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.

10,147 PAPERS · PAGE 34 OF 203 · NEWEST FIRST

• RNCohort2020State Variability in Assisted Living Residents' End-of-Life Care Trajectories.Journal of the American Medical Directors AssociationAssisted living residents who died in 2016: 57% died outside hospitals or nursing homes, but hospice use and transfers varied widely by state; dual eligible residents were more likely to die in nursing homes or hospitals.
• RNCase Report2020An Uncommon Cause of Chest Pain: Hypertriglyceridemia-Induced Pancreatitis.Critical care nursing quarterlyPotassium and liver function tests were not reported after initial and repeat samples because the blood was lipemic. Triglycerides were 2930 mg/dL, and lipase was 498 units/L. The patient had hypertriglyceridemia-induced pancreatitis.
• RNOther2020A comparison of finger and forehead pulse oximeters in heart failure patients during maximal exercise.Heart & lung : the journal of critical careDuring treadmill stress testing, forehead pulse oximeters read higher oxygen saturation than finger devices in heart failure patients. At peak exercise, finger devices reported lower pulse rate than ECG. Forehead placement may be preferable in heart failure.
• RNSurvey2019Self-reported sleep quality and depression in post myocardial infarction patients attending cardiology outpatient clinics in Oman.International journal of nursing sciencesAmong 180 post-MI patients in Oman, 61.1% self-reported poor sleep, but 82.2% had minimal depressive symptoms. Regular exercise was associated with better sleep and fewer depressive symptoms; neither sleep nor depression was associated with re-infarction.
• RNQualitative2019Pain acceptance in cancer patients with chronic pain in Hunan, China: A qualitative study.International journal of nursing sciencesHospitalized Chinese cancer patients described pain acceptance as a struggle: pain relief came first, they avoided triggers, resigned, felt misunderstood, and lost daily function; coping included analgesics, family, exercise, and Buddhist practices.
• RNRCT2019Clinical Trials: Understanding Patient Perspectives and Beliefs About Treatment.Clinical journal of oncology nursingPatients in early cancer trials hoped to get better, shrink tumors, or be cured. They often reported feeling better and saw the trial as a step toward more options, not as their last treatment.
• RNCase Report2019Successful Treatment of Chronic Lower Extremity Ulcers with Allogeneic Platelet-Rich Plasma and Artificial Dermis: A Case Report.Advances in skin & wound careA woman with hydroxyurea-related ulcers healed completely at 1 month after a bundled protocol: allogeneic PRP, artificial dermis, debridement, iodine/saline, polyurethane film, general dressings and a 1-week hydroxyurea break.
• RNNarrative Review2019Advances in Genomic Profiling and Risk Stratification in Acute Myeloid Leukemia.Seminars in oncology nursingGenetic profiling in AML changes risk categories, chemotherapy and transplant choices. Nurses may need to manage a several-day delay with hydroxyurea, minimal residual disease monitoring, and targeted therapy side effects such as differentiation syndrome.
• OTRNOther2019Predictors of instrumental activities of daily living in community-dwelling older adults.Archives of psychiatric nursingOlder adults who were better at holding and changing information in working memory performed more accurately at managing medications and finances. No measured thinking skill predicted shopping or phone and letter tasks.
• RNQualitative2019Expectations of survivors towards disaster nurses in Indonesia: A qualitative study.International journal of nursing sciencesDisaster survivors in Indonesia wanted nurses to provide physical and mental care in shelters, visit homes, prioritize vulnerable groups, explain free hospital access, and help with evacuation, sanitation, and preparedness.
• RNQualitative2020Considerations in Safe to Sleep® messaging: Learning from African-American mothers.Journal for specialists in pediatric nursing : JSPNAfrican American mothers said safe sleep advice was hard to follow: bed-sharing was easier, grandmothers pushed back, and fear of judgment made them tell providers they complied. They wanted repeated, family-inclusive messages from young African American messengers.
• OTRNQualitative2020Persons' Experiences of Suffering from Nephrotic Syndrome.Journal of renal careAdults with nephrotic syndrome felt ill and well at once, followed treatment without questioning, and stayed uncertain because they lacked guidance on causes, prognosis, and self-management.
• RNOther2020Methodological challenges in conducting instrumentation research in non-communicative palliative care patients.Applied nursing research : ANRPain assessment in non-communicative palliative patients required careful eligibility screening and coding of absent vocalization, because inability to move or speak can falsely suggest no pain.
• RNCohort2020Concordance of patients' beliefs about chronic obstructive pulmonary disease, their comorbidities, and their medications.Patient education and counselingPatients with COPD plus hypertension or diabetes held similar illness and medication beliefs across conditions, especially concerns and emotional responses. Ask about medicines for COPD, hypertension, and diabetes together to identify shared beliefs.
• RNQualitative2020Health and Disability Among Young Black Men.Nursing researchYoung Black men with disabilities said they avoided or stopped care because pushing through pain proved manhood, work and cost made care difficult, and providers seemed untrustworthy. Some still protected health through prayer, diet, braces, and work limits.
• RNQualitative2020Patient, Caregiver, and Clinician Perceptions of Ventricular Assist Device Self-care Education Inform the Development of a Simulation-based Mastery Learning Curriculum.The Journal of cardiovascular nursingPatients, caregivers, and clinicians said self-care training must teach dressing and controller changes, alarms, and medications, with repetition, assessment, and refreshers. They also wanted simulator practice.
• RNSurvey2020"They are interrelated, one feeds off the other": A taxonomy of perceived disease interactions derived from patients with multiple chronic conditions.Patient education and counselingPatients with multiple chronic conditions described interactions among their problems and treatments as one-way, circular, unclear, or none. Pain, depression and limited movement often made managing another condition harder.
• RNCohort2020Resource Utilization in Hospitalized Patients With Cancer From Hospice Decision to Discharge and Provider-Type Differences.The American journal of hospice & palliative careCancer patients waiting for hospice discharge often still had lab tests: 54.6% had tests after the hospice decision. Nurse practitioner and physician assistant teams ordered fewer tests than trainee doctor teams.
• PTRNCohort2020Weakness May Have a Causal Association With Early Mortality in Older Americans: A Matched Cohort Analysis.Journal of the American Medical Directors AssociationOlder adults with low handgrip strength died more often than matched peers: 37.2% versus 27.4% compared with not-weak, and 37.0% versus 22.9% compared with strong. This does not prove weakness causes death.
• RNCohort2020Disparities in Donor Human Milk Supplementation Among Well Newborns.Journal of human lactation : official journal of International Lactation Consultant AssociationDonor milk use was lower among Hispanic, Non-Hispanic Black, Asian, publicly insured, and non-English-speaking mothers, with the largest difference for Hispanic mothers versus non-Hispanic White mothers, despite donor milk being the unit's first-line supplement.
• RNRCT2020Fidelity of a peer-led asthma self-management intervention and its attention control in a multisite study of urban adolescents.Research in nursing & healthPeer leaders delivered asthma knowledge and skills to urban adolescents as reliably as adult educators, but psychosocial content and follow-up contacts were less consistent. The paper did not report asthma outcomes.
• RNOther2020Measurement of Irritability in Cancer Patients.Nursing researchCancer patients' irritability scores rose during chemotherapy on a new 35-item questionnaire that asked about the past seven days. The score was consistent across items, but the tool is preliminary and not ready to change care.
• RNRCT2020Impact of the mental health and dynamic referral for oncology (MHADRO) program on oncology patient outcomes, health care utilization, and health provider behaviors: A multi-site randomized control trial.Patient education and counselingThe MHADRO assessment, reports, and referral option did not improve distress, anxiety, or depression versus usual care in 836 cancer patients. Some referral and provider documentation outcomes differed, but mental-health outcomes did not.
• RNSystematic Review2019Oxytocin and early parent-infant interactions: A systematic review.International journal of nursing sciencesParent-infant contact was usually associated with higher oxytocin. Skin-to-skin contact was associated with higher oxytocin and lower parental stress and anxiety. The review cannot show oxytocin caused bonding, and it does not show that oxytocin itself creates attachment.
• RNOther2019Temporal pattern of tuberculosis cure, mortality, and treatment abandonment in Brazilian capitals.Revista latino-americana de enfermagemTB cure rates did not change much, treatment abandonment increased in many capitals, and TB mortality decreased.
• RNSystematic Review2019A systematic review of the relationships among psychosocial factors and coping in adults with type 2 diabetes mellitus.International journal of nursing sciencesAdults with type 2 diabetes who had more social support and used active or problem-focused coping reported less distress and better adjustment; avoidance and threat-focused coping were linked to more anxiety and depression.
• RNOther2019Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes.Investigacion y educacion en enfermeriaIn 500 patients with hypertension or diabetes, adherence was lower for those on subsidized health insurance or unable to read disease management information. Adherence was higher for those who never stopped treatment when symptoms improved or believed food and exercise habits were hard to change.
• RNNarrative Review2019The Roles of Nurses in Hematopoietic Cell Transplantation for the Treatment of Leukemia in Older Adults.Seminars in oncology nursingNurses' care for older adults with leukemia receiving allogeneic stem cell transplant centers on frailty and geriatric assessment, central line infection prevention, chemotherapy monitoring, transfusion reaction checks, symptom control, and GVHD surveillance.
• RNPilot2020Feasibility of a self-management intervention in adolescents with headache (SMI-AH).Applied nursing research : ANRA six-week self-management programme helped rural adolescents eat more lunches, but did not significantly reduce headache days, improve sleep, or cut caffeine compared to standard care. Participants found the weekly writing and tracking helpful for understanding their habits.
• RNCase Report2020On Best Interests: A Case for Clinical Ethics Consultation.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationA bedside nurse asked ethics consultation whether daily transfusions and CPR should continue for a dying ICU patient with no advance directive and a surrogate who refused discussion. The report describes an ethics-consultation process, not tested practice.
• RNSurvey2020The Relationship Between Evidence-Based Practices and Emergency Department Managers' Perceptions on Quality of Care for Self-Harm Patients.Journal of the American Psychiatric Nurses AssociationEmergency department managers rated care quality for self-harm patients as significantly higher when safety planning and discharge planning were routine. Routine suicide assessment alone did not improve these perceived quality ratings.
• RNSurvey2020Oncology patients' preferences regarding sexual orientation and gender identity (SOGI) disclosure and room sharing.Patient education and counselingMost cancer patients are willing to answer questions about their sexual orientation and gender identity, but prefer different methods for each. They want staff to ask about sex and gender verbally, but prefer to self-report pronouns and sexual orientation online. Comfort sharing rooms varied by gender.
• PTRNPilot2020A personalized behavioral intervention implementing mHealth technologies for older adults: A pilot feasibility study.Geriatric nursing (New York, N.Y.)Sleep, the primary outcome, did not improve significantly after a 4-week multi-component mHealth activity program in 8 older adults. Sitting time decreased and activity increased, but there was no control group.
• RNQualitative2020Online social support groups for informal caregivers of hospice patients with cancer.European journal of oncology nursing : the official journal of European Oncology Nursing SocietyIn a hospice caregiver Facebook group, members mostly gave emotional support and shared feelings rather than asking directly for help. Caregivers wanted more practical information and live interaction, but some found repeated death posts depressing.
• RNSurvey2020Electronic cigarette use among heart failure patients: Findings from the Population Assessment of Tobacco and Health study (Wave 1: 2013-2014).Heart & lung : the journal of critical careAdults with heart failure reported e-cigarette use, often alongside cigarettes, and believed e-cigarettes were safer for themselves and people nearby. Ask about both products when discussing cessation.
• RNCohort2020Eliminating the Surprise Question Leaves Home Care Providers With Few Options for Identifying Mortality Risk.The American journal of hospice & palliative careIn 69,097 older adults starting home care, nurses' and therapists' risk ratings tracked death at 12 and 24 months. Daily living scores agreed only weakly with those ratings, so removing that rating leaves no simple substitute.
• RNSurvey2020Mental Illness and BRCA1/2 Genetic Testing Intention Among Multiethnic Women Undergoing Screening Mammography.Oncology nursing forumAfter adjustment, depression, anxiety, and mental illness history were not associated with testing intention. Still, 76% of women eligible for BRCA1/2 testing intended to have testing, but only 5% reported already having it.
• RNOther2020Transforming a Face-to-Face Legacy Intervention to a Web-Based Legacy Intervention for Children With Advanced Cancer.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationParents said the web legacy program was helpful and encouraged family talk, but many found it hard to use. All 18 parents who rated the movie format liked it. This is parent feedback, not proof it works.
• RNCohort2020Trajectories of Depressed Mood and Anxiety During Chemotherapy for Breast Cancer.Cancer nursingMost women reported mild depressed mood or anxiety during chemotherapy cycles 2 and 3. A smaller group had moderate symptoms early in a cycle, and some stayed moderate. Nurses may need to assess mood and anxiety early.
• RNOther2020Comparison of a co-produced mental health service to traditional services: A co-produced mixed-methods cross-sectional study.International journal of mental health nursingUsers of a co-produced mental health centre reported 63% fewer hospitalizations and more reductions in psychiatric medication than users of traditional day centres. Qualitative participants described the co-produced service as offering respect, freedom, and continuity of care.
• RNCohort2020Combining Procalcitonin and Rapid Multiplex Respiratory Virus Testing for Antibiotic Stewardship in Older Adult Patients With Severe Acute Respiratory Infection.Journal of the American Medical Directors AssociationOlder ED patients with severe respiratory illness who received nurse-facilitated rapid virus testing, PCT testing, and stewardship reminders had antibiotics more often narrowed or switched to oral, more antiviral treatment, and shorter IV antibiotic courses. Mortality did not differ.
• RNOther2020Two Methods for Calculating Symptom Cluster Scores.Nursing researchA simple equal-weight symptom score and a weighted symptom score tracked each other closely in low-income mothers. The weighted score showed pain and depressed mood mattered most for functioning.
• RNOther2019Enzymatic detergent reuse in gastroscope processing: a potential source of microorganism transmission.Revista latino-americana de enfermagemReusing the same enzymatic detergent solution for gastroscopes increased microbial contamination, including Pseudomonas. Nurses who clean endoscopes should not assume reuse is harmless, because the solution has no bactericidal action.
• RNPilot2019Reduction of ventilatory time using the multidisciplinary disconnection protocol. Pilot study.Revista latino-americana de enfermagemA nurse-doctor weaning protocol lowered total ventilator time by almost 29 hours compared with doctor-led care; weaning time was 7.40 versus 24 hours in 25 surgical ICU patients. Reintubations were 0% with the protocol and 13% without it. This was a small before-after pilot.
• RNCohort2020Wound care practices across two acute care settings: A comparative study.Journal of clinical nursingHand hygiene after dressing changes was observed in only 7% at Hospital A and 11% at Hospital B during nurses' postoperative wound care.
• RNRCT2020Impact of a community-based approach to patient engagement in rural, low-income adults with type 2 diabetes.Public health nursing (Boston, Mass.)Rural adults with type 2 diabetes who met more diabetes care recommendations were more engaged after three months. In 48 participants, engagement rose in the community health worker support group, but not in the nurse telephone group.
• RNQualitative2020What do Future Hospice Patients Expect of Hospice Care: Expectations of Patients in the Palliative Phase Who Might be in Need of Hospice Care in the Future: A Qualitative Exploration.The American journal of hospice & palliative carePeople who might need hospice expected to die at home and go to hospice only when home became unbearable. They wanted a homely, private place, their GP still involved, professionals for medical care, and volunteers for listening.
• RNPilot2020Feasibility of Diabetes Self-Management Telehealth Education for Older Adults During Transitions in Care.Research in gerontological nursingTelehealth diabetes education after hospital discharge was feasible for older adults. Knowledge improved significantly, but blood sugar control did not change enough to be sure the effect was real. Most who started the program completed it.
• RNSystematic Review2019Evidence on nutritional therapy practice guidelines and implementation in adult critically ill patients: A systematic scoping review.CurationisWritten ICU nutrition protocols were reported to increase early enteral feeding and reaching energy or protein targets, but not mortality; patients also received mechanical ventilation, sedation, vasoactive drugs and other ICU care, so the protocol alone cannot be isolated.
• RNSystematic Review2019Parental Competence in Parents of Children with Autism Spectrum Disorder: A Systematic Review.Investigacion y educacion en enfermeriaNo agreed definition of parental competence was found, and the only autism-specific scale had not been used by other authors. Parents reported stress, and mothers reported fatigue and lower self-efficacy, but included studies did not show these factors predicted parenting competence.