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.

5,775 PAPERS · PAGE 20 OF 116 · NEWEST FIRST

• RNNarrative Review2023Long-Term Care and the COVID-19 Pandemic: Lessons Learned.The Nursing clinics of North AmericaLong-term care residents and families suffered loneliness, depression, delirium, functional decline, and nutritional problems after visitation restrictions. Nurse-led family contact, rounding, activity, and trauma-informed care were reported to help. This is a narrative review, not tested evidence.
• RNMeta-Analysis2023Influencing factors of medical device-related pressure ulcers in medical personnel during the COVID-19 pandemic: A systematic review and meta-analysis.Journal of tissue viabilitySweating increased the risk of device-related skin injury by 23 times, while working in a COVID-19 department raised it by 9 times. Wearing protective equipment for longer periods also significantly increased the likelihood of injury.
• PTRNCohort2023Impact of Food Insecurity and Undernutrition on Frailty and Physical Functioning in Aging People With HIV in the United States.The Journal of the Association of Nurses in AIDS Care : JANACIn 48 older people with HIV, food insecurity was linked to poorer balance, chair rise, and mobility scores; undernutrition was linked to frailty and weaker grip. This pilot cannot show these factors caused the impairments.
• RNMeta-Analysis2023Relationship between filial obligation and caregiver depression among adult children: A systematic review and meta-analysis.Nursing openThe link between feeling a stronger duty to parents and caregiver depression was not consistent: three studies found more symptoms, but two studies that compared scores directly did not. Performing duties was linked to fewer symptoms only in Chinese samples.
• RNOther2023Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients.Revista brasileira de enfermagemIn adult ICU patients, altered respiratory rate and altered respiratory pattern were the best bedside clues to ineffective airway clearance. Nurses can use them to identify patients who need airway assessment.
• PTRNOther2023Continuity of care for children with chronic conditions: mixed methods research.Revista da Escola de Enfermagem da U S PCaregivers rated hospital-to-home transition for children with chronic conditions at 89.5 points on a 0 to 100 scale, but interviews found no formal way to confirm primary care followed the child after discharge.
• RNNarrative Review2023Current Evidence to Guide Practice, Policy, and Research: COVID-19 Vaccination During Pregnancy.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNThe reviewed evidence says COVID-19 vaccination in pregnancy is associated with no reported safety concerns, reduced severe maternal disease, and lower infant hospitalization. Uptake remains low, especially among Black and Hispanic women.
• RNCohort2023The associations of objective and perceived neighborhood disadvantage with stress among pregnant black women.Public health nursing (Boston, Mass.)Pregnant Black women who perceived the most neighborhood disorder were more likely to report high stress. Objective neighborhood deprivation was not associated. Ask about perceived safety and disorder, not just address-based disadvantage.
• RNOther2022The Association Between Engagement in Activities of Daily Living and Care Interactions for Residents Living With Dementia.Journal of nursing care qualityIn nursing-home dementia care, residents who were actively engaged during care had higher-quality staff-resident interactions than passively engaged residents. Most interactions were positive, but the study did not show engagement caused better care.
• RNSystematic Review2023«Management of nurses specialized in the aero-evacuation of highly infectious critical patients, during the COVID-19 pandemic. Systematic review».Enfermeria intensivaPlanning and operational safety were reported in 100% of included articles, nurse-specific management in 54.5%, and PPE use in 81.8%, but these are what articles reported, not patient outcomes.
• RNRCT2023Self-management program and Black women with hypertension: Randomized controlled trial substudy.Research in nursing & healthAdding text coaching to a self-management program did not improve blood pressure more than the program alone in Black women with hypertension. Both groups had lower blood pressure at 3 months. Coaching did not add a clear blood pressure benefit.
• RNOther2023Translation and psychometric evaluation of a scale to measure the fear of activity in Chinese patients with coronary artery disease.Nursing openA Chinese questionnaire for patients with coronary artery disease appears usable to identify fear of activity, and women reported more fear than men, but it was not tested to show that any treatment reduces fear.
• RNSystematic Review2023Nursing care management concepts: scoping review.Revista brasileira de enfermagemThe paper distinguishes 'Nursing Care Management' as macro-level network coordination from 'Nursing Care Administration' as micro-level unit organization. Both require similar skills, but Management relies on strategic-cognitive competencies while Administration relies on strategic-administrative ones.
• RNOther2023Elements for assistance to patients with hematological malignancies to propose care lines: a scoping review.Revista brasileira de enfermagemMapped hematological cancer care elements span diagnosis, treatment, supportive care, palliative care and post-treatment care. They show what nursing care lines may include, not proof that any component works.
• RNSurvey2023Association between fear of falling and self-care behaviours of older people with hypertension.Nursing openOlder adults with hypertension who feared falling more reported poorer self-care aimed at maintaining health, such as diet, activity and medication routines. They reported better emotional, social and daily self-care.
• RNCohort2023The Role of Individual-Level Socioeconomic Status on Nursing Home Placement Accounting for Neighborhood Characteristics.Journal of the American Medical Directors AssociationOlder adults with the lowest housing-based socioeconomic status had higher nursing home admission risk than those with the highest status, even after neighborhood deprivation was considered. They were also more likely to live alone and struggle with daily activities.
• RNSystematic Review2023Cardiovascular manifestations of monkeypox virus outbreak: An overview of the reported cases.Heart & lung : the journal of critical careNine Mpox cases reported heart inflammation or atrial fibrillation; all recovered, three needed ICU. In suspected Mpox with chest pain or breathlessness, ECG and troponin testing may help exclude heart involvement.
• RNSurvey2023Sexuality and its effects on older adults' depressive symptoms and quality of life.Revista brasileira de enfermagemIn older adults, better sexuality experiences were associated with better quality of life. Direct links to depressive symptoms were weak or absent, and the study cannot show that improving sexuality reduces depression.
• RNQualitative2023Family caregivers' itineraries of preschool children who survived leukemia: implications for primary healthcare nursing.Revista brasileira de enfermagemFamily caregivers of children who survived leukemia described noticing behavior change, fever, pain, and purple spots, but holiday access problems and fever and pain medicines delayed care. Narratives described a known pediatrician who took phone calls and coordinated tests as helping move diagnosis forward.
• 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.