Digital Commons Network^™

From Coexistence To Collaboration: Integrating Englishlanguage Learners Into Campus Internationalization, Yvonne Dunham Slobodenko

EnglishUSA Journal

No abstract provided.

A Modified Socratic Seminar In An Eap Class, Constance Leonard

EnglishUSA Journal

No abstract provided.

Editorial - Englishusa, V. 12, David Lind, Mandie Bauer

EnglishUSA Journal

No abstract provided.

Front Matter - Englishusa, V. 12, English Usa

EnglishUSA Journal

No abstract provided.

Table Of Contents - Englishusa, V. 12, English Usa

EnglishUSA Journal

No abstract provided.

How Can Midwifery Care Decrease Perinatal Morbidity And Mortality And Address Health Inequities?, Heather Bradford, Ellen Tilden, Jennifer Kaeser Jagger, Ellen Chaney Solis

International Nursing Research Congress (INRC)

U.S. perinatal morbidity and mortality rates are high and rising and feature sizeable racial and ethnic disparities. One underutilized yet proven approach to improving U.S. perinatal health involves policy reform to more widely use midwifery models of care. Increased access to midwifery care is correlated with improved outcomes for families, including lower rates of interventions, increased rates of vaginal births and breastfeeding, and lower rates of neonatal deaths. Attendees will gain an overview of current U.S. midwifery models of care, philosophy, and outcomes, as well as effective midwifery care models that can improve perinatal health, such as racially and culturally …

Increasing Access To Substance Use Disorder Treatment Through Interdisciplinary Education, Noah Weatherton, Ira Kantrowitz-Gordon, Natalie Hoge, Batoul Abdulsater

International Nursing Research Congress (INRC)

The opioid and SUD epidemic drives a need to dramatically increase treatment opportunities, yet there is a dearth of practitioners who feel comfortable and competent in this area. And there are not enough specialists. To address this, we have developed an elective, online, asynchronous course for Nursing, Medicine, Pharmacy, Social Work, and Public Health housed within a DNP program at UW School of Nursing. Course content includes concepts of trauma-informed practice (and education), stigma, etc., and are woven throughout the course. Use of telehealth simulation scenarios served to prepare students for therapeutic patient interactions and to practice skills of motivational …

Fostering Cultural Competence Through Development Of An Innovative Global Health Course, Anita G. Fennessey, Amy Szajna

International Nursing Research Congress (INRC)

Purpose: This abstract outlines the development and implementation of a global health course for undergraduate nursing students. The course aims to introduce foundational global health concepts and explore the role of nurses in addressing health disparities, promoting equity, and leading health initiatives on a global scale.

Introduction: Global health issues are growing in complexity and impact, necessitating that nursing students develop competencies in cultural understanding, ethics, and leadership. This course aims to bridge global health and nursing practice, equipping students with the knowledge and skills to address health challenges among diverse populations worldwide.

Methodology/Implementation: The course is …

Breaking Down Barriers To Becoming A Nurse, Shelby Britt Hall

International Nursing Research Congress (INRC)

It is estimated that between 2021-2031 there will be 194,500 openings for registered nurses (RNs) in the United States annually. The American Nurses’ Association calls for “real solutions” to this nursing shortage crisis by addressing barriers that prohibit students from earning nursing degrees. Barriers for students include personal financial status, exorbitant tuition, an unobliging work schedule, lack of emotional support, access to nursing programs and insufficient study time. Factors that support the obtainment of a nursing degree include employer support such as a flexible work schedule, tuition reimbursement or tuition funding.

A nursing professional development (NPD) position specializing in nursing …

Targeting Safety & Satisfaction In Hourly Rounds To Enhance Patient Experience On Ortho-Spinal Unit, Celia Nurse

International Nursing Research Congress (INRC)

The purpose of this Value Improvement Project was to address the problem of declining patient experience on our Orthopedic Spinal Unit at our inpatient acute care facility and we used the CAHPS Likelihood to Recommend domain as out measurement tool. At the start of the project, we were at the 55th percentile rank for the second quarter of 2024. We decided to infuse our patient rounding with proactive interventions so that our rounds were not simply to say someone last saw the patient breathing at 1500 but to round with more patient centered purpose! Purposeful hourly rounding has emerged as …

Enhancing Nursing Student Well-Being: Development And Impact Of A Wellness Algorithm, Hollis Franco, Roberta Christy Weaver, Laura Opton, Amanda L. Veesart

International Nursing Research Congress (INRC)

Stress and anxiety are prevalent among nursing students, who encounter numerous academic, social, and personal pressures throughout their education (Franco et al., 2022; Oneiva-Zafra et al., 2020). Factors such as life events, financial issues, domestic conflicts, food insecurity, and preexisting mental health conditions amplify stress levels, impacting academic performance and overall well-being (Karaca et al., 2019; Moran et al., 2023). Studies have shown that supportive faculty behaviors correlate with reduced levels of depression, anxiety, and stress among undergraduate nursing students (Stubin et al., 2024). Responding to these needs, the School of Nursing recognized the importance of proactive support and initiated …

Storied Narratives Of Partners Of Those Who Underwent A Prostatectomy, Meredith Anne Ford, Darpan Patel

International Nursing Research Congress (INRC)

Prostate cancer (PCa) is the second most common cancer among men and the second leading cause of death. Despite this statistic, PCa also has a high survival rate when caught early. A radical prostatectomy (RP) is one of several treatment options and has two main adverse effects: erectile dysfunction and urinary incontinence. Based on these adverse effects, PCa is perceived as a “couple’s disease.” Therefore, this study aimed to understand the storied narratives of a partner and their relationship with their loved one who has undergone an RP. With a PCa diagnosis and surgical treatment, partners may experience higher …

Predictors For Different Levels Of Covid-19 Vaccination Among Immigrant And Non-Immigrant Adults, Cheryl Zlotnick, Orit Cohen Castel

International Nursing Research Congress (INRC)

Overview: This study contributes to the literature by examining a comprehensive operationalization of vaccination status among working-age (21-49 years), immigrant and non-immigrant adults.

Background: The commonly used outcome, obtained any vaccination versus not, tends to overestimate COVID-19 vaccination utilization, distorting the associations found with covariates/predictors. More recent studies have used a three-variable COVID-19 status outcome of any, partial or complete vaccinations. However, they lacked a theoretical framework and focused on older and non-immigrant populations. This study examined working-age immigrants and non-immigrants, used the three-variable operationalization of COVID-19 vaccination, and was guided by Andersen’s Behavioral Model with its three factors …

Managing Dementia Behavioral Symptoms: Informal Caregivers’ Experience And Needs, Modupe Adewuyi, Xinyue Zhang, Lota Iwuagwu

International Nursing Research Congress (INRC)

Background: Eighty-three percent of persons with Alzheimer's disease and related dementias (Pw-ADRD) rely on informal caregivers—mainly family and friends—for at-home care. In 2023, over 11 million dementia caregivers provided an estimated 18.4 billion hours of unpaid care, valued at $346.6 billion [1]. Although there is a wealth of literature on the roles of dementia informal caregivers, there is little data on their ability to manage the behavioral symptoms experienced by approximately 90% of Pw-ADRD [1], as well as the resources they utilize for support [2]. These symptoms have been positively correlated with functional and cognitive impairment leading to earlier placement …

Does Journal Writing Reduce Stress And Depression In Parents Of A Critically Ill Child?, Lauren Kemp, Cara Gallegos

International Nursing Research Congress (INRC)

Background: An estimated 230,000 children are admitted to the Pediatric Intensive Care Unit (PICU) annually in the United States. A child’s critical illness is stressful for the entire family, causing significant emotional distress among parents. The PICU experience can lead to the development of clinical distress and anxiety in parents following patient discharge. Journal writing is an intervention that has been effective for improving mental health outcomes in various populations. Several meta-analyses show small to moderately sized beneficial effects in improving depression, stress, and PTSD symptoms in the general population. Recently, there has been more interest surrounding the use of …

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, …