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Leveraging Technology To Mitigate Cognitive Load In Nursing Education: An Integrative Review, Joset Brown, Dione Sandiford, Caroline Meza

International Nursing Research Congress (INRC)

Background: Prelicensure nursing students face significant cognitive challenges as they balance academic coursework with rigorous clinical training [1]. These demands often exceed cognitive capacity, leading to cognitive overload which hinders information processing and retention [2]. Cognitive load refers to the mental effort required to process information within working memory; while cognitive overload occurs when intrinsic, extraneous, and germane demands exceed this capacity [3,4]. Integrating technology-driven strategies offers opportunities to optimize working memory and enhance learning outcomes.

Purpose: The purpose of this integrative review was to synthesize current evidence on factors influencing cognitive load and examine technology-based interventions designed to mitigate …

Perception About Self-Management Education For People With Hypertension And Low Health Literacy, Nhi Thi Vo, Suzanne Hoi Shan Lo, Hon Lon Tam

International Nursing Research Congress (INRC)

Aim: Self-management education is a key component of hypertension care. However, individuals with low health literacy often have suboptimal self-management skills even after receiving such education. Little is known about their experiences in receiving self-management education. This study aims to explore the facilitators and barriers of accessing, understanding, appraising and using information provided in self-management education among community-dwelling individuals with hypertension in Vietnam, with perspectives from healthcare professionals and people with hypertension.

Methods: Individual semi-structured interviews were conducted. Purposive sampling was used to recruit participants with hypertension who were currently receiving care at a community health centre (CHC) in Vietnam, …

Accessibility In Clinical Learning: An Immersive Assessment Project, Candace W. Burton, Kayla Sullivan, Angela Silvestri-Elmore

International Nursing Research Congress (INRC)

Nursing students with physical disabilities (NSWPD) face barriers in clinical learning including physical inaccessibility, lack of awareness or training in faculty and staff, and bias in professional evaluation (1-3). The project purpose was to directly identify barriers to clinical learning for NSWPD.

Method: Investigators developed an evidence-based assessment guide covering perceived challenges to accommodations for NSWD, stakeholder knowledge, and other issues (4-6). A university disability specialist (DS) was embedded with students in simulation laboratory and clinical sites in July-October 2025. The DS observed lectures, skills practice, patient encounter simulations, peer assessment, instructor-oversight assessment, patient interactions/duties, and other responsibilities.

Findings included …

Research Nexus : Volume 41 – 2026, Office Of Research And Graduate Studies

Office of Research and Graduate Studies

• Researcher Spotlight
• Research Milestones & News
• Capacity Building Initiatives
• Extramural Submissions & Research Support
• Celebrating New Beginnings
• NIH Updates & Other Resources
• New Grant Opportunities

Effect Of Field Leadership On Achieving Performance Quality Among Specialist Supervisors Of Sport Education, Khlood Hameed Abbas

Modern Sport

This study aims to develop a dedicated questionnaire to measure the effect of field leadership on achieving performance quality among specialist supervisors of sport education in the Directorate General of Education in Baghdad / Al-Karkh/ 2, in sical education teachers (N = 463). The sample was divided into an exploratory sample (n = 48) and a main application sample (n = 415), achieving an actual response rate of 89.3%. A 26-item instrument was developed to assess field leadership dimensions (13 items) and performance quality outcomes (13 items). Statistical analysis processed via SPSS revealed that under Field Leadership, the item concerning …

Impact Of Nurse Residency Programs On Soft Skills In Newly Graduated Nurses: An Integrative Review, Hyejung Lee, Heemoon Lim, Jungwoo Hwang

International Nursing Research Congress (INRC)

Background: Soft skills (non-technical skills) are increasingly recognized as essential for facilitating newly graduated nurses’ transition into professional nursing roles. Newly graduated nurses often face challenges in this transition, and nurse residency programs have been implemented to support the process. Despite growing recognition of the importance of soft skills, understanding of how these programs influence soft skills remains limited.

Purpose: This study aimed to identify the soft skills addressed in nurse residency programs and examine how these programs influence the soft skills of newly graduated nurses.

Methods: A literature search was conducted in May 2024 using seven electronic databases: APA …

More Than Mechanics: Caring For Students’ Emotions, Identity, And Growth In Writing, Anna Gale, Brenda Elliott, Nancy J. Frank

International Nursing Research Congress (INRC)

Developing nursing students as scholarly writers requires dedicated time and faculty support. One strategy faculty use to advance students’ growth is scaffolded writing assignments. Unfortunately, writing remains problematic in the profession. One potential rationale for this is faculty may focus too heavily on giving feedback specific to grammar and writing mechanics, which can underscore the value of writing, Students experience a range of emotions when receiving feedback on their written work, from joy to disappointment, which shapes the learning experience, self-efficacy, and identity development.

The researchers conducted a qualitative study and subsequent secondary analysis of interview data from 16 nurse …

Frontmatter (Volume 19 Issue 2), Bruce R. Johnson

Sehnsucht: The C. S. Lewis Journal

No abstract provided.

Evaluation Of The Association Between School Prevention Programs And Adolescents’ Opioid Abuse In The United States, Lida Moazezi

Walden Dissertations and Doctoral Studies

This study examined adolescent opioid misuse in the United States and the role of school-based prevention. Guided by the health belief model, the purpose was to test whether participation in school-based drug prevention lessons was associated with past-year opioid misuse among adolescents ages 14–17 and whether race and gender moderated that association. This quantitative, cross-sectional, nonexperimental secondary analysis used the 2019 National Survey on Drug Use and Health (N = 8,965). Analyses included weighted descriptives, chi-square tests, and complex-samples logistic regression controlling for age and socioeconomic status. The sample included adolescents ages 14–17 with complete data on school-based prevention participation, …

Protective Factors Among African American Offspring Of Teen Parents, Janelle Ewing

Walden Dissertations and Doctoral Studies

Adolescent pregnancy remains a major public health and social issue, but research has primarily focused on risk factors and not the protective factors that contribute to resilience among those who successfully break the cycle. This qualitative study explored protective factors that African American adult offspring of teenage parents identified as supporting them in avoiding teenage pregnancy and parenthood. The study was theoretically grounded in Bronfenbrenner’s ecological systems theory, which was used to explore the role of influence across environmental systems in participants’ developmental outcomes. The primary research question was “How do African American adult offspring of teenage parents describe the …

Exploring Multicultural Competence Among Mental Health Workers When Providing Treatment To African American Males, Ashley Hightower

Walden Dissertations and Doctoral Studies

African American men experience disproportionately low rates of mental health service utilization and often report negative perceptions of mental illness. Despite documented mental health disparities, limited research has explored how mental health workers understand and apply multicultural competence when providing treatment to African American men. Grounded in the theory of planned behavior and social identity theory, the purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of mental health workers regarding multicultural competence in their work with African American men. Data were collected through semi-structured interviews with seven mental health workers recruited through purposive sampling. Interview …

How Often Do Managers Withhold Information?, Jeremy Bertomeu, Paul Ma, Ivan Marinovic

Olin Business School Faculty Research

We estimate a dynamic model of voluntary disclosure, using annual management forecasts of earnings, that features a manager with pri ce motives and an uncertain but persistent information endowment. Our estimates imply that: (i) managers face disclosure frictions 35% of the time; (ii) conditional on being informed, managers withhold information 17% of the time; and ( iii) conditional on being silent, managers possess information 24% of the time. Managers’ strategic withholding motives increase investors’ uncertainty about earnings by 3%. We find that managers’ price motives reduce strategic withholding by one-third, in response to investors’ increased skepticism in the event of …

715 St. Marks Tenant Assn. V. M&M Crown Realty, Llc

All Decisions

HP case—tenants (35 rent-stabilized residents) establish ample need under CPLR 408 for narrowly tailored discovery. Seven interrogatories and ten documentary demands regarding elevator and boiler installation and maintenance are outside petitioners' custody or control. DOB and HPD violation records are insufficient alone: agency inspections measure operationality on a single visit and do not capture sporadic recurring outages or systemic failures indicating a need for replacement, as alleged. Respondents bear minimal burden; no possession-recovery urgency in HP enforcement proceedings.

An Interval-Valued Spherical Fuzzy Critic–Waspas Framework For Prioritizing Healthcare Delivery Models To Enhance Patient Satisfaction Under Uncertainty, Mariam Hamada, Ahmed Samy, Mohamed M. Abdelhafeez, Shrouk El-Amir

Neutrosophic Systems with Applications

Selecting an appropriate healthcare delivery model is important for improving the quality of healthcare services and enhancing patient satisfaction. However, this decision is complex because it involves several criteria, uncertainty, and different expert opinions. To handle this uncertainty, this paper uses Interval-Valued Spherical Fuzzy Sets (IVSFSs), which allow experts to express their evaluations more flexibly. This paper proposes an integrated interval-valued spherical fuzzy CRITIC-WASPAS approach to prioritize healthcare delivery models. The CRITIC method is used to determine the objective weights of the evaluation criteria, while the WASPAS method is used to rank the healthcare delivery models. Expert evaluations are expressed …

Hyperlattice-Valued And Superhyperlattice-Valued Uncertain Sets With Decision Applications, Takaaki Fujita, Ajoy Kanti Das, Sankar Prasad Mondal, Arif Mehmood, Arkan Ghaib

Neutrosophic Systems with Applications

Fuzzy set theory enriches classical sets by assigning to each element a graded membership in [0,1], thereby capturing partial inclusion and uncertainty. The notion of an Uncertain Set further abstracts this idea by allowing membership to take values in a general degree-domain, providing a unified language that subsumes fuzzy, intuitionistic fuzzy, neutrosophic, plithogenic, and related models. On the algebraic side, a hyperlattice replaces one lattice operation by a multivalued hyperoperation, enabling the representation of ambiguous or non-deterministic combinations, while a superhyperlattice iterates this structure through powerset lifting to obtain higher-order layers of interaction. Motivated by these developments, we introduce HyperLattice-valued …

A Unified Framework For Neutrosophic Estimation Using Fractional Power, Exponential, And Logarithmic Functions With Bivariate Auxiliary Information, Anchal Yadav, Anuj Yadav

Neutrosophic Systems with Applications

This study develops a generalized neutrosophic ratio-type estimator for estimating the population mean by incorporating information from two auxiliary variables under Simple Random Sampling Without Replacement (SRSWOR). The proposed methodology extends the conventional single-auxiliary-variable approach by jointly incorporating bivariate auxiliary information within the neutrosophic framework, thereby accounting for uncertainty, indeterminacy, and inconsistency in the available information. The bias and mean squared error of the proposed estimator are derived using first-order approximations, and the corresponding efficiency conditions are established through theoretical comparisons with existing neutrosophic estimators. The performance of the proposed estimator is further examined using a real medical dataset represented …

From Service To Start-Up: Personality Prediction Of Individual Entrepreneurial Orientation In Female Veterans And Current Service Members, Carolyn Flinn Gaskill

Walden Dissertations and Doctoral Studies

The entrepreneurial orientation of female veterans and current service members remains insufficiently understood despite their growing presence in the military and small-business sectors. Organizational leaders need to understand this concern as an important indicator of entrepreneurial potential, innovation capacity, and business development outcomes among women with military experience. Grounded in personality theory and the individual entrepreneurial orientation framework, this quantitative predictive correlational study examined whether the Big Five traits, individually and collectively, predicted individual entrepreneurial orientation (Ind-EO) among 135 U.S. female veterans and current female service members. They completed the Big Five Inventory-2 and the Individual Entrepreneurial Orientation Scale in …

Black American School Counselors’ Experiences Of Racial Discrimination In The Workplace, Tiffany Jackson

Walden Dissertations and Doctoral Studies

While school counselors play a pivotal role in promoting equity and inclusion within educational institutions, they may experience systemic challenges themselves, particularly in predominantly White professional environments. The purpose of this hermeneutic phenomenological study was to explore the experiences of Black American school counselors who experienced racial discrimination in the workplace and how they made meaning of those experiences. The research addressed the lived experiences of Black American school counselors who experienced racial discrimination in the workplace and how they make meaning of those experiences. The study was grounded in hermeneutic phenomenology and critical race theory. Six Black American school …

A Realist Review Of The Remediation Of Professionalism Lapses In Undergraduate Medical Students (Restore 3), Ross Raymond-Jones, Tom Gale, Nicola Brennan, Marie Bryce, Tristan Price

Peninsula Medical School

IntroductionProfessionalism is a core element of medical curricula worldwide and remains a cross-cutting theme across all aspects of a medical programme. When a medical student fails to demonstrate the expected attributes and behaviours, medical schools have a duty to step in, and where appropriate, offer remediation that aims to facilitate behavioural change. There is sparse explanatory theory on this complex topic, resulting in little evidence-based guidance for medical schools to utilise. This review aims to explain how, why, to what extent and in what circumstances professionalism remediation works for undergraduate medical students.MethodWe conducted a realist review that aligns with the …

Building An Engaged Workforce: Assessment Of Unit Council Health Within A Large Healthcare System, Ray Gannon, Kasey Jackman, Reynaldo R. Rivera

International Nursing Research Congress (INRC)

While professional governance is an effective strategy for improving team engagement and empowerment in hospital systems, fews studies provide guidelines for how to measure the relative health of an organization's professional governance. Of note, the effectiveness of the unit council is fundamental to successful professional governance, professional competence, and leadership (Hess et al., 2020).

The purpose of this multi-site survey study is to evaluate clinical nurses’ and nurse leaders’ perspectives on their unit council’s health so that our organization can identify the gaps and implement strategies for improvement.

Led by a team of nurse scientists and leaders, this is an …

Breaking The Silence - Moving Beyond Lecture Hall Echo Chambers In Nursing Education, Joshua Michael Kies, Elizabeth Faye Snyder, Cyndi Faudree

International Nursing Research Congress (INRC)

Nursing student silence in higher education undermines active learning and critical thinking development. This literature review examines participation barriers, engagement strategies, and approaches to fostering inclusive discussion environments. Research identifies multiple contributing factors: fear of negative evaluation, cultural differences in communication styles, insufficient content knowledge, and technological challenges in virtual settings. The Student Engagement in Digital Learning Framework reveals four key dimensions—emotional, behavioral, cognitive, and social—that interact to create barriers or facilitators to student voice. Evidence-based solutions include extending wait times to 10-15 seconds for cognitive processing, implementing culturally responsive pedagogies, providing multimodal participation formats, and scaffolding discussions to build …

Innovative Teaching Strategies: Ai Chatbots To Prepare Nursing Students For Difficult Conversations, Lindsay Iverson, Tamara Oliver, Steven Fernandes, Mandy Kirkpatrick, Kara Morgan, Lauren Guthrie, Trisha Beiermann, Melissa Taylor

International Nursing Research Congress (INRC)

Background and Significance: Therapeutic communication is a core competency in nursing and a consistently prioritized workforce requirement (Broeckelman-Post et al., 2022; McGunagle & Zizka, 2020; AACN, 2021). As AI and digital learning technologies advance, nursing programs are exploring technology-enabled strategies to better prepare students for emotionally complex patient interactions. Although AI chatbots have shown value in clinical training and simulation (Chang et al., 2021; Srinivasan et al., 2024), limited evidence exists on their use to prepare students for difficult or sensitive conversations. Addressing this gap supports student resilience and prepares future nurses for communication-intensive roles.

Purpose and Aims: This study …

Flipbook-Based Media To Prevent Academic Burnout Among Senior High School Students In Yogyakarta, Puan Maharani Fauza, Eva Imania Eliasa, Kun Widya Nurfiani

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Academic burnout is a pressing issue that negatively affects senior high school students, yet conventional counseling services often rely on monotonous, static media that fail to engage today's digital generation. To address this urgent gap, this research aimed to develop an interactive digital Flipbook as a preventive intervention. The study employed a Research and Development (R&D) method using the ADDIE model, consisting of Analysis, Design, Development, Implementation, and Evaluation stages. Product validation was conducted by media experts and subject-matter experts, while the practicality test involved two Guidance and Counseling teachers. The effectiveness test was carried out through an experimental study …

Pre-Service Teachers' Experiences On Teaching Essay Writing To Grade 10 Learners In The Eastern Cape, Ncebazakhe Makhohlisa, Lundi Nomlala

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This paper explores pre-service teachers’ experiences in teaching essay writing to Grade 10 English First Additional Language learners. Despite the significance of essay writing for developing learners' writing skills in multilingual classrooms, writing essays remains a challenge for most English First Additional learners. The extant research has examined the challenges that learners face in essay writing. However, there is limited research examining pre-service teachers’ experiences in teaching essay writing during their teaching practice. This paper employed a qualitative research approach, and data were drawn from 30 pre-service teachers’ reflective journals based on their teaching practice experiences. Cognitive Process Theory was …

Neuroimmune Phenotyping As The Next Frontier In Chronic Pain Medicine For Musculoskeletal Back Pain, Samer G. Salman, Rohan A. Phadke, Adithya Nair, Rahul Kumar, Arbaz Momin, Alireza Tavakkoli, James Rizkalla

Department of Neurosurgery Posters

Background: Chronic low back pain encompasses heterogeneous mechanical, neuropathic, nociplastic, and myofascial presentations that may reflect distinct neuroimmune mechanisms. We synthesized evidence linking these phenotypes to measurable biological features and clinically relevant treatment strategies.

Methods: We conducted a structured literature search of MEDLINE, Scopus, Web of Science, and the Cochrane Central Register of Controlled Trials for studies published from January 2005 through January 2025. Systematic reviews, randomized controlled trials, and mechanistic studies addressing neuroinflammation, glial activation, central sensitization, biomarkers, or imaging were organized according to four clinically relevant pain phenotypes and translational readiness.

Results: Neuroimmune findings differed across axial mechanical, …

Ai-Enabled Nudging For Nursing-Led Prevention And Health Equity, Pattama S. Ulrich, Katherine M. Pallas, Michael Joseph Dino, Jean W. Davis

International Nursing Research Congress (INRC)

Health systems face escalating burdens from physical inactivity, poor nutrition, and related noncommunicable diseases (NCDs), which disproportionately affect socioeconomically and clinically susceptible populations [1], [2]. Concurrently, artificial intelligence (AI), digital health technologies, and wearable devices are increasingly shaping health decision making and behavior change interventions [3], [4]. Nudge theory, grounded in behavioral economics, offers a noncoercive approach to influencing behavior through choice architecture while preserving individual autonomy [5], [6]. As AI enables nudges to become more personalized and scalable, conceptual clarity is needed to guide ethical, nurse-led applications that advance prevention and health equity [7], [8].

This work conceptually examines …

Parent–Child Responses To A Digital Cancer Prevention Game: Pre–Post Changes In Hpv-Related Outcomes, Angela Chia-Chen Chen, Michael Todd, Elizabeth Reifsnider, Ashish Amresh

International Nursing Research Congress (INRC)

Purpose: This presentation examined pre–post changes among parent–child dyads who received HPV Detective, a digital game promoting HPV vaccination and cancer prevention. We compared intervention effects between parents and children to understand how digital tools influence family-centered determinants of HPV vaccination.

Methods: Thirty-one parent–child dyads (n=62) completed online surveys at baseline (T0) and immediately post-intervention (T1) while playing the 10–15-minute game in pediatric clinics before seeing the provider. Surveys included sociodemographic characteristics and validated scales assessing HPV knowledge, attitudes, behavioral control, subjective norms, and vaccination intention. Paired t-tests and descriptive analyses assessed within-person changes, with results confirmed using nonparametric tests. …

Patient-Provider Communication Matters In Telehealth Use, Chanam Shin, Thomas Guffey, Mijin Kim

International Nursing Research Congress (INRC)

Introduction: Telehealth use has rapidly expanded health care access and reshaped patient-provider interactions. Evidence shows that telehealth can be influenced by communication quality between patients and providers. However, little is known about how patient-provider communication relates to telehealth use among minority ethnic populations.

Purpose: This study was to examine associations between patient-centered communication and telehealth use in Asian Americans.

Methods: We conducted a secondary analysis using the 2022 Health Information National Trends Survey 6 data. A total of 265 adults who identified as Asian American were included. Telehealth use was assessed by asking respondents if they used telehealth in the …

From Himalayan Catastrophe To National Resilience: Lessons From The 2026 Bhote Koshi And Trishuli River Floods In Nepal, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

On the morning of 26 August 2026, the mountains above Nepal’s northern frontier delivered a disaster of almost unimaginable speed and scale. A massive mass of ice, rock, and sediment detached in the high Himalayan terrain near the Nepal–Tibet border, descended roughly 1,200 metres, interacted with the Lhende Khola system, and generated a debris-rich flood that surged through the Bhote Koshi and Trishuli river corridors, destroying settlements, markets, roads, bridges, hydropower facilities, and an international border crossing and transforming them into fields of mud, boulders, and wreckage within minutes (ICIMOD, 2026b; Reuters, 2026a). Satellite analysis indicates that a substantial section …

Simulasi Hidrolika Saluran Terbuka Berbasis Microsoft Excel Sebagai Sumber Belajar Pada Pendidikan Vokasi Teknik, Fahrur Rozi, Linda Winiasri, Ranatika Purwayudhaningsari, Siti Fatimah, Agus Triyono, Wiwid Suryono

Journal of Innovation and Teacher Professionalism

This study aims to model and analyze a Microsoft Excel-based open-channel hydraulics simulation as a contextual learning resource for technical vocational education. A quantitative modeling approach was employed using Manning’s formula with five flow-depth scenarios ranging from 0.70 to 0.90 m, while the channel bottom width of 0.60 m, Manning’s roughness coefficient of 0.01, and channel slope of 0.015 were kept constant. The simulation was used to calculate the wetted area, wetted perimeter, hydraulic radius, flow velocity, and discharge for each scenario. The results showed that increasing flow depth systematically changed the hydraulic characteristics, with discharge increasing from 1.819 to …