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 57 OF 216 · NEWEST FIRST

• RNRCT2020Beta Testing of a Gestational Diabetes Risk Reduction Intervention for American Indian and Alaska Native Teens.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersAmerican Indian and Alaska Native mother-daughter dyads found the gestational diabetes risk-reduction video and e-book acceptable. Daughters' knowledge and confidence scores increased after viewing, but the pilot was too small to show the program works.
• RNOther2020High Prevalence of Multidrug-Resistant Organism Colonization in 28 Nursing Homes: An "Iceberg Effect".Journal of the American Medical Directors AssociationHalf of residents sampled in nursing homes carried a multidrug-resistant organism, and most were not known from records. High-touch common areas and rooms were often contaminated.
• RNOther2020Engaging Parents in Education for Discharge (ePED): Evaluating the Reach, Adoption & Implementation of an Innovative Discharge Teaching Method.Journal of pediatric nursingOnly 24.2% of eligible parents were reached by the ePED discharge app, but nurses adopted it strongly: 86% of enrolled parents had full app use, and most screens were completed.
• RNQualitative2020Salient factors among Hispanic parents in South Florida rural communities for vaccinating their children against human papillomavirus.Journal of pediatric nursingHispanic parents in rural Florida said trusted nurses and other clinicians who recommended the HPV vaccine, explained risks, and reminded them about doses. Fear of side effects, misinformation, and missing vaccine stock were frequently mentioned barriers.
• RNOther2020Safewards: Changes in conflict, containment, and violence prevention climate during implementation.International journal of mental health nursingConflict and containment reports fell across eight mental health wards after the Safewards package, including physical aggression and restrictive practices. Violence-prevention climate scores did not change. Without a control group, this cannot prove the package caused the fall.
• RNPilot2020Patterns of Growth and Nutrition From Birth to 6 Months in Infants With Complex Congenital Cardiac Defects.Nursing researchInfants with complex congenital heart defects had lower mean weight and length scores at discharge than at birth. Mean scores were higher at 6 months than at discharge, but 28% developed failure to thrive, and tube-fed infants had lower scores.
• RNSurveyPerceived Control Prevents Perception of Negative Changes in Life as a Result of Caring for a Patient With Heart Failure.The Journal of cardiovascular nursingMore than half of heart failure caregivers said their lives changed negatively. Feeling able to influence care was linked to a lower chance of this, even with depression, anxiety or burden. Ask caregivers how in control they feel.
• RNCohort2021Time Trends in Opioid Use by Dementia Severity in Long-Term Care Nursing Home Residents.Journal of the American Medical Directors AssociationNursing home residents with moderate or severe dementia were significantly less likely to receive opioids than those with no dementia. This gap persisted even after adjusting for pain levels. Lower prescribing may reflect under-treatment or alternative strategies, not reduced pain.
• RNOther2021Is the Emergency Department an Inappropriate Venue for Code Status Discussions?The American journal of hospice & palliative careRequiring code status orders before inpatient admission from the emergency department increased do-not-resuscitate orders there. It did not reduce later do-not-resuscitate orders or change death, intensive care admission, or stay length.
• RNRCT2021Concerns of Parental HIV Disclosure in China.Clinical nursing researchChinese parents living with HIV in nurse-led disclosure sessions feared stigma, wanted to tell children themselves, and often delayed or refused disclosure. Some planned to hide the transmission route and ask children to keep the secret.
• RNSurvey2021Geographic Variation in Knowledge of Palliative Care Among US Adults: Findings From 2018 Health Information National Trends Survey.The American journal of hospice & palliative careAcross four US regions, adults' self-reported palliative care knowledge was similar. Most respondents had no palliative care knowledge, and 34.8% to 44.5% disagreed that it could give more time at the end of life.
• RNSystematic Review2020The outcomes of nurse practitioner (NP)-Provided home visits: A systematic review.Geriatric nursing (New York, N.Y.)Nurse practitioner home visits for older adults showed mixed results. Some studies found fewer emergency room visits or hospital readmissions, while others found no change. The evidence is limited and inconsistent, so these visits do not reliably prevent hospital use.
• RNNarrative Review2020A review of cardiac manifestations and predictors of outcome in patients with COVID - 19.Heart & lung : the journal of critical careIn patients with COVID-19, elevated or rising high-sensitivity troponin was repeatedly associated with cardiac injury, severe illness, ICU admission and mortality. Troponin trends and QTc risk from hydroxychloroquine or azithromycin need monitoring.
• PTRNCohort2020Training Needs Among Family Caregivers Assisting During Home Health, as Identified by Home Health Clinicians.Journal of the American Medical Directors AssociationHome health clinicians identified a training need for 35.7% of family caregivers assisting with any task. Need was highest for medical procedures and lowest for advocacy. Caregivers were less likely to be identified as needing training if family help had begun before home health.
• RNCase Series2020Feasibility Case Series of Environment and Sleep in Infants With Congenital Heart Disease.Nursing researchThree infants after congenital heart surgery had sound exposure above the newborn limit averaging 3.75 hours per day and sleep episodes averaging 12.31 minutes.
• RNOther2020Felt Age Discrepancy Differs by HIV Serostatus: A Secondary Analysis.The Journal of the Association of Nurses in AIDS Care : JANACAdults with HIV felt younger than their age less often than adults without HIV. Among adults with HIV, better self-rated physical health was associated with feeling younger.
• RNCohort2020Patient Risk Factor Profiles Associated With the Timing of Goals-of-Care Consultation Before Death: A Classification and Regression Tree Analysis.The American journal of hospice & palliative careAmong hospitalized patients who had a palliative goals-of-care consultation before death, most had it within 14 days of death, median 13 days. A model identified close-to-death consultations with 54.7% accuracy, but not early or moderately timed ones.
• RNCohort2020Prenatal cigarette smoking as a mediator between racism and depressive symptoms: The Biosocial Impact on Black Births Study.Public health nursing (Boston, Mass.)Pregnant Black women reporting more racial discrimination were more likely to smoke and have more depressive symptoms. Smoking was part of the link from discrimination to symptoms, but the data were from a one-time survey, so cause is not shown.
• RNCohort2020Residential Greenness Alters Serum 25(OH)D Concentrations: A Longitudinal Cohort of Chinese Older Adults.Journal of the American Medical Directors AssociationLiving in greener areas was associated with higher vitamin D status in older Chinese adults. Residents were more likely to not be deficient and to improve over time, especially men and those without disability in daily tasks.
• RNSurvey2020Promoting dementia awareness in African-American faith communities.Public health nursing (Boston, Mass.)Two-thirds of 164 surveyed attendees at nurse-led dementia education in African-American churches were not aware of dementia resources, yet 98% would recommend the sessions. This describes reach and perceived usefulness, not proof education improves dementia outcomes.
• RNCohort2020The 10-Year Prognosis and Prevalence of Brugada-Type Electrocardiograms in Elderly Women: A Longitudinal Nationwide Community-Based Prospective Study.The Journal of cardiovascular nursingBrugada-type ECG patterns in 2,597 older Taiwanese women were not followed by more heart deaths over 10 years: none of the 60 with the pattern died of heart causes, and all-cause deaths were 15% versus 11%.
• OTRNQualitative2020Exploring dementia family caregivers' everyday use and appraisal of technological supports.Geriatric nursing (New York, N.Y.)Dementia family caregivers used phones, calendars, alarms, and home devices to coordinate care, manage safety, and find information. Acceptance depended on clear benefit, familiarity, and family tech help. They often tried and changed devices until one fit.
• RNSurvey2020Associations between symptom severity and treatment burden in people living with HIV.Journal of advanced nursingIn 103 adults with HIV, higher fatigue was linked to greater burden of managing medications, physical activity, and overall self-care. People diagnosed more recently reported higher burden. Diet burden was not clearly linked to symptoms.
• RNQualitativeCigarette Smoking and Cessation-Related Interactions With Health Care Providers in the Context of Living With HIV: Focus Group Study Findings.The Journal of the Association of Nurses in AIDS Care : JANACPeople with HIV who smoke often did not believe smoking was more harmful for them than for others without HIV. They reported that providers frequently checked smoking status but rarely discussed quitting or offered cessation medications.
• RNOtherContinuous Video Monitoring: Implementation Strategies for Safe Patient Care and Identified Best Practices.Journal of nursing care qualityA bundled monitoring program for high-risk inpatients reported cost savings, family privacy, and a line-pull decrease with a sleeve, but start-up education was often missed.
• OTRNOther2021Development and Testing of the Dysmenorrhea Symptom Interference (DSI) Scale.Western journal of nursing researchThe 9-item DSI scale captures how menstrual pain interferes with daily life in girls and women aged 14 to 42. It has on-menses and off-menses versions, and a 0.3-point change was estimated as meaningful, but it did not detect worsening well.
• RNCohort2021Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions.Pain management nursing : official journal of the American Society of Pain Management NursesHome health patients with dementia or cognitive impairment had severe interfering pain recorded less often than those without such impairment. Recorded severe pain raised unplanned facility admission risk overall, but not in these patients.
• RNCohort2021Characterizing Emergency Department Use in Assisted Living.Journal of the American Medical Directors AssociationAbout 49% of Medicare fee-for-service assisted living residents visited an emergency department in one year. About 17% had injury-related visits, and these visits were more frequent in residents with dementia or six or more chronic conditions. State rates varied widely.
• SLPRNOther2021Testing influences of APOE and BDNF genes and heart failure on cognitive function.Heart & lung : the journal of critical careHeart failure was associated with worse attention, language and executive function, but not memory, after age, education, gender, comorbidities and genes were considered. In the small heart failure group, APOE ε4 was associated with worse memory.
• RNQualitative2021Silently Screaming in the Dark: Gender-Based Dynamics of Distress in Japanese Migrants.Issues in mental health nursingHighly distressed Japanese immigrant women described feeling unable to ask for help because shame, gossip, and community scrutiny could disgrace their family. For nurses, the paper suggests assessing cultural beliefs about distress and avoiding local community members as translators or counselors.
• RNCohort2021Investigating the causes of patient anxiety at induction of anaesthesia: A mixed methods study.Journal of perioperative practiceAt anaesthetic induction, where induction happened, cannulation attempts, preoxygenation, alarm noise and staff responses did not predict patient anxiety or stress. Patients said team introductions, chatting and explaining each step helped them cope.
• RNOther2020A nurse practitioner led protocol to address polypharmacy in long-term care.Geriatric nursing (New York, N.Y.)Nurse practitioner medication reviews did not lower the average number of scheduled medications in long-term care residents, but daily medication administration passes fell by 0.47.
• RNQualitative2020On Board: Interdisciplinary Team Member Perspectives of How Patients With Heart Failure and Their Families Navigate Hospice Care.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationHospice teams described patients with heart failure as navigating care best when they had strong home support, understood their prognosis, accepted dying, and communicated symptom changes quickly. Lack of family caregivers or clear information from physicians increased the risk of crisis and hospitalization.
• RNSurvey2020Palliative Care During COVID-19: Data and Visits From Loved Ones.The American journal of hospice & palliative careIn 31 patients who died of COVID-19, breathlessness and delirium were common. All had subcutaneous anticipatory medications prescribed, including opioid and midazolam, with median last-24-hour doses of 20 mg oral morphine equivalent and 10 mg midazolam. Few had family present.
• RNOther2020Missing the Mark: The Complexity of African American Dementia Family Caregiving.Journal of family nursingSleep did not improve after The Great Village, a psychoeducational intervention with and without exercise, although burden, mental health, and mastery improved. Dementia caregiving in these families is shared across extended kin, and low burden scores can miss real strain.
• RNCase Report2020Coronavirus disease 2019 (Covid-19) presenting as purulent fulminant myopericarditis and cardiac tamponade: A case report and literature review.Heart & lung : the journal of critical careA 50-year-old man with confirmed SARS-CoV-2 infection developed purulent fulminant myopericarditis and cardiac tamponade, then shock and died on hospital day four. This case cannot prove treatment worked.
• PTRNSurvey2020Development and testing of a frailty-focused communication (FCOM) aid for older adults.Geriatric nursing (New York, N.Y.)Most adults found a frailty education booklet understandable and liked it. Among those not already doing all they could, 85% said they would probably or definitely make a plan for aging, but real behavior change was not measured.
• RNQualitative2020Community Perceptions About Use of Pre-exposure Prophylaxis Among Adolescent Girls and Young Women in Kenya.The Journal of the Association of Nurses in AIDS Care : JANACCommunity leaders in Kenya identified myths, stigma, and judgmental care as barriers to PrEP uptake in young women. They recommended moving PrEP delivery out of HIV clinics into family planning and community settings, and training staff to be youth-friendly.
• RNSystematic Review2020Nursing issues in enteral nutrition during prone position in critically ill patients: A systematic review of the literature.Intensive & critical care nursingProne positioning did not consistently worsen tube-feeding tolerance in ventilated ICU patients; one study found more vomiting and feeding stops. A 24-hour feeding protocol increased delivered volume without increasing stomach residue.
• RNCase Report2020Unusual presentations of COVID-19 pneumonia on CT scans with spontaneous pneumomediastinum and loculated pneumothorax: A report of two cases and a review of the literature.Heart & lung : the journal of critical careChest CT in two COVID-19 pneumonia patients showed rare pneumomediastinum and loculated pneumothorax; follow-up CT showed less air in one and improvement in the other. These are case reports, not proof any treatment worked.
• PTOTRNSystematic ReviewChronic Illness and Fatigue in Older Individuals: A Systematic Review.Rehabilitation nursing : the official journal of the Association of Rehabilitation NursesFatigue in older adults with chronic illness was linked to depression, anxiety, poor sleep, lower activity, and social support. Some interventions, including exercise, rest, anemia treatment, and acetyl-L-carnitine, were linked to less fatigue, but evidence varied.
• RNSurvey2021Depressive Symptoms and Trust of Healthcare Provider in Rural Adolescents: Relationships and Predictors.Issues in mental health nursingLower trust in healthcare providers and poorer stress management predicted higher depressive symptoms in rural adolescents. Girls were more likely to be diagnosed with depression than boys, despite similar symptom scores. Building trust and teaching coping skills may help.
• RNOther2021Effects of health literacy skills, educational attainment, and level of melanoma risk on responses to personalized genomic testing.Patient education and counselingMost patients found melanoma genetic risk feedback clear, and negative emotions were low. Higher-risk results were linked with more nervousness and confusion but more determination to change sun protection. Lower health literacy was linked with more confusion.
• RNSurvey2021Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy.Women and birth : journal of the Australian College of MidwivesPregnant women in Italy reported more fear, sadness, loneliness and anxiety about childbirth after COVID-19 began. They worried more about partners, babies and elderly relatives than themselves, especially if they had prior mental health history.
• RNCohort2021Sociodemographic, behavioral, and clinical factors associated with low atrial fibrillation knowledge among older adults with atrial fibrillation: The SAGE-AF study.Patient education and counselingMost older adults with atrial fibrillation have low disease knowledge. Those over 85, without a college degree, or with anxiety, heart failure, or prior heart attack were significantly more likely to score low. Check these records to target education.
• RNQualitative2020In the Shadows of Patients with Upper Gastrointestinal Cancer: An Interview Study with Next of Kin about Their Experiences Participating in Surgical Cancer Care.Clinical nursing researchNext of kin after upper gastrointestinal cancer surgery often felt central yet unseen. Missing verbal information about complications, transfers and discharge caused anxiety; when staff included them directly, they described feeling safer.
• RNOther2020Quality of Post-Acute Care in Skilled Nursing Facilities That Disproportionately Serve Hispanics With Dementia.Journal of the American Medical Directors AssociationPost-acute skilled nursing facilities with the highest Hispanic dementia populations had more rehospitalizations, fewer successful community discharges, and poorer star ratings than facilities with no or fewer Hispanic residents.
• RNOther2020German translation, cultural adaptation and testing of the Person-centred Practice Inventory - Staff (PCPI-S).Nursing openStaff in Austrian nursing homes rated their own care as highly person-centred on a new German questionnaire. This tool measures staff perceptions of their workplace culture, not patient outcomes or the quality of care delivered.
• RNCohort2020Trends in Antipsychotic and Mood Stabilizer Prescribing in Long-Term Care in the U.S.: 2011-2014.Journal of the American Medical Directors AssociationAfter the CMS dementia-care push, antipsychotic prescribing in U.S. nursing homes fell, especially in dementia. Mood stabilizer prescribing rose, mostly gabapentin. Adjusted antipsychotic use did not fall among residents with depression or bipolar disorder without dementia.
• RNSurvey2020Gender differences in risk taking behaviors for Chlamydia trachomatis.Health care for women internationalReported chlamydia infection was linked to younger age, sex trading, other sexually transmitted infections, and substance use. In men, ecstasy and Viagra use stood out; in women, marijuana use and yeast infection stood out.