthma is the most prevalent chronic disease in children and adolescents, disproportionately affecting minority adolescents from lower-income families (CDC, 2022). Adolescents from low-income and marginalized communities often face unique challenges with asthma control and management due to multiple adverse social and environmental factors. Caregivers play a critical role in daily asthma management (Margolis et al., 2019), however, self-management behaviors in minority families may be influenced by several individual and system level factors (Khan et al., 2021; Holley et al., 2017).

Purpose: This study aims to understand caregivers’ perspective on multilevel barriers and facilitators to adolescent asthma self-management in Camden …

From Textility To Embodied Experience: A Practice-Led Generative Approach To Textile Ich Engagement, Mi Lin

Textile Intersections Conference Series

Engagement with intangible cultural heritage (ICH) is increasingly framed as experiential rather than representational. However, textile ICH—particularly structurally complex forms such as Miao Piling Embroidery—is still often presented through documentation and visual display, limiting access to its embodied, processual, and perceptual dimensions. This paper develops a situated, practice-led generative approach that explores how textility can be translated into generative and embodied experience. Using Miao Piling Embroidery as a case study, textility is defined here as a conceptual construct that synthesises material, making, structural, and cultural connotations, understood as a system of relations including unit formation, layering, and repetition. These relations …

Leadership In Action: Building A Research Community Of Practice Through The Np-Clinician Scientist, Sarah Jayne Colgan, Breanna Lloy, Melanie Dunlop

International Nursing Research Congress (INRC)

Purpose Statement: To describe the formation of an Advanced Practice Nursing (APN) Research Community of Practice (CoP) led by an NP Clinician Scientist, aimed at fostering research capacity, partnerships, mentorship, scholarly engagement, and knowledge translation among NPs and Clinical Nurse Specialists (CNSs) in two provincial healthcare organizations.

Background: The Nova Scotia Health (NSH) NP Interprofessional Practice and Learning (IPP&L) team observed ongoing challenges with NP recruitment and retention highlighted by feelings of undervaluation among NPs in clinical practice. Concurrently, changes to NP entry-level competencies and increasing NP inquiries regarding research, demonstrated a growing appetite for scholarly engagement.

Methods: Through innovation …

Discovering Secondhand Smoke Exposure Impact On Mental Illness: A Systematic Review & Meta-Analysis, Pooja Bhattarai, Bassema Abufarsakh, Chizimuzo T. C. Okoli

International Nursing Research Congress (INRC)

Background: SHSe remains a major global public health concern and contributes to preventable morbidity and mortality across populations (World Health Organization 2021). While SHSe is well recognized as a risk factor for cardiovascular and respiratory illness, emerging evidence suggests an association with MI and Substance use disorders (SUDs) (Carreras et al., 2019; Nadhiroh et al., 2020; U.S. Department of Health and Human Services, 2024; Van der Eijk & Woh 2023, Lee et al., 2025). Addressing SHSe requires acknowledging its impact and transforming new discovery about the complex factors contributing to MI into action that shapes the future of nursing research. …

Escape Room Vs. Classroom: A Comparative Study On Meaningful Learning And Knowledge Retention, Michael Scott Defrancisco, Amanda Bennett, Victoria English

International Nursing Research Congress (INRC)

Introduction: The COVID-19 pandemic exposed challenges in nurse engagement and participation in continuing education, impacting professional development and patient safety. Escape room–based learning has emerged to address these gaps by fostering collaboration and active participation. While escape rooms are reported as engaging, evidence comparing their effectiveness to traditional classroom education remains limited.

Purpose: To compare escape room learning and classroom instruction on nurses’ confidence, knowledge retention, and perceived meaningfulness.

Methods: An IRB-exempt, prospective, controlled trial included 128 nurses assigned to either escape room (intervention) or classroom (control) education. Both groups completed pre/post surveys and longitudinal surveys at 3, 6, 9, …

Breaking The Silence - Moving Beyond Lecture Hall Echo Chambers In Nursing Education, Joshua Michael Kies, Elizabeth Faye Snyder, Cyndi Faudree

International Nursing Research Congress (INRC)

Nursing student silence in higher education undermines active learning and critical thinking development. This literature review examines participation barriers, engagement strategies, and approaches to fostering inclusive discussion environments. Research identifies multiple contributing factors: fear of negative evaluation, cultural differences in communication styles, insufficient content knowledge, and technological challenges in virtual settings. The Student Engagement in Digital Learning Framework reveals four key dimensions—emotional, behavioral, cognitive, and social—that interact to create barriers or facilitators to student voice. Evidence-based solutions include extending wait times to 10-15 seconds for cognitive processing, implementing culturally responsive pedagogies, providing multimodal participation formats, and scaffolding discussions to build …

Patient-Provider Communication Matters In Telehealth Use, Chanam Shin, Thomas Guffey, Mijin Kim

International Nursing Research Congress (INRC)

Introduction: Telehealth use has rapidly expanded health care access and reshaped patient-provider interactions. Evidence shows that telehealth can be influenced by communication quality between patients and providers. However, little is known about how patient-provider communication relates to telehealth use among minority ethnic populations.

Purpose: This study was to examine associations between patient-centered communication and telehealth use in Asian Americans.

Methods: We conducted a secondary analysis using the 2022 Health Information National Trends Survey 6 data. A total of 265 adults who identified as Asian American were included. Telehealth use was assessed by asking respondents if they used telehealth in the …

Childbirth Self-Efficacy And Factors Influencing Labor And Birth In The Dominican Republic, Lori Hubbard, Thomas P. Mccoy, Katherine Aquino, Franceska Charles, Julia Ricker, Gabrielle Carlson

International Nursing Research Congress (INRC)

At 58.1%, the cesarean birth rate in the Dominican Republic (DR) is the highest in the world (1). The World Health Organization cites the overuse of elective cesareans as a global health priority, but states reduction efforts should utilize educational interventions that incorporate local determinants of health (2,3). This descriptive, cross-sectional, convergent mixed methods study examined childbirth self-efficacy, demographics, and beliefs about labor and birth in expectant and newly postpartum parents from low resourced communities in the Dominican Republic. A demographic survey, researcher-designed items grounded in the theory of planned behavior, and the 62-item Spanish version (4) of the 4 …

Immigrant Women’S Experiences Of Living In An Abusive Relationship: A Narrative Inquiry, Fay M. Dastjerdi, Sassan Issari, Zipora Rahmanov, Elizabeth Sombilon

International Nursing Research Congress (INRC)

Immigration has become a reality in most parts of the world for different reasons. Iranian immigrants ranked sixth in acquiring Canadian citizenship and eighth in being admitted as permanent residents (Bains, 2024; Risdon, 2024). Most immigrants experience some degree of loss and disassociation after being dislocated. Intimate Partner Violence (IPV) impacts people of all genders, ages and socioeconomic, racial, educational, ethnic, religious and cultural backgrounds; however,women experience this form of gender-based violence at much higher rates, most often perpetrated by men (Statistics Canada, 2023 & 2025). IPV presents a significant public health challenge affecting diverse demographic groups, including immigrant women …

Frederick Wilbur, Frederick C. Wilbur

Virginia Poets Database: A Literary and Educational Resource

No abstract provided.

Loralee Clark, Loralee Clark, Loralee Clark

Virginia Poets Database: A Literary and Educational Resource

No abstract provided.

The Influence Of Exercise On Cardiometabolic Risk In Perimenopause: A Systematic Review, Bibha Gautam, Deborah J. Clegg, Mary Madeline Rogge, Jeni Page

International Nursing Research Congress (INRC)

Purpose: Perimenopause is a biologically vulnerable period characterized by hormonal fluctuations, visceral fat accumulation, and increasing insulin resistance, factors that elevate cardiometabolic risk and contribute to the development of cardiometabolic syndrome (CMS), defined as the presence of three or more metabolic abnormalities. These changes reflect a continuum of metabolic vulnerability that may emerge before CMS becomes clinically detectable. Although regular exercise can mitigate this risk, limited evidence clarifies which exercise modalities are most effective in reducing metabolic risk and CMS prevalence among women undergoing the perimenopausal transition. Despite facing a distinct and often underrecognized vulnerability to CMS, perimenopausal women remain …

Strengthening Vaccine Confidence Among College Freshmen In The Post-Covid-19 Era, Karlen E. Luthy, Janelle L. B. Macintosh, Alyssa Vang, Janessa Johnson

International Nursing Research Congress (INRC)

The purpose of this study was to examine the effect of a vaccine education module (VEM) on college freshmen’s intended vaccination behaviors, vaccine-related perceptions, and vaccine knowledge. Although vaccine requirements for university students are a vital public health strategy, most institutions in the United States do not mandate all recommended immunizations. In today’s environment, where vaccine misinformation and hesitancy remain common, understanding how evidence-based education influences vaccine attitudes is increasingly important. A pre-COVID-19 study showed that a VEM improved students’ vaccine beliefs and intentions; this study assessed these outcomes in a post-COVID-19 context.

A pretest/posttest quasi-experimental design was used. Participants …

Can Ai-Generated Music Interventions Improve Health Outcomes? A Systematic Review, Nguyen Thi Khanh, Huu-Thanh Nguyen, Vi Do Pham Nhat, Carmen Wing Han Chan

International Nursing Research Congress (INRC)

Music interventions are effective for physical, psychological, cognitive and social well-being [1-3]. Artificial Intelligence (AI) can generate personalised therapeutic music instantly, creating a novel, accessible intervention. However, the effectiveness of these AI-generated interventions has not been systematically reviewed [4, 5]. This systematic review aimed to evaluate the efficacy of AI-generated music interventions for improving health outcomes.

A systematic search was conducted across eight electronic databases (Cochrane, Medline, APA PsycINFO, PubMed, Scopus, Web of Science, IEEE Xplore, ACM Digital Library) from inception to September 2025. After screening, eight studies (N=1,267 participants) met the inclusion criteria, comprising four randomised controlled trials (RCTs) …

Facilitators And Barriers To Alarm Management In Icu: A Qualitative Systematic Review Using Cfir, Jiayi Wang, Yitong Mao, Zhiting Guo, Yuping Zhang, Jingfen Jin

International Nursing Research Congress (INRC)

A literature search of four English-language databases (PubMed, Web of Science, Embase, the Cochrane Library) and three Chinese-language databases (China National Knowledge Infrastructure, Wan Fang, VIP Database). Studies from inception to October 1 2025 published in English or Chinese using qualitative or mixed methods to explore alarm management practices in intensive care units were included. Based on the Consolidated Framework for Implementation Research (CFIR) 1, data were synthesized by classifying influencing factors into the five domains and 48 constructs. Key domains and factors were identified through frequency analysis across and within domains. The Joanna Briggs Institute Qualitative Assessment was used …

Building Resilience In Public Health Centers: Outcomes Of An Enp-Led Disaster Program, Po-Hsi Su, Jun-Dai Lin, Yi-Hui Lee, Shun-Shiang Yu, Yi-Fen Liang

International Nursing Research Congress (INRC)

Taiwan, located along the Pacific Ring of Fire, experiences frequent earthquakes and typhoons while also facing geopolitical tension. Strengthening community resilience has therefore become essential. Public health centers serve as frontline agencies in disaster response, yet staff often lack formal training beyond infectious disease control. This study evaluated a disaster preparedness program developed and delivered by an emergency medicine nurse practitioner (ENP) for public health center personnel in central Taiwan.

From October 29 to November 22, 2024, five of 13 health centers in Nantou County participated. Centers selected staff expected to support post-disaster medical station operations. Participants represented six occupational …