Digital Commons Network^™

Save A Pulse: Bridging Nurse Confidence And Team Performance Through In-Situ Simulation, Kimberly Morrison, Anna Oh, Zainab Alzawad, Staeci Morita, Sean Garvey, Soo Young Lee

International Nursing Research Congress (INRC)

High-quality cardiopulmonary resuscitation (CPR) directly influences cardiac arrest survival, yet many hospitals struggle to achieve consistent performance. Although simulation-based training is widely used, confidence may not reliably align with proficiency for physically demanding CPR skills. Save a Pulse, a Rapid Response nurse-led in-situ simulation program, was developed to strengthen nurses' cardiac arrest response using structured team training and objective feedback. This study aimed to assess nurses' confidence and CPR performance using a multimethod assessment of self-reported confidence, facilitator observations, and SimPAD® metrics.

This 13-month pretest-posttest study occurred across 23 inpatient units at a large academic hospital. Shockable and nonshockable scenarios …

Burnout And Job Satisfaction As Mediators Of Nurse Turnover Post-Pandemic, Yulia Gendler

International Nursing Research Congress (INRC)

Background: The COVID-19 pandemic has exacerbated the global nursing shortage, leading to increased turnover intentions among nurses due to heightened workplace stress, burnout, and job dissatisfaction. This study investigates the mediating effects of burnout and job satisfaction on the relationship between professional identity, occupational stress, and nurses' turnover intentions. Additionally, it explores the impact of socio-demographic factors on these relationships in the post-pandemic era.

Methods: A cross-sectional study of 338 nurses across four hospitals in Israel was conducted between June 2023 and January 2024. Self-reported questionnaires were utilized to measure turnover intentions, with professional identity and occupational stress as predictors …

Internationally Educated Nurses And Key Informant Experiences: Equal Access To Workplace Integration, Patricia Ann Bradley, Elaine Santa Mina, Donald Rose, Edward Venzon Cruz, Sue Bookey-Bassett, Sherry Espin, Naseem Issani, Amisa Nagendiram, Teresa Cozzella, Elizabeth Manafo

International Nursing Research Congress (INRC)

Background: Internationally educated nurses (IENs) comprise 53.5% of new RN registrations in Ontario, reflecting global reliance on internationally educated health professionals to address nursing workforce shortages (1). While the College of Nurses of Ontario (CNO) implemented 2022 regulatory registration changes (2), critical gaps persist between regulatory compliance and comprehensive workplace integration, with limited evaluation frameworks and retention tracking (3).

Purpose: This qualitative descriptive study investigates workplace integration experiences of IENs working as Registered Nurses in Ontario post-2022 CNO regulatory registration changes, examining perspectives from both IEN and healthcare professional key informants. Grounded in the Ethical Framework for the Recruitment and …

Members’ Meeting And Closing Ceremonies, The Mythopoeic Society

Mythcon

While the Members’ Meeting portion of Mythcon will be of interest primarily to members of the Mythopoeic Society, all conference participants are welcome to attend. Led by the Mythopoeic Society Stewards, the meeting will announce and discuss timely and necessary Society topics. Following the meeting, we will host our traditional leave-taking closing ceremonies that feature singing songs dear to Mythcon regulars. Words and music at: https://mythsoc.org/mythcon/mythcon-closing-songs.htm

Members’ Meeting/Closing Ceremonies will be held Monday morning,at 11am in the Event Center.

A Charles Williams Diptych: G. M. Hopkins And T. S. Eliot, Eric Rauscher

Mythcon

This presentation consists of two short papers touching upon an interest of mine in the development of Williams' poetry.  In the first paper about Hopkins I argue for a direct influence that played a role in the transition from Williams' early poetry to his late Arthurian poems.  The second paper dealing with Eliot tangentially addresses a similar influence, but in a much more nuanced fashion. Here I am only offering hints. I am quite sure there are many other avenues of study for the transformation from his early poetry to his later mature style which is a poetically complex style …

Visit With Joe R. Christopher, Leslie A. Donovan

Mythcon

In this session, our Scholar Guest of Honor, Joe R. Christopher, will be on hand to informally visit with anyone who wants to hear more about his 50+ years of scholarship on C.S. Lewis, J.R.R. Tolkien, fantasy literature, and mythopoeic scholarship. Joe will also sign copies of his new essay collection, In Plain Sight Behind a Wardrobe Door: Essays on C.S. Lewis's Chronicles of Narnia and, we hope, share some stories about not only his career as an early mythopoeic scholar but also about past Mythcons!

Are Book Clubs The New Discussion Groups?, Megan B. Abrahamson, Dusty Brooks, Grace Moone

Mythcon

Mythprint used to publish Discussion Group reports pretty regularly, and the Discussion Group model was a great way for local Inklings fans to find each other. How has technology and changing social mores (especially post-COVID) altered how we do "Discussion Groups"? Is the difference between a Book Club and a Discussion Group just down to whether we submit a report to Mythprint, or are there other elements we need to bring back? Attend this panel if you want to get or give advice about running your own mythopoeic Book Club or Discussion Group!

Boundary Crossings: Charles Williams And Bruce Cockburn As Grim Traveling Companions, John Mabry

Mythcon

This paper explores the deep influence of Charles Williams on the lyrics of singer-songwriter Bruce Cockburn, one of the few Christian rock musicians to enjoy mainstream success. Both artists suffer “outsider” status in Christian culture because they regularly cross the boundaries of what is considered “acceptable” Christianity, both in terms of their personal lives and their theologies. Yet their work profoundly depicts crossings between the mundane and spiritual worlds, to the point of denying such boundaries exist at all. In his doctrine of co-inherence, Williams denies ontological separateness, a theme echoed repeatedly in Cockburn’s lyrics. This is more than just …

Dating Violence And Help-Seeking Among Taiwanese Young Adults: A Gender Perspective, Wen-Li Hou

International Nursing Research Congress (INRC)

Background: Dating violence (DV) is a growing public and mental health concern among young people [1,2]. Gender-role internalization and power inequality shape both DV occurrence and help-seeking [3,4], yet Taiwan-specific qualitative evidence is limited.

Purpose: To explore DV and help-seeking among Taiwanese young adults from a gender perspective and to examine how gendered power imbalances affect coping and help-seeking behaviors.

Methods: This qualitative study used semi-structured interviews guided by the Knowledge–Attitude–Behavior (KAB) framework [5]. Nine young adults (eight women, one man; aged 19–26 years, M = 22.1) were recruited through purposive sampling. Interview transcripts were analyzed using content analysis to …

Psychosocial And Media-Related Predictors Of Parental Weight Criticism Toward Children, Jihea Choi, Taeksoo Shin

International Nursing Research Congress (INRC)

Purpose: Parental weight-related communication significantly influences children's body image and psychosocial outcomes(1,2). As digital food media such as mukbang gains popularity, concerns have emerged regarding its impact on parental weight-focused communication(3,4). This study examined psychosocial and media-related predictors of parental weight criticism toward children in Korean families.

Methods: A cross-sectional survey was conducted with 750 Korean parents (N=1,075 parent-child dyads) recruited through stratified sampling. Parents of children aged 8-19 years completed validated questionnaires measuring parental weight bias, mukbang viewing attitudes and time, dissatisfaction with child's body, health concern, and weight criticism. Stepwise multiple regression identified significant predictors.

Results: Participants were …

Patient As Teacher: Effects Of Cooperative Learning On A Mental Health Nursing Course, Mei-Ling Lin, Sho-Wei Liu

International Nursing Research Congress (INRC)

Background: Nursing education must prepare students not with knowledge but with the empathy and communication skills necessary to engage meaningfully with patients who experience mental illness. However, traditional lecture-based instruction often leads to fragmented knowledge and limited attitudinal change.

Purpose: This study implemented a patient-as-teacher and conducted cooperative learning model in an undergraduate course of psychiatric mental health nursing to improve students’ empathy, reduce stigma, and enhance caring competence.

Methods: A quasi-experimental design was conducted with 83 third-year nursing students enrolled in a four-year program. 42 students participated in the experiment group (patient-as-teacher learning), while 41 received conventional instruction. Validated …

Recommendations For Hiv Testing Locations To Reach Youth And Emerging Adults: A Qualitative Study, Henna Budhwani, Gerard Thomas Hogan, Alexis Micheau, Angulique Y. Outlaw, Michael J. Mugavero, Mallory O. Johnson, Robert A. Oster, Lisa B. Hightow-Weidman, Sylvie Naar, Janet M. Turan

International Nursing Research Congress (INRC)

Background: Youth and emerging adults aged 18-29 year are one of the few groups with rising rates of new HIV infections in the United States (US), with those in the southern US being more vulnerable and at elevated risk of acquisition. This is dues to a confluence of factors including but not limited to low HIV testing rates, high levels of stigma, and high rates of poverty in the region. Thus, understanding where and how to reach youth and emerging adults in the under resourced southern US for prevention is essential for advancing the Ending the HIV Epidemic goals.

Methods: …

Collaborative Community Partnership To Support Foster Families Caring For Medically Complex Children, Christine Rae Platt, Sally Ann Martens, Nyah Haltom, Michael Thomas, Brandon Thatcher

International Nursing Research Congress (INRC)

Background: Children in foster care experience disproportionate health challenges, particularly those with medical complexity or disabilities. Foster families often report unmet needs related to health literacy, access to care, and caregiver support. Recognizing these challenges, a university-community partnership was established with a state foster care foundation to assess current gaps and identify opportunities to strengthen health and resource support for foster families.

Purpose: To assess the needs of foster families caring for medically complex or disabled children and to collaboratively develop feasible, culturally competent strategies to address identified gaps in care and resources.

Methods: A community-based participatory approach was used …

Academics’ Views On Integrating Climate Change In Nursing And Midwifery: A Mixed Methods Study, Seda Guney, Seda Sarikose, Tuba Sengul, Nurten Kaya

International Nursing Research Congress (INRC)

Background: Climate change is a major global health challenge requiring integration into nursing and midwifery education [1]. Yet, evidence on educators’ awareness, concern, and curricular engagement remains limited [2].

Purpose: This study explored academics’ awareness and worry about climate change and their perspectives on integrating related content into nursing and midwifery curricula.

Design and Methods: A convergent parallel mixed-methods design guided by the Sustainability in Global Nursing framework [3] was used. Quantitative and qualitative data were collected concurrently (March–August 2025). The quantitative phase involved 160 faculty members from nursing and/or midwifery programs completing an online survey that included the Climate …

Ai-Guided Psychodrama Materials For Psychiatric Nursing: Feasibility Of Ai-Validated Synthetic Cases, Yen-Chung Ho, Chien Mei Sung

International Nursing Research Congress (INRC)

Background: Psychodrama is widely used in psychiatric–mental health nursing to help learners recognize and reorganize dysfunctional family-of-origin or role patterns, but faculty still lack standardized, reproducible, and ethically safe scripts (Giacomucci, 2021; Beauvais, Özbas, & Wheeler, 2019; Çataldas, Atkan, & Eminoğlu, 2024). Recent work on AI in nursing education and on privacy-preserving synthetic data suggests that high-fidelity, non–patient-derived materials can be generated if outputs are quality-checked (Lifshits & Rosenberg, 2024; Cucci, 2025; Qian et al., 2024; Mendes, Barbar, & Refaie, 2025).

Purpose: To test the feasibility of an AI workflow that generates a synthetic psychodrama case, converts it into multimodal …

Technology-Assisted Sleep Program For Improving Sleep In Critically Ill Surgical Patients, Hsiao-Yean Chiu, Chun-Ying Shih

International Nursing Research Congress (INRC)

 Background: Sleep disturbance is highly prevalent among critically ill patients. In the intensive care unit (ICU), multiple environmental and care-related factors disrupt sleep. We tested a multicomponent, technology-assisted SLEEP program designed to target modifiable contributors to poor sleep.

Objective: To evaluate the effectiveness of the SLEEP program on sleep disturbances in adults admitted to a surgical ICU.

Methods: In this assessor-blinded, parallel-group randomized controlled trial, 108 surgical ICU patients were randomized 1:1 to the technology-assisted SLEEP program (n = 54) or routine care (n = 54). The SLEEP group received a nightly multicomponent intervention for up to three consecutive days …

Factors Influencing Canadian Nursing Students' Confidence, Perceptions, And Interest In Primary Care, Deanne Curnew, Julia Lukewich, Maria Mathews, Marie-Eve Poitras, Kathleen Stevens, Toni Leamon, Kennedy Deveau, Sheila Epp, Anaëlle Morin, Keirsten Smith

International Nursing Research Congress (INRC)

Background: As team-based primary care expands in Canada, efforts to prepare Registered Nurses for primary care practice are growing. Learning experiences influence students' career-related confidence, perceptions, and interest. No studies have examined Canadian nursing students' academic exposure to primary care (i.e., in undergraduate programs) or the contribution of exposure to their confidence, perceptions, and interest in practicing in primary care.

Purpose: To examine the influence of Canadian nursing education on final-year baccalaureate nursing students’ confidence, perceptions, and interest related to practicing in primary care.

Methods: We conducted an online cross-sectional study of final-year baccalaureate students from accredited nursing programs across …

Adopting Cultural-Language Translation Technologies To Advance Equitable Older Adult Care, Abdolreza Akbarian, Rosanra Yoon, Mabel Ho, Vess Stamenova, Leinic Chung-Lee, Rui Hou, Josephine Pui-Hing Wong, Abdul-Fatawu Abdulai, Anoushka Anoushka, Andrew Marciniak

International Nursing Research Congress (INRC)

Purpose: In this study, we aim to advance equitable access to culture-language-concordant care for older immigrants in long-term care (LTC) and homecare settings by examining current evidence and engaging interest holders in critical dialogue.

Background: Older immigrants with limited English/French proficiency experience language and cultural barriers that compromise safety, person-centred care, and social inclusion. Language translation technologies offer potential solutions, yet their acceptability, feasibility, and equity implications in elder care remain unclear.

Methods: Using Arksey and O’Malley’s framework and Joanna Briggs Institute’s Population-Concept-Context approach, we conducted a scoping review of empirical studies (2005–2024) on cultural-language translation apps and devices used …

Psychosocial Pathways To Poor Sleep Among High-Stress Military Workforce: A Decision-Tree Analysis, Shih-Ting Li, Yu-Chia Hong, Yun-Cune Chang, Hui-Hsun Chiang

International Nursing Research Congress (INRC)

Purpose: Sleep disturbances are common in high-stress occupational environments and strongly influence psychological and functional outcomes. This study identified hierarchical psychosocial and occupational predictors of poor sleep among active-duty military personnel using an interpretable machine learning model.

Methods: A cross-sectional study of 1,386 Taiwanese army personnel was conducted between 2020 and 2021. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI ≥ 5 as poor sleep). Depressive symptoms, perceived stress, and resilience were evaluated using validated scales. A chi-squared automatic interaction detection (CHAID) decision-tree algorithm was applied to identify hierarchical predictors and risk pathways in training (70%) and …

Impact Of Organizational Climate And Leadership Style On Nurse Practitioners' Job Satisfaction, Sung Chien Mei

International Nursing Research Congress (INRC)

Background: Job satisfaction in nurse practitioners is influenced by the level of autonomy and empowerment they perceive within their practice environment. Little in-depth research has been done to explore the relationship among organizational climate, leadership style, and job satisfaction in the context of nurse practitioners.

Purpose: This study was developed to explore the relationship among organizational climate, leadership style,and job satisfaction in nurse practitioners with the goal of enhancing their job satisfaction.

Methods: A cross-sectional correlational approach and snowball sampling method were employed to recruit400 qualified nurse practitioners to complete an online survey. This survey was a structured questionnaire consisting …

Design Thinking: An Approach To Interdisciplinary Cooperation For Nursing Education, Su-Hui Tsai, Wei-Cheng Chang

International Nursing Research Congress (INRC)

Background: Rapid changes in healthcare education demand innovative strategies that transcend disciplinary boundaries. Traditional nursing curricula often provide limited opportunities for interdisciplinary collaboration, which restricts students’ problem-solving and creative competencies. This project applied the Design Thinking (DT) framework as an innovative pedagogical model to foster collaboration among nurses and other healthcare professionals. The purpose was to enhance collaborative learning, creativity, empathy, and problem-solving in nursing education.

Methods: A mixed-methods design was employed. A total of 60 participants (including nursing students and other healthcare professionals) engaged in the five phases of design thinking—empathize, define, ideate, prototype, and test—to co-create healthcare solutions …

Effectiveness Of A Multifaceted Educational Program For Patients Receiving Oral Anticoagulants, Yu-Hsia Tsai, Meei-Fang Lou, Chi-Tai Kuo, Her-Kun Chang, Kuo-Liong Chien, Bih-Shya Gau, Lai-Chu See

International Nursing Research Congress (INRC)

Background: Atrial fibrillation (AFib) is a common arrhythmia associated with elevated risks of stroke and mortality. Oral anticoagulants (OACs) are prescribed to reduce stroke risk, yet many patients lack sufficient understanding of their use. Effective educational strategies are crucial for enhancing medication safety and minimizing complications.

Purpose: This study evaluated the effectiveness of a multifaceted, interactive education program for patients with AFib taking OACs. Grounded in the Health Belief Model, the intervention was delivered via a mobile application (App). Its effectiveness was compared to a control group receiving a printed brochure. Outcomes included patient knowledge, health beliefs, and medication satisfaction. …

Reduced Executive Function In Older Adults With Chronic Diseases And Subjective Cognitive Decline, Cheng-Chen Chou, Yuan-Mei Liao, Jong-Ni Lin

International Nursing Research Congress (INRC)

Background: Chronic diseases are common worldwide and are closely associated with cognitive decline. Subjective cognitive decline (SCD) refers to self-perceived worsening of memory or cognitive ability. Individuals with SCD have a two-fold higher risk of developing dementia and often experience reduced physical function, emotional problems, lower quality of life, and an increased risk of falls. However, research on cognitive function and related factors among older adults with chronic diseases who report SCD remains limited.

Purpose: To compare cognitive and executive function in older adults with chronic diseases with and without SCD, and to identify factors associated with cognitive and executive …

Author Guest Of Honor Keynote - Fantasy As A Tool Of Resilience And Resistance / Mythopoeic Awards Ceremony, David R. Slayton

Mythcon

We find ourselves in a dire reality. America is facing a literacy crisis, especially among the young. College professors are sounding the alarm that students are entering higher education without having read a full novel while book bans are limiting access to reading materials. Many libraries are preemptively removing works before anyone can protest their inclusion even as budgets are being cut. Reading for pleasure among adults is down significantly, as is reading comprehension, at a time when media literacy is made crucial by weaponized misinformation, outright gaslighting, and the proliferation of AI generated media that is becoming increasingly hard …

“The Daemons Of Unplumbed Space”: Einsteinian Portals Into The Unknown In Paul W. S. Anderson’S Event Horizon And H.P. Lovecraft’S The Dreams In The Witch House, Kristine Larsen

Mythcon

Jason Colavito notes that “cosmic horror” developed in response to the counterintuitive and unsettling repositioning of space and time within Einstein’s Special and General Theories of Relativity, as embodied in H.P. Lovecraft’s Cthulhu Mythos. The horror of such a “weird tale” derives from the violation of already unnatural seeming physical law by the influence of super-natural powers. Lovecraft himself defined a weird tale as containing at least a hint of a “suspension or defeat of those fixed laws of Nature, which are our only safeguard against the assaults of chaos and the daemons of unplumbed space.” Surely the singularity of …

The Road To Armageddon; Commonwealth Orcs, 1872-2000, Joseph Rex Young

Mythcon

J.R.R. Tolkien’s orcs are perhaps his most exported creations, having become stereotypical antagonists of fantasy games, hewn down in countless dungeons as the evil minions of unnumbered dragons. Commentators have raised justifiable questions about the notion of an ‘evil race,’ though on examination the absorption of orcs into the post-Tolkienian genre, especially by writers from the British Commonwealth, has perpetuated a strikingly consistent, coherently evolving notion of what that evil is. Rather than relitigate questions about the admissibility of orcish evil, the purpose of this paper is to document this point of continuance.

Tolkien equates the orcs of Middle-earth to …

Today’S Christianity: Are We In The Mirror Universe? A Comparison Of Petrine Christianity And The Gospel Of Mary Via The Heroine’S Journey, Blythe A. Collier

Mythcon

What if there was an alternative to Joseph Campbell’s so-called ‘Monomyth’? What if we could dodge yet another rehash of the tired old trope of an oversimplified, Eurocentric ‘Hero’s Journey’? The monomyth is often considered the sine qua non of archetypal modern Western literature. We can easily pick out some of its described elements within both J.R.R. Tolkien’s The Lord of the Rings trilogy and Silmarillion, and in C. S. Lewis’ Narnia series—as well as within Petrine Christianity, which is the mythic structural basis of both the contemporary bible, and also the fabled worlds of Tolkien and Lewis.

But …

Middle-Earth Inspired Chess Sets, Bruce Leonard

Mythcon

The response to Tolkien’s work is amazing in variety and depth. Flieger and others note The Lord of the Rings invites a participatory response from the reader. For a number of us this results in a lifelong engagement, from academic pursuits such as this conference to fan creations. Chess is a wonderful example of the creative reaction to Tolkien’s work. There are as many as 97 Middle-earth related chess sets. This includes different editions of the same set. Dr. Graeme Anthony produced ~32 editions of his War of the Ring set. As with most responses to Tolkien inspired work the …

The God Machine: Environmental Resonances In Tolkien And Hollow Knight: Silksong, Alicia Fox-Lenz

Mythcon

After reading The Lord of the Rings, it would not be surprising for the reader to assume Tolkien was a luddite or at very least had some deep-rooted environmentalist leanings. After all, the anti-industrialist sentiment is one of the many themes that so enamored his American fans in the 1960s. In LOTR, industry (as opposed to craft) is aligned with evil, most notably through Saruman — a failed craftsman who has turned to machination. Through him, we see the industrialization of Isengard and its deleterious effects on nearby Fangorn, as well as the resulting destruction of the failed …

The Harlequinades: Agatha Christie’S Forays Into Fantasy, Joe R. Christopher

Mythcon

This review by Joe R. Christopher explores Agatha Christie’s long engagement with the Commedia dell’Arte tradition - referenced in current popular culture through figures such as the Batman series’ Harlequin character – and traces how elements of that fantasy appear throughout her early poetry and some of her short-fiction work. Her Harlequinade foray was in a self- funded volume of poems, some of which read as autobiographical. The evocation of wandering ancient, semi-immortal spirits may reflect a business trip taken with her first husband. Christie extends the Commedia motifs into her prose where she introduces recurring characters; notably, a character, …