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 41 OF 216 · NEWEST FIRST

• RNOther2019Chinese Version of the Assessment of Survivor Concerns Scale for Gynecological Cancer Survivors: A Psychometric Study in Taiwan.The journal of nursing research : JNRA Chinese questionnaire for gynecological cancer survivors was reliable and separated cancer worry from health worry. Nurses can use it to ask about fear of recurrence and family health before deciding on referral.
• RNQualitative2019End-of-Life Cancer Care Redesign: Patient and Caregiver Experiences in a Lay Health Worker-Led Intervention.The American journal of hospice & palliative careVeterans and caregivers described a lay health worker program as helping them build trust, think through end-of-life wishes, and talk openly with families and clinicians. Caregivers reported feeling better prepared and seeing care match stated goals.
• RNSurvey2019Accessibility, utilisation and acceptability of a county-based home care service for sick children in Sweden.Scandinavian journal of caring sciencesParents to 23 children rated home care visits as highly acceptable, and 209 of 212 questionnaires preferred home care to hospital. Utilisation was limited and varied across units, so access is not guaranteed.
• RNRCT2019The impact of descriptive norms on motivation to participate in cancer screening - Evidence from online experiments.Patient education and counselingAmong adults disinclined to have bowel scope screening, telling them 8 out of 10 eligible people participate increased intention to screen more than correcting their estimate upward. Personalised feedback did not add benefit, and attendance was not measured.
• PTOTRNRCT2019Characterizing patient-clinician chemotherapy-induced peripheral neuropathy assessment and management communication approaches.Patient education and counselingClinicians discussed and documented chemotherapy-induced neuropathy in less than half of visits. When they did, they rarely asked about motor symptoms or pain severity, often using vague questions instead of specific descriptors for numbness or tingling.
• RNQualitative2019What Are the Barriers at Home and School to Healthy Eating?: Overweight/Obese Child and Parent Perspectives.The journal of nursing research : JNROverweight and obese children and their parents described home and school barriers to healthy eating: parents’ own food preferences, inconsistent caregiving, rushed meals, cramped school dining, and nutrition education that felt boring and impractical. These are perceptions, not tested effects.
• RNSurvey2019Assessing body dissatisfaction in Japanese women during the second trimester of pregnancy using a new figure rating scale.Nursing & health sciencesJapanese women in their sixth month of pregnancy thought their bodies were 1.6 kg/m2 BMI larger than their ideal body size, and 151 of 161 overestimated their body size.
• RNCohort2019The Timing of Family Meetings in the Medical Intensive Care Unit.The American journal of hospice & palliative careIn 131 high-risk ventilated ICU patients, only 60 had a family meeting within 72 hours, and median time was 4 days. Among 54 who died after a meeting, 27 had the first one the same day as or just before death.
• RNQualitative2020Development of a Community Advance Care Planning Guides Program and the RELATE Model of Communication.The American journal of hospice & palliative careTrained laypeople guiding advance care planning conversations succeeded when they prioritized building rapport and listening over rushing to forms. Participants felt heard and motivated to act when the guide adapted to their comfort level, whereas starting with paperwork often hindered connection.
• RNPilot2020The Relationships Among Social Capital, HIV Self-Management, and Substance Use in Women.Western journal of nursing researchHigher social capital was linked to better HIV self-management and medication adherence. Women described trust, community, and feeling valued as key; substance use still harmed daily self-management.
• RNCase-Control2020Outbreak of Human Metapneumovirus in a Nursing Home: A Clinical Perspective.Journal of the American Medical Directors AssociationA nursing home outbreak infected 40 of 78 residents, causing 5 hospitalizations and 1 death. All infected residents coughed, but only 8 had fever. Influenza vaccination was associated with more infections in the analysis, but the authors called this surprising.
• RNCohort2020Leveraging Electronic Health Records and Machine Learning to Tailor Nursing Care for Patients at High Risk for Readmissions.Journal of nursing care qualityThe model found the highest 30-day readmission risk in patients with an emergency department visit, 9 or more comorbidities, Medicaid insurance, and age 65 years or older.
• RNPilot2020Oxytocin, Vasopressin and Prolactin in New Breastfeeding Mothers: Relationship to Clinical Characteristics and Infant Weight Loss.Journal of human lactation : official journal of International Lactation Consultant AssociationNew mothers whose babies lost less than 5% of birth weight had higher oxytocin and lower vasopressin levels during a feeding. Higher prolactin was linked to more milk transfer, but oxytocin and vasopressin were not.
• PTOTRNCase-Control2020Falls in hospital: a case-control study.Scandinavian journal of caring sciencesHospital patients with poor or very poor balance were far more likely to fall. Older age, male sex and sedating or mental-health drugs were also linked. Check balance and review these drugs early.
• RNQualitative2020Using Real-Time Adherence Feedback to Enhance Communication About Adherence to Antiretroviral Therapy: Patient and Clinician Perspectives.The Journal of the Association of Nurses in AIDS Care : JANACPatients and HIV clinicians expected hair-based ART adherence feedback to make medication discussions more accurate and problem-solving focused, but worried it could feel like mistrust or push some patients away.
• RNPilot2020Mindfulness Training Supports Quality of Life and Advance Care Planning in Adults With Metastatic Cancer and Their Caregivers: Results of a Pilot Study.The American journal of hospice & palliative careThirteen advanced cancer patients and their caregivers completed a six-week mindfulness program. Most patients became more ready to discuss end-of-life care and reported improved mood and quality of life, but this single-arm pilot cannot prove the training caused these changes.
• RNSystematic Review2019Associations Among End-of-Life Discussions, Health-Care Utilization, and Costs in Persons With Advanced Cancer: A Systematic Review.The American journal of hospice & palliative careIn advanced cancer, goals-of-care talks were linked with less ICU and hospital care near death, more hospice use, and dying outside hospital. Earlier talks showed stronger links. Cost evidence was limited.
• RNSurvey2019Informal caregivers' judgements on sharing care with home care professionals from an intersectional perspective: the influence of personal and situational characteristics.Scandinavian journal of caring sciencesDutch caregivers were generally satisfied about sharing care with home care professionals, but younger, higher educated, those with worse health, and domestic-help caregivers judged sharing care less positively.
• RNQualitative2019Stepping outside the consultation room. On nurse-patient relationships and nursing responsibilities during a type 2 diabetes walking project.Journal of advanced nursingNurses who walked with patients with type 2 diabetes described shifting from expert educators to facilitators. They found stepping outside the consultation room allowed them to understand patients' daily lives better, which changed how they asked questions during regular consultations.
• RNOther2019Diagnostic accuracy of office blood pressure compared to home blood pressure in patients with mild cognitive impairment and dementia.European journal of cardiovascular nursingIn older memory clinic patients, office BP and home BP disagreed on hypertension diagnosis in 31%. Disagreement was 35.4% in dementia and 38.5% in mild cognitive impairment, versus 18.2% in patients without cognitive impairment.
• OTSLPRNQualitative2019Acceptance and adjustment: A qualitative study of experiences of hearing and vision impairments and daily life among oldest old recipients of home care.International journal of older people nursingPeople in their late 80s and 90s with hearing and vision loss often accept these impairments because they lack the energy to address them. They prioritize managing pain, fatigue and serious illness over sensory aids, leading to social withdrawal and difficulty with daily tasks like reading.
• RNSurvey2019Human papillomavirus vaccination and respect for children's developing autonomy: Results from a European Union wide study.Journal of child health care : for professionals working with children in the hospital and communityHPV vaccination rules vary widely across Europe. Some countries require only the child's consent, others the parents', and some no consent. Higher vaccination rates were often found in countries that respected the child's autonomy rather than overriding their refusal.
• PTOTRNNarrative Review2019Review of Treatment for Central Spinal Neuropathic Pain and Its Effect on Quality of Life: Implications for Neuromyelitis Optica Spectrum Disorder.Pain management nursing : official journal of the American Society of Pain Management NursesTreating central spinal neuropathic pain often reduces pain but fails to improve quality of life. Across 21 studies, only six improved both. Clinicians should target symptom clusters like fatigue and mood, not just pain intensity, to help patients feel better.
• RNSurvey2019How Is End-of-Life Care With and Without Dementia Associated With Informal Caregivers' Outcomes?The American journal of hospice & palliative careCaregivers of people with dementia at end of life reported the highest burden, but once care demands and support were considered, burden tracked patient dependence, hours of care, and support gaps. Positive experiences were separate: end-of-life care without dementia had the most.
• OTRNQualitative2019Microscopic colitis: Struggling with an invisible, disabling disease.Journal of clinical nursingPatients with microscopic colitis described frequent watery stools, urgency and fear of incontinence as disabling, socially isolating and anxiety provoking, even when blood, stool and examination results did not reflect their symptoms.
• OTRNMeta-Analysis2019How do "robopets" impact the health and well-being of residents in care homes? A systematic review of qualitative and quantitative evidence.International journal of older people nursingRobopets significantly reduced agitation in residents with dementia, but showed no pooled effect on loneliness, depression or quality of life. Engagement varied widely: some residents sought them out, others found them irritating or infantilising. They are not a replacement for human interaction.
• RNCohort2019Understanding Underuse of Advance Care Planning Among a Cohort of African American Patients With Advanced Cancer: Formative Research That Examines Gaps in Intent to Discuss Options for Care.The American journal of hospice & palliative careMost hospitalized African American patients with advanced cancer did not intend to discuss hospice for six months, though many reported pain and breathlessness. Positive quality-of-life ratings did not mean low need for palliative care.
• RNSurvey2020Use and Misuse of Opioid Pain Medications by Pregnant and Nonpregnant Women.Pain management nursing : official journal of the American Society of Pain Management NursesPregnant women reported past-year opioid use less often than nonpregnant women, but 31.89% of pregnant women still used opioids. Misuse did not differ by pregnancy status.
• RNOther2020Nursing Home Eligible, Community-Dwelling Older Adults' Perceptions and Beliefs About Sleep: A Mixed-Methods Study.Clinical nursing researchMost participants reported poor sleep quality and did not get recommended sleep amounts, regardless of self-perception. Many had objective sleep disturbances but did not recognize them as problems, suggesting clinicians must proactively assess sleep in this population.
• RNCohort2020Parental Self-Efficacy in New Mothers Predicts Infant Growth Trajectories.Western journal of nursing researchMothers' confidence in parenting after birth went along with greater infant growth in weight relative to length in this low-income African American sample. Nurses should not assume confidence means healthier growth.
• PTOTRNQualitative2020Trapped in my lungs and fighting a losing battle. A phenomenological study of patients living with chronic obstructive and pulmonary disease.Scandinavian journal of caring sciencesNine people with COPD described breathlessness as the centre of daily life. They monitored oxygen levels, avoided triggers, and cut back showering, outings and exercise. Staying active felt necessary but like fighting a losing battle.
• RNQualitative2020Positive cancer care in Peru: Patient and provider perspectives.Health care for women internationalPeruvian breast cancer survivors and providers described empathic, individualized communication as central to positive cancer care. Cold diagnosis talk and delayed test results were linked in patients' accounts to fear and mistrust.
• RNQualitative2020Maternal Health Beliefs, Perceptions, and Experiences in a U.S. Marshallese Community.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyMarshallese women described wanting Western maternal care plus female, midwife, and family support. They reported gaps in contraceptive knowledge and negative U.S. births when they were alone, faced language barriers, or could not use cultural postpartum practices.
• RNOther2020Spiritual care by nurses in curative oncology: a mixed-method study on patients' perspectives and experiences.Scandinavian journal of caring sciencesMost curative cancer patients rarely discussed spiritual themes with nurses, yet found limited conversations sufficient. Nurses often acted reactively, noticing distress and referring on. Some patients, especially younger or less spiritual, wanted more.
• RNOther2019Parent activation and pediatric primary care outcomes for vulnerable children: A mixed methods study.Patient education and counselingParent activation scores showed no link to pediatric care outcomes for English-speaking parents. For Spanish-speaking parents, higher scores oddly correlated with children being overweight. Interviews revealed the measure fails to capture cultural barriers and healthcare system navigation challenges.
• RNSystematic Review2019An integrative review of leadership competencies and attributes in advanced nursing practice.Journal of advanced nursingThis review identified 30 leadership competencies for advanced practice nurses, mostly focused on clinical and systems roles. Very few competencies addressed health policy leadership, leaving a gap in preparing nurses to influence healthcare decisions at the political level.
• RNOther2019Online information on dysmenorrhoea: An evaluation of readability, credibility, quality and usability.Journal of clinical nursingOnline dysmenorrhea info is often too complex (10th-grade level) and lacks evidence. Commercial sites were most inaccurate. Nurses should screen patient web sources, simplify education, and direct women to verified agency pages.
• RNRCT2019Dose-dependent effects of lifestyle interventions on blood lipid levels: Results from the PREMIER trial.Patient education and counselingStructured counseling lowered LDL-C at six months, but not at eighteen. The counseling was individual and group sessions about physical activity, weight loss, sodium reduction, reduced fat/calorie diet, and DASH diet, so no single component can be credited.
• RNRCT2019Participation of lower-to-middle wage workers in a study of Chronic Disease Self-Management Program (CDSMP) effectiveness: Implications for reducing chronic disease burden among racial and ethnic minority populations.Public health nursing (Boston, Mass.)Racial/ethnic minorities and lower-income workers were more likely to complete chronic disease self-management workshops than White or higher-income participants. However, only 38% of those randomized attended the first session, showing major barriers to starting.
• RNQualitative2019Trying to Do What Is Best: A Qualitative Study of Maternal-Infant Bonding and Neonatal Abstinence Syndrome.Advances in neonatal care : official journal of the National Association of Neonatal NursesMothers of infants with neonatal abstinence syndrome described trying to do what is best. They valued being with their infants, father involvement, and clear nonjudgmental teaching. They said guilt, fear of judgment, and frequent withdrawal scoring disrupted bonding and care.
• RNCohort2019Resource utilisation and description of patients perceived as receiving inappropriate critical care.Intensive & critical care nursingDoctors judged 123 ICU patients to be receiving inappropriate care; 68% died before discharge, they received 1542 ventilator days, and on days judged inappropriate or probably inappropriate they were non-alert 62% of the time when pain and consciousness were assessed.
• RNOther2019Development and validation of the needs of children questionnaire: An instrument to measure children's self-reported needs in hospital.Journal of advanced nursingChildren aged 5-16 in hospital said they understood the needs questionnaire and most liked using the iPad, but the final 16-item tool had inconsistent scores in three sections and the whole tool and needs more testing before use.
• RNQualitative2019Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters.Journal of advanced nursingMigrant mothers and maternity staff described language barriers that reduced care to gestures. Informed consent and trust were often compromised. Interpreters were seen as essential, especially in emergencies, but access was inconsistent.
• RNQualitative2019Dementia Care Across a Tertiary Care Health System: What Exists Now and What Needs to Change.Journal of the American Medical Directors AssociationStakeholders reported that dementia care is fragmented, with patients often unrecognized in emergency departments and admitted to psychiatry units for agitation. Sitters were frequently underused for engagement, and discharge planning was a major bottleneck due to lack of community placement.
• RNOther2019Pain Quality by Location in Outpatients with Cancer.Pain management nursing : official journal of the American Society of Pain Management NursesLung and prostate cancer outpatients marked different pain sites: chest, back, and head for lung; abdomen, buttocks, and legs for prostate. Mapping pain words to sites may help nurses recognise possible neuropathic pain.
• RNRCT2019Temporary Stoppages and Burden of Treatment in Patients With Cancer.Oncology nursing forumThe study did not show that symptom interference or treatment regimen complexity was linked to temporary stoppages. Women and patients on kinase inhibitors were more likely to stop oral cancer treatment.
• RNCohort2020Increased Length of Stay Associated With Antibiotic Use in Older Adults With Advanced Cancer Transitioned to Comfort Measures.The American journal of hospice & palliative careAntibiotic use was associated with 34% longer hospital stay among 461 older adults with advanced cancer moved to comfort care. Among antibiotic recipients, 94% received intravenous antibiotics, and 40% continued until discharge or death.
• RNCohort2020The Association of Nurse-Physician Teamwork and Mortality in Surgical Patients.Western journal of nursing researchBetter nurse-physician teamwork was associated with lower 30-day mortality and failure-to-rescue in surgical patients. This benefit only appeared in hospitals with adequate staffing and higher percentages of BSN-educated nurses, meaning teamwork programs need nursing resources to work.
• RNQualitative2020Culturally Adapting an Advance Care Planning Communication Intervention With American Indian and Alaska Native People in Primary Care.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyParticipants asked for plain words, questions about culture, and who should be involved in advance care planning conversations with American Indian and Alaska Native patients. Cognitive interview participants found the adapted tool clear, but whether it improves conversations was not tested.
• RNOther2020Examining engagement in care of women living with HIV in South India.Health care for women internationalOf 264 women living with HIV on ART in South India, 214 (80.7%) were consistently engaged. Engagement was linked to older age, education, income, household disclosure, and fewer access barriers.