Digital Commons Network^™

Linking Ethical Leadership To Nurses’ Internal Whistleblowing Through Psychological Safety, Sally Mohammed Farghaly Abdelaliem, Nadiah A. Baghdadi, Heba Emad El-Gazar, Mohamed Ali Zoromba

International Nursing Research Congress (INRC)

Background: Cultivating internal whistleblowing among nurses is of paramount importance to nurse leaders. Yet, the literature on how nurse leaders can foster this phenomenon among nurses is limited. Additionally, the underlying mechanisms linking leadership behaviors to internal whistleblowing intentions remain underexplored.

Aim: This study aimed to examine how ethical leadership is linked to internal whistleblowing intentions among nurses through the mediating effect of psychological safety.

Research design: A multicenter cross-sectional research design was used for this study.

Participants and research context: This study involved 201 nurses working in three tertiary governmental hospitals across three cities in Egypt. Data were collected …

Situating Nursing Education Within Cognitive And Sociocultural Perspectives For Meaningful Learning, Krista Searles

International Nursing Research Congress (INRC)

Nurse educators are subject matter experts in nursing science and practice, but designing meaningful instruction and assessment that meets the unique needs of a diverse group of learners requires additional knowledge from education and learning science, including educational theory and an understanding of the underlying nature of knowledge, learning, and transfer. While learning theorists have disagreed on the definitions of these foundational concepts over the last century, it is clear that “the assumptions we make about how people learn fundamentally drive the ways we design to support that learning” (Danish & Gresalfi, 2018, p 39). Whether pedagogies and assessment strategies …

Using Simulation To Assess Knowledge And Attitudes Of Healthcare Providers Regarding Cpr, Nausheen Barkat Ali Noorani

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to assess knowledge and attitudes of doctors, nurses and nursing technicians regarding cardiopulmonary resuscitation (CPR) before and after simulation-based learning (SBL).

Background: The Cardiopulmonary Resuscitation (CPR) is a vital component of the chain of survival for people who undergo cardiac arrest. The global incidences of cardiac arrest have increased over the past years (Lim et al., 2020). Subsequently, the incidences of cardiac arrest in the lower middle-income countries are higher with alarmingly poorer survival rates (Ahmed et al., 2021). This imposes greater responsibility on the healthcare system to respond to the cardiac arrest …

Ai Is Everywhere And Our Patients Are Turning To It For Answers, Vincenta Leigh, Beena Nair, Barbara Mcgee, Hoyle Leigh, Nathan Futoran, Nikhil Nair, Philip Insel

International Nursing Research Congress (INRC)

Artificial Intelligence (AI) is available to everyone, including our patients and clinicians, and offer us, at our fingertips, differential diagnosis, risk prediction, clinical decision support. How consistent and useful is AI in mental health, somatic and stress related questions? We developed 10 realistic scenarios/questions incorporating depression, anxiety, stress issues, and somatic concerns of patients. We submitted them as clinicians or patients to two AI platforms, Google Gemini and Microsoft’s Chat GPT. The responses were very different, and the references supporting their answers, were variable, sometimes nonexistent. The response to patient racial differences with the same symptoms was notably different. An …

The Impact Of Music Experience Sessions On Participants With Agitation Related To Dementia, Amy Redd, Kimberly Taylor, Kate Jones

International Nursing Research Congress (INRC)

Problem Statement: As dementia progresses, a person can experience behavioral and psychological symptoms of dementia (BPSD). There are numerous ways BPSD can affect people with dementia (PWD), caregivers, and society, causing a negative impact on quality of life, stress, caregiver burnout, and economic stability for society (Lorusso & Bosch, 2018; Maseda et al., 2018).

Purpose: The purpose of this project was to determine if the intervention would decrease episodes of BPSD without using pharmacological interventions.

Methods: The intervention was performed for an eight-week time frame were facilitated with participants with a known history of dementia.

Analysis: The Cohen-Mansfield Agitation Inventory …

Spatial Habits Advance Personal Excellence: Examining School Environments And Student Well-Being, Megan L. Jester, Dawn Loraas, Cian L. Brown, Madelynn Henderson

International Nursing Research Congress (INRC)

Schools are increasingly becoming the primary access point for health services for students, as families turn to schools to identify and address growing whole health needs. Before the COVID-19 pandemic, over 70% of children received mental health services solely through their schools (Kaskoun & McCabe, 2022). The built environment is a social and structural determinant (World Health Organization, 2010) influencing educational outcomes (Ikegbusi et al., 2022) including the readiness to learn (Colvin, 2024). Still, many schools lack the design necessary to support mental and physical health. There is limited nurse-driven research on how physical attributes impact students during critical transition …

The Lingering Effects Of The Covid-19 Pandemic On Nurses, Linda H. Yoder, Jacqueline M. Gordon, Noah Zanville

International Nursing Research Congress (INRC)

Background: Posttraumatic growth (PTG) is the experience of positive psychological change after struggling with major life crises, often resulting in a re-evaluation of priorities, greater appreciation for life, and spiritual/existential growth. The purpose of this national study was to measure PTG levels among nurses caring for patients during the ongoing COVID-19 pandemic.

Design: The survey study consisted of 2,077 U.S. based Academy of Medical-Surgical Nurses (AMSN) members and nurses from 23 hospitals in HCA Healthcare. The Posttraumatic Growth Inventory-Expanded (PTGI-X) and a demographic data collection sheet were used to collect data. Descriptive statistics and reliability testing were performed, as well …

Impact Of An Immersion Program On The Academic Readiness Of Underrepresented Minority Bsn Students, Demetrice Smith, Benita N. Chatmon

International Nursing Research Congress (INRC)

Background: Underrepresented minority (URM) students often face unique challenges in nursing education, including lower levels of academic preparedness, confidence, and peer support, which can affect retention and success rates. Increasing the diversity of the nursing workforce is critical to improving health equity and culturally competent care, making it essential to support URM students in their transition to nursing school. To address these barriers and contribute to a more diverse nursing workforce, an immersion program was developed to support URM students entering nursing school. This evidence-based project aims to evaluate student perceptions of preparedness, confidence, motivation, and support following the program. …

Ai-Driven Solutions For Climate-Related Mental Health Risks In Black Pediatric Populations, Tamar Rodney, Nia Josiah

International Nursing Research Congress (INRC)

Introduction: Climate change significantly impacts mental health, especially in vulnerable populations such as Black pediatric communities who experience compounded climate stressors due to socioeconomic and environmental inequalities. Artificial Intelligence (AI) provides innovative methods for predicting, managing, and mitigating these mental health risks.

Purpose: This integrative review aims to explore AI's potential in addressing the mental health challenges posed by climate change, specifically within Black pediatric populations.

Methods: A systematic approach was used to review studies examining climate change, mental health, and AI interventions targeting Black pediatric populations. Out of 183 screened studies, 20 met the criteria for inclusion based on …

Knowledge About Intellectual Property Rights Among Faculty: A Cross-Sectional Survey, Smriti Arora

International Nursing Research Congress (INRC)

Background: Any original work of human mind, whether it be artistic, literary, technological, or scientific, is considered intellectual property (IP). The legal rights granted to an inventor or creator to safeguard his creation for a specific amount of time are known as intellectual property rights, or IPR. For a specific amount of time, these legal rights grant the inventor or his assignee the sole right to make full use of his creation. In the healthcare sector, where innovation is what propels better healthcare, intellectual property legislation is essential. This study aimed to assess the knowledge of Intellectual property rights among …

Work Environment Changes And Their Association With Nurses' Wellbeing: A Pre And Post-Pandemic Study, Alejandra Galiano, Marta Simonetti

International Nursing Research Congress (INRC)

Introduction: Cross-sectional evidence shows that good work environments are associated with nurses’ wellbeing and better quality of care (Simonetti, 2023; Lake, 2019). However, few studies have analyzed how changes over time in the work environment can modify nurses' burnout, dissatisfaction, and intent to leave.

Objectives: To measure changes in the work environment in Chilean public hospitals between two time periods (2018 and 2023) and analyze the association with changes in burnout, intention to leave and job dissatisfaction.

Method: Longitudinal, prospective, multicenter study. Population: 32 Chilean high-complexity public hospitals and bed-side nurses from med-surgical units. Specialty hospitals were excluded. Data …

Advanced Machine Learning Techniques For Cardiovascular Disease: Early Detection And Diagnosis, Nadiah Abdulaziz Baghdadi, Sally Mohammed Farghaly Abdelaliem, Amer Malki, Ibrahim Gad, Ashraf Ewis, Elsayed Atlam

International Nursing Research Congress (INRC)

The identification and prognosis of the potential for developing Cardiovascular
Diseases (CVD) in healthy individuals is a vital aspect of disease management. Accessing the comprehensive health data on CVD currently available within hospital databases holds significant potential for the early detection and diagnosis of CVD, thereby positively impacting disease outcomes. Therefore, the incorporation of machine learning methods holds significant promise in the advancement of clinical practice for the management of Cardiovascular Diseases (CVDs). By providing a means to develop evidence-based clinical guidelines and management algorithms, these techniques can eliminate the need for costly and extensive clinical and laboratory investigations, reducing …

Life Experience Of Cognitive Decline In Individuals With Colorectal Cancer: A Qualitative Study, Hui-Ying Yang, Shiow-Ching Shun, Yu-Ling Chang

International Nursing Research Congress (INRC)

Introduction: Cancer-related cognitive decline in individuals who have undergone chemotherapy is a significant concern, especially with the increasing colorectal cancer (CRC) population. This decline can negatively impact daily functioning, work performance, and quality of life for patients with CRC. However, research on experiences of cognitive decline specifically related to patients with CRC remains limited. Therefore, this study aimed to describe patients with CRC’s experiences of living with cognitive decline related to chemotherapy for individuals with CRC.

Method: A qualitative and descriptive design was used. Thirteen individuals were recruited from a medical center in Taiwan. Semi-structured interviews were conducted to explore …

Before The Buzz, It Was Competency Based!, Patricia Wagner, Julie Penick

International Nursing Research Congress (INRC)

With emergence of the buzz words “competency-based education” (CBE) nurse educators can determine how to evaluate student competency. Aimed at facilitating competency development, program curriculum can be examined through the lens of Miller’s Pyramid of Clinical Competence (Miller, 1990; Sam et al., 2020; Lavery, 2022; Hampton et al., 2024).

Less than satisfactory certification exam success prompted a high-level meeting with university leadership. A novel question was posed as to how every program course promoted certification success. The graduate program leadership were charged with maximizing core course contributions to certification success. A curriculum review identified underutilization of university provided third-party resources …

The Impact Of Group Antenatal Care On “The Ethics Of Care”: Women’S Responses To Program Evaluation, Johanna Mmabojalwa Mathibe-Neke

International Nursing Research Congress (INRC)

While group antenatal care (G-ANC) has been delivered and studied in high-resource settings for over a decade, it has only recently been introduced as an alternative to individualised care in sub-Saharan Africa (Thapa et al, 2019; Lori et al, 2022; Sawtell, et al, 2023). G-ANC pilot projects are reported to have been conducted in 22 sub-Saharan countries. Data from three pilot studies in Ghana, Malawi Senegal and Tanzania found antenatal care delivered in groups to be feasible and acceptable to both women and midwives.

Group antenatal care was piloted in two purposely selected Community Health Care centers in Soweto, Gauteng …

Effect Of Post-Pandemic Nurse Staffing Improvements On Nurse Job Outcomes In Chilean Public Hospitals, Marta Simonetti, Alejandra Galiano

International Nursing Research Congress (INRC)

Introduction: A Meta-analysis of cross-sectional studies showed that nurse staffing is associated with nurses’ burnout, dissatisfaction, and intent to leave (Shin, 2018). Although these results suggest that staffing improvements would positively affect nurse job outcomes, there is little evidence that captures measures of change. In Chile, before the pandemic, the average patients per nurse assignment was 14 in med-surgical units (Aiken, 2021). During the pandemic, the government allocated resources to improve staffing.

Purpose: To compare pre- and post-pandemic nurse staffing measures in Chilean hospitals and to analyze the effect of these changes on nurses' post-pandemic burnout, dissatisfaction, and intent to …

Reducing Patients’ Relapse In Schizophrenia Using A Community Model: A Quality Improvement Project, Lawal Almustapha Kaura, Phillisters Wanyama Ariko, Augustine Ndaimani, Catherine Uwimana, Madeleine Mukeshimana

International Nursing Research Congress (INRC)

Relapse in schizophrenia poses significant challenges for mental health management, especially in community settings (Almond, et al., 2018; Almuqrin et al., 2023). This quality improvement (QI) project aimed to reduce relapse rates in patients with schizophrenia in Bermuda by leveraging community empowerment and implementing an Assertive Community Treatment (ACT) model. The project engaged a cohort of 59 high-risk patients and focused on interventions such as medication adherence, social support, vocational activities, and training community members and family in relapse prevention. Over a six-month period, from November 2023 to May 2024, the project sought to decrease relapse rates from 87% to …

Ec Use Among Adolescent Girls And Young Women Seeking Srh Services At Retail Pharmacies In Kenya, Harison Kiplimo Lagat, Bernard Nyerere, David Katz, Zachary Kwena, Meena Lenn, Felix Mogaka, Melissa Mugambi, Josephine Odoyo, Victor Omollo, Katrina F. Ortblad, Benard Rono, Greshon Rota, Monisha Sharma, Elizabeth Anne Bukusi, Jillian Pintye

International Nursing Research Congress (INRC)

Background: Unintended pregnancy remains a public health challenge for adolescent girls and young women (AGYW) worldwide. Among AGYW in Kenya, sexual and reproductive health (SRH) services are often accessed in retail pharmacies, including emergency contraception (EC) and other family planning methods. Understanding factors associated with purchasing EC among AGYW at retail pharmacies in Kenya could inform pharmacy-delivered SRH services for this population.

Methods: We analyzed data from an ongoing cluster-randomized trial comparing pharmacy-based PrEP delivery models among AGYW at 20 retail pharmacies in Kisumu, Kenya (NCT05467306). All AGYW (15-24 years) purchasing contraception (EC, oral pills, injectables, implants, condoms) at retail …

Strategies To Recognize And Prevent Workplace Violence, Anna Dermenchyan

International Nursing Research Congress (INRC)

Since the beginning of the COVID-19 pandemic, United States healthcare facilities have experienced a rise in workplace violence, placing significant stress on health systems and their employees. Incidents such as bullying, intimidation, verbal abuse, and assaults also put our patient safety, experience, and quality outcomes at risk. Nurses face a significant risk of experiencing workplace-related violence. Studies have demonstrated that almost half of all nurses experience some lateral or horizontal violence during the first year of their nursing career.

There is a prevailing attitude that workplace violence is a culturally accepted and expected part of one’s occupation. According to the …

A Correlational Study Of Pharmacology Knowledge Versus Confidence Levels In Student Nurses, Christine A. Sump, Lynn Wiles

International Nursing Research Congress (INRC)

Background: Student nurse knowledge and confidence levels when administering medications play a large role in error risks. Little information exists about the complex relationship between medication knowledge and error risks influenced by perceived certainty (Caboral-Stevens, M, et al, 2020.) Graduate nurses’ educational experiences affect their ability to meet novice nurse competencies such as safe medication administration (MA) practices (Musharyanti, L.,et al 2021, Tsegaye, D., et al, 2021.)

Purpose: The purpose of this study was to compare student medication knowledge and decision-making skills with their self-identified confidence levels.

Methods: This correlational study design compared 270 junior and senior BSN nursing students’ …

Acceptability Of Companion Dog Walking To Improve The Well-Being Of Intensive Care Unit Survivors, Lindsey Nelson

International Nursing Research Congress (INRC)

Intensive care unit (ICU) survivors are at risk for developing post intensive care syndrome (PICS), the physical, cognitive, psychological, and/or social conditions that persist after hospital discharge (Yuan et al., 2021). Current approaches aimed at addressing PICS tend to employ a singular focus on physical health; prevention and treatment strategies focused on the holistic needs of ICU survivors that extend beyond the confines of formal settings and into the community and home are needed (Geense et al., 2019).

A complementary intervention not previously explored in the ICU survivor population is companion dog walking. Companion dogs have been linked to improved …

The Nurses Perceived Educational Value And Experience Of Journal Club Activities, Elham Mansour Alsanea, Jennifer De Beer, Joynalyn Barrios, Shahd Brnawi, Wejdan Barayan

International Nursing Research Congress (INRC)

The nursing journal club is a widely implemented educational tool that promotes evidence-based practice, enhances critical appraisal skills, and advances nursing knowledge, ultimately leading to potential improvements in patient care and professional development. This study evaluates the perceived educational value of journal club activities among clinical nurses, emphasizing how these activities contribute to nursing practice, policy, and leadership development.

A quantitative cross-sectional design was employed in this study, conducted across three nursing departments within King Faisal Specialist Hospital and Research Centre in Jeddah, Saudi Arabia. A sample of 190 clinical nurses, randomly selected from a total population of 400, participated …

Cultivating Compassion: Integrating Trauma-Informed Care Into A Bsn Nursing Curriculum, Kelli Galle, Anitra Frederick, Darlene Acorda, Linda Sheen, Hildreth Eloi, Brandi Virgin, Martina Gallagher, Vuong Prieto

International Nursing Research Congress (INRC)

Background: Trauma-Informed Care (TIC) is a framework that recognizes the impact of trauma on individuals' health and well-being.^1-5 Nurses play a key role in creating healing environments for trauma-affected patients. To prepare future nurses, it is crucial to integrate TIC education into nursing programs. This quality improvement project aims to incorporate TIC principles into an accelerated pre-licensure nursing curriculum, ensuring students gain the knowledge and skills necessary to provide trauma-sensitive care.

Methods: This continuous quality improvement project assesses nursing students' current understanding of TIC and their learning preferences through a survey. TIC principles will be embedded throughout the nursing …

The Intersection Of Tradition And Health: Insight To Herbal Medicine Use In Pregnancy, Olabisi Fatimo Ibitoye, Abokede O. Oluwaseun

International Nursing Research Congress (INRC)

Background: The use of herbal medicines has increased significantly with around 80% of consumers worldwide particularly among women (Afriyie & Kumi-Kyereme, 2023). The prevalence of herbal medicine use during pregnancy varies by country, from 7% to 55%, influenced by social status, ethnicity, and culture (Illamola et al., 2020). In Australia and the UK, rates range from 52% to 58%, while Norway and Italy report 40% to 48%. In contrast, Canada and the US show lower rates of 6% to 9%, and in parts of Africa, such as Nigeria, rates range from 12.08% to 66.7% (Adamolekum etal 2023; Orief et al., …

Association Between Care Recipient Factors, Caregiver Health Literacy, And Caregiver Burden, Yung-Chen Yu, Yi-Lin Wu

International Nursing Research Congress (INRC)

Background: Family caregivers play a crucial role in senior care in Taiwan, where caregiver burden is a significant issue. Health literacy is essential for effective caregiving and navigating healthcare systems. This study aims to investigate the relationship between caregiver health literacy, care recipient factors, and caregiver burden.

Methods: We conducted a cross-sectional study in a medical center and community settings in Southern Taiwan, targeting adults aged 65+ and their caregivers. The study examines caregiver demographics (age, gender, education, employment, living arrangement, spousal status), health status, health literacy (HLS-EU Q16), caregiver burden (ZBI score), and the Activities of Daily Living(ADL) of …

Development Of A Prone Cpr Protocol, Ka Wing Lai, Tsz Kee Wan, Yiu Ming Lam, Shuk In Li, Sharon Lai

International Nursing Research Congress (INRC)

Background: The COVID-19 pandemic highlights the challenges associated with managing cardiac arrest in patients positioned in the prone position due to refractory respiratory failure (Guérin et al., 2013; Ludwin et al., 2020). Studies suggest that clinical staff often lack confidence in delivering effective prone resuscitation (Amien et al., 2022; Genç et al., 2023), indicating a need to review literatures on the efficacy, feasibility, and the proper technique for performing prone cardiopulmonary resuscitation (CPR).

Aim: This project aimed to identify the effective approach for performing prone resuscitation and to translate the best available evidence into a prone CPR protocol.

Methods: The …

A Systematic Review Of Risk Factors For Accidents In Motorcycle Workers, Sookyung Kim, Soomin Hong, Min Soo Woo

International Nursing Research Congress (INRC)

Purpose: A systematic review is a reliable strategy for integrating empirical evidence that guides practice. This systematic review aims to identify and synthesize studies on risk factors for accidents among motorcycle workers. To effectively reduce accidents in this population, interventions should be based on evidence regarding relevant risk factors.

Methods: We followed the Systematic Reviews of Effectiveness in JBI Manual for Evidence Synthesis. Six electronic databases were searched: PubMed, Medline, Cochrane, Web of Science, Embase, and CINAHL. The inclusion criteria comprised observational studies (cross-sectional, case-control, retrospective, cohort, and case studies) that reported on accidents involving motorcycle workers. Only articles …

Prevalence Of Stress And Depression In Nursing Students: A Systematic Review And Meta Analysis, Ling Xu, Michael Joshua Gozum Morales, Thomas Hoffmann, Cherry Leung

International Nursing Research Congress (INRC)

Background: Undergraduate nursing students have a high level of stress and depressive symptoms. Despite growing awareness of mental health issues in nursing students, no recent systematic review assessed the global prevalence of stress and depressive symptoms in undergraduate nursing students, nor the contributing sociodemographic and interpersonal factors.

Purpose Statement: The purpose of this review is to 1) identify the prevalence of stress and depressive symptoms among undergraduate nursing students, and 2) identify the sociodemographic and interpersonal factors that contribute to these symptoms.

Methods: This review follows the PRISMA guidelines. Four databases were searched. Narrative synthesis was used to explore …

Unmet Care Needs: Perspectives Of Colorectal Cancer Patients, Caregivers, And Healthcare Providers, Young Man Kim, Gi Won Ha, Min Ro Lee, No Eul Kang

International Nursing Research Congress (INRC)

Purpose: Unmet care needs in colorectal cancer care extend beyond medical treatment, significantly affecting both patients and their caregivers. While patients and caregivers express strong needs for information, psychosocial support, and continuity of care, healthcare providers may perceive and prioritize these needs differently. This study compares the perspectives of patients, caregivers, and healthcare providers, identifying key areas for improvement in patient-centered cancer care.

Methods: This study used a qualitative design involving in-depth, semi-structured interviews with three days of colorectal cancer patients and family caregivers, as well as eight healthcare providers. Data collection took place from September 2023 to August 2024. …

Primary Care Connectedness Among Young Adults With Chronic Conditions: A Mixed Methods Design, Tyra Girdwood, Susan Silva, Remi Misiewicz, Madison Baba, Madiha Khan, Manasvi Reddy, Angelina Zhang, Stephanie Hart, Mariam Kayle, Gary Maslow, Sharron Docherty

International Nursing Research Congress (INRC)

Background: Primary care providers (PCPs) can coordinate care, reduce medical exacerbations, and lower healthcare spending during the transition from pediatric to adult healthcare.¹ However, a 2022 U.S. national survey estimated 1.9 million adolescents with special healthcare needs did not have a preventative PCP visit, and 9.2 million did not have a medical home.² These gaps suggest a limited understanding of young adult-perceived connectedness to primary care services that promote positive patient-provider relationships.^3,5

Purpose: To examine primary care connectedness among transition-age young adults 18-26 years old with one of nine chronic conditions (e.g., cancer, diabetes), after …