Digital Commons Network^™

Validation And Expansion Of The Hiv Care Adherence Journey Model: A Mixed Methods Research, Ryan Quintero De Torres, Floreliz V. Ngaya-An, Don Operario, Susan Cu-Uvin, Laurence Lloyd Parial, Josefina A. Tuazon

International Nursing Research Congress (INRC)

Previous models examined the cause-and-effect relationships of select constructs affecting HIV care and treatment adherence,^1,2 which may not reflect the complex, multidimensional nature of persons with HIV’s (PWH) care adherence in real-world settings, especially in the Philippines, with one of the highest rates of HIV and AIDS cases globally.³ The HIV Care Adherence Journey (HCAJ) Model⁴ presents four domains on PWH’s care adherence in relation to individual, social, and healthcare system characteristics. The present study aimed to validate this model by describing and comparing PWH’s perceived care adherence journey and adherence behaviors, and examining patterns in PWH’s …

Ngo & Us/Kenyan Academic Multidisciplinary Teams Mitigate Climate Health Impacts For Hiv+ Women, Laura L. Van Auker, Stephen J. Cavanagh, Janet Meda, Charleen Singh, Miriam Carole Atieno Wagoro, Mariana Omenda

International Nursing Research Congress (INRC)

This reports a 25-year case demonstration of a Kenyan-based NGO founded by an American RN in response to the life-threats for HIV+ widows and their children in Kenya. Initially providing AIDS medication, food, shelter and structured skills training for economic development and support for keeping their children in school, the program now provides interdisciplinary care by the program primary physician and social worker, agronomist and community support from program graduates. Long-standing academic partnership with a US University models APRN team-based care medical volunteers, later adding Kenyan University nursing faculty and students for mobile medical camps. Health data collection/analytics supports improved …

Cultivating Resilience Through Mentorship: Autoethnographic Perspectives Of Minority Nursing Faculty, Katryna Mccoy, Florence Okoro, Julia U. Ugorji, Christiana Akanegbu, Karen E. Alexander, Wilma J. Calvert, Nisha Mathews, Danielle Mccamey, Kechinyere C. Iheduru-Anderson, Kashica J. Webber-Ritchey

International Nursing Research Congress (INRC)

Mentorship is central to cultivating resilience and leadership in nursing academia, yet its impact is shaped by lived experience (Akanegbu & Iheduru Anderson, 2022). Minority nursing faculty often navigate unique stressors, and mentors who share affinity with their experiences can play a critical role in fostering support and professional growth (Calvert et al., 2025; Johnson et al., 2023). This study employs collaborative autoethnographic methods, grounded in Black feminist thought and intersectionality, to examine how minority nursing faculty perceive and enact their roles as mentors in higher education (Crenshaw, 1991). By foregrounding lived experience, relational accountability, and voice as valid forms …

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

International Nursing Research Congress (INRC)

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

Nursing De-Escalation Interventions And Aggression Outcomes Using Dasa-Iv In Medical–Surgical Units, Suzanne Gervase, Heather A. Shirk, Felicia Markwordt, Theodore Bell, Bruno Saconi

International Nursing Research Congress (INRC)

Purpose: This study evaluated whether nursing de-escalation interventions implemented during routine care reduce subsequent aggression risk and aggressive behaviors among hospitalized adults on medical-surgical units.
Background: Violence toward healthcare personnel is increasingly common beyond traditional high-risk settings. Guidance encourages pairing validated aggression-risk assessments with risk-responsive, evidence-based interventions. However, evidence supporting such approaches in medical-surgical units remain limited, despite rising global attention to workforce safety.

Methods: This retrospective cohort study analyzed 277,221 Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV) assessments from six hospitals collected between March and December 2024. Descriptive statistics characterized intervention use across DASA-IV risk levels. Time-lagged linear mixed-effects …

Patterns Of Maternal Role Adaptation Among Chinese Postpartum Women: A Latent Profiles Approach, Feiyan Yi, Liping Ren, Sukhee Ahn, Xinxiang Dong, Guijun Liu

International Nursing Research Congress (INRC)

Background: Becoming a mother is a major developmental transition involving psychological, social, and behavioral adaptation, marking both identity reconstruction and changes in family dynamics [1-2], also influences infant development [3]. Existing studies in China mainly examine associations between Maternal role adaptation (MRA) and related variables, with limited attention to intra-group heterogeneity. This study applied latent profile analysis (LPA) to identify distinct MRA patterns and influencing factors among postpartum women.

Purpose: To explore latent subgroups of maternal role adaptation among Chinese postpartum women and identify associated sociodemographic, psychological, and social determinants.

Methods: A cross-sectional survey of 500 postpartum women (4–6 months …

Exploring Nurse Managers' Experiences In Integrating Internationally Educated Nurses In Ontario, Naseem Issani, Sue Bookey-Bassett, Sherry Espin, Alyssa Indar, Elaine Santa Mina

International Nursing Research Congress (INRC)

Background: The College of Nurses of Ontario (CNO) reported significant growth in 2025, with IENs now comprising over 53% of all new Registered Nurses (RNs) registrations. As successful IEN integration is complex and influenced by managerial actions, this study is grounded in the understanding that integration must be a two-way process, requiring adaptation from both the IEN and the receiving organization.

Purpose: The purpose of this research was to explore nurse managers' experiences in integrating IENs into acute care settings in Ontario.

Methods: This qualitative descriptive study explored the experiences of 20 nurse managers in Ontario acute care settings regarding …

Co-Design The “Foryou” Mhealth Survivorship Program With Colorectal Cancer Survivors, Do Pham Nhat Vi, Nguyen Thi Que Tran, Hoang Thi Xuan Huong, Zhou Shishuang, Wong Cho Lee

International Nursing Research Congress (INRC)

Despite advancements in early detection and treatment that have improved colorectal cancer (CRC) survival rates, post-treatment experiences often leave unmet needs that affect health-related quality of life. There is a pressing need for scalable approaches to provide care support for survivors who have completed primary treatment. This study aimed to involve CRC survivors and healthcare professionals in designing a mobile app named FORYOU. The co-design methodology employed a collaborative, user-centred approach to app development. Over 8 weeks, four user-centred design (UCD) sessions were conducted with five CRC survivors (end-users), four survivorship professionals, and one IT expert. Four essential design features …

Advancing Nursing Student Competence In Health Equity Through Global And Community-Based Learning, Catherine Quay, Shirley Etienne, Lori Hubbard, Jeanmarie Rampolla Koonts, Cyra Kussman

International Nursing Research Congress (INRC)

The purpose of this project was to revise and evaluate a scaffolded nursing curriculum designed to build health equity competence in prelicensure students. Responding to nursing education priorities, the curriculum prepares learners to address persistent health disparities within increasingly interconnected global and local systems. Guided by the AACN Essentials framework, the model integrates didactic coursework, community-engaged learning, and global experiential opportunities to deepen understanding of social and structural determinants of health, population health principles, and culturally responsive practice.

The introductory course develops foundational competence through critical self-reflection on cultural identity, implicit bias, and the influence of personal assumptions on care. …

Trends And Disparities In Peripartum Cardiomyopathy-Associated Mortality In The Us, 2018–2023, Essi M. Havor, Alexis E. Hayes, Setor K. Sorkpor, Jerry John Ouner, Osaro Mgbere

International Nursing Research Congress (INRC)

Peripartum cardiomyopathy (PPCM) is a rare yet life-threatening form of heart failure that occurs late in pregnancy or within five months postpartum, in the absence of other identified causes [1]. The causes of PPCM remain poorly understood. PPCM can result in severe maternal complications including death [1,2]. This study examined trends in with PPCM-associated mortality in the U.S. from 2018 to 2023, with a focus on differences by age group, race and ethnicity.
This serial cross-sectional study used death certificates data from the U.S. Centers for Disease Control and Prevention Wide-ranging Online for Epidemiologic Research (CDC WONDER). Deaths from 2018 …

Navigating The Edge Of Sentience Without A Scientific Meta-Consensus, Daniel West

Animal Sentience

In The Edge of Sentience (2024, 2025), Birch develops a precautionary framework for crafting public policies about potentially sentient systems. Underlying this framework is a commitment to the democratic principle that the public should authorize all significant moral judgments that arise during the policymaking process. In this commentary, I suggest that Birch’s framework fails to live up to this commitment by requiring scientists without public accountability to make consequential moral judgments. I suggest a friendly amendment to Birch’s framework by replacing the idea of a scientific meta-consensus with the method of formal expert elicitation, a well-tested method of gathering expert …

Mae L. Johnson Smith

African American Funeral Programs

No abstract provided.

Candace Monchel Robins

African American Funeral Programs

No abstract provided.

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

International Nursing Research Congress (INRC)

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

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

Teaching Through Tension: Strategies For Navigating Sociopolitical Challenges In Nursing Education, Anthony Carney, Sharon Ann Taylor-Smalls, Stacia Birdsall, Donna Cill, Richard Dorritie

International Nursing Research Congress (INRC)

Nursing education is shaped by complex sociopolitical forces that challenge faculty as they teach essential yet often contested topics, including LGBTQ+ health, racism and structural inequities, reproductive care, and social determinants of health, for example. As public discourse, regulatory pressures, and cultural tensions intensify, faculty must navigate how to uphold ethical, evidence-informed teaching while cultivating psychological safety, academic rigor, and meaningful learner engagement. Guided by the Access, Community, and Engagement (ACE) priorities at NYU Rory Meyers College of Nursing, this workshop offers a globally adaptable, case-based approach for ethically and effectively facilitating sensitive or politicized content.

The session begins with …

Global Contributors, Local Maps: The Story Of Openstreetmap In A Small Town, Sterling Quinn

Geography Faculty Scholarship

Digital platform capitalism depends on geographic data to connect users with nearby goods and services, thus playing a role in both representing and shaping commercial landscapes. OpenStreetMap (OSM) represents a vast and low-cost geographic data source for platform capitalism; however, OSM is crowdsourced and exhibits uneven development across space, especially in rural areas. OSM researchers have observed that the map is built by a mix of local and remote volunteers, as well as corporate editors paid to identify and fill data gaps; however, deeper place-based inquiries are needed in order to better understand the process by which OSM contributors grow …

Correction To “Global Inventory Of Fluoropolymer Production Plants And Their Associated Pfas Environmental Contamination”, Anna J. Miller, Kevin Kleemann, Juliane GlüGe, Rainer Lohmann, Ian T. Cousins, Dorte Herzke, Mark F. Miller, Amanda Rensmo, Xenia Trier, Zhanyun Wang, Martin Scheringer

Graduate School of Oceanography Faculty Publications

No abstract provided.

Clinical Presentation Of Modafinil Associated Psychosis And Review Of Reported Cases, Salma Alkhatib, Irfan Akbani, Haitham Musmar, Carson Maris, Jasmanet Chahal, Noor Chughtai, Maximus S. Reese, Jared Nichols

Student Publications

Context

Modafinil is a central-acting wakefulness-promoting agent approved for narcolepsy, obstructive sleep apnea, and shift-work sleep disorder and is increasingly prescribed off-label for several neuropsychiatric conditions. Due to its favorable safety profile and lower abuse potential compared with other psychostimulants, modafinil has been increasingly used in treatment for narcolepsy and similar sleep disorders. While its safety profile is generally applauded, there have been an increasing number of case reports detailing rare neuropsychiatric adverse effects associated with modafinil exposure.

Objective

This systematic review aims to evaluate published case reports of modafinil-associated psychosis in order to characterize patient demographics, clinical presentation, and …

James Ruben White, Jr.

African American Funeral Programs

No abstract provided.

Enhanced Osseointegration Of Functionally Graded Co˗Cr˗Mo˗Ti/Ha Implants: In Vitro And In Vivo Study In A Rabbit Model, Afrah M. Al Hussainey, Randa Kamel Hussain, Aseel Mustafa Abdul Majeed

Karbala International Journal of Modern Science

    The present investigation aims to evaluate the effects of acid and laser surface treatments on the surface characteristics, biocompatibility, and osseointegration of functionally graded implants fabricated from a Co–Cr–Mo–Ti/HA alloy. The implant surfaces were modified using either an Nd: YAG laser or hydrochloric acid (HCl), while untreated implants served as controls. Atomic force microscopy (AFM) showed that the acid-treated surface exhibited the highest mean surface roughness (Sa) of 58.10 ± 0.24 nm compared to the laser-treated surface (42.64 ± 0.83 nm) and the untreated surface (37.73 ± 0.89 nm). The MTT assay also demonstrated a favourable cellular response on the …

Ka Pika Pua O Hale Alii Ii, C. K. Macfarlane

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #75 of the Isabella K. Linkee Collection, featuring the "Ka Pika Pua O Hale Alii" design. The pattern measures 94". The original envelope containing the pattern lists “C. K. Macfarlane” as the sender.

Ka Ua Kani Lehua O Pana Ewa, Agnes Haiku

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #36 of the Hawaiian Quilt Collection, featuring the "Ka Ua Kani Lehua O Pana Ewa" design. The pattern consists of a one-piece center pattern with a connected border, measuring 91.5".

Ka Ua Kuahiwa O Manoa, Agnes Haiku

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #73 of the Hawaiian Quilt Collection, featuring the "Ka Ua Kuahiwa O Manoa" design. The pattern consists of a one-piece center pattern measuring 81.5".

Ka U'I Ho'oheno O Hilo, Agnes Haiku

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #53 of the Hawaiian Quilt Collection, featuring the "Ka U'i Ho'oheno O Hilo" design. The pattern consists of two pieces: a centerpiece measuring 42.5" and a corner border lei measuring 85".

Kahili Ame Ke Kalaunu O Liliuokalani, Agnes Haiku

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #37 of the Hawaiian Quilt Collection, featuring the "Kahili Ame Ke Kalaunu O Liliuokalani" design. The pattern consists of a one-piece center pattern measuring 74".

Kahili Ame Peahi, Agnes Haiku

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #79 of the Hawaiian Quilt Collection, featuring the "Kahili Ame Peahi" design. The pattern consists of two pieces: a centerpiece measuring 66" and a corner border lei measuring 104".

Kahili Ame Peahi O Kaiulani, Martha Pukahi

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #29 of the Hawaiian Quilt Collection, featuring the "Kahili Ame Peahi O Kaiulani" design. The pattern consists of a one-piece center pattern measuring 93".

Kahili O Kalakaua, Martha Pukahi

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #21 of the Hawaiian Quilt Collection, featuring the "Kahili O Kalakaua" design. The pattern consists of a centerpiece measuring 82". A handwritten note on the pattern reads, "Made true by Faye Durham 11/12/98".

Kahili O Kelii, Isabella K. Linkee

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #100 of the Isabella K. Linkee Collection, featuring the "Kahili O Kelii" design. The pattern consists of a centerpiece measuring 77".

Kanani O Kohala, Agnes Haiku

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #51 of the Hawaiian Quilt Collection, featuring the "Kanani O Kohala" design. The pattern consists of a centerpiece measuring 88".