Digital Commons Network^™

Innovative Leadership For Success Among Bipoc And First-Generation Students, Jennifer L. Saylor, Jennifer S. Graber, Elizabeth Speakman

International Nursing Research Congress (INRC)

Background: The literature review reveals that Black, Indigenous, and People of Color (BIPOC) and first-generation college (FGC) students need more support during their college transition. Barriers to success include feeling uncomfortable seeking help while under stress, which can stem from racist attitudes on campus, feeling isolated, and the rigor of the nursing curricula that are often immediately pushed on BIPOC and FGC students.

Purpose: The Connecting Future Caregivers Program (CFCP) was developed to facilitate community-building and enhance academic success strategies, without positioning faculty and staff as benevolent authorities providing knowledge to BIPOC and FGC nursing students,

Methods: This descriptive cross-sectional …

Combating Bullying And Incivility In Nursing Education Amid Global Faculty Shortages, Jennifer S. Graber, Jennifer L. Saylor, Rebecca Ivory

International Nursing Research Congress (INRC)

Introduction: With the current nursing faculty shortage, incivility and bullying must be addressed to ensure the continuity of nursing faculty to educate the next generation of nurses. The academic setting should be a safe space for students and faculty at all levels to grow and even make mistakes.

Purpose: This case study explores the issue of incivility in nursing education using personal accounts from novice and seasoned nursing faculty and offers strategies for novice nurses, mentors, and leaders to manage incivility and create a healthy work environment.

Methods: An experienced faculty educator from a different institution independently reviewed a de-identified …

Collaborative Post-Doctoral Program For Sigma Dnp And Phd Members: A Proposal For Action, Ilya Kagan, Julie Ellen Grady, Bonnie Charland

International Nursing Research Congress (INRC)

Over the past decade, there has been a global focus on increasing the number of doctorally prepared nurses to advance nursing education, expand the body of knowledge, and promote the status of nursing as a research and evidence-based profession. Upon completing doctoral studies (PhD or DNP), nurses are expected to continue developing by engaging in coursework and professional activities to produce scholarly work for further development. Globally, accessibility to postdoctoral studies varies significantly, and there is a lack of leadership and career development frameworks in both clinical and academic pathways. A significant challenge is combining postdoctoral studies with a work …

Research Priorities: An Innovation To Advance Nurse Governance Leadership And Impact Health Equity, Kimberly Ann Cleveland, Lisa J. Sundean, Pamela Rudisill

International Nursing Research Congress (INRC)

Background: The purpose of this innovative project was to systematize the research trajectory for nurse governance leadership within a national professional organization. Research priorities aimed at generating new knowledge to advance nurse governance leadership have not been established. Tantamount to driving health equity, addressing lagging health outcomes, and achieving the United Nations Sustainable Development Goals (SDG) is the need to develop and expand the expertise of trustees and elected officials.

Methods: The Nine Common Themes of Good Practice checklist was used as a frame for the project. The checklist includes three domains: preparatory work, deciding on priorities, and after priorities …

Empowering Nurses: A Strategic Approach To Retention And Professional Growth, Rachel A. Hutton

International Nursing Research Congress (INRC)

Post-pandemic, nursing recruitment has been crucial for workforce staffing solutions. However, retaining qualified and experienced professionals is now more vital than ever to care for a growing, sick, and complex patient population. According to the Bureau of Health Workforce, the average years of experience for RNs is 2.8 years. Literature suggests that nurses leave their current organizations due to a lack of access to professional growth aligned with their career goals.

Identifying the need to retain experienced nurses and increase their organizational commitment. Leaders and Nursing Professional Development (NPD) partnered to identify sustainable strategies for growing internal nurses. The aim …

Pediatric Tuberculosis At An Urban Hospital In Haiti: Nursing Implications, Jocelyne Arnoux Fréderic, Margarett Alexandre, Becky M. Baird, Ellen L. Palmer, Mary Gilliland, Charla Edwards

International Nursing Research Congress (INRC)

Purpose Statement: This project assessed the demographics, clinical features and treatment outcomes of pediatric tuberculosis (TB) at an urban children’s hospital in Haiti in 2023.

Background: TB is a global health problem and is the second leading cause of death after COVID-19. Ending the TB epidemic by 2035 is a health target of the United Nations Sustainable Development Goals (SDGs). In 2022, the World Health Organization (WHO) estimated 1.25 million children became ill with TB. Haiti has the highest rate of TB in the Western Hemisphere with a 2023 incidence rate of 149 cases per 100,000 people compared to the …

Early Detection Of Congenital Heart Disease: From Heart To Sole, Tami L. Jakubowski, Simranjot Mann, Emma Cartnick, Sarah Curtis, Carole Kenner, Marina Boykova

International Nursing Research Congress (INRC)

Introduction: "From Heart to Sole” is a study exploring a non-invasive, low cost screening method for congenital heart disease (CHD).

Methods: This pilot study explores identification of a specific crease on the sole of the foot as a marker for early detection of CHD in newborns. A Qualitrics survey was developed and distributed on social media platforms (Facebook, LinkedIn, etc) and the Adult Congenital Heart Association “Studies Recruiting Subjects” webpage. Participants were queried whether they have been diagnosed with a CHD and what type, whether they have the specific crease on either foot, and about the presence other health issues …

Impact Of Covid-19 On Selected Nurse And Patient Outcomes In Emergency Units Across South Africa, Annette Lucia Pienaar, Siedine Knobloch Coetzee, Alwiena Johanna Blignaut, Marcel Fladimar Mather, Erika Fourie

International Nursing Research Congress (INRC)

There is extensive research on nurse outcomes^1-6 and nurse-reported patient outcomes^7-11 before, during, and after the COVID-19 outbreak . However, there is a notable absence of studies that examine such outcomes in emergency units across South Africa. It is evident that emergency nurses often experience the most adverse nurse outcomes, and the COVID-19 pandemic has exacerbated these negative impacts on emergency nurse outcomes^12-15. Not only is there a scarcity of studies examining the effects of the COVID-19 pandemic on nurse outcomes and nurse-reported patient outcomes in general in South Africa, but minimal research has been conducted …

Evaluating The Impact Of Telehealth Prenatal Care: A Innovation To Provide Care To Latinx Clients, Catherine Daily, Ashley Gresh, Elizabeth R. Hamilton, Nancy A. Crowell, Germán Gustavo Alva Martinez, Christina X. Marea

International Nursing Research Congress (INRC)

Background: Mary’s Center, a federally qualified health center, built an innovative telehealth group prenatal care (T-GPNC) program during the coronavirus pandemic to ensure equitable and safe healthcare access. T-GPNC sessions include individual assessment, group education and social support led by a culturally congruent community health worker, and connection to community resources. This presentation will describe the T-GPNC program, assess the adequacy of T-GPNC compared with individual prenatal care (IPC), and describe client satisfaction.

Methods: We used a mixed methods design. We conducted a retrospective chart review of Spanish speaking midwifery care clients from July 1, 2021 to August 31, 2023. …

Community Building In Group Antenatal Care: A Scoping Review And Conceptual Framework, Anne Batchelder, Celeste Chavez, Ashley Gresh, Hayden Geibel, Crystal Patil, Nancy Glass

International Nursing Research Congress (INRC)

In US-based studies, group antenatal care (GANC) is associated with lower risk for prematurity and low birth weight and improved mental health; and resulted in higher satisfaction with care for clients and providers.^1,2 Evidence from recent clinical trials globally found that GANC improve key outcomes, including facility birth, antenatal and postpartum care attendance, quality of care, breastfeeding, and health literacy.^3–8 In GANC, cohorts of 8-12 pregnant clients attend their ANC visits together. Centering-inspired GANC models adhere to three core components: healthcare in a group space, interactive learning, and community building.^8–10 However, community building is poorly understood.

The …

Readiness For Advance Care Planning In Patients With Chronic Kidney Disease: A Cross-Sectional Study, Jie-Ru Hsu, Yu-Chi Chen, Cheng-Pei Lin, Chih-Ching Lin, Chieh-Yu Liu

International Nursing Research Congress (INRC)

Background: Chronic Kidney Disease (CKD) patient often face unpredictable progression, leading to sudden deterioration that impair communication of medical preferences in emergencies. Without Advance Care Planning (ACP), treatments may conflict with patient values, causing decisional conflicts and excessive interventions. While ACP helps ensure patient autonomy, there is limited understanding of CKD patients' readiness for ACP restricts healthcare providers from delivering timely and appropriate supportive care.

Purpose: This study aims to identify factors influencing ACP readiness in CKD patients to inform strategies for patient-centered care.

Methods: A cross-sectional study was conducted with non-dialysis CKD patients using the validated Chinese version of …

Through The Looking-Glass: A Window Into The New York Haitian Community, Margarett Alexandre

International Nursing Research Congress (INRC)

Purpose: This research utilized a needs-assessment survey to collect data of services provided by 12 community-based organizations serving the Haitian immigrant community and the challenges faced by the community.

Background: New York City's Haitian Community is one of the largest in the United States. Dain & Batalova, 2023 reported a population of over 200,000 strong. While Haitians have a presence in all sectors, New York's Haitian community faces many challenges.

Methodology/Procedure: Twelve organizations completed the surveys addressing the needs-assessment and one focus groups session lasting 30-40 minutes. Prospective participants were heads of a not-for-profit organizations that provide services …

Nurses Removing Arterial Sheaths: Disseminating Evidence-Based Practices To Improve Patient Care, Vanessa Rachel Roth, Lila De Tantillo

International Nursing Research Congress (INRC)

Introduction: Arterial sheaths are vital to many minimally invasive cardiac procedures. Nurses have performed arterial sheath removal after cardiac procedures in critical care settings for over a decade (Sania et al., 2022). Nurses removing arterial sheaths is associated with improved patient safety outcomes, including decreases in hematoma formation and awareness of risk factors (Al-Lenjawi et al., 2022; Henedy & El-Sayad, 2019). Removal of arterial sheaths is an advanced skill that requires nurses to meet specific criteria and receive clinically appropriate education (Capasso et al., 2006). Preparing experienced nurses to remove arterial sheaths earlier can increase patient safety and decrease complications. …

Mentoring To Answer Applied Research Questions And Develop A Clinician-Researcher Career Pathway, Eamon Merrick, Claire Harris, Kathleen Baird, Christine Catling, Anna Williams, Margaret Fry

International Nursing Research Congress (INRC)

Aim: To develop a research mentoring program that has a measurable impact on clinical outcomes and create a career pathway for nurses and midwives.

Background: Nurse-led research and innovation are key to improving health experiences and outcomes and reducing health inequalities. Yet nurses and midwives are underrepresented in the leadership of research (Eckert et al., 2023). We present a partnership between university and government-funded health services (the Health District) to provide mentoring for nurses and midwives to lead research. The Health District employs approximately 6,000 nurses and midwives who care for over one million people in a region greater than …

Housing Challenges Affecting Well-Being Of Migrant Families In Canada: A Qualitative Study, Shela Hirani

International Nursing Research Congress (INRC)

Introduction: Immigrant and refugee families are vulnerable to cultural stereotyping and socioeconomic hardships when they migrate to a new country. Immigrants and refugees make up around 22.3% of the Canadian population. New immigrants and refugees face unique barriers that render them vulnerable to inadequate and unsafe housing conditions. Access to adequate and affordable housing has been strongly linked with all aspects of health and well-being amongst immigrants and refugee populations. There are significant knowledge gaps and limited empirical studies on the housing challenges of immigrant and refugee families, specifically in the province of Saskatchewan which has a noticeable increase in …

Developing As A Scholarly Writer: A Qualitative Interpretative Study, Brenda Elliott, Nancy J. Frank, Anna Gale

International Nursing Research Congress (INRC)

Writing is an essential skill for nurses and nursing faculty (Johnson & Rulo, 2019; Oermann et al., 2015). This skill involves a complex acquisition process often associated with advanced degree completion (Shellenbarger & Gazza, 2020). Nursing faculty foster writing development of students (Hutchinson & Pederson, 2023), but often do so with modest experience. Further, students perceive nursing faculty lack relevant experience to guide them in developing writing skills (Mitchell et al., 2021).

The researchers conducted a qualitative interpretive study to examine how faculty (N = 16) develop as scholarly writers. Following purposive and snowball sampling, semi-structured interview data were analyzed …

Loneliness, Technology, And Culture: Insights From Older Chinese Immigrants’ Experiences, Shao-Yun Chien, Oleg Zaslavsky, Basia Belza, Annie T. Chen

International Nursing Research Congress (INRC)

Background: Loneliness and social isolation significantly impact the well-being of older adults, particularly immigrants from minority groups. Chinese immigrants are the third-largest immigrant group in the United States and may encounter unique challenges related to loneliness and social isolation due to life transitions. The prevalence of loneliness among older Chinese immigrants is 26%, significantly higher than in the broader aging population. Despite information and communication technology (ICT) interventions developed to address these issues, their effectiveness remains unclear, possibly due to neglecting the subjective nature of loneliness and the diverse backgrounds of participants, including racial and cultural differences.

Research Purpose: This …

Integrating Community Partners Into Population Health Projects, Jaclyn Portanova, Jordan Ferris, Morgan A. Torris-Hedlund

International Nursing Research Congress (INRC)

The Population Health Project (PHP) provides an innovative approach for nursing baccalaureate students to develop policy and advocacy skills through immersive community engagement (Beiers-Jones et al., 2023). This case study highlights a community-academic partnership (CAP) between the African Youth & Community Organization (AYCO) and nursing students to address health inequities among refugees in Portland, Oregon. The purpose of this case study is to demonstrate how sustained CAPs like this can serve as a model for student-led public health initiatives.

Each term, nursing students collaborate with AYCO to identify and address specific health needs in the refugee population. A recent example …

Effects Of Short Text Message Reminders On Uptake Of Human Papillomavirus Vaccines, Irene C. Ugweje

International Nursing Research Congress (INRC)

HPV is a sexually transmitted infection linked to cervical and other cancers, but a vaccine can reduce its effects. The project site wanted to establish an evidence-based HPV vaccine intervention for adolescents due to poor uptake. This quality improvement project examined how Rand et al.'s text message reminder research affected HPV vaccination rates in 11–17-year-olds. A primary care clinic in metropolitan Maryland implemented the trial for 12 weeks. Doretha Orem's self-care deficit hypothesis and Cheryl B. Stetler's evidence-based practice reform methodology underpinned the initiative. The study included 522 adolescents: 372 in the comparing group and 150 in the implementation group. …

Internalizing Stigma And Distancing Behaviors: Social Media Youth Perspectives, Lauren L. Niles

International Nursing Research Congress (INRC)

Significance: Rates of youth mental health difficulties have risen drastically in recent years. Transition-aged youth (TAY) ages 18-24 years old represent a vulnerable population at risk for poor mental health outcomes, with depression and anxiety diagnoses increasing faster than any other age group. While the cause for this upsurge is multifaceted, these trends have occurred concurrently with the increasing popularity of social media (SM) platforms. Current evidence presents contradictory findings as to the impact of SM platforms on mental health, revealing a critical gap in knowledge.

Methods: This interpretative phenomenological study aimed to explore the social media perceptions of TAY …

Pain Management With Epidural Analgesia In Rib Fractured Patients: An Irr, Amelia Clarice Robles

International Nursing Research Congress (INRC)

Traumatic rib fractures are a diagnosis associated with high morbidity and mortality rates (Duch & Moller, 2015). When pain is ineffectively managed, patients can experience limitations in their ability to cough and mobilize putting them at risk for significant atelectasis, retention of pulmonary secretions, and pneumonia (Diwan et al., 2022). Thoracic epidural analgesia is the gold-standard for pain control in this population but other modalities for pain control such as enteral, IV, and regional ultrasound guided techniques exist. Medline Complete, CINAHL Plus with Full Text, Health Research Premium Collection, PubMed and Cochrane were searched for peer reviewed articles. Search terms …

Ready, Willing But Not Enabled: Families’ Perspectives On Participation In Early Mobilisation In Icu, Turkiah Saeed Alahmari, Peta Drury, John Rihari-Thomas, Yaseen Arabi, Bronwyn Everett

International Nursing Research Congress (INRC)

Introduction: Family participation in healthcare improves care quality and patient health outcomes (Price et al., 2022). It redirects family psychological distress into an active participatory role, humanising the patient's illness and recovery experience (Van Delft et al., 2021). Studies have focused on family participation in medical rounds, nutritional care, delirium assessment, and physical care of ICU patients (Goldfarb et al., 2023). Early mobilisation is advised for restoring functional ability, but patient-related issues, staffing shortages, and budget limitations may prevent its use in ICU settings (Bakhru et al., 2016). Current approaches to facilitate early mobility can be time-consuming, increase nurse burden, …

Structure, Processes & Outcomes Of Sci Peer Mentoring: A Community-Engaged, Cross-Sectional Survey, Susan D. Newman, Martina Mueller, Marychris Pittman, Lindsey Elliott, Jonathan Sigworth, Bill Cawley, Marka Danielle Rodgers

International Nursing Research Congress (INRC)

Background: Peer mentoring is a vital resource for individuals with spinal cord injury (SCI), providing emotional support, practical advice, and guidance from others who share a similar lived experience (1,2,3). Additionally, peer mentoring is an important component of SCI rehabilitation and supports the role of the rehabilitation nurse in promoting effective self-management and independence after SCI. Research on the effect of community-based peer mentoring interventions' structure and processes on outcomes, as well as quality and effectiveness, is limited (4).

Aim: The primary aim of this study, informed by Donabedian's Model of quality assessment (5), was to describe the structure, processes, …

"It Is Not Easy": The Psychosocial Distress Of Ghanaian Adults Living With Chronic Blood Cancers, Dinah Asantewah Koranteng, Lillian Akorfa Ohene, Samuel Adjorlolo, Yvonne Nartey

International Nursing Research Congress (INRC)

Background: Living with chronic blood cancer can cause significant psychosocial challenges, especially in low- and middle-income countries with limited healthcare access. Compared to solid tumours, blood cancer patients experience higher rates of anxiety and depression, which are exacerbated for those with chronic blood cancers due to disease uncertainty. Without proper support, these psychological struggles can lead to a poor quality of life, underscoring the importance of identifying the psychosocial burdens and coping mechanisms among adults undergoing treatment.

Method: The study utilized descriptive phenomenology qualitative design to investigate the experiences of adults receiving treatment for chronic blood cancers at a public …

Factors Predicting Possible Sarcopenia In Community-Dwelling Older Adults, Wasana Srisuk, Noppawan Piaseu, Sukanya Tantiprasoplap

International Nursing Research Congress (INRC)

Possible sarcopenia, introduced by the Asian Working Group for Sarcopenia (AWGS) in 2019, is a guideline for early detection of sarcopenia in older adults living in the community. There is limited research on the prevalence of possible sarcopenia and its associated factors. This study aims to describe the prevalence of possible sarcopenia and identify its predictive factors in community-dwelling older adults.

This descriptive study included 117 community-dwelling older adults in Bangkok, Thailand, who were selected through stratified random sampling. Case finding and possible sarcopenia were assessed according to the AWGS guidelines. Descriptive statistics were used to determine the prevalence of …

Nationwide Cohort Study On Anticoagulant Adherence Post-Heart Valve Surgery In Older Adults, Ku Han-Chang, Chuang Tzu-Jung, Wu Yi-Lin

International Nursing Research Congress (INRC)

Background: Valvular heart disease (VHD) with calcification-induced aortic stenosis being the most common, followed by aortic regurgitation and mitral insufficiency. The 2020 ACC/AHA guidelines recommend vitamin K antagonists (VKAs), mainly warfarin, for patients with mechanical heart valves. Although VKAs are advised for anticoagulation after bioprosthetic valve replacement, literature from Germany, USA, and Japan reveals inconsistencies regarding direct oral anticoagulants (DOACs) in patients undergoing aortic or mitral valve replacement.

Purpose: This study evaluates anticoagulant adherence and adverse event rates in post-valve surgery patients using population-representative national data.

Study Design: We conducted a retrospective cohort study using the Taiwan National Health Insurance …

Effectiveness Of Arm Swing Exercise On Health Outcomes: A Systematic Review And Meta-Analysis, Noppawan Piaseu, Phatcharaphon Whaikid

International Nursing Research Congress (INRC)

Arm swing exercises (ASE) can improve health for all age groups, in line with World Health Organization guidelines that address the role of physical activity in maintaining health. Increasing exercise can effectively control diabetes, hypertension, waist circumference (WC), and high-density lipoprotein cholesterol (HDL-C). Systematic Reviews focusing on the effectiveness of ASE are still limited.

This systematic review and meta-analysis aimed to assess the impact of arm swing exercises on health outcomes.

We systematically searched four online databases—PubMed, Embase, Scopus, and Thai-Journal Citation Index Center—for studies published from inception until October 2024, focusing on randomized controlled trials (RCTs) and quasi-experimental studies …

Anxiety And Sleep Disruption Among Icu Patients: A Scoping Review, Hyunji Kim, David Ryamukuru, Talia Brown, Deena Costa

International Nursing Research Congress (INRC)

Background: Anxiety and sleep disruption are common, interrelated symptoms among intensive care unit (ICU) patients.^1,2 These symptoms contribute to psychological distress, which can persist for months and impact the patients' recovery.³ Recent clinical guidelines from the Society of Critical Care Medicine highlighted anxiety as a key risk factor for sleep disruption.⁴ Thus, understanding the interplay of anxiety and sleep disruption and developing effective interventions to mitigate both are essential.

Purpose: This scoping review aimed to identify existing literature that quantitatively examined anxiety and sleep disruption among adult ICU patients.

Methods: Following the scoping review guidelines from the …

A Novel Intervention To Prevent Depression In Youth: An In-Progress Randomized Clinical Trial, Heather K. Hardin, Allison Meyer, Julie Otte, Joanne Daggy

International Nursing Research Congress (INRC)

Purpose: Depressive symptoms are on the rise in youth, with 40% of youth reporting clinically significant levels of depressive symptoms in 2021 [1]. In youth with clinically significant depressive symptoms, nearly half will progress to major depressive disorder by age 25 years [2,3]. However, there are few treatments to prevent mild depressive symptoms in youth from progressing to major depressive disorder [4-8]. The purpose of this study is to conduct a randomized controlled trial (RCT) to assess the effect of a novel intervention, Level Up, on self-management behaviors (mindfulness, sleep) and health status (depressive symptoms, anxiety symptoms, HRQL) …

Addressing Debriefing Needs: Enhancing Clinical Practice And Academic Preparedness, Ryan Nguyen, Zechariah Thompson, Renjith Cherian

International Nursing Research Congress (INRC)

An estimated 18% of inpatient post-event debriefings occur (Zinns, 2020). Debriefing have seldom occurred with the bedside staff, with one issue being the use of trained facilitators. However, in the academic setting, debriefing is a standard practice for student learning post-simulation. Increasing the education of debriefing and using clinical debriefing tools can improve patient outcomes, increase nurse resiliency, and decrease burnout related to traumatic experiences (Philips).

Professionals in healthcare are experiencing a rise in burnout and post-traumatic stress disorder. This is partly due to the COVID-19 pandemic, but this issue existed long before the pandemic started (Gilroy, 2022). There has …