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 39 OF 216 · NEWEST FIRST

• RNPilot2019E-learning or lectures to increase knowledge about congenital heart disease in infants: A comparative interventional study.Nursing openNurses and students improved their congenital heart disease knowledge scores similarly after either e-learning or classroom lectures. E-learning took half the time but participants preferred the lectures. Neither method proved superior for short-term knowledge gain.
• RNQualitative2019People with type 2 diabetes struggling for self-management: A part study from the randomized controlled trial in RENEWING HEALTH.Nursing openPeople with type 2 diabetes described self-management as a daily struggle between what they wanted to do and what they ought to do. Nurses can assess each person's situation and tailor support, because some need checking, some need strategies, and some need tighter follow-up.
• PTOTRNQualitative2019The meaning of dignity when the patients' bodies are falling apart.Nursing openAdvanced cancer patients at end of life described uncontrollable bodily changes as threatening dignity and identity. They linked movement, grooming, rituals, and meaningful activities to feeling alive and preserving dignity.
• OTRNQualitative2019Effects of horticultural therapy: Perspectives of frail and pre-frail older nursing home residents.Nursing openFrail nursing home residents described weekly horticultural therapy as a pleasant, meaningful pastime that they said made them happier and gave them conversation. Few staff talked about it outside sessions, and one disliked it for disrupting routines.
• RNOther2019An urban medical system's exploratory study of medication errors.Nursing openNo difference in severity was found between a.m. and p.m. shifts. Most reported errors needed extra monitoring; antibiotics, IV cardiac drugs and analgesics made up 50.1%. IV doses, omitted doses, late doses and overdoses were common.
• PTOTRNQualitative2019Wishes and needs of older persons who have experienced a fall: A qualitative study.Nursing openOlder people after a fall wanted to keep doing meaningful activities, stay independent, and have social contact. They valued Falls Clinic and physiotherapist contact, while some men denied needing help.
• RNPilot2019A pilot study on the Spanish version of the Psychosocial Adjustment to Illness Scale (PAIS-SR) with carers of people with Parkinson's disease.Nursing openTwenty-one Spanish carers of people with Parkinson's disease completed a new Spanish version of a 46-item adjustment questionnaire without missing answers. Their responses were consistent enough across related questions to support further testing.
• RNOther2019Team composition and staff roles in a hybrid operating room: A prospective study using video observations.Nursing openVideo observations of nine EVAR procedures showed registered nurses made up the majority of staff, but roles were rigid. Radiographers were active during the intervention while OR nurses often stood by, and five people remained in the room when not directly needed.
• RNQualitative2019Devoted or negotiated routes of adherence: Narratives of patients with obstructive sleep apnoea using a continuous positive airway pressure device.Nursing openPatients with severe daytime symptoms viewed CPAP as a relief and used it consistently. Those with mild or no symptoms negotiated use based on self-image and social context, often skipping it to avoid feeling ill or unattractive.
• RNQualitative2019African American women's perceptions of the meaning of support groups for improving adherence to hypertension treatment: a conceptual model.Nursing openInner-city African American women with high blood pressure described support groups as useful when they share information, offer emotional support, give practical help, and coach daily habits. Time, cost, transport, and conflict deterred attendance.
• RNSurvey2018Reliability and validity of the Chinese version of the new fear of hypoglycemia scale: FH-15.International journal of nursing sciencesIn Chinese adults with type 2 diabetes and past hypoglycemia, FH-15 scores of 30.5 or higher suggested fear of low blood sugar; 58.3% screened positive.
• RNSurvey2019Validation of the relationship consciousness of Japanese Patients with type 2 diabetes scale.International journal of nursing sciencesJapanese adults with type 2 diabetes described views of connecting with others who have diabetes on a 36-item questionnaire. It captured perceived benefits, barriers, diabetes worry, positive and negative social feelings, and self-management ability. It did not test whether peer support improves diabetes care.
• RNSystematic Review2019Interventions for self-management of type 2 diabetes: An integrative review.International journal of nursing sciencesEducation, coaching, technology, problem solving, mindfulness and cognitive behavioural therapy for type 2 diabetes often produced small short-term gains in HbA1c, self-efficacy or distress. Effects were inconsistent, and no single approach clearly worked best.
• RNNarrative Review2019Peripherally inserted central catheters in critically ill patients - complications and its prevention: A review.International journal of nursing sciencesNurses and caregivers managing PICC lines in critically ill patients can reduce infection and thrombosis risks by using ultrasound guidance, 2% chlorhexidine for skin antisepsis, and confirming tip position via chest X-ray. Selecting the smallest appropriate catheter and maintaining strict aseptic technique during dressing changes are also key preventive measures.
• RNOther2019Reliability and validity of Chinese version of a tool to assess the quality of life in idiopathic pulmonary fibrosis in patients with interstitial lung disease.International journal of nursing sciencesChinese version of a pulmonary fibrosis quality-of-life questionnaire worked well overall in hospitalized interstitial lung disease patients. Therapy and sexual health scores were weaker, so interpret those carefully.
• RNSurvey2019Gender differences in self-care maintenance and its associations among patients with chronic heart failure.International journal of nursing sciencesChinese heart failure patients scored below the adequate cutoff for self-care maintenance, with 51.4 in men and 55.6 in women on a 0 to 100 scale. Confidence was associated with maintenance in men; knowledge, management and confidence were associated in women.
• RNSurvey2019Reliability and validity of the Chinese version of spiritual needs questionnaire with 27 items (SpNQ-Ch-27) in cancer patients.International journal of nursing sciencesA Chinese questionnaire for cancer patients asked about meaning, peace, connection, forgiveness and prayer. It was usable in Chinese cancer patients, with the need to give and connect with others highest. It does not show the tool improves care.
• RNSurvey2018Correlation of long-term medication behaviour self-efficacy with social support and medication knowledge of kidney transplant recipients.International journal of nursing sciencesAmong kidney transplant recipients, higher medication knowledge and higher perceived social support were linked to higher confidence in taking long-term medications. The study did not show that teaching or support improves adherence.
• RNOther2018Increase in the functional capacity and quality of life among stroke patients by family caregiver empowerment program based on adaptation model.International journal of nursing sciencesFamily caregiver empowerment after stroke improved patients' quality of life and functional capacity by the sixth month. Nurses taught caregivers exercises, coping and daily activity support; controls received routine community nursing.
• RNNarrative Review2018Symptom burden amongst patients suffering from end-stage renal disease and receiving dialysis: A literature review.International journal of nursing sciencesDialysis patients often report many distressing symptoms, including dry skin, fatigue, itching, pain and sleep problems. Nurses can use brief symptom scales and ask about frequency, severity and distress, not only the main complaint.
• RNOther2018The implementation and evaluation of HIV symptom management guidelines: A preliminary study in China.International journal of nursing sciencesHIV symptom severity and incidence did not differ significantly between groups, but quality of life rose more in the intervention group over 2 months. The effect cannot be separated from bundled multidisciplinary care.
• RNMeta-Analysis2018Predictive accuracy of the Braden Q Scale in risk assessment for paediatric pressure ulcer: A meta-analysis.International journal of nursing sciencesThe Braden Q scale in hospitalised children identified 0.73 of those who later developed pressure ulcers and correctly cleared 0.61 of those who did not. Nurses should use it cautiously, especially for neonates and non-critically ill children.
• RNRCT2018An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention.International journal of nursing sciencesMedication adherence improved in both groups over 30 days, but daily reminders plus education did not improve adherence significantly more than education alone. Heart rate decreased in controls and increased in the reminder group; this difference was significant.
• RNQualitative2019Self-harm attempters' perception of community services and its implication on service provision.International journal of nursing sciencesSelf-harm patients wanted phone contact with case nurses or social workers, but many did not know local services existed. They asked for more nursing services, longer hours, shorter waits, and follow-up after discharge.
• RNQualitative2019The process of life adjustment in patients at onset of glioma who are receiving continuous oral anticancer drug: A qualitative descriptive study.International journal of nursing sciencesTen patients with malignant glioma after surgery, radiotherapy and oral anticancer drug described adjusting after discharge by seeking information, testing abilities, asking for help, accepting limits and focusing on desired life. Small qualitative study; not evidence a nursing intervention works.
• RNSurvey2019Coping strategies of family caregivers of patients with schizophrenia in Iran: A cross-sectional survey.International journal of nursing sciencesFamily caregivers of people with schizophrenia in Iran mostly used avoidance, coercion and resignation, and 38.27% reported severe burden. Information gathering was least used. The survey cannot show these coping styles caused burden or that support would help.
• SLPRNQualitative2019Health practitioner practices and their influence on nutritional intake of hospitalised patients.International journal of nursing sciencesNurses were seen as mainly responsible for hospitalised patients' eating, but ward workload and unclear roles with food service left trays inaccessible or meals missed. Families were valued helpers, used only when swallowing was considered safe.
• RNQualitative2019"I can fight it!": A qualitative study of resilience in people with inflammatory bowel disease.International journal of nursing sciencesPatients with inflammatory bowel disease described resilience as shaped by family, friends, work, culture, and technology. They also changed their environment by hiding or sharing the diagnosis and coped through information, planning, and stress release.
• RNSystematic Review2019Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review.Investigacion y educacion en enfermeriaNursing educational interventions before or after surgery showed mixed effects on post-surgical pain: some studies reported lower pain, while other studies did not find significant differences. Anxiety improved more consistently.
• RNSystematic Review2019Adolescent mothers' experiences of the transition to motherhood: An integrative review.International journal of nursing sciencesAdolescent mothers described pain, tiredness, mixed feelings, and infant-care uncertainty as barriers, while support from their own mother and the baby's father was described as important. Nurses should coach, not take over, early care.
• RNSystematic Review2019Metabolic Syndrome: conceptual analysis in the nursing context.Revista latino-americana de enfermagemMetabolic syndrome was framed as a nursing phenomenon: identify high blood pressure, high fasting glucose, high triglycerides, high waist circumference, and low high-density lipoprotein cholesterol, plus lifestyle and psychosocial antecedents. It frames assessment and care planning, not tested treatment effects.
• RNQualitative2018The lived experience of family caregivers caring for patients dependent on life-sustaining technologies.International journal of nursing sciencesTen family caregivers of patients on life-sustaining technologies described feeling invisible, struggling to trust alarms, living in uncertainty, and supporting patients' wholeness.
• RNSurvey2018Family empowerment and associated factors in Japanese families raising a child with severe motor and intellectual disabilities.International journal of nursing sciencesCaregivers of children with severe motor and intellectual disabilities had higher family empowerment when they recognised local support, used home visits and childcare institutions, had higher income and education, and strong family bonding; burden was linked to lower empowerment.
• RNOther2019Effect of lower leg compression during cesarean section on post-spinal hypotension and neonatal hemodynamic parameters: nonrandomized controlled clinical trial.International journal of nursing sciencesAdding long elastic leg stockings to lactated Ringer preload, spinal anesthesia, intravenous and indwelling catheter care, and monitoring was associated with higher maternal blood pressure, less ephedrine use, and better 1-minute Apgar scores, but this nonrandomized trial cannot prove the stockings caused these changes.
• RNOther2019Trend and spatial distribution of infectious diseases in pregnant women in the state of Paraná-Brazil.Revista latino-americana de enfermagemSyphilis, HIV and toxoplasmosis notifications in pregnant women in Paraná increased over the study period, with large regional differences. Hepatitis and influenza did not show increasing trends.
• RNCase-Control2019Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control study.International journal of nursing sciencesIn 452 ICU patients, 36.1% developed delirium. Restraint, sedatives, and ICU stay of 7 days or more together were linked with a reported combined association value of 30.950. Nurses should monitor delirium and limit restraint.
• RNSystematic Review2019Care technologies to prevent and control hemorrhage in the third stage of labor: a systematic review.Revista latino-americana de enfermagemUterotonic drugs, active management and controlled cord traction had evidence to reduce PPH; routine uterine massage, a collection bag and education alone did not help. Misoprostol was useful where oxytocin was unavailable, but caused more side effects.
• RNRCT2019Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial.Revista latino-americana de enfermagemNurse-delivered individualized discharge guidance and telephone follow-up increased heart failure patients' drug and non-drug adherence at 90 days and lowered re-hospitalization compared with a standard brochure and assessment call. The two parts cannot be separated.
• RNOther2019The Expanding Burden of Acute Kidney Injury in California: Impact of the Epidemic of Diabetes on Kidney Injury Hospital Admissions.Nephrology nursing journal : journal of the American Nephrology Nurses' AssociationCalifornia acute kidney injury episodes rose from 25,495 in 2005 to 48,845 in 2015, especially in people with diabetes or hypertension. County records showed higher kidney injury admissions where diabetes was more common.
• RNRCT2019Effectiveness of a Nursing Intervention to Diminish Preoperative Anxiety in Patients Programmed for Knee Replacement Surgery: Preventive Controlled and Randomized Clinical Trial.Investigacion y educacion en enfermeriaKnee surgery patients who received nursing information and usual care plus three motivational interviews had lower anxiety than those who received nursing information and usual care. Anxiety scores fell by 4.2 points versus 1.73 points.
• RNSurvey2019Development and validation of a self-management ability questionnaire for patients with chronic periodontitis.International journal of nursing sciencesA new questionnaire for chronic periodontitis patients asks about brushing, dental visits, habits and coping. Answers were consistent, stable in a 2-week retest, and matched an existing self-management scale.
• RNOther2019Profile of the nursing diagnoses in stable heart disease patients.Investigacion y educacion en enfermeriaIn 50 stable heart-disease outpatients, 17 cardiology nurses validated four nursing diagnoses: ineffective health management, noncompliance, sedentary lifestyle, and activity intolerance. 98% of records showed difficulty with prescribed regimens and ineffective daily choices.
• RNCohort2019Effects of Midazolam on Postoperative Nausea and Vomiting and Discharge Times in Outpatients Undergoing Cancer-Related Surgery.AANA journalIn outpatient cancer surgery patients, intraoperative midazolam was associated with fewer rescue nausea and vomiting medications after adjustment. It was not associated with longer discharge time after adjustment. This is association only, not proof.
• RNQualitative2019The trajectory of crack users to the street situation in the perspective of family members.Investigacion y educacion en enfermeriaFamily members described crack users' street trajectory as beginning in childhood with school problems, trauma and family strain. They often noticed behaviour changes before they knew crack use was the cause, then coped by searching, accepting or excluding the user.
• RNSystematic Review2019The effect of goal setting in asthma self-management education: A systematic review.International journal of nursing sciencesGoal setting, delivered inside asthma education rather than alone, often improved adult quality of life and self-efficacy, while asthma control and healthcare use findings were mixed and child evidence weak.
• OTRNCohort2019Fatigue in patients with head and neck cancer undergoing radiation therapy: a prospective study.Revista latino-americana de enfermagemFatigue scores rose from baseline to mid and end of radiation therapy in 60 head and neck cancer patients. The increase included behavioural, affective and sensory/psychological domains. Screen for fatigue throughout treatment, not only at diagnosis.
• RNSurvey2019Myocardial infarction patients' learning needs: Perceptions of patients, family members and nurses.International journal of nursing sciencesCardiac nurses rated myocardial infarction patients' learning needs higher than patients and families did. Patients prioritized medication information; families in the cardiac care unit prioritized symptom management. Ask patients what they need to learn.
• RNCohort2019Factors Related to International Travel for Transplantation Among U.S.-Listed Kidney Transplant Candidates.Nephrology nursing journal : journal of the American Nephrology Nurses' AssociationUS kidney candidates who traveled abroad for transplant were more often younger, male, Asian, college-educated, privately insured, employed, or non-US citizens/residents. Nurses in pre-transplant care can ask about these plans and discuss risks and coverage.
• RNCohort2019Evaluation of a Safer Opioid Prescribing Protocol (SOPP) for Patients Being Discharged From a Trauma Service.Journal of trauma nursing : the official journal of the Society of Trauma NursesEHR alerts led to naloxone prescribing for most at-risk patients and made high-dose opioid prescriptions less likely, but nurse-documented opioid safety education was only 34.5% and 38%.
• RNOther2019Physical restraint in mental health nursing: A concept analysis.International journal of nursing sciencesMental health physical restraint is defined as a coercive, last-resort intervention by trained staff to reduce movement, protect safety and maintain necessary treatment when a patient poses life-threatening risk. The paper analyses the concept, not patient outcomes.