Digital Commons Network^™

Opposing Synovial Cannabinoid Receptor Type 2 And Transient Receptor Potential Vanilloid 1 Expression In Painful Osteoarthritis, Collin A. Toups, Lauren G. Guillot, Kaitlyn Redondo, Sydney Jensen, Jennifer Klein, Luis Marrero

School of Medicine Faculty Publications

Knee osteoarthritis (kOA) poses a major health challenge worldwide, but current non-surgical treatments have limited long-term success and do not address the underlying disease process. This study explores the complex relationship between the endocannabinoid system (ECS) and the endovanilloid system (EVS) in the synovial membrane of patients with kOA undergoing total knee replacement, focusing on how these systems relate to patient-reported pain and histological synovitis. Synovial tissues and fluid from patients grouped into high and low pain categories based on the Knee Injury and Osteoarthritis Outcome Score (KOOS) were examined for cannabinoid receptor type 2 (CB2R), transient receptor potential vanilloid …

The Simcomp Tool For Simulation-Based Learning: Advancing Competency-Based Nursing Simulation, Heather S. Cole, Megan P. Lippe, Donna Guerra

International Nursing Research Congress (INRC)

Background: Simulation-based learning experiences allow undergraduate nursing students to develop competence and confidence through deliberate practice with immediate feedback on the learner's performance. As nursing education shifts towards a competency-based framework, faculty require robust tools to evaluate student performance in simulation settings effectively. The purpose of this Delphi study was to develop the SimComp Tool – a competency-based evaluation tool aligned with the AACN (2021) Essentials: Core Competencies for Professional Nursing Education.

Methods: Utilizing the Delphi technique, we engaged a diverse panel of experts to refine and reach consensus on competency-based simulation evaluations. Panelists rated aggregated responses using a Likert …

Exploring Interprofessional Collaboration In A Rural Community’S Pandemic Response Efforts, Susan E. Young, Stephanie R. Duea

International Nursing Research Congress (INRC)

Introduction: Community resilience refers to the capacity to prepare for, respond to, and recover from extreme events¹. While community leaders, health departments, faith-based organizations, and other agencies can greatly influence an area’s socioeconomic, physical, and mental well-being², building capacity through community competence involves interprofessional collaboration, community action, and empowerment³.

Methods: This qualitative study investigated the collaborative response by healthcare and community leaders to the recent pandemic in a rural North Carolina county. A community competence framework guided the inquiry by exploring the extent to which participants collaborated to identify problems, establish a working consensus, …

Alcohol Consumption Among Older Adults With Chronic Health Conditions: A National Study, Hon Lon Tam, Leona Yuen Ling Leung

International Nursing Research Congress (INRC)

Older adults are common to have chronic health conditions, and alcohol consumption increases risk of illness and mortality. Reducing and stop consuming alcohol is recommended, especially those who have chronic health conditions. This study used an American national dataset, Behavioral Risk Factor Surveillance System 2023, to investigate the alcohol consumption among older adults with chronic health conditions. Data were collected from 48 states by random-digit-dialing telephone calls. After removal of missing data, 119,193 non-institutionalized adults aged 65 years and above were included in the analysis. Most of them was female (53.2%) and 91.5% reported to have a health check within …

Innovation In Midwifery Competency-Based Simulation By Implementing Wearable Birth Simulators, Monica F. Ketchie

International Nursing Research Congress (INRC)

Simulation-based learning provides students the opportunity to apply knowledge and practice clinical skills in a safe environment¹. Traditional simulators are standard in most nursing and midwifery curriculum. To improve communication with the simulated patient and allow active participation, an innovative wearable birth simulator was implemented into the nurse midwifery graduate program. This tool adds another level of realism and engagement that traditional simulators lack². The simulated patient wearing the birth simulator can respond to all questions, move and mimic labor varying on its stage, and deliver in different positions. In this research, the wearable birth simulator …

Ai Use In The Management Of Adults With Type 2 Diabetes Mellitus In Primary Care: A Narrative Review, Adelina Ailarov, Vicky Chen, Sergine Delma

International Nursing Research Congress (INRC)

Type 2 diabetes mellitus (T2DM) is a chronic condition marked by insulin resistance and impaired glucose metabolism, leading to significant morbidity and mortality. The integration of artificial intelligence (AI), particularly machine learning (ML), into primary healthcare is enhancing predictive and diagnostic accuracy in T2DM management. This narrative review aims to summarize current AI applications in the prediction and management of T2DM among adults in primary care and to provide evidence-based clinical recommendations for nurse practitioners (NPs) on integrating AI tools into their practice. A search of PubMed, EMBASE, and CINAHL databases was conducted. The inclusion criteria limited studies to English …

Factors Influencing Health-Promoting Behaivors Of Adults In Cambodia, Youngran Yang

International Nursing Research Congress (INRC)

Purpose: Cambodia is with NCDs responsible for 64% of deaths in 2018. Health-promoting behaviors play a vital role in reducing the risk of NCDs. The aims of the study is to identify the determinants of health-promoting behaviors among adults living in Cambodia.

Methods: A cross-sectional study was conducted, and through stratified sampling, 268 adults aged 19 years or older residing in Phnom Penh participated. A structured questionnaire was used. The Health-Promoting Lifestyle Profile II questionnaire was used to assess health-promoting behaviors across six subscales. Data analysis was performed using the SPSS version 23.0.

Results: A total of 267 adults participated. …

Examining The Perceptions Of A Nurse’S Treatment Towards A Patient Through A Role-Play Simulation, Mark Steven Brown, Veronica Valazza

International Nursing Research Congress (INRC)

The purpose of this mixed method research is to assess a group of University nursing students’ perceptions in relation to their attitude, level of comfort, and sense of professionalism when attempting to provide optimal care for a patient with an intellectual disability who has entered an emergency room hospital in need of medical assistance.

This research project will include a group of RN to BSN nursing students viewing a role-play simulation scenario taking place in a learning and simulation center at a suburban University. After viewing the role-play simulation depicting an interaction between a male patient with an intellectual disability …

Asthma Adherence And Self-Management In Pediatrics: A Quality Improvement Project, Harroop S. Kaur, Nancy S. Goldstein

International Nursing Research Congress (INRC)

The purpose of this pilot project was a quality improvement initiative aimed to assess various interventions designed to enhance treatment adherence amongst pediatric patients in an understaffed, underserved, rural area. It had three goals: boost interdisciplinary understanding of asthma, promote self-management amongst pediatric patients with asthma, and reduce additional clinic and emergency department visits, as well as hospitalizations.

Asthma, a chronic condition characterized by airway inflammation, affects over four million children in the US, impacting their quality of life. The condition manifests through a series of symptoms like wheezing. Without proper management, severe asthma can cause lifelong complications in pediatric …

Health Coaching Intervention To Increase Nursing Student Resilience, Self-Compassion, And Well-Being, Yvonne Creighton, Deborah Lee

International Nursing Research Congress (INRC)

There is a nursing shortage in the United States, with worsening projections over the next ten years. Reasons for the shortage are multifactorial and include both individual and institutional causes. A majority of nurses express feelings of stress, fatigue, and frustration which contribute to burnout and leaving the profession, worsening an already pressing problem. Nursing students are entering a complex healthcare field that they may be unprepared for. They experience stressors in school that may even prevent them from completing school and entering the profession. Seeing the need to address this issue while students are in the throes of their …

Nurse Strong: Building Resilience Through De-Escalation, Carrie Ann Bailey, Lynn Beeler, Robin Hicks, Vikki Meloy, Staci Wheeler, Darren Gilbert

International Nursing Research Congress (INRC)

In 2015, the American Nurses Association called upon nursing faculty to develop and create workplace violence prevention programs. In response to the ANA, our innovative educational experiences show how the implementation of scaffolded experiences in self-defense, de-escalation, and leadership within an accelerated nursing program better prepares students for the realities of practice. In healthcare, especially in fast-paced settings, nurses often face challenging situations that require quick decision-making, conflict management, and assertive leadership to maintain safety for all. Workplace violence continues to increase in prevalence in the healthcare setting. Scaffolding—a progressive, structured approach to skill development—enables students to build foundational skills …

Meaningful Mentoring: Creating A Belonging Environment For Faculty Retention, Tonja Marie Padgett, Kimberly Hodges, Angela Opsahl, Lucinda Hill, Jennifer L. Embree, Margaret Moorman

International Nursing Research Congress (INRC)

Mentoring the new faculty role can help with the retention and recruitment of new nursing faculty (Busby et al., 2022; Baker & DePiro, 2019), as well as aide in faculty preparedness. This presentation will share insights into the development of a mentoring program for new faculty coming from a clinical background. We designed a comprehensive new faculty mentoring program to increase faculty preparedness and retention. Based on feedback from past program evaluations, academic leadership interviews, and a literature review, a 10-month mentoring program was designed and implemented on three regional campuses for 28 new faculty. All newly hired faculty attended …

Asynchronous Virtual Intervention For Diabetes Foot Care: A Storytelling And Empowerment Program, Hsiao-Hui Ju, Jeffery Alford, Dina White, Daphne Hernandez

International Nursing Research Congress (INRC)

Purpose: Diabetic foot ulcers (DFU) lead to serious health complications, including a 65% recurrence rate within 3 to 5 years, a 20% chance of amputations, and up to a 70% mortality rate over five years^1,2. Furthermore, recent studies indicate that the overall incidence of amputation has increased¹. These trends underscore the urgent need for effective DFU prevention strategies^3,4. This pilot study investigated digital storytelling videos as a tool⁵ to empower adults with type 2 diabetes to enhance foot care knowledge and practices.

Methods: Participants were recruited from a primary care group by a …

Psychiatric Observation Unit, Patient Outcomes, And Boarding, Brandi Baugh

International Nursing Research Congress (INRC)

Background: The deinstitutionalization of mental health facilities occurred after the Community Mental Health Act, which aimed to transition mental health care from institutions to community centers to deliver psychiatric crisis intervention (Hung et al., 2020). Due to a lack of funding, the Acts' goals were unmet, causing patients to seek care in emergency settings and creating the revolving door phenomenon (Stien et al., 2022). Emergency departments had an increase in patients with mental health conditions of 6.6% to 10.9% over ten years (Kim et al., 2022). Boarding is defined as patients in the emergency department requiring transfer to an outside …

From Scotland To Montana: A Global Collaboration, Marcy Nell Hanson, Margaret Lawson, Hazel Sinclair

International Nursing Research Congress (INRC)

Purpose: To build a partnership with Drug Liasion Midwife leaders of the Vulnerability in Pregnancy (VIP) program, leading to improved perinatal substance use care in Missoula County, Montana.

Background: Perinatal substance use is a global maternal health concern leading to increased maternal and infant morbidity and mortality. In the United States (US) the incidence of neonatal abstinence syndrome (NAS) increased from 1.6 to 8.8/1,000 live births between 2004 and 2016 and neonatal opioid withdrawal syndrome (NOWS) increased from 1.2 to 8.8/1,000 live births between 2000 and 2016 (Kameg, 2021; Kramlich et al., 2018; Patrick et al., 2020). In 2020 in …

A Systematic Review Of Caregiver Burden Of Children With Adhd, Nadia Abed Amro, Lila De Tantillo

International Nursing Research Congress (INRC)

Background: Raising a child with Attention Deficit Hyperactivity Disorder (ADHD) is a key challenge for the primary caregiver. This systematic review aims to identify major burdens facing primary caregivers of a child with ADHD.

Methods: The electronic databases CINAHL, PubMed, and Google Scholar were searched for studies published in English from 2017 to 2023 assessing the challenges facing caregivers of a child with ADHD.

Results: Eleven articles included in this review revealed that caregivers of children with ADHD have poor quality of life and high-stress levels. Supportive parenting programs can be effective for improved coping and adaptation mechanisms with children …

Lighting The Way: Cultivating The Next Generation Of Nursing Faculty Through A Mentorship Program, Salomé Maria Loera, Jill J. Dombrowski, Cari Selzer, Eileen Veronica Caulfield

International Nursing Research Congress (INRC)

Nurses are crucial to global healthcare delivery and equity. The International Council of Nurses has recently identified the worldwide nursing shortage as a health emergency (Buchan & Catton, 2023). In the U.S., nursing schools have been forced to reject thousands of qualified applicants due to a shortage of faculty (American Association of Colleges of Nursing, 2024). Effective mentorship and orientation are essential for ensuring a smooth transition into academic roles, fostering faculty success, and addressing the shortage. The U.S. National League for Nursing (NLN) has recognized mentorship programs as vital for cultivating a supportive work environment, promoting professional growth, and …

Increasing Hpv Education And Vaccination Uptake In Women Aged 27-45: A Clinic Based Approach, Michelle Wakefield

International Nursing Research Congress (INRC)

BACKGROUND: Human Papillomavirus (HPV), the most common sexually transmitted infection, is linked to cervical, anal, vulvar, and oropharyngeal cancers. Despite its impact, only 16% of women aged 27-45 have received an HPV vaccine dose, partly due to recent vaccine recommendation changes. This project aimed to improve HPV knowledge and vaccination rates among women in this age group at a private obstetrics and gynecology practice in Southwestern Indiana.

METHODS: Targeting unvaccinated women aged 27-45, this quality improvement initiative (January–April 2024) provided verbal education on HPV and assessed patient knowledge via a Likert scale survey. Staff received training on vaccine …

Measuring Success Of Students At Risk: Mentoring Students In Becoming Self-Directed Learners, Susan K. Lee, Shaun T. Caldwell, Sandra John-Baptiste

International Nursing Research Congress (INRC)

Introduction: The purpose of this longitudinal study was to evaluate the effectiveness of an intervention designed to assist at-risk students in developing self-directed learning skills. At-risk students are defined as earning a course grade less than 75% at midsemester in any required course within their degree plan. The aim of this study was to improve academic performance of at-risk students in interprofessional education at a school of health professions.

Methods: Institutional Review Board approval was applied for and granted. As part of a formal remediation plan, at-risk students were offered formal instruction on the concepts presented in McGuire’s (2015) Teach …

Home Oxygen Fires: A Statewide Retrospective Review Of Injuries And Fatalities, Mary Auber, Sue Anderson, Karla S. Klas

International Nursing Research Congress (INRC)

Purpose: Determine statewide home oxygen fire incidence and reduce risk.

Introduction: Patients using home oxygen therapy (HOT) face a high risk of burns and death. Smoking is the primary cause, and the number of HOT users who smoke is rising. HOT fires are a growing problem, threatening the lives of patients, family, friends, neighbors, home health workers, and first responders. Unfortunately, there is no way to accurately track HOT fires and outcomes. This project aimed to analyze statewide burn center, fire, and EMS data of HOT fire-related burns to better understand the scope of the problem, address fire prevalence, and …

Resilience In Health Science Education: An Integrative Review, Kylie Padron Newsom, Michelle Nichols, Susan D. Newman, Teresa M. Stephens, Diana Layne

International Nursing Research Congress (INRC)

Healthcare worker burnout in the US has reached crisis levels, leading to harmful consequences for healthcare workers, patients, communities, and the healthcare system (Murthy, 2022). Burnout-related turnover costs $9 billion for nurses and $2-6 billion for physicians annually (Murthy, 2022). Symptoms of burnout appear even before entering the workforce, with 44% of medical students and 30% of nursing students affected (Murthy, 2022). One way to decrease burnout is through resilience which reduces stress and anxiety while improving well-being (Stephens, 2013). The American Association of Colleges of Nursing (2021) and the National Academy of Medicine (2019) support incorporating resilience into education …

Rethinking Nursing Education: Supporting Neurodiversity In Nursing Classrooms, Kelly Walker, Megan Arbour, Jane Houston, Maria Milazzo

International Nursing Research Congress (INRC)

Neurodiversity is an inclusive term that describes the range of neurological or neurocognitive variation naturally found in the human population (Legault et al., 2021). Neurodivergence has historically been labeled and classified as a disability (Armstrong, 2017). Examples of neurodivergent diagnoses include specific learning disabilities in reading, writing, and math: dyslexia, dysgraphia, dyscalculia; autism; ADHD, or others. Estimated prevalence data suggests that 15-20% of adults are neurodiverse (Doyle, 2020). The Yale Center for Dyslexia reports that 20% of the general population are dyslexic (The Yale Center for Dyslexia and Creativity, 2022). Prevalence estimates of ADHD range from 3-7% (Song et al., …

Multimorbidity Treatment Burden Predicts Self-Care In Multimorbid Patients With Hypertension, Hyerin Yoo, Jihyang Lee, Kyoung Suk Lee

International Nursing Research Congress (INRC)

Background & Purpose: Patients with multimorbidity experience unique challenges in performing self-care due to the complexity of dealing with multiple diseases simultaneously. The burden of managing multiple conditions and its impact on patients’ well-being (i.e., multimorbidity treatment burden) can negatively affect their ability to engage in recommended self-care regimens. While most studies have focused on disease burden, an outcome of disease progression that is often less modifiable, the relationship between multimorbidity treatment burden and self-care remains less explored. Therefore, the purpose of this study was to determine whether multimorbidity treatment burden was an independent predictor of self-care in patients …

Australian Mental Health Nurses’ Attitudes Towards Consumers With Mental Illness: A Survey Analysis, Anju Sreeram

International Nursing Research Congress (INRC)

Negative attitudes towards mental illness are a global issue for discrimination towards people with mental illness. Literature has identified various dimensions of stigma. Among the different dimensions, professional stigma prevents people from seeking and accessing help, which further increases mental health-related suffering in the community. Despite providing professional care to consumers, negative attitudes towards mental health conditions are evident even among Mental Health Nurses [MHNs] working in acute inpatient psychiatric units. At the same time, there is a lack of research addressing Australian acute inpatient psychiatric units’ MHNs' attitudes towards mental illness. Therefore, this study aims to assess Australian acute …

Patient-Provider Communication In Ckd Care: Patient Experiences And Nursing Implications, Christin Iroegbu, Sheridan Leak, Sam Bartolone, Celsea Tibbitt

International Nursing Research Congress (INRC)

Background: Chronic kidney disease (CKD) is a complex condition that requires extensive knowledge for adequate patient self-management. Many individuals with CKD lack sufficient understanding of their diagnosis, leading to poorer health outcomes. Effective patient-provider communication is crucial in closing this knowledge gap, particularly given the intricacies of managing CKD, other comorbidities, and complex medication regimens. This communication is essential in primary care settings, where most patients with CKD are managed. Yet, little is known, from the patient’s perspective, about how these critical conversations unfold during the clinical encounter. Understanding patients' experiences communicating with primary care providers about CKD can offer …

Survivorship By Setting: Mental Health-Related Phenomena In Critical Illness Survivors, Rebecca Greene, Beth Mastel-Smith, Barbara Mcalister

International Nursing Research Congress (INRC)

Background: Each year, tens of millions of people worldwide experience a critical illness (Crawford et al., 2023). Many survivors face substantial physiological challenges (Society of Critical Care Medicine, 2024). About 20% will also experience symptoms of posttraumatic stress disorder (PTSD) (Righy et al., 2019). Prior studies have shown that PTSD significantly reduces quality of life (Presciutti et al., 2020) and increases suicide risk (Fox et al., 2021). Limited access to specialized care (Johnston et al., 2019) may cause survivors in rural or low-resource areas to face greater mental health (MH) challenges and feel less capable of influencing their physical and …

Should I Consider A Terminal Nursing Degree?, Nancy S. Goldstein, Melissa Hunter

International Nursing Research Congress (INRC)

The purpose is to provide information for nurses who desire continuation of nursing education, learn new skills, and understand differences in core concepts of the Doctor of Philosophy (PhD) and Doctor of Nursing Practice (DNP) terminal nursing degrees.

Changing demands of national and global healthcare environment requires a high level of scientific knowledge and practice expertise to assure quality patient outcomes. Some factors building momentum for change in nursing education at an advanced level include: rapid expansion of knowledge underlying practice; increasing complexity of patient care; national concerns of quality of care and patient safety; shortages of nursing personnel which …

Effect Of Non-Pharmacological Interventions In Depression And Anxiety In Children And Adolescents Ma, Rajesh Kumar, Maya Sahu, Kalpana Beniwal, Yogesh Bahurupi, Anindya Das

International Nursing Research Congress (INRC)

Objectives: Research has shown that non-pharmacological interventions can effectively reduce anxiety and depression in children and adolescents; however, there remains a lack of agreement on this topic. This review aims to assess the effectiveness of non-pharmacological interventions (NPIs) in alleviating depression and anxiety in children and adolescents when compared to control groups.

Methods: A comprehensive search of electronic databases, including PubMed, PsycINFO, OVID, ProQuest, EBSCO host, and Cochrane, was conducted for studies published from 2009 to May 2023. Studies that employed non-pharmacological interventions to evaluate their impact on anxiety and depression in children and adolescents were included.

Results: Out of …

Community-Based Smart Health Monitoring System For Older Adults Experiencing Poverty, Roschelle L. Fritz, Connie Kim Yen Nguyen-Truong

International Nursing Research Congress (INRC)

Background: By 2050, adults age 60+ will comprise 22% of the world’s population.1 95% of Americans have a chronic condition2 and 63% live in poverty.3-4 Innovative low-cost solutions are needed to support aging-in-place.5-7 The purpose of this case study is to examine the experience of one older adult using a low-cost Smart Health System (SHS) designed to assist with managing chronic conditions. The prototype health monitoring system was retrofitted in existing homes. It included 1 multisensor per room (motion, light, humidity); 2 door use sensors (main entry, refrigerator); an algorithm continuously processing sensor data and sending alerts when the resident …

Development Of A Patient Decision Aid For South Korean Couples Undergoing Ivf, Sooyeon Lim, Sihyun Park

International Nursing Research Congress (INRC)

Background: Infertility is a global health issue, and it is estimated that around 48million couples and 186 million individuals are affected worldwide^1,2. South Korea is currently facing a significant demographic challenge, with a fertility rate of 0.72 in 2023—the lowest among OECD countries³. Notably, 9.3% of births in 2022 were from government-supported fertility treatments⁴. Despite an increasing proportion of births resulting from such treatments, there are still no established guidelines to protect couples' confidentiality.

Purpose: The purpose of this ongoing study is to develop a patient decision aid (PtDA) tailored for South Korean couples …