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 64 OF 216 · NEWEST FIRST

• RNOther2020Theory-guided interventions for Chinese patients to adapt to heart failure: A quasi-experimental study.International journal of nursing sciencesReadmissions did not differ between groups, but a nurse-delivered package of tailored planning templates, communication plans, telephone calls, WeChat forums and outcome tracking improved quality of life, knowledge, self-care maintenance and coping more than usual education at six months.
• RNCohort2021Attitudes, Subjective Norms, and Perceived Behavioral Control Associated with Age of First Use of Cannabis among Adolescents.The Journal of school healthAdolescents who later reported first cannabis use before high school were more likely than never users to report, in 10th grade, positive attitudes, weak parental disapproval, peer cannabis use, and easy access.
• RNSurvey2021Subjective cognitive decline in diabetes: Associations with psychological, sleep, and diabetes-related factors.Journal of advanced nursingIn adults with diabetes, reported cognitive symptoms were linked to sleep problems and higher body mass index when symptoms were milder, and to fatigue and depressive symptoms when symptoms were more severe. This did not show cause.
• RNCase Series2021Midwifery and Nursing Strategies to protect against COVID-19 During the Third Trimester of Pregnancy.MidwiferyThirty-five third-trimester pregnant women with COVID-19 received many simultaneous infection-control, monitoring, respiratory, breastfeeding, psychological, and postpartum measures. The series reported no severe maternal complications and normal infant Apgar scores, but cannot show which measures mattered.
• RNQualitative2021War on Two Fronts: Experience of Children with Cancer and Their Family During COVID-19 Pandemic in Iran.Journal of pediatric nursingChildren with cancer and families described fear, isolation and care disruptions during pandemic. Hospital rules blocked fathers, play and school; protective gear made communication hard. They needed clear rules, supplies and emotional support.
• RNQualitative2021Consumer perspective from people with a diagnosis of Borderline Personality Disorder (BPD) on BPD management-How are the Australian NHMRC BPD guidelines faring in practice?Journal of psychiatric and mental health nursingPeople with BPD described delayed or poorly explained diagnoses, feeling dismissed during crisis, and continued barriers to specialist therapy. Management plans were often imposed rather than co-authored, and some diagnosis communication problems were reported less often.
• RNCohort2021Family Meetings in the Intensive Care Unit During the Coronavirus Disease 2019 Pandemic.The American journal of hospice & palliative careIn ICU patients presumed unable to make decisions, 59% of documented family meetings were telephone calls. Goals-of-care discussions occurred in 36%, often late, and bedside nurses were included in 9% of them.
• RNPilot2021Evaluation of an Integrated Health Promotion Program for a low-income urban population: Findings and lessons learned.Public health nursing (Boston, Mass.)Weight and BMI did not fall, but low-income adults in a pilot multicomponent community program reported better general health and had lower blood pressure.
• RNRCT2021OXTR rs53576 Variation with Breast and Nipple Pain in Breastfeeding Women.Pain management nursing : official journal of the American Society of Pain Management NursesBreastfeeding women with a common oxytocin receptor variant reported more breast and nipple pain over 6 weeks. Simple touch and pressure tests also tracked pain. This small study cannot guide genetic testing or treatment.
• RNSystematic Review2020Analysis of the evidence of related factors, associated conditions and at-risk populations of the NANDA-I nursing diagnosis insomnia.International journal of nursing sciencesMost NANDA-I insomnia risk factors are supported by evidence, but frequent naps and grieving are not. The review proposes adding smoking, caffeine, obesity, dysfunctional beliefs, and caregiver strain as new nursing-related factors for insomnia assessment.
• RNCohort2020Infusion Site Reactions: Classification in the Setting of Fosaprepitant Administration With Chemotherapy.Clinical journal of oncology nursingMost suspected infusion site reactions after fosaprepitant were not true extravasations. In a chart review, only six of 110 sampled patients showed signs like blistering or oozing, while the rest had milder symptoms like swelling or redness.
• RNSurvey2020Effect of Covid-19 pandemic on mental health among Albanian people residing in the country and abroad - Implications for mental care.Archives of psychiatric nursingAlbanian adults in quarantine were classified as having mild depression in 31.82% of 715 analysed responses and moderate depression in 12.90%; women had the highest scores for depressed mood, tiredness and appetite problems.
• RNOther2020The Development of Data Collection Tools to Measure Parent-Infant Closeness and Family-Centered Care in NICUs.Worldviews on evidence-based nursingDaily parent diaries and text questions tracked parent presence, skin-to-skin contact and family-centered care in 15 NICUs. Nurse charting missed 12% of skin-to-skin episodes parents reported.
• RNCohort2021Emergency Department Use Among Assisted Living Residents After Hurricane Irma.Journal of the American Medical Directors AssociationInjury-related emergency visits were 13% higher for 30 days after Hurricane Irma among Florida assisted living residents than the year before, and other medical visits remained 9% higher at 90 days.
• PTRNSurvey2021Families' and Residents' Perspectives of the Quality of Nursing Home Care: Implications for Composite Quality Measures.Journal of the American Medical Directors AssociationResidents and families rated attentiveness, personal care, routine medical care, physical environment, cleanliness, social environment, food and communication as contributing more to overall nursing home quality than the 5-Star rating. Short-stay residents and families also valued physical therapy.
• RNCohort2021Characteristics Associated with Feeding Tube Placement: Retrospective Cohort Study of Texas Nursing Home Residents with Advanced Dementia.Journal of the American Medical Directors AssociationFeeding tubes were used in 12.5% to 16.1% of Texas nursing home residents with advanced dementia. Use was higher among black and Hispanic residents and near the Texas-Mexico border, despite recommendations encouraging hand feeding.
• OTRNQualitative2021Assessing acceptability and patient experience of a behavioral lifestyle intervention using fitbit technology in older adults to manage type 2 diabetes amid COVID-19 pandemic: A focus group study.Geriatric nursing (New York, N.Y.)Older adults with type 2 diabetes described accepting a Fitbit-based lifestyle program. They said tracking diet and activity helped motivation, routines, and perceived blood sugar and weight changes, while pandemic restrictions disrupted exercise and shopping. Some found the app confusing.
• RNOther2021Mealtime verbal interactions among nursing home staff and residents with dementia: A secondary behavioural analysis of videotaped observations.Journal of advanced nursingStaff spoke three times more often than residents with dementia during nursing home mealtimes, mostly positively. Resident refusals were more common than staff negativity, and staff negative comments tended to co-occur with resident negative utterances.
• RNRCT2021A Description of Staff-resident Interactions in Assisted Living.Clinical nursing researchIn assisted living, 705 observed staff-resident interactions were mostly positive: 92.4% involved conversation or companionship, and 75.8% were positive during care. About 21% were neutral, 3.2% were negative protective, and 1.1% were negative restrictive.
• RNCase Report2021Clinical outcomes of pleural drainage on pneumothorax and hydrothorax in critically ill patients with COVID-19: A case series with literature review.Heart & lung : the journal of critical careIn 11 ventilated COVID-19 patients with pleural drainage, oxygenation and gas exchange improved after drainage, but circulation worsened and 8 died. It cannot show the drainage alone caused benefit or reduced death.
• RNCase Report2021Case report: Nutrition therapy and side-effects monitoring in critically ill coronavirus disease 2019 patients.Heart & lung : the journal of critical careIn critically ill older adults with severe malnutrition, tube feeding was limited by gastric retention, diarrhea, and hypoglycemia. In the reported cases, jejunal feeding plus parenteral support improved tolerance, while the other patient remained nutritionally inadequate.
• RNCohort2021Evaluating the Effect of COVID-19 Pandemic Lockdown on Long-Term Care Residents' Mental Health: A Data-Driven Approach in New Brunswick.Journal of the American Medical Directors AssociationIn 765 long-term care residents, lockdown was not associated with higher depression, delirium, or behavioral problems after accounting for other factors, despite fewer in-person family visits. The dementia-lockdown delirium finding depended on how the analysis was set up.
• RNRCT2021Group-randomized trial of tailored brief shared decision-making to improve asthma control in urban black adults.Journal of advanced nursingThe brief asthma shared decision-making visit did not outperform a control visit for asthma control in Black adults. BREATHE participants reported more shared decision-making and improved their own asthma control score by more than 0.5.
• OTSLPRNSystematic Review2021Nutrition and hydration for people living with dementia near the end of life: A qualitative systematic review.Journal of advanced nursingFamilies and staff found feeding decisions in advanced dementia ethically hard. Tube feeding was often seen as prolonging life or protecting rights, despite evidence it does not work. Comfort-focused eating, texture changes, routines, and knowing preferences were reported as supports.
• RNCohort2021Mechanical ventilation and mortality among 223 critically ill patients with coronavirus disease 2019: A multicentric study in Germany.Australian critical care : official journal of the Confederation of Australian Critical Care NursesCritically ill patients with COVID-19 who required mechanical ventilation had a 44% intensive care mortality rate, compared to 7% for those who did not. Older age, higher comorbidity burden, and pulmonary embolism were independently associated with death in ventilated patients.
• PTOTSLPRNRCT2021Application of enhanced recovery after surgery in total knee arthroplasty in patients with haemophilia A: A pilot study.Nursing openPatients with haemophilia A recovering from knee replacement had shorter hospital stays, less pain, and better joint function scores when receiving enhanced recovery protocols compared to routine nursing.
• RNSystematic Review2020Wound Pain and Wound Healing Biomarkers From Wound Exudate: A Scoping Review.Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses SocietyWound exudate biomarkers like cytokines and MMPs correlate with pain and healing, but the links are too weak to replace pain scales. Collection methods vary widely, with dressings being most common but requiring 0.5 to 6 hours.
• RNCohort2020Validity of the Fitzpatrick Skin Phototype Classification in Ecuador.Advances in skin & wound careThe Fitzpatrick self-report scale was most usable for sun-response questions in 254 Ecuadorian adults, mostly skin type IV. Hair, eye, and freckle questions were weak, so a shorter 5-item version made more sense.
• PTRNNarrative Review2020The Role of Telehealth During the COVID-19 Pandemic Across the Interdisciplinary Cancer Team: Implications for Practice.Seminars in oncology nursingCancer teams moved routine reviews, chemotherapy assessments, exercise, and nursing follow-up to telehealth to reduce hospital contact. Telephone and web lifestyle interventions often improved behaviour at end of treatment, but maintenance, remote assessment, and digital literacy remained limited.
• RNSurvey2021Nurses' assessments of staffing adequacy in care services for older patients following hospital discharge.Journal of advanced nursingCommunity nurses' views on staffing adequacy vary widely, with nursing home staff reporting the lowest adequacy. Perceived poor coordination with hospital discharge teams is linked to lower staffing adequacy scores, regardless of the nurse's role or location.
• RNOther2021To What Extent Do Physician Orders for Life-Sustaining Treatment (POLST) Reflect Patients' Preferences for Care at the End of Life?Journal of the American Medical Directors AssociationPOLST orders mostly matched patients' separately documented end-of-life preferences, but 7 of 62 patients had at least one disagreement. Check POLST orders against current preferences and revisit them as care needs change.
• RNSystematic Review2021Generic Self-Reported Questionnaires Measuring Self-Management: A Scoping Review.Clinical nursing researchTen generic self-report questionnaires for adults with chronic conditions were mapped. All were short, had simple items, and targeted adults with chronic conditions, but many missed emotional strategies. They may help nurses assess self-management needs. These are tools, not proven treatments.
• RNCohort2021Ventilation bundle compliance in two Australian intensive care units: An observational study.Australian critical care : official journal of the Confederation of Australian Critical Care NursesVentilation bundle compliance was 88.3% over three days, rising from 79.4% on day 3 to 96.7% on day 5. Ulcer and blood-clot prevention were high; head elevation, sedation interruption and readiness to extubate were lower early.
• RNQualitative2021The role of empathic nursing telephone interventions with advanced cancer patients: A qualitative study.European journal of oncology nursing : the official journal of European Oncology Nursing SocietyNurse telephone calls to advanced cancer patients centred on empathy. Nurses listened, validated, used humor, and helped solve problems after assessing symptoms.
• RNSystematic Review2021An integrative review of adolescent trust in the healthcare provider relationship.Journal of advanced nursingAdolescents most often defined trust in a healthcare provider as confidentiality, then honesty, respect and empathy. Trust varied by service: mental health care often drew distrust, while chronic care studies associated trust with disclosure and adherence.
• RNSurvey2021Measurement of Family Management in Families of Individuals With Down Syndrome: A Cross-Cultural Investigation.Journal of family nursingParents across 11 countries generally reported positive family management, though scores varied by location. The Family Management Measure showed good reliability for most scales, but some language versions had poor consistency, meaning total scores should be interpreted with caution in cross-cultural care.
• RNSystematic Review2021The Impact of Positive School Climate on Suicidality and Mental Health Among LGBTQ Adolescents: A Systematic Review.The Journal of school nursing : the official publication of the National Association of School NursesLGBTQ adolescents in schools with more positive climates reported fewer suicide-related thoughts and behaviors and fewer depressive symptoms across six cross-sectional studies. The studies show a link, not proof that changing climate reduces suicide risk.
• RNOther2020Recommendations for Welcoming Back Nursing Home Visitors During the COVID-19 Pandemic: Results of a Delphi Panel.Journal of the American Medical Directors AssociationExperts reached consensus on 77 of 119 safety statements for reopening nursing homes to visitors, including universal masking and outdoor visits. However, they disagreed significantly on testing asymptomatic residents and whether recovered patients are contagious.
• RNOther2020Protocol for Telehealth Evaluation and Follow-up of Patients With Chronic Heart Failure During the COVID-19 Pandemic.Journal of the American Medical Directors AssociationA 23-item telephone questionnaire and a 0 to 29 score assigned 30 older heart failure patients to green, yellow, or red follow-up intervals. During the first month, 2 died and 5 were hospitalized. This is early implementation, not evidence it works.
• RNOther2020Effects of Implementing a Brief Family Nursing Intervention With Hospitalized Oncology Patients and Their Families in Germany: A Quasi-Experimental Study.Journal of family nursingFamily nursing produced no significant improvement in patient stress, mood, satisfaction, or family member burden compared to standard care. The intervention was difficult to implement fully, with nurses lacking time and consulting skills, leading to mixed results overall.
• PTOTRNCohort2020Nursing Home Residents Face Severe Functional Limitation or Death After Hospitalization for Pneumonia.Journal of the American Medical Directors AssociationMost nursing home residents hospitalized for pneumonia had severe functional limitation or died within 60 days. Among those without severe prior ADL limitations, 66.3% had this outcome. Discuss likely decline before hospitalizing.
• RNCohort2020Clinical Suspicion of COVID-19 in Nursing Home Residents: Symptoms and Mortality Risk Factors.Journal of the American Medical Directors AssociationAmong suspected nursing home residents with test results, 38% had confirmed COVID-19. Fever was more common in confirmed cases, but symptoms overlapped. Confirmed cases had 42% 30-day mortality, especially among men and residents with dementia, reduced kidney function or Parkinson's disease.
• RNCohortHealth-Related Quality of Life Declines Over 3 Years for Congenital Heart Disease Survivors.The Journal of cardiovascular nursingYoung adults with congenital heart disease reported declining quality of life across every measured area over three years. Lower family income predicted faster physical and emotional decline, so ask patients about appointment travel and medical costs.
• RNPilot2021Feasibility of an Intervention Study to Support Families When Their Loved One Has Life-sustaining Therapy Withdrawn.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationFamilies recalled a plain-language booklet and comfort items after withdrawal, but too few completed follow-up to test whether usual care, booklet, nurse support, and comfort items reduced stress.
• RNQualitative2021Situational analysis on the recovery of patients who have undergone major abdominal surgery.Nursing openAfter major abdominal surgery, nurses, patients and families described unclear recovery guidelines, severe pain and language barriers as blocking recovery. They asked for coordinated multidisciplinary care, but this single-hospital study did not test any intervention.
• RNPilot2021Using telehealth to assess depression and suicide ideation and provide mental health interventions to groups of chronically ill adolescents and young adults.Research in nursing & healthTelehealth group sessions helped clinicians detect and assess depressive or suicide-related responses in adolescents and young adults on lifelong home parenteral nutrition. Participants rated the sessions easy and helpful, but the study did not test whether they improved mental health outcomes.
• PTOTRNRCT2021A Cluster Randomized Controlled Trial Testing the Impact of Function and Behavior Focused Care for Nursing Home Residents With Dementia.Journal of the American Medical Directors AssociationA nursing home program increased resident activity and reduced resistiveness to care at 4 months, but these gains disappeared by 12 months. There were no improvements in daily function, mood, or agitation. The intervention requires ongoing staff mentoring to sustain changes.
• RNOther2021Changes in Advance Care Planning for Nursing Home Residents During the COVID-19 Pandemic.Journal of the American Medical Directors AssociationDuring early pandemic, proactive goals-of-care conversations with nursing home residents or surrogates changed documented preferences. Fewer remained full resuscitation, and more chose do-not-resuscitate outside hospital and do-not-hospitalize.
• RNCohort2021Pain and Barriers to Accessing Health Services Among People Who Use Drugs.Pain management nursing : official journal of the American Society of Pain Management NursesGreater pain severity was associated with a higher likelihood of reporting barriers to health services among people who use drugs. Poor treatment by health professionals and transportation or mobility issues were commonly reported barriers among participants with pain.
• RNQualitative2021"Paying it Forward" - Swedish Women's Experiences of Donating Human Milk.Journal of human lactation : official journal of International Lactation Consultant AssociationSwedish donors described human milk donation as a demanding task, citing time spent expressing, strict hygiene rules, and physical strain. Most participants struggled to find clear information on how to donate and felt unsupported by healthcare staff. Altruism and a desire to help infants sustained them through these challenges.