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 44 OF 216 · NEWEST FIRST

• RNQualitative2020Medication Nonadherence or Self-care? Understanding the Medication Decision-Making Process and Experiences of Older Adults With Heart Failure.The Journal of cardiovascular nursingOlder adults with heart failure described intentional medication changes triggered by symptoms, side effects, or lifestyle goals. They did not see these changes as nonadherence, often avoided disclosure, and relied on the internet when clinicians were hard to reach.
• PTOTRNOther2020Gender Differences in Function, Physical Activity, Falls, Medication Use, and Life Satisfaction Among Residents in Assisted Living Settings.Research in gerontological nursingIn assisted living residents, women reported higher satisfaction with activities and received more medications than men. Function, physical activity, falls, and other satisfaction scores did not differ by gender.
• RNCohort2020The Health Economic Impact of Living Cell Tissue Products in the Treatment of Chronic Wounds: A Retrospective Analysis of Medicare Claims Data.Advances in skin & wound careIn Medicare wound-care claims, CHSA had lower wound-related costs and waste than BLCC or DSS, but hospitalizations did not differ, and DSS had a higher amputation rate than CHSA or BLCC.
• RNQualitative2020Giving Voice to Parents in the Development of the Preemie Prep for Parents (P3) Mobile App.Advances in neonatal care : official journal of the National Association of Neonatal NursesParents at risk for preterm birth wanted information before labor, on their own time, with clear NICU expectations and support for fathers. They rejected game-like features and wanted survival statistics framed carefully.
• RNMeta-Analysis2020Outcomes of nurse practitioner-led care in patients with cardiovascular disease: A systematic review and meta-analysis.Journal of advanced nursingNurse practitioner-led cardiovascular care showed no clear difference from usual care in heart failure readmission, hospital stay after surgery, quality of life, or vascular risk. The finding came from five small trials.
• RNOther2020Emotional and behavioral problems in children with dilated cardiomyopathy.European journal of cardiovascular nursingParents reported more anxiety, depression, and physical complaints in 6-18-year-olds with dilated cardiomyopathy than in peers. In toddlers, physical complaints were higher and acting-out problems lower. Anxiety and depression did not predict death or transplant.
• RNSurvey2019Environmental factors and awareness of colorectal cancer in people at familial risk.Revista latino-americana de enfermagemAmong 80 people at familial risk for colorectal cancer, age, alcohol, smoking, diet and BMI were not associated with awareness. Only 50% knew family history raises risk, and 13.8% felt confident spotting symptoms.
• RNSystematic Review2019Experiences of family caregivers of persons living with mental illness: A meta-synthesis.CurationisFamily caregivers of relatives with mental illness in sub-Saharan Africa felt exhausted, fearful, stigmatised and powerless, but some found relief, hope and family closeness after help from hospital or family.
• RNOther2019Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil.Revista latino-americana de enfermagemIn records reviewed at a Brazilian teaching hospital, 42 surgical patients had at least one adverse event, totaling 60 events; 90% were judged preventable, 50% were healthcare-associated infections, and 90% were mild or moderate.
• RNCohort2019Related factors of the nursing diagnosis ineffective breathing pattern in an intensive care unit.Revista latino-americana de enfermagemIn an ICU, 67.5% of patients met the study's definition of ineffective breathing pattern; fatigue, older age and trauma were linked to it. Reduced lung sounds were the most accurate bedside sign.
• RNMeta-Analysis2020Caregiver Experiences of Care Coordination for Recently Discharged Patients: A Qualitative Metasynthesis.Western journal of nursing researchCaregivers of recently discharged patients described not knowing whom to call, being left out of discharge decisions, lacking practical training, and feeling exhausted. The themes describe caregiver-reported gaps. They are not evidence that any intervention works.
• RNSurvey2020Perceptions Toward Mental Illness and Seeking Psychological Help among Bhutanese Refugees Resettled in the U.S.Issues in mental health nursingMost Bhutanese refugees surveyed saw mental illness as embarrassing, saw seeking help as shameful, and feared others would judge them. Access to counseling was a problem for 34.8%, especially those with lower English skills.
• RNOther2019Associations of dry skin, skin care habits, well-being, sleep quality and itch in nursing home residents: Results of a multicentre, observational, cross-sectional study.Nursing openSkin dryness and care habits showed no link to itch, sleep, or well-being in 51 nursing home residents. Most residents had mild or no itch, and dry skin did not appear to drive distressing symptoms in this group.
• RNSurvey2019A cross-sectional study of health literacy in patients with chronic kidney disease: Associations with demographic and clinical variables.Nursing openPatients with chronic kidney disease scored lowest on finding and judging health information. Lower education, more medicines, living alone and depressive symptoms were linked to lower health literacy scores. These are flags for patient education, not proof that a fix works.
• RNQualitative2019Understanding marital violence: a study in grounded theory.Revista latino-americana de enfermagemWomen in Brazilian courts described conjugal violence as a cycle: control and humiliation escalated to severe assault, then apologies. Family and institutional support shaped whether they could leave.
• RNOther2019Risk strata and quality of care for the elderly in Primary Health Care.Revista latino-americana de enfermagemIn 108 elderly patients with hypertension or diabetes in Brazilian primary care, recommended tests and medical or nursing consultations were rarely recorded. Only 1 of 46 diabetic patients had a foot evaluation, and care did not match risk strata.
• RNRCT2019Effect of infant stimulation on the adaptation to birth: a randomized trial.Revista latino-americana de enfermagemNight sleep did not differ early, but compared with standard care, standard care plus home ATVV was linked to more later sleep, greater newborn weight gain and lower maternal role stress scores.
• RNQualitative2019Reproductive health outcomes: Insights from experts and verbal autopsies.CurationisBereaved families and reproductive health experts identified disempowering policies, inadequate family planning, disrespectful care, and fragmented HIV services as factors in poor maternal and neonatal outcomes.
• RNCohort2019Restitution volumes at the end of dialysis sessions: A potential influencing factor on patients' haemoglobin levels?Nursing openThorough blood reinfusion at the end of dialysis is linked to slightly higher haemoglobin levels. However, the effect is tiny, explaining only 0.6% of variation. Clinics using higher reinfusion volumes did not significantly reduce their use of anaemia medications.
• RNCohort2019Quality of life, pain and anxiety in patients with nephrostomy tubes.Revista latino-americana de enfermagemPatients with nephrostomy tubes rated quality of life lower at the first tube replacement six weeks after placement. Anxiety stayed about the same. Pain scores fell slightly.
• OTRNSurvey2019Functional and self-care capacity of people with multiple sclerosis.Revista latino-americana de enfermagemMost outpatients with MS had self-care capacity (82.1%), but 51.2% were moderately dependent for basic tasks. Higher disability and older age were linked to greater dependence.
• RNRCT2019Menthol chewing gum on preoperative thirst management: randomized clinical trial.Revista latino-americana de enfermagemMenthol chewing gum for ten minutes before elective surgery reduced thirst intensity and discomfort more than usual care. Nurses can consider it for thirsty preoperative patients while fasting, but how long relief lasted was not measured.
• RNQualitative2019Enhancing the cancer caregiving experience: Building resilience through role adjustment and mutuality.European journal of oncology nursing : the official journal of European Oncology Nursing SocietyCancer survivors and caregivers described resilience as coming from constant role renegotiation and shared meaning. They shifted from a 'take mode' to a partnership where both protected the other's well-being. This mutual adjustment, not just caregiving, helped them recover their social lives.
• RNQualitative2019Coping strategies of mothers with preterm babies admitted in a public hospital in Cape Town.CurationisIn one Cape Town neonatal unit, 11 mothers said they coped by praying, staying close to their babies, and accepting the situation. They also linked seeing the baby and hearing positive progress updates to coping.
• RNOther2019Non-verbal nurse-parturient communication in labor in Portuguese-speaking countries.Revista latino-americana de enfermagemMany nurse-parturient interactions during active labour had no non-verbal communication, especially in Brazil. When nurses and women did interact, they were usually close and face-to-face; Brazilian nurses often had no touch.
• RNCohort2020A longitudinal study on psychological reactions and resilience among young survivors of a burn disaster in Taiwan 2015-2018.Journal of advanced nursingDistress, suicide risk and post-traumatic symptoms fell over the first two years after a major burn disaster, then many indicators rose again by the third interview. Clinicians should keep watching for sleep, mood and substance-use problems long after discharge.
• RNQualitative2020Pregnant African American Women's Perceptions of Neighborhood, Racial Discrimination, and Psychological Distress as Influences on Birth Outcomes.MCN. The American journal of maternal child nursingPregnant African American women described racism, stress, and neighborhood concerns that did not always match their survey answers. In seven interviews, questionnaires alone may have missed their concerns.
• RNSurvey2020Characteristics and Practices Within Research Partnerships for Health and Social Equity.Nursing researchEstablished research partnerships shared more of their budget with community groups and used formal community approvals more often than new partnerships. Nurse scientists starting community projects should plan for these structural supports early rather than waiting for long-term relationships to form.
• RNOther2020Inpatient Maternal Mortality in the United States, 2002-2014.Nursing researchPostpartum hospitalizations had the highest inpatient maternal mortality rate, 226 per 100,000, and African American women had higher rates than white and Hispanic women. Intrapartum deaths declined 3.6% annually.
• RNQualitative2020How do clients and (In)formal caregivers experience quality of home care? A qualitative approach.Journal of advanced nursingOlder home care clients and caregivers valued a small, regular team, trust, and routines that fit the client's former life. Some clients preferred professional care over personal connection. Staff shortages and time pressure were described as affecting care quality.
• RNOther2019Emergency centre triage category allocations and their associated patient flow timeframes in a private healthcare group in the Middle East.Nursing openIn private emergency centres, most triaged patients were assigned to low-acuity categories, yet patients still reached a physician quickly. This describes existing flow, not proof that triage categories improve safety.
• RNRCT2019Chlorhexidine gluconate transparent dressing does not decrease central line-associated bloodstream infection in critically ill patients: A randomized controlled trial.International journal of nursing practiceChlorhexidine dressing did not lower central line bloodstream infection rates versus standard dressing in ICU patients. It required fewer dressing changes, but dressing cost was higher.
• RNOther2019Heart Failure Self-care Associated With Brain Injury in Executive Control Regions.The Journal of cardiovascular nursingIn adults with heart failure, more prefrontal brain tissue injury was linked to lower self-care maintenance and management scores and slower executive test performance, but not confidence. This association cannot show cause or treatment benefit.
• RNPilot2019Nanocrystalline-Coated Silver Dressings for Patients with Type 2 Diabetes after Surgical Coronary Revascularization.Advances in skin & wound careA nanocrystalline silver dressing strategy did not significantly reduce superficial sternal wound infection over 30 days in patients with type 2 diabetes after coronary bypass compared with standard sterile dressing care: infection rates were 11.7% versus 16.67%.
• RNSurvey2019Uncertainty in illness in family caregivers of palliative care patients and associated factors.Revista latino-americana de enfermagemFamily caregivers of palliative care patients had high illness uncertainty (average 91.7 on 31-155 scale). Uncertainty correlated weakly or moderately with patient symptoms and function, caregiving length, and less perceived support from health professionals, family, and religion.
• RNSurvey2019Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare staff.International journal of mental health nursingSixty-five percent of psychiatric hospital staff had patient safety concerns in the last four weeks. Nurses reported concerns and speaking up more often than doctors, but also withheld concerns more often. Lower-ranking staff felt less safe speaking up than managers.
• RNSurvey2019Tobacco, Alcohol, Drug Use, and Intimate Partner Violence Among MSM Living With HIV.The Journal of the Association of Nurses in AIDS Care : JANACIn men who have sex with men living with HIV, more reported intimate partner violence was linked to alcohol and other drug use in the previous week, not tobacco. Tobacco use was high even without violence.
• RNSystematic Review2019Technologies that promote health education for the community elderly: integrative review.Revista latino-americana de enfermagemFifteen studies described software, videos, printed materials, mock-ups and telephone support for teaching older adults living in the community. Studies reported improvements, but printed material alone helped in only one of four intervention studies.
• RNQualitative2019Factors influencing the use of birth pools in the United Kingdom: Perspectives of women, midwives and medical staff.MidwiferyWomen and staff described pool access as dependent on pool availability, guideline restrictions, and support from midwives and senior staff. Midwifery-led units were generally easier; obstetric-led units were more restrictive.
• RNCohort2019Using propensity score matching with doses in observational studies: An example from a child physical abuse and sleep quality study.Research in nursing & healthChinese adolescents who reported parental physical abuse had worse sleep quality than matched non-abused peers. The link could disappear if unmeasured factors were considered, so it is not proof of cause.
• OTRNSurvey2019Caregiver Burden and Its Associated Factors in Caregivers of Children and Adolescents with Chronic Conditions.International journal of community based nursing and midwiferyMost caregivers of children with chronic conditions reported mild burden, but nearly half experienced moderate to severe stress. Financial strain, low education, and lack of family support were key drivers. Clinicians should screen for these specific risks rather than assuming all caregivers cope equally.
• RNCohort2019Nutritional status and clinical evolution of the elderly in home enteral nutritional therapy: a retrospective cohort study.Revista latino-americana de enfermagemIn elderly people on home enteral feeding, weight and BMI did not differ across reassessments. Among those completing all four, recorded malnutrition fell from 65.1% to 47.5%, and 59.3% had stable general condition.
• RNOther2019Validation of a visual analogue scale for the evaluation of the postoperative anxiety: A prospective observational study.Nursing openThe 100 mm anxiety line scale tracked a standard questionnaire and detected postoperative anxiety at a score above 34. It is quicker than a 20 question tool, but it was not perfect.
• RNRCT2019Las Dos Cosas Versus Exclusive Breastfeeding: A Culturally and Linguistically Exploratory Intervention Study in Hispanic Mothers Living in Kentucky.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersCulturally tailored peer support doubled exclusive breastfeeding rates in Hispanic mothers. However, early introduction of solids advised by other providers caused a sharp drop in exclusivity between three and six months, undermining the intervention's success.
• RNCohort2019Predictors of prolonged hospital stay in a Comprehensive Stroke Unit.Revista latino-americana de enfermagemPneumonia, urinary tract infection and malignant stroke were linked to longer stays in a stroke unit; symptomatic hemorrhagic transformation was not. This is association, not proof that prevention shortens stay.
• PTOTRNSystematic Review2020Promoting Behavioral Change in Mobile Health Interventions for Older Adults: A Scoping Review.Research in gerontological nursingMobile health interventions for adults 60 and older generally increased physical activity, medication adherence, and disease self-management. Feedback, monitoring, and goal-setting were the most common techniques used to drive these changes.
• RNOther2020Evaluation of Viruses Associated With Acute Respiratory Infections in Long-Term Care Facilities Using a Novel Method: Wisconsin, 2016‒2019.Journal of the American Medical Directors AssociationNasal swabs from 497 long-term care residents with respiratory symptoms found a virus in 54.8% of tested specimens. Influenza, human metapneumovirus, respiratory syncytial virus and coronavirus were common. This supports nurse-collected surveillance, not proven benefit.
• RNNarrative Review2020Managing Pain in the Setting of Opioid Use Disorder.Pain management nursing : official journal of the American Society of Pain Management NursesManaging pain in patients with opioid use disorder means screening withdrawal and suicide risk, using multimodal analgesia, and coordinating medications for opioid use disorder. High-quality evidence is limited, but nurses can assess, educate, and plan safe discharge.
• RNQualitative2020Spousal Dementia Caregiving to Widowhood: Perceptions of Older Urban and Rural Widows.Western journal of nursing researchAll widows reported loneliness and relief after their husband's death, but rural widows had fewer resources and greater financial strain. Nurses should assess caregiver health and depression during caregiving and continue into widowhood, supporting virtual connections for rural women.
• RNSurvey2019Nursing Assistants' Use of Personal Protective Equipment Regarding Contact With Excreta Contaminated With Antineoplastic Drugs.Oncology nursing forumNursing assistants on an oncology unit inconsistently used personal protective equipment when handling chemotherapy-contaminated waste, often overreporting their own safety practices. They relied heavily on door signs to identify at-risk patients, but those signs were missing or inaccurate in many cases.