Digital Commons Network^™

Impact Of A Responsive Bassinet On Neonatal Abstinence Syndrome In The Nicu, Melinda Pariser-Schmidt

International Nursing Research Congress (INRC)

During the COVID-19 pandemic, operational modifications resulted in an increased average length of stay (ALOS) for Neonatal Intensive Care Unit (NICU) infants with Neonatal Abstinence Syndrome (NAS), from 10 days to 30 days, and additional workload for nursing staff. In response an innovative responsive bassinet (SNOO) was introduced into existing Eat, Sleep, Console (ESC) care model with goal to improve sleep while maintaining American Academy of Pediatrics (AAP) Safe Sleep positioning.

A retrospective chart review was conducted on neonates admitted to NICU who received scheduled methadone dosing for NAS from December 2020 to September 2022. Study inclusion criteria was primary …

Seizure First Aid Simulation: Teaching Students While Exploring Future Faculty Collaboration, Kathryn N. Nelson, Sarfraz Masih

International Nursing Research Congress (INRC)

Background: Epilepsy is disproportionately distributed across the world, with 80% of individuals with epilepsy living in low and middle-income countries (World Health Organization, 2024). The prevalence of epilepsy in Pakistan is estimated to be approximately 1%, with those living in rural areas less likely to receive treatment (Khatri et al., 2003).

Nurses need to know the immediate actions to take when someone experiences a seizure; however, gaps in training are common (Lee & Sim, 2020; Liu et al., 2024). Seizure First Aid training programs have been developed to help healthcare professionals and caregivers of persons with epilepsy respond to seizures …

Embracing Identity: Unmasking Challenges In Lgbtq+ Disclosure Journey, Maya Rabins, Amie Koch, Jill Brennan-Cook, Gillian Jackson

International Nursing Research Congress (INRC)

Background: Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals often experience challenges pertaining to disclosure of their sexual orientation to others, or "coming out." Coming out can be stressful and significantly impact an individual's mental health, confidence, and safety due to factors including family and friends support, religion, environment, and finances. This study explored the lived experiences of LGBTQ+ adult individuals coming out, including experiences of ambiguous loss (AL).

Methods: This mixed-methods, IRB-approved study included 429 LGBTQ+ identifying individuals who completed an online anonymous survey about their coming out experience. We utilized virtual and social media platforms, and snowball sampling. …

Enhancing International Student Health Awareness And Literacy Through Interprofessional Education, Yue Dong, Yunjia Zhang, Kelsey Grainer, Lindsey Bandison, Kyoungah Lee

International Nursing Research Congress (INRC)

Introduction: Despite efforts to improve healthcare use in the U.S., international students face unique barriers [1,2]. Over a million students, including 10,000 at the University of Pittsburgh, struggle with low literacy in U.S. healthcare systems, leading to confusion and delayed care. Mental health challenges are heightened by cultural stigma, language barriers, and limited knowledge [3,4,5]. We leveraged the Global Ties Program and university health departments to create an interprofessional educational series for international students, offering culturally relevant workshops and resources to address health barriers, raise mental and physical health awareness, and improve healthcare literacy.

Methods: In Fall 2024, the University …

Stay Curious! Building Professional Development Through The Center For Nursing Inquiry, Heather Watson, Madeleine Whalen, Alexandra A. Johnson, Nadine Rosenblum

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to describe the capacity building measures to increase engagement in scholarly activities through the Center of Nursing Inquiry (CNI).

Background: Literature indicates providing education, supportive leadership, dedicated time, mentoring and resources are effective methods to increase capacity and engagement in evidence-based practice (EBP), quality improvement and research^1,2,3,4,5. Health system leadership approved a center tasked to use evidence-based strategies and dedicated resources to meet organizational priorities through nursing inquiry.

Methods: The CNI launched in 2018 to serve a globally recognized six-hospital health system. The CNI leads multisite research and provides education including …

Effectiveness Of A Health Management App On Quality Of Life In Patients With Chronic Heart Failure, Wen-Chen Lai, I-Chen Liao, Jin-Long Huang

International Nursing Research Congress (INRC)

Background: Advances in medical care have extended the life expectancy of patients with chronic heart failure (CHF); however, their health-related quality of life (HRQoL) remains low. A user-friendly, home-based self-health management app has the potential to significantly improve patients’ self-care behaviors, disease knowledge, and overall quality of life.

Objective: To assess the demographic characteristics, readiness to change behaviors (C-URICA), self-care behaviors, disease knowledge, and quality of life among patients with CHF. It also evaluated the impact of a health management app intervention on these factors.

Results:Analysis of primary study variables revealed an inverse relationship between self-care behavior scores and …

Strategies To Enhance Your Work/Life Balance, Oscar Danny Lee

International Nursing Research Congress (INRC)

This program explores strategies to enhance work/life balance, focusing on practical techniques to manage time, reduce stress, and increase overall well-being. Participants will learn to prioritize tasks, set boundaries, and develop effective organizational skills. The initiative emphasizes the importance of self-care, fostering healthy relationships, and leveraging support systems. Through workshops and interactive sessions, individuals will gain essential tools and insights to create a balanced life, ultimately improving productivity and satisfaction both personally and professionally.

Addressing Stigma Among Healthcare Professionals Caring For Patients With Opioid Use Disorder, Megan Bland, Carrie Ann Matyac

International Nursing Research Congress (INRC)

Background: Opioid use disorder in primary care affects millions in the United States. Healthcare professionals and clinic staff are often unaware that they are stigmatizing individuals with opioid addiction. Increased awareness of the detrimental impact of perpetuated stigmas on opioid use disorder patient population outcomes needs to be addressed to minimize barriers to care and enhance quality care outcomes, care coordination, and treatment for patients with opioid use disorder.

Purpose: This quality improvement project investigates stigma reduction training programs to (a) improve healthcare professional perceptions and (b) decrease the stigma of the OUD patient population through a quality improvement project. …

Promoting Resilience Of Nurses In The Pediatric Intensive Care Unit, Amy E. Davis, Donna J. Copeland-Streeter

International Nursing Research Congress (INRC)

Background: Second victims are nurses involved in a perceived traumatic patient-related event.¹ Exposure to these events, especially throughout a career, can lead to psychological, emotional, or physical distress, known as second-victim syndrome.^{2, 3} Studies have shown that the most effective management of distress for second victims is through immediate emotional support from a peer.⁴ Therefore, reflective nurse leaders understand the need to develop organizational support systems to promote resilience and mitigate symptoms of second victim syndrome.^{5, 6}

Objective: The objective was to reduce second victims' perceived distress levels by 10% within three months of deploying …

Nursing Ethics Of Care: A Systematic Review, Wimonpan Sungsakul, Sungworn Ngudgratoke, Nalinee Na Nakorn, Anusorn Koedsri

International Nursing Research Congress (INRC)

Introduction: Ethics in the nursing profession aligns with the ethics of care; however, most research and knowledge about the ethics of care in nursing remains limited. This research synthesizes nursing ethics based on ethical theory, using concepts from Gilligan (1982) and Tronto (2013), to develop and apply appropriate ethics of care in nursing contexts.

Research Objectives:

1. To compile research related to ethics of care in nursing profession; and
2. To synthesize the characteristics, components, and indicators of the ethics of care in the nursing profession.

Research Design: A systematic literature review using the for Systematic Reviews and Preferred …

Pill Passport: Optimizing Patient Education Tools Through Usability Testing, Patricia Lynn Pence, Rachel A. Gonzalez, Kyle F. Formella, Safura Sultana, Ryan M. Klute

International Nursing Research Congress (INRC)

Introduction: Medication nonadherence among older adults who experience comorbidities and a high pill burden is a significant healthcare issue in the United States.¹ Older adults are at risk for adverse drug effects, significant harm, and hospital readmissions if medications are not taken as prescribed.2-3

Purpose: This study aimed to develop a prototype design, Pill Passport, a tool intended for patients to participate in their own care by improving medication knowledge and reducing medication nonadherence.⁴

Methods: Electronic health records were reviewed to identify a convenience sample of participants from two medical centers. Inclusion criteria were patients or their caregivers …

Use Of An Interactive Multimedia E-Book To Increase Maternity Knowledge And Learning Motivation, Ting-Shan Chang, Ke-Chi Tsai, Xin-Yu Wang, Ya-Ling Tzeng, Chih-Chi Chuang

International Nursing Research Congress (INRC)

Objectives: Nursing education is an indispensable part of becoming a nurse. For modern 21st century students, the traditional one-to-many teaching method is no longer applicable. Breaking away from the previous teaching method, using new technology and multimedia education combined with interactive e-books, not only improves the learners’ interest and motivation, but also presents the situation in a situational way, being in it. The purpose of this study is to compare the effects of different teaching modes on improving nursing students’ knowledge and learning motivation of maternity nursing.

Methods: This was a quasi-experimental design. Nursing students from a university of science …

Reducing The Incidence Of Medical Adhesive-Related Skin Injuries In The Neonatal Intensive Care Unit, Ya-Lin Huang, Chia Yi Lin, Hui Min Kao, Hsiang-Yu Lin, Chieh-Min Tsai

International Nursing Research Congress (INRC)

Purpose: Our Neonatal Intensive Care Unit (NICU) primarily cares for preterm infants born under 32 weeks with severe conditions, requiring medical adhesives to secure life-sustaining devices and tubing. Due to underdeveloped skin and poor nutrient absorption, these infants are at high risk of skin injuries from improper adhesive use, leading to pain, infection, and increased care difficulty.
In October-November 2023, the MARSI rate in our unit was 7.27%, most often occurring during endotracheal tube tape removal. To address this, we collaborated with the NICU director, head nurse, and senior staff to develop MARSI-focused training, establish a "Medical Adhesive Skin Care …

There Are No Words: What Do You Call A Parent Who Has Lost A Child, Sandra K. Cesario

International Nursing Research Congress (INRC)

Background: There is no commonly used English word to describe a parent whose child is deceased. A child who has no parents is an orphan and a person who has lost a spouse is a widow(er). Absence of terminology to describe parents after the death of a child may contribute to difficulty in adapting to a new identity and alter societal expectations for grieving. Vilomah, a word borrowed from the Sanskrit language meaning "against the natural order," has emerged in non-nursing literature to describe a parent whose child has died. It is derived from the concept that parents …

Performance Of An Online Mobility Module: Implications For Education In Hospital Nursing Practice, Jade Mcbroom, Alicia Peters, Allie Tsu, Valerie Platt

International Nursing Research Congress (INRC)

Background: There is a significant gap in nursing science regarding transformational leadership within nursing education, particularly in its application to education and online learning modules. In response an online mobility module was implemented to support an institution-wide shift toward improved mobility. Nursing leaders across management, quality, and education collaborated to develop, review, and test module content.

Purpose: This study evaluates the test performance of nursing staff and identifies implications for future education similar to other nursing leadership interventions (Melnyk et al., 2020).

Participants/Subjects: A total of 7,596 test scores from nurses (RNs) and patient care associates (PCAs) were analyzed retrospectively, …

Efficacy Of Cardiac Telerehabilitation In Coronary Artery Disease Patients, Pei-Tzu Liu, Shu-Fen Su

International Nursing Research Congress (INRC)

Background: Cardiac rehabilitation can effectively reduce recurrence of coronary artery diseases (CADs). Telehealth with wearable devices enables CAD patients to do rehabilitation at home, but it’s efficacy remains unclear.

Purpose: This study evaluated the efficacy of cardiac telerehabilitation in cardiovascular risk profile of CAD patients.

Methods: A systematic review of using PICO keywords, P: coronary artery disease, I: cardiac telerehabilitation, C: center-based cardiac rehabilitation, O: cardiovascular risk profile (body mass index, waist circumference, cholesterol, triglycerides), was used to search English and Chinese articles from 2019 to 2024 in Cochrane library, PubMed, CINAHL, and Chinese Electronic Periodical Services. Ten randomized controlled …

The Potential Benefits Of Co-Design In Dog-Assisted Treatment Programs For Veterans Seeking Mental Health Care, Parvin (Pary) Bahmanyari, Pauleen Bennett, Tiffani Howell

People and Animals: The International Journal of Research and Practice

Veterans are more likely than the general population to experience a range of mental health problems. While many veteran mental health support programs are available, veterans may struggle to access and engage with these services for various reasons (e.g., a stigmatized perception of mental health disorders, mistrust). Animal-assisted services have become more popular in civilian and military health care settings where traditional therapies (e.g., cognitive behavioral therapy) may not always be effective. Assistance dogs, for example, which live with veterans to provide disability support, have been successfully employed for veteran mental health. Unfortunately, a subgroup of veterans may miss out …

Historical Note: The Capricious Nature Of Privanzas In Habsburg Spain: 1556-1665, Nathan Harkey

The Ozark Historical Review

The vast reaches of the Spanish Habsburg empire necessitated a change in court politics in order to manage day-to-day issues for the king. The answer to this problem in Spain, as in other European kingdoms, was the emergence of the privado or court favorite as a legitimate official who would ideally manage the influx of state affairs, limiting access to the king that would have been previously attainable through audiences. While the original purpose of the privado was to alleviate the countless duties of an overburdened monarch, early modern privanzas became a form of art in the expression of absolute …

Access Denied: The Poor's One-Hundred Year Long Fight For Judicial Equality, Austin Jones

The Ozark Historical Review

This work discusses Reginald Heber Smith's Justice and the Poor and the framework that is described within to provide equal access to the judicial system. The writer posits that this goal has yet to be reached.

Consumptive Vampires: Notes On Nineteenth-Century Blood-Drinkers, Rachel Widmer

The Ozark Historical Review

From the late 19th century, newspapers reported of incidences where blood-drinking was used as a potential cure for disease. This paper explores this report and investigates this behavior among consumptives at the time.

Fires And Protests Of Peace: The Catholic Anti-War Movement In Sixties America, Casey Self

The Ozark Historical Review

This study reviews the history of the Catholic Peace Movement and the impact of the publication, Catholic Worker, and individuals such as Thomas Merton, Phillip and Daniel Berrigan, and Dorothy Day on the anti-war movement against the Vietnam War.

Editor's Note

The Ozark Historical Review

No abstract provided.

The Ozark Historical Review, V.47, 2019

The Ozark Historical Review

No abstract provided.

Out Of Orbit? European Space Collaboration In Post-Brexit Europe, Colin Doege

The Ozark Historical Review

This paper explores the historical role of the UK within the European Space Agency in light of the United Kingdom's exit from the European Union.

Talking With Dragons: How Dragons Reveal The Hero's Heart, Anne Elise Crafton

The Ozark Historical Review

The author shines a light onto the transformation Dragons over time and their relationships with heroes in European narrative and art. The study provides primary source analysis as well as a review of the secondary literature as represented through the works for Frazer, Dundes, and Tolkien.

The Ozark Historical Review, V. 46, 2018

The Ozark Historical Review

No abstract provided.

Two New Species Of Uroplectes Peters, 1861 (Scorpiones, Buthidae) From Somaliland And Mozambique, František Kovařík

Euscorpius

Two new species, Uroplectes elmii sp. n. from Somaliland and U. mossambicensis sp. n. from Mozambique are described, fully illustrated with color photos showing their morphology. Both species are similar to Uroplectes fischeri (Karsch, 1879) from which they differ mainly in finger dentition (Uroplectes elmii sp. n.) and strongly reduced tibial spurs on legs III–IV (U. mossambicensis sp. n.). Uroplectes elmii sp. n. is also compared with U. pardii Kovařík, 2003, from which it differs mainly by extremely reduced to absent metasomal punctation. A distribution map of all …

Digital Leadership And Literacy As Strategic Levers For Employee Outcomes In Pakistan's Telecommunication Sector, Saman Javed, Shaista Nayyar

Business Review

Digitalizing operations is essential for gaining and maintaining competitive advantage, driving product and process innovations, and ensuring effective decision-making. The performance and engagement of today’s workforce are also contingent upon its capability to handle digital technologies. Here, the digital prowess of the leaders plays a cardinal role in the digitalization process. Keeping this in mind, this research aims to determine the impact of digital leadership on employees’ digital literacy, and their subsequent effect on key employee outcomes like engagement and performance in the telecom sector of Pakistan. Data was collected from 369 telecom workers employed at the three major Pakistani …

Influence Of Variable Climate On Mechanical Properties Of Composite Materials: An Experimental Study, Alexandra Tazhibaeva, Safaa M.R.H. Hussein, Mikhail Kuznetsov, Farid Shakirzyanov, Nikita Kharin, Igor Muravyev, Timur Agliullin, Gulshat Saleeva, Victor Mitryakin, Oleg Morozov, Oskar Sachenkov

Karbala International Journal of Modern Science

This study investigates the degradation of carbon fiber-reinforced plastic composites, fabricated via non-autoclave molding, under tropical climatic conditions across three regions over three years. Forty specimens (10 control, 30 exposed) with 2x2 twill weave and 0°/90° fiber orientation were subjected to tensile and compressive testing, microscopy, and X-ray computed tomography. Control specimens established baseline properties, while exposed specimens underwent three-year weathering. Statistical and principal component analyses revealed significant mechanical degradation, with tensile strength decreasing by up to 16.1% (p

Impact Of Plasma-Activated Water On Breast Cancer Cell Viability, Maryam G. Jasim, Hammad R. Humud

Karbala International Journal of Modern Science

Plasma-activated water (PAW) was generated using a dielectric barrier discharge (DBD) plasma system operating with a 1:1 mixture of nitrogen and argon gases to evaluate its cytotoxic effects on MCF-7 breast cancer cells. Water samples were divided into five groups: 0 minutes (control), 5, 10, 15, and 20 minutes of plasma exposure. The resulting PAW was applied to cultured cells, and cell viability was assessed 24- and 48-hour post-treatment. Viability was evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The results showed an apparent time-dependent increase in cytotoxicity. At 24 hours, cell mortality rates were 1.9%, 40.7%, 48.1%, 53.6%, …