Digital Commons Network^™

Trauma-Informed Practices In A School Of Nursing: An Assessment, Oluwatoyin Olukotun, Kala Mayer

International Nursing Research Congress (INRC)

Trauma-informed environments have been shown to foster academic success by creating trauma-sensitive learning spaces (Crosby, 2015), aligning with nursing’s core values of empathy, patient-centered care, and holistic health. However, despite the increasing use of trauma-informed approaches in K-12 settings, their application in higher education, particularly in nursing schools, remains underexplored (Doughty, 2018; Ernest et al., 2022; Henshaw, 2022; Thomas et al., 2019). This study aimed to assess the implementation of trauma-informed practices at a U.S. school of nursing (SON) from the perspectives of faculty and staff. In Spring 2024, an online Qualtrics survey was administered to faculty and staff at …

Measurement Tools Of Multiple Subjective Post-Intensive Care Syndrome Symptoms: A Scoping Review, Yoonsoo Eo, Rachel Hawn, Jennifer Stevens, Kristen Pecanac, Kristine Kwekkeboom

International Nursing Research Congress (INRC)

Background: A growing number of intensive care unit (ICU) survivors experience a range of distressing physical, mental, or cognitive problems post discharge, known as post-intensive care syndrome (PICS)¹. Increasing evidence suggests that PICS spans multiple domains^{2, 3}; however, prior reviews have noted a reliance on measures of individual symptoms and objective impairments^4-6. There is growing recognition of the need for measurement tools that comprehensively assess subjective PICS symptoms across multiple domains⁷.

Purpose: We conducted a scoping review of studies reporting two or more self-reported subjective symptoms of PICS. In the current analysis, …

The Lmpact Of The Covid-19 Pandemic On Registered Nurses, Mary Ellen Roberts, Joyce M. Knestrick, Lenore Resick

International Nursing Research Congress (INRC)

Background: The Covid –19 pandemic is a new experience with a substantial impact on the health and well-being of nurses caring for the patients diagnosed with the disease. Increased work and family demands have not been studied in these frontline workers. COVID-19 has altered many US nurses’ career plans. Over the past two years, the researchers have spoken with nurses who consistently, and increasingly, report planning to leave the workforce. This study looks at the impact of COVID-19 on the professional and personal lives of nurses.

Purpose: To understand the effects of COVID-19 a global pandemic on nurses caring for …

Nurses’ Lived Experiences During The Covid-19 Pandemic: A Descriptive Phenomenological Study, Kala Mayer, Jo Anne Bennett, Elizabeth Reifsnider, Jeanie Skibiski, Soojung Jo

International Nursing Research Congress (INRC)

The COVID-19 pandemic presented unprecedented challenges for nurses, including confronting end-of-life decisions, witnessing patient suffering, and burnout. Nevertheless, many nurses demonstrated resilience and personal growth despite adversities. Notable gaps in the literature include limited exploration of the long-term impacts of the pandemic on nurses, variations in experiences based on geographic, gender, and cultural factors, as well as the role of leadership and organizational response. Likewise, how nurses adapted to innovations such as new technologies and the impact of their pandemic experiences on patient outcomes and care quality remain underexplored. This study employed a phenomenological descriptive approach to capture nurses’ lived …

Creating A Quality Improvement Academy To Advance The Professional Development Of Front-Line Nurses, Andrea Paddock

International Nursing Research Congress (INRC)

Involving nurses in quality improvement (QI) is associated with improved quality care, operational efficiency, cost, and job satisfaction (Djukic et al., 2021; Robinson & Gelling, 2019; Tschannen et al., 2023). For nurses to engage in QI, they need proper structure, education, supportive leadership, and resources (Connor et al., 2023; Tschannen et al., 2021). Without such, they are ill-equipped to improve or sustain current practices with confidence and competence.

A gap was identified in an organization’s nursing structure in which a QI methodological approach and supporting resources was lacking. To address this gap, an 8-month QI Academy pilot was developed to …

Stress And Trauma In Nursing Students Over Time: A Longitudinal Study, Heidi Gilroy, Kala Mayer, Chelsea Ratcliff, Devon M. Berry, Sally Stephanie Rothacker-Peyton, Alice Ahn, Kennedy Anderson

International Nursing Research Congress (INRC)

Nursing students are exposed to trauma, toxic stress, and traumatic experiences during their education, contributing to mental health challenges such as anxiety, burnout, and symptoms of post-traumatic stress disorder (PTSD) (Gilroy et al., 2024). These experiences have significant implications for students' learning, academic performance, retention in nursing programs, and ultimately patient care. However, how these stressors and mental health symptoms evolve over the course of nursing education remains largely unexplored. This study aimed to describe changes in trauma exposure, risk and protective factors, trauma symptoms, and mental health among undergraduate Bachelor of Science in Nursing (BSN) students as they progressed …

Improve Exclusive Breastfeeding Rates Through Early Initiation, Camille Chua

International Nursing Research Congress (INRC)

Exclusive breastfeeding can be challenging to maintain. At the project site there was an inconsistent process for breastfeeding support, so an evidence-based solution was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if or to what degree the implementation of the World Health Organization (WHO) Guideline’s Baby-Friendly Hospital Initiative (BFHI) Step Four would impact exclusive breastfeeding rates (EBFRs) when compared to current practice among adult postpartum patients in an acute care hospital in Southern California over four weeks. Nola Pender’s middle-range nursing theory utilizing the health promotion model (HPM), and Kurt Lewin’s change theory provided …

Shared Decision-Making To Increase The Pre-Establishment Rate In First-Time Dialysis Patients, Shu Ju Chang, Yen Ping Tsai

International Nursing Research Congress (INRC)

Background: The number of people living with kidney disease (acute kidney injury, chronic kidney disease, and treated kidney failure) worldwide is reported to exceed 850 million (Bello et al., 2024). The number of people undergoing maintenance dialysis globally has increased dramatically. Chronic kidney disease (CKD) is not only a public health issue but also creates an economic burden (Lee et al., 2023). For patients with ESRD, a planned approach to establishing dialysis access is a critical priority.

Purpose: The pre-establishment of permanent vascular access and peritoneal catheters for dialysis is essential to reduce the need for repeated temporary tube placements, …

Intergenerational Programs: Reducing Loneliness Of Older Adults In Congregate Care Settings, Rachel Elaine Bagley, Yolanda Rodriguez, Jacelyn Tappert

International Nursing Research Congress (INRC)

Loneliness is an increasingly recognized public health issue, especially among the elderly, where it contributes to the decline in both physical and mental health (WHO Commission on Social Connection, 2024). In the geriatric population, loneliness is associated with increased risks of depression, anxiety, cognitive impairment, cardiovascular disease, falls, and overall mortality (Holt-Lunstad, et al. 2015; Millett et al., 2024; National Institute on Ageing, 2019). Loneliness in congregate care settings is often exacerbated by residents' loss of physical mobility, death of spouses, removal of the individual from their neighborhood and community, and reduced autonomy. The COVID-19 pandemic intensified these issues, reducing …

Development Of A Nurse-Led Interprofessional Community Health Nursing Education Program, Kim Alexander Decker, Wendy R. Miller

International Nursing Research Congress (INRC)

This presentation will describe an interprofessional community health nursing education project in a 5-county region. The preliminary phase of the project was to create a nurse-led interprofessional advisory group to direct a comprehensive health needs assessment with county health departments, area clinics and school officials, to determine community-based priorities. This phase was followed by an investigation of evidence-based interventions to address the acknowledged community health needs of substance use prevention and mental health promotion. Program costs and funding were identified and obtained through alumni donor gifts and internal university grants. A trained facilitator was selected to educate community health nursing, …

Trauma-Informed Design And Student Well-Being In Higher Education: An Exploratory, Descriptive Study, Isabelle Sadorra, Kala Mayer, Cara Poor, Olivia Mattern, Bella Small

International Nursing Research Congress (INRC)

Since the COVID-19 pandemic, there have been heightened reports of stress and trauma among students. Despite increasing evidence of the importance of trauma-informed design (TID) in healthcare and housing, its application in higher education settings remains underexplored. TID incorporates elements that create environments conducive to safety, well-being, and healing, which are critical for academic success. Design elements in the built environment that have the potential to reduce student and nurse stress and promote learning include access to nature and outside areas, safety and privacy features, and ambient noise and sound dampening features, for example. This study aims to assess students' …

Instrument Adaptation Through Focus Group Insights Of Clinical Nurse Specialist Practice, Sheree A. Scott, Kelley Kilpatrick

International Nursing Research Congress (INRC)

Background/Purpose: The Clinical Nurse Specialist (CNS) profession globally and across the US is facing challenges including workforce shortage and low CNS academic program enrollment. Role confusion and dissemination of outcomes directly tied to CNS practice may contribute to the issue. This study aims to address this gap by adapting a validated time in motion instrument, originally developed in Canada, to gather comprehensive data on the practice of the CNS in diverse care settings across southern California. The purpose of phase 1 is to ensure that the CNS time in motion instrument is tailored to the local healthcare environment.

Methods: The …

Poor Dietary Habits And Physical Inactivity In Obese And Overweight Children: A Concept Analysis, Mahdiyeh Ahmadi, Marti Rice, Felesia Bowen

International Nursing Research Congress (INRC)

Aim: The aim of this poster is to analyze the concepts of poor dietary habits and physical inactivity, which are defined differently by various researchers, in obese and overweight school-aged children.

Background: Poor dietary habits and physical inactivity are two common modifiable lifestyle behaviors, contributing to overweight/obesity in children.

Design: Rodgers' method of concept analysis guided the review, including sample and setting, literature search, and data analysis.

Data Source: PubMed and CINAHL were searched for relevant literature.
Results: Antecedents included changes in children's lifestyles, increased dependence on transportation, parental, caregivers’, and peer influence, cultural and social norms, and environmental factors. …

Exercise Dependence: A Qualitative Study Of Fitness Enthusiasts’ Motivations For Excessive Workouts, David Paul Rubia Ramos, Edith Gili Habig, Jessica May Guillermo

International Nursing Research Congress (INRC)

More and more people around the globe are motivated to be physically fit and healthy. While a lack of regular physical activity can be a barrier to a healthier lifestyle, too much or excessive exercise may lead to exercise dependence and may pose serious health concerns. Excessive exercise or exercise dependence refers to a maladaptive pattern of exercise which can lead to clinically significant impairment or distress. This qualitative study explores the motivations for excessive exercise and contributing factors to exercise dependence among at-risk Filipino fitness enthusiasts. Using descriptive qualitative research, we conducted in-depth interviews with ten gym regular members …

Evaluation Of Practical-Based Instruction In Oncology Nursing Curriculum For College Students, Chih-Yin Chien, Tsae-Jyy Wang

International Nursing Research Congress (INRC)

Background: Vocational education not only focuses on knowledge transfer but also emphasizes practical application. The cultivation of practical-based learning is a crucial core of vocational education, balancing theory and practice while addressing students' diverse development.

Purpose: The purpose of this study was to develop an oncology nursing practice curriculum aligned with core competencies and to evaluate its effectiveness. The curriculum was designed around a practical-based learning approach, encouraging students to engage in discussions that foster learning engagement, enhance self-efficacy.

Methods: This study utilized a single-group pre-test and post-test design with a convenient sample of 27 students. The questionnaire assessed self-directed …

A Solitary Weight Loss Journey: Exploring The Lived Experiences And Perceptions Of Obese Adolescents, Yueh Tao Chiang, Fu-Sung Lo

International Nursing Research Congress (INRC)

Background: Adolescent obesity is a global public health concern, as habits formed during this critical stage can have long-term health consequences. Understanding how adolescents perceive and experience obesity is crucial for developing effective weight management strategies and promoting overall well-being.

Aims: This study aims to explore the lived experiences and perceptions of obese adolescents in Taiwan, providing deeper insights into their life context.

Method: This phenomenological study recruited participants from a pediatric endocrinology outpatient clinic in northern Taiwan from March to July 2022. Adolescents aged 12-18 with a BMI above the 95th percentile were included. Data was gathered through individual …

Factors Affecting Work Productivity Loss During The Covid-19 Pandemic: A Meta-Correlation Analysis, Jiyeon Jung, Inhae Cho, Jihyun Moon

International Nursing Research Congress (INRC)

Backgrounds: The COVID-19 pandemic has caused a decline in work productivity across various sectors. Identifying the factors influencing the loss of work productivity during a pandemic can have significant implications for health promotion and management among workers.

Objectives: This study aims to evaluate work productivity loss (including absenteeism and presenteeism) among workers during the COVID-19 pandemic by analyzing potential risk factors, such as demographic, individual, psychosocial, and organizational factors.

Design: We conducted a systematic review and meta-correlation analysis to identify risk factors influencing work productivity loss during the COVID-19 pandemic.

Review methods: Data were comprehensively searched across …

Developing A Value Clarification Exercise For Identifying Preferences For Breast Cancer Treatment, Ka Ming Chow, Carmen W. H. Chan, Winnie Yeo, Kai Chow Choi, Jiemin Zhu

International Nursing Research Congress (INRC)

Introduction: Most breast cancer (BRC) cases are diagnosed at an early stage and can be treated with either breast-conserving therapy or mastectomy, followed by optional breast reconstruction. However, studies have indicated that mastectomy is more commonly performed than breast-conserving surgery among young women with BRC, despite the absence of significant difference in survival rates between the two surgical procedures [1,2]. Women undergoing mastectomy without breast reconstruction were likely to experience poorer physical health, body image, and sexual health compared with those undergoing breast reconstruction or breast-conserving surgery [3]. Value clarification helps patients make more informed clinical decisions [4], reducing decisional …

Nurses’ Work Interruption And Response: Medication Tasks And Difference By Nursing Delivery System, Kyung Jin Hong

International Nursing Research Congress (INRC)

Purpose: Work interruption is a major factor that increases nurses’ workload, and multitasking during medication tasks is associated with medication errors. This study aimed to report the frequency, source, and response of interruptions during work, focusing on medication tasks and the differences between functional nursing and integrated team nursing delivery systems.

Methods: This study was conducted in August 2023 in two wards operating under different nursing delivery systems in a general hospital in South Korea. The observers shadowed each nurse individually, monitoring their work hours; 12 shifts (five day and seven evening shifts) for the functional nursing …

Exploring Cultural Dimensions Of Nurses' Experiences During Covid-19 In The Us And Hungary, Kala Mayer, Judit Staller, Jo Anne Bennett, Zoltán Balogh, Jeanie Skibiski, Anna Jeney, Soojung Jo, Elizabeth Reifsnider

International Nursing Research Congress (INRC)

Both the Hungarian and U.S. public health and care systems were inadequately prepared to manage the COVID-19 pandemic, contributing to significant distress among nurses. The role of geographical, gender, and cultural factors, along with leadership and organizational response during the pandemic between countries, remains underexplored in the literature. Nurses around the world are now more likely than before the pandemic to leave direct patient care roles. Cultural influences and healthcare system structure play crucial roles in shaping nurses' decisions to stay in or leave the profession. To address this research gap, we are using the lens of Hofstede’s Cultural Dimensions …

Uconn-Mathworks Lfp/Gr Second-Life Battery Aging Dataset, Tingkai Li, Aidan Lawlor, Adarsh Narasimhamurthy, Xiaomeng Peng, Chao Hu

REIL Datasets

This dataset is derived from a test campaign involving 108 commercial LithiumWerks 18650 LFP/Gr cells (nominal capacity: 1.2 Ah, nominal voltage: 3.3 V). The cells were cycled using Neware BTS 4000 testers under controlled temperature conditions. The cells were grouped (3 or 2 cells per group) and cycled under varying fast-charging protocols until their remaining capacity dropped below 80%, simulating end-of-first-life. Fast-charging protocols included: (1) one-step constant current–constant voltage (CCCV) charging with constant C-rates (4C–6C), (2) SOH-based derating CCCV charging with dynamic C-rate reduction, and (3) two-step charging combining a high-rate constant current (CC) step and 1C CCCV step based …

Corporate Social Responsibility Disclosure And Financial Performance: Empirical Evidence From Vietnam, Nguyen T. Tran, Nhung T. Le, Tung D. Nguyen

Economic and Business Review

This study examines the relationship between corporate social responsibility (CSR) disclosure and firm performance, with particular attention to CSR's role as a mitigating mechanism during periods of economic crisis, notably the COVID-19 pandemic. Utilizing a unique hand-collected dataset comprising CSR disclosures from Vietnamese publicly listed firms in the VNR500 index between 2014 and 2021, the analysis employs both accounting-based (return on equity) and market-based (Tobin's Q) performance indicators. The empirical findings indicate a positive association between CSR disclosure and firm performance across both measures. Disaggregated analysis reveals that governance-related disclosures significantly enhance market valuation, whereas the presence of a …

The Cost Of Malnutrition In Older Adults In The Mountain West, 2020, Taylor Volk, Anirudh Polagani, Olivia K. Cheche, Kristian Thymianos, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents 2020 data on the annual costs of disease-associated malnutrition for adults aged 65 years and older across the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The data are sourced from “Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State Legislators,” a report published by Defeat Malnutrition Today and Women in Government.

The Antelope, University Of Nebraska At Kearney

The Antelope

No abstract provided.

Dairy And Food Science Student Newsletter, September 10, 2025, Department Of Dairy And Food Science

Dairy and Food Science Student Newsletter

No abstract provided.

The Parthenon, September 10, 2025, Baylee Parsons, Kaitlyn Fleming, Ashton Pack, Nate Harrah, Caden Adkins, Scott Price, Lilli Ross, Wade Sullivan

The Parthenon

No abstract provided.

Ronald Koons V. Attorney General New Jersey

2025 Decisions

USDC for the District of New Jersey

How To Effectively Utilize The Emergency Department To Provide Care For Patient With Substance Misuse, Seshaan Ratnam

URGENT Matters

No abstract provided.

Summer 2025, Office Of Univeristy Marketing And Communications

Bryant Magazine (1997-2019)(2024-present)

In this issue of Bryant magazine: Go beyond the Archway and discover the secret history of the university's Smithfield campus; dive into international trade as students guide one of the world's oldest companies through global turmoil; learn about some of the powerful bonds that bring Bulldogs together; and more stories from the Bryant community.

Yvonne Maddox, Yvonne T. Maddox Ph.D.

We Are NIH Oral History Project

No abstract provided.