Digital Commons Network^™

Using Greater Resilience Information Toolkit As A Transformative Strategy For Native American Women, Kathy Prue-Owens, Marie Zephier, Lauren Shaw, Nicole Weis

International Nursing Research Congress (INRC)

Background/Purpose: Native Americans (NAs) exhibit lower quality of life due to poverty, inadequate health services, historica/ongoing discrimination. NA women are underrepresented when it comes to the epidemic of violence, mental health and wellness outcomes.The purpose of this mixed method study was to explore the relationship between Native American (NA) women cultural beliefs, attitudes, and perceptions by gathering cultural input on the Greater Resilience Information Toolkit (GRIT) program.

Methods: This is a mixed-method community-based participatory research (CBPR) study. Self-efficacy is the theoretical framework. Upon Institutional Review Board approvals, flyers were posted at the tribal wellness center. Prior to focus groups, participants …

Ai-Based Multimodal Teaching: Effects On Nursing Students’ Learning Engagement And Oral Expression, Pei-Lin Hsieh

International Nursing Research Congress (INRC)

Over the past few decades, English-medium instruction (EMI) has been widely adopted in higher education to strengthen students’ global competence. In Taiwan’s nursing education, EMI courses aim to enhance professional communication in international healthcare settings; however, they also pose challenges in balancing language proficiency and clinical knowledge. Traditional lectures often fail to promote engagement or improve oral communication. Integrating artificial intelligence (AI) with multimodal teaching design offers a promising pathway for creating interactive, adaptive, and student-centered learning experiences. This study developed an EMI medical record reading curriculum integrating a multimodal design with AI technology and examined its effects on nursing …

From Tradition To Transformation: Hybrid Clinical Experiences, Simone Chinnis, Janelle Akomah, Angela Capello, Diana-Lyn Baptiste

International Nursing Research Congress (INRC)

Background: The clinical practicum in the final semester of pre-licensure programs is a hallmark experience in nursing education, bridging academia and professional practice by providing students with immersive, hands-on experiences. Such experiences foster the development of essential competencies--e.g., clinical reasoning, communication, professionalism, collaboration, & leadership. Capstone experiences lead to the application of theory to practice under precepted experiences.

Preceptorships during the final practicum assist with the transition from student to novice nurse by enhancing readiness for independent practice in a psychologically safe environment. According to the Accreditation Commission for Education in Nursing (AACN), clinical learning experiences must align with anticipated …

Adverse Childhood Experiences And Well-Being In Middle-Aged Korean Men: Mediating Role Of Andropause, Jeongok Park, Hyunju Lee, Gyeryung Park

International Nursing Research Congress (INRC)

Adverse childhood experiences (ACEs) can impact midlife well-being, however, their impact on middle-aged men is understudied. (1-5). This study aimed to examine the relationship between ACEs and well-being in middle-aged men, focusing on the mediating role of andropause symptoms to help develop strategies for improving men’s well-being.

This descriptive cross-sectional study included 444 community-dwelling men between the ages of 40 and 64 in Korea. Data were collected through an online survey. Individuals with psychological conditions impairing cognitive functions were excluded. Measures included PERMA-Profiler for well-being, ACEs International Questionnaire, and Androgen Deficiency in the Aging Males Questionnaire. SAS 9.4 was used …

The Accelerated Apprenticeship Model: An Innovative, Collaborative Solution, Lauren L. Niles, Misty Smith, Sheila S. Gentry, Shikha Modi, Charles Reynolds

International Nursing Research Congress (INRC)

Nursing shortages continue to plague our profession. It is projected that the nation will face a nursing shortage of 78,610 full time nurses in 2025 (National Center for Health Workforce Analysis, 2022). Nursing graduates are also leaving the profession prematurely (Tate, 2024). In 2025, approximately 22.3% of registered nurses (RNs) left their positions within the first year of work (NSI Nursing Solutions, Inc., 2025). Leaders in nursing education continue to seek novel methods to increase the number of practice-ready graduates. The need to better provide graduates with the necessary knowledge and skills for early practice presented an opportunity to create …

Barriers And Facilitators To Hiv Healthcare Among Adolescents Lwhiv In East African Countries, Pacifique Mukangabire

International Nursing Research Congress (INRC)

The burden of HIV/AIDS in Sub-Saharan Africa remains a critical public health challenge, especially among adolescents. With approximately 67% of 38.4 million people living with HIV residing in Sub-Saharan Africa, the region accounted for a significant number of new infections and AIDS-related deaths. Recent data indicate that adolescents are less likely to engage in timely HIV care and exhibit poor adherence to treatment, leading to high mortality rates compared to adults and children. This scoping review explored the barriers and facilitators influencing healthcare access among ALHIV in East African countries. A comprehensive search was conducted in MEDLINE, EMBASE, Global Health, …

A Curricular Approach To Enhancing Undergraduate Nursing Students’ Attitudes Toward Research, Brenda Moore, Elif Isik

International Nursing Research Congress (INRC)

Method: An introductory BSN research course was redesigned using competency-based education strategies within the foundations of adult learning theory. Competency-based education focused on ethics while adult learning theory emphasized nursing practice applicability and student interest. Students completed course evaluations comparing their research attitudes from the start of the semester to the end.

Results: Of the 331 students, 327 (98.2%) responded to a reflective question at the end of three consecutive semesters. Among them, 25% (n=82) reported a positive shift, selecting “I did not like research at the start of the semester, but I like it now.” An additional 24.6% (n …

The Mediating Role Of Resilience Between Anxiety And Depressive Symptoms, Marivic Torregosa

International Nursing Research Congress (INRC)

Objective: This study examined the mediating effect of resilience between anxiety and depressive symptoms while controlling for alcohol intake, anxiety, and selected demographic variables.

Method: After obtaining IRB approval, data were collected from a sample of n = 514 students at a Hispanic-serving institution located on the United States-Mexico border from 2020, during the COVID-19 pandemic, through 2023. The instruments used were the Generalized Anxiety Disorder 7-item scale (GAD-7) to measure anxiety, the Patient Health Questionnaire-9 (PHQ-9) to measure depressive symptoms, and the Brief Resilience Scale (BRS) to measure resilience. Path analysis was used to analyze the mediating effect of …

Using An Outcome-Based Education Design To Drive Dissemination Of Nursing Work, Kathleen Bradley, Ningning Guo

International Nursing Research Congress (INRC)

Nursing work dissemination often begins with a national podium or poster presentation. Submitting an abstract to these professional conferences can be challenging and time-consuming for novice writers. The American Nurses Credentialing Center (ANCC) Outcome-Based Continuing Education (OB-CE) model was used as a framework to design a hands-on Abstract Writing Workshop to help learners embark on their dissemination journey (ANCC, 2021; ANCC, 2025).

In September 2022, an environmental scan revealed less than fifty percent of projects were disseminated beyond the unit of improvement. Additionally, many nurses lacked knowledge and skills of abstract writing, often the first step in the dissemination process. …

Depressive Cognitions, Resourcefulness, And Sleep In Informal Caregivers Of Persons With Dementia, Rayhanah R. Almutairi

International Nursing Research Congress (INRC)

Background: Family or informal caregivers always provide support to their family members or others who are diagnosed with dementia. The increase in the aging population has led to a growing reliance on family members, often informal caregivers, who are increasingly responsible for providing care for older adults. Poor sleep and high levels of depressive cognition experienced by caregivers of persons with dementia (PWD) can negatively affect their physical and psychological health, which can lead to declining caregiver health, which can diminish their ability to provide optimal care. Currently, there are limited empirical studies supporting the usefulness of non-pharmacological sleep interventions …

Voice-Activated Technology Intervention And Well-Being In Older Adults Living Alone: A Meta-Analysis, Yu Shin Park, Dahye Hong, Min Kyung Park, Sikyeong Park, Suyeon Jeong, Dayoung Lee, Minsub Kim, Seojin Kim, Bada Kang

International Nursing Research Congress (INRC)

Older adults living alone are particularly vulnerable to declines in their physical, psychological, and social well-being (1). Voice-activated technology (VAT) has emerged as a promising approach to enhance accessibility, social connectedness, and independent living among older adults. This holds significant potential for nurses to optimize care delivery systems and support the overall well-being of older adults (2). However, evidence on its impact on multidimensional well-being, particularly for those living alone, remains limited. (3, 4). Therefore, this study aimed to examine the effects of VAT interventions on the multidimensional well-being of older adults living alone.

A meta-analysis was conducted in accordance …

The Fusion Model: Advancing Dnp–Phd Collaboration To Bridge Nursing Science And Practice, Kaylan Branson, Malorie Brooks, Jennifer Stephen, Roberta Miller, Julie Van Orne

International Nursing Research Congress (INRC)

Background: Doctor of Nursing Practice (DNP)- and Doctor of Philosophy (PhD)-prepared nurses bring complementary expertise to evidence-based practice and research. In clinical settings, collaboration between these roles is informal and poorly defined. Guided by Convergent Care Theory (CCT), a team at a large health system developed the FUSION Model (Framework for Uniting Science, Implementation, and Organizational Nursing) aimed to formalize DNP–PhD collaboration, accelerate evidence translation, and advance nursing excellence.

Methods: A team of 11 doctoral-prepared nurses engaged in an iterative model development process. Across 9 sessions, the team reviewed 25 articles, mapped current DNP and PhD role functions, and identified …

Culturally Responsive Teaching And Practices Of Online Faculty, Oluwatoyin Okafor, Deanna L. Howe

International Nursing Research Congress (INRC)

Online teaching and learning continue to expand across U.S. institutions (Martin et al., 2020). Online courses often attract even more diverse students than traditional classrooms, including individuals from varied racial, ethnic, socioeconomic, linguistic, religious, and gender backgrounds (Ballenger & Jiang, 2023). To enhance learning and promote success, instructors must address these cultural differences (Kumi-Yeboah et al., 2022; Shonfeld et al., 2021). Culturally responsive teaching (CRT) draws on students’ cultural knowledge, prior experiences, and performance styles to make learning more relevant, engaging, and effective (Abacioglu et al., 2020).

This mixed-methods study entailed revising the Culturally Responsive Teaching Knowledge and Practices of …

Preparing Tomorrow’S Providers: A Simulation Addressing Workplace Violence In Clinical Settings, Julie Kurkowski, Danielle Yocom, Nancy Barker, Patrick Heagey, Alexa Moran, John Fisher

International Nursing Research Congress (INRC)

Background: Workplace violence is a growing global problem, with healthcare and social service professionals experiencing the highest rates, reaching epidemic levels in the United States (Emergency Nurses Association (ENA),n.d.; U.S. Bureau of Labor Statistics, 2024). Academic institutions must prepare students for these realities by integrating workplace violence education into prelicensure curricula, especially as students are also at risk during their clinical rotations (Johnston & Fox, 2020).

Purpose: The purpose of this study was to evaluate the effectiveness of an interprofessional high-fidelity simulation to increase prelicensure healthcare students’ confidence in managing aggressive behaviors within the simulated clinical environment.

Methods: Nursing, Physician …

“I Started Healing Myself”: Black Mothers’ Grief Journeys After Stillbirth, Carrie J. Henry, Sara Kaylor, Mallory Scogin

International Nursing Research Congress (INRC)

Introduction: Stillbirth (fetal death after 20 weeks gestation) occurs twice as often for Black mothers compared to White in the United States (Gregory et al., 2024), yet limited research has explored how Black mothers cope with stillbirth-related grief and distress (Boyden et al., 2014; Henry et al., 2023). Evidence suggests coping behaviors after perinatal loss differ across cultural and racial groups (Henry et al., 2024; Moore et al., 2022), yet most studies reflect mostly White samples. Understanding how Black mothers navigate the grieving process is essential to inform culturally responsive care and bereavement support (Fenstermacher & Hupcey, 2019; Henry et …

Patient-Specific Mobilization To Prevent Functional Decline And Falls, Samantha Michelle Amen, Pearl Paras

International Nursing Research Congress (INRC)

To implement a patient-specific mobilization strategy aligned with functional capacity, aiming to improve mobility, reduce functional decline, and lower fall-with-injury rates across 21 medical centers in the Northern California region of Kaiser Permanente.

This project addresses a critical gap in hospital care by replacing generic mobility goals with individualized plans, improving patient safety and functional outcomes. It aligns with the conference’s focus on innovation and evidence-based practice by demonstrating how tailored interventions can reduce harm and enhance interdisciplinary care delivery.

A real-time dashboard was implemented to operationalize patient-specific mobility goals. Nurses enter the Current Level of Function (CLOF) by 10:00 …

The Effects Of An Information Competency Development Program For Registered Nurse In A Hospital, Ganoksri Jardngoen

International Nursing Research Congress (INRC)

The objective of this research was to study and compare the results of an information competency development program on the knowledge, skills and attitudes of professional-level registered nurses at a community hospital before and after the program.

The quasi-experimental study used a single group pre-test/post-test research method. The study population and sample population were the same. They were consisted of 40 professional level registered nurses working at a community hospital. Two sets of research instruments were employed: 1) an information competency development program, with a content validity index of 1; and 2) an assessment form to measure the information competency …

Effect Of Role Ambiguity On Turnover Intention: A Moderated Mediation Model, Heejin Lim, Seung Eun Lee

International Nursing Research Congress (INRC)

Purpose: Given nurses’ high turnover and its impact on patient safety and quality of care (Wu et al., 2023), reducing their turnover intention is crucial. This study aimed to (a) test the direct effect of role ambiguity on turnover intention, (b) examine the indirect effect via burnout, and (c) investigate whether physician–nurse collaboration moderates the path from role ambiguity to burnout and, consequently, the conditional indirect effect (moderated mediation) on turnover intention.

Design/Methods: This descriptive, correlational study analyzed data from 507 registered nurses in South Korea collected between October and December 2024. Eligible participants had at least one year of …

Yagarrajalajalan Nagula Buru, Wil Bennett, Dean Mathews, Lloyd Pigram, Camila Pardo Uribe

Talking Heads Seminar Series

Yawuru Nagulagun is the traditional saltwater Country and feasting place of Yawuru people around Broome and Roebuck Bay. It is home and habitat for dozens of threatened fauna including culturally significant migratory green turtles and dugong, and is the ocean playground of modern Broome.

Joint managers of the Yawuru Nagulagun / Roebuck Bay Marine Park must navigate the swirling currents of overlapping recreational, ecological and cultural use within the Park to ensure its sustainable management.

To support these aspirations a collaborative partnership known as Yagarrajalajalan nagula buru (We All Care for Saltwater Country) has, since 2023, brought together a large …

Return-To-Work After Out-Of-Hospital Cardiac Arrest: A Scoping Review, I-Ying Lu, Meei-Fang Lou, Yi-Hui Chen, Shir Lynn Lim, Nien-Tzu Chang

International Nursing Research Congress (INRC)

Objectives: Return to work (RTW) after out-of-hospital cardiac arrest (OHCA) reflects neurological, psychological, and social recovery. Although survival after OHCA has improved, evidence on RTW prevalence, assessment methods, and influencing factors remains limited. This scoping review aimed to synthesize current evidence on RTW definitions, rates, and determinants among OHCA survivors.

Methods: Six databases (PubMed, Embase, Scopus, CINAHL, Web of Science, and PsycINFO) were searched from inception to July 2025. Studies involving adult OHCA survivors that reported RTW outcomes were included; those focusing solely on in-hospital cardiac arrest or without RTW data were excluded.

Results: Ten observational studies, including 4,465 survivors, …

Developing The “Cicare Rainbow Communication” Microlearning System For Lgbtq+ Nursing Education, Mei-Chen Su, Pei-Yun Tseng

International Nursing Research Congress (INRC)

Background: A critical gap persists in global nursing education concerning practical training for communication with gender-diverse individuals. Insufficient preparation contributes to discomfort and miscommunication in clinical interactions, compromising culturally safe and equitable patient care. Addressing this gap requires innovative, evidence-based, and inclusive educational solutions.

Objectives: This study describes the systematic development and initial validation of the CICARE Rainbow Communication system—a digital microlearning intervention designed to enhance nursing students’ competence in communicating with gender-diverse patients.

Design: A multi-phase developmental research design was adopted, encompassing a qualitative needs analysis, system design and development, and expert content validation.

Methods: An initial qualitative study …

Evaluating The Validity Of Item Scoring In Course Examinations, Mariann M. Harding, Samantha Jo Bonaduce

International Nursing Research Congress (INRC)

Background. The Next Generation NCLEX (NGN) added 5 new item types. A dilemma nursing faculty continue to face in incorporating these new item types is how to approach testing to ensure that tests are fair and valid. Based on published NCSBN materials, faculty developed a scoring guide for NGN and traditional item types. This study investigated the validity of the proposed scoring model, which faculty believed most replicated the NCLEX approach.

Method. Data was collected using a retrospective design from the computer testing records of students in a medical-surgical nursing course in an ADN program. Study variables included course grades …

Modeling Cognitive Function With Functional Fitness And Daily Function: A Pls-Sem Approach, Kuei-Min Chen, Hsiao-Ting Tung

International Nursing Research Congress (INRC)

Purpose: Cognitive decline is a clinically significant issue among older adults with dementia, often compromising their functional independence and quality of life. However, limited research has explored how functional fitness and daily function contribute to cognitive performance in this population. This study aimed to validate a structural model of cognitive function among older adults with dementia, focusing on the roles of functional fitness and daily function as key influencing factors.

Methods: A cross-sectional study was conducted among 258 older adults with dementia recruited from adult daycare centers. Participants were identified either through a physician’s clinical diagnosis of dementia or by …

Ecological Momentary Assessment Of Caregiver Distress In Home Hospice Caregivers: A Study Protocol, Tuzhen Xu, Ya-Ching Huang

International Nursing Research Congress (INRC)

Background: Caregivers of hospice patients, often family or close friends, provide continuous support for individuals with a life expectancy of six months or less. In 2022, 1.72 million Medicare beneficiaries received hospice care, most at home, with an average stay of 98 days. Caregivers manage medications, symptoms, personal care, emotional support, and provider coordination, placing them at high risk for fatigue, anxiety, depression, sleep disturbance, and burnout. Traditional surveys or single-point interviews often fail to capture the dynamic nature of distress, especially during nighttime care or crises.

Purpose: To characterize real-time patterns of physical and psychological distress among home hospice …

Enhancing Resilience For Well-Being To Reduce Health Inequity In Global Nursing Professionals, Fiona Yu, Deborah Raphael, Lisa Mackay, Melody Smith, Ritin Santiago Fernandez

International Nursing Research Congress (INRC)

Nurses, as the largest population in the healthcare service, play a critical role in achieving global health equity to sustain the health of the entire population (1). They are key when providing care in health promotion, disease prevention, treatment, and rehabilitation across diverse populations and clinical settings (2). However, nurses face significant challenges, and the COVID-19 pandemic has exacerbated their situations. Specifically, nursing shortages have a significant impact on frontline nurses, contributing to a heavy workload and unsafe practice, and placing them at a high risk of burnout, stress, fatigue, and ill health, thereby increasing turnover (3, 4).

Research shows …

Effectiveness Of Telehealth For Dsmes Among Type 2 Diabetes: A Systematic Review And Meta-Analysis, Ramida Subpaiboonkit, Asmat Burhan, Hsiu-Ting Tsai

International Nursing Research Congress (INRC)

Aim: Diabetes Self-Management Education and Support (DSMES) is recommended as standard care. Telehealth may extend DSMES beyond clinic settings, but its effects on self-efficacy and quality of life are unclear. We evaluated the effectiveness of telehealth for DSMES on (1) self-efficacy and (2) quality of life (QoL) in adults with type 2 diabetes mellitus.

Methods: This study is a systematic review and meta-analysis of randomized controlled trials following the Cochrane Handbook guidelines and PRISMA2020. Following PRISMA, six databases (PubMed, Scopus, Embase, Cochrane, CINAHL, Web of Science) were searched from 2000 to 10 October 2025, plus reference lists. Eligible studies were …

Exploring Best Practices In Evaluating Clinical Skills Amongst Nursing Students: A Scoping Review, Kateryna Metersky, Tommy Lin, Tina Lam, Areej Al-Hamad, Daria Romaniuk

International Nursing Research Congress (INRC)

Undergraduate nursing students are required to perform a high-stakes clinical skills test that determines their ability to progress in the program and engage in clinical practice. Nursing students have perceived skills testing to be a stressful and high-pressure situation, leading to a decreased sense of confidence when performing the required skills (Monson et al., 2021). Thus, faculty should not rely solely on students passing a checkoff test as an indicator of safe skill performance, raising questions about the value and utility of such skill checkoffs (Aldridge, 2024). As nursing student enrollment numbers increase to keep pace with human healthcare resource …

Secondary Traumatic Stress In Baccalaureate Nursing Students, Kristen N. Oakley, Linda Carman Copel, Jennifer Gunberg Ross

International Nursing Research Congress (INRC)

Nursing students undergoing clinical training are at risk of developing negative physical and psychological secondary traumatic stress (STS) symptoms. However, the study of STS in this population has been limited by both a lack of clarity on the concept of STS and the lack of generalizable findings. Therefore, the purpose of this multi-method study was to determine the prevalence, severity, and experience of STS in traditional, non-accelerated prelicensure baccalaureate nursing students in the United States. The relationship between STS and personal and clinical learning environment factors was also explored. A descriptive, correlational multi-method survey design was used. Instruments included a …

Debunking Toxic Social Media Bias With The Implementation Of Evidence-Based Nursing Education, Brittany Nettles, Julie Baker-Townsend

International Nursing Research Congress (INRC)

Social media has become a powerful influence on student nurses in the United States, shaping both their personal values and professional behaviors. Its impact is multifaceted, with evidence pointing to both positive and negative effects, particularly in relationship to nursing student empathy (Nihayati et al., 2025; Tan, Ni, Liu, & Shorey, 2024). Empathy, which is to understand and value another person’s experiences, is the cornerstone of nursing practice and remains central to ethical patient care, particularly in relation to the principles of beneficence, nonmaleficence, autonomy, justice, fidelity, and dignity. In 2024, a new ideology emerged on social media platforms: “Toxic …

Night To Light Revive Before You Drive, Imelda S. Oca, Grace Marie Delgado, Mary Ann Sison, Armie Poralan

International Nursing Research Congress (INRC)

At times, night shift nurses had little or no recollection of their commute home emphasizing the exhaustion experienced after working an overnight shift. Night To Light Revive Before You Drive is a project aimed to increase safety awareness to combat drowsy driving among night shift nurses through targeted interventions promoting wellness and safety. This in turn, positively enhanced the work environment, decreased the job burnout scores and lowered the night shift RN Vacancy and Turnover rates.

The Night to Light Revive Before You Drive is a pre-post interventional study design with an implementation timeline of twelve months focused on awareness …