Digital Commons Network^™

Strategies For Managing Interruptions: Improving Task Efficiency And Patient Safety, Ginger Schroers, Kathryn Vanderzwan, Laura Klenke-Borgmann, Susan Kilroy, Jill Pfieffer, Jenny O'Rourke

International Nursing Research Congress (INRC)

Introduction: Worldwide, interruptions to nurses are prevalent during medication administration^1,2 and handoff.³ Interruptions decrease task efficiency^3,4 and increase risks for errors.^1-3 The use of interruption management strategies (intentional behaviors to handle interruptions) may improve the efficiency and safety of interrupted tasks.⁵

Purpose: To describe the investigation of the Stay SAFE interruption management strategy.

Theoretical Framework: Stay SAFE is based on the memory for goals cognitive science model5 which posits that use of associative cues (retrieval cues) when interrupted can improve task efficiency and decrease errors. Stay SAFE is an acronym for: Stay where you are, …

Unfolding Narratives: An Arts Health Project To Promote Empathy And Compassion In Nursing Education, Diana Catherine Jefferies, Stephen Mcnally, Paul Glew, Annette Stunden, Aileen Pamonag Lane, Lucie Michelle Ramjan

International Nursing Research Congress (INRC)

Empathy and compassion are core attributes when nurses are developing therapeutic relationships with vulnerable people in their care (Levett-Jones et al., 2019). The Unfolding Narratives uses a co-design arts health approach to create authentic, engaging and evidence based short films. The purpose of the films is to encourage pre-registration nursing students to reflect on their communication skills when caring for people who are living with mental ill health, dementia or are distressed by their life circumstances. Using a sliding door approach the films show how health outcomes are improved by empathetic and compassionate communication. They also demonstrate that without these …

Empowering Nurses Through Scope Advancement: Strategies For Professional Growth, Venise Bryan, Kristin Petrovic, Kelly Decoste

International Nursing Research Congress (INRC)

Nurses globally work within various scopes of practice, from entry-level to advanced roles, and play a vital role in meeting the health needs of individuals and communities across diverse healthcare settings. Nurses can further their education, to advance their scope, such as diploma-prepared Licensed/Registered Practical Nurses (LPNs/RPNs) completing their Bachelor of Nursing (BN) to become Registered Nurses (RN). In Canada, select BN programs use innovative pedagogies to specifically bridge curriculum that recognizes LPN/RPN experience (Chachula et al., 2020). LPN/RPN to BN learners bring rich clinical experience and diversity as they engage in career advancement and professional development (Almost, 2021).

A …

Trauma-Informed Practices In A School Of Nursing: An Assessment, Oluwatoyin Olukotun, Kala Mayer

International Nursing Research Congress (INRC)

Trauma-informed environments have been shown to foster academic success by creating trauma-sensitive learning spaces (Crosby, 2015), aligning with nursing’s core values of empathy, patient-centered care, and holistic health. However, despite the increasing use of trauma-informed approaches in K-12 settings, their application in higher education, particularly in nursing schools, remains underexplored (Doughty, 2018; Ernest et al., 2022; Henshaw, 2022; Thomas et al., 2019). This study aimed to assess the implementation of trauma-informed practices at a U.S. school of nursing (SON) from the perspectives of faculty and staff. In Spring 2024, an online Qualtrics survey was administered to faculty and staff at …

Measurement Tools Of Multiple Subjective Post-Intensive Care Syndrome Symptoms: A Scoping Review, Yoonsoo Eo, Rachel Hawn, Jennifer Stevens, Kristen Pecanac, Kristine Kwekkeboom

International Nursing Research Congress (INRC)

Background: A growing number of intensive care unit (ICU) survivors experience a range of distressing physical, mental, or cognitive problems post discharge, known as post-intensive care syndrome (PICS)¹. Increasing evidence suggests that PICS spans multiple domains^{2, 3}; however, prior reviews have noted a reliance on measures of individual symptoms and objective impairments^4-6. There is growing recognition of the need for measurement tools that comprehensively assess subjective PICS symptoms across multiple domains⁷.

Purpose: We conducted a scoping review of studies reporting two or more self-reported subjective symptoms of PICS. In the current analysis, …

The Lmpact Of The Covid-19 Pandemic On Registered Nurses, Mary Ellen Roberts, Joyce M. Knestrick, Lenore Resick

International Nursing Research Congress (INRC)

Background: The Covid –19 pandemic is a new experience with a substantial impact on the health and well-being of nurses caring for the patients diagnosed with the disease. Increased work and family demands have not been studied in these frontline workers. COVID-19 has altered many US nurses’ career plans. Over the past two years, the researchers have spoken with nurses who consistently, and increasingly, report planning to leave the workforce. This study looks at the impact of COVID-19 on the professional and personal lives of nurses.

Purpose: To understand the effects of COVID-19 a global pandemic on nurses caring for …

Nurses’ Lived Experiences During The Covid-19 Pandemic: A Descriptive Phenomenological Study, Kala Mayer, Jo Anne Bennett, Elizabeth Reifsnider, Jeanie Skibiski, Soojung Jo

International Nursing Research Congress (INRC)

The COVID-19 pandemic presented unprecedented challenges for nurses, including confronting end-of-life decisions, witnessing patient suffering, and burnout. Nevertheless, many nurses demonstrated resilience and personal growth despite adversities. Notable gaps in the literature include limited exploration of the long-term impacts of the pandemic on nurses, variations in experiences based on geographic, gender, and cultural factors, as well as the role of leadership and organizational response. Likewise, how nurses adapted to innovations such as new technologies and the impact of their pandemic experiences on patient outcomes and care quality remain underexplored. This study employed a phenomenological descriptive approach to capture nurses’ lived …

Creating A Quality Improvement Academy To Advance The Professional Development Of Front-Line Nurses, Andrea Paddock

International Nursing Research Congress (INRC)

Involving nurses in quality improvement (QI) is associated with improved quality care, operational efficiency, cost, and job satisfaction (Djukic et al., 2021; Robinson & Gelling, 2019; Tschannen et al., 2023). For nurses to engage in QI, they need proper structure, education, supportive leadership, and resources (Connor et al., 2023; Tschannen et al., 2021). Without such, they are ill-equipped to improve or sustain current practices with confidence and competence.

A gap was identified in an organization’s nursing structure in which a QI methodological approach and supporting resources was lacking. To address this gap, an 8-month QI Academy pilot was developed to …

Stress And Trauma In Nursing Students Over Time: A Longitudinal Study, Heidi Gilroy, Kala Mayer, Chelsea Ratcliff, Devon M. Berry, Sally Stephanie Rothacker-Peyton, Alice Ahn, Kennedy Anderson

International Nursing Research Congress (INRC)

Nursing students are exposed to trauma, toxic stress, and traumatic experiences during their education, contributing to mental health challenges such as anxiety, burnout, and symptoms of post-traumatic stress disorder (PTSD) (Gilroy et al., 2024). These experiences have significant implications for students' learning, academic performance, retention in nursing programs, and ultimately patient care. However, how these stressors and mental health symptoms evolve over the course of nursing education remains largely unexplored. This study aimed to describe changes in trauma exposure, risk and protective factors, trauma symptoms, and mental health among undergraduate Bachelor of Science in Nursing (BSN) students as they progressed …

Reducing Cauti In The Neurocritical Care Unit Through Rapid Implementation Of The Evidence, Nicole E. Sunderland

International Nursing Research Congress (INRC)

Catheter-associated urinary tract infections (CAUTIs) from indwelling urinary catheter (IUC) account for 25% of all hospital-acquired infections. Neuro-critically ill patients are at 2–5 times greater risk of developing CAUTI because of increased use of indwelling urinary catheters due to neurogenic urinary retention. The CAUTI rate for the Neurocritical Care Unit was 7.814 per 1000 patient days with an average quarterly utilization rate of 84%. A robust quality improvement project that included rapid impleentation of evidence, removal or replacement of the IUC by day 5, weekly patient centered rounds, urine culturing best practices, order set changes, and supporting evidence to improve …

Improve Exclusive Breastfeeding Rates Through Early Initiation, Camille Chua

International Nursing Research Congress (INRC)

Exclusive breastfeeding can be challenging to maintain. At the project site there was an inconsistent process for breastfeeding support, so an evidence-based solution was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if or to what degree the implementation of the World Health Organization (WHO) Guideline’s Baby-Friendly Hospital Initiative (BFHI) Step Four would impact exclusive breastfeeding rates (EBFRs) when compared to current practice among adult postpartum patients in an acute care hospital in Southern California over four weeks. Nola Pender’s middle-range nursing theory utilizing the health promotion model (HPM), and Kurt Lewin’s change theory provided …

Shared Decision-Making To Increase The Pre-Establishment Rate In First-Time Dialysis Patients, Shu Ju Chang, Yen Ping Tsai

International Nursing Research Congress (INRC)

Background: The number of people living with kidney disease (acute kidney injury, chronic kidney disease, and treated kidney failure) worldwide is reported to exceed 850 million (Bello et al., 2024). The number of people undergoing maintenance dialysis globally has increased dramatically. Chronic kidney disease (CKD) is not only a public health issue but also creates an economic burden (Lee et al., 2023). For patients with ESRD, a planned approach to establishing dialysis access is a critical priority.

Purpose: The pre-establishment of permanent vascular access and peritoneal catheters for dialysis is essential to reduce the need for repeated temporary tube placements, …

Intergenerational Programs: Reducing Loneliness Of Older Adults In Congregate Care Settings, Rachel Elaine Bagley, Yolanda Rodriguez, Jacelyn Tappert

International Nursing Research Congress (INRC)

Loneliness is an increasingly recognized public health issue, especially among the elderly, where it contributes to the decline in both physical and mental health (WHO Commission on Social Connection, 2024). In the geriatric population, loneliness is associated with increased risks of depression, anxiety, cognitive impairment, cardiovascular disease, falls, and overall mortality (Holt-Lunstad, et al. 2015; Millett et al., 2024; National Institute on Ageing, 2019). Loneliness in congregate care settings is often exacerbated by residents' loss of physical mobility, death of spouses, removal of the individual from their neighborhood and community, and reduced autonomy. The COVID-19 pandemic intensified these issues, reducing …

Development Of A Nurse-Led Interprofessional Community Health Nursing Education Program, Kim Alexander Decker, Wendy R. Miller

International Nursing Research Congress (INRC)

This presentation will describe an interprofessional community health nursing education project in a 5-county region. The preliminary phase of the project was to create a nurse-led interprofessional advisory group to direct a comprehensive health needs assessment with county health departments, area clinics and school officials, to determine community-based priorities. This phase was followed by an investigation of evidence-based interventions to address the acknowledged community health needs of substance use prevention and mental health promotion. Program costs and funding were identified and obtained through alumni donor gifts and internal university grants. A trained facilitator was selected to educate community health nursing, …

Trauma-Informed Design And Student Well-Being In Higher Education: An Exploratory, Descriptive Study, Isabelle Sadorra, Kala Mayer, Cara Poor, Olivia Mattern, Bella Small

International Nursing Research Congress (INRC)

Since the COVID-19 pandemic, there have been heightened reports of stress and trauma among students. Despite increasing evidence of the importance of trauma-informed design (TID) in healthcare and housing, its application in higher education settings remains underexplored. TID incorporates elements that create environments conducive to safety, well-being, and healing, which are critical for academic success. Design elements in the built environment that have the potential to reduce student and nurse stress and promote learning include access to nature and outside areas, safety and privacy features, and ambient noise and sound dampening features, for example. This study aims to assess students' …

Instrument Adaptation Through Focus Group Insights Of Clinical Nurse Specialist Practice, Sheree A. Scott, Kelley Kilpatrick

International Nursing Research Congress (INRC)

Background/Purpose: The Clinical Nurse Specialist (CNS) profession globally and across the US is facing challenges including workforce shortage and low CNS academic program enrollment. Role confusion and dissemination of outcomes directly tied to CNS practice may contribute to the issue. This study aims to address this gap by adapting a validated time in motion instrument, originally developed in Canada, to gather comprehensive data on the practice of the CNS in diverse care settings across southern California. The purpose of phase 1 is to ensure that the CNS time in motion instrument is tailored to the local healthcare environment.

Methods: The …

Poor Dietary Habits And Physical Inactivity In Obese And Overweight Children: A Concept Analysis, Mahdiyeh Ahmadi, Marti Rice, Felesia Bowen

International Nursing Research Congress (INRC)

Aim: The aim of this poster is to analyze the concepts of poor dietary habits and physical inactivity, which are defined differently by various researchers, in obese and overweight school-aged children.

Background: Poor dietary habits and physical inactivity are two common modifiable lifestyle behaviors, contributing to overweight/obesity in children.

Design: Rodgers' method of concept analysis guided the review, including sample and setting, literature search, and data analysis.

Data Source: PubMed and CINAHL were searched for relevant literature.
Results: Antecedents included changes in children's lifestyles, increased dependence on transportation, parental, caregivers’, and peer influence, cultural and social norms, and environmental factors. …

Exercise Dependence: A Qualitative Study Of Fitness Enthusiasts’ Motivations For Excessive Workouts, David Paul Rubia Ramos, Edith Gili Habig, Jessica May Guillermo

International Nursing Research Congress (INRC)

More and more people around the globe are motivated to be physically fit and healthy. While a lack of regular physical activity can be a barrier to a healthier lifestyle, too much or excessive exercise may lead to exercise dependence and may pose serious health concerns. Excessive exercise or exercise dependence refers to a maladaptive pattern of exercise which can lead to clinically significant impairment or distress. This qualitative study explores the motivations for excessive exercise and contributing factors to exercise dependence among at-risk Filipino fitness enthusiasts. Using descriptive qualitative research, we conducted in-depth interviews with ten gym regular members …

Evaluation Of Practical-Based Instruction In Oncology Nursing Curriculum For College Students, Chih-Yin Chien, Tsae-Jyy Wang

International Nursing Research Congress (INRC)

Background: Vocational education not only focuses on knowledge transfer but also emphasizes practical application. The cultivation of practical-based learning is a crucial core of vocational education, balancing theory and practice while addressing students' diverse development.

Purpose: The purpose of this study was to develop an oncology nursing practice curriculum aligned with core competencies and to evaluate its effectiveness. The curriculum was designed around a practical-based learning approach, encouraging students to engage in discussions that foster learning engagement, enhance self-efficacy.

Methods: This study utilized a single-group pre-test and post-test design with a convenient sample of 27 students. The questionnaire assessed self-directed …

A Solitary Weight Loss Journey: Exploring The Lived Experiences And Perceptions Of Obese Adolescents, Yueh Tao Chiang, Fu-Sung Lo

International Nursing Research Congress (INRC)

Background: Adolescent obesity is a global public health concern, as habits formed during this critical stage can have long-term health consequences. Understanding how adolescents perceive and experience obesity is crucial for developing effective weight management strategies and promoting overall well-being.

Aims: This study aims to explore the lived experiences and perceptions of obese adolescents in Taiwan, providing deeper insights into their life context.

Method: This phenomenological study recruited participants from a pediatric endocrinology outpatient clinic in northern Taiwan from March to July 2022. Adolescents aged 12-18 with a BMI above the 95th percentile were included. Data was gathered through individual …

Knowledge, Attitude, And Barriers Of Jordanian Nurse Faculty Toward Genomic Concepts In Curriculum, Rachel Joseph

International Nursing Research Congress (INRC)

Advancements in genomics and the emergence of new technology require healthcare professionals to possess the knowledge necessary to effectively integrate genomic concepts into patient care^1,2. The knowledge, attitude, practice, and barriers of Jordanian nursing faculty outside are unknown.

The purpose of this study was to examine the perceived knowledge, attitude, and barriers of Jordanian nursing faculty to integrate genomic concepts into the curriculum. As direct-to-consumer genetic tests proliferate, patients increasingly present their results to healthcare providers (HCPs). The HCPs should have minimum competency to interpret the results or identify resources for the patients and nursing faculty must equip …

Factors Affecting Work Productivity Loss During The Covid-19 Pandemic: A Meta-Correlation Analysis, Jiyeon Jung, Inhae Cho, Jihyun Moon

International Nursing Research Congress (INRC)

Backgrounds: The COVID-19 pandemic has caused a decline in work productivity across various sectors. Identifying the factors influencing the loss of work productivity during a pandemic can have significant implications for health promotion and management among workers.

Objectives: This study aims to evaluate work productivity loss (including absenteeism and presenteeism) among workers during the COVID-19 pandemic by analyzing potential risk factors, such as demographic, individual, psychosocial, and organizational factors.

Design: We conducted a systematic review and meta-correlation analysis to identify risk factors influencing work productivity loss during the COVID-19 pandemic.

Review methods: Data were comprehensively searched across …

Smooth Transitions: Helping Faculty And Staff Navigate The Implementation Of A New Lms, Miwako Hoshi, Mathew Lee Porter, Kazue Matsuo, Saiko Iizuka, Kevin Weir

International Nursing Research Congress (INRC)

Purpose: This study presents the approach taken by our small nursing university when adopting a new learning management system (LMS), as well as an evaluation of the various activities developed and implemented to support and facilitate faculty and staff use of the system. In 2020, the global COVID-19 pandemic necessitated the transition of all classes to an online format. However, Course Power, the LMS used at that time, lacked the necessary features to fully support online learning. As a result, the Library & Information Technology Committee, composed of faculty and staff, had to explore the adoption of a new LMS. …

Developing A Value Clarification Exercise For Identifying Preferences For Breast Cancer Treatment, Ka Ming Chow, Carmen W. H. Chan, Winnie Yeo, Kai Chow Choi, Jiemin Zhu

International Nursing Research Congress (INRC)

Introduction: Most breast cancer (BRC) cases are diagnosed at an early stage and can be treated with either breast-conserving therapy or mastectomy, followed by optional breast reconstruction. However, studies have indicated that mastectomy is more commonly performed than breast-conserving surgery among young women with BRC, despite the absence of significant difference in survival rates between the two surgical procedures [1,2]. Women undergoing mastectomy without breast reconstruction were likely to experience poorer physical health, body image, and sexual health compared with those undergoing breast reconstruction or breast-conserving surgery [3]. Value clarification helps patients make more informed clinical decisions [4], reducing decisional …

Nurses’ Work Interruption And Response: Medication Tasks And Difference By Nursing Delivery System, Kyung Jin Hong

International Nursing Research Congress (INRC)

Purpose: Work interruption is a major factor that increases nurses’ workload, and multitasking during medication tasks is associated with medication errors. This study aimed to report the frequency, source, and response of interruptions during work, focusing on medication tasks and the differences between functional nursing and integrated team nursing delivery systems.

Methods: This study was conducted in August 2023 in two wards operating under different nursing delivery systems in a general hospital in South Korea. The observers shadowed each nurse individually, monitoring their work hours; 12 shifts (five day and seven evening shifts) for the functional nursing …

Exploring Cultural Dimensions Of Nurses' Experiences During Covid-19 In The Us And Hungary, Kala Mayer, Judit Staller, Jo Anne Bennett, Zoltán Balogh, Jeanie Skibiski, Anna Jeney, Soojung Jo, Elizabeth Reifsnider

International Nursing Research Congress (INRC)

Both the Hungarian and U.S. public health and care systems were inadequately prepared to manage the COVID-19 pandemic, contributing to significant distress among nurses. The role of geographical, gender, and cultural factors, along with leadership and organizational response during the pandemic between countries, remains underexplored in the literature. Nurses around the world are now more likely than before the pandemic to leave direct patient care roles. Cultural influences and healthcare system structure play crucial roles in shaping nurses' decisions to stay in or leave the profession. To address this research gap, we are using the lens of Hofstede’s Cultural Dimensions …

Instituting Nonjudicial Foreclosure In Florida: When It Comes To Foreclosure, Florida's Judiciary Should Let Lenders Lead, Brian Tackenberg

Florida Law Review

The State of Florida has the highest inventory of foreclosed homes in the nation, the highest payment delinquency rate in the nation, and the slowest foreclosure system in the nation. This combination of factors has created a foreclosure crisis in Florida that eclipses the problems experienced by any other state. Florida's inability to work through this crisis has crippled any potential recovery in the housing market and is putting Florida at an economic disadvantage. Based upon current analysis, the number of foreclosures is only predicted to rise in the near future. Unless Florida is able to reform its foreclosure system …

Autonomous Versus Collaborative Online Professional Development: Discovering The Differences In Teacher Learning And Perceptions, Michelle Thomas, Heather Tellier, Jennifer Urbach, Corey Pierce Ph.D., Holly Baker-Hill

Journal of Educational Research and Innovation

Online, asynchronous professional development (PD) offers flexibility for learners, yet what is the most effective way to provide online PD? While current research suggests online platforms can be effective for learning, there is a lack of studies examining differences between fully autonomous, asynchronous modules and those that are asynchronous but still collaborative. This mixed-method study examined the learning differences and perceptions between two cohorts of special education teachers as they went through an eight-unit online course on dyslexia. One cohort received an autonomous platform without interaction among the students or instructor. The other cohort received the same content, but online …

Uconn-Mathworks Lfp/Gr Second-Life Battery Aging Dataset, Tingkai Li, Aidan Lawlor, Adarsh Narasimhamurthy, Xiaomeng Peng, Chao Hu

REIL Datasets

This dataset is derived from a test campaign involving 108 commercial LithiumWerks 18650 LFP/Gr cells (nominal capacity: 1.2 Ah, nominal voltage: 3.3 V). The cells were cycled using Neware BTS 4000 testers under controlled temperature conditions. The cells were grouped (3 or 2 cells per group) and cycled under varying fast-charging protocols until their remaining capacity dropped below 80%, simulating end-of-first-life. Fast-charging protocols included: (1) one-step constant current–constant voltage (CCCV) charging with constant C-rates (4C–6C), (2) SOH-based derating CCCV charging with dynamic C-rate reduction, and (3) two-step charging combining a high-rate constant current (CC) step and 1C CCCV step based …

Gepotidacin Salts, Prashanth Venukathala, Venukathala Prashanth Mr.

Defensive Publications Series

The present invention provides novel pharmaceutically acceptable salts of Gepotidacin, including but not limited to acid addition salts with organic or inorganic acids, such as sulfate, fumarate, citrate, phosphate, and maleate salts. These salts exhibit improved solubility, stability, and pharmacokinetic properties compared to the free base form of Gepotidacin.