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 120 OF 216 · NEWEST FIRST

• RNSystematic Review2023Systematic review: Individual-level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease.Journal of advanced nursingSleep health in IBD was mostly examined through individual factors. Nine studies examined social factors, 6 found no clear link; in the few with links, minority patients had more broken sleep and pandemic worries related to disturbed sleep.
• PTRNRCT2023The Psychosocial Impact of the COVID-19 Pandemic on Chronic Care Patients.Journal of the American Medical Directors AssociationPatients with COPD or heart failure described fear, loneliness, and anger during the pandemic. They avoided care, isolated at home, and wanted personal contact and clear information about infection risk and vaccination.
• RNCohort2023The emergency nurse responses to triage interruptions and how these responses are perceived by patients: An observational, prospective study.International emergency nursingNurses' response to emergency triage interruptions showed no link to patients' confidence, competence or satisfaction, nor to nurse demographics. Interruptions were frequent and often delayed care.
• RNSystematic Review2023Decreased cardiac output: an integrative review.Revista brasileira de enfermagemEdema, jugular vein distension, dyspnea and fatigue were the most commonly reported signs of decreased cardiac output in 31 studies. The review also listed hyperglycemic stress, prone or left side positioning and sleep deprivation as possible contributing factors.
• RNCohort2023Parents' quality of life and health after treatment decision for a fetus with severe congenital heart defect.Journal of pediatric nursingParents who chose comfort-directed care for a fetus or neonate with severe congenital heart defect reported less social support and poorer state of mind than parents who chose surgery at 3 months. These small, exploratory differences are not proof of harm.
• RNCohort2023Construction and application of enhanced recovery after surgery-optimized management system with nurse-led multidisciplinary cooperation.Nursing openPatients who received a 19-item ERAS bundle had shorter fasting, earlier feeding, lower pain, fewer malnutrition and DVT cases, shorter stay and lower costs than the prior-year control group.
• RNSurvey2023Association between negative psychology and sleep quality in dialysis patients during the COVID-19 pandemic.Nursing open90.2% of dialysis patients reported poor sleep. Higher depression and stress scores were linked to a higher chance of poor sleep; anxiety was not. This is association, not proof that treating depression or stress improves sleep.
• RNCase Report2023Cardiovascular complications of COVID-19 vaccines: A review of case-report and case-series studies.Heart & lung : the journal of critical careAcross 100 case reports or case series after COVID-19 vaccination, myocarditis and pericarditis were most often reported, mainly after mRNA vaccines and in men aged 16 to 39. Most improved with rest and medication, but these reports cannot show how often vaccines cause heart problems.
• RNSurvey2023Correlation between quality of discharge teaching, readiness for hospital discharge and health outcomes of hysterectomy patients: A structural equation model analysis.Nursing openHysterectomy patients who rated discharge teaching better also felt more ready to leave hospital and reported better self-care ability one month later. Readiness linked teaching to self-care, but the study did not test whether improving teaching improves outcomes.
• RNQualitative2023Cognitive Behavioral Sleep Self-Management Intervention for Young Adults With Type 1 Diabetes (NCT04975230).Clinical nursing researchYoung adults with type 1 diabetes said after the first sleep self-management session they could set sleep goals, but night glucose checks, CGM devices, school or work, and device use made sleep extension hard.
• RNSystematic Review2023Telehealth Palliative Care in Nursing Homes: A Scoping Review.Journal of the American Medical Directors AssociationTelehealth palliative care in nursing homes mostly used live video and case conferences for advance care planning, symptoms, and avoiding transfers. Reported benefits were mixed; the review cannot show it works.
• RNCohortMultisite Evaluation of Toothbrushes and Microbial Growth in the Hospital Setting.Clinical nurse specialist CNSOf 1817 toothbrushes tested, 872 (48%) were positive for at least one organism, and 124 of 136 hospitals had a toothbrush positive for a multidrug-resistant organism. Among 5340 patients in rooms entered, 29% had no toothbrush and 17% had an unused toothbrush.
• RNSurvey2023Are people with diabetes getting the support they need? Deficits between support desired and received from family and friends relates to poorer health.Patient education and counselingAbout half of adults with diabetes had a support mismatch, and 23% to 34% wanted more help than they received. Deficits were associated with higher triglycerides, more diabetes distress, and lower confidence in diabetes management.
• RNCohort2023Severity of COVID-19 among Residents in Aged Care Facilities in Victoria, Australia: A Retrospective Cohort Study Comparing the Delta and Omicron Epidemic Periods.Journal of the American Medical Directors AssociationDuring Omicron, aged-care residents had lower hospitalization and death per case than during Delta, but more cases and deaths overall. Nurses should not assume mild disease: monitor residents, maintain infection control, and consider vaccination timing.
• RNSurvey2023The impact of COVID-19 on breastfeeding rates: An international cross-sectional study.MidwiferyPostpartum women reported breastfeeding more often with maternity leave or virtual support groups, and less often with older babies, first children, preterm birth, neonatal care, or current psychiatric treatment. These are associations, not proven causes.
• RNOther2023Effects of a multicomponent physical exercise programme on perceived health-related quality of life and on depressive symptoms in older adults living in long-term nursing homes.International journal of nursing sciencesA 12-week exercise program did not improve overall quality of life or depression in nursing home residents. Only one emotional role score changed within the exercise group, with no difference between groups.
• OTRNRCT2023Evaluating depressive symptoms, BDNF Val66Met, and APOE-ε4 as moderators of response to computerized cognitive training in heart failure.Heart & lung : the journal of critical careDepression severity, BDNF Val66Met, and APOE-ε4 did not predict response to computerized cognitive training in heart failure. The trial's memory and daily function outcomes improved over time in all groups.
• RNNarrative Review2023Stroke Risk Related to Coronavirus Disease-2019: What Have We Learned?Critical care nursing clinics of North AmericaHospitalized patients with COVID-19 were reported to have stroke in 0.7% to 5.8% across studies, often younger and severe. Nurses should watch for subtle neurologic changes.
• RNCohort2023Post-Acute Care Setting After Hip Fracture Hospitalization and Subsequent Opioid Use in Older Adults.Journal of the American Medical Directors Association50% of older adults had an opioid dispensed after leaving post-acute care for hip fracture. Skilled nursing facility discharge was associated with lower risk of an opioid dispensed than inpatient rehab, not shown to be a treatment effect.
• RNCohort2023Are hip fracture patients with high or low body mass index at higher risk of missed care? A cohort study.Nursing openUnderweight and overweight hip fracture patients had the same risk of missed guideline care as normal-weight patients. Obese patients had lower fulfilment of surgery within 36 hours. Patients with missing BMI had the lowest care fulfilment.
• RNOther2023Life satisfaction and difficulties experienced by the family members of individuals with thalassemia.Nursing openFamily members of people with thalassemia reported average life satisfaction 11.18 (range 5 to 23), where higher means more satisfaction, and described regret, treatment burdens, fear, and isolation.
• RNSurvey2023Prevalence and reasons for self-medication for prevention of COVID-19 among the adult population in Kermanshah-Iran.Nursing open69.4% of 147 surveyed adults in Kermanshah, Iran, self-medicated for COVID-19, mostly with vitamins, antibiotics or corticosteroids, to boost immunity or prevent illness. Nurses can ask about non-prescribed drugs and counsel on risks.
• RNSurvey2023Anxiety, stress, and depression in Australian pregnant women during the COVID-19 pandemic: A cross sectional study.MidwiferyOver 25% screened positive for depression, just over 19% had moderate or higher anxiety, and 15.5% had moderate or higher stress. Prior mental illness was the strongest risk; social support was protective. Continuity of carer was not linked to lower distress after other factors.
• RNOther2023Health-related experiences of adults with chronic cough: Empirical research mixed methods.Nursing openAdults with chronic cough often could not identify a cause, found treatments only mildly helpful, and reported frustration, embarrassment, and interference with enjoyment or work. Some valued providers who acknowledged impact, but many were unsure a cause had been found.
• RNSystematic Review2023Challenges of nurses and family members of burn patients: Integrative review.Nursing openBurn nurses and family members of burn patients described heavy workload, ethical and religious dilemmas, guilt and anxiety, and gaps in training, counselling and clear information about recovery and discharge.
• RNSystematic Review2023Interventions to Reduce Inpatient and Discharge Opioid Prescribing for Postpartum Patients: A Systematic Review.Journal of midwifery & women's healthScheduled non-opioid pain plans, reduced discharge opioid prescribing, and shared decision-making lowered postpartum opioid use. Abdominal binders, lidocaine patches, valdecoxib, and acupuncture showed no reduction.
• PTOTRNSystematic Review2023Interventions to promote mobility and quality of life in nursing homes: A systematic review.Nursing openExercise and movement programmes for nursing home and assisted living residents mostly did not improve quality of life, although many improved mobility or balance. Do not assume getting residents moving alone will make them feel better.
• PTRNCohort2023Order of Onset of Physical Frailty and Cognitive Impairment and Risk of Repeated Falls in Community-Dwelling Older Adults.Journal of the American Medical Directors AssociationOlder adults who developed cognitive impairment and physical frailty within a year had the highest repeated-fall risk, 28.3%. Frailty-first versus cognitive-impairment-first did not differ after adjustment. This is an association, not a tested prevention programme.
• RNSystematic Review2023The optimal intervention for preventing physical restraints among older adults living in the nursing home: A systematic review.Nursing openMultifactorial programs reduced physical restraint use in five of seven trials. Education alone showed mixed results. No increase in falls or psychotropic drugs. Bed rail definition inconsistency limits certainty. Run by nurse specialists or unit leaders.
• RNSurvey2023A questionnaire to assess the health information literacy of patients with intermediate-stage chronic kidney disease.Nursing openIn 130 patients with stage 3 or 4 CKD, health information literacy was lower in older, less educated, unemployed patients. Only 47.68% scored excellent. This identifies education needs, not a tested intervention.
• RNQualitative2023Medical respite post-hospitalization for adults experiencing homelessness.NursingAdults experiencing homelessness described post-discharge barriers: forgetting instructions, unable to perform dressing changes, and lacking supplies or medications. Shelter staff said guests arrived after hospitalization without needed medications or equipment, and shelters lacked trained staff.
• RNQualitative2023The lived experience of family members of older people who have died by suicide in rural China.Nursing openBereaved relatives of older people who died by suicide in rural China described shame, guilt, suicidal thoughts, stigma and funeral costs. Some said time helped; three appeared still distressed.
• RNCohort2023Mismatch identified in symptom burden profiles in lung transplantation.Heart & lung : the journal of critical careLung transplant candidates fell into three profiles. One in five had severe symptom burden despite average illness severity. Objective severity alone missed this group. These patients were younger, more racially diverse, and had higher psychosocial risk.
• RNOther2023Clinical determinants of oxygen saturation and length of hospitalisation of COVID-19 patients: A cross-sectional study in Indonesia.Enfermeria clinicaIn hospitalised adults aged 19 to 64 with COVID-19, vomiting, high blood pressure and fast breathing were linked to lower oxygen saturation. Fast breathing, fever, diabetes, abnormal D-dimer and blood glucose were linked to hospital stay over 14 days.
• RNSurvey2023The relationship between cancer-related fatigue, quality of life and pain among cancer patients.International journal of nursing sciencesCancer patients with pain often reported fatigue and moderate quality of life. Fatigue and quality of life were linked in patients with moderate or severe pain, but not in patients with mild pain.
• RNSurvey2023Relationship between traits and sleep quality of hospitalized elderly patients and sleep quality of family caregivers.Nursing openHospitalized older adults with poorer sleep were linked to caregivers with poorer sleep. Spouses caring for them and older caregivers reported worse sleep. Nurse teams should assess both patient and caregiver sleep, especially when the spouse is providing care.
• RNSurvey2023Pregnant Women's experiences with intimate partner violence one year after the COVID-19 pandemic in Jordan.Nursing openPregnant Jordanian women reported high intimate partner violence during the pandemic. Control and psychological abuse increased. Physical abuse stayed the same, and sexual abuse was lower. Antenatal care teams should expect IPV.
• RNCohort2023Predictive validity of the Short Functional Geriatric Evaluation for mortality, hospitalization and institutionalization in older adults: A retrospective cohort survey.International journal of nursing sciencesHigher frailty scores in 8,561 community-dwelling adults over 75 were linked to greater risk of death, hospitalization, and institutionalization. The score also flagged risk in those without physical or psychological impairment, but was weakest for hospitalization.
• RNCohort2023State Variation in Antipsychotic Use Among Assisted Living Residents With Dementia.Journal of the American Medical Directors AssociationAntipsychotics were filled during 12.6% of assisted living person-months for residents with dementia in 2017, ranging from 7.8% in Hawaii to 20.5% in Wyoming. This shows wide state variation, not proof that any state's prescribing is safer.
• RNSystematic Review2023Challenges of conducting of online educational programs for family caregivers of people with dementia living at home: An integrative review.International journal of nursing sciencesOnline programs for family caregivers of people with dementia often had repetitive or missing content, limited interaction, technology barriers, low computer literacy, high dropout, and little checking of whether the program was delivered as planned.
• RNOther2023Falls as the result of interplay between nurses, patient and the environment: Using text-mining to uncover how and why falls happen.International journal of nursing sciencesMost nurse-reported falls were unwitnessed, and reports clustered around bedrails, alarms, call bells, commodes, footwear, hypnotics, and patients walking alone. Falls often followed care decisions, not just patient risk.
• RNSurvey2023Satisfaction of Older Patients With Emergency Department Care: Psychometric Properties and Construct Validity of the Consumer Emergency Care Satisfaction Scale.Journal of nursing care qualityOlder emergency department patients rated care highly, but the usual score gave too many perfect marks. Adding the negative questions as a separate dissatisfaction score showed some patients were unhappy.
• RNSurvey2023The COVID-19 pandemic's impact on breastfeeding self-efficacy: A path analysis.Enfermeria clinicaAmong breastfeeding mothers during the pandemic, higher anxiety was linked to lower breastfeeding confidence. Higher social support and mother-infant bonding were linked to higher confidence. Bonding did not explain much of these links.
• PTOTRNMeta-Analysis2023Effects of chair-based resistance band exercise on physical functioning, sleep quality, and depression of older adults in long-term care facilities: Systematic review and meta-analysis.International journal of nursing sciencesChair-based resistance band exercise improved daily living independence, strength, endurance, flexibility, balance, sleep quality and depression in older adults in long-term care. Sessions were about 40 to 46 min, three times weekly, for 12 to 60 weeks.
• RNQualitative2023Last utterances of patients in Covid Intensive Care Units: A qualitative study.Archives of psychiatric nursingICU patients wrote family letters expressing love, longing, hope, fear of death, goodbyes and wills. Half thanked staff. Nurses can offer letter writing when visitors are restricted.
• RNSurvey2023Factors affecting self-care among community-dwelling hypertensive older adults: A cross-sectional study.Nursing openIn 105 older adults with hypertension, diet self-care was associated with religion and higher cognitive scores. Health self-care was lower with comorbidities. The lowest health behaviour item was checking blood pressure at home.
• RNSystematic Review2023Vaccine hesitancy in cancer patients: A rapid review.Patient education and counselingCancer patients' vaccine hesitancy varied widely across studies, averaging 38.4%, with most concerns focused on vaccine interactions with treatment. Patients relied on oncologists for advice, yet webinar evidence was inconsistent, and one large study reported a lower 19% rate.
• PTOTRNQualitative2023Real-life experience of accepting assistive device services for Tibetans with dysfunction: A qualitative study.International journal of nursing sciencesTen Tibetan adults who used assistive devices said the devices helped daily life and eased family care, but poor fitting, unsafe paths, fall fear, and stigma made them hard to use. They wanted local professional guidance and financial support.
• RNCohort2023Application of a nurse-led transitional care programme for patients discharged with T-tubes after biliary surgery.Nursing openTotal discharge readiness did not differ in patients discharged with T-tubes after biliary surgery who received nurse-led transitional care, but they reported better self-care, care transition quality, quality of life and fewer tube complications.
• PTOTRNCohort2023Incidence and risk factors of falls in older adults after discharge: A prospective study.International journal of nursing sciencesAmong 1,077 older Chinese adults after discharge, falls rose to 4.45% at 1 month, 9.03% at 6 months, and 10.80% at 12 months. Depression and frailty were independently associated with falls.