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 60 OF 216 · NEWEST FIRST

• RNRCT2021Improvements in Antibiotic Appropriateness for Cystitis in Older Nursing Home Residents: A Quality Improvement Study With Randomized Assignment.Journal of the American Medical Directors AssociationA webinar, pocket cards, and order sets did not show a clear reduction in inappropriate antibiotics for nursing home cystitis (0.13 versus 0.21 per 1000 resident days). Duration problems were less common, but more drug-interaction problems occurred. The components cannot be separated.
• RNOther2021Community-based Skill Building Intervention to Enhance Health Literacy Among Older Rural Adults.Western journal of nursing researchOlder rural adults who attended a health literacy program reported better confidence and complementary therapy knowledge right after, but those gains faded later. A nutrition label score kept improving, so not all literacy gains were short lived.
• RNCohort2021Engagement and Affective Communication During Pediatric Nephrology Clinic Visits: Associations with Medication Adherence.Patient education and counselingIn adolescents and young adults with kidney disease, more AYA participation in clinic visits was linked to better blood pressure medication use after the visit. Provider displays of anger or anxiety were linked to worse adherence. Other caregiver and provider factors showed no link.
• RNCase Report2021First successful treatment of a COVID-19 pregnant woman with severe ARDS by combining early mechanical ventilation and ECMO.Heart & lung : the journal of critical careA pregnant woman with severe COVID-19 ARDS survived after intubation, mechanical ventilation, emergency cesarean, and later ECMO. This is one case, not evidence the combination works.
• RNCohort2021Observation of Hand Hygiene Practices in Home Health Care.Journal of the American Medical Directors AssociationHome health nurses performed hand hygiene during 45.6% of observed opportunities. Adherence was lowest after touching patients and highest after removing gloves with body fluid contact. Dirty homes and higher infection risk were linked to more chances, not better hand hygiene.
• RNMeta-Analysis2020Preventing Alveolar Osteitis After Molar Extraction Using Chlorhexidine Rinse and Gel: A Meta-Analysis of Randomized Controlled Trials.The journal of nursing research : JNRChlorhexidine rinse or gel after molar extraction lowered dry socket risk. The trials did not clearly rank rinse versus gel, but three direct comparisons favoured rinse; controls varied, so that result is uncertain.
• RNQualitative2020Exploring the experiences of patients, general practitioners and oncologists of prostate cancer follow-up: A qualitative interview study.European journal of oncology nursing : the official journal of European Oncology Nursing SocietyProstate cancer follow-up after discharge was described as unclear: PSA tests were often patient-arranged, results were not routinely shared, and roles were uncertain. Nurses in follow-up care should spell out who monitors PSA, when, and how results reach patients.
• RNQualitative2020Fatherhood group sessions: A descriptive and summative qualitative study.Nursing & health sciencesIn observed Swedish fatherhood groups, fathers had the opportunity to speak between half and two-thirds of session time. The leader's discussion role, not expert lectures, opened space for child care, couple conflict, work-life balance, and parental-leave concerns.
• RNRCT2020Impact of Training Based on Orem's Theory on Self-Care Agency and Quality of Life in Patients With Coronary Artery Disease.The journal of nursing research : JNRCAD patients who received Orem-based nurse education and home follow-up had higher self-care agency and better quality of life at 5 to 6 months than controls. Controls also received home visits and counseling, so the booklet alone may not explain the gain.
• RNOther2020Characterizing Pain Experiences: African American Patients With Multiple Myeloma Taking Around-the-Clock Opioids.Clinical journal of oncology nursingEveryday pain was universal among African American patients with multiple myeloma taking around-the-clock opioids, and it interfered with sleep, work, walking, and daily activity. Common barriers included disliking pills, addiction worries, constipation, and drowsiness; half also met a depression threshold.
• RNSurvey2020Pain and Depression Symptoms During the Third Trimester of Pregnancy.MCN. The American journal of maternal child nursingModerate-to-severe third-trimester pain was common, and 44.2% of women with severe pain had moderate-to-severe depression symptoms, versus 3.7% with no or mild pain.
• PTOTRNSurvey2020A Study of Physical Activity, Frailty, and Health-Related Quality of Life Among Community-Dwelling Older Adults in Taiwan.The journal of nursing research : JNRIn 150 community-dwelling older adults, better upper limb strength and flexibility, along with higher physical activity, were linked to higher health-related quality of life. Being prefrail was associated with lower quality of life scores. These are correlations, not evidence that exercise improves outcomes.
• RNOther2021Global scientific research on social participation of older people from 2000 to 2019: A bibliometric analysis.International journal of older people nursingBibliometric analysis of 7,029 publications from 2000 to 2019 shows social participation research for older adults is growing, with the United States leading. Recent hot spots include loneliness, frailty, and cognitive function, shifting focus from physical symptoms to psychosocial health.
• RNQualitative2021Family caregivers' experiences of interaction with people with mild-to-moderate dementia in China: A qualitative study.International journal of nursing practiceFamily caregivers of people with mild-to-moderate dementia described sudden behaviours, exhaustion and lost personal time. They used distraction, familiar activities and photo sharing to maintain closeness, while still wanting some life for themselves.
• PTOTRNQualitative2021How Context Influences Hospital Readmissions from Skilled Nursing Facilities: A Rapid Ethnographic Study.Journal of the American Medical Directors AssociationHigh-performing hospitals had better communication flow and shared team expectations, while low-performing sites faced delays from missing nurse huddles and unsigned PT notes. Insurance status and physical office layouts also shaped discharge speed.
• RNQualitative2021Voicing Jordanian Adolescents' Suicide.Nursing researchJordanian adolescents with mild to moderate depression said stigma, family pressure, and isolation kept them silent about suicidal thoughts. Passive death wishes were mentioned 21 times, and boys described the Blue Whale game as a suicide guide.
• RNSurvey2021Dysmenorrhea Symptom-Based Phenotypes: A Replication and Extension Study.Nursing researchWomen with dysmenorrhea grouped into three symptom patterns: mild cramps, severe cramps, and multiple severe symptoms. Adding background, health, and psychological information did not change these groups. Black/African American race, more chronic pain, endometriosis, and pain catastrophizing were associated with the multiple severe pattern.
• RNProtocol2021Suicide Risk Management Protocol for a Randomized Controlled Trial of Cardiac Patients Reporting Hopelessness.Nursing researchFor cardiac patients reporting hopelessness, a suicide-risk protocol guided research staff and nurses through screening, triage, and follow-up. It found eight hospital low-risk screens and home low and moderate risk screens, but did not test whether the intervention works.
• RNSurvey2021Cognitive reactivity among high-risk individuals at the first and recurrent episode of depression symptomology: A structural equation modelling analysis.International journal of mental health nursingStronger negative thinking triggered by low mood was associated with poorer sleep, higher neuroticism and negative emotion, and less social support, resilience and self-compassion in people at high risk of first or recurrent depression.
• RNSurvey2021Predictors of Patient Portal Use Among Community-Dwelling Older Adults.Research in gerontological nursing52% of older adults reported using a patient portal. Being married or living with a partner, using technology for health, and having confidence to manage health were linked to portal use.
• PTOTRNNarrative Review2021A Paradigm Shift for Movement-based Pain Assessment in Older Adults: Practice, Policy and Regulatory Drivers.Pain management nursing : official journal of the American Society of Pain Management NursesPain scores at rest may miss pain that limits older adults' movement and function. This review recommends assessing pain during walking, turning, or daily activities, but these are expert recommendations, not tested interventions.
• RNSystematic Review2020Youths' Experiences of Transition from Pediatric to Adult Care: An Updated Qualitative Metasynthesis.Journal of pediatric nursingYoung adults with chronic illness described transition as often abrupt and poorly prepared. They wanted direct communication, disease knowledge, self-management practice, parent support, joint pediatric-adult visits, and peers who had made the move.
• RNSurvey2020Disability Severity and Home-Based Care Quality in Older Adults: The Mediating Effects of Social Support and Caregiver Competence.The journal of nursing research : JNRGreater disability severity was associated with lower home-based care quality in 335 rural Kazakh older adults and caregivers. Social support and how hard caregiving tasks felt were linked to quality, but neither changed the strength of the disability-care quality link.
• RNCase Series2020Facility-Level Case Report of Nursing Care Processes for Patients With Suspected 2019 Novel Coronavirus Disease in Shanghai, China.Journal of emergency nursingIn a single Shanghai hospital, 119 patients suspected of having COVID-19 were isolated with nursing care and infection-control processes. 110 were discharged, 9 were transferred, and no cross-infection was detected, but this was a descriptive report, not a trial.
• RNNarrative Review2020COVID-19 outbreak: Challenges in pharmacotherapy based on pharmacokinetic and pharmacodynamic aspects of drug therapy in patients with moderate to severe infection.Heart & lung : the journal of critical careDrug effects are uncertain and mixed: hydroxychloroquine/chloroquine are no longer recommended by FDA, remdesivir and lopinavir/ritonavir did not clearly improve outcomes, and dexamethasone may reduce mortality in patients needing respiratory support.
• RNNarrative Review2020Healthy Behaviors: Prevalence of Uptake Among Cancer Survivors.Clinical journal of oncology nursingCancer survivors most often avoid tobacco, but many still need help with alcohol, diet, activity, sun, sleep and vaccines. Nurses can assess, advise and refer using survivorship care plans to support these behaviors.
• RNCohort2020Predicting Postpartum Hemorrhage After Low-Risk Vaginal Birth by Labor Characteristics and Oxytocin Administration.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNIn low-risk vaginal births, longer oxytocin infusions were linked with more postpartum hemorrhage. Augmentation over 4 hours and induction over 7 hours had higher rates; higher peak doses were also reported after longer infusions in hemorrhage cases.
• RNQualitative2020The Influence of Peer Relationships on Latina Adolescents' Experiences with Depressive Symptoms.Journal of pediatric nursingLatina adolescents described peers as both helping and harming depression. Friends could offer escape, trust, and encouragement, while bullying, betrayal, and urging self-harm or disordered eating were described as worsening symptoms. Those without family support leaned more on peers.
• RNCohort2020Age, Frailty, and Comorbidity as Prognostic Factors for Short-Term Outcomes in Patients With Coronavirus Disease 2019 in Geriatric Care.Journal of the American Medical Directors AssociationIn 250 older hospital patients with COVID-19, 24% died in hospital and 44% went home; 76% survived. Frailty, comorbidity, age, and acute kidney injury predicted death.
• RNPilot2020Feasibility and early effectiveness of the Tell-us Card communication tool to increase in-hospital patient participation: a cluster randomised controlled pilot study.Scandinavian journal of caring sciencesPatients found the Tell-us Card helpful for raising issues, but nurses viewed it as redundant and administratively burdensome. The card improved patient-reported participation scores on one ward but not the other, and did not change overall quality of care ratings.
• PTRNQualitative2020Patient perspectives of ankle-foot orthoses for walking ability in peripheral artery disease: A qualitative study.Journal of vascular nursing : official publication of the Society for Peripheral Vascular NursingPatients with peripheral artery disease and calf claudication described less pain and longer walking when wearing a carbon-fiber AFO during a 12-week community walking program, but fit, stiffness, skin problems and uneven surfaces limited use.
• RNNarrative Review2021Abdominal aortic aneurysms part one: Epidemiology, presentation and preoperative considerations.Journal of perioperative practiceUK abdominal aortic aneurysm guidance recommends screening eligible men, ultrasound follow-up by size, preoperative optimisation and urgent escalation for suspected rupture.
• RNRCT2021Foot Care Self-Management in Non-Diabetic Older Adults: A Pilot Controlled Trial.Western journal of nursing researchA nurse-led community foot care intervention was feasible and participants rated it helpful. Older adults without diabetes showed slight increases in foot care behaviors and foot health, but the paper says a larger study is needed to confirm whether it works.
• RNRCT2021The Development and Preliminary Impact of CAMP Air: A Web-based Asthma Intervention to Improve Asthma Among Adolescents.Patient education and counselingIn adolescents with uncontrolled asthma, a bundled web-based self-management program improved asthma control and reduced night waking, school absences and urgent care risk, but daytime symptoms and activity limitations did not improve over short follow-up. This was a small pilot.
• RNOther2021Health Correlates of Abuse History and Moderating Effect of Parenting Stress for Mothers with Mental Disorders.Issues in mental health nursingAbuse history was linked to worse anxiety, depression, fatigue, sleep, pain and substance use in mothers receiving mental health or substance use care. Higher caregiving load intensified anxiety and sleep problems.
• RNSurvey2021Do health literacy disparities explain racial disparities in family-centered care for youths with special health care needs?Patient education and counselingFor youths with special health care needs, Black/African American families reported less family-centered care, mainly feeling clinicians did not spend enough time. Health literacy did not explain the gap, so literacy-focused fixes alone may not close it.
• RNOther2020Patient and Family Member Violent Situations in a Pediatric Hospital: A Descriptive Study.Journal of pediatric nursingPediatric inpatient staff reported 73% had experienced violence in the past year. Behavioral emergency responses involved 20 patients and 6 family members. Kicking, hitting, flailing, yelling, threats, and blocking care were common.
• RNCase Report2020Early Identification of IgA Anti-SARSCoV-2 in Milk of Mother With COVID-19 Infection.Journal of human lactation : official journal of International Lactation Consultant AssociationA mother with probable COVID-19 had IgA antibody against SARS-CoV-2 in milk on day 3 after birth. Her infant tested negative early and had no symptoms through 45 days while exclusively breastfeeding.
• RNCase Report2020Mechanical complications of myocardial infarction during COVID-19 pandemic: An Italian single-centre experience.Heart & lung : the journal of critical careFive patients developed cardiac rupture after delaying heart attack treatment to avoid catching SARS-CoV-2 in hospital. One required emergency surgery and recovered; the others were managed without surgery.
• RNOther2020Developing an Innovative Tablet-Based Walking Program to Improve Arthritis Fatigue.Journal of gerontological nursingExperts reviewed a tablet-based walking program for arthritis fatigue and found it engaging and easy to use. They recommended simplifying the interface and adding extra training for adults over 75. No patient outcomes were tested in this phase.
• PTOTSLPRNCohort2020Risk Factors, Presentation, and Course of Coronavirus Disease 2019 in a Large, Academic Long-Term Care Facility.Journal of the American Medical Directors AssociationIn a large nursing home, 45.5% of residents who tested positive for COVID-19 had no symptoms at diagnosis. Male sex, bowel incontinence, and staff living in high-prevalence communities were linked to infection, while 30.1% of infected residents died.
• RNQualitative2020Life course changes provoked by chronic disease: A study on everyday life for patients with systemic lupus erythematosus.International journal of nursing sciencesNine women with SLE described hiding facial rashes with make-up and clothing, avoiding sun, using online peers for support, and later seeing illness as part of life. Three reported suicidal thoughts, and some acted on them.
• PTOTSLPRNCohort2020Predicting hospital outcomes with the reported edmonton frail scale-Thai version in orthopaedic older patients.Journal of clinical nursingPreoperative frailty screening with the REFS-Thai predicted postoperative complications and delirium better than standard medical assessments in older orthopaedic patients. Frail patients had higher odds of complications and longer stays, while apparent frailty also predicted delirium.
• RNOther2020Establishing fidelity for the creating opportunities for personal empowerment: Symptom and technology management resources (COPE-STAR) intervention.Journal of advanced nursingAll reviewers rated the caregiver modules useful, easy to use, and acceptable. No patient outcomes were tested, so it cannot show COPE-STAR improves care.
• RNCase Report2020Does Universal Testing for COVID-19 Work for Everyone?Journal of the American Medical Directors AssociationIn one nursing home, universal testing found 7 more residents and 15 staff with SARS-CoV-2, but 7 residents who first tested negative later became symptomatic. Use testing with repeated screening and cohorting, not as a single reassurance.
• RNOther2020Ease of use, feasibility and inter-rater reliability of the refined Cue Utilization and Engagement in Dementia (CUED) mealtime video-coding scheme.Journal of advanced nursingA refined video-coding tool for dementia mealtime interactions showed high reliability between coders. It captures second-by-second staff and resident behaviors but is very time-intensive, requiring 10.81 hours to code one hour of video.
• RNRCT2021Initial Testing of a Web-Based Intervention to Reduce Adolescent Driver Inattention: A Randomized Controlled Trial.Journal of emergency nursingA one-session web program was not shown to reduce cellphone distraction by teen drivers in the simulator at 3 months. Self-reported texting and passenger numbers increased over six months, so benefit was not shown.
• RNRCT2021The impact of the number of tests presented and a provider recommendation on decisions about genetic testing for cancer risk.Patient education and counselingIn a hypothetical genetic testing choice, showing all options at once made more people choose testing initially, but the overall final choices did not differ. A values-based recommendation made choices match stated preferences.
• RNSurvey2021Are Mothers Certain About Their Perceptions of Recalled Infant Feeding History?Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersMothers rated their recalled infant feeding history as very certain. Certainty did not clearly differ between time periods, and only the first feed showed lower certainty when children were older.
• RNRCT2020Effect of a breastfeeding educational intervention: a randomized controlled trial.Revista latino-americana de enfermagemPostpartum women who received interactive breastfeeding education using a kit and practical simulations had higher exclusive breastfeeding percentages at 10, 30, and 60 days than women receiving routine nursing guidance.