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.

8,800 PAPERS · PAGE 31 OF 176 · NEWEST FIRST

• RNCohort2021The wider implications of the COVID-19 pandemic: Assessing the impact of accident and emergency use for frequent attenders.International emergency nursingEmergency department visits by frequent attenders dropped significantly during the pandemic. In the same patients, median visits fell from 6 to 2 over three months. Nurses cannot assume reduced attendance means improved health, as community service use was not tracked.
• RNCohort2021Characteristics and Outcomes of Clinic Visits Immediately Preceding Sepsis Hospitalization.American journal of critical care : an official publication, American Association of Critical-Care NursesAmong 118 patients hospitalized for sepsis, 10% visited a clinic within one day of admission. Most showed abnormal vital signs or infection symptoms, yet 30% were sent home without intervention. Over half worsened before reaching the hospital, suggesting missed opportunities for earlier detection.
• RNSurvey2021The correlation between emotional intelligence and self-esteem in patients with intestinal stoma: A descriptive-correlational study.Nursing openIn 155 patients with an intestinal stoma, higher self-reported emotional intelligence went together with higher self-esteem. No link was found with age, sex, education, marital status or job change. This does not show that emotional intelligence causes higher self-esteem.
• RNQualitative2021Hope versus reality: Parent expectations of genomic testing.Patient education and counselingMost parents hoped genomic testing would diagnose their child, but after results many reported disappointment, even when a positive result did not change treatment. Pre-test counseling should address this expectation gap.
• RNOther2021Three machine learning algorithms and their utility in exploring risk factors associated with primary cesarean section in low-risk women: A methods paper.Research in nursing & healthHospital type, BMI and oxytocin dose were among factors associated with primary cesarean in low-risk women in an exploratory machine-learning analysis of archived birth records. It did not test care changes, so it cannot show that altering oxytocin dose would reduce cesarean.
• RNQualitative2021Anxiety in Hospice Inpatients With Advanced Cancer, From the Perspective of Their Informal Caregivers: A Qualitative Study.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationCaregivers of hospice patients with advanced cancer saw anxiety as often daily, especially at night or when alone. They noted restlessness, withdrawal, and small gestures. They said staff should start anxiety conversations and preserve patients' control.
• RNOther2021Daytime-to-Nighttime Sleep Ratios and Cognitive Impairment in Older Intensive Care Unit Survivors.American journal of critical care : an official publication, American Association of Critical-Care NursesOlder ICU survivors who slept more during the day than at night had worse cognitive flexibility. This small study does not prove daytime sleep caused thinking problems.
• RNSystematic ReviewCardiovascular Consequences of Excessive Alcohol Drinking via Electrocardiogram: A Systematic Review.Journal of addictions nursingHeavy alcohol use was linked to abnormal ECG patterns, including rhythm changes and longer QT intervals. Nurses can use this to watch for heart rhythm risk during assessment and when giving medicines that affect the QT interval.
• RNCohort2021Integrated management to reduce fistula-related long-term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort study.Nursing openAt 1 year, fistula complications were 3.6% in the integrated nursing group and 23.9% in the routine group. The intervention was a non-randomised bundle of nursing actions, so the study cannot show which part mattered.
• RNQualitative2021Barriers to Family Resilience in Caregivers of People Who Have Schizophrenia.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingCaregivers of relatives with schizophrenia described barriers to coping: not knowing the illness, stigma, critical emotions, pulling away or taking control, and blame. They said psychoeducation and counseling helped them understand what to do.
• RNCohort2021The prevalence and determinants of inappropriate sexual behaviour in people with acquired brain injury in nursing homes.Journal of advanced nursingIn nursing home patients with acquired brain injury, 38.1% had inappropriate sexual behaviour, mostly mild verbal comments. Nursing home staff should expect it during daily care and check for concurrent agitation or aggression.
• RNSurvey2021Factors associated with knowledge of the disease in people with type 2 diabetes mellitus.Investigacion y educacion en enfermeria54.7% of 412 adults with type 2 diabetes in Brazil had insufficient knowledge. Age 60 or older, low education, low income, and never attending diabetes education groups were linked to this.
• RNSurvey2021Excess weight in children living in rural areas related to the nutritional profile and to maternal habits.Investigacion y educacion en enfermeriaIn rural Brazilian children, excess weight was associated with maternal waist circumference, child protein intake, irregular natural juice drinking, and socioeconomic level C1 versus D-E. This cross-sectional study cannot show cause.
• RNCohort2021Patient Experience with Postpartum Pain Management in the Face of the Opioid Crisis.Journal of midwifery & women's healthWomen described pain relief improving when nurses gave medications on time and explained choices. Many also feared judgment or refusal when asking for opioids. Clear education, frequent check-ins, and comfort measures mattered.
• RNPilot2021Living with Long term condition Scale: A pilot validation study of a new person centred tool in the UK.Nursing openThe English version of a questionnaire about living with long-term conditions was acceptable to 49 patients, but some parts scored inconsistently and several items were unclear or culturally awkward.
• RNQualitative2021"I Feel All Alone Out Here": Analysis of Audio Diaries of Bereaved Hospice Family Caregivers During the COVID-19 Pandemic.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationBereaved hospice caregivers said the pandemic cut face-to-face support but also pushed them into video calls, remote work, and visits at a distance. Some felt lonelier when formal support was hard to reach, while others found relief that death occurred earlier.
• RNSurvey2021The quality in psychiatric care-Addiction outpatient instrument: Psychometric properties and patient views of the quality of care.Nursing open92% of addiction outpatients rated the quality of care positive, but discharge help scored lowest. The 34-item QPC-AOP was adequate overall, but Discharge, Environment and Next of kin subscales were weak.
• RNOther2021Predictive value of pressure ulcer risk for obstructive coronary artery disease.Nursing openPatients with higher pressure ulcer risk were more likely to have left main or three-vessel coronary disease. The Braden score is a nursing assessment, not a coronary artery disease diagnostic test.
• RNRCT2021A Pilot Study to Promote Active Living among Physically Inactive Korean American Women.Journal of community health nursingThe online community group increased muscle-strengthening days by 1.4 days more than the other group. Both groups increased aerobic, vigorous, and walking activity and reduced weekday sitting.
• RNCohort2021Older Women and Opioid Analgesia after Breast Cancer Surgery.Pain management nursing : official journal of the American Society of Pain Management NursesMost older women after early breast cancer surgery used little or no opioids: 29 of 57 needed none 48 hours after discharge, and mean post-discharge pain was 3.04 out of 10. Some with pain scores of 7/10 and 10/10 took only one tablet.
• RNSurvey2021Caregiver overload and factors associated with care provided to patients under palliative care.Investigacion y educacion en enfermeriaHome palliative care caregivers reported a mean overload score of 28.8 on a 0 to 88 scale. Female caregivers, more days of care, and depressive symptoms were associated with higher burden. This was a cross-sectional survey, so it shows association, not cause.
• RNCase Series2021Palliative Care for Patients on Extracorporeal Membrane Oxygenation for COVID-19 Infection.The American journal of hospice & palliative careAll 23 patients on ECMO for severe COVID-19 received palliative care within 48 hours, averaging 6.8 encounters. Nine of 11 deaths followed comfort-focused goals changes, and all 6 patients aged 50 or older died.
• RNNarrative ReviewA Review of the State of the Science of HIV and Stigma: Context, Conceptualization, Measurement, Interventions, Gaps, and Future Priorities.The Journal of the Association of Nurses in AIDS Care : JANACStigma remains a barrier to HIV care, but most interventions studied so far are low quality and fail to improve long-term health outcomes like medication adherence. Multilevel approaches that combine individual support with structural changes appear most promising.
• PTOTRNSurvey2021Fear of Falling among Community-dwelling Sedentary and Active Older People.Investigacion y educacion en enfermeriaFear of falling did not differ between active and sedentary older adults. Sedentary participants had higher depression screening scores, but this survey cannot show that activity changed either outcome.
• PTRNQualitative2021The course of readmission in frail older cardiac patients.Journal of advanced nursingAcross five older cardiac patients readmitted after discharge support, visiting nurses and physical therapists had not seen the deterioration in three cases. Infrequent visits and incomplete records limited detection, and rehabilitation goals sometimes did not match patient expectations.
• RNSurvey2021Mediating roles of psychological factors and physical and social environments between socioeconomic status and dietary behaviors among African Americans with overweight or obesity.Research in nursing & healthAmong African American adults with overweight or obesity, socioeconomic status was linked to dietary behaviors through psychological factors and neighborhood perceptions, not directly. Diet education may need to address self-efficacy, barriers, health perceptions, and access.
• PTOTRNOther2021Back pain and heart failure in community-dwelling older adults: Findings from the Health ABC study.Geriatric nursing (New York, N.Y.)Older adults with back pain reported more falls, worse function, depression and fatigue. Women with heart failure were more likely to report back pain; cognition did not differ.
• RNQualitative2021Barriers to accessing mental health services in Somali-Australian women: a qualitative study.International journal of mental health nursingSomali-Australian women described four barriers to mental health help-seeking: faith could make illness seem a test from God, shame hid diagnoses, mistrust of Australian clinicians, and families denied illness or stopped medication. These are experiences, not evidence of an intervention.
• RNSystematic Review2021Effectiveness of the Advanced Practice Nursing interventions in the patient with heart failure: A systematic review.Nursing openIn heart failure care, advanced nurse-led programmes reported fewer readmissions in all nine studies and lower mortality in four of five. Cost and quality-of-life findings were mixed.
• RNOther2021Barriers and facilitators to breastfeeding support practices in a neonatal intensive care unit in Colombia.Investigacion y educacion en enfermeriaIn a Colombian NICU, 51 infant charts showed 98% received mother's milk and 96% breastfed before discharge, but 65% received formula for their first oral feed and only 10% intended exclusive breastfeeding after discharge.
• RNSystematic Review2021Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review.Investigacion y educacion en enfermeriaSome nurse-led case management trials lowered blood pressure at six months, but the review did not find consistent control at 12 months. Use structured follow-up as an add-on to usual care, not as a proven way to lower blood pressure.
• RNRCT2021Utility of a virtual counselor (VICKY) to collect family health histories among vulnerable patient populations: A randomized controlled trial.Patient education and counseling97% of participants completed family health histories with VICKY, compared with 51% using My Family Health Portrait, and VICKY agreed more with genetic counselor histories. The advantage was largest when health literacy was limited.
• RNSystematic Review2021Postpartum care content and delivery throughout the African continent: An integrative review.MidwiferyPostpartum care in African studies often covered counseling and family planning, but no study included all WHO recommended components. Gaps included non-communicable disease care, intimate partner violence screening, and mental health assessment.
• RNSystematic Review2021Experimentally evoked pain in Alzheimer's disease.Journal of the American Association of Nurse PractitionersPeople with Alzheimer's disease did not experience less pain. They often needed stronger experimental stimuli to detect or report pain, but pain unpleasantness was greater or the same as in healthy older adults.
• PTOTRNNarrative Review2021Early mobilization and physical exercise in patients with COVID-19: A narrative literature review.Complementary therapies in clinical practiceNo randomized trials of early mobilization or exercise in hospitalized COVID-19 patients were found. Published guidance recommends low-intensity activity for mild and stable cases, with stopping rules for oxygen saturation drop, fever, breathlessness, chest pain, or instability.
• RNRCT2021The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial.The journal of nursing research : JNRFour weeks of self-administered ear acupressure improved sleep quality more than sleep hygiene advice during treatment and at 4 weeks, but not by 8 weeks. Men showed larger early improvement than women. No clear physical or mental health benefit.
• PTRNCohort2021Investigating key predictors of persistent low back pain: A focus on psychological stress.Applied nursing research : ANRIn acute low back pain, higher stress, worse pain, and lower pressure thresholds were linked to less pain resolution. In the final model, household income greater than $60,000 per year was the strongest predictor.
• RNCohort2021What Are the Burden, Causes, and Costs of Early Hospital Readmissions After Kidney Transplantation?Progress in transplantation (Aliso Viejo, Calif.)Kidney transplant recipients were readmitted often: 19.4% within 30 days and 26.8% within 90 days. Infection, rejection, and kidney or urinary issues were the most likely causes, and hospital cost per 30-day readmission was 11 606 CAD.
• RNOther2021United States ED Visits by Adult Women for Nonfatal Intimate Partner Strangulation, 2006 to 2014: Prevalence and Associated Characteristics.Journal of emergency nursingOnly 1.2% of U.S. emergency visits coded for intimate partner violence by women also had strangulation coding. Strangulation-coded visits were more common among younger women and metropolitan hospitals.
• RNSystematic Review2021Tracing the Use of the Family Management Framework and Measure: A Scoping Review.Journal of family nursingThe Family Management Measure is used in research with families facing chronic health challenges, not widely in clinical care. Studies often included one family member, usually mothers, and two studies scored the measure incorrectly.
• RNQualitative2021Components of Empowerment Among Family Caregivers of Community-Dwelling People With Dementia in Japan: A Qualitative Research Study.The journal of nursing research : JNRFamily caregivers of people with dementia in Japan described empowerment as four themes: learning coping and self-care, respecting the person, building mutual support, and understanding how society views dementia. They were recruited from self-help groups, so less empowered caregivers may be missing.
• RNCohort2021Assessment of Coronavirus Disease 2019 Infection and Mortality Rates Among Nursing Homes With Different Proportions of Black Residents.Journal of the American Medical Directors AssociationNursing homes with more Black residents had higher rates of COVID-19 infections and deaths than those with no Black residents. Adjusting for facility characteristics and county burden reduced these differences, suggesting structural factors beyond individual nursing home practices drove the disparities.
• RNCohort2021Hospital Admissions Associated With Cancer Pain in Older Adults With and Without Dementia.Pain management nursing : official journal of the American Society of Pain Management NursesIn older adults admitted for cancer pain, recorded dementia was not clearly linked to different hospital cost or length of stay. Stays averaged 5 days in both groups.
• PTRNNarrative Review2021Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty.Journal of perioperative practicePreoperative education, pain drugs, strength exercises, blood management and early mobilisation are discussed for older patients having total knee replacement. This is a narrative review, so these are reported recommendations, not tested outcomes.
• RNOther2021Caregiver outcomes of a dementia care program.Geriatric nursing (New York, N.Y.)Caregivers of dementia patients who did not benefit on program measures often said nurse recommendations missed their stage-specific needs; 45 of 53 responders still rated the nurse-led program very to extremely beneficial.
• RNSurvey2021Fear of COVID-19 Scale (FCV-19S) across countries: Measurement invariance issues.Nursing openThe seven-item Fear of COVID-19 Scale measured fear similarly by gender and age, but not across countries. Nurses may use it for patient fear assessment, but country-to-country score comparisons are not straightforward.
• RNCohortIntravenous Smart Pumps During Actual Clinical Use: A Descriptive Comparison of Primary and Secondary Infusion Practices.Journal of infusion nursing : the official publication of the Infusion Nurses SocietyHead-height IV pump setups for secondary medication did not meet the required primary head-height in any observed case. Cassette setups alarmed when secondary clamps were closed, so those doses were not missed.
• RNNarrative Review2021Herpes Zoster (Shingles) Patient-Centered Wound Outcomes: A Literature Review.Advances in skin & wound careShingles blisters are open wounds. Early antiviral treatment reduced pain and healing time, and case reports said dressings eased pain, but the review found no study comparing dressings added to standard care.
• RNRCT2021The Effect of Acupressure on Fasting Blood Glucose and Glycosylated Hemoglobin Levels in Diabetic Patients: A Randomized Controlled Trial.International journal of community based nursing and midwiferyAcupressure at one leg point did not beat fake acupressure or usual care on blood glucose or long-term sugar marker over 12 weeks. In the acupressure group alone, long-term sugar marker fell from 8.61 to 8.1.
• RNSurvey2021Comparing dysmenorrhea beliefs and self-management techniques across symptom-based phenotypes.Journal of clinical nursingWomen with multiple severe dysmenorrhea symptoms held more negative beliefs and used more medication, complementary and non-medication self-management techniques than women with localized pain. Assess beliefs and prior treatments before advising.