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.

9,486 PAPERS · PAGE 33 OF 190 · NEWEST FIRST

• RNSurvey2020Exploring the potential of acceptance and commitment therapy model in self-care behaviour in persons with heart failure.Nursing openSelf-care behaviour in hospitalized heart failure patients was poor, with only six of 165 scoring above the adequacy cut-off. While mindfulness and committed action correlated with better self-care, no single factor predicted it alone. Complex interactions involving these psychological traits were required to explain the variance.
• RNCohort2020Weight gain during pregnancy and its associated factors: A Path analysis.Nursing openIn 734 pregnant women, 49.6% had sufficient weight gain, 28.7% too little, and 21.7% too much. Food insecurity, social support, and prenatal care were associated with weight gain, but not proven causes.
• RNSurvey2020Examining Social Determinants of Health in Childhood Asthma Management.Clinical nurse specialist CNSIn 292 children with asthma, family social and economic status, race/ethnicity and home language were linked to asthma management, inhaler skill, emergency visits and quality of life, but the pattern was mixed.
• RNRCT2020A qualitative study-Patient experience of tactile massage after stroke.Nursing openStroke patients said gentle hand or foot massage, added to regular rehabilitation, helped them relax and ease worries during the session. They described human touch as comforting. This is patients' experience, not proof the massage works.
• RNCohort2020An epidemiological study of a patient population, triage category allocations and principal diagnosis within the emergency centres of a private healthcare group in the Emirate of Dubai, United Arab Emirates.Nursing openAcross 56,984 private emergency centre records in Dubai, 96.56% of triage allocations were categories three to five. Triage category distributions were broadly similar across four centres, but one centre's distribution differed.
• PTOTRNPilot2020An evidence-based structured one-year programme to sustain physical activity in patients with heart failure in primary care: A non-randomized longitudinal feasibility study.Nursing openSeven patients with heart failure completed a one-year nurse-led programme combining group education and individual activity plans. Self-reported activity and walking distance improved, and participants found the group sessions and personalized goals most helpful. Feasibility was confirmed, but efficacy remains unproven.
• RNOther2020Implementation of the Perinatal Death Surveillance and Response guidelines: Lessons from annual health system strengthening interventions in the Rwenzori Sub-Region, Western Uganda.Nursing openIn 20 reviewed facility perinatal deaths in western Uganda, birth asphyxia, malaria in pregnancy and urinary tract infections were common; delays included missed danger signs, long distances, and midwives lacking sign language skills for an aphasic mother.
• RNCase Report2021Cytosorb filter: An adjunct for survival in the COVID-19 patient in cytokine storm? a case report.Heart & lung : the journal of critical careA critically ill man survived severe COVID-19 ARDS after a complex ICU course that included a Cytosorb filter among many treatments. This is a single case, not evidence the filter works.
• RNQualitative2020Perspectives of parents on the meaning of happiness in children with long-term illness: A hybrid concept analysis.Nursing openParents of chronically ill children in Ghana defined happiness not as joy, but as the ability to adapt to the illness trajectory. They linked this state to physiological stability, economic capacity for care, and reliance on God, viewing it as a subjective process of coping rather than a fixed emotional outcome.
• RNNarrative Review2020Pregnancy after loss during the COVID19 pandemic.Women and birth : journal of the Australian College of MidwivesMaternity care restrictions during the pandemic may unintentionally harm women with prior stillbirth by reducing essential monitoring and support. Clinicians should maintain access to peer support, involve partners in appointments, and preserve evidence-based surveillance for these high-risk pregnancies.
• RNSurvey2020Social support predicted quality of life in people receiving haemodialysis treatment: A cross-sectional survey.Nursing openHigher perceived social support was associated with better quality of life in Jordanian patients receiving haemodialysis across physical, psychological, social and environmental domains. The survey cannot show that support caused better quality of life.
• RNSurvey2020Factors related to spiritual health in Chinese haemodialysis patients: A multicentre cross-sectional study.Nursing openHigher hope, better family function and greater illness acceptance were associated with better spiritual health scores in 418 Chinese haemodialysis patients. Ethnic minority patients scored higher than Han patients.
• RNSurvey2020The effect of parental depression on the problem behaviour and academic performance of children with asthma.Nursing openIn families of 9-year-old children with asthma symptoms, maternal depression was directly associated with more child problem behaviour, and child problem behaviour was associated with lower reported academic performance. Parental depression was linked to marital conflict, and marital conflict to less parent-child interaction.
• RNQualitative2020Adequacy of care provision in long-term home nursing arrangements: A triangulation of three perspectives.Nursing openHome care recipients, informal caregivers and nurses described care-level assessments as too narrow and care as often too much, too little or wrong. They reported barriers to equipment, mobility, therapy and social participation.
• RNOther2020Medication-related incidents at 19 hospitals: A retrospective register study using incident reports.Nursing openMost medication incidents happened during administration and prescribing, with wrong dose being the top error in both. Nurses reported nearly all incidents, often catching physician errors. Only 3.7% of reported incidents caused patient harm, while most were near misses or errors that reached the patient without harm.
• RNSurvey2020Uninformed decision-making and regret about delaying childbearing decisions: A cross-sectional study.Nursing openMore than half of women and nearly half of men seeking fertility treatment regretted delaying childbearing. Lack of fertility knowledge was the only reason linked to regret in both sexes. Financial security and relationship stability were the most common reasons for delay.
• RNCohort2020Home Healthcare Clinical Notes Predict Patient Hospitalization and Emergency Department Visits.Nursing researchEarly home health visit notes could predict later hospitalization or emergency department visits. The best model performed well, but no intervention was tested. Clear documentation of symptoms, care coordination, and social risks may help flag risk.
• RNOther2020Loss of patient centeredness in interpreter-mediated primary care visits.Patient education and counselingProfessional interpreters conveyed fewer statements than clinicians and patients expressed. In 55 visits, clinicians made 218.0 statements and interpreters made 96.6. Emotional and facilitative talk was especially lost, and higher conveyed patient-centeredness was linked to better patient ratings of interpreter listening.
• RNPilot2020Patients' perspective of attending nursing consultations-A pilot and feasibility study.Nursing openPatients with advanced heart and lung failure accepted a half-hour nurse consultation and described it as a confidential moment to identify what mattered in everyday life. They valued scheduled time, patient-chosen topics, and talking to a nurse.
• RNOther2020Relationships of diabetes self-care behaviours to glycaemic control in adults with type 2 diabetes and comorbid heart failure.Nursing openIn adults with type 2 diabetes and heart failure, diabetes self-care behaviours did not remain linked to blood sugar control after accounting for medications and other conditions. General diet and exercise were linked to lower HbA1c, but medication categories and comorbidities remained linked.
• RNQualitative2020Feelings of older Japanese primiparous couples and satisfaction of older primiparous wives with their husbands' support during pregnancy: Focus on the perceptions of pregnant couples.Nursing openOlder first-time pregnant Japanese women and their husbands described pregnancy anxiety about age and fetal risk, alongside strengths from life experience. Wives valued empathy, housework help and shared plans; husbands sometimes worried without wives noticing.
• RNOther2021Development and testing of a self-report measure of preparing to parent in the context of a fetal anomaly diagnosis.Patient education and counselingExpectant parents facing a fetal anomaly described how they prepare for parenting through a new questionnaire. It may help clinicians spot counseling needs, but testing was small and did not show it improves parent or infant outcomes.
• RNMeta-Analysis2021Cardio-Cerebrovascular Disease is Associated With Severity and Mortality of COVID-19: A Systematic Review and Meta-Analysis.Biological research for nursingPatients with cardio-cerebrovascular disease were more likely to be severely ill or die from COVID-19 in the pooled studies. The paper's nurse caution is to watch for cardiac, cerebrovascular, medication, and antiviral side-effect concerns.
• RNSurvey2021Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter?Journal of the American Medical Directors AssociationOlder Chinese Americans who were US-born were more likely to think about, discuss, and choose burial planning. Family conflict was also linked to more engagement, while family closeness was not.
• RNQualitative2021Feasibility of an Emotion Regulation Intervention for Patients in Cardiac Rehabilitation.Western journal of nursing researchCardiac rehab patients found five weekly emotion regulation group sessions mostly acceptable, but attendance, home worksheets and sustaining strategies were hard. This is feasibility feedback, not evidence the intervention reduced depression or anxiety.
• RNRCT2021Educational Interventions to Improve Advance Care Planning Discussions, Documentation and Billing.The American journal of hospice & palliative careTraining, workflow prompts, and coaching raised advance care planning discussions from 24.6% to 52.1% of visits and EMR entries from 9.9% to 12.6% for patients over 65. Billed ACP encounters did not show a clear increase.
• RNOther2021Australian College of Critical Care Nurses and Australasian College for Infection Prevention and Control position statement on facilitating next-of-kin presence for patients dying from coronavirus disease 2019 (COVID-19) in the intensive care unit.Australian critical care : official journal of the Confederation of Australian Critical Care NursesICU nurses can facilitate a next-of-kin visit for a dying COVID-19 patient when PPE and staffing allow. The guidance recommends a private room, a timed visit, PPE donning and doffing, and hand hygiene steps.
• RNOther2021Factors Associated With Antimicrobial Use in Nursing Home Residents With Advanced Dementia.Journal of the American Medical Directors AssociationAmong 430 nursing home residents with advanced dementia, 52 received an antimicrobial course in two months. Facilities with full-time nurse practitioners or physician assistants, fewer severely impaired residents, and less intense infection practices were linked to higher use.
• RNCase Series2020Clinical characteristics of diarrhea in 90 cases with COVID-19: A descriptive study.International emergency nursingDiarrhea was uncommon as the first sign of COVID-19, but when present it was often watery and frequent, and many patients had low albumin or lymphocyte counts. Nurses should monitor stool, nutrition, and possible fecal transmission risk.
• RNNarrative Review2020Necrotizing fasciitis: A comprehensive review.NursingNecrotizing fasciitis often mimics cellulitis but progresses rapidly to septic shock. Nurses must monitor for pain disproportionate to visible injury and hemodynamic instability, as delays in surgical debridement and broad-spectrum antibiotics significantly increase mortality.
• RNCase Report2020Surviving 2019 novel coronavirus pneumonia: A successful critical case report.Heart & lung : the journal of critical careA critically ill man with COVID-19 survived after oxygen, ganciclovir, cefamandole, mechanical ventilation, prone ventilation, ultrasound-guided fluid monitoring, diuretics, dobutamine and high-flow nasal oxygen. This case report is not proof that any single treatment worked.
• RNSystematic Review2020Lessons from past epidemics and pandemics and a way forward for pregnant women, midwives and nurses during COVID-19 and beyond: A meta-synthesis.MidwiferyPregnant women and maternity midwives and nurses described fear, stigma, information gaps and access barriers during outbreaks. They wanted more information, support and credible resources. This is experiences and needs, not tested interventions.
• RNRCT2020Using Serious Games to Increase Prevention and Self-Management of Chemotherapy-Induced Nausea and Vomiting in Older Adults With Cancer.Oncology nursing forumOlder adults starting chemotherapy who received a nausea self-care game plus nurse debrief reported using more prevention strategies at home than controls. They rated it useful and easy. The paper reports behavior counts, not nausea outcomes.
• RNSurvey2020Protective and risk factors for women's mental health after a spontaneous abortion.Revista latino-americana de enfermagemAfter miscarriage, 55% had symptoms suggesting possible depression. Immigrant, low-income, childless women and those who miscarried within 6 months had higher symptoms. Better relationship and care satisfaction were linked to fewer symptoms.
• PTRNCohort2020Co-occurrence of decrements in physical and cognitive function is common in older oncology patients receiving chemotherapy.European journal of oncology nursing : the official journal of European Oncology Nursing Society39.3% of older patients receiving chemotherapy had low physical and cognitive function together, and 15.6% had very low physical function with moderate cognition. The profiles stayed stable over two cycles. Assess both.
• RNCohort2020Gender Differences in the Use of Engagement and Disengagement Coping Strategies in Patients With Cancer Receiving Chemotherapy.Oncology nursing forumWomen receiving chemotherapy for lung or GI cancer reported using religion, positive reframing, and venting more often than men. Men reported using humor and substance use more often. Most coping strategies showed no significant gender differences.
• RNCohort2020Skeletal Muscle Mass Loss During Cancer Treatment: Differences by Race and Cancer Site.Oncology nursing forumAmong 212 cancer patients, 67% lost skeletal muscle mass during treatment. NHB patients lost more than NHW patients, and rectal cancer had the greatest loss.
• RNSystematic Review2020Optimizing patients' functional status during daily nursing care interventions: A systematic review.Research in nursing & healthMulticomponent daily nursing care interventions that assess function, set goals, make individual plans, and involve patients in activities reported improvement in functional status in 5 of 18 studies and mobility in 4 studies, but effects were inconsistent.
• RNPilotImplementation of an Intensive Care Unit Diary Program at a Veterans Affairs Hospital.Journal of nursing care qualityIn one ICU diary program, nurses wrote on 93% of diary days, non-nurse providers on 22%, and families on 32%. Staff knowledge rose, but workload and legal worries also rose. No patient outcomes were tested.
• RNQualitative2021Older adults experiences with ambulation during a hospital stay: A qualitative study.Geriatric nursing (New York, N.Y.)Older inpatients said unclear walking permission, fall warnings, alarms, lines, cramped rooms, poor seating, and fear of burdening nurses kept them from moving. They wanted daily activity orders and help handling equipment.
• RNOther2021Illness Uncertainty in Patients Awaiting Liver Transplant.Western journal of nursing research18 of 115 adults waiting for liver transplant scored high on illness uncertainty. High scores were linked with lower social support and lower confidence managing symptoms.
• RNOther2021Impact of the Physician Orders for Life-Sustaining Treatment (POLST) Program Maturity Status on the Nursing Home Resident's Place of Death.The American journal of hospice & palliative careLong-stay nursing home residents in mature POLST states had 20% higher odds of dying in the facility. Developing states had 12% higher odds. Short-stay residents showed no difference.
• RNPilot2021Coping and adaptation to dementia family caregiving: A pilot study.Geriatric nursing (New York, N.Y.)Feasible recruitment and low burden were found in a small pilot of a dementia caregiver assessment battery. Community events yielded the most participants, and Black caregivers reported low confidence in respite and behavior management despite positive outlook.
• PTRNMeta-Analysis2021Effect of Angiotensin System Inhibitors on Physical Performance in Older People - A Systematic Review and Meta-Analysis.Journal of the American Medical Directors AssociationAcross 8 trials of 952 older people, ACE inhibitors and ARBs did not improve strength, walking endurance, or physical performance. Do not use these blood pressure medicines to enhance mobility or function.
• RNOther2021Evaluating relationships between lung cancer stigma, anxiety, and depressive symptoms and the absence of empathic opportunities presented during routine clinical consultations.Patient education and counselingOverall, patients who did not express emotions, challenges, or progress did not differ in total stigma or depressive symptoms. Stigma about sharing their diagnosis was higher among racial minority patients who did not express these, while anxiety was higher among white patients who did.
• RNRCT2020Intubation Setting, Aspiration, and Ventilator-Associated Conditions.American journal of critical care : an official publication, American Association of Critical-Care NursesAspiration tests in tracheal secretions were common and did not differ by intubation location, but patients transferred from other hospitals had more ventilator-associated conditions than those intubated at the study hospital.
• RNCohort2020Prognostic Value of Lung Ultrasonography in Older Nursing Home Residents Affected by COVID-19.Journal of the American Medical Directors AssociationA bedside lung ultrasound score did not show a significant difference in death risk between score groups in 48 nursing home residents with COVID-19. Do not use it alone to decide who may die.
• RNOther2020Long-Term Care, Residential Facilities, and COVID-19: An Overview of Federal and State Policy Responses.Journal of the American Medical Directors AssociationFederal and state COVID-19 policies for nursing homes and assisted living included visitor bans, staff screening, PPE, transfers, workforce waivers, relaxed assessments, and case reporting. Clinicians in long-term care should check current rules.
• RNCase Report2020A rare case of Pneumopericardium secondary to COVID-19.Heart & lung : the journal of critical careA 61-year-old man with positive COVID-19 PCR developed spontaneous pneumomediastinum and pneumopericardium before intubation, had subcutaneous emphysema, and died. This is a single case, not evidence that such complications are common.
• RNCase Report2020Management of COVID-19 in a durable left ventricular assist device recipient: A continuity of care perspective.Heart & lung : the journal of critical careA durable LVAD recipient with mild COVID-19 developed subacute thyroiditis four weeks after discharge. Remote monitoring of pulmonary artery pressures and LVAD parameters helped distinguish this post-viral complication from heart failure exacerbation or reinfection, guiding readmission and treatment.