Digital Commons Network^™

Wash Project: Promoting Menstrual Hygiene Through Alignment With The Sustainable Development Goals, Sandra Ojurongbe, Nakisha Kinlaw-Williams

International Nursing Research Congress (INRC)

Background: Menstrual hygiene management is a global public health concern. Moreover, cultural norms, stigma, and myths or taboos further hinder the achievement of menstrual health, contributing to absenteeism and gender-based inequalities (Babbar et al., 2022). A recent report by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) (2024) found that 2 out of 5 schools provide menstrual health education, and less than 1 in 3 schools have bins for menstrual waste in girls’ toilets. In sub-Saharan Africa, 12% of schools have menstrual materials available. To address these issues, a WASH educational document was created by a non-governmental …

Np Full Practice Authority: Does Increasing Access To High Quality Care Make A Difference?, Cynthia Sanchez

International Nursing Research Congress (INRC)

The purpose of this presentation is to compare outcomes for states that had full practice authority (FPA) for NPs to those that do not.

The aim of this study was to examine the impact of FPA on patient outcomes. A principal factor in the excess mortality rate of the U.S. is the health disparities that exist in this country, which are influenced by the social determinants of health.

CDC and NIH data were utilized after the official end of the Covid 19 pandemic mortality rates, utilization of services and health status were used to compare states that had full practice …

The Effects Of Team-Based Learning On Students’ Perceptions Of Interprofessional Collaboration, Donna Copeland-Streeter

International Nursing Research Congress (INRC)

Introduction: Effective interprofessional teamwork is essential for collaborative, patient-centered care, yet health science students often lack structured opportunities for shared learning. Incorporating intentional and continuous interprofessional education (IPE) throughout the curriculum is critical for building the communication and collaboration skills needed for team-based clinical practice.

Background: Although the value of IPE is well established, health science students are rarely trained together before entering practice. Barriers such as rigid curricula, limited resources, inconsistent leadership support, and institutional resistance hinder implementation. These gaps contribute to communication failures, workflow inefficiencies, and compromised patient safety. Embedding IPE into cross-disciplinary curricula can provide authentic teamwork …

Recharging Pacu Essential Skills Through An Annual Back-To-Basics Bootcamp, Rona Khadka

International Nursing Research Congress (INRC)

Post-Anesthesia Care Units (PACUs) require nurses to rapidly assess and manage patients emerging from anesthesia, often responding to airway concerns, hemodynamic instability, and unexpected clinical deterioration. Walter 3 PACU is a high-acuity, 24/7 unit caring for 45–55 postoperative cases daily across multiple surgical specialties. When staffing is supported by on-call staff including RNs from other PACUs during nights and weekends, nurses may experience anxiety and uncertainty when working outside their home environment. To strengthen confidence and essential clinical skills, Walter 3 launched its Back-to-Basics Bootcamp, an annual education initiative focused on reinforcing core emergency management competencies in a supportive learning …

Transforming Nursing Education Through Pex, Andrea Harrow

International Nursing Research Congress (INRC)

Patient experience is a cornerstone of healthcare quality, influencing outcomes, reputation, and reimbursement. Despite its importance, many organizations struggle to integrate patient experience strategies into nursing education and leadership development. This project addressed that gap by leveraging Guest Relations (GR) and Patient Experience (PEX) initiatives to strengthen nursing competencies and leadership skills within a large health system.

Background: Research links patient experience to safety, quality, and financial performance. Communication, empathy, and service recovery are essential skills for nurses and leaders. The National League for Nursing (NLN) emphasizes leadership and quality improvement as core competencies, yet few studies explore integrating GR …

Np-Led Family-Assisted Dyspnea Management To Enhance Comfort In A Respiratory Ward, Shih-Ying Chang, Chia-Chi Chang, Shih-Ying Lin, Cheng-Pei Wang

International Nursing Research Congress (INRC)

Background: Dyspnea is a frequent and distressing symptom among patients in respiratory care wards (RCWs), especially those requiring prolonged ventilatory support. Breathlessness contributes to anxiety, impaired communication, and reduced rehabilitation. Although family engagement improves patient comfort and care continuity, structured family-centered dyspnea interventions remain limited. Nurse practitioners (NPs) play a central role in patient–family communication and are well positioned to lead such programs.

Purpose: To evaluate the feasibility, effectiveness, and acceptability of an NP-led family-engagement dyspnea care program designed to reduce dyspnea and strengthen caregiving confidence in an RCW.

Methods: A quasi-experimental pre–post pilot study was conducted in an RCW …

Integrated Patient Care Practice In Intensive Care Unit Related To Abcdef Bundle: A Correlation Study, Sahar Saleem Aljadani, Hanan M. Alyami

International Nursing Research Congress (INRC)

Background: Intensive Care Units (ICUs) provide critical care for severely ill patients requiring sedation and mechanical ventilation, which can lead to adverse outcomes (Temesgen et al., 2021; Park & Lee, 2019). The ICU Liberation bundle, from the Society of Critical Care Medicine's guidelines, prioritizes Pain, Agitation/Sedation, Delirium, Immobility, and Sleep disruption (PADIS), collectively known as the ABCDEF bundle. This strategy seeks to enhance outcomes through pain management, Spontaneous Awakening Trials (SAT), Spontaneous Breathing Trials (SBT), delirium management, early mobility, and family involvement (Mart et al., 2021).

Aims: This study examined nurses' profiles, knowledge, and practices related to the ABCDEF bundle …

Psychometric Testing Of The Filipino Ppsc To Assess Patient Perceptions Of Hospital Safety Culture, Kathlyn Sharmaine Valdez, Andrew Sumpay

International Nursing Research Congress (INRC)

A reliable and valid tool that measures patient safety perception is essential in developing patient-centered safety initiatives, improving quality of care, and supporting sound organizational decision-making. The Patient Perception on Safety Culture in a Hospital Setting Scale (PPSC) is a newly developed instrument that assesses how hospitalized patients perceive safety culture (Valdez et al., 2023). This study aimed to determine the psychometric properties of the Tagalog translation of the PPSC.

This quantitative methodological research was conducted in three phases. Phase 1 involved the Tagalog translation of the tool by a professional linguist, followed by expert review to establish content validity. …

Integrating Gaming In Online Nursing Education To Increase Student Engagement, Shannon Manfredo

International Nursing Research Congress (INRC)

It is vital for nursing students to feel engaged in online courses to be successful in their academics and the future workforce as nurses. Active student engagement is a challenge for nurse educators, and this challenge is increasing significantly in the online learning environment (Ahshan, 2021; Gosak et al., 2021). This presentation aims to provide the viewer with an overview of the innovative scholarship project involving the implementation of gaming in online nursing education to increase student engagement.

According to Cadet (2023), Kahoot! games enhance engagement, interaction, and motivation for the students. Kahoot! games reinforced learning and provided a more …

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 …

Advancing Competency-Based Clinical Education Through An Innovative Preceptorship Framework, Beatriz C. Makhoulian

International Nursing Research Congress (INRC)

Competency-based education (CBE) is reshaping how nursing programs assess clinical learning and prepare graduates for practice. As expectations shift toward observable performance, clinical preceptors require structured, practical tools that support consistent evaluation and promote learner growth. This project introduces an innovative preceptorship framework designed to strengthen competency-based clinical education by integrating standardized evaluation processes, clear communication pathways, and accessible preceptor support resources. The model aligns with contemporary competency expectations endorsed by the American Association of Colleges of Nursing and the National Organization of Nurse Practitioner Faculties.

Implementation of the preceptorship framework and competency evaluation tool will begin in the Spring …

An Innovative And Comprehensive Nursing Orientation Program, Linda Liu

International Nursing Research Congress (INRC)

Background: High turnover rates remain a significant challenge in U.S. healthcare, with hospital turnover rates at 20.7% in 2023, despite a 2% improvement from 2022. Registered nurse (RN) turnover has improved by 4.1%, reaching 18.4%, but is still critical among RNs with less than one year of experience at 34% (Nursing Solution Inc., 2024). The average cost of turnover has increased by 7.5%, reaching $56,300 (Bae, S.H., 2022). Contributing factors include dissatisfaction with care quality, inadequate leadership, poor well-being, staffing shortages, undervaluation, and low salaries (Nightingale Foundation, 2024). At Cook County Health Stroger Hospital, a Comprehensive and Innovative Nursing Orientation …

Effect Of A Pressure Injury Prevention Bundle On Compliance And Staff Attitudes In A Medical Icu, Elizabeth L. Woods

International Nursing Research Congress (INRC)

Background: Hospital-acquired pressure injuries (HAPIs) are considered preventable yet remain prevalent in intensive care units (ICUs), where critically ill patients face increased risk due to immobility, hemodynamic instability, and complex care needs. This quality improvement (QI) project aimed to evaluate whether implementing a pressure injury prevention bundle (TEAMS) would improve compliance with preventive measures and staff attitudes toward HAPI prevention in a medical ICU.

Methods: A pre-post intervention design was conducted in a 17-bed medical ICU at a tertiary academic hospital. The TEAMS bundle included five components: Turn teams, Education, daily Assessments, a multidisciplinary approach, and daily Skin care. The …

Relational Safety In Practice: Examining How Nurses And Patients Co-Create Safe Clinical Encounters, Jitana P. Benton-Lee

International Nursing Research Congress (INRC)

Psychological safety is central to patient-centered care and effective nurse-patient relationships. When relational safety is present, patients report better experiences, outcomes, and trust, and nurses benefit from strengthened confidence and teamwork. However, the relational processes through which psychological safety is co-created in acute care remain insufficiently described.

This study examined the emotional, cognitive, and social processes that shape psychological safety within nurse-patient relationships and explored how relational safety emerges and influences care experiences. The study sought to generate theoretical insights explaining how relational safety emerges, is negotiated, and influences care experiences in acute care environments.

Using a constructivist grounded theory …

Impact Of Consumer-Led Education On Stigma Reduction In Mental Health Nursing, Anju Sreeram

International Nursing Research Congress (INRC)

Mental Health Nurses who have direct contact with consumers can exhibit discriminatory attitudes towards people with mental illness. Evidence shows that anti-stigma interventions are effective in improving stigmatised attitudes towards mental illness to facilitate the recovery of people with mental illness, and the contact-based interventions are more impactful than other modalities of education and training.

The current study aimed to examine the effectiveness of consumer-led education in reducing stigmatised attitudes among mental health nurses. A quasi-experimental pre- and post-test design was used to assess the impact of consumer-led education.

The results show that Mental Health Nurses generally held positive attitudes …

Analysis Of Factors Affecting Pharmaceutical Supply Chain Performance In Private Hospital “X” Surabaya, Yuliana Yuliana, Dewi Sri Surya Wuisan

International Conference on Business and Management Research (ICBMR)

This study investigates the effect of six key factors on pharmaceutical supply chain performance (PSCP) at Private Hospital “X” in Surabaya: inventory level control, demand forecasting, supply chain flexibility, supply chain integration, supply chain visibility, and information sharing. A quantitative approach was applied using a questionnaire survey in April 2025, with 187 medical and non-medical staff meeting the inclusion criteria. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM), complemented by Importance-Performance Map Analysis (IPMA) and Prediction-Oriented Segmentation (PLS-POS). Results show that all factors positively and significantly influence PSCP (p < 0.05), with inventory level control being the most dominant (β = 0.336), followed by supply chain visibility (β = 0.224). IPMA identifies inventory level control and demand forecasting as high importance–high performance, while supply chain visibility shows high performance but lower perceived importance. These findings align with the Resource-Based View (RBV), highlighting the strategic value of integrated internal resource management. The study recommends enhancing pharmaceutical supply chain systems to improve hospital efficiency, adaptability, and sustainability.

Fostering Translational Nursing Research Through Academic-Health System Partnerships, Monique Bouvier, Sharon Sonenblum

International Nursing Research Congress (INRC)

Nursing research often presents a disconnect between academic inquiry and the immediate needs of frontline clinical practice. Funding cycles can delay addressing emergent patient care challenges, and academically driven research questions may not always yield direct, value-added solutions for nursing workflows. To mitigate this gap, we initiated a novel program designed to foster collaboration between academic researchers and frontline clinical staff, facilitated by a clinically-based nurse scientist.

This initiative strategically brings academics to the point of care to gain firsthand insights into pressing clinical problems, and conversely, convenes clinical experts with academic counterparts to articulate real-world research priorities. This collaborative …

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, …

Nurses’ Contributions To Compassionate End-Of-Life Care In The Adult Intensive Care Unit, Emmanuel Kwame Korsah, Shelley Schmollgruber

International Nursing Research Congress (INRC)

Background: End-of-life care in intensive care units involves complex emotional, ethical, and clinical challenges. Compassionate end-of-life care extends beyond clinical management to include culturally sensitive spiritual support, facilitation of family presence, and death rituals. Nurses play a pivotal role in ensuring care is dignified and responsive to patients and families, yet their contributions in South African adult ICUs remain underexplored.

Purpose: To explore South African nurses’ contributions to compassionate end-of-life care in adult intensive care units.

Methods: A qualitative design using in-depth semi-structured interviews was employed. Sixteen nurses from a multidisciplinary adult intensive care unit participated. Interviews were transcribed verbatim …

Survey Results Of Dnp Faculty To Guide Faculty Development Priorities At Two Large Universities, Gina C. Rowe, Deborah O'Briant

International Nursing Research Congress (INRC)

Since 2010, DNP programs in the U.S. have grown from 156 programs with almost 7000 students in 2010 to 394 programs with over 40,000 students in 2021.(1,2) This rapid growth in new DNP programs has resulted in considerable variability in DNP program structure and curricula (3,4). Many DNP and PhD prepared faculty do not feel confident in guiding DNP students to complete DNP scholarly projects and have expressed a need for more resource support and mentoring.(3,5) The primary purpose of the study was to create baseline data on faculty knowledge and learning needs to guide faculty development efforts for those …

Virtual Reality Simulation Prebrief: Promoting Psychological Safety And Clinical Reasoning, Holldrid Odreman, Ryan Mcnally, Christian Baltus

International Nursing Research Congress (INRC)

A review of the simulation literature highlights the need to further understand the relationship between psychological safety and students’ clinical performance. Guided by Situated Learning Theory, this study aimed to determine to what extent there were differences in the experience of psychological safety and the performance of clinical judgement between three different pre-briefing techniques. Situated learning theory purports that learning is experienced within an individual's environment which is supported by the individual's active participation and shared with others. Therefore, as the collaboration and interaction between learner and educator during a pre-briefing activity increase, the level of support for learning and …

Supporting The Academic Success Of Undergraduate Nursing Students Through Peer Mentoring, Kate Fayer, Jill Campbell, Erin Higley

International Nursing Research Congress (INRC)

The profession of nursing is incredibly demanding requiring extensive knowledge, clinical skills, and experience to develop the clinical judgment necessary to provide safe and effective patient care. According to Wang et al.¹, undergraduate nursing students describe higher levels of stress and stress-related symptoms than the general student population. This increased level of stress is one of the most significant barriers facing undergraduate nursing students ability to complete their studies^1-3. A peer mentoring program with undergraduate nursing students can help alleviate the adverse effects of stress and improve their overall academic performance^1,4-5.

Nursing student mentees …

Tpb-Rivmhs: Theory-Based Scale Of Refugees’ Intentions For Virtual Mental Health Screening, Rami S. Elshalabi, Dana Hansen

International Nursing Research Congress (INRC)

Background / Problem Statement: Refugees experience disproportionately high rates of post-traumatic stress disorder, depression, and anxiety due to trauma exposure and post-migration stressors (Hynie et al., 2023). Virtual mental health services have the potential to reduce structural barriers, yet participation in virtual screening remains limited among refugee populations (Mohamud et al., 2024). Language barriers, stigma, cultural beliefs, privacy concerns, and limited digital literacy collectively influence help-seeking behaviors and restrict engagement with virtual mental health platforms (Ekeleme et al., 2024; MacPherson, 2023). Structural factors such as internet access and affordability continue to constrain utilization (Matlin et al., 2024). Despite these barriers, …

Perceptions Of Ai Caring Behaviors Among University Students In Kenya And The United States, Rachel W. Kimani, Rose Maina

International Nursing Research Congress (INRC)

As AI tools increasingly mediate health communication, questions arise about whether users perceive these systems as capable of relational behaviors such as caring, empathy, or emotional support. Existing scholarship emphasizes accuracy and safety, yet little is known about how the emotional tone of AI communication, caring versus neutral, shapes user perceptions across cultural contexts.

This research-in-progress pilot examines how college students in the United States and Kenya interpret caring-tone and neutral-tone AI responses in health scenarios. Using a 2 (Tone: Caring vs. Neutral) × 2 (Health Context: Mental vs. Physical) × 2 (Site: U.S. vs. Kenya) mixed factorial vignette design, …

Assessing Spanish-Speaking Latinas' Perceptions Of Postpartum Education On Maternal Warning Signs, Lucero Rocha-Dela Cruz, Natalia Villegas Rodriguez

International Nursing Research Congress (INRC)

Introduction: Pregnancy-related deaths remain a significant public health concern in the US, with approximately 78% occuring during the postpartum period. Latinx birthing individuals may face increased risk of postpartum complications due to barriers in accessing postpartum education that is culturally and linguistically appropriate. Little is known about education on maternal warning signs received among Latinx birthing individuals in the postpartum period. Patient education can reduce pregnancy-related deaths associated with postpartum complications. The purpose of this study was to assess perceptions of postpartum education, with a focus on maternal warning signs, among Spanish-speaking Latinx birthing individuals.

Methods: This quantitative descriptive study …

Sugary Beverages And The Rise Of Chronic Disease Among Hispanic Women, Jailene Lemus Hurtado, Natalia Andrea Villegas Rodriguez

International Nursing Research Congress (INRC)

Background and Purpose: Cardiovascular disease (CVD) is the leading cause of death and a major source of morbidity among Hispanics in the U.S. (1,2). Sugar-sweetened beverages (SSBs) are known to be associated with an increased risk of CVD, diabetes and obesity (3,4). However, there is a lack of information concerning SSB consumption patterns and perceptions of related health risks among Hispanic women in the U.S. This study aims to investigate SSB consumption patterns and perceptions among Hispanic women.

Methods: This cross-sectional descriptive study included 40 fluent Spanish-speaking Hispanic women ages 18 to 44 from North Carolina who participated in a …

Assessing Nursing Students' Knowledge And Attitudes Toward Older Adults, Desiree L. Fernandes, Jennifer A. Fearon-Lynch

International Nursing Research Congress (INRC)

Background: The population of older adults in the United States is increasing and will require an increase in the number of nurses to care for this population. Evidence suggests that there are many biases, stereotypes, and myths associated with the older adult population, which influence nursing students’ attitudes toward working with this population.

Aim: Our aim was to assess the effect of an aging adult educational intervention on second-semester sophomore nursing students’ knowledge and attitudes toward older adults.

Method: This one-group pretest-posttest quasi-experimental design with qualitative questions was conducted at a college within the northeastern United States. Undergraduate second-semester sophomore …

Virtual Reality And Telehealth Simulation: Advancing Competency-Based Education In Nursing, Roy L. Trahan, Shinu Joy

International Nursing Research Congress (INRC)

Background: CBE emphasizes measurable skills through targeted assessment. Nursing programs need scalable models for consistent instruction and valid evaluation. Immersive strategies like VR simulation and telehealth encounters enhance reasoning, engagement, and individualized learning.

Purpose: This project details two CBE models, VR neurological assessment and telehealth standardized patient encounter and their impact on learning, competency, and readiness.

Method: Integrated into undergraduate courses using structured design and rigorous evaluation. In critical care, VR scenarios with guided debriefing promoted reflection; evaluation used surveys, performance metrics, and exam comparisons. In medical-surgical, telehealth encounters replicated authentic interactions; faculty-led debriefing and validated tools assessed communication and …

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 …

Anesthetic Resistance Linked To Mistletoe Therapy: Implications For Herb–Drug Interactions, Erin Elizabeth Murphy, Maria R. Molina

International Nursing Research Congress (INRC)

Background/Significance: As complementary and integrative therapies expand worldwide nurses and advanced practice providers increasingly encounter patients using natural products that may influence procedural safety. Mistletoe extract (Viscum album), widely used in integrative oncology, remains poorly studied in relation to anesthetic pharmacology. With rising variability in sedation responsiveness, improving global pharmacology literacy is essential to support safe cancer care.

Purpose: To describe a case of mistletoe-associated anesthetic resistance and examine mechanisms through which integrative oncology therapies may alter anesthetic effectiveness, with implications for nursing practice.

Case: A 32-year-old woman with metastatic colorectal cancer received three months of intravenous and subcutaneous mistletoe …