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 55 OF 216 · NEWEST FIRST

• RNCohort2020CD4+ T Cell Count, Sleep, Depression, and Anxiety in People Living With HIV: A Growth Curve Mixture Modeling.The Journal of the Association of Nurses in AIDS Care : JANACIn Chinese adults with HIV, CD4+ T cell counts rose in most participants. Sleep, anxiety, and depression did not improve. In a small group whose counts fell, sleep worsened and depression and anxiety rose.
• RNSurvey2020Association Between Sleep Duration, Obesity, and School Failure Among Adolescents.The Journal of school nursing : the official publication of the National Association of School NursesSleeping less than 7 hours was more common in adolescents aged 13 to 15 with overweight/obesity or school failure. The study showed links at a single time, not that short sleep caused either problem.
• RNQualitative2020Losing Her: Children's Reported Concerns in the First 6 Months of Their Mother's Breast Cancer Diagnosis.Cancer nursingChildren aged 7 to 12 described losing their mother after a breast cancer diagnosis through hospital stays, chemotherapy effects, hair loss, mood changes, and disrupted routines. Older children noticed emotional changes; younger children noticed home changes.
• RNCohort2020Healthcare costs and productivity losses associated with county-based home-care service for sick children in Sweden.Scandinavian journal of caring sciencesHome-care service for 32 sick children in Sweden was estimated to cost SEK 50 101 less per child each year than estimated hospital-only care, while parents still lost substantial work time. This observational study cannot prove the service caused the saving.
• RNQualitative2020Renal Replacement Knowledge and Preferences for African Americans With Chronic Kidney Disease.Journal of renal careMost African American patients with advanced kidney disease knew little about home dialysis or deceased donor transplant. They wanted physician guidance, and many were not yet thinking about treatment choices.
• RNSurvey2020Prognostic Awareness, Disease and Palliative Understanding Among Caregivers of Patients With Dementia.The American journal of hospice & palliative careOnly 42.2% of dementia caregivers recognized the disease as terminal, and 42.8% did not know its prognosis. Recognition rose between 2012 and 2018, but gaps remained.
• PTOTRNCohort2020Differences in Health-Related Quality of Life Predictors in People Living With HIV With and Without Diabetes.The Journal of the Association of Nurses in AIDS Care : JANACDepression and anxiety predicted poor quality of life in people with HIV and diabetes. Unlike those with HIV alone, physical activity, medication adherence, and smoking status did not predict quality of life in the dual-diagnosis group.
• RNRCT2020Accelerated Resolution Therapy: Randomized Controlled Trial of a Complicated Grief Intervention.The American journal of hospice & palliative careOlder hospice caregivers with complicated grief received a brief therapy called Accelerated Resolution Therapy. Compared with a 4-week wait-list, grief, PTSD, and depression symptoms fell much more, and gains were still present 8 weeks after treatment.
• RNSystematic Review2020Systematic Review of Technology-Based Interventions Targeting Chronically Ill Adults and Their Caregivers.Western journal of nursing researchAcross 19 technology-based programs, seven studies favored patient self-management behaviors and seven of nine favored patient quality of life. Caregiver and relationship outcomes were mixed, and evidence was weak.
• RNOther2020Food intake is associated with verbal interactions between nursing home staff and residents with dementia: A secondary analysis of videotaped observations.International journal of nursing studiesStaff positive speech was associated with more liquid intake when residents made no positive utterances, but with less solid intake when residents made 0 to 3 positive utterances. Resident negative speech in longer interactions was associated with more intake.
• RNPilot2020A pilot study of parents' experiences of reflexology treatment for infants with colic in Finland.Scandinavian journal of caring sciencesParents of 35 Finnish infants with colic found reflexology sessions, parent discussion and home advice pleasant and relaxing, and reported less crying, stress and parenting strain. Without a control group, this cannot show the intervention caused improvement.
• RNOtherExpanding Application of the Long-Term Quality of Life Instrument to the Population of Women Undergoing Treatment of Advanced Breast Cancer.Cancer nursingIn 385 women with advanced breast cancer, the LTQL questionnaire appeared usable and included spirituality, but three physical symptom items did not match the physical subscale. It may help nurses assess quality of life, but it does not prove interventions work.
• RNRCTThe Experience of Complex Pain Dynamics in Oncology Outpatients: A Longitudinal Qualitative Analysis.Cancer nursingOncology outpatients described pain as changing location, source and intensity over the study, often several pains at once. A single pain score can miss new pains needing separate assessment.
• RNSurveyPositive Psychological Change Following a Cancer Diagnosis in Old Age: A Mixed-Methods Study.Cancer nursingOlder cancer survivors reported high well-being and mental quality of life above age norms, with appreciation of life strongest. Faith and family support were common. Older age linked to less growth, not less well-being.
• RNQualitativeUnderstanding Nutritional Problems of Metastatic Breast Cancer Patients: Opportunities for Supportive Care Through eHealth.Cancer nursingWomen with metastatic breast cancer had varied nutrition beliefs, and none reported finding a source specific to their disease. 17 rated nutrition importance 8 or higher, but only 8 reported discussing nutrition with a care team member.
• PTRNOther2021Black American older adults' motivation to engage in osteoarthritis treatment recommendations for pain self-management: A mixed methods study.International journal of nursing studiesOlder Black Americans with osteoarthritis reported high motivation, but pain, unsafe neighborhoods, no pool, low access, and disbelief blocked recommended exercise and self-management. Group settings, home equipment, and empathetic education helped.
• PTOTSLPRNSurvey2021Comorbid Conditions, Mental Health and Cognitive Functions in Adults with Fibromyalgia.Western journal of nursing researchPeople with fibromyalgia in their 50s reported the most comorbid conditions and worse sensory symptoms. Those in their 70s reported the best self-rated cognitive function and least severe anxiety. Age shapes the symptom profile but does not predict pain severity.
• RNQualitative2021Creating a communication space in the healthcare context: Children's perspective of using the eHealth service, Sisom.Journal of child health care : for professionals working with children in the hospital and communityChildren described hospital appointments as stressful and rarely central to decisions. Using Sisom let them answer with a tablet, choose what to share, and be heard without speaking. Staff and parents then had space for dialogue.
• PTRNQualitative2021Holding space and transitional space: stroke survivors' lived experience of being on an acute stroke unit. A hermeneutic phenomenological study.Scandinavian journal of caring sciencesStroke survivors described acute stroke units as holding them safe while they faced vulnerability. Nurse presence and kind personal care helped; night staffing gaps and confinement hurt. Patients also helped each other, and a participant saw physiotherapy as part of recovery.
• RNSurvey2021Changes in Self-Reported Depressive Symptoms Among Adults in the United States From 2005 to 2016.Journal of the American Psychiatric Nurses AssociationAmong nationally representative U.S. adults, self-reported depressive symptom severity increased from 2005 to 2016. The share scoring at least 10 on the PHQ-9 rose from 6.2% to 8.1%. Anhedonia, guilt, appetite, and activity symptoms had the largest item-level increases.
• RNCohort2020End-of-Life Trajectories of Patients With Hematological Malignancies and Patients With Advanced Solid Tumors Visiting the Emergency Department: The Need for a Proactive Integrated Care Approach.The American journal of hospice & palliative careAmong patients who died within 3 months after an emergency visit, those with blood cancers had less advance planning, shorter survival, and more often died in hospital and acute hospital settings than those with solid tumors.
• RNOther2020Measuring personal recovery in people with a psychotic disorder based on CHIME: A comparison of three validated measures.International journal of mental health nursingThree recovery questionnaires for people with psychosis were similar overall. The Dutch MHRM had the best overall profile, but no measure was clearly preferred; choose based on whether you need connectedness or empowerment.
• OTRNCohort2020Cognitive impairment no dementia and associations with health literacy, self-management skills, and functional health status.Patient education and counselingOlder adults with cognitive impairment not dementia often had limited health literacy and poorer self-management, including medication dosing and recalling spoken guidance. The study did not find links to physical function, depression, or anxiety.
• RNSurvey2020Prevalence and Correlates of Cost-Related Medication Nonadherence to Immunosuppressive Drugs After Heart Transplantation: The International Multicenter Cross-sectional Bright Study.The Journal of cardiovascular nursingCost-related nonadherence to immunosuppressants is rare overall but high in Australia, Canada, and the US. Patients who feel financially burdened, see cost as a barrier, or are single are most at risk. Ask about these factors during follow-up.
• RNQualitative2020Positive psychological constructs and health behavior adherence in heart failure: A qualitative research study.Nursing & health sciencesMost heart failure patients described gratitude, acceptance, connectedness and faith. They said hope, determination and pride were linked to eating right, taking medicines and being active, and that feelings and behaviors reinforced each other.
• RNOther2020The Development and Implementation of a Cardiac Home Hospice Program: Results of a RE-AIM Analysis.The American journal of hospice & palliative careHeart failure hospice enrollment rose from 7.9% to 9.5% after a specialized cardiac home hospice program began. Nurses reported interdisciplinary support helped manage patients at home.
• RNQualitative2020A Theoretically Grounded Exploration of Individual and Family Self-Management of Polycystic Ovary Syndrome in Adolescents.Comprehensive child and adolescent nursingAdolescents with PCOS and their parents described self-management as shaped by symptoms, delayed diagnosis, stigma, culture, and emotional distress. Parents feared long-term risks, while teens focused on daily life and fitting in.
• RNSurvey2020Cardiovascular Risk Factor Knowledge and Behaviors Among Low-Income Urban Women in Mysore, India.The Journal of cardiovascular nursingNearly half of 607 low-income urban women had poor cardiovascular risk factor knowledge, and 60% were not thinking about changing heart-health behaviors.
• RNQualitative2020"It's Like a Death Sentence but It Really Isn't" What Patients and Families Want to Know About Hospice Care When Making End-of-Life Decisions.The American journal of hospice & palliative carePatients and families said they needed clear answers about what hospice is, how it helps, where care happens, and who pays. Many feared hospice meant giving up or dying soon.
• RNCohort2020Renal Replacement Therapy in Patients With Stage IV Cancer Admitted to the Intensive Care Unit With Acute Kidney Injury at a Comprehensive Cancer Center Was Not Associated With Survival.The American journal of hospice & palliative careFor stage IV cancer patients in the ICU with acute kidney injury, starting dialysis did not improve survival compared to not starting it. Median survival after discharge was 41 days for those who received dialysis and 42 days for those who did not.
• RNQualitative2020Caregiver-Reported Barriers to Quality End-of-Life Care in Dementia With Lewy Bodies: A Qualitative Analysis.The American journal of hospice & palliative careFamily caregivers of people who died with Lewy body dementia described end-of-life barriers: delayed diagnosis, staff unawareness, antipsychotic reaction concerns, poor coordination, cost, and hospice eligibility delays.
• RNCohort2020The Association Between Patient Outcomes and the Initial Emergency Severity Index Triage Score in Patients With Suspected Acute Coronary Syndrome.The Journal of cardiovascular nursingIn ambulance-arrived patients with suspected acute coronary syndrome, ESI triage scores poorly identified major adverse cardiac events. Supplementing ESI with a modified HEAR/T score without troponin reclassified many patients mis-triaged by ESI.
• RNNarrative ReviewEvidence-Based Care of Children With Tracheostomies: Hospitalization to Home Care.Rehabilitation nursing : the official journal of the Association of Rehabilitation NursesChildren with tracheostomies need tailored suctioning, tube replacement, tie checks, and stoma care. Family teaching and standardized care are recommended for safe transition home, but many practices rest on expert consensus.
• RNPilotRural-Urban Differences in Neuroimmune Biomarkers and Health Status Among Women Living With Breast Cancer.Cancer nursingRural breast cancer survivors had higher evening inflammation markers than urban survivors, but most health perception scores and other stress hormone patterns showed no significant differences between the two groups.
• RNOther2021The Dutch Individualised Care Scale for patients and nurses - a psychometric validation study.Scandinavian journal of caring sciencesPatients and nurses answered questions about individualised nursing care consistently, but the Dutch version of the scale did not fit the original structure on every test.
• PTRNSystematic Review2021Interventions that prevent or reduce obesity in children from birth to five years of age: A systematic review.Journal of child health care : for professionals working with children in the hospital and communitySome home, childcare and clinic programmes lowered BMI or improved feeding in children under five, but effects were inconsistent and often faded. The evidence does not show a reliable long-term obesity prevention programme.
• RNQualitative2021The Role of Culture in Shaping Health Perceptions and Behaviors of Resettled Karen Refugees.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyKaren refugee women described health as being able to work, keep family stable, and rely on community and prayer. Poor health meant inability to do and 'thinking too much'. Ask about work, family, and support before assuming biomedical goals match theirs.
• RNSystematic Review2020Incidence of and Risk Factors for Lactational Mastitis: A Systematic Review.Journal of human lactation : official journal of International Lactation Consultant AssociationLactational mastitis is common, affecting roughly one in four women breastfeeding up to 25 weeks postpartum in high-income settings. Cracked nipples, blocked ducts, and prior mastitis are consistently linked to higher risk, but no intervention is proven to prevent it.
• RNCohort2020Time trends of delirium rates in the intensive care unit.Heart & lung : the journal of critical careICU delirium rates fell from 23% to 10% over five years, but benzodiazepine orders did not change and the study cannot prove why. Mechanical ventilation, renal failure, low albumin and benzodiazepine exposure were linked to more delirium.
• RNOther2020Cancer Pain in Relation to Metropolitan Area Segregation and Nursing Home Racial and Ethnic Composition.Journal of the American Medical Directors AssociationPain documentation was lower among nursing home residents with cancer in more segregated metropolitan areas and in mostly Black or mostly Hispanic homes. This pattern appeared for Black, Hispanic, and White residents, not only minority residents.
• PTOTRNRCT2020Vitamin D Supplementation Improves Health-Related Quality of Life and Physical Performance in Children with Sickle Cell Disease and in Healthy Children.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersTwelve weeks of high-dose vitamin D lowered reported pain, fatigue and depressive symptoms in children with sickle cell disease; healthy children also had less fatigue and better upper-extremity function. No placebo group was included.
• RNSurvey2020The Impact of Varying Levels of Advance Care Planning Engagement on Perceptions of the End-of-Life Experience Among Caregivers of Deceased Patients With Cancer.The American journal of hospice & palliative careFor caregivers of people who died of cancer, having all three parts of advance care planning was linked to the most positive views of the death; having some parts was still linked to more positive views than none.
• RNSurvey2020Race and Ethnicity and Satisfaction With Communication in the Intensive Care Unit.The American journal of hospice & palliative careCaregivers rated ICU communication highly and did not differ by patient race or ethnicity. Overall, 73.2% could not answer whether doctors discussed how long the patient might live. End-of-life communication was not measured well enough to compare by race or ethnicity.
• RNQualitative2020Patients' Perspectives and Advice on How to Discuss Sexual Orientation, Gender Identity, and Sexual Health in Oncology Clinics.The American journal of hospice & palliative careCancer patients said providers rarely bring up sex, gender identity or sexual health. They suggested first asking comfort level, using plain words, and building trust.
• RNNarrative Review2020Patients' understanding of oncology clinical endpoints: A literature review.Patient education and counselingMost cancer patients do not hear terms like progression-free survival from their doctors, and those who do often misunderstand them. Many believe non-curative treatments will cure their cancer. Clinicians should check patient understanding of treatment goals rather than assuming technical terms are clear.
• RNPilot2020A Modified Alcohol SBI for Use among Older Adults Living with HIV.Western journal of nursing researchOlder men living with HIV found an adapted alcohol risk tool and report easy to understand, but some felt judged or already knew the risks. It flagged more risk items without classifying more people as at-risk.
• RNCohort2020Predicting Postpartum Hemorrhage After Vaginal Birth by Labor Phenotype.Journal of midwifery & women's healthLabor patterns predicted postpartum hemorrhage better than traditional risk factors alone. Women with uncomplicated inductions, nulliparity, or of Black or Hispanic ethnicity had higher hemorrhage odds even when classified as low risk. Most hemorrhages occurred in these lower-risk groups.
• RNOther2020Nursing intervention for preventing postpartum depressive symptoms among Chinese women in Japan.Japan journal of nursing science : JJNSAfter a class, conversation cards, and WeChat group added to routine maternity care for Chinese mothers in Japan, anxiety scores did not change and the proportion scoring over 10 stayed at 21.1%. All 38 completers reported positive postpartum appraisals, but there was no control group.
• RNSystematic Review2020The evidence supporting educational videos for patients and caregivers receiving hospice and palliative care: A systematic review.Patient education and counselingHospice and palliative care patients and caregivers often shifted preferences toward comfort care after videos, but advance care planning completion was not clearly better than written information. Pain and mood benefits were mixed and sometimes short-lived.
• PTOTRNCohort2020Risk of Hospitalized Falls and Hip Fractures in 22,103 Older Adults Receiving Mental Health Care vs 161,603 Controls: A Large Cohort Study.Journal of the American Medical Directors AssociationOlder adults using mental health services had twice the rate of hospitalized falls and 4 times the rate of hip fractures compared with local residents. Substance use, bipolar disorder, dementia, mild cognitive impairment, and delirium carried particularly high risk.