Digital Commons Network^™

Trajectories Of Quality Of Life Predict Outcomes In Heart Failure Patients After Hospitalization, Min Hui Liu, Chao-Hung Wang

International Nursing Research Congress (INRC)

Background: Along with substantial advances in therapeutic modalities, the prevalence of heart failure (HF) is increasing. The irreversible nature of HF causes patients to face a risk of sudden deterioration and rehospitalization. Thus, the goal for HF treatment should prioritize quality of life (QOL) rather than simply prolonging survival. Previous studies noted that rehospitalizations threat HF patients' QOL. This study aimed to identify different trajectories of QOL after HF hospitalization and investigate whether QOL trajectories predicted rehospitalization.

Methods: This cohort study collected data of 480 patients with HF hospitalization, including clinical characteristics, 6-min walking distance, and MAGGIC risk score (a …

Leadership Starts Here: Bridging The Learning-To-Practice Gap With Competency-Based Education, Jihane Frangieh, Dorna P. Hairston

International Nursing Research Congress (INRC)

The purpose of this presentation is to describe how competency-based education (CBE) can be used to intentionally integrate leadership development into entry-level professional nursing education. Competencies are observable, measurable behaviors that reflect not only what students know, but how they apply knowledge and judgment in practice. When leadership competencies are embedded across the curriculum rather than treated as “add-ons,” new graduates are better prepared to meet the realities of contemporary practice.

Building on the American Association of Colleges of Nursing (AACN) Essentials, this work frames leadership as an expected entry-level competency rather than a skill to be developed only after …

Enhancing Community Health Volunteers In Screening Indonesian Community-Dwelling Older Adults, Riksa Wibawa Resna, Ching-Min Chen, Tram Thi Bich Nguyen

International Nursing Research Congress (INRC)

Indonesia faces a shortage of healthcare professionals (3.84 per 1,000 population, compared with the WHO standard of 4.45). Additionally, Community Health Volunteers (CHVs) play a crucial role in community-based geriatric care in Indonesia. However, their competencies in conducting Intrinsic Capacity (IC) screening remain limited.

This study aims to evaluate the effectiveness of a structured training program in improving CHV knowledge and skills related to intrinsic capacity screening.
A pre–post quasi-experimental design was employed with a total of 120 eligible CHVs recruited from three PHCs through purposive judgmental sampling. The two-day training program and a month of personal guidance were implemented …

The Impact Of Telemedicine On Pediatric Specialty Patients’ Access To Care, Barbara R. Medvec, Tamara L. Hill, John D. Knight

International Nursing Research Congress (INRC)

Pediatric patient no-shows to specialty clinic appointments are a problem, with no-show rates as high as 50%. The limited number of pediatric specialty providers leads to longer lead times when rescheduling, further delaying care. One often cited no-show factor is inconvenient appointment access. COVID-19 offered telemedicine as an additional patient access method. In this study, we compared no-show rates before the COVID-19 pandemic with no-show rates during the pandemic and in the post-pandemic period to evaluate (1) the impact of telemedicine patient access on the overall no-show rate for pediatric ambulatory clinic visits and (2) the telemedicine no-show rate compared …

Ai Literacy Among Nurse Educators: Assessing Adaptation And Integration In Nursing Education, Cora Rabe, Mikyoung Angela Lee

International Nursing Research Congress (INRC)

As artificial intelligence (AI) becomes embedded in both education and clinical practice, educators must be equipped to use it effectively and train graduates for AI-driven environments.1 AI offers benefits such as personalized learning, improved feedback, increased engagement, and decreased workload.2-5 However, researchers note a lack of standardized methods for implementing and evaluating AI in the classroom. Moreover, validated tools to assess AI literacy among nurse educators are lacking, hindering full integration of AI into nursing curricula.

This study aimed to (1) develop and validate the AI-Technological Pedagogical Content Knowledge and Ethics (AI-TPACK-E) scale, (2) evaluate nurse educators’ AI literacy, and …

Developing Ai Competencies In Nursing: An Aacn-Aligned Approach, Vincent Pair, Shayna Katz

International Nursing Research Congress (INRC)

Artificial intelligence (AI) is rapidly reshaping healthcare through its influence on documentation, decision support, communication, and workflow efficiency. As generative AI (GenAI) tools become increasingly embedded in clinical practice, graduate nursing students must be prepared to use them safely, ethically, and effectively. There are significant gaps in AI literacy among both faculty and students, including limited understanding of AI capabilities, risks, and appropriate applications in practice (Simms, 2024, 2025; Phillips, 2025). Nursing programs similarly lack structured learning outcomes and competency-mapped activities to support responsible AI use. National guidance reinforces the urgency of this work: the AACN Essentials (2021) highlight the …

Scaling Nursing Immersive Virtual Reality Simulation: Multisite Outcomes And Lessons Learned, Cynthia Bradley, Carol Flaten

International Nursing Research Congress (INRC)

Background: Immersive virtual reality (IVR) is shifting from an educational novelty to an essential strategy for preparing practice ready nurses. While programs increasingly adopt IVR to provide consistent clinical learning, there is limited guidance on how IVR impacts knowledge and clinical competence when scaled across multiple sites. By giving every student standardized complex scenarios, IVR supports competency based assessment while expanding simulation access for programs with limited infrastructure.

Purpose: Describe outcomes from implementing a competency based IVR sequence across six prelicensure nursing programs and a nurse residency, with emphasis on what supported successful replication.

Methods: Six nursing programs in large …

Mental Health Concerns And Stigma In Online Education: Access To And Awareness Of Student Resources, Stacey L. Knight, J. T. Seaman

International Nursing Research Congress (INRC)

Online education offers valuable access to students who face barriers to attending traditional in-person courses (Canty et. al., 2020; Wiitavaara & Widar, 2025). However, students may experience social isolation, anxiety, and feelings of loneliness, and the stigma surrounding mental health can further intensify these challenges (Lister et al., 2023; Rutkowska et.al., 2022; Smith & Alheneidi, 2023). This stigma may lead students to minimize their symptoms, avoid acknowledging their concerns, or feel reluctant to seek assistance. Consequently, many students may remain unaware of available mental health resources or feel discouraged from accessing them (Cody et al., 2024).

A voluntary, anonymous, exploratory, …

Embedding The Sdgs In Graduate Nursing Curricula: Experiential Learning With Reallives Simulation, Modupe Akintomide, Monica Nandan

International Nursing Research Congress (INRC)

Background: The United Nations Sustainable Development Goals (SDGs) form a universal framework of 17 interconnected goals designed to address global challenges and achieve a sustainable future by 2030 [1]. For nursing education, these goals are relevant, emphasizing health, equity, and social justice domains central to the profession [2]. Graduate nursing programs face challenges in embedding SDGs into curricula through approaches that extend beyond traditional didactic methods [2-3]. Innovative strategies are needed to ensure nursing graduates develop the critical thinking, empathy, and reflective skills required to engage with these priorities.

Purpose: To evaluate the effectiveness of using the RealLives simulation in …

Healthy Eating Habits And Risk Of Type 2 Diabetes In A Marginal Urban Community Of Lima, Peru, Maria Del Rosario Rodas Ordonez, Sheyla Alexa Valentina Carbonel Almerco

International Nursing Research Congress (INRC)

Purpose: The growing prevalence of type 2 diabetes mellitus (T2DM) in Peru, particularly in urban-marginal districts such as Villa El Salvador, underscores the need to strengthen prevention strategies within primary healthcare. This study aimed to determine the association between healthy eating habits and the estimated risk of developing T2DM among adults living in a community of Lima Sur.

Methods: A quantitative, analytical cross-sectional study was conducted with 200 adults aged 18–59 years. Participants were selected through convenience sampling and data were collected through structured surveys, anthropometric measurements, and home visits. The Finnish Diabetes Risk Score (FINDRISC) was used to estimate …

Staying Ahead Of Murphy’S Law: A Proactive Approach To Quality Improvement, Cristina L. Ritzema, Jessica Schweitzer

International Nursing Research Congress (INRC)

Purpose: The purpose of this initiative was to proactively minimize the risk for patient harm related to errors in the administration of IV Pitocin and/or magnesium (Mg) during emergent situations in the labor and delivery unit, through best-practices and evidence-based strategies.

Background: Pitocin and Mg are high-risk IV medications in obstetrics, frequently given during stressful situations. After a serious Pitocin-related error at another facility caused adverse outcomes, the staff recognized their own vulnerability to similar mistakes. While quality improvement and risk management initiatives are often reactive responses to poor outcomes, the team chose a proactive approach. It implemented fail-safe solutions …

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 …

Pre-Nursing Students' Reflections Of The Most Useful Success Strategies: A Qualitative Study, Regina W. Urban, Leslie A. Jennings

International Nursing Research Congress (INRC)

Background: Initiatives to address the US nursing shortage include increasing enrollment, standardizing education, and supporting student success (American Association of Colleges of Nursing, 2024; Spector et al., 2022). Despite reports of poor study habits and difficulty adapting to science courses, few studies examine study and time management strategies in pre-nursing students (Felicilda-Reynaldo et al., 2017). Mindfulness-based programs improve mental health outcomes in nursing students (Aloufi et al., 2021); yet research on mindfulness programs with pre-nursing students is lacking. Identifying success strategies pre-nursing students find useful is key to improving academic retention (Shelton, 2012). Therefore, this study aimed to qualitatively explore …

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.

Relationship Between Professional Autonomy And Job Performance Of Nurses Hospital, Lima - 2025, Alexander Omar Diaz-Martinez, Andrea Garcia-Campos, Nallely Quispe-Quintanilla

International Nursing Research Congress (INRC)

Professional autonomy in nursing plays a key role in clinical decision-making and quality of care. This study aims to determine the relationship between professional autonomy and work performance among nurses in a public hospital in Lima, Peru. A quantitative, cross-sectional correlational design will be used with a sample of 218 nurses selected through stratified sampling. Data will be collected using the Questionnaire of Professional Autonomy for Clinical Nurses and the Individual Work Performance Questionnaire (IWPQ). Statistical analysis will be conducted to evaluate the relationship between variables. The findings are expected to contribute evidence supporting strategies to strengthen professional autonomy and …

Baseline Psychosocial Stress And Allostatic Load In Patients Initiating Cancer Therapy, Campbell Speakman, Margaret Quinn Rosenzweig, Emmanuel Komladzah

International Nursing Research Congress (INRC)

Introduction: Racial and economic cancer treatment disparities pose a major public health challenge. Pre-existing psychosocial stressors and overall "weathering" or allostatic load are often more profound among patients of color and those from areas of high deprivation and may impact cancer outcomes.

Purpose: This study characterized baseline allostatic load, lifetime stress, perceived discrimination, financial toxicity, quality of life, distress, symptom burden, and resilience, compared by race and area deprivation.

Methods: This analysis was drawn from the prospective, observational ALLEGIANT (Allostasis, Cellular Aging, and Cancer Outcomes) study. Patients initiating cancer therapy were recruited from cancer clinics in Western Pennsylvania. Measures included …

Predictors Of 3-Month Anxiety Among Intimate Partners Of Icd Recipients Following A P+P Intervention, Jinseon Hwang, Elaine A. Thompson, Cynthia M. Dougherty

International Nursing Research Congress (INRC)

Introduction: Sudden cardiac arrest (SCA) survivors often require implantable cardioverter-defibrillator (ICD) therapy, which introduces psychological challenges for patients and their intimate partners. Although the Patient plus Partner (P+P) intervention, a six-week post-discharge program, was developed to support recovery for both patient and partners, factors influencing early post-discharge partner anxiety remain unclear. This study examined predictors of 3-month partner anxiety among intimate partners of ICD recipients receiving secondary prevention.

Methods: This secondary analysis included intimate partners of patients who underwent ICD implantation for secondary prevention of ventricular fibrillation or ventricular tachycardia (n=63) from a randomized controlled trial. Partner anxiety was measured …

Evidence Based Clinical Ladder Program, Jeannie N. Beard, Jennifer Vann, Michele Kane, Catherine Brown

International Nursing Research Congress (INRC)

Introduction: For nurses providing direct bedside care at Athens-Limestone Hospital (ALH) or Medical Village Tower (MVT), there is currently no Clinical Ladder Program (CLP). Purposes of this paper is to determine if there will be an increase interest in CLP education through utilization of a quick response (QR) code.

Problem: Nurses struggle with retention yet want to provide quality care and pursue professional development but are unaware of how to begin. CLPs offer networking, education, and interdisciplinary communication supporting retention.

PICOT: The PICOT question is for registered or licensed practical nurses providing direct bedside care at ALH/MVT (P), does the …

The Safer-Ai Use™ Framework: A Systems Approach For Ethical And Responsible Ai In Nursing Education, Marie Kelly Lindley, Heather S. Cole, Amber Senetza

International Nursing Research Congress (INRC)

Purpose - To introduce the SAfER-AI Use™ Framework, a systems-based conceptual model to guide educators in the ethical and responsible use of generative AI.

Background - Generative AI is entering nursing education faster than leaders can evaluate its risks. Educators increasingly use large language models (LLMs) for assessments, scenarios, rubrics, and accreditation tasks, yet LLMs generate fluent but non–human-derived output that may contain inaccuracies or bias. Recent scholarship describes AI exemplars and risks (1), faculty needs and readiness (2), and calls for policy engagement (3). Yet discipline-specific conceptual models are lacking, especially those addressing the human–AI interface and safeguards at …

Standardizing Tracheostomy And Laryngectomy Terminology For Patient Safety: Global Outlook, Naomi Nancy Simon Walter, Michael J. Brenner, Vinciya Pandian

International Nursing Research Congress (INRC)

Background: Patients who breathe “through the neck only” following tracheostomy or total laryngectomy cannot be ventilated through the mouth or nose. Misunderstanding or misuse of airway terminology can lead to catastrophic management errors, including hypoxia, brain injury, or death. Despite growing awareness, no standardized, patient-centered nomenclature exists for describing airway anatomy in these populations.

Purpose: To clarify and standardize terminology describing tracheostomy and laryngectomy airway anatomy by conducting a global mixed methods survey of healthcare professionals (HCPs), patients, families, and caregivers (PFCs), promoting accuracy, safety, and patient-centeredness in communication.

Methods: A multidisciplinary team developed and iteratively refined a survey instrument …

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 …

Dacum-Based Job Analysis And Educational Needs Assessment Of Community Disability Care Coordinators, Haesun Lee, Gyeonga Kang, Ju Young Yoon

International Nursing Research Congress (INRC)

As of 2024, 2,631,356 individuals in South Korea are registered as persons with disabilities, representing 5.1% of the total population. They are at increased risk of preventable secondary health conditions and chronic diseases, further exacerbated by social and environmental barriers such as limited mobility, insufficient provider awareness, and inadequate disability-friendly healthcare infrastructure. These challenges underscore the need for a multidisciplinary team-based approach, in which care coordinators play a critical role. However, despite the establishment of Regional Health and Medical Centers for Persons with Disabilities, coordinators’ roles remain poorly defined, and structured training programs are lacking.

This study was conducted in …

Exploring Factors That Influence Child Marriage In Mozambique: A Collaborative Research Project, Karla Adu, Brenita Nicholas-Edwards, Jaime Paulo Mathe

International Nursing Research Congress (INRC)

Child marriage affects nearly 1 in 5 young women globally.¹ UN Sustainable Development Goal 5 specifically set a target of eliminating child marriage by 2030.¹ While the prevalence of child marriage is decreasing worldwide, sub-Saharan Africa is experiencing rising levels.² Mozambique has the 8th highest rate of child marriage in the world, with 48% of girls married before the age of 18 and 13% married before the age of 15.³

Child marriage is a complex issue, rooted in poverty and cultural norms. Factors linked to child marriage include limited access to education, job opportunities, and reproductive …

Ecological Determinants Of Youth Marijuana Use: A Longitudinal Mediation Model, Ricardo Zamarripa Ortega, Christopher Browning, Jodi L. Ford

International Nursing Research Congress (INRC)

Purpose: This study explores how activity space collective efficacy strengthens families to buffer against depressive symptoms, which may lead to substance use. By identifying these pathways, we aim to improve prevention strategies.

Methods: Data from the Adolescent Health Development in Context study (n = 1,538) were used for mediation models with 10,000 bootstrap draws. The main predictor was activity space collective efficacy. Mediators were family support and depressive symptoms. The outcome was marijuana use. Models controlled for age, sex, race, caregiver education, and baseline marijuana use.

Results: Collective efficacy predicted increased family support (cross-sectional β = 0.134, 95% CI [0.065, …

Developing A Near-Peer Teaching Clinical Placement Model To Enhance Students’ Self-Efficacy Beliefs, Beth Pierce, Thea Van De Mortel, Jeanne Allen

International Nursing Research Congress (INRC)

Near-peer teaching (NPT) involves senior students teaching junior students from the same discipline (Zheng & Wang, 2022). While NPT is integrated extensively in medicine, it recently gained traction in nurse education (Irvine et al., 2018). Near-peer teaching in classrooms/laboratories has been found to enhance senior nursing students’ leadership and teaching skills and junior nursing students’ knowledge and psychomotor skills (Irvine et al., 2018; Zhang et al., 2022). Less is known about its integration in nursing students’ clinical placements (Pierce et al., 2024), nor its influence on their self-efficacy beliefs, both essential to future clinical performance (Abusubhiah et al., 2023).

This …

Explore It - A Speculative Approach Investigating The Material Intelligence Of Casein For Future Textile Materials, Malene Pilgaard Harsaae, Ronni Anthony Johannesen, Anne Louise Bang, Tine Hort, Hanne Thaarup Mølbak, Katrin Meinert Maagaard

Textile Intersections Conference Series

In the fashion and textile industries, materials are a prerequisite for the making of products. Extraction and processing of these materials have a huge negative impact on the environment and in addition they spark ethical and social considerations. This paper presents a project where cultural heritage and material knowledge is employed to explore if history and tradition can contribute to intelligently develop novel and flexible casein materials for the future with less damaging impact on the environment. Constituted by speculative design and a material-first perspective, the paper introduces a case of material exploration with casein, which is a milk protein. …

Three-Dimensional Transformable Textiles Woven With Hygromorphic High-Twist Linen Yarn, Kathryn Walters

Textile Intersections Conference Series

Shape-changing textiles woven using high-twist yarns offer the potential of a diverse design space of three-dimensional morphologies without the need to cut the textile or to modify the loom. High-twist linen yarn has moisture-responsive – hygromorphic – properties, with the orientation of the transformation changing with yarn twist direction. Used to weave transformable textiles it offers an alternative to synthetic active yarns or non-textile actuators. The material intelligence of the high-twist linen yarn is non-linear, and S- and Z-twist yarns may be combined to increase the diversity of textile morphologies. Developed through practice-based research, a series of experiments have been …

Bacterial Cellulose As Biofabricated Textile Material: Biotinkering And Trajectories Of Textile Materialisation, Ziqian Yu, Valentina Rognoli

Textile Intersections Conference Series

Bacterial cellulose (BC) is increasingly studied in material design and biodesign as a biofabricated material shaped through cultivation, harvesting, and processing. In fashion contexts, however, BC is often identified as a leather alternative, particularly in sheet form. While this framing has supported its integration into design practices, it constrains BC's textile potential. This paper investigates how BC becomes textile material through multiple materialisation trajectories rather than through a single substitute material form. The study is a comparative analysis of sixteen cases, framed by Material-Driven Design (MDD) approach. Fourteen external design and interdisciplinary cases provide the comparative basis, while two hands-on …

Strain-Sensing Auxetic Knit With Embedded Elastomeric Optical Fibers, Rashmi Mohan, Jeyeon Jo

Textile Intersections Conference Series

This study presents the development and evaluation of a novel strain-sensing electronic textile that integrates elastomeric optical fiber within an auxetic knitted structure. Conventional wearable sensors often suffer from motion artifacts due to the mechanical mismatch between human-joint movements and the positive Poisson's ratio of standard fabrics. To address this, a log cabin knit pattern combining knit and purl stitches was designed to induce an out-of-plane buckling effect, resulting in a negative Poisson's ratio. A stretchable elastomeric optical fiber with a diameter of 1.2 mm was embedded within a 1×1 rib channel to ensure stable electromechanical coupling without hindering the …

Including The Hybrids: The Thread Arrangement As A Lens For Manifesting Textile Designers' Agency, Juri-Apollo Drews

Textile Intersections Conference Series

Current textile classification systems often divide fabrics into mutually exclusive categories such as weaves, knits, and nonwovens. While useful for distinguishing basic structural differences between textiles, such taxonomies frequently fail to account for hybrid structures and may inadvertently discourage research into them. This paper proposes the notion of the "thread arrangement" as a conceptual lens to nuance such rigid classifications and to manifest the creative agency of the textile designer. By synthesising insights from textile design, creativity, and classification theory with potential-focused perspectives from textile archaeology, the term is developed as a meta-category that emphasizes the duality of the textile …