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 67 OF 216 · NEWEST FIRST

• RNOther2021Nursing strategies for the post-COVID-19 era.International nursing reviewThis paper outlines proposed strategies for nursing in the post-pandemic era, focusing on digital literacy, non-contact care, and global cooperation. It describes workforce challenges and policy recommendations rather than testing clinical interventions or reporting patient outcomes.
• RNSurvey2021PGx in psychiatry: Patients' knowledge, interest, and uncertainty management preferences in the context of pharmacogenomic testing.Patient education and counselingPsychiatric patients taking medication reported high interest in pharmacogenomic testing despite low familiarity. Wanting information to reduce uncertainty was linked to greater interest; avoiding information was not.
• RNOther2021Development and psychometric properties of Iranian women childbirth experience questionnaire.Nursing openA new questionnaire for Iranian women's childbirth experience was reduced to 52 items and covered seven areas, including midwife support, preparation, baby contact, fear, perception and control. It scored consistently enough to be usable as a measure.
• RNCase Series2021Ventricular septal rupture and cardiogenic shock complicating STEMI during COVID-19 pandemic: An old foe re-emerges.Heart & lung : the journal of critical careTwo men with late-presenting STEMI and ventricular septal rupture survived to heart transplant after VA-ECMO bridging. One had toe amputation from ECMO-related clotting. This describes their course, not proof that ECMO caused survival.
• RNSystematic Review2021Prone positioning as an emerging tool in the care provided to patients infected with COVID-19: a scoping review.Revista latino-americana de enfermagemProne positioning improved oxygenation and reduced mortality in patients with severe COVID-19 respiratory failure. Nurses must monitor for accidental extubation, pressure injuries, and facial edema, which occurred in half to three-quarters of reported cases.
• RNRCT2021Effect of educational- counseling program based on precede-proceed model during Pregnancy on postpartum depression.Nursing openWomen who received four group education and counselling sessions during pregnancy had fewer cases of postpartum depression: 4 of 60 versus 24 of 70 with routine classes.
• OTRNCohort2021Hospitalized older adult: predictors of functional decline.Revista latino-americana de enfermagemIn hospitalized adults aged 70 or older, restraint, cognitive deficit, recent hospitalization, social support before admission, and no partner predicted decline during stay. Delirium, older age, and high risk predicted worse function after discharge.
• RNSystematic Review2021Racial/Ethnic Disparities in Nursing Home End-of-Life Care: A Systematic Review.Journal of the American Medical Directors AssociationRacial/ethnic minority nursing home residents faced poorer end-of-life care than White residents: fewer advance directives and more hospitalizations near death. Hospice use varied, and Black residents showed more pain in a small study.
• RNQualitative2021Mental Health & Parental Concerns during COVID-19: The Experiences of New Mothers Amidst Social Isolation.MidwiferyNew mothers in Nova Scotia said pandemic isolation left them feeling abandoned, anxious, and unsupported, and online contact only partly replaced lost mom groups and in-person support.
• RNOther2021Factors associated with aggressive behaviour in persons with cognitive impairments using home care services: A retrospective cross-sectional study.Nursing openIn home care clients, 14.8% had documented aggressive behaviour, mostly verbal. Cognitive impairment, communication and mobility limits, and more frequent care were associated with aggression. Documentation may understate it.
• RNOther2021"Alexa, Am I pregnant?": A content analysis of a virtual assistant's responses to prenatal health questions during the COVID-19 pandemic.Patient education and counselingAlexa answered only four of 40 common prenatal questions accurately (10%), and could not answer 14 (35%). It gave inaccurate or irrelevant answers on labor, vaccines, smoking, alcohol, and COVID-19; providers should point patients to reliable sources.
• RNSurvey2021Association between living arrangement and quality of life for older adults in the community.Revista latino-americana de enfermagemCompared with living only with a spouse, older adults living alone or with children or other relatives reported lower quality of life in some areas, especially intimacy, autonomy and social participation, even after accounting for age, gender, health conditions and social support.
• RNSurvey2021Factors determining acceptance of disease and its impact on satisfaction with life of patients with peripheral artery disease.Nursing openPAD patients reported moderate acceptance of illness and moderate life satisfaction. Acceptance was higher with more education and less mobility limitation, and it tracked with higher life satisfaction.
• RNProtocol2021Heart up! RCT protocol to increase physical activity in cardiac patients who report hopelessness: Amended for the COVID-19 pandemic.Research in nursing & healthThis paper describes a trial protocol, not results. It outlines a plan to test if nurse-led motivational interviewing and text messages increase physical activity in heart disease patients who feel hopeless. No patient outcomes are reported.
• RNSurvey2021Coping with COVID-19 in an international border region: health and economy.Revista latino-americana de enfermagemResidents of a Brazilian border region reported that pandemic closures worsened family income and triggered new anxiety and body pain. Most still agreed the closures were necessary to prevent infection, though commercial and tourism workers faced the greatest financial and mental health impacts.
• RNCohort2021Factors related to perceived control and health-related quality of life of patients after acute coronary syndrome during admission and after discharge.Japan journal of nursing science : JJNSFor patients recovering from acute coronary syndrome, higher perceived control during hospitalization predicted better general health at 3 months. Fatigue interference and perceived control were the strongest independent factors linked to quality of life, while income shaped perceived control.
• RNOther2021Validity and reliability of the Brazilian version of the Patient Dignity Inventory (PDI - Br).Revista latino-americana de enfermagemA Brazilian questionnaire for palliative care patients grouped dignity concerns into symptoms, dependence and existential suffering. It may help clinicians spot distress, but it has not been shown to improve care.
• RNOther2021Identifying Urinary Tract Infection-Related Information in Home Care Nursing Notes.Journal of the American Medical Directors AssociationHome care nurses' notes mention UTI-related terms more often before UTI-related hospital or ED admission, and software can find them. This is not a tested way to improve care.
• RNPilotJust4Us: Development of a Counselor-Navigator and Text Message Intervention to Promote PrEP Uptake Among Cisgender Women at Elevated Risk for HIV.The Journal of the Association of Nurses in AIDS Care : JANACFour women rated a PrEP counseling session as acceptable, and four women rated self-written text reminders as extremely helpful for daily medication. This tested feasibility, not whether the program increases PrEP use.
• RNPilotHome Healthcare Nursing Visits for Nonhomebound Patients With Heart Failure After Hospital Discharge: A Quality-Improvement Pilot Project.Home healthcare nowThirty-day readmission after heart failure discharge was 15% with home healthcare nurse visits and 23% without, not proving a reduction. The visits found gaps in weight, sodium, and self-care knowledge for ambulatory patients.
• RNOther2021Prone positioning in patients with acute respiratory distress syndrome, translating research and implementing practice change from bench to bedside in the era of coronavirus disease 2019.Australian critical care : official journal of the Confederation of Australian Critical Care NursesNine ICU patients with ARDS were turned face down after a quality improvement rollout; seven came off ventilators, one died, and three had grade 1 pressure injuries, with no major complications reported.
• RNOther2021Live hospice discharge: Experiences of families, and hospice staff.Patient education and counselingFamilies and hospice staff described involuntary live discharge as distressing. They reported continued need for nursing care, aide support, equipment and medications. Staff said early, transparent planning was needed, but nurse aides often learned of discharge last.
• RNCohort2021Can continuous remote vital sign monitoring reduce the number of room visits to patients suspected of COVID-19: A quasi-experimental study.International journal of nursing studiesContinuous remote vital sign monitoring did not reduce room visits or PPE use for patients suspected of COVID-19. Visits for vital signs dropped, but total room entries stayed the same or increased, likely because nurses combined tasks and responded to remote alarms.
• PTOTRNCohort2021Fragility hip fractures in the COVID-19 pandemic: A local experience in the United Kingdom.International journal of orthopaedic and trauma nursingIn 34 older hip fracture patients during UK lockdown, 48% were operated within 36 hours and 30-day mortality was 20%; timing was not significantly linked to stay or death.
• PTRNSystematic Review2021Sleep, Mild Cognitive Impairment, and Interventions for Sleep Improvement: An Integrative Review.Western journal of nursing researchIn mild cognitive impairment, self-reported sleep problems are common, but objective sleep findings are inconsistent. Sleep interventions improved some subjective sleep, but objective sleep changes were inconsistent.
• RNOther2021Improving care for patients with atrial fibrillation through the use of a personal electrocardiogram.Journal of the American Association of Nurse PractitionersIn 43 AF patients, a smartphone device, telehealth, and nurse-practitioner review program was rated helpful for anxiety, access, and patient-reported emergency visit reduction, but it had no control group or statistical test.
• RNQualitative2021Spirituality and the Illness Experience: Perspectives of African American Older Adults.The American journal of hospice & palliative careAfrican American older adults with chronic illness described faith and church as central to coping and healthcare decisions. Many distrusted providers, wanted trusted advocates, and would welcome palliative care education in churches.
• RNPilot2021Educating Homecare Nurses about Deprescribing of Medications to Manage Polypharmacy for Older Adults.Western journal of nursing researchHomecare nurses found a 90-minute deprescribing training acceptable and relevant. They reported increased willingness to support deprescribing but identified gaps in knowledge about specific tools and how to engage physicians in conversations.
• RNSurvey2021Factors associated with the risk of violence against older adult women: a cross-sectional study.Revista latino-americana de enfermagemViolence risk was present in 59.0% of 122 older women. Having 4 to 7 chronic conditions and doing fewer advanced daily activities were associated with higher risk; sociodemographic factors were not.
• RNCohort2021Palliative Care and COVID-19 Pandemic: Retrospective Study of Factors Associated With Infection and Death at an Oncological Palliative Care Reference Center.The American journal of hospice & palliative careAmong advanced cancer patients in a palliative unit, recent chemotherapy and diabetes were linked to confirmed infection. Among infected patients, poor function and high CRP were linked to dying, but death rates were similar in confirmed and unconfirmed groups.
• RNCohort2021Is prognostic nutritional index a predictive marker for estimating all-cause in-hospital mortality in COVID-19 patients with cardiovascular risk factors?Heart & lung : the journal of critical careIn hospitalized COVID-19 patients with cardiovascular risk factors, a low prognostic nutritional index predicted in-hospital death. Patients in the lowest index group had 11.2 times higher mortality than the highest group after adjusting for age and other markers.
• RNQualitative2021The experience of dealing with defecation dysfunction by changing the eating behaviours of people with rectal cancer following sphincter-saving surgery: A qualitative study.Nursing openNearly all patients with rectal cancer tried changing diet after sphincter-saving surgery to control bowel symptoms. They used trial and error, received inconsistent advice, and sometimes restricted foods unnecessarily, with doctors worried about nutrition.
• RNCohort2021What improves the likelihood of people receiving genetic test results communicating to their families about genetic risk?Patient education and counselingFamily communication about colorectal cancer risk is low but varies by relative. Talking to children is most common. Family closeness and existing communication patterns predict whether someone shares risk information, suggesting interventions should target families with poor communication history.
• RNSurveyNICU-Specific Stress Following Traumatic Childbirth and Its Relationship With Posttraumatic Stress.The Journal of perinatal & neonatal nursingFor 77 NICU mothers, traumatic childbirth appraisals were linked to higher childbirth-specific PTSD symptoms only when NICU stress was high. At low or moderate stress, PTSD scores did not differ by trauma appraisal.
• RNOther2021Psychometric Properties of the Healthy Lifestyle Beliefs Scale for Adolescents.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersThe Healthy Lifestyle Beliefs Scale for Adolescents reliably measures two distinct areas: beliefs about physical health behaviors and beliefs about coping with family support. It works consistently for both boys and girls and across Hispanic and non-Hispanic teens, making it a valid tool for assessing adolescent lifestyle beliefs.
• RNCohort2021Examining Use of Low-Dose Ketamine Infusions During the Postoperative Period: A Retrospective Study Comparing Opioid-Tolerant and Nonopioid-Tolerant Patients.AANA journalOpioid tolerance did not affect ketamine side-effect risk or dose needs. Hallucination-like effects occurred in 15.4% of patients, and older age raised risk.
• PTOTRNCohort2021Mobility and Self-Care are Associated With Discharge to Community After Home Health for People With Dementia.Journal of the American Medical Directors AssociationIn home health, people with dementia had lower successful discharge to community: 71% versus 81% without dementia. Greater dependence in mobility or self-care was the strongest observed risk factor.
• PTRNMeta-Analysis2021Effects of intradialytic resistance exercises on physical performance, nutrient intake and quality of life among haemodialysis people: A systematic review and meta-analysis.Nursing openDuring haemodialysis, supervised resistance exercise showed significant pooled physical performance effects, but protein intake, energy intake, and quality of life did not change significantly. It may be a low-cost addition to dialysis care.
• RNCohort2021The atherogenic index of plasma as a predictor of mortality in patients with COVID-19.Heart & lung : the journal of critical careIn 139 hospitalized COVID-19 patients, a higher first-day blood lipid ratio (AIP) was linked to death. The reported cut-off was 0.6285, but the study was small and retrospective, so it is not ready for routine use.
• RNCohort2021Development and validation of a laboratory risk score for the early prediction of COVID-19 severity and in-hospital mortality.Intensive & critical care nursingA seven-point admission lab score separated COVID-19 patients by risk. Higher scores were linked to severe disease and death, including 100% mortality at the highest level in the validation group.
• RNProtocol2021A study protocol for a feasibility trial of telephone-delivered Adherence Therapy for adults with type 2 diabetes.Nursing openThis protocol plans a feasibility trial of telephone-delivered adherence therapy for adults with type 2 diabetes in Saudi Arabia. It aims to test if the therapy is acceptable and if a full trial is possible. No patient results or efficacy data are reported.
• RNCohort2021Daytime Activity Is Associated With Discharge to Home in Older Adults Recovering From Critical Illness.Journal of gerontological nursingAmong 30 older adults recently transferred from ICU, daytime activity was 54.42 activity counts/min for those discharged home versus 33.26 activity counts/min for those discharged to a facility. Nighttime activity did not differ. This was observational, not causal.
• RNQualitative2021Sharing genetic test results with family members of BRCA, PALB2, CHEK2, and ATM carriers.Patient education and counselingWomen with breast cancer gene variants shared results to protect relatives, but hesitated when they feared relatives' reactions, could not explain the genetics, or thought relatives were too old or distant. Experiences were similar across genes.
• RNOther2021Developing a nursing diagnosis for the risk for malnutrition: a mixed-method study.Nursing openA proposed nursing diagnosis flags older inpatients at malnutrition risk through poor appetite, swallowing or denture problems, missed mealtime support, medications, and care dependency.
• PTRNMeta-Analysis2021Effects of high-intensity interval training in patients with coronary artery disease after percutaneous coronary intervention: A systematic review and meta-analysis.Nursing openSupervised high-intensity interval training after PCI did not change heart rate, LDL, or triglycerides, but it raised peak oxygen uptake and reduced late luminal loss in 6 small trials.
• RNSurvey2021Variations in health behaviors among pregnant women during the COVID-19 pandemic.MidwiferyIn 746 pregnant women, 41% reported diet unchanged and 42% improved, while 17% worsened; 56% remained active, 22% stopped, and 28% reported less sleep. Pregnancy complications and lost income were linked to worse diet, activity, and sleep.
• RNOther2021Clinical Characteristics and Reproduction Number of Coronavirus Disease (COVID-19) Cases in Markazi Province in Iran.International journal of community based nursing and midwiferyIn 2430 confirmed cases, cough, fever and dyspnea were most common, 206 were healthcare workers, and estimated spread in cities was near 1 by August.
• RNCohort2021Complex and prolonged hypercoagulability in coronavirus disease 2019 intensive care unit patients: A thromboelastographic study.Australian critical care : official journal of the Confederation of Australian Critical Care NursesIn 24 ICU patients with COVID-19, clot tests showed faster, stronger clot formation than in 20 healthy people. In 10 retested before discharge, clot strength did not normalise, despite no proven link to thrombotic events.
• RNOther2021A Comparative Study of the Effect of Peer-led and Lecture-based Education on Health Literacy in Patients with Multiple Sclerosis.International journal of community based nursing and midwiferyPeer-led education improved health literacy scores in MS patients more than lecture-based training. Patients taught by peers with similar experiences showed greater gains in understanding and managing their condition compared to those receiving standard lectures.
• RNCohort2021Signs, Symptoms, and Comorbidities Associated With Onset and Prognosis of COVID-19 in a Nursing Home.Journal of the American Medical Directors AssociationIn a nursing home outbreak, most residents showed objective signs like abnormal vitals or oxygen changes at onset. Hepatic disease, obesity, and CPAP use raised hospitalization risk, while oxygen changes predicted death. Typical symptoms alone missed cases.