Digital Commons Network^™

Spartan Daily, September 10, 2025, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2025

Volume 165, Issue 8

Motion For Order Modifying 5th Amended Plan

Catholic Dioceses in Bankruptcy

No abstract provided.

Structure Of The T9ss Porkn Ring Complex Reveals Conformational Plasticity Based On The Repurposed Fge Fold, Xiangan Liu, John D Perpich, Liqiang Song, Christian Cambillau, Thierry Doan, Lei Zheng, Richard J Lamont, Eric Cascales, Bo Hu

Faculty, Staff and Student Publications

The type IX secretion system (T9SS) is a protein secretion machinery unique to the Bacteroidetes-Chlorobi-Fibrobacteres superphylum, which plays crucial roles in bacterial pathogenesis and gliding motility. It is composed of >15 proteins, including the proton-motive force-dependent PorLM motor, the PorKN ring anchored to the outer membrane, and the Sov translocon. Here, we present the cryo-electron microscopy (EM) structure of the PorKN ring complex from Porphyromonas gingivalis at 3.2 Å resolution. Our structural analysis reveals that PorK contains a repurposed formylglycine-generating enzyme-like fold, which serves as a structural hub for complex assembly rather than enzymatic activity. The complex exhibits a 33-fold …

Retinoid-X-Receptor As A Mediator Of Poststroke Recovery By Reversing Age-Associated Phenotypes Of Microglia/Hematogenous Macrophages, Shun-Ming Ting, Xiurong Zhao, Guanghua Sun, Mercedes Ricote, Jaroslaw Aronowski

Faculty, Staff and Student Publications

After stroke, microglia and hematogenous macrophages, together referred to as MΦ, clear dead cells and cellular debris in the infarcted brain through phagocytosis as an essential part of the recovery process. However, the phagocytic capability of MΦ declines with age. Furthermore, aged MΦ become overactivated in response to stroke, enhancing secondary brain injury. In this study, we demonstrated that by reversing the age-related dysfunctions in MΦ through activating the retinoid X receptor (RXR), the recovery after stroke in the aged brain could be improved. Using RNA-sequencing, we compared the transcriptomes between MΦ isolated from the brains of young and aged …

Innate And Adaptive Immune Features Associated With Immune-Related Adverse Events, Shaheen Khan, Venkat S Malladi, Mitchell S Von Itzstein, Hong Mu-Mosley, Farjana J Fattah, Yang Liu, Mary E Gwin, Jason Y Park, Suzanne M Cole, Sheena Bhalla, Jay Lohrey, David Hsiehchen, Angela Moses, Tao Wang, Yaming Xue, Angela B Mobley, J David Farrar, Marjaan Imam, Michelle Wu, Quan-Zhen Li, Edward K Wakeland, Yang Xie, Jeffrey A Sorelle, David E Gerber

Faculty, Staff and Student Publications

Background: While highly efficacious for numerous cancers, immune checkpoint inhibitors (ICIs) can cause unpredictable and potentially severe immune-related adverse events (irAEs), underscoring the need to understand irAE biology.

Methods: We used a multidimensional approach incorporating single-cell RNA sequencing, mass cytometry, multiplex cytokine assay, and antinuclear antibody (ANA) profiling to characterize the peripheral immune landscape of patients receiving ICI therapy according to irAE development.

Results: Analysis of 162 patients revealed that individuals who developed clinically significant irAEs exhibited a baseline proinflammatory, autoimmune-like state characterized by a significantly higher abundance of CD57+ T and natural killer (NK) T cells, plasmablasts, proliferating and …

Bypassing Bamd Essentiality By Mutations In A Non-Essential Substrate, Santosh Kumar, Anna Konovalova

Faculty, Staff and Student Publications

The β-barrel assembly machinery (Bam) is essential for assembling all transmembrane β-barrel outer membrane proteins in gram-negative bacteria. The Bam complex consists of the central β-barrel protein BamA and accessory Bam lipoproteins, including the widely conserved and essential BamD. BamD is assumed to be an essential regulator of OMP assembly, as its absence causes a global defect in OMP biogenesis. Here, we challenge this view by demonstrating that BamD essentiality is both conditional and substrate specific. In Escherichia coli, its function can be bypassed by preventing BamA jamming by a single, non-essential substrate RcsF. Our findings suggest that BamD …

Infectious Prions In Brains And Muscles Of Domestic Pigs Experimentally Challenged With The Bse, Scrapie, And Cwd Agents, Francisca Bravo-Risi, Fraser Brydon, Angela Chong, Kane Spicker, Justin J Greenlee, Glenn Telling, Claudio Soto, Sandra Pritzkow, Marcelo A Barria, Rodrigo Morales

Faculty, Staff and Student Publications

Experimental studies suggest that animal species not previously described as naturally infected by prions are susceptible to prion diseases affecting sheep, cattle, and deer. These interspecies transmissions may generate prions with unknown host ranges. Pigs are susceptible to prions from different origins, including deer chronic wasting disease (CWD), sheep scrapie, and bovine spongiform encephalopathy (BSE). Here, we studied prions in brains and muscles from pigs previously infected with these different prion sources. Specifically, we measured the total prion protein (PrP) and PK-resistant PrP by western blot. Seeding activity in these tissues was evaluated using the protein misfolding cyclic amplification (PMCA) …

Inhibition Of The Ufd-1-Npl-4 Complex Triggers An Aberrant Immune Response In Caenorhabditis Elegans, Rajneesh Rao, Alejandro Aballay, Jogender Singh

Faculty, Staff and Student Publications

The UFD-1 (ubiquitin fusion degradation 1)-NPL-4 (nuclear protein localization homolog 4) heterodimer is involved in extracting ubiquitinated proteins from several plasma membrane locations, including the endoplasmic reticulum. This heterodimer complex helps in the degradation of ubiquitinated proteins via the proteasome with the help of the AAA+ATPase CDC-48. While the ubiquitin-proteasome system is known to have important roles in maintaining innate immune responses, the role of the UFD-1-NPL-4 complex in regulating immunity remains elusive. In this study, we investigate the role of the UFD-1-NPL-4 complex in maintaining

Moving Forward With Maboo Liyan Boorroo: River Monitoring And Communicating Heritage And River Keeper Stories: Research Workshop Iii Summary Report, Anne Poelina, Tod Jones, Martin Brueckner, Pierre Horwitz, Sven Ouzman, Kylie Wrigley, Community Research Practioners - Martuwarra River Keepers

Reports accepted as research outputs

This Report provides a summary of activities and outcomes from the Maboo Liyan Boorroo Workshop III, held in June 2025. Three community Workshops have been held, involving an external multi-disciplinary and multi-institutional research team (the research team) visiting and working with the Yurmulun Pandanus Park Community and the Martuwarra Fitzroy River Council River Keepers. This visit followed two workshops with the community held in November 2021 (see Voices for the Martuwarra: Mapping Values with Fitzroy River Communities, 2021) and August 2022 (see Working together for Maboo Liyan Boorroo, 2022). This summary report provides detail on Workshop III discussions, activities and …

Paternalistic Approaches To Care In Intensive Care And Its Potential Effects On Securing Consent For Organ Donation, Brian Tierney, Matt Carey

School of Nursing and Midwifery

Background: Organ Donation saved the lives of 1510 transplant recipients in the United Kingdom (UK) last year (NHS Blood and Transplant (NHSBT), 2024. Although over 28 million people in the UK have registered a decision to ‘opt-In’ on the Organ Donor Register (ODR) (NHSBT, 2024), and a soft opt-out system has been adopted across all parts of the UK, securing next of kin agreement remains essential to proceed with organ donation (Rees et. al., 2024).Research Aims: Data from the UK’s Potential Donor Audit continues to highlight instances of limited engagement with organ donation services teams (O’Neill et al, 2024; NHSBT, …

High Beta Power In The Ventrolateral Prefrontal Cortex Indexes Human Approach Behavior: A Case Study, Nicole R Provenza, Sameer V Rajesh, Gabriel Reyes, Kalman A Katlowitz, Lokesha S Pugalenthi, Raphael A Bechtold, Nabeel Diab, Sandesh Reddy, Anthony K Allam, Ajay D Gandhi, Katherine E Kabotyanski, Kasra A Mansourian, Jonathan H Bentley, Jordan R Altman, Saurabh Hinduja, Nisha Giridharan, Garrett P Banks, Mohammed Hasen, Ben Shofty, Sarah R Heilbronner, Jeffrey F Cohn, David A Borton, Eric A Storch, Jeffrey A Herron, Benjamin Y Hayden, Mary L Phillips, Wayne K Goodman, Sameer A Sheth

Faculty, Staff and Students Publications

Deep brain stimulation (DBS) of the ventral capsule and ventral striatum (VC/VS) is an effective therapy for treatment-resistant obsessive–compulsive disorder (trOCD). DBS initiation often produces acute improvements in mood and energy. These acute behavioral changes, which we refer to as “approach behaviors,” include increased social engagement and talkativeness. We investigated the relationship between stimulation amplitude, spectral power in the ventrolateral prefrontal cortex (vlPFC), and speech rate in one male patient with trOCD implanted with bilateral VC/VS DBS leads and subdural electrodes adjacent to the orbitofrontal cortex and vlPFC. Several times over the first 24 weeks of therapy, we conducted experiments …

Development Of A Patient-Centered Outcome Tool For Blepharospasm: A Stepwise Modified Delphi Study, Brian D Berman, Fares Qeadan, Amanda D Henderson, Andrew R Harrison, Giovanni Defazio, Mark Hallett, Gamze Kilic-Berkmen, Laura Wright, Samantha Pentecost, Paul Reyes, Anna Tingin, Joseph Jankovic, Jane Boyd, Charlene Hudgins, Janet Hieshetter, Joel S Perlmutter, Hyder A Jinnah, Sarah Pirio Richardson

Faculty, Staff and Students Publications

Blepharospasm (BSP) is characterized by excessive orbicularis oculi muscle activity leading to abnormal blinking and involuntary eyelid closure. Botulinum neurotoxin (BoNT) injections are the main treatment for BSP, but they only partially and transiently relieve symptoms, leading to a waxing and waning therapeutic response. A patient-centered outcome (PCO) tool that measures BSP symptoms in a simple and efficient way could inform the development of better treatments. Using a stepwise modified Delphi approach, potential PCO items were first identified using the Dystonia Coalition Database with data from over 200 individuals with BSP who had provided responses to existing clinical assessment scales. …

Transbaffle, Endocardial Systemic Right Ventricle Cardiac Resynchronization Therapy In D-Transposition Of The Great Arteries, Nathan R Smith, Dhaval R Parekh, Enrique Garcia-Sayan, Kishan Dwarakanath, Wilson W Lam

Faculty, Staff and Students Publications

Background: Systemic right ventricular (SRV) cardiomyopathy commonly complicates d-transposition of the great arteries with previous atrial switch repair. Cardiac resynchronization therapy (CRT) is an effective therapy but may be difficult to achieve conventionally via coronary sinus (CS) lead implantation.

Case summary: A 58-year-old man with a history of d-transposition of the great arteries and prior Mustard procedure presented with progressive dyspnea and QRS duration >200 milliseconds. No suitable CS branch was identified; therefore, we delivered CRT with endocardial SRV lead implantation via a VersaCross radiofrequency wire system. The patient experienced a QRS morphology similar to native conduction and an improvement …

Longitudinal Associations Of Epigenetic Aging With Cognitive Aging In Hispanic/Latino Adults From The Hispanic Community Health Study/Study Of Latinos, Myriam Fornage, Wassim Tarraf, Rui Xia, Adriana Ordonez, Tamar Sofer, Freddie Márquez, Bharat Thyagarajan, Gregory A Talavera, Linda C Gallo, Charles Decarli, Hector M González

The Brown Foundation: Institute of Molecular Medicine

Due to the paucity of longitudinal DNA methylation data (DNAm), especially among Hispanic/Latino adults, the association between changes in epigenetic clocks over time and cognitive aging phenotypes has not been investigated. This longitudinal study included 2671 Hispanic/Latino adults (57 years; 66% women) with blood DNAm data and neurocognitive function assessed at two visits ~7 years apart. We evaluated the associations of 5 epigenetic clocks and their between-visit change with multiple measures of cognitive aging that included a global and domain-specific cognitive function score at each visit, between-visit change in global and domain-specific cognitive function score, and MCI diagnosis at visit …

Community Mobilisation For Adoption Of Clean Cookstoves And Clean Fuel To Reduce Household Air Pollution And Blood Pressure In Lagos, Nigeria: Protocol For A Cluster-Randomised Trial, Ololade Wright, Juliet Iwelunmor, Et Al.

2020-Current year OA Pubs

INTRODUCTION: In Africa, 75% of households are exposed to household air pollution (HAP), a key contributor to cardiovascular disease (CVD). In Nigeria, 90 million households rely on solid fuels for cooking, and 40% of adults have hypertension. Though clean fuel and clean stove (CF-CS) technologies can reduce HAP and CVD risk, their adoption in Africa remains limited.

METHODS AND ANALYSIS: Using the Exploration, Preparation, Implementation and Sustainment framework, this cluster-randomised controlled trial evaluates the implementation and effectiveness of a community mobilisation (CM) strategy versus a self-directed condition (i.e., receipt of information on CF-CS use without CM) on adoption of CF-CS …

At Stake In Each Other’S Company: A Systems View Of Compassion Fatigue In Mental Health Work, Susan S. Standen

Journal of Conscious Evolution

Traditional research on the phenomenon of compassion fatigue (CF) in mental health work tends to include recommendations for workers to build skills in psychological detachment and self-care. This puts the burden of coping with vicarious trauma on the individual caregiver, not on the systems they operate within. Alternatively, a transformative systemic perspective suggests that Western cultural assumptions about care-giving and individual resilience need to be reassessed. By broadening the exploration of CF and comparing it with human reactions to overwhelming crises across fields and disciplines, new questions can be asked, and new solutions can be proposed. This essay details how …

Bearing Witness: Témoignage As A Tool For Child Advocacy During Armed Conflict., Anik Patel, Amber Alayyan, Heather A. Haq, Parminder S. Suchdev, Naji Hattar, Jeffrey Goldhagen, David J. Schonfeld, Tanya Haj-Hassan, Lia Harris, Seema Jilani, Ayesha Kadir, Paul H. Wise, Lisa Umphrey

Manuscripts, Articles, Book Chapters and Other Papers

Children affected by armed conflict suffer devastating physical, emotional, and social harm. War uproots families, forcing many to flee as refugees or internally displaced persons, while others remain trapped in dangerous environments. In these crises, children face disproportionate risks-violence, exploitation, disrupted education, and collapsed healthcare systems. Their unique vulnerabilities require urgent, targeted action to protect their health, rights, and development. Beyond immediate care, the humanitarian principle of témoignage-bearing witness-is essential. Rooted in humanitarian ethics, témoignage means speaking out about injustice, amplifying the voices of those affected, and driving systemic change. It challenges traditional notions of neutrality and calls on humanitarian …

Debunking Myths: Sickle Cell Trait, Crises & Sudden Death, Michael R. Debaun, Corey J. Hebert, Yvette Marie Miller

School of Medicine Faculty Publications

No abstract provided.

A Comparison Of Shear Bond Strength Of Denture Teeth To Denture Base Using Different Means Of Retention: An In Vitro Pilot Study, Dima Taha El Baba, Paul Boulos

International Arab Journal of Dentistry

Objectives: The objective of this work is to evaluate the shear bond strength between denture base resin and three different acrylic artificial denture teeth. The latter was subjected to three different surface modifications on the ridge lap area and compared to unmodified acrylic artificial denture teeth.

Methods: In this experimental in vitro study, twenty-four maxillary central incisor acrylic teeth were used from each of three manufacturers; namely Major®, Ivoclar® and Myerson®. The teeth were additionally divided into four test groups with six specimens in each: a control group, a chemical retention group, a mechanical retention group, and a …

National Alliance Of Sickle Cell Centers Consensus Standards For Transition To Adult Care In Sickle Cell Disease, Stephanie Howe Guarino, Akshat Jain, Mohan Madisetti, Kenneth Rivlin, Payal C. Desai, Julie Kanter, Sophie Lanzkron, Deepa Manwani

Division of Gastroenterology and Hepatology Faculty Papers

Sickle cell disease (SCD), an autosomal recessive hemoglobinopathy, affects ∼100 000 people in the United States.1 The process of transitioning from pediatric to adult SCD health care systems can be disjointed and poorly coordinated, contributing to the high morbidity and mortality seen in this population. There is no universally accepted definition of a successful SCD care transition, nor are there existing standards and recommendations for SCD clinicians. National Alliance of Sickle Cell Centers (NASCC) uses a described modified Delphi process to reach consensus among its members, through which we defined standards and recommendations for transitioning care from pediatric to adult …

Harnessing Ai And Iot For Advancing Sustainable Development Methods, Najm A. Aleessawi, Soud Elmaskali

Journal of the Association of Arab Universities for Research in Higher Education مجلة اتحاد الجامعات العربية للبحوث في التعليم العالي

The integration of Artificial Intelligence (AI) and the Internet of Things (IoT) offer transformative potential for advancing sustainable development, aligning with the United Nations’ 2030 Agenda for Sustainable Development. This study conducts a systematic literature review (SLR) of 72 peer-reviewed studies (2019–2025) to explore innovative models, methods, and applications of AI-IoT in promoting sustainability. Grounded in systems theory, socio-technical systems, and sustainability science, the findings highlight prevalent models, such as smart cities and precision agriculture, as well as advanced methods like machine learning and edge AI, with applications across energy, agriculture, healthcare, transportation, and water management. Key outcomes include 15–25% …

مدى تقبل مديري المدارس ومعلمي التعليم المهني (Betc) وأولياء الأمور للتعليم الدامج في المدارس الحكومية الأردنية في ظل التحول الرقمي, Ibrahim Ahmad Mlhem, Roa’A Bas’Sam Al-Khatib, Rawan Salameh Al-Iroud

Journal of the Association of Arab Universities for Research in Higher Education مجلة اتحاد الجامعات العربية للبحوث في التعليم العالي

هدفت الدراسة إلى الكشف عن مدى تقبل مديري المدارس ومعلمي التعليم المهني وأولياء الأمور للتعليم الدامج في المدارس الحكومية الأردنية في ظل التحول الرقمي. اعتمدت الدراسة المنهج الوصفي التحليلي، وتكوَّنت عينة الدراسة من (185) فرداً، تم اختيارهم بالطريقة العشوائية، وتم تطوير الاستبانة؛ إذ تكونت من (35) فقرة موزَّعة على (3) محاور، وهي الفوائد التي تعود على مديري ومعلمي مدارس التعليم المهني، وأولياء أمور الطلبة من ذوي الإعاقة، وتمَّ توزيع الاستبانة إلكترونياً على عينة الدراسة. أظهرت النتائج مدى تقبُّل مديري المدارس ومعلمي التعليم المهني وأولياء الأمور للتعليم الدامج في المدارس الحكومية الأردنية في ظل التحول الرقمي، فقد جاءت مرتفعة، ودلَّت على …

التعليم عن بعد وعلاقته بالتفاوتات الرقمية في المغرب, Mohamed Arhal

Journal of the Association of Arab Universities for Research in Higher Education مجلة اتحاد الجامعات العربية للبحوث في التعليم العالي

شكَّلت فترة الحجر الصحي، التي كانت بفعل الأزمة الصحية العالمية، والتي سببها فيروس كوفيد 19، مختبرا لتَشكِّل، أو لنقُل، لتقوية وتعميق درجة التفاوتات الرقمية. فرضت هذه الوضعية ضرورة الانتقال من اعتماد نمط التعليم الحضوري إلى تعليم يعتمد على الأداة الرقمية، ويكون في المجال الرقمي، ويسمى بالتعليم الرقمي. في ذات المنحى، تحاول هذه الورقة اختبار مدى الارتباط بين التفاوتات الرقمية والتعليم الرقمي. وننطلق من إشكالية تفيد التساؤل حول؛ هل تؤثر التفاوتات الرقمية في درجة الاستفادة من التعليم عن بعد. وفي هذا السياق، نفترض بأن مستوى التفاوتات الرقمية؛ والتي هي ثلاث، تؤثر في جودة التعليم الرقمي الذي يستفيد منه الطلبة الجامعيين. ننطلق …

Preparing Nurse Preceptors And Clinical Nurse Educators To Advance Health Equity, Tiffany Allen, Emily Elliott, Joanne Noone

International Nursing Research Congress (INRC)

The purpose of Oregon Nursing Education Academy (ONEA) is to recruit, retain, and educate nurses in Oregon, Idaho, Washington and Alaska to serve as nurse preceptors and clinical nurse faculty to address the nursing workforce shortage and improve health equity. The United States nursing shortage is unlike others in the past due to several factors, including the extraordinary demands of the Covid-19 pandemic and its continued impact on nurses. Effective training and support are needed to effectively support new nurses (Bakewell-Sachs et al., 2022). Additionally, nurse educators must have a foundational understanding of health equity and social determinants of health …

Psychometric Evaluation Of Nursing Perceptions In Caring For Patients With Delirium Scale, Yunchuan Zhao, Elena Jacobs, Brittany Kelley, Anna C. Quon, Laura J. Tivis

International Nursing Research Congress (INRC)

Background/Purpose: Delirium is a serious and often under-recognized condition in hospitalized patients, particularly in critical and acute care settings. Nurses play a key role in delirium prevention, screening, and management.1 However, nurses may not consistently use evidence-based practices when caring for patients with delirium.2,3 Research shows that nurses’ attitudes and perceptions towards delirium can significantly affect the quality of delirium care.4,5 It is important to identify and understand nursing perceptions of delirium to address barriers in delirium prevention and management. Currently, there is no valid instrument to assess nursing perceptions when caring for patients with delirium. The study aimed to …

Physical Activity Level Associates With Long Covid Symptoms And Quality Of Life, Chia-Huei Lin

International Nursing Research Congress (INRC)

Background: Long COVID has emerged as a significant global health concern, leading to functional impairments, sleep disturbances, and a reduced quality of life (QoL). Moderate-to-high levels of physical activity (PA) have been shown to reduce the risk of health complications, improve cardiovascular health, and enhance patient-reported outcomes in chronic diseases. However, limited evidence exists regarding its impact on long COVID symptoms, sleep quality, and QoL in individuals with long COVID.

Objective: To investigate whether a moderate-to-high level of PA level associates with long COVID symptoms, sleep quality, and QoL in individuals with long COVID.

Methods: A cross-sectional …

Bridging Theory-Practice Gaps: Military Nurses' Combat Palliative Praxis And Care Competency, Deborah Kenny, Sean Reed

International Nursing Research Congress (INRC)

Background/Purpose: Evidence-based national guidelines establish traditional palliative care standards, yet there are gaps in applying competencies amidst combat nursing complexity, frontline fluctuations, and mass casualties. During the most recent wars, nurses related reluctance in triaging and not knowing how to care for severely ill and dying young service members (Kenny & Kelley, 2019; Kelley, Kenny, & Donley, 2017). Relevant nursing theory integration is lacking to guide this distinctly difficult context marked by severity and suffering, requiring theoretical nursing models attuned to combat conditions.

Aims/Outcomes: This presentation aims to describe an ongoing study using an adapted unitary caring science model (Reed …

Psychometric Properties Of Epds And Phq-9 Tools For Partners Of Pregnant Women In Karachi, Pakistan, Salima Sulaiman, Ilona S. Yim, Aliyah Dosani

International Nursing Research Congress (INRC)

Background: The Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire-9 (PHQ-9) are widely used to measure perinatal depression, which can negatively affect children's emotional, behavioral, and developmental well-being (Niel & Payne, 2020; Ashraf et al., 2023). Male partners in low- and middle-income countries (LMIC) are at higher risk for perinatal depression but remain significantly underrepresented in research (Rao et al., 2020). No studies have explored the factor structure of the EPDS and PHQ-9 for male partners in LMIC. This study aims to evaluate the psychometric properties of the EPDS and PHQ-9 for male partners during the antenatal period in …

Barriers And Facilitators Of Implementing A Novel Pediatric Nurse Preceptor Program In Malawi, Brittney Van De Water, Kelsey Renning, Olivia Yang, Ijaabo Ali, Blessings Chiluzi, Chimwemwe Mula, Julie Mann, Netsayi Gowero, Ando Nyondo, Lignet Chepuka

International Nursing Research Congress (INRC)

Purpose: Examine barriers and facilitators to implementation of a novel pediatric critical care preceptor program in Malawi.

Background: Malawi is a low-middle income country in sub-Saharan Africa with significant gaps in the availability of pediatric critical care nurses. We conducted a needs assessment in 2022 and developed a novel preceptor program to address these shortages.^1,2 The program was found to be effective;³ however, to understand barriers and facilitators to the implementation of this preceptor program in Malawi, we conducted followed-up interviews with participants.

Methods: Using the Consolidated Framework for Implementation Research (CFIR), interviews were conducted …

Enhancing Nurses’ Delirium Assessment Competence Through Svvr Approach A Randomized Controlled Trial, Yin-Ling Hung, Wen-Chii Tzeng

International Nursing Research Congress (INRC)

Background: With the rapid advancement of information technology, Virtual Reality (VR) has become increasingly prominent in nursing education. VR-based education offers immersive, interactive, and realistic clinical experiences, holding great promise for enhancing nurses' clinical competencies, particularly in complex tasks such as delirium assessment.

Purpose: This study aims to assess the effects of Spherical Video-based Virtual Reality (SVVR) technology on improving nurses’ clinical knowledge, assessment abilities, and attitudes toward managing delirium in clinical settings. By integrating SVVR, this study seeks to provide an innovative, immersive educational approach that allows learners to practice real-world scenarios, thereby enhancing their practical skills.

Methods: The …