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 56 OF 216 · NEWEST FIRST

• RNOther2020The Reported Edmonton Frail Scale-Thai version: Development and Validation of a Culturally-Sensitive Instrument.Nursing & health sciencesA Thai frailty screening questionnaire for older hospital patients took about 6.5 min and was generally reliable, but its cognition item was weak. Use it to flag frailty risk, not to judge thinking alone.
• RNQualitative2020Strategies to facilitate shared decision-making in long-term care.International journal of older people nursingPersonal support workers, who provide most direct care, were often excluded from decision-making conversations with families. Residents and families relied heavily on nurses for information. Trust in staff determined how involved families felt they needed to be.
• RNQualitativeHow Healthcare Professionals in Cardiac Care Address Depressive Symptoms: Experiences of Patients With Cardiovascular Disease.The Journal of cardiovascular nursingPatients with cardiovascular disease and depressive symptoms often felt cardiac care staff addressed only the heart, not mood; many minimized symptoms and needed relatives, rehab, or their own initiative to get help.
• RNRCT2021Advance Care Planning for African American Caregivers of Relatives With Dementias: Cluster Randomized Controlled Trial.The American journal of hospice & palliative careWritten end-of-life care plans did not differ between groups after education for African American caregivers, although knowledge and self-efficacy about CPR, ventilation, and tube feeding improved.
• RNOther2021Patterns of Parenting Confidence Among Infants With Medical Complexity: A Mixed-Methods Analysis.Advances in neonatal care : official journal of the National Association of Neonatal NursesParents of medically complex infants described confidence as a feeling or a behavior. Most interviewed parents reported stable-high or increasing confidence, and said nurse reassurance and engagement in care helped their confidence.
• PTOTSLPRNNarrative Review2021Important perioperative factors, guidelines and outcomes in the management of hip fracture.Journal of perioperative practiceThis review summarises perioperative care for hip fracture patients. It highlights the need for early surgery, prompt mobilisation, and awareness of physical and psychosocial complications. It notes that current risk prediction tools do not yet account for social factors.
• RNCohort2021Racial Disparities in Utilization of Palliative Care Among Patients Admitted With Advanced Solid Organ Malignancies.The American journal of hospice & palliative careAfter adjustment, there was no significant race difference in inpatient palliative care consultation overall. Among patients discharged alive, black and Hispanic patients were less likely to receive consultation than white patients.
• RNCohort2020The Transition From Spousal Caregiver to Widowhood: Quantitative Findings of a Mixed-Methods Study.Journal of the American Psychiatric Nurses AssociationOlder women who had cared for husbands with dementia showed no significant rural-urban differences in depression, physical health, or mental health over 12 months. Rural women had higher depression scores and lower health scores, but these were not significant.
• RNCohort2020Nursing home residents with advanced dementia and persistent vocalisations: Observations of surrounding context.International journal of older people nursingResidents with advanced dementia who vocalised repeatedly were often kept alone in rooms. Staff sometimes moved or cared for them without speaking first, and residents appeared startled or vocalised more. This describes context, not a tested treatment.
• RNQualitative2020A qualitative analysis of psychosocial needs and support impacts in families affected by young sudden cardiac death: The role of community and peer support.European journal of cardiovascular nursingFamilies bereaved by young sudden cardiac death described needing a safe haven from peers who share the loss, sensitive medical explanations to make sense of the death, and community networks to honour the deceased and prevent future deaths.
• RNOther2020Can You Catch It? Lessons Learned and Modification of ED Triage Symptom- and Travel-Screening Strategy.Journal of emergency nursingEmergency department exposure investigations dropped from 30 in 2018 to zero in 2019 after adding an electronic symptom and travel screen. This improvement relies on staff consistently asking screening questions at intake, not on automated detection alone.
• RNOther2020Communication about Sexual Health in Breast Cancer: What Can We Learn from Patients' Self-Report and Clinic Dialogue?Patient education and counselingQuestionnaires from 134 breast cancer visits did not match what was said in the room in 37 cases. Some patients missed sexual health talk that happened; some reported topics not explicitly discussed. Talk felt irrelevant was forgotten, and broad questions were read as specific concerns.
• RNCohort2020Behavioral Observation of Infants With Life-Threatening or Life-Limiting Illness in the Neonatal Intensive Care Unit.Nursing researchIn critically ill NICU infants, trained observer pain and distress scores did not match bedside nurses' N-PASS scores or mothers' symptom reports. Higher technology dependence was related to nurse scores and mother reports.
• RNRCT2020Effectiveness of the nurse-led Activate intervention in patients at risk of cardiovascular disease in primary care: a cluster-randomised controlled trial.European journal of cardiovascular nursingNurse-led consultations did not improve physical activity more than usual care over 6 months in patients at risk of cardiovascular disease. Subgroup hints for low baseline activity or low social support were not enough to prove benefit.
• RNOther2020Are clinicians' self-reported empathic concern and perspective-taking traits associated with their response to patient emotions?: Communication Studies.Patient education and counselingIn HIV visits, clinician empathy traits were not associated with the main emotional response categories. Higher empathic concern was associated with fewer patient emotional expressions and more information or advice.
• RNOther2020Racial disparities in clinician responses to patient emotions.Patient education and counselingIn HIV visits, clinicians were more likely to block emotional talk from African American patients and less likely to give them space to continue. White patients were more likely to raise emotions spontaneously and receive passive responses.
• RNSurvey2020Interest, Resources, and Preferences for Weight Loss Programs among Primary Care Patients with Obesity.Patient education and counselingMost surveyed primary care patients with obesity wanted a weight loss program. They preferred face-to-face individual or group support led by a nutritionist, not a registered nurse; phone-based group programs were least preferred.
• RNQualitative2020Characteristics for a tool for timely identification of palliative needs in heart failure: The views of Dutch patients, their families and healthcare professionals.European journal of cardiovascular nursingPeople with advanced heart failure and their families wanted a palliative care needs tool that uses carefully chosen words, adapts to disease stage and setting, and asks about family caregivers' information needs.
• RNSurvey2020To what extent does severity of loneliness vary among different mental health diagnostic groups: A cross-sectional study.International journal of mental health nursingAmong adults using mental health services, people with personality disorders and common mental disorders reported more loneliness than people with psychosis. Perceived discrimination and internalized stigma were linked with loneliness; social isolation was not.
• PTRNCohort2020Subjective reports of physical activity levels and sedentary time prior to hospital admission can predict utilization of hospital care and all-cause mortality among patients with cardiovascular disease.European journal of cardiovascular nursingCardiac ward patients who reported more everyday activity or less sitting before admission had shorter stays, fewer readmissions and lower mortality risk. Asking these habits may help flag risk. It does not prove activity change improves outcomes.
• RNCase Report2020Early manifestation of ARDS in COVID-19 infection in a 51- year-old man affected by Mounier-Kuhn syndrome.Heart & lung : the journal of critical careA patient with rare airway dilation developed early ARDS from COVID-19, then oxygen saturation fell, and he needed intubation, ICU care, ventilation, and tracheostomy before discharge after about two weeks. It is a case report, not a treatment effect.
• RNOtherIllness Perceptions, Self-efficacy, and Self-reported Medication Adherence in Persons Aged 50 and Older With Type 2 Diabetes.The Journal of cardiovascular nursingIn adults aged 50 and older with type 2 diabetes, stronger beliefs that the condition is controllable and more negative feelings about it were linked with higher diabetes-management confidence and better self-reported medication adherence. Comorbidity was linked with lower confidence.
• RNRCTA Randomized Controlled Trial of a Physical Activity Intervention for Self-management of Fatigue in Adolescents and Young Adults With Cancer.Cancer nursingFor adolescents and young adults in chemotherapy, a 12-week home physical-activity program with Fitbit tracking, education, and coaching made no clear difference in fatigue, activity, or confidence to be active versus a brochure and brief activity questions control.
• RNQualitative2021'I know his needs better than my own' - carers' support needs when caring for a person with dementia.Scandinavian journal of caring sciencesDementia carers said they often did not recognise their own support needs. They wanted help with daily care knowledge, emotional burden, physical well-being and communication with professionals.
• RNOther2021News coverage and online advertising effects on patient-led search for aspirin, heart health, and stroke information and educational tool use.Patient education and counselingPatients' use of an aspirin website was linked to campaign ads and Minnesota news stories, while their online searches were linked to news stories, not ads. Some stories reported no benefit, harm, or side effects.
• RNRCT2021One call makes a difference: An evaluation of the Alzheimer's Association National Helpline on dementia caregiver outcomes.Patient education and counselingThe extra follow-up call did not improve caregiver health outcomes compared with one call. Across callers, self-reported ability to manage emotions improved at one week, 70% put action steps in place, and 65% accessed support services.
• RNQualitative2021Conversations on Cancer Chemotherapy Cessation in Patients With Advanced Cancer: Qualitative Findings From a Multi-Institutional Study.The American journal of hospice & palliative careConversations about stopping chemotherapy near the end of life ranged from direct to indirect. Direct talk did not seem to lead to stopping treatment; patients and accompanying persons sometimes appeared to guide the discussion.
• RNCohort2020Factors associated with ABCDE bundle adherence in critically ill adults requiring mechanical ventilation: An observational design.Intensive & critical care nursingICU teams documented a mean 66% of recommended ABCDE bundle care in ventilated patients, with delirium and mobility lowest. Adherence was lower with longer ventilation and continuous sedation, and lower for Hispanic patients.
• PTOTRNOther2020Identifying unique profiles of perceived dyspnea burden in heart failure.Heart & lung : the journal of critical careHeart failure patients fall into four distinct groups based on how much dyspnea bothers them, not just if they have it. Older patients were less likely to report severe bother despite similar symptoms. Anxiety and depression predicted higher burden. Assessing what activities trigger breathlessness helps tailor care.
• RNPilot2020Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module.Patient education and counselingHealthcare providers trained in shared decision-making with older cancer patients and their families showed increased confidence and better use of three specific communication skills during simulated consultations. The training was well-received, but real-world transfer to patient outcomes remains untested.
• RNOther2020Adverse Childhood Experiences and Mental Health among Women Experiencing Intimate Partner Violence.Issues in mental health nursingPregnant women experiencing partner violence frequently reported childhood abuse and household trauma. Childhood sexual assault and physical abuse were associated with more severe trauma symptoms, while some other childhood experiences were unexpectedly associated with lower symptoms.
• RNCohort2020Factors Associated With Nonadherence to Antiretroviral Therapy Among Young People Living With Perinatally Acquired HIV in England.The Journal of the Association of Nurses in AIDS Care : JANAC41% reported missing doses. Forgetting was the main reason (68%). Poor quality of life, worse HIV self-perception, telling more people about HIV, and boosted protease inhibitor regimens were linked to missed doses.
• RNRCT2020Early Inflammatory Measures and Neurodevelopmental Outcomes in Preterm Infants.Nursing researchIn preterm infants, early blood inflammation markers linked to later development differently for boys and girls, and for White and non-White infants. High IL-10 predicted poor motor scores in non-White infants, while GCSF predicted language delays in girls. No single marker worked for everyone.
• RNSystematic Review2020Multidimensional Pain Assessment Tools for Ambulatory and Inpatient Nursing Practice.Pain management nursing : official journal of the American Society of Pain Management NursesEight multidimensional pain tools for adults with chronic pain were identified, but the review did not show that using them improves care. Nurses can choose one that fits their setting and use it consistently.
• RNOther2020Perceived Control Predicts Symptom Status in Patients With Heart Failure.The Journal of cardiovascular nursingHeart failure patients who felt less control over their illness reported worse symptom burden, especially more frequent, severe, and distressing symptoms. This was independent of depression, age, and disease severity.
• RNCase Report2020COVID-19 in a young man with hypertension: A case study of missed opportunities in intensive progression.Intensive & critical care nursingA 41-year-old man with hypertension worsened after initial improvement, developing severe ARDS and needing mechanical ventilation. The case describes missed opportunities, but it cannot show what caused the deterioration.
• RNOther2020Self-rated stress and experience in patients with Takotsubo syndrome: a mixed methods study.European journal of cardiovascular nursingTakotsubo patients reported high stress at onset that dropped by 6 months, yet many still scored above the threshold for increased stress at 12 months. Interviews revealed long-term life stressors and a feeling of powerlessness that persisted despite the cardiac event resolving.
• RNOther2020Tools to Measure Health Literacy among US African Americans and Hispanics/Latinos with Type 2 Diabetes: A Scoping Review of the Literature.Patient education and counselingFor African Americans and Hispanics/Latinos with type 2 diabetes, some health literacy tools were recommended, but many were not. Do not assume a standard screener is valid; check the tool was tested in the group you are seeing.
• RNPilot2020Validation of the MEDSAIL Tool to Screen for Capacity for Safe and Independent Living Among Nursing Home Residents.Journal of the American Medical Directors AssociationIn 24 nursing home residents, MEDSAIL scores were lower for residents judged to have no or partial capacity than for those judged to have full capacity. They also matched psychiatrist determinations closely. This is early validation, not a tested tool for routine use.
• RNQualitativePain Management Experiences Among Hospitalized Postcraniotomy Brain Tumor Patients.Cancer nursingPost-craniotomy pain varied from non-salient to salient, with management ranging from routine to complex. Patients valued staff who stayed on top of pain and communicated clearly. Those with complex needs felt frustrated when medication was delayed or side effects were not managed promptly.
• RNSurvey2021The outbreak of coronavirus disease in China: Risk perceptions, knowledge, and information sources among prenatal and postnatal women.Women and birth : journal of the Australian College of MidwivesPregnant and postnatal Chinese women thought influenza was more likely to infect or kill them than COVID-19, yet worried about catching it. They answered 76.4% of general knowledge questions correctly and trusted doctors, nurses/midwives, and TV most.
• RNCohort2020Policy to Reduce Antipsychotic Use and Hospitalization of Nursing Home Residents With Dementia.Journal of the American Medical Directors AssociationAfter the National Partnership, which included state coalitions, education, research, and public reporting of nursing home antipsychotic use, residents with dementia had 0.7 percentage-point higher hospitalization risk relative to residents without dementia. High prior antipsychotic homes showed a relative increase of 1.2 percentage points.
• RNSurvey2020Violence Prevention Climate in General Adult Inpatient Mental Health Units: Validation study of the VPC-14.International journal of mental health nursingThe VPC-14 questionnaire gave useful ward violence-prevention ratings in adult mental health units, but the patient-actions part was weaker and scores did not change after conflict and containment fell. Use it to compare wards, not to prove improvement.
• RNCohort2020The health outcomes of inflammation and obesity in patients with heart failure.Heart & lung : the journal of critical careAmong 415 patients with heart failure, high inflammation was linked to shorter time to first hospitalization or death. Obesity alone was not. Obese patients with high inflammation had more hospitalizations or deaths than non-obese patients with low inflammation.
• RNSurvey2020Association of Psychosocial Symptoms, Blood Pressure, and Menopausal Status in African-American Women.Western journal of nursing researchIn African American women with hypertension, age and BMI were linked to systolic BP status; stress, depression, and social support did not emerge as clear links when other factors were considered.
• SLPRNRCT2020Effect of Tactile Experience During Preterm Infant Feeding on Clinical Outcomes.Nursing researchThe assigned tactile feeding package did not shorten time to first oral, full oral, or discharge. But touch during over 25% of early gavage feedings was linked to faster full oral feeding: 38 versus 18 days.
• RNCohort2020Measures of Stress Exposure for Hospitalized Preterm Infants.Nursing researchStress exposure counts from the first two weeks of life did not predict neurobehavior at 35 weeks. Simple counts of skin-breaking and invasive procedures were easier to extract from records than the Neonatal Injury Severity Score, which required interpretation of nursing notes.
• OTRNSystematic Review2020Effects of non-facilitated meaningful activities for people with dementia in long-term care facilities: A systematic review.Geriatric nursing (New York, N.Y.)In dementia long-term care, non-facilitated music, dolls, PARO and plush toys showed mixed short-term effects. Some reduced agitation or increased pleasure during activity, but lasting benefit was not established.
• RNOther2020Factors Associated with Depression in African American Patients Being Treated for Cancer Pain.Pain management nursing : official journal of the American Society of Pain Management NursesAnxiety, pain interfering with mood, and no religious congregation membership were linked to likely depressive symptoms in African American patients treated for cancer pain. Pain severity alone did not distinguish the groups.
• RNSystematic Review2020Integrative Review of Gut Microbiota and Expression of Symptoms Associated With Neonatal Abstinence Syndrome.Nursing researchGut microbiota were linked to symptoms resembling NAS in 22 studies, but none studied infants with NAS. This review cannot guide NAS care.