NURSING

Research for nursing

Papers a nurse can act on, across critical and emergency care, medical-surgical, mental health, paediatrics and neonatal, maternity, older adults, community and primary care, and oncology and palliative care. Each is read in full rather than from its abstract.

10,756 PAPERS · PAGE 105 OF 216 · NEWEST FIRST

• RNCohort2022Factors associated with poor self-management documented in home health care narrative notes for patients with heart failure.Heart & lung : the journal of critical careOnly 7.8% of home health heart failure patients had documented poor self-management. Associated factors were younger age, male gender, diabetes, depression, smoking, impaired decision-making, disruptive behavior, longer stay, and shortness of breath with exertion.
• RNSystematic Review2023Effectiveness of cognitive interventions for adult surgical patients after general anaesthesia to improve cognitive functioning: A systematic review.Journal of clinical nursingMemory-focused cognitive training after surgery improved memory scores in several small studies, but attention training did not consistently help. Adherence was 6% immediately after surgery and 90% in another study.
• RNQualitative2023Navigating uncertainty alone: A grounded theory analysis of women's psycho-social experiences of pregnancy and childbirth during the COVID-19 pandemic in London.Women and birth : journal of the Australian College of MidwivesWomen described maternity care during lockdown as lonely: phone-only contact, PPE, and partner restrictions reduced relational care. They also valued safety and home bonding. For nurses, relational continuity and acknowledging embodied experience mattered.
• RNPilot2023Development and applicability of a dignity-centred palliative care programme for people with idiopathic pulmonary fibrosis: A qualitative-driven mixed methods study.Nursing openIn 12 people with IPF, a nurse-delivered dignity-centred palliative care programme did not significantly improve self-esteem, the main outcome. Participants found it acceptable, and a respiratory symptom score improved.
• RNCohort2022Delirium in elderly postoperative patients: A prospective cohort study.Nursing openPostoperative delirium occurred in 7.5% of older surgical patients, mostly on days 1 or 2. Age over 80 and heart failure predicted risk. Having drains, catheters or other lines was strongly associated with developing delirium, suggesting nurses should watch these patients closely.
• RNQualitative2022Resilience and post-traumatic growth in the transition to motherhood during the COVID-19 pandemic: A qualitative exploratory study.Scandinavian journal of caring sciencesPostnatal women described leaning on partners, family and neighbours, keeping busy, and reframing restrictions as family time. They also reported new interests and closer relationships. This describes coping, not tested maternity support.
• RNMeta-Analysis2022Effectiveness of prone position in acute respiratory distress syndrome and moderating factors of obesity class and treatment durations for COVID-19 patients: A meta-analysis.Intensive & critical care nursingProne positioning improved oxygenation in 288 patients with ARDS related to COVID-19. The benefit was larger in patients with obesity class II and when sessions lasted longer, but the evidence came mostly from small, single-group studies without control groups.
• RNPilot2022Web-based chlamydia education for university students: A pilot project.Nursing openUniversity students' chlamydia knowledge scores rose from 6.5 to 8.0 on an 8-item test after a 20-minute nurse-developed web intervention. All participants scored 100% post-test. This pilot shows feasibility but cannot confirm lasting behavior change or testing uptake.
• RNQualitative2022Perspectives About Transition Readiness Among Adolescents and Young People Living With Perinatally Acquired HIV in Rural, Southwestern Uganda: A Qualitative Study.The Journal of the Association of Nurses in AIDS Care : JANACAdolescents and young adults with perinatally acquired HIV, caregivers, and providers said transition readiness needs health literacy, self-advocacy, social support, and individualized timing. Age alone was not seen as enough to decide when to move to adult HIV care.
• PTOTRNCohort2022Distinct Nausea Profiles Are Associated With Gastrointestinal Symptoms in Oncology Patients Receiving Chemotherapy.Cancer nursingNearly 30% of oncology patients experienced persistent, high-severity nausea for two months despite antiemetics. These patients also reported more vomiting, diarrhea, and weight loss. Younger age, lower income, and poorer physical function were linked to this high-risk profile.
• RNSystematic Review2022Noneconomic and economic impacts of nurse turnover in hospitals: A systematic review.International nursing reviewNurse turnover drives up job demands and lowers staffing levels, with costs reaching three times the average nurse salary. Patient safety links are inconsistent: some studies show higher error rates, while others find no relationship with falls or pressure ulcers.
• RNSurvey2022Parenting a child with a chronic illness during a pandemic.Journal of pediatric nursingMost mothers who answered said the pandemic increased their stress while caring for a child with chronic illness, describing isolation, less therapy and support, and worries about siblings. Emotional distress was the highest stress score.
• RNCohort2022Relationship Between Maternal COVID-19 Infection and In-Hospital Exclusive Breastfeeding for Term Newborns.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNAfter accounting for insurance, race, glucose gel, gestational age, birth weight and stay, maternal COVID-19 was not significantly linked to lower in-hospital exclusive breastfeeding. When donor-milk-fed newborns were excluded from that group, infection was linked to lower rates.
• RNSurvey2022PATH to understanding cannabis and nicotine initiation and co-use among emerging adults.Public health nursing (Boston, Mass.)Emerging adults are not immune to starting nicotine or cannabis. Over a quarter initiated nicotine and over a third initiated cannabis in this age group. Nicotine users were 13 times more likely to have used cannabis, with co-use common.
• RNOther2022Impact of Concurrent Hospice Care on Primary Care Visits Among Children in Rural Southern Appalachia.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersChildren in rural southern Appalachia in concurrent hospice care were more likely to visit a primary care provider during hospice. The finding came from Medicaid administrative data on 460 children who died, not a randomized trial.
• RNSystematic Review2022Factors associated with pregnancy uptake decisions among seropositive HIV people receiving antiretroviral therapy in sub-Saharan Africa: A systematic review.Nursing openFor women living with HIV in sub-Saharan Africa, factors shaping pregnancy decisions included wanting children, prevention of mother-to-child transmission knowledge, marriage expectations, income, contraception, burden, low CD4 count, and negative nurse attitudes.
• RNMeta-Analysis2022Effectiveness of nurse-led discharge service on adult surgical inpatients: A meta-analysis of randomized controlled trials.Nursing openNurse-led discharge services did not shorten hospital stays, but they reduced readmissions and emergency visits and improved quality of life in adult surgical patients.
• RNPilot2022Feasibility and Burden of Lay Caregivers Providing Daily Massages to Patients With Cancer Receiving Hospice and Palliative Care.The American journal of hospice & palliative careCaregiver strain scores stayed similar among caregivers who completed the massage training, but 24 of 63 dyads dropped out and three did not give daily massages.
• RNQualitative2023Disruptions in Relational Continuity: The Impact of Pandemic Public Health Measures on Families in Long-Term Care.Journal of family nursingFamily caregivers of long-term care residents described pandemic visitation restrictions as severing roles that maintained their relative’s identity and family bonds. Spouses felt loss of self; adult daughters felt guilt and burden. Virtual visits were often unhelpful for residents with dementia or sensory impairment.
• RNQualitative2023A lifelong struggle for a lighter tomorrow: A qualitative study on experiences of obesity in primary healthcare patients.Journal of clinical nursingPatients about to start a group obesity programme described lifelong shame, pain and fear, but also resilience and clear support needs. Nurses can ask about stigma and mental health when supporting weight-loss goals.
• RNRCT2023Effectiveness of a multicomponent intervention to reduce social isolation and loneliness in community-dwelling elders: A randomized clinical trial.Nursing openThe programme did not reduce total social isolation, loneliness, or quality of life compared with usual follow-up. Only within the intervention group, confidential support and emotional loneliness improved after sessions.
• RNQualitative2022Family perspectives on facilitators and barriers to the set up and conduct of virtual visiting in intensive care during the COVID-19 pandemic: A qualitative interview study.Intensive & critical care nursingFamilies found virtual intensive care visits the next best thing to being there, easing separation by seeing their relative alive and including other family members. Poorly prepared calls, restricted access, and poor camera angles made visits stressful.
• RNOther2022To support self-management for people with long-term conditions - The effect on shared decision-making, empowerment and coping after participating in group-learning sessions.Nursing openAfter nurse-led group learning for long-term conditions, coping mostly did not change and problem-solving empowerment did not improve, but patients reported better understanding, being heard, and higher self-awareness, stress management and willingness to change.
• RNSurvey2022Nocturnal enuresis in children: Parents' perspectives.Nursing openParents of children with bedwetting reported high uncertainty. In 247 parents, uncertainty was linked to work status, income and treatment duration, and tracked with anxiety.
• RNCohort2022Acute stress disorder in patients with accidental traumatic fractures: What can we do.Nursing openAmong 468 patients with accidental traumatic fractures, 28.20% developed acute stress disorder. Risk was significantly higher in patients under 50, female, with severe injuries, high pain scores, introverted personalities, or low psychological resilience scores.
• RNOther2022A scoping review of spirituality and religiosity in people who have had a kidney transplant.Nursing openIn four studies of kidney transplant recipients, stronger spirituality or religiosity was associated with medication adherence, coping, and renal function in some studies, but not all. This maps links, not proof.
• RNOther2022A comparative study of patient safety in the intensive care units.Nursing openOverall ICU safety scores did not differ between two hospitals, but adult ICUs had lower observed communication scores during patient transfer than paediatric ICUs.
• RNOther2022"I Didn't Want My Baby to Pass, But I Didn't Want Him Suffering Either": Comparing Bereaved Parents' Narratives With Nursing End-of-Life Assessments in the Pediatric Intensive Care Unit.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationNursing pain and sedation scores showed dying PICU children were often comfortable, but parents remembered suffering, especially with cancer or long stays. Parents' memories tracked peaks and devices, not averages.
• RNSurvey2022Association of Cannabis Use and At-Risk Alcohol Use With Intimate Partner Violence in an Urban ED Sample.Journal of emergency nursingWomen’s own at-risk drinking and cannabis use strongly predicted intimate partner violence perpetration and victimization. Men’s own substance use did not predict IPV, but their partner’s hazardous drinking and cannabis use did. Screening both patients and partners is necessary.
• RNQualitative2022How Mexicans' Emotional Responses to Non-Alcoholic Fatty Liver Disease Can Help Inform Culturally Congruent Health Care.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyAfter receiving surprising NAFLD ultrasound results, Mexican-origin immigrants moved from fear to hope. Fear motivated sharing and diet changes; hope came from reversibility and home self-care, but lack of insurance worried some.
• RNCase-Control2023Association between stressful life events and non-optimal lipid levels among women with hyperlipidaemia.European journal of cardiovascular nursingStressful life events were not associated with non-optimal lipid levels after adjustment for demographics and social contexts overall. In women with hyperlipidemia, they remained associated; in men, they did not.
• RNSystematic Review2023Measuring irritability in young adults: An integrative review of measures and their psychometric properties.Journal of psychiatric and mental health nursingFor nurses assessing young adults, the five-item Brief Irritability Test was reported as the most irritability-specific measure in this review. It may help identify irritability without mixing it with anger or aggression, but it needs testing in broader young adult groups.
• RNQualitative2023Perceptions of delay when afflicted by an acute myocardial infarction during the first wave of the COVID-19 pandemic.European journal of cardiovascular nursingAMI patients who delayed care described fear of catching COVID-19, believing hospitals were overloaded, and not wanting to burden care. Family or unbearable symptoms finally pushed them to call emergency.
• RNCohort2023Sequential relationships of food intake in nursing home residents with dementia: Behavioural analyses of videotaped mealtime observations.Journal of clinical nursingA successful bite or drink made the next bite or drink more likely. After a drink, staff taking over made another drink less likely, while longer gaps between episodes made a solid bite more likely.
• RNCohort2022Impact of family visit restrictions due to COVID-19 policy on patient outcomes: A cohort study.Journal of advanced nursingIn 530 gastrointestinal surgery inpatients, limiting family visits to 30 minutes daily did not show clear differences in delirium, falls, pneumonia, pressure ulcers or 30-day readmissions compared with usual visits.
• RNOther2022A Mixed Methods Assessment of Home-Based Video Pretransplant Lung Education.Progress in transplantation (Aliso Viejo, Calif.)Patients who watched a home lung-transplant video series found it helpful and valued real patient stories, but medication education and travel or listing questions remained unclear.
• RNSystematic Review2022Cardiovascular risk communication strategies in primary prevention. A systematic review with narrative synthesis.Journal of advanced nursingPersonalising cardiovascular risk with scan results or heart age was associated with better recall and risk-factor changes, but percentages and bar graphs were often misunderstood.
• RNSurvey2022Care burden, coping styles and involvement in care in mothers of autistic children in pandemic of COVID-19.Nursing openDuring pandemic restrictions, mothers of autistic children reported high care burden while still being highly involved in their child's care; their coping strategies were moderate. Family support should address burden and coping.
• RNCohort2022Can the Multidimensional Prognostic Index Improve the Identification of Older Hospitalized Patients with COVID-19 Likely to Benefit from Mechanical Ventilation? An Observational, Prospective, Multicenter Study.Journal of the American Medical Directors AssociationIn older hospitalized patients with COVID-19, mechanical ventilation was associated with higher risk of death and rehospitalization only in those with a Multidimensional Prognostic Index score above 0.50. Adding this frailty index to oxygenation measures improved prediction of these outcomes.
• RNSurvey2022Maternal Attitudes and Intentions About the COVID-19 Vaccine for Children Aged 5-11 Years.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners72.6% of mothers said they were very likely to vaccinate their child aged 5 to 11, but 48.5% of those likely mothers still worried about vaccine safety. 60.7% said their child's provider had not discussed the vaccine with them.
• PTOTRNPilot2022Cardiometabolic Risk Factors Among Insufficiently Active African American Women With Obesity: Baseline Findings From Smart Walk.The Journal of cardiovascular nursingInsufficiently active African American women with obesity had very low physical activity, high blood pressure, and poor cardiorespiratory fitness. Most met criteria for metabolic syndrome. These baseline findings describe a high-risk group but do not test whether an intervention improves these outcomes.
• RNSurvey2022Association between economic wellbeing and ethnicity, socioeconomic status, and remoteness during the COVID-19 pandemic.Public health nursing (Boston, Mass.)Low or high socioeconomic status was linked to higher reported income loss, and outer regional living to higher reported retirement savings access, among 1211 Australian adults surveyed online.
• RNQualitative2022Older adults with advanced cancer are selective in sharing and seeking information with social networks.Patient education and counselingOlder adults with advanced cancer chose different people for different support: health-care background for cancer information, illness experience for emotional support, close, frequent contacts for tasks. Patients and helpers often disagreed on conversation depth and who made decisions.
• RNSurvey2022Foot self-care behaviour in type 2 diabetes adults with and without comorbid heart failure.Nursing openPoor foot self-care was similar in T2D adults with and without heart failure: 54.3% and 53.3% respectively. Correlates differed: income and medication count with heart failure; social support and BMI without.
• RNCohort2023Family Caregiver Reports of Their Own and Patient Symptoms in Cancer Home Hospice Approaching End-of-Life.The American journal of hospice & palliative careFamily caregivers reported high patient fatigue and pain and low personal peace, and their own symptoms were linked with patient symptoms, especially as death approached.
• RNCohort2023Characteristics Associated With Mexican-American Hospice Use: Retrospective Cohort Study Using the Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE).The American journal of hospice & palliative careHospice use among older Mexican-Americans increased from 2004 to 2016, yet 38.4% of those entering hospice stayed 7 days or less. Dying in Arizona or New Mexico, or having dementia, was linked to more hospice use.
• RNQualitative2023Exploring Successful Breastfeeding Behaviors Among Women Who Have High Body Mass Indices.Journal of human lactation : official journal of International Lactation Consultant AssociationWomen with high BMI who breastfed successfully for six months or more relied on personalised knowledge of benefits, consistent advice from healthcare staff, and practical aids like pillows. Partners and clinicians described inconsistent guidance and lack of lactation support as barriers to continuing breastfeeding.
• RNSystematic Review2023Experience of antidepressant use and discontinuation: A qualitative synthesis of the evidence.Journal of psychiatric and mental health nursingPeople taking antidepressants described feeling trapped by a 'chemical imbalance' narrative that stigmatized them and masked their real problems. Many stopped taking medication as prescribed or found it made them feel 'not myself,' while withdrawal fears kept them taking drugs they wanted to quit.
• RNSystematic Review2022Integrative review of the literature on screening for gender-based violence during pregnancy: Barriers, facilitators, and tools.Nursing & health sciencesIn antenatal care, screening for gender-based violence is often hindered by lack of training, time, privacy, and referral pathways. Tools exist, but no consensus instrument; use local protocols and safe private conversations.
• RNSystematic Review2022Foodservice systems and mealtime models in rehabilitation: Scoping review.Journal of advanced nursingRehabilitation inpatients received mealtime care that was mostly ad hoc and delivered by nursing staff. Current evidence found no studies testing foodservice system changes and little evidence that mealtimes affect rehabilitation outcomes.