Digital Commons Network^™

An Observational Study Of Personalized Mhealth To Promote Wellness In Healthcare Workers, Mary S. Mccarthy

International Nursing Research Congress (INRC)

Background: Healthcare workforce resilience weakened during and after the pandemic. Nutrition, physical activity, and sleep deficits further diminish health status. Providing just-in-time resources may promote healthier behaviors in direct-care hospital staff. We had two study aims: 1) coach healthcare workers (HCWs) to make lifestyle changes that enhance wellness, and 2) compare high and low engagement with mHealth resources to achieve recommendations for cardiometabolic health.

Methods: In this 1-year prospective observational study, HCWs had 24/7 access to a dashboard built for personalized health messages and wore an activity and sleep tracker continuously. On-demand UVB phototherapy was available to boost vitamin D …

Research Findings Describing Home-Based Nurses’ International Scope And Standards Of Practice, Susan M. Hinck, Mary C. Narayan

International Nursing Research Congress (INRC)

Background. The International Home Care Nurses Organization and the American Nurses Association (ANA) are collaborating to develop the International Scope and Standards of Home-Based Nursing Practice. The first step was to conduct research with home-based nurses (HBNs; nurses who provide care for patients in their homes) to develop an evidence-base for the international scope and standards document.

Methodology. This IRB-reviewed study consisted of a literature review to locate key documents (e.g.; ICN, 2021; Narayan et al., 2017; Nursing and Midwifery Council, 2024; Rusli et al., 2021, Saari et al., 2024) and four surveys: 1) status of country’s Home-Based Nursing …

Mixed Reality In Modern Nursing Practice: A Systematic Review Of Clinical Applications, Chandler H. Moser, Changhwan Kim, Bindu Charles, Renila Tijones, Elsa Sanchez, Jedry G. Davila, Hemilla R. Matta, Erin Barker, David Goldenberg, John Madara, Michael J. Brenner, Cildi-Clabsi Study Team, Vinciya Pandian

International Nursing Research Congress (INRC)

Objective: This study aims to review recent literature on using mixed reality (MR) in nursing practice, focusing on outcomes related to nursing efficiency, satisfaction, ergonomics, competency, and team effectiveness. The research addresses the growing interest in using MR technology to enhance nursing care delivery and improve access to care.

Methods: A systematic review was conducted following PRISMA guidelines and registered in PROSPERO. Multiple databases, including MEDLINE, Embase, and Scopus, were searched for relevant literature from January 2013 to January 2023. Inclusion criteria were studies that employed MR in nursing settings with measurable outcomes in efficiency, satisfaction, ergonomics, competency, or team …

Why All The Noise? How To Reduce Alarm Fatigue In The Intensive Care Unit, Dawn-Marie Jackson Hall

International Nursing Research Congress (INRC)

Background: Intensive care units have copious amounts of alarms and sounds that can lead to patient distress and alarm fatigue for staff, resulting in delayed responses to an alarm in a patient’s room. With so many alerts in the intensive care unit (ICU), staff can become desensitized to the noises, and patient care is affected, increasing the likelihood of adverse events (Gorisek et al., 2021; Leigher et al., 2020). The project examines the effects of changes in patient care to reduce the number of alarm alerts to impact the potential of alarm fatigue in nurses working in a busy ICU. …

The Effects Of Lactation Practices On Lactational Amenorrhea: A Systematic Review, Helen Baker, Anna Newton-Levinson, Sharon Leslie

International Nursing Research Congress (INRC)

Background: Lactational amenorrhea (LA) is a contraceptive method that suppresses ovulation postpartum through frequent and exclusive breastfeeding, with up to 98% effectiveness in the first six months if practiced optimally (Curtis et al., 2024). LA relies on consistent breastfeeding intervals and nipple stimulation, which inhibit gonadotropin-releasing hormone (GnRH) secretion (McNeilly, 2001). Factors such as supplemental feeding, breast pump use, and early return to work may reduce LA's efficacy (Stuebe & Chen, 2022). This review assesses the impact of various lactation practices on LA to provide current insights and support informed counseling on breastfeeding as a contraceptive method.

Methods: Following PRISMA …

Nurses' Involvement Of Caregivers In Managing Childhood Illnesses In Vhembe District, South Africa, Sophy Mogatlogedi Moloko

International Nursing Research Congress (INRC)

Nurses are responsible for improving family and community component of the Integrated Management of Childhood Illness (IMCI) strategy [1] by providing counselling and health education to caregivers of children under-five years [2]. However, some caregivers still delays seeking healthcare for their children. The delay results from lack of recognition of disease severity, cultural and religious beliefs regarding child health and illnesses [3]. The aim of the study was to explore nurses' involvement of caregivers in the prevention and management of childhood illnesses in Vhembe district, South Africa.


A qualitative exploratory description design was applied in the study. A sample of …

A Mixed Method Study On Nurses Pain Management For Hospitalized Persons Living With Dementia, Beverley F. Ingelson

International Nursing Research Congress (INRC)

Purpose Statement: To assess factors influencing nurses’ beliefs and knowledge when assessing and managing pain in hospitalized older persons living with dementia (PLWD).

Background: Hospitalized PLWD often experience unrelieved pain. Pain is common in PLWD. Undermanaged pain accelerates changes in cognition, memory loss, and functional decline. Nurses’ personal feelings and professional experiences with pain may lead to inaccurate knowledge and beliefs based on negative stereotypes of aging and dementia.

Methods: A mixed method study was conducted using an explanatory sequential design. The quantitative cross-sectional survey study measured nurses’ self-perceived knowledge and beliefs about pain assessment and management in PLWD. The …

Vaccine Hesitancy In Rural Southeastern United States, Janet Brown, Leigh Ann Bray Dayton, Kimberly Rogers

International Nursing Research Congress (INRC)

Purpose: Minority populations in the United States (U.S.) have lower COVID-19 vaccination rates compared to the overall U.S. vaccination rates. COVID-19 vaccination rates in the United States are 81% for all races and ethnicities combined, while the vaccination rate for those identifying as Hispanic or Latino is 67%. This has not significantly improved from a 29% rate of vaccine hesitancy among those who identified as Hispanic in 2021. Community-engaged research has been found to be effective in identifying and understanding factors related to vaccine hesitancy and the broad reach of public libraries provides unique opportunities for outreach efforts to …

Hemoglobin A1c And Timing Of Sternal Wound Infection Recognition In Cardiac Surgery, Marisa Tran Le, Sarah Craig

International Nursing Research Congress (INRC)

SWIs remain a critical concern in cardiovascular surgery, contributing to significant morbidity and mortality among patients. The literature review examined multiple studies establishing the relationship between elevated HbA1c levels and increased risk of postoperative complications in relation to glycemic dysregulation and its detrimental effects on wound healing and postoperative infection. Despite existing research exploring the incidence of SWIs and HbA1c levels, a notable gap exists in the literature regarding the time of recognizing SWIs in patients categorized by specific HbA1c benchmarks following cardiac surgery. My research aims to address this gap by evaluating the difference in the time it takes …

Antimicrobial Resistance (Amr): Policy And Practice Challenges In West Africa, Charles Kwanin

International Nursing Research Congress (INRC)

Antimicrobial resistance is a complex global health challenge we face now in our world. There are global solutions developed to tackle this challenge. To explore the challenge, Ghana and Liberia were the countries of focus. Using policy analysis of data from the Tripartite Antimicrobial Resistance Country Self-Assessment Survey (TrACSS) by the World Health Organization data Global database as of 2022 on AMR an analysis of the various policies both governments have been implemented was conducted. A semi-structured interview was conducted among three selected from each country. The results of this study indicate that AMR is a global health security challenge; …

Effects Of Health Literacy Empowerment Education In Korean Nurses, Gun Ja Jang

International Nursing Research Congress (INRC)

This study aimed to examine the effects of health literacy empowerment education on the health literacy and cultural competence of nurses working in a Korean public hospital, which is easily accessible to vulnerable populations, including Medicaid beneficiaries and multicultural groups. The study was designed as a randomized controlled trial. Participants included 60 nurses employed at public hospitals who directly engaged in patient care and consented to participate in two educational programs on October 17, 2024. Odd-numbered applicants were assigned to the control group, while even-numbered applicants were placed in the experimental group. The control group (30 nurses) received a standard …

Pay It Forward: A Peer Mentoring Program For Doctoral Nursing Students, Holly Evans Madison, Michelle Julian, Marti Snyder, Joanne Masella, Kim Sand

International Nursing Research Congress (INRC)

Globally, nursing needs a diverse group of individuals with doctoral preparation to transform the profession through leadership, scholarship, and practice. Since Ph.D. and Doctor of Nursing Practice (DNP) programs are challenging, mentoring can provide a mechanism for student success. Mentoring occurs when someone with more experience supports someone with less experience (1). The purpose of this mixed methods interventional study was to evaluate the efficacy of a mentoring educational intervention on doctoral nursing students’ self-appraisal of their competency regarding mentoring, and to describe the experience of doctoral nursing students’ who mentored and their mentees. Based on the outcomes, this study …

Technological Competency As Caring In Prelicensure Nursing Students: A Us Survey Using The Tccni-R, Clarissa Afable, Chitra Paul-Victor, Angela S. Prestia, Jessica Roman

International Nursing Research Congress (INRC)

Background. In the U.S., prelicensure nursing students (PNSs) lack informatics competencies due to a lack of educational opportunities and resources. Therefore, there are implications in nursing education for preparing PNSs for patient-centered care using Locsin’s technological competency as caring in nursing theory.

Purpose. The purpose is to evaluate the psychometric properties and establish the reliability of the English translation of the TCCNI-R through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and validity via structural equation modeling to examine if the instrument applies in U.S. academic nursing education in PNSs.

Methods. The proposed study utilizes a descriptive, cross-sectional …

The Influence Of Substance Use On Sleep Architecture In College Students: A Cross-Sectional Analysis, Odunayo A. Elijah, George T. Mugoya, Mercy Ngosa Mumba, Shameka Cody, Dhikrullah Mudathir

International Nursing Research Congress (INRC)

Background: Substance use and poor sleep quality are prevalent issues among college students, often impacting their physical, mental, and academic well-being. This study examines the relationship between substance use and sleep quality.

Methods: Utilizing variables from the American College Health Association National College Health Assessment III (Fall 2019-present) Spring 2022 reference group dataset (n = 69,131 students), we employed adjusted logistic regression models to assess associations between tobacco, alcohol, and cannabis use risks and multiple dimensions of sleep quality, including sleep onset latency, early awakening, daytime fatigue, and difficulty falling asleep. Substance use risk was calculated using the …

Defining Caring Behaviors In Online Nursing Education: A Faculty Perspective, Katy Fisher-Cunningham, Vanessa Wright, Sheryl Buckner

International Nursing Research Congress (INRC)

The shift to online nursing education, driven by the COVID-19 pandemic, has underscored new challenges in fostering caring interactions, a core component of effective nursing pedagogy. While research highlights the importance of perceived caring behaviors by faculty for positive student outcomes, tools for standardizing and assessing these behaviors in virtual settings remain limited. Findings point to the need for resources, training, and assessment tools specifically designed for online teaching. This study will explore nursing faculty perspectives on essential caring behaviors in online environments, aiming to bridge this gap and enhance the student experience in online nursing education.

Using a descriptive, …

Predicting Preceptorship: A Multi-State Survey Study, Leonie Declerk, Martha Rojo

International Nursing Research Congress (INRC)

Preceptorship, students working with expert clinicians, is a common model of clinical education for health professions. Preceptorship allows students to apply knowledge, refine skills, and adopt professional attitudes. However, an ongoing preceptor shortage hinders nursing education at all levels. The purpose of this study was to evaluate factors influencing nurse practitioners’ (NPs) decision to be preceptors. We deployed an online survey to NPs residing in the United States. We used quantitative and rapid qualitative analysis to evaluate the influence of 11 factors on preceptorship status and intent to be a future preceptor. We received 1,295 responses. Employer support, self-efficacy, NP …

Program Evaluation Of Delirium Screening, Notification And Management, Savvy Louie, Sharon Norman, Jaymie Bryan, Dalton Vanderpol, Shelley Schoepflin Sanders

International Nursing Research Congress (INRC)

Background: Delirium is an acute confusion state associated with poor health outcomes, such as increased mortality and long-term cognitive impairments (Fong & Inouye, 2022; Mattison, 2022; Pereira et al., 2023; Rieck et al., 2019). Hospitalized older adults, ages 65 years and older, and patients with dementia are at increased risk of developing delirium (Mattison, 2022; Pereira et al., 2023). Delirium is prevalent and occurs in 2.6 million hospitalized older adults every year (Fong & Inouye, 2022). Despite the adverse impact of delirium on health outcomes, delirium diagnosis is often missed in routine hospital care. While delirium identification is integral to …

Are Open Or Enclosed Nursing Stations Better, And For Who?, Sydney Lauren Long, Annette Bourgault, Mona Shattell

International Nursing Research Congress (INRC)

The benefits of enclosed versus open nursing stations are frequently discussed among inpatient nurses and hospital administrators. This scoping review synthesizes the state of the science on architectural best practices for inpatient psychiatric units and identifies gaps in the literature about enclosed versus open nursing stations. Peer reviewed articles from PubMed, CINAHL, EBSCO, and Web of Science were extracted for review. These articles were written in English and published between 2015 and the present (2024). All studies occurred on adult inpatient psychiatric units. Qualitative and quantitative studies whose sample included inpatient nurses, nursing staff, and clients were included. Findings suggest …

The Eat, Sleep, Console Method In The Neonatal Intensive Care Unit: An Integrative Research Review, Kelsey Seigman

International Nursing Research Congress (INRC)

The use of opioids during pregnancy has risen dramatically in the last 25 years, resulting in an increased rate of newborns experiencing neonatal abstinence syndrome (Chyi et al., 2023). The primary assessment tool used to care for these infants has historically been the Finnegan Neonatal Abstinence Scoring System (FNASS). In recent years, the FNASS tool’s subjective nature has turned interests to the novel Eat, Sleep, Console assessment tool (Amin et al., 2023). This integrative research review was conducted by using a modified methodology suggested by Whittemore & Knafle (2005) and seeks to answer the research question, “For neonates of greater …

Baccalaureate Nursing Students' Knowledge Of Trauma-Informed Care And Infertility, Hildreth Eloi, Darlene E. Acorda, Martina Raquel Gallagher

International Nursing Research Congress (INRC)

Background: Globally, 48.5 million couples experience infertility.1 Experiencing infertility and miscarriage is a traumatic experience for many couples.2 Whenever couples engage in the healthcare setting to address issues of infertility, distress, and re-traumatization can occur.3 To provide patient-centered care, the healthcare team, especially nurses, needs to acknowledge infertility as a traumatic experience in reproductive health settings.4 However, there is limited knowledge of how nursing students conceptualize trauma in relation to infertility. This knowledge will be implemented into the Reproductive Health Care course in a pre-licensure program.

Aim: The purpose of this quality improvement project is to obtain insight into …

Identifying Neurological Conditions: A Virtual Reality Simulation For Critical Care Nursing Students, Roy L. Trahan, Morgan Cangelosi, Zachary Carson, Jo Mcdonald

International Nursing Research Congress (INRC)

Background: Virtual reality (VR) has become one of the most useful tools in nursing education because it allows simulation for active learning that requires interaction and provides an authentic, standardized, safe experience for students (Kiegaldie & Shaw, 2023). Moving difficult content from a didactic setting to a VR experience opens a new opportunity for a more meaningful learning experience.

Purpose: The purpose was to create a standardized neurological virtual reality (VR) simulation using the Virti platform for senior level nursing students in a traditional BSN program to achieve three primary objectives. Identify signs and symptoms of decreased level of consciousness …

Text Message Intervention Among Northeast Louisiana Women With Cardiovascular Disease, Sherrie Roberson

International Nursing Research Congress (INRC)

Background: Physical activity plays a significant role in preventing cardiovascular disease (CVD) and reoccurring cardiac events. Physical inactivity is a global burden, and women are self-reporting physical inactivity or insufficiency is higher (8%) than males. In Louisiana, women ages 55 to 64 had the highest risk factors for CVD and heart attack. The purpose of this study was to examine the impact of a 6-week text messaging intervention on the effects of physical activity and physical activity self-efficacy among Northeast Louisiana women with cardiovascular disease.

Methods: Female subjects (N = 46) were recruited from the different parishes of Northeast …

Exploring The Latent Growth Trajectory Of Depression In Arthritis Patients, Yoonjung Ji, Wonhee Baek

International Nursing Research Congress (INRC)

Arthritis markedly diminishes the quality of life, compromises independence, and substantially escalates healthcare expenditures [1]. Numerous studies have identified a link between arthritis and depression. A meta-analysis indicated that depression is highly prevalent among individuals with arthritis and is linked to worse outcomes [2]. Additionally, some research suggests that individuals with depression have a higher likelihood of developing arthritis compared to controls [3]. However, there is a lack of research examining how depression progresses over time following an arthritis diagnosis and identifying the factors that influence these changes.

To investigate the trajectory of depression over time in patients diagnosed with …

Peer Critique Effectiveness In An Online Dnp Writing Course, Nancy Sarpy, Karen Ripley

International Nursing Research Congress (INRC)

Purpose: Peer critique is used globally in academia to enforce rigor and standards of scholarship (Morley & Grammar, 2021). To improve scholarly writing for DNP students, sections of a literature review paper were submitted during the quarter for peer review in an online writing course. The benefits of peer review include the opportunity to receive and give feedback (Tornwall & McDaniel, 2021; Trotter, 2021). Supportive feedback between DNP students can be challenging due to lack of knowledge about the peer review process (Tornwall et al., 2021). Quality of the peer feedback can influence whether students feel they have learned from …

Evaluation Of Peening Intensity With Nozzle-Mounted Sensor During Processing, Akinori Matsui, Shuji Hayashida, Yuji Kobayashi

15th International Conference on Shot Peening

In recent years, digital technologies have been increasingly applied in manufacturing, including visualization and anomaly detection in production equipment. In shot peening, Peening Intensity is a key process control indicator, but its measurement requires significant manual effort. This study aims to evaluate the possibility of using an AE-sensor-mounted nozzle to estimate Peening Intensity. We conducted experiments comparing sensor outputs with experimented Intensity under controlled conditions. A strong correlation (R² ≥ 0.95) was observed, suggesting that Peening Intensity can be estimated via AE sensing. This approach may contribute to labor-saving and automation in shot peening processes.

Comparison Of Anti-Fouling Performance Of Textured Glass Surface Fabricated By Ductile-Mode Peening And Precision Grinding, Hayato Tagaya, Yutaka Kameyama, Shuhei Kodama, Hideaki Sato, Kento Shinagawa, Ayumu Sekiguchi, Seiji Hirai, Hitoshi Ohmori

15th International Conference on Shot Peening

Recently, there has been a growing demand for precision processing glass. In addition to dimensional accuracy, surface texturing to impart functional properties has attracted increasing attention. For example, anti-fouling performance against powder adhesion is required for cover glasses of solar cells. Powder adhesion is governed by van der Waals forces, which depend on the surface texture of the substrate, suggesting that surface structures influence adhesion behavior. Our previous study demonstrated that angled fine particle peening (FPP) could fabricate a nanoscale fine texture on glass surfaces through ductile-mode peening—glass processing without brittle fracture. In this study, the effect of surface texturing …

Evaluating The Effectiveness Of Localized Masking To Prevent Changes In Residual Stress When Shot Peening, James R. Harrison, James Pineault, Tom Mills

15th International Conference on Shot Peening

When shot peening components, it is common practice to mask certain localized regions where peening roughness is not desirable. For example, surfaces that have been highly machined such as bearing races or areas of interference-fit may require masking to protect them from the cold working effects of shot peening. Oftentimes shot peening the grip sections of fatigue test coupons can prevent cracking and failures due to fretting fatigue in the grip area but could affect the outcome of the test if applied to the gauge section of the coupons. Thus, maintaining an “as machined” surface roughness is the most common …

The Use Of A Dynamic Imaging System To Characterize Particle Size And Shape For Shot Peening Media, Matthew Spink, Tod Canty, Langdon Feltner, Paul Mort

15th International Conference on Shot Peening

Shot peening is a cold working process that enhances the mechanical properties of components such as springs, axles, and gears. Shot media are projected at a high velocity against the material’s surface, creating a layer of compressive residual stress that improves fatigue and wear resistance of the material. The size and shape of the media affect the residual stress layer that is created. To ensure consistent quality, it is critical to characterize and control the particle size and shape distribution of the shot media, both as-manufactured and in the working mix. This paper presents how the use of a dynamic …

Microstructural Changes And Residual Stress Generation On The Periodically Patterned Surface Texture Fabricated By Angled Fine Particle Peening, Yutaka Kameyama, Hideaki Sato, Ryokichi Shimpo

15th International Conference on Shot Peening

Focusing on the potential of peening technology as a surface texturing technique, angled fine particle peening (angled-FPP) has been proposed to fabricate a specific periodical surface structure, which possibly provides various surface functions. It is necessary to further characterize the textured surface to earn more advantages from angled-FPP. Thus, in this paper, texture formation phenomena, residual stress, and microstructural changes were investigated on the angled-FPP specimens.

Editorial Page, Jcehe

Journal of Community Engagement and Higher Education

List of issue editors and reviewers