Digital Commons Network^™

Pregnancy Ambivalence, Contraception, And Pregnancy Incidence Among Youth Experiencing Homelessness, Diane Santa Maria, Mary Catherine Lingwall

International Nursing Research Congress (INRC)

Background: Youth experiencing homelessness (YEH) are 5-8 times more likely to become pregnant than their housed peers, with pregnancy estimates ranging from 30-60%. Similar to their housed peers, the majority of these pregnancies are unintended, a factor associated with negative health, economic, and social outcomes. Contraceptive use has been considered the behavioral link between attitude toward pregnancy and incidence of pregnancy; however, recent studies suggest that pregnancy attitudes and contraceptive use behaviors may be less consistent than previously thought, especially for marginalized individuals, such as YEH.

Purpose: The purpose of this study is to describe pregnancy ambivalence, pregnancy, and contraceptive …

Effect Of A Culturally Focused Parenting Program On Korean Parents And Children: A Pilot Study, Gloria Park, Theresa Garcia

International Nursing Research Congress (INRC)

Traditional Korean parenting practices, heavily grounded in Confucianism which emphasizes educational success, family obligations, and repressed emotionality¹, may be related to children’s mental health issues². The Ottuki Korean Parenting Program (OKPP)³, integrated Korean culture and values, was recently developed for Korean American parents to improve the parent-child relationship. The purpose of this study was to investigate the effect of the OKPP on Korean American parenting practices, parental confidence, and child mental health.

Method: Participants were assigned to either the Intervention group or the Control group. The intervention group received a 3-hour parenting class weekly …

Innovative Solutions To Retain Nurses: Expanding Leadnursingforward.Org Via Statewide Collaboration, Kaynabess Freda, Elizabeth A. Seldomridge, Abigail Johnson

International Nursing Research Congress (INRC)

The global nursing shortage is urgent, with Maryland (MD), USA, experiencing heightened demand across settings (Maryland Hospital Association, 2022). Pandemic-related burnout, stress, and health issues have led many nurses to consider leaving the profession (American Nurses Foundation, 2022; International Council of Nurses, 2022). To mitigate these challenges, a statewide collaboration led to an expansion of LeadNursingForward.org, providing targeted information and tools to retain nursing professionals. The “Be a Maryland Nurse” page offers interactive dashboards with regional data on nursing demographics, employment projections, and compensation. It features nursing narratives and workplace initiatives with positive impact, aligning with findings that workforce …

Cardiovascular Awareness, Risk Factors Awareness, And Select Risk Reduction Interventions, Kimberly Ann Henderson

International Nursing Research Congress (INRC)

Cardiovascular disease (CVD) remains the leading cause of death globally, with African American (AA) females experiencing a disproportionately higher burden of CVD compared to other racial and gender-ethnic groups. This disparity is particularly pronounced among premenopausal and middle-aged AA females. While CVD is primarily preventable, addressing social determinants of health (SDoH) and achieving equitable health requires a comprehensive understanding of the factors influencing CVD risk and health behaviors.

This descriptive correlational study employed a secondary data analysis using the 2020 National Health Interview Survey (NHIS) datasets to examine the relationships among CVD awareness, modifiable risk factor awareness, clinician cues to …

Theoretically Guided Strategies For Teaching Quantitative Methods For Dnp Scholarship, Randall Stennett, Stephan R. Smith, Joann D. Long, Emilia Garcia, Vanessa Bolyard

International Nursing Research Congress (INRC)

Doctor of Nursing Practice (DNP) programs continue to increase across the nation (American Association of Colleges of Nursing [AACN]). Graduates are charged to be practice scholars and leaders who work well in multi-disciplinary teams to improve healthcare metrics (AACN, 2024). Yet, wide variation across programs, and lack of curricular consistency contributes to confusion among students, faculty, and organizations who hire DNP prepared nurses regarding expected outcomes (Wright, et al., 2022). Acquiring the skills needed to use quantitative methods with scientific rigor in DNP practice projects remains a notable challenge (Sowan & Chinman, 2024). Evidence-based methods to support teaching and curricular …

Integrating Social Determinants Of Health Into Clinical Practice, Jenna Poraharju, Saija Inkeroinen, Heli Virtanen, Helena Leino-Kilpi

International Nursing Research Congress (INRC)

Background: Health is a concept with multiple definitions, and it is influenced by a range of determinants. Social determinants of health (SDOH) are societal systems and resources that cause health consequences, by influencing the distribution of health-supporting factors and risks across populations (Hahn, 2021). SDOH are widely associated with health outcomes (Enard et al., 2023; Glauser et al., 2022; Vince et al., 2023), and they are recognised in various national (Flaubert et al., 2021; Kuehnert et al., 2022) and international health strategies (United Nations, 2015; World Health Organization, 2019). SDOH affect on individual’s health regardless the effectiveness of the care, …

Haitian Nurses’ Perception About Disaster Preparedness And Disaster Nursing, Jacqueline Cassagnol

International Nursing Research Congress (INRC)

Purpose: Disasters happen worldwide. They devastate infrastructure, livelihoods, and often result in mass casualties. The increased occurrence of disasters means that disaster preparedness training is essential. Studies have shown that nurses make up the largest number of healthcare providers and are often the first point of contact for disaster survivors. The International Council of Nursing calls for nurses to be involved in all aspects of disaster preparedness, from risk assessment to multidisciplinary management. Nurses and nursing associations are urged to take leadership roles in preparing their countries for disasters. In a country such as Haiti that is prone to natural …

Exploring Workplace Dignity Among Clinical Nurses In Taiwan, Shu-Yin Huang, Chiu Yueh Yang

International Nursing Research Congress (INRC)

Background: The issue of dignity in the nursing workplace is critical for enhancing the efficiency and performance of nursing professionals. Workplace conditions are a key social determinant of health, and workplace dignity positively influences job performance. When nurses feel respected and valued in their work environment, they are more equipped to provide empathetic and professional care to patients, ultimately improving the quality of care.

Purpose: This study aimed to describe the sense of workplace dignity among clinical nurse practitioners in Taiwan and to understand the relationship between nurses' perceptions of workplace dignity, self-esteem, and psychological distress.

Methods:This study employed …

Innovative Pain Care: Using Ivr To Improve Postoperative Pain And Anxiety, Sue Schuelke, Krystal Davis, Susan Barnason, Megan Dubas

International Nursing Research Congress (INRC)

Purpose: This study aimed to determine the efficacy of an Immersive Virtual Reality (IVR) relaxation intervention for postoperative surgical patients, focusing on evaluating postoperative pain and anxiety by group, examining differences in postoperative outcomes, and assessing the perceived usefulness of IVR relaxation.

Background: Surgery often results in significant acute postoperative pain and anxiety, which can impair recovery. These issues can lead to increased use of analgesics, hemodynamic instability, poor quality of life, longer hospital stays, and compromised functioning. Complementary and alternative medicine (CAM) therapies can help optimize postoperative pain management and reduce anxiety.

Methods: A two-arm randomized control study compared …

Facilitators And Barriers In Using Technology In Caregiver Support For Hospital Discharge, Cristina C. Hendrix, Dingyue Wang

International Nursing Research Congress (INRC)

Despite advances in virtual technology, many hospital nurses still widely use bedside, face-to-face teaching to prepare family caregivers for hospital discharge of their loved ones (Gatto & Newcomb, 2022; Hayajneh et al., 2020). In this pilot study, we investigated facilitators and barriers in using Communication, Learning, Advocacy, Resources and Expertise (CLARE), a digital application to support caregivers for hospital discharge. CLARE contained materials on hospital discharge preparation such as information on patient care and caregiver self-care. Twenty caregivers participated in individual interviews to explore their experiences in using CLARE. We used the Unified Theory of …

Student Leadership Roles In A Large-Scale Interprofessional Mock Paging Simulation, Rebeka B. Watson Campbell, Sidra Qureshi, Amy Gonzalez, Shatoi T. King

International Nursing Research Congress (INRC)

A large-scale Mock Paging Activity was developed to address the interprofessional education collaboration (IPEC) core competencies (IEC, 2016; IEC, 2023) within the senior classes of a large academic health science center’s School of Medicine (SOM) and School of Nursing (SON) and implemented in the final semester of each school’s curriculum. This low-risk simulation demonstrated a statistically significant (two sample t-test, p value < 0.001) increase in interprofessional communication, collaboration, roles and responsibilities, patient centered management, and conflict management for students in both schools as measured by the Interprofessional Collaborative Competency Attainment Scale (ICCAS) (Kruger et al., 2023; Schmitz et al., 2017).

An unanticipated, yet important aspect of this large-scale activity was the inclusion of student “Champions” to represent the approximately 350 students who participate yearly. Select students from each school (~10-20) volunteered to serve as leaders and representatives of …

Professional Identity In Nursing Scale Development, Testing, And Future Directions, Tullamora Landis, Nelda Godfrey, Cynthia M. Clark, Celestina Barbosa-Leiker

International Nursing Research Congress (INRC)

Background: According to the International Society for the Professional Identity of Nursing (ISPIN), professional identity in nursing (PIN) is defined as a “sense of oneself, and in relationship with others, that is influenced by characteristics, norms, and values of the nursing discipline resulting in an individual thinking, acting, and feeling like a nurse.”¹ In addition, four domains of professional identity were established: knowledge, leadership, values and ethics, and professional comportment.² The Professional Identity in Nursing Scale (PINS) was designed, tested, and revised to effectively measure perceptions of PIN related to self and the work environment.

Methods The PINS …

Building A Framework For Success: Scaffolding Ci Training With Simulation Based Learning, Shannah Lowe, Jeannie Weston, Elizabeth L. Woods

International Nursing Research Congress (INRC)

Background: The persistent shortage of nursing faculty presents a significant challenge in academia. Clinical Instructors are frequently hired to support the institution's mission and vision by delivering the clinical curriculum. While they excel in clinical practice, many are novices in the realm of academia. Novice Clinical Instructors often struggle to anticipate the needs of learners or adapt to diverse learning styles, which can adversely impact the educational experience for both students and instructors.

Purpose: To address this barrier, we developed the clinical instructor program (CIP). The CIP computer-based modules are a series of 6 modules. The modules address content …

A Longitudinal Study Of Illness Perceptions Of Hospitalized Patients With Acute Coronary Syndrome, Freda Dekeyser Ganz, Genday Shafir, Levana Jakobson

International Nursing Research Congress (INRC)

Background: Illness Perceptions (IPs) are associated with health behaviors and health outcomes among those with Acute Coronary Syndrome (ACS)^1,2,3. IPs can change over time^4,5. They are also associated with emotional factors5,6 and previous medical history².

Purpose: To describe factors associated with changes over time in IPs among those hospitalized with ACS.

Methods: A national survey of all patients admitted to Israeli hospitals with ACS over 2 months in early 2024 were included. Patients were surveyed while hospitalized and 3 months later by telephone. Demographic and medical history data were obtained from medical records. …

Understanding Sexual And Gender Minority Patients’ Experiences To Inform Provider Training, Marvin Allan Schilt-Solberg, Joseph Schwartz, Sarah Kiperman, Brayden Misiolek, Rick Zimmerman

International Nursing Research Congress (INRC)

Background: Despite increasing visibility in the United States and worldwide, sexual and gender minority (SGM) individuals continue to face significant health disparities, including increased substance use (Schuler et al., 2018), poor mental health (SAMHSA, 2023), and risky HIV behaviors (Solberg et al., 2023). These disparities often stem from negative experiences within the healthcare system, resulting in delayed care or lack of care for health problems (Ayhan et al., 2019). This study seeks to understand the experiences of SGM individuals in healthcare settings and was guided by insights from Uncertainty Management Theory (Brashers, 2001).

Methods: Participants were recruited online and from …

The Feasibility Of Introducing A Robotic Pet For Older Adults With Dementia In A Daycare Program, Scott Seung W. Choi, Hyerin Oh

International Nursing Research Congress (INRC)

Objective: To assess the feasibility of introducing a robotic pet for people with dementia attending a day care center.

Design: A single-group, mixed-methods pilot study.

Setting: One dementia day care center in Incheon, South Korea.

Participants: Twelve older adults (10 males and 2 females; mean age = 86.4 years, SD = 7.4) with mild dementia were recruited.

Intervention: The intervention consisted of a 15-min unstructured session with a Joy for All robotic pet (dog or cat) twice a week for 6 weeks at the day care center.

Measurements: The primary outcome was the feasibility of using the robotic pet as …

Disparities In Mental Health And Substance Use Disorder Related Postpartum Readmissions, Curisa M. Tucker, Peiyin Hung, Yunqing Ma, Jihong Liu, Berry A. Campbell, Xiaoming Li, Jiajia Zhang

International Nursing Research Congress (INRC)

Importance: Postpartum readmission (PPR) affects up to 3% of all births in the U.S.^1,2 PPR is often avoidable, especially for psychiatric disease and substance use disorders.^3,4 Many mothers experience challenges accessing mental health and substance use treatment during perinatal periods. Nursing science prioritizes equitable care⁵ highlighting the critical need to address this public health issue.

Aim: To investigate the intersections of residential rurality and race/ethnicity on all-cause, mental health disorders and substance use disorders (SUD) PPR throughout 1-year postpartum.

Methods: A statewide retrospective cohort study using birth certificates linked to all-payer hospital data for mothers …

Patient And Provider Perspectives On Participation In Hemodialysis, Chava Kurtz, Efrat Shadmi, Karl Skorecki, Alon Antebi, Tatyana Tsehovsky, Sivan Spitzer

International Nursing Research Congress (INRC)

Background: Patients undergoing hemodialysis often remain passive, with providers performing most treatment tasks. While patient participation can improve safety and care quality, its implementation is limited. This study explores patient and provider perspectives on participation, focusing on organizational factors influencing adoption. Using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework, we examined barriers and facilitators to shifting from a provider-dominant model to a shared-care approach.

Methods: A mixed-methods study followed a sequential design. First, a cross-sectional questionnaire was administered to 339 patients across two hospital- and two community-based units. It assessed patient interest and participation in care tasks, examining associations with …

Effects Of Working From Home Job Satisfaction, Productivity, Employee Retention: A Systematic Review, Tricia Nwokocha, Emmanuella Anucha

International Nursing Research Congress (INRC)

PICO Question: Does working from home, as opposed to traditional office-based work, affect employees’ job satisfaction, productivity, and retention globally?

Purpose Statement: The purpose of this review is to align SDG 3 (Good Health and Wellbeing)/SDG 8 (Decent Work and Economic Growth) to examine the impact of working from home on job satisfaction, productivity, and employee retention.

Background: Telecommuting across industries has become a prevalent practice, driven by changing dynamics of the workplace and technological advancement of the office. While telecommuteing offers work-life balance and flexibility, its effects on job satisfaction, productivity, and employee retention remain unexplored, especially in relation …

The Influence Of Sdoh On Symptoms, Symptom Management, And Outcomes In Cardio-Oncology Patients, Cheongin Rachel Im, Julie A. Zuniga, Kavita Radhakrishnan

International Nursing Research Congress (INRC)

Cardio-oncology focuses on comprehensive cardiovascular care throughout their cancer journey¹. When cancer and cardiovascular disease (CVD) coexist in the same individual, the overlapping symptoms intensify the challenges in managing cardio-oncology symptoms and impacting health outcomes^2,3. Social determinants of health (SDOH) play a critical role in influencing cancer and CVD symptoms, symptom management, and outcomes⁴. Health outcomes across cancer and CVD are substantially impacted by disparities in environment and healthcare systems⁵. Notably, gaps in utilization and access to cardio-oncology care services are especially pressing in regions where essential healthcare systems are limited, contributing …

A Scoping Review On Childhood Immunization Reminder Strategies Available To Parents In North America, Matilda Anim-Larbi, Vivian Puplampu, Sithokozile Maposa, Akram Mahani, Mary Chipanshi

International Nursing Research Congress (INRC)

Objective: The scoping review protocol will be used to map out the immunization reminder strategies for parents’ literature to identify the effectiveness of these approaches in improving childhood vaccination uptake.

Introduction: Vaccine-preventable diseases continue to cause morbidity and mortality despite the introduction of childhood immunizations^1,2, with recent media alerts showing a surge of common childhood vaccine-preventable illnesses like measles³. Parents can play a pivotal role in ensuring their children receive vaccinations when due^4,5,6. However, effective immunization reminders could assist parents who forget or miss the immunization schedules for their children.

Inclusion criteria: The review …

Assessing And Addressing Distress For Informal Caregivers Caring For Oncology Patients, Megan Bridget Murphy

International Nursing Research Congress (INRC)

Background: Distress clearly impacts cancer patients, but it also impacts their loved ones, their informal caregivers (ICG). Not only do these ICGs experience distress, but ICGs often experience even more distress than patients receiving treatment (Amonoo et al., 2022; Wang et al., 2023). Despite the prevalence of ICG distress, they are often not screened for distress or provided resources to help them cope (Nightingale et al., 2024).

Purpose: This quality improvement project aims to assess the effect of implementing a distress screening tool for informal caregivers in an outpatient regional cancer system. Distress levels of ICGs will be noted in …

The Focus Of Emotional Intelligence For Educators And Staff Within Professional Development, Meagan Hardy, Noelle Taylor, Jennifer Goodman

International Nursing Research Congress (INRC)

Emotional intelligence (EI) has been defined as having the ability to perceive, express, understand, and manage emotions (Bru-Luna et al., 2021). Research suggests that by incorporating EI into professional development for nurse educators, nurses, and staff, will influence the health and wellness advances in both patient care and nurse wellness. An increase in EI increases the ability to cope, prevent burnout, maintain nurse retention, increase job satisfaction, and deliver quality care with improved patient outcomes (Chikobvu & Harunavamwe, 2022; Maillet & Read, 2024). Burnout has been a common, longtime problem in nursing. From new graduate nurses entering the field to …

Using Ai To Demonstrate Difficult Conversations With Patients, Family Members, And Nursing Students, Jacqueline Patricia Johnston, Edwin-Nikko Roxas Kabigting, Kattiria M. Rosario-Gonzalez

International Nursing Research Congress (INRC)

Artificial Intelligence (AI) 's rapid growth in higher education generates excitement and concerns among educators (Lane et al., 2024). This shift towards AI is pervasive in healthcare (Glauberman et al., 2023), allowing educators to develop innovative methods throughout the curriculum (Buchanan et al., 2021). The introduction and implementation of AI within undergraduate education can be engaging and a new pedagogical approach to capturing an audience that emerged with technology. The purpose of this pilot study is to examine the use of an AI platform to interact with students in virtual reality on how to conduct difficult conversations with patients and/or …

The Experience Of A Medicalized Hotel Due To Covid-19, Ariadna Barta, Marta Cervera, Joan Escarrabill, Eva Palou, Anna Carbonell, Georgia Narsavage, Faust Feu, Carmen Hernandez

International Nursing Research Congress (INRC)

The emerging pandemic⁽¹⁾ caused by the rapid spread of the new coronavirus Covid-19 required urgent reorganization to respond to care demands of patients with this new disease^(2-4). In Spain, nurses were key contributors to providing out of hospital care. Transforming a hotel into a medical setting was an innovative idea that was able to provide integrated nursing and quality health care for patients recovering from Covid-19^(5,8,9).

Purpose: To examine the experiences and perceived care of patients admitted to a Medicalized Hotel (MH) for Covid-19, from March 25 and May 15, 2020, by asking them …

Creating Impact Through Training: A Train-The-Trainer Model For Nurse Preceptor Education, Elizabeth L. Woods, Desiree Mullis Clement, Jeannie Weston, Quyen Phan

International Nursing Research Congress (INRC)

The Academy for Clinical Instructor and Preceptor Excellence in the Southeast (CAPES), funded by a $3.9 million HRSA grant, addresses critical gaps in nursing education by training clinical nursing faculty and preceptors to support nurse education among nurses in underserved areas. CAPES is an innovative approach to workforce development, targeting health professional shortage areas in HHS Region IV. This presentation will showcase the creation of a train-the-trainer (TTT) program designed to offer an evidence-based curriculum that trained nurse preceptors can use to educate others within their organizations.

A Train the Trainer (TTT) program is an educational approach where experienced instructors …

Developing A Diverse Mindfulness Course For The Elderly In The Community- A Modified Delphi Study, Yu-Rung Wang, Chia-Hsiu Chang

International Nursing Research Congress (INRC)

Background: As Taiwan is about to enter a super-aged society, the research team has found in previous studies that improving the psychological aspects of older people will contribute to promoting healthy aging. There is existing evidence indicating that interventional mindfulness courses are effective in enhancing self-awareness and well-being among older adults. However, there are still no relevant theory-based mindfulness courses for older people in Taiwan. Therefore, this study aims to use the modified Delphi method to develop mindfulness courses for older adults in the community.

Methods: We developed the mindfulness curriculum through literature review, combine a course outline by integrating …

Effects Of An App-Based Walking Program On Weight Management In Inflammatory Bowel Disease Patients, Youngjin Lee, Da-In Park, Saemi Kang, Da Bit Lee

International Nursing Research Congress (INRC)

Background: The global rise in obesity, driven by high-calorie diets and sedentary lifestyles, has become a significant public health issue. Simultaneously, the incidence of inflammatory bowel disease (IBD) is increasing. Obesity in IBD patients exacerbates symptoms, interferes with treatment and leads to additional complications. As a result, managing weight loss and preventing obesity are crucial for improving outcomes. This study aimed to evaluate the impact of a mobile app-based walking program for obese IBD patients at a clinical IBD center. The primary outcomes measured were body mass index (BMI), body fat percentage, and skeletal muscle mass.

Methods: This study was …

Effects Of Continuing Nursing Care For Patients With Total Laryngectomy: Rct, Kumiko Kotake, Kaori Haba, Mami Kurita, Kazuyo Iwanaga, Yoko Ishibashi, Aya Takahashi, Ichiro Kai, Yoshimi Suzukamo, Yoriko Hara, Ichiro Ota, Hiroyuki Uemura

International Nursing Research Congress (INRC)

Purpose: The objective of the study was to clarify whether informational/psychological nursing intervention could improve the quality of life of laryngectomized patients 3 months after hospital discharge compared to the provision of information only, and to examine whether the nursing intervention could continue to improve the quality of life at twelve months after discharge.

Methods: Randomization was performed according to Consolidated Standards of Reporting Trials guidelines. Hospitalized pharyngeal and laryngeal cancer patients who underwent laryngectomy had agreed to participate in the study.
They were randomly assigned to two groups: we offered relevant information including the distribution and conducted interviews on …

Enhancing Pediatric Nurses' Competency In Assessing Difficult Intravenous Access In Central Taiwan, Chieh Yu Lin, Wan Ting Wu

International Nursing Research Congress (INRC)

Objective: Peripheral intravenous (IV) access is a routine yet challenging procedure in pediatric settings, as children are particularly prone to difficult venous access. Multiple puncture attempts can elevate a child’s pain and fear and increase family anxiety, potentially leading to mistrust in nursing staff. In central Taiwan, this study evaluated the effectiveness of the Difficult Intravenous Access (DIVA) scale in enhancing pediatric nurses' ability to assess and manage difficult IV access. We aimed to improve insertion success rates, reduce family complaints, and foster family trust.

Methods: From February 2023 to September 2024, the “DIVA Scale Execution Accuracy” was set as …