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 43 OF 216 · NEWEST FIRST

• RNQualitative2020Diabetes disclosure strategies in adolescents and young adult with type 1 diabetes.Patient education and counselingYoung people with type 1 diabetes described three ways of telling others: openly explaining for safety and support, hiding or avoiding because of discomfort and burden, or letting diabetes become known through parents, supplies, or routines. Strategies varied by situation and trust.
• RNCohort2020Preventing Cesarean Birth in Women with Obesity: Influence of Unit-Level Midwifery Presence on Use of Cesarean among Women in the Consortium on Safe Labor Data Set.Journal of midwifery & women's healthUnit-level midwifery presence was associated with fewer unplanned cesarean births overall, but not in women whose BMI was higher than 35 kg/m2.
• RNSurvey2019Evaluating an Online Training Course to Develop and Sustain Cancer Navigation and Survivorship Programs.Oncology nursing forumLearners reported increased confidence in planning and evaluating cancer navigation programs after an online course, but confidence in identifying funding sources did not improve. Nurses gained as much as non-nurses, yet half still felt they needed more information before implementing what they learned.
• RNOther2019Making a Case for Integrating Evidence-Based Sexual Risk Reduction and Mental Health Interventions for Adolescent Girls.Issues in mental health nursingAdolescent girls in a sexual risk reduction trial showed high rates of depression and substance use. Authors propose combining this trial's intervention with a cognitive-behavioral program to address both sexual and mental health risks, but no combined trial has been conducted.
• RNNarrative Review2019Maternity Care for Pregnant Women with Opioid Use Disorder: A Review.Journal of midwifery & women's healthUniversal screening, brief intervention, and referral to treatment are recommended for pregnant women. Nurses can monitor newborns for NOWS and use rooming-in, swaddling, and breastfeeding before medication.
• RNOther2019Psychometric Properties of a Spanish-Language Version of a Short-Form FAMCARE: Applications to Caregivers of Patients With Alzheimer's Disease and Related Dementias.Journal of family nursingThe Spanish short-form FAMCARE gives one caregiver satisfaction score for dementia care. Many caregivers scored at the top, and the study did not check whether the same score would be repeated over time.
• RNCase Series2019Childhood lead poisoning from domestic products in China: A case study with implications for practice, education, and policy.Public health nursing (Boston, Mass.)Children in China had lead poisoning from tin wine pots, home tinfoil factories, or folk medicine. Blood lead levels fell after chelation, supplements for Case 1, and exposure advice, but a child's level rose again. The paper says this suggests ongoing exposure.
• RNSurvey2019Post-Traumatic Growth among Family Caregivers of Cancer Patients and Its Association with Social Support and Hope.International journal of community based nursing and midwiferyFamily caregivers of gastrointestinal cancer patients in Iran reported positive psychological growth after trauma. Higher hope and perceived social support were linked to more growth, and hope showed the stronger link.
• RNQualitative2019Informing Adults With HIV of Cognitive Performance Deficits Indicative of HIV-Associated Neurocognitive Disorder: A Content Analysis.Journal of psychosocial nursing and mental health servicesMost adults with HIV told their test scores suggested cognitive problems already suspected them and wanted to improve; fewer were surprised, anxious, or sad. This describes reactions to feedback, not treatment effects.
• RNQualitative2019"Nobody knows, or seems to know how rheumatology and breastfeeding works": Women's experiences of breastfeeding whilst managing a long-term limiting condition - A qualitative visual methods study.MidwiferyWomen with autoimmune rheumatic diseases described receiving contradictory or absent advice on medication safety while breastfeeding, leading to guilt and difficulty balancing disease control with infant feeding. They felt pressured by targets rather than supported in making personal choices.
• RNRCT2019Randomized Trial of 3 Techniques of Perineal Skin Closure During Second-Degree Perineal Laceration Repair.Journal of midwifery & women's healthIn 35 women after second-degree tears, suturing the perineal skin was associated with higher pain at 2 weeks than leaving it unsutured or using glue. Wound healing and sexual function did not differ.
• RNOther2019Early Therapeutic Mobility and Changes in Scores for Pain and Fatigue.Critical care nurseEarly mobility in 39 ICU patients showed only small average pain and fatigue score changes. A few reports rose by 4 or more, especially at first sitting up, so assess before and after.
• RNCohort2020The association between symptom onset characteristics and prehospital delay in women and men with acute coronary syndrome.European journal of cardiovascular nursingPrehospital delay did not differ between women and men with ACS, but gradual onset was tied to longer delay than abrupt onset.
• RNOther2020Using healthcare failure mode and effect analysis as a method of vaginal birth after caesarean section management.Journal of clinical nursingIn 144 women choosing trial of labour after caesarean, 130 had vaginal birth during a HFMEA quality improvement programme, and VBAC rate rose from 3.0% to 7.1% over 1 year. Uterine dehiscence occurred once in 2016, with no severe maternal or neonatal complications.
• PTOTRNMeta-Analysis2020Meta-analysis and GRADE profiles of exercise interventions for falls prevention in long-term care facilities.Journal of advanced nursingExercise did not significantly reduce falls overall, but balance-focused and longer-than-six-month programs showed promise. Frail residents faced an increased fall risk from exercise. Technical devices showed moderate-confidence benefits, while tai chi reduced fear of falling without reducing actual falls.
• RNRCT2020Randomized clinical trial of computerized PAINRelieveIt® for patients with sickle cell disease: PAINReportIt® and PAINUCope®.Patient education and counselingIn adults with sickle cell disease, a tablet-based tailored pain education did not reduce barriers, pain, or medication adherence compared with usual care. Few participants used the education long enough to complete it.
• RNSurvey2020Reasons for sleeping difficulties as perceived by adolescents: a content analysis.Scandinavian journal of caring sciencesAdolescents attribute their sleep difficulties to an imbalance between demands and resources. Stress, technology use, and poor sleep habits are the top reasons. School nurses should address these lifestyle factors and existential worries in health promotion work.
• RNSurvey2020Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older Black Americans.Patient education and counselingIn 330 Black adults aged 50-75 not up to date with colorectal cancer screening, 171 (51.8%) had limited health literacy on a 0-8 word test. Men, income under $25,000, unable to work, and higher religious-belief scores were associated.
• RNSystematic Review2020Fatherhood Matters: An Integrative Review of Fatherhood Intervention Research.The Journal of school nursing : the official publication of the National Association of School NursesFatherhood interventions improved at least one father outcome in all 44 studies, but child outcomes were mixed: 19 studies reported positive child outcomes and one reported a negative outcome.
• RNOther2020Trends in Collection of Microbiological Cultures Across Veterans Affairs Community Living Centers in the United States Over 8 Years.Journal of the American Medical Directors AssociationCulture collection in VA Community Living Centers fell, especially urine cultures. The share of blood and respiratory cultures that were positive fell. No resident outcomes were measured.
• RNRCT2020A Pilot Randomized Controlled Trial of Outcomes Associated with Parent-Nurse Controlled Analgesia vs. Continuous Opioid Infusion in the Neonatal Intensive Care Unit.Pain management nursing : official journal of the American Society of Pain Management NursesPostoperative NICU infants given parent-nurse controlled morphine used less opioid over postoperative days 0-3 than infants given continuous infusion, while pain scores stayed low and similar. This was a small unblinded pilot.
• RNCohort2020Advance directives and intensity of care delivered to hospitalized older adults at the end-of-life.Heart & lung : the journal of critical careHaving an advance directive on file did not reduce aggressive treatments like CPR or dialysis in dying older adults. It did increase referrals to palliative care and hospice, but those referrals happened late, often just days before death.
• RNRCT2020Race moderates the effects of Motivational Interviewing on smoking cessation induction.Patient education and counselingThe main quit-attempt result showed no clear race difference between motivational interviewing and health education. Other measures suggested African American smokers did better with health education, and non-Black smokers did better with motivational interviewing.
• RNOther2020Thirty-Year Trends in Nursing Home Composition and Quality Since the Passage of the Omnibus Reconciliation Act.Journal of the American Medical Directors AssociationOver 30 years, US nursing homes served more diverse, higher-need residents; dementia rose 39% to 45%, psychiatric diagnoses 11% to 31%, physical restraint 19% to 1%, pressure ulcers 8% to 6%.
• RNQualitative2019They Just Don't Get Me: A Qualitative Analysis of Transgender Women's Health Care Experiences and Clinician Interactions.The Journal of the Association of Nurses in AIDS Care : JANACTransgender women living with HIV distinguished clinicians who 'get' them, who provide gender-affirming care and willingness to learn, from those who 'don't', who misgender patients or refuse care. Patients reported that misgendering and discomfort discouraged them from returning for future care.
• RNCase Report2019Rare Presentation of Postsurgical Pyoderma Gangrenosum Presenting as Necrotizing Soft Tissue Infection.Advances in skin & wound careA man developed painful, spreading wounds after rectal surgery despite negative cultures and scans. Stopping sharp debridement and starting steroids on day 21 was followed by rapid symptom improvement, with abdominal healing at 13 weeks.
• RNQualitative2019Lived experiences of couples in a relationship where one partner is diagnosed with a mental illness.CurationisFive couples described how one partner's mental illness reshaped their relationship. The well partner took on more household and financial roles, while both partners reported emotional strain, reduced intimacy, and increased interpersonal distance. These are lived experiences, not outcomes of treatment.
• RNCohort2019Influence of Nutrition and Nonnutrition Factors on Pressure Injury Outcomes Among At-Risk Asian Nursing Home Residents.Advances in skin & wound careAsian nursing home residents developed pressure injuries more often than non-Asian residents (6% versus 1%), despite similar Braden scores. They were less likely to finish all meals, were less likely to take liquid supplements, and Asian residents with injuries had more wet briefs.
• RNCohort2019Safety Profile of HTX-019 Administered as an Intravenous Infusion in Patients With Cancer: A Retrospective Analysis.Journal of infusion nursing : the official publication of the Infusion Nurses SocietyIn 147 cancer patients receiving chemotherapy, 864 doses of HTX-019 IV were given with no infusion-site adverse events and no adverse events judged related to HTX-019. This is safety evidence, not proof the antiemetic works.
• RNRCT2019Engaging Youth (Adolescents and Young Adults) to Change Frequent Marijuana Use: Motivational Enhancement Therapy (MET) in Primary Care.Journal of pediatric nursingFrequent users aged 15 to 24 rated two nurse-delivered motivational sessions good or excellent; 68% used cannabis to cope and 71% feared stress worsened. The paper does not report whether use changed.
• RNCohort2020Impact of Hospice on Spending and Utilization Among Patients With Lung Cancer in Medicare.The American journal of hospice & palliative careLung cancer patients who used hospice had lower spending and less aggressive care in their final month. They were significantly less likely to be hospitalized or visit the emergency room, and received fewer chemotherapy and radiation sessions compared to non-users.
• RNSystematic Review2020A Systematic Review of Transition Readiness in Youth with Chronic Disease.Western journal of nursing researchSelf-efficacy and taking responsibility for disease management are the most consistent factors linked to better transition readiness in youth with chronic conditions. Age and female gender also correlate with readiness, but the evidence rests on cross-sectional surveys that cannot prove these factors cause better outcomes.
• RNMeta-Analysis2020Effect of diabetes self-management education on glycemic control in Latino adults with type 2 diabetes: A systematic review and meta-analysis.Patient education and counselingIn Latino adults with type 2 diabetes, self-management education lowered A1C by 0.240% compared with usual care. Most participants did not reach target levels.
• RNNarrative Review2020Using Implementation Science to Further the Adoption and Implementation of Advance Care Planning in Rural Primary Care.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingMost research on advance care planning focuses on starting the conversation, leaving gaps in how to identify patients, document wishes, or follow up. Nurses and providers struggle with role ambiguity and time, not just lack of knowledge.
• RNOther2020Antibiograms Cannot Be Used Interchangeably Between Acute Care Medical Centers and Affiliated Nursing Homes.Journal of the American Medical Directors AssociationAntibiograms from affiliated acute care hospitals cannot be used interchangeably with those from nursing homes. None of the 119 paired facilities showed complete agreement on which antibiotics would work, with an average of 20% of bacteria-antibiotic comparisons disagreeing.
• RNSurvey2020Extended afternoon naps are associated with hypertension in women but not in men.Heart & lung : the journal of critical careHypertension was more common in women who napped 90 minutes or more after lunch than in women who did not nap, especially older women. No such difference was seen in men. This is a link, not proof naps raise blood pressure.
• RNQualitative2020Adapting to chronic pain: A focused ethnography of black older adults.Geriatric nursing (New York, N.Y.)Black older adults with daily pain said staying positive, keeping active, engaging with others, praying, and relying on family helped them cope. 86% reported severe pain, but they rarely talked about pain directly.
• RNSurvey2020Cancer information overload: Discriminant validity and relationship to sun safe behaviors.Patient education and counselingU.S. adults who reported more cancer information overload also reported more tanning, fewer annual checkups, and lower sun safe knowledge. The pattern varied by sex, race, education, and skin cancer risk.
• RNRCT2020Polypharmacy Increases Risk of Dyspnea Among Adults With Serious, Life-Limiting Diseases.The American journal of hospice & palliative careEach additional chronic medication was associated with 8% increased risk of mild dyspnea and 16% increased risk of moderate-severe dyspnea in adults with serious life-limiting illness. Stopping statins alone was not associated with dyspnea trajectory group membership.
• RNCohort2020Both Race and Insurance Type Independently Predict the Selection of Oral Opioids Prescribed to Cancer Outpatients.Pain management nursing : official journal of the American Society of Pain Management NursesAfrican American cancer outpatients were more often prescribed morphine and less often oxycodone than White patients. Private insurance also predicted opioid choice, while kidney disease did not. This is an association, not proof of bias or harm.
• RNCohort2020The Natural Course of Adolescent Depression Treatment in the Primary Care Setting.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners83% of adolescents screening positive for moderate or severe depression received some treatment, but 45% stopped early and many SSRI users quit before one year. Side effects, inability to afford treatment, refill problems and negative attitudes were recorded.
• RNCohort2020Using the Robson 10-Group Classification System to Compare Cesarean Birth Utilization Between US Centers With and Without Midwives.Journal of midwifery & women's healthCenters with midwife-physician teams had lower total cesarean birth (26.1% vs 33.5%) and lower induction use (23.6% vs 43.2%), but nulliparous women with induced labor had higher cesarean rates before patient differences were accounted for.
• RNNarrative Review2019Fatigue in Individuals with End Stage Renal Disease.Nephrology nursing journal : journal of the American Nephrology Nurses' AssociationFatigue affects 60% to 97% of people with end-stage renal disease on hemodialysis, and nurses should ask about it regularly. Causes and treatments are unclear, so manage it as a common, burdensome symptom while checking depression, activity, and anemia.
• RNCohort2019Comparing cognitive load levels among family members of the critically ill exposed to electronic decision aids.Applied nursing research : ANRSurrogate decision-makers using an interactive avatar-based tool reported significantly higher extraneous cognitive load than those watching a passive video. Older age was linked to higher load for both intrinsic and extraneous domains. The interactive tool may overwhelm users.
• RNSurvey2019Childhood Bullying: Screening and Intervening Practices of Pediatric Primary Care Providers.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersMost pediatric providers believe they should screen for bullying, but only about half actually do. Providers with higher confidence in their ability to screen were more likely to do so. Knowledge about bullying did not predict screening behavior.
• RNOther2019Design of a Consumer Mobile Health App for Heart Failure: Findings From the Nurse-Led Co-Design of Care4myHeart.JMIR nursingThe Care4myHeart heart failure app was co-designed with patients, family caregivers and clinicians. It covers medication, weight, fluid, blood pressure, exercise, documents and advance-care planning, but the paper does not show it improves outcomes.
• RNCohort2019Regional Disparities in Transplantation With Deceased Donor Kidneys With Kidney Donor Profile Index Less Than 20% Among Candidates With Top 20% Estimated Post Transplant Survival.Progress in transplantation (Aliso Viejo, Calif.)Kidney transplant candidates with the best expected survival did not have equal access to the best expected-quality deceased donor kidneys across United States regions; region 6 had the most, region 9 the least.
• RNRCT2019Feasibility study of automated interactive voice response telephone calls with community health nurse follow-up to improve glycaemic control in patients with type 2 diabetes.International journal of nursing practiceIn 35 Thai adults with poorly controlled type 2 diabetes, group education, weekly automated calls, a health log, nurse follow-up, and possible medication changes were linked to a mean 0.9% HbA1c drop over 12 weeks, but there was no control group.
• RNCohort2020Patient Trade-Offs Related to Analgesic Use for Cancer Pain: A MaxDiff Analysis Study.Pain management nursing : official journal of the American Society of Pain Management NursesPatients with cancer pain most often weighed whether pain medicines would stop them knowing what was going on in their body; addiction concerns were not the top trade-off.
• RNMeta-Analysis2020The effect of auricular therapy on blood pressure: A systematic review and meta-analysis.European journal of cardiovascular nursingAdding ear acupressure to blood pressure medicines lowered systolic readings by 5.06 mm Hg and diastolic readings by 5.30 mm Hg more than medicines alone after trials with larger starting pressures were excluded, but other ear therapy comparisons were inconsistent.