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 66 OF 216 · NEWEST FIRST

• RNCohort2021Clinical and Economic Impact of Wound Care Using a Polyurethane Foam Multilayer Dressing.Advances in skin & wound careMean dressing changes fell from 3.14 to 1.66 after switching to the foam dressing, often used with other dressings. Wound area and weekly costs fell, but no control group means other care may explain changes.
• RNOther2021Change in Health-Related Quality of Life Among Individuals With Cancer Undergoing Smoking Cessation Treatment Involving Varenicline.Oncology nursing forumHealth-related quality of life remained stable during smoking cessation treatment with varenicline and counseling. This was true regardless of whether patients quit smoking, how long they took varenicline, or if they were undergoing cancer treatment. Nurses can reassure patients that this intensive treatment does not worsen their quality of life.
• RNRCT2021Pain and Spirituality Outcomes Among Women With Advanced Breast Cancer Participating in a Foot Reflexology Trial.Oncology nursing forumHigher self-reported spirituality was not associated with lower pain. In women with advanced breast cancer, pain averaged 3.6 out of 10, moderate; younger women, not married or living with a partner, not employed, or receiving hormonal therapy were associated with higher pain.
• RNSurvey2021Relationship between self-esteem and perceived social support in burn patients in Sina Hospital of Tabriz.Nursing openBurn patients who reported more support from family, friends or others also reported higher self-esteem. The study did not show that support caused higher self-esteem.
• RNCohort2021Long-term effects of a peer-led asthma self-management program on asthma outcomes in adolescent peer leaders.Patient education and counselingAdolescents with asthma who trained as peer leaders reported better asthma control and quality of life for 15 months. Improvements began right after training and stayed stable. Without a control group, this shows association, not proof the program caused the change.
• RNQualitative2021Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study.Journal of midwifery & women's healthRural Malian women described needing trusted people to talk about distress, but feared stigma. Midwives and community health workers supported adding mental health screening and low-level psychosocial care to antenatal visits.
• RNCohort2021Are Nursing Home Residents With Dementia Appropriately Treated for Fracture Prevention?Journal of the American Medical Directors AssociationOnly 11.6% of nursing home residents with dementia and high fracture risk received fracture prevention medication. Treatment was less common with severe dementia, pressure ulcers, or limited prognosis, and more common with osteoporosis, mobility devices, or steroids.
• RNPilot2021Daily garden use and quality of life in persons with advanced dementia living in a nursing home: A feasibility study.Nursing openResidents were outside on only 25.4% of possible intervention days. During the intervention, positive affect rose and social isolation decreased; neuropsychiatric symptoms did not change significantly. Feasibility depended on staffing and routines.
• RNCohort2021The Association Between Analgesic Treatment Beliefs and Electronically Monitored Adherence for Cancer Pain.Oncology nursing forumAnalgesic belief clusters did not predict electronically monitored adherence to around-the-clock cancer pain medication. Side effects, pain relief, strongest analgesic prescribed, disease duration, and race were associated.
• PTOTSLPRNSystematic Review2021Social Connection in Long-Term Care Homes: A Scoping Review of Published Research on the Mental Health Impacts and Potential Strategies During COVID-19.Journal of the American Medical Directors AssociationAcross long-term care home studies, better social connection was commonly linked with less depression, better mood and fewer responsive behaviors, but evidence was uneven and mostly observational. Twelve low-cost strategies were identified, not proven.
• RNQualitative2021Striving to reduce suffering: A Phenomenological Study of nurses experience in caring for children with cancer in Ghana.Nursing openNurses caring for children with cancer described their role as striving to reduce suffering through three main actions: knowing each child's unique needs, rendering a hopeful fight via education and support, and ensuring continuity of care to prevent treatment abandonment.
• RNSurvey2021How the public used face masks in China during the coronavirus disease pandemic: A survey study.International journal of nursing studiesMost people wore masks, but hand hygiene before donning and during use was poor. Exposure to instructions predicted good compliance better than education level. N95 respirators were overused by the public. Reusing disposable masks without proper disposal or replacement was common.
• RNQualitative2021Disclosure experience among COVID-19-confirmed patients in China: A qualitative study.Journal of clinical nursingCOVID-19 patients told family about their diagnosis but feared stigma. After disclosure they reported support, discrimination, privacy exposure, distress, and self-isolation.
• RNSurvey2021Preparation for Future Care Needs in Middle-Aged and Older Adults: What Promotes Feeling of Preparedness?The American journal of hospice & palliative careMiddle-aged and older adults felt more prepared for future care when they had completed more end-of-life planning steps, were women, and held more positive dementia attitudes. This was a link, not proof that planning causes preparedness.
• RNOther2021Development of health behaviour questionnaire for breast cancer women in Mainland China.Nursing openA new 24-item questionnaire reliably measures health behaviours in breast cancer women on endocrine therapy. It covers treatment, exercise, psychological adjustment, diet, and medical seeking. Use it to identify gaps in self-care and target education where patients are struggling.
• OTRNQualitative2021Exploring the impact of endometriosis on women's lives: A qualitative study in Iran.Nursing openIranian women with endometriosis described disabling pelvic pain, menstrual bleeding, marital strain, sexual pain, psychological distress, social isolation, and self-care strategies like heat and traditional remedies.
• RNCohort2020Predicting the Development of Surgery-Related Pressure Injury Using a Machine Learning Algorithm Model.The journal of nursing research : JNRThe model missed most patients who developed surgery-related pressure injury, but correctly identified all patients who did not develop it.
• RNQualitative2020Resilience and social support of young adults living with mental illness in the city of Tshwane, Gauteng province, South Africa.Curationis10 young adults with mental illness described family and friend support. Poor family relationships included lack of support, loneliness and alienation; good family relationships included treatment involvement and financial help, while some friends were empathetic.
• PTOTRNSystematic ReviewAnxiety Symptoms After Orthopedic Injury: A Systematic Review.Journal of trauma nursing : the official journal of the Society of Trauma NursesAfter limb or pelvic fractures, clinically significant anxiety symptoms were common, from 11.5% to 55.7% during admission and 20% to 39% years later, and were associated with depression, PTSD, and pain.
• RNQualitativeFamily Support for Adolescent Girls and Young Women Living With HIV in Zambia: Benefits, Challenges, and Recommendations for Intervention Development.The Journal of the Association of Nurses in AIDS Care : JANACYoung women living with HIV in Zambia described mothers, sisters, and grandmothers as the most trusted support for taking ART, but families often discouraged disclosure because of stigma.
• RNSystematic Review2021Opportunities to improve COVID-19 provider communication resources: A systematic review.Patient education and counselingCOVID-19 provider communication resources averaged 38% against patient-centered communication practices, were mostly physician-focused, and lacked content on family, telehealth, and nurse needs.
• RNSystematic Review2021Nasogastric/nasoenteric tube-related adverse events: an integrative review.Revista latino-americana de enfermagemIn adults with nasogastric/nasoenteric tubes, respiratory complications were most common, including pneumothorax and deaths. The review recommends x-ray or pH testing, not auscultation or bubbles, to confirm blind tube placement before feeding or medication.
• RNSurvey2021Exploring self-management in adult sickle cell disease patients' at a Teaching Hospital in Ghana.Nursing openAmong adults with sickle cell disease in Ghana, higher self-efficacy was linked to better self-management and lower illness uncertainty, while uncertainty was linked to poorer self-management.
• RNQualitative2021What Matters to Patients and Their Families During and After Critical Illness: A Qualitative Study.American journal of critical care : an official publication, American Association of Critical-Care NursesICU survivors and families prioritized clear communication, comfort, and feeling the team tried everything. They also described inability to communicate or severe disability as possible outcomes worse than death.
• RNOther2021Geographic Variation in Anticoagulant Use and Resident, Nursing Home, and County Characteristics Associated With Treatment Among US Nursing Home Residents.Journal of the American Medical Directors AssociationOnly 45% of nursing home residents with atrial fibrillation used anticoagulants, and county rates ranged from 31% to 59%. Older age, prior bleeding, severe cognitive impairment, cirrhosis, and antiplatelet use were linked with less treatment.
• RNCohort2021Oral health among older adults in nursing homes: A survey in a national quality register, the Senior Alert.Nursing openOral health problems were detected in 42% of nursing home residents who received a nursing oral assessment, especially those immobile, underweight, with severe dementia or depression, or poor physical condition. Findings needing dental or medical referral were registered for 13%.
• RNCohort2021Birth Outcomes of Women with Obesity Enrolled for Care at Freestanding Birth Centers in the United States.Journal of midwifery & women's healthLow-risk primiparous women with obesity in US birth centers had similar newborn outcomes to normal-weight women. They had higher hospital transfer rates (30.7% vs 19.9%) and cesarean rates (11.1% vs 5.8%), but these remained lower than national averages.
• RNCohort2021Predictors of death within 6 months of stroke onset: A model with Barthel index, platelet/lymphocyte ratio and serum albumin.Nursing openBarthel Index, platelet/lymphocyte ratio and albumin were linked with death within 6 months in 210 Chinese stroke patients. More dependence, higher ratio and lower albumin marked higher risk.
• RNCohort2021Association between intensive care unit delirium and delusional memory after critical care in mechanically ventilated patients.Nursing open68% of mechanically ventilated ICU patients had delusional memories after discharge, and those with ICU delirium were more likely to report them. This gives nurses a patient-centred reason to take ICU delirium screening seriously.
• RNSystematic Review2021Quality indicators in telephone nursing - An integrative review.Nursing openThe review found ten factors indicating quality telephone nursing: accessible short waits, calm working conditions, specialist training, good communication, person-centred care, competence, correct safe advice, efficiency and satisfaction. Nurses should verify understanding and safety-net callers.
• PTOTRNCohort2021Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home: A prospective observational study.Journal of advanced nursingFatigue in the acute phase, within 2 weeks of admission, predicted fatigue one month after discharge. Persistent fatigue was associated with depression, insomnia, sarcopenia risk, and lower quality of life, but this study did not test treatment.
• RNMeta-Analysis2021Risk of catheter-related bloodstream infection associated with midline catheters compared with peripherally inserted central catheters: A meta-analysis.Nursing openMidline catheters and PICCs showed no significant difference in bloodstream infection risk overall. Subgroup and sensitivity results were inconsistent, so do not assume one device is safer for all patients.
• RNMeta-Analysis2021Internet-based interventions for postpartum depression: A systematic review and meta-analysis.Nursing openInternet-based programmes for postpartum depression lowered PPD prevalence compared with control in pooled results. Nurses and midwives can consider them as an option, but high dropout and varied studies limit certainty.
• RNPilot2021Use of a Personal Sleep Self-Monitoring Device for Sleep Self-Management: A Feasibility Study.Journal of gerontological nursingOlder adults wearing a sleep tracker for four weeks showed high adherence and retention, but no significant changes in sleep quality, duration, or health scores. The device was feasible for self-monitoring and goal setting, but did not improve sleep outcomes in this small pilot.
• RNSystematic Review2021A Scoping Review of Nursing's Contribution to the Management of Patients with Pain and Opioid Misuse.Pain management nursing : official journal of the American Society of Pain Management NursesNurses have shaped the literature on pain and opioid misuse across research, practice, policy, and education, but most work focuses on prescribed opioids. There is little evidence on illicit synthetic opioids or on how much nurses actually contributed to each publication.
• RNPilot2021Feasibility of a Home-Based Palliative Care Intervention for Elderly Multimorbid Survivors of Critical Illness.American journal of critical care : an official publication, American Association of Critical-Care NursesFifteen elderly ICU survivors were enrolled in home palliative care; 11 completed all visits. Symptom scores and ED visits were observed, not tested, so this cannot show the intervention worked.
• RNOther2021National rates and trends of tobacco and substance use disorders among atrial fibrillation hospitalizations.Heart & lung : the journal of critical careTobacco use disorder was documented in 23.46% of U.S. atrial fibrillation hospitalizations, and substance, alcohol, and drug use disorders rose from 2007 to 2015 across age groups.
• RNRCT2021Heparin solution in the prevention of occlusions in Hickman® catheters a randomized clinical trial.Revista latino-americana de enfermagemHeparin blocking solution kept Hickman catheters open longer than saline in stem cell transplant patients. The small trial showed fewer occlusions, but it does not show this applies to other catheters or patients.
• RNRCT2021Randomised controlled trial of a smartphone application-based dietary self-management program on haemodialysis patients.Journal of clinical nursingHaemodialysis patients using a dietary app with face-to-face training and online counselling had lower phosphorus and potassium than patients using booklets with the same training and counselling, but albumin did not differ. Self-efficacy and quality of life changed over time without a clear group difference.
• RNPilotA Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure.The Journal of cardiovascular nursingAfter a computer version failed, eight heart failure patients completed a nurse-led tablet self-care and cognitive training program. They found it acceptable, and self-care scores improved, but no control group means benefit is unproven.
• RNNarrative Review2021Can you hear me now?: Improving palliative care access through telehealth.Research in nursing & healthTelephone and video palliative care programs reach rural and home patients, including nurse-led coaching, but this overview says evidence for widespread benefit is limited.
• RNSurvey2021Analyzing clinical and system drivers of satisfaction in the intensive care unit as a component of high quality care.Heart & lung : the journal of critical careFamilies who saw a daily plan posted in the ICU room were more likely to report high satisfaction, while families living with the patient reported lower satisfaction. Illness severity and length of stay did not distinguish satisfied from dissatisfied families.
• RNQualitative2021Content analysis of identity challenges in patients with haemophilia: A qualitative study.Nursing openMale patients with haemophilia described four fears: rejection, losing social roles, stigma, and marriage breakdown. They hid the disease, felt burdensome at work and home, and worried bleeding and factor concentrates would damage relationships.
• RNCohort2021Clinical Characteristics, Frailty, and Mortality of Residents With COVID-19 in Nursing Homes of a Region of Madrid.Journal of the American Medical Directors Association282 of 630 older residents with COVID-19 attended by a hospital geriatric team died within 30 days. Male sex, dementia, breathlessness, severe illness, and frailty score 6 or higher were associated with death. Age and hospital versus nursing home care were not.
• PTOTRNOther2021Chronic Pain Management during the Covid-19 Pandemic: A Scoping Review.Pain management nursing : official journal of the American Society of Pain Management NursesOnly expert guidance and recommendations were found for chronic pain care during the pandemic, not tested patient outcomes. It suggests telemedicine, pain-severity triage, infection precautions, and opioid precautions.
• RNQualitative2021Improving management of psoriasis patients receiving biological treatment: A qualitative approach.Nursing openPatients with psoriasis on biological treatment felt safer being monitored but found quarterly checklist visits burdensome; lifestyle advice felt like scolding. Clinicians felt trapped by documentation routines and wanted more time for individual concerns.
• RNSurvey2021Spiritual coping strategies and quality of life in older adults who have sustained a hip fracture: A cross-sectional survey.Nursing openAfter hip fracture, non-religious coping such as relying on family, friends and nature was linked to better quality of life. Overall spiritual coping was not linked to physical quality of life.
• RNCohort2021Orthostatic Hypotension and Falls in Hospitalized Older Adults.Clinical nursing researchOrthostatic hypotension was found in 39.2% of first valid readings, but falls were rare and orthostatic hypotension was not significantly associated with falls.
• RNSystematic Review2021Restructuring maternal services during the covid-19 pandemic: Early results of a scoping review for non-infected women.MidwiferyTelehealth, drive-through checks, home surveillance and fewer combined in-person visits were proposed for non-infected pregnant women. The review reports models, not tested outcomes, so benefit remains unproven.
• RNOther2021Monitor-Watcher Use, Nurses' Knowledge of Electrocardiographic Monitoring, and Arrhythmia Detection.American journal of critical care : an official publication, American Association of Critical-Care NursesMonitor watchers were not linked to better nurse knowledge after accounting for nurse characteristics, or to better arrhythmia detection. Nurses on watcher units scored lower before accounting for nurse characteristics.