Digital Commons Network^™

Local Political Dynamics In The Implementation Of The Program For Innovation In Regional Development And Empowerment (Pippk) In Bandung City, Hafshah Talia, Sinta Ningrum, Dedi Sukarno

Jurnal Wacana Politik

Local Political Dynamics in the Implementation of the Program for Innovation in Regional Development and Empowerment (PIPPK) in Bandung City examines how local political dynamics influence the implementation of the PIPPK policy. This study focuses on analyzing the interactions among stakeholders, including the Regional Governance Section of Bandung City, subdistrict heads, community leaders, and local political actors, as well as the challenges arising from these dynamics. The research qualitative primary data from in-depth interviews and field observations with secondary data from media documentation and previous studies. The findings indicate that local political dynamics affect decision-making processes, resource allocation, and the …

Innovative Glycerin Impregnation Of Female Livestock Genital Organs And Satisfaction Assessment For Veterinary Anatomy Education In Thailand, Paisan Tienthai, Jantima Intarapanya, Pawana Chuesiri

The Thai Journal of Veterinary Medicine

Veterinary anatomy education faces several challenges, including increasing student enrollment, regulatory restrictions on animal use, and limitations of traditional preservation methods. Formalin preservation poses health risks, while plastination is costly and lacks flexibility. The conventional and modified Elnady Techniques present a safer and more cost-effective alternative, offering soft and flexible specimens; however, the adverse features still appear, and some steps require expensive equipment. This study aims to refine these Elnady Techniques, called ‘innovative glycerin impregnation’ for preserving female reproductive organs by reducing costs and simplifying the process using basic equipment. Additionally, veterinary students' satisfaction with glycerin-preserved specimens was compared to …

The Effectiveness Of The Project-Based Learning (Pjbl) Model Based On Tiktok Videos In Improving Elementary School Students’ Understanding Of Cultural Diversity Concepts, Putri Fajriani, Encep Supriatna, Mubarok Somantri, Resti Hidayat

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

In the 21st‐century digital era, education faces challenges in integrating innovative technologies with relevant curricula, particularly in elementary‐level cultural diversity learning that still relies on traditional methods and lacks engaging media. This study analyzes the effectiveness of integrating Project‐Based Learning (PjBL) with TikTok videos to enhance primary students’ understanding of cultural diversity through a comprehensive systematic literature review. Keyword searches in Google Scholar, Scopus, the Indonesian Publication Index, and university journal portals yielded 48 articles, of which 25 met inclusion criteria—15 quasi‐experimental studies, 6 descriptive studies, and 4 meta‐analyses (14 national, 11 international). Findings reveal that optimal PjBL implementation increases …

Accelerations And Emg Differences Between Isocaloric High-Incline Walking And Level-Grade Jogging, Taj Krieger, Motoki Sato, Lex Gidley, Justus Ortega, Eli Lankford

International Journal of Exercise Science

International Journal of Exercise Science 18(7): 995-1009, 2025. High-incline walking is a popular mode of exercise and often serves as an alternative to level-grade running for improving cardiovascular fitness. This study examined the muscle activation and biomechanical differences between high-incline walking (HIW) at a 20% grade and level-grade jogging (LGJ) at matched exercise intensities. Nineteen physically inactive adults (18-31 years) participated. Participants completed two isocaloric exercise trials (HIW and LGJ), each lasting ten minutes. EMG data were obtained from eight muscles: biceps femoris (BF), gluteus maximus (GM), lateral gastrocnemius (LG), tibialis anterior (TA), vastus lateralis (VL), anterior deltoid (AD), erector …

Editorial: A Step-By-Step Statistical Decision Framework For A Gender-Inclusive Approach In Sport And Exercise Science Research, James W. Navalta, Dustin W. Davis, Jafra D. Thomas, Whitley J. Stone

International Journal of Exercise Science

International Journal of Exercise Science 18(1): 1010-1029, 2025. The conflation of sex and gender in sport and exercise science research has led to gaps in representation and understanding of gender-inclusive outcomes. This invited editorial presents a framework to guide researchers in conducting statistical analyses that account for multiple gender identities beyond the traditional binary classification. The invited editorial guides deliberation on whether to test for sex or gender differences in sport or exercise science research. It prompts investigators to answer the question, “Is there a valid, literature-supported rationale for investigating sex or gender differences?” If “yes”, we propose approaches that …

Global Nursing Education Through Simulation Technology: Enhancing Mass Casualty Training, Matt Anderson, Adrianna Lorraine Watson, Jeanette Drake, Sonrdra Heaston, Chynna Hartle, Lauralee Preece

International Nursing Research Congress (INRC)

Background: Nursing education is a global requirement, with many institutions worldwide struggling to find adequate space, time, personnel, and finances to invest in high-quality educational modalities for disaster preparedness and interdisciplinary communication or teamwork. This modality was designed with the global implications of a scalable approach to high-quality education while anticipating financial and logistical challenges.

Purpose: to assess the self-efficacy and experiences of undergraduate student nurses and EMTs participating in a mass casualty incident simulation (MCIS).

Methods: This study was designed as a mixed-methods study in which proportional odds logistic regression was paired with thematic analysis to present a complete …

Mitigating Racism In Nursing Using The Socio-Ecological Model, Kechi Iheduru-Anderson

International Nursing Research Congress (INRC)

Background: In 2021, the CDC identified racism as a major public health threat, highlighting its impact on social and economic determinants of health, such as education, housing, and employment, which in turn affect health outcomes (CDC, 2021; Waite et al., 2020). The nursing profession is not exempt from these effects; a 2021 survey of nurses revealed prevalent racism within nursing, influencing education, practice, and patient care (National Commission to Address Racism in Nursing, 2021). A comprehensive, multi-level approach within nursing is essential to address this issue.

Purpose: This study employs the socio-ecological model (SEM) to analyze racism in nursing and …

Interdisciplinary Simulation With Psychiatric Nurse Practitioner And Midwifery Students, Marissa Decesaris Siegel, Abigail Howe-Heyman, Joseph Schatz

International Nursing Research Congress (INRC)

Background: Mental health is the leading cause of pregnancy-related mortality in the United States.¹ Both psychiatric and midwifery providers often lack confidence in managing mental health disorders in perinatal patients and may also lack experience in interprofessional collaboration, a key domain of the American Association of Colleges of Nursing’s Essentials.² We are not aware of any existing programs that use interprofessional education to address perinatal mental health.

Purpose: The purpose of this project was to assess the feasibility of a post-partum depression simulation with psychiatric/mental health nurse practitioner (PMHNP), women's health/gender-related health nurse practitioner (WHGRNP), and nurse- midwifery …

Trust, Blame, And The Words Nurses Use, Jane K. Dickinson, Susan J. Guzman, Jennalee Wooldridge

International Nursing Research Congress (INRC)

The purpose of this study was to quantify emotional responses, including trust and blame, of people with diabetes, when exposed to problem words.
People with diabetes experience words that are judgmental and based on blame.¹ Language guidance papers have been developed in multiple countries, because negative messages can be harmful to people with diabetes.² A recent integrative review synthesized studies on communication and diabetes outcomes and concluded that negative messages can lead to diabetes distress, decreased health behaviors, and poor health outcomes. On the other hand, positive or supportive messages can lead to positive health behaviors.³
Trust …

A Model Of The Determinants Of Maternal Mortality In Indigenous Women, Jennifer L. Heck, Judy Goforth Parker, Kathryn M. L. Konrad, Ingrid Svenson, Annika Jennings

International Nursing Research Congress (INRC)

Despite increasing attention to the well-documented maternal health crisis in the U.S., stark disparities persist between groups of women. In December 2021, Indigenous mothers experienced 118.7 maternal deaths per 100,000 live births, whereas their White counterparts had 26.6 [1]. Maternal mortality is a multifaceted, complex issue that complicates the health and wellbeing of Indigenous women, yet the root causes of this disparity are not well-described. We need a deeper understanding of the determinants of health (social, structural, biological, political) that contribute to Indigenous maternal mortality. Indeed, the existing literature lacks adequate theoretical understanding to address this phenomenon. Therefore, the purpose …

Ehric Model For Non-Fatal Strangulation: A Novel Risk Assessment Framework, Chelsea Knutson, Patricia Ann Carter

International Nursing Research Congress (INRC)

Abstract Text: Background: Non-fatal strangulation (NFS) is a critical yet often overlooked form of violence, frequently occurring within sexual assault and domestic violence contexts. Despite its severity and prevalence, significant gaps remain in understanding NFS risk factors, hindering effective prevention and intervention strategies.

Purpose: This study aims to synthesize current literature on NFS risk factors and develop a novel conceptual model to aid in identifying high-risk individuals, informing clinical practice and policy-making in nursing and healthcare.

Methods: A comprehensive literature review was conducted using MEDLINE and CINAHL databases, with the keyword 'non-fatal strangulation', up to August 2024. The search was …

Translational Science Of Blended Tube Feedings, Amy Spurlock, Noah Thomas

International Nursing Research Congress (INRC)

The purpose of this research synthesis is to summarize translational science on Blended Tube Feeding (BTF) and the commentary that led to further research in the field.

Since 2013, nine papers have been published by a team on BTF. These papers utilized a variety of research methods to investigate the safety, efficacy, and patient outcomes of BTF compared to commercial formulas (CF). A case study explored the clinical improvement of a child post-transition to BTF, revealing reduced gastrointestinal (GI) symptoms and increased oral intake¹. Survey research was employed with Registered Dietitians and caregivers to assess attitudes, experiences, and …

Building Grit And Understanding Drivers Of Dropout Intentions Among Nursing Students, Marianne Biangone, Daniel Terry, Blake Peck, Jeong-Ah Kim, Linda Jones

International Nursing Research Congress (INRC)

Introduction: Defined as a combination of passion, perseverance, and long-term commitment, grit is the sustained effort to achieve difficult goals over time.^1,2 Nursing students have grit, which continues to develop as they enter the profession. However, nearly 20% of students do not complete their studies, despite academic and pastoral support.³ Interventions designed to develop mindsets, such as the six-week ‘Grow your Grit’ program⁴, better equip students for the rigors of academia. However, limited insights regarding the granular issues that drive dropping out exist.⁵

Purpose: To understand challenges that lead to increased dropout intentions among first-year …

Fostering Inclusivity: A Workshop On Building Cohesion In A Diverse Nursing Classroom, Asmaa Orabi Osman, Yemima Hayun

International Nursing Research Congress (INRC)

There are growing bodies of evidence demonstrating the benefits of equity, diversity, and inclusion on academic and organizational excellence(Dewidar et al., 2022). Because of political conflicts, there is an ever-changing mix of people with diverse cultural backgrounds who require institutions to provide continuing education to ensure that effective services are provided to everyone (Mula et al., 2023). Following the events of October 7, divisions within the class began to emerge. Clinical instructors and nursing faculty noticed that during breaks, students would separate into groups of Arabs and Jews, with each group sitting apart from the other. The objective of this …

Representing A Globally Diverse Profession: Implementing A Holistic Interview Process For Applicants, Courtney Chovanetz, Laura Opton, Irene Salinas, Kara Moellenberg

International Nursing Research Congress (INRC)

As the national nursing shortage rises across the United States, educators continue to focus on providing quality education and producing competent bedside nurses. However, there remains a lack of diversity in the nursing profession (Breland, 2020). Ensuring a student body is representative of various experiences and personal attributes creates a nursing workforce that more closely reflects the population and is prepared to successfully lead and impact health outcomes equity (Wagner et al., 2020). Implementing holistic interview processes will allow for the evaluation of life experiences and core values demonstrating a more accurate representation of how individuals will practice as professionals …

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' …