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 74 OF 216 · NEWEST FIRST

• RNOther2021Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children.Revista latino-americana de enfermagemA pediatric IV infiltration and extravasation algorithm for non-chemotherapy drugs and solutions was judged acceptable in content and appearance by expert nurses. It standardizes stopping infusion, assessing edema, compresses and antidotes. No child outcomes are reported.
• RNQualitative2021Family resilience: perception of family members of psychoactive substance dependents.Revista latino-americana de enfermagemFamily members of adults with psychoactive substance dependence described resilience through practical and emotional support, faith and hope, and calmer, patient dialogue. Nurses can ask families about these strengths instead of labeling them dysfunctional.
• PTOTRNCohort2021Predicting Mortality Risk in Older Hospitalized Persons With COVID-19: A Comparison of the COVID-19 Mortality Risk Score with Frailty and Disability.Journal of the American Medical Directors AssociationAdding pre-admission disability and frailty scores to a standard COVID-19 mortality risk score improved prediction accuracy for older hospitalized patients. Functional status two weeks before admission was independently associated with survival, suggesting these factors should be routinely assessed.
• RNNarrative Review2021Cannabidiol (CBD) Use by Older Adults for Acute and Chronic Pain.Journal of gerontological nursingEvidence for CBD in older adults' pain is weak and mixed, and products may be mislabeled, interact with medications, and cause drowsiness or liver test elevations. Clinicians should ask about CBD use, review interactions, and monitor liver tests.
• PTRNQualitative2021Theoretical care model for children with congenital Zika virus syndrome in the family context.Revista latino-americana de enfermagemMothers of children with congenital Zika virus syndrome were the main caregivers, often overloaded by transport, poverty and dependence. Fathers helped sporadically, leaving less time for home stimulation. Physiotherapists and nurses were reported to reinforce home stimulation.
• RNSurvey2021Humanized Care from the Perception of Oncology Patients from Southern Chile.Investigacion y educacion en enfermeriaHospitalized cancer patients rated nursing care as highly humanized overall. Two nursing behaviors were rated less favorably than the rest: stating name and position before procedures and dedicating the required time.
• RNCohort2021Pain in the bipolar disorder: prevalence, characteristics and relationship with suicide risk.Revista latino-americana de enfermagemMost adults with bipolar disorder reported pain, often daily and musculoskeletal, at moderate intensity; higher pain intensity went with more suicidal thoughts and plans. Many said pain complaints were not welcomed or treated.
• PTOTRNOther2021Using structural equation modeling in the understanding of functional disability in older adults.Revista latino-americana de enfermagemOlder adults had more difficulty with complex social activities than daily tasks or self-care. Frailty, depression, low schooling and long sitting were linked to lower function. More illnesses were associated with lower function through these factors.
• RNCohort2021Cost-effective Evaluation of an Educational Intervention based on Multiple Intelligences Versus Traditional Care to Improve Exclusive Breastfeeding in Mothers' Clubs in Peru.Investigacion y educacion en enfermeriaIn 217 Peruvian mothers, multiple-intelligences breastfeeding education had lower reported cost and higher knowledge and six-month-or-more exclusive breastfeeding than traditional teaching: 56.73% versus 41.59% knowledge benefit, and 68.27% versus 43.36% breastfeeding.
• PTRNCohort2021Perception of musculoskeletal pain in the state of confinement: associated factors.Revista latino-americana de enfermagemDuring Spain's early lockdown, more adults reported musculoskeletal pain, especially women and people over 65, and pain was linked to more sitting, screen time, and restlessness, tension, or poor sleep.
• RNOtherMaternal Experiences of Racial Discrimination, Child Indicators of Toxic Stress, and the Minding the Baby Early Home Visiting Intervention.Nursing researchIn 97 dyads, mothers' reported racial discrimination was associated with higher child saliva inflammation markers. It was not associated with child BMI or behavior. Minding the Baby did not consistently buffer these links.
• OTRNSurveyDisruptions in Care and Support for Homebound Adults in Home-Based Primary Care in New York City During the COVID-19 Pandemic.Home healthcare nowHomebound older adults in home-based primary care reported more difficulty accessing medical care, food, and paid caregivers during the pandemic. Black participants were more likely than White and Hispanic participants to report medical care access problems.
• RNSystematic Review2021Mobile Health Interventions: Examining Medication Adherence Outcomes Among Patients With Cancer.Clinical journal of oncology nursingMobile reminders and apps did not consistently improve medication adherence in patients with cancer across 11 studies. Some individual studies reported benefit, but reminders alone were not enough.
• RNSurvey2021Evaluating Quality of Life and Marital Contentment among Seroconcordant and Serodiscordant HIV-Infected Couples in Comparison to Non- HIV Couples.International journal of community based nursing and midwiferySeroconcordant and serodiscordant HIV-positive couples reported similar quality of life and marital contentment. Both HIV-positive groups scored lower than non-HIV couples. Among HIV-positive people, men reported higher marital contentment than women.
• RNCase Series2021Evaluation of percutaneous renal biopsy complications based on outcomes and indicators of the Nursing Outcomes Classification.Revista latino-americana de enfermagemNurses using structured outcome scores after kidney biopsy found no major complications in 13 adults. Some scores changed, including hematuria, blood pressure, and physical well-being. Patients remained without major complications.
• RNOther2021Sleep and quality of life in lung cancer patients and survivors.Journal of the American Association of Nurse PractitionersIn 103 outpatient lung cancer patients and survivors, worse sleep and more severe lung cancer symptoms were linked to poorer quality of life. Screening sleep and symptoms may help target care.
• RNSystematic Review2021The Effect of Chamomile on Pain and Menstrual Bleeding in Primary Dysmenorrhea: A Systematic Review.International journal of community based nursing and midwiferyOral chamomile-containing regimens were reported to reduce pain and bleeding in women with primary dysmenorrhea across 7 trials. Some trials combined chamomile with other herbs, and some between-group results were not significant.
• RNQualitative2021Experiences of Parents of Preterm Children Hospitalized Regarding Restrictions to Interact with Their Children Imposed Because of the COVID-19 Pandemic.Investigacion y educacion en enfermeriaParents of preterm babies in NICU said pandemic visit limits made them feel cut off. They needed clear daily updates, and they feared missing chances to learn feeding, kangaroo care, and post-discharge support.
• RNOther2021Methodological Analysis: Randomized Controlled Trials for Pfizer and Moderna COVID-19 Vaccines.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersThe appraised Pfizer and Moderna vaccine trials reported 95% and 94.1% efficacy against symptomatic infection, and severe cases were rare in vaccine groups. Follow-up was short.
• RNCohort2021Factors Associated With COVID-19 Hospitalizations and Deaths in French Nursing Homes.Journal of the American Medical Directors AssociationAmong 480 nursing home residents with suspected or confirmed COVID-19, falls, age over 85, male gender, and temperature instability were linked to death. Dyspnea, altered consciousness, diabetes, and male gender were linked to hospitalization.
• RNOther2021Simulation effectiveness tool modified (SET-M): adaptation and validation for Brazil.Revista latino-americana de enfermagemThe SET-M tool was adapted for Brazil and shows acceptable reliability for measuring how students perceive simulation effectiveness. However, it failed to correlate with actual practical skills assessments, so it measures student confidence rather than clinical competence.
• RNQualitative2021Grieves and struggles of family caregivers providing care for bedridden elderly patients affected by chronic degenerative diseases.Investigacion y educacion en enfermeriaWomen caring for bedridden elders described grief for the person before illness, fear of future death, and exhaustion from night checks, home changes, and learning care tasks without training.
• RNQualitative2021Conceptions of patient safety through the prism of social representations of intensive care nurses.Investigacion y educacion en enfermeriaIntensive care nurses viewed patient safety as a mix of vigilance, knowledge, and communication. They described relying on protocols for guidance and teamwork for risk reduction, seeing safety as a collective responsibility rather than just individual tasks.
• OTRNQualitative2021Women and leprosy: interferences and experiences.Revista latino-americana de enfermagemNine women with leprosy described skin and hair changes, stigma, lost work, and rights barriers. They also adapted daily tasks and sought financial support. Nurses and OTs can ask about body image, work, income, and domestic demands.
• RNCohort2021Decreased Mortality Over Time During the First Wave in Patients With COVID-19 in Geriatric Care: Data From the Stockholm GeroCovid Study.Journal of the American Medical Directors AssociationOlder hospitalized patients with COVID-19 in Stockholm had lower in-hospital death rates when admitted later: 27.7% in March and 2.9% in July. Low oxygen saturation was associated with death but explained only 8% of the decline.
• RNSurvey2021Behavioral Responses of Pregnant Women to the Early Stage of COVID-19 Pandemic in the Network Era in China: Online Questionnaire Study.Asian nursing researchDuring early lockdown, 565 pregnant women used more gloves and disinfectants, used cars more, walked or cycled less, and continued home exercise more often than 534 nonpregnant women. News watching and spouse relationship did not differ.
• RNRCT2021The Effect of Benson's Relaxation Technique on Pain Intensity, Belief, Perception, and Acceptance in adult Hemophilia Patients: A Randomized Controlled Trial.International journal of community based nursing and midwiferyAdults with hemophilia who practiced Benson relaxation with an audio file and music twice daily for eight weeks reported lower pain scores than those receiving routine care. Pain beliefs and acceptance also improved.
• RNOther2021The Effect of Applying the Information-Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study.International journal of community based nursing and midwiferyPatients with cardiovascular disease who received nine months of information, motivation, and skills training plus telephone follow-up reported better overall treatment adherence and medication adherence than those receiving usual care alone.
• RNOther2021Optimization of Heart Failure Patients Discharge Plan in Rajaie Cardiovascular Medical and Research Center: An Action Research.International journal of community based nursing and midwiferyHospitalizations and length of stay fell after a combined discharge plan of nurse education, phone follow-up and home visits in 23 heart failure patients. Self-care also improved, but there was no control group.
• RNNarrative Review2021Human Microbiome: Understanding the Role of the Gut Microbiome and Implications for Oncology Nursing Care.Clinical journal of oncology nursingCancer treatments are described as changing gut microbes, and those changes are reported alongside diarrhea, constipation, oral mucositis, pain, fatigue, mood, sleep, and thinking problems. Nurses can watch for these symptoms and teach gut-healthy diet or probiotics, but proof is limited.
• RNSystematic Review2021Acquisition of microbiota according to the type of birth: an integrative review.Revista latino-americana de enfermagemNewborn microbiota often differed by birth route, but not all studies or body sites showed differences. Vaginal birth was associated with Bifidobacterium and Bacteroides; C-section with Staphylococcus, Enterococcus and Klebsiella.
• RNMeta-Analysis2021Effectiveness of health education in the self-care and adherence of patients with heart failure: a meta-analysis.Revista latino-americana de enfermagemIn adults with heart failure, health education did not improve self-care scores in the main analysis, though a second analysis suggested benefit. Adherence scores were higher in both analyses. Evidence was low.
• RNOther2021Child health vulnerabilities during the COVID-19 pandemic in Brazil and Portugal.Revista latino-americana de enfermagemBrazil suspended routine child vaccinations for three weeks and paused growth surveillance, while Portugal maintained vaccination schedules but saw lower attendance due to fear. Both countries shifted to teleconsultations and home visits to monitor high-risk children and prevent gaps in care.
• SLPRNOther2021Reliability and validity of the Chinese version of the Head and Neck Information Needs Questionnaire for patients with head and neck cancer and their caregivers.International journal of nursing sciencesIn 207 patients and 174 caregivers, a Chinese questionnaire asking what information head and neck cancer patients and caregivers need was understandable and scored consistently. It is not evidence that using it improves care.
• RNSurvey2021Social isolation and health-promoting behaviors among older adults living with different health statuses: A cross-sectional study.International journal of nursing sciencesIn older adults, social isolation did not differ by health status. People with multiple diseases reported lower physical activity than others, and total health-promoting behavior was lower than in those with one disease. Isolation was linked to fewer behaviors overall and in that group.
• RNOther2021Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form.Revista latino-americana de enfermagemThe short Brazilian Portuguese health literacy survey is reliable and measures one single skill. It identifies patients struggling to understand medical advice. Use it to spot those needing clearer instructions, but note that most adults in this sample had problematic or inadequate literacy.
• RNOther2021Comparing medication adherence using a smartphone application and electronic monitoring among patients with acute coronary syndrome.Applied nursing research : ANRIn the same ACS patients, electronic pill bottles recorded lower adherence than a photo-taking app. The methods disagreed, so low electronic bottle adherence may mean the bottle was not opened, not that the patient skipped aspirin.
• RNQualitative2021Experiences of Using a Self-management Mobile App Among Individuals With Heart Failure: Qualitative Study.JMIR nursingPatients with heart failure described using a self-management app as helping them notice weight and medication changes, feel more in charge, and speak up with providers. The study did not prove the app improved health.
• RNPilotExploring the Vaginal Microbiome and Intravaginal Practices in Postmenopausal Women.Nursing researchIn 21 postmenopausal women, reported intravaginal practices were not associated with vaginal microbiome diversity or bacterial dominance. The study was underpowered, so it cannot show these practices are safe or harmful.
• RNMeta-Analysis2021Clinical features, comorbidities, complications and treatment options in severe and non-severe COVID-19 patients: A systemic review and meta-analysis.Nursing openSevere COVID-19 was more likely in patients with hypertension, diabetes, cardiovascular disease, COPD, cancer or kidney disease. Breathlessness and fatigue also marked severity, while fever, cough, headache and sore throat did not clearly separate groups.
• RNOther2021Psychometric properties of the Work Limitations Questionnaire applied to nursing workers.Revista latino-americana de enfermagemThe Work Limitations Questionnaire is a valid and reliable tool for measuring presenteeism in Brazilian nursing workers. It identified significant productivity loss driven by mental, interpersonal, and time management demands, with physical demands showing weaker correlations.
• RNQualitative2021Being Known: A Grounded Theory Study of the Meaning of Quality Maternity Care to People of Color in Boston.Journal of midwifery & women's healthPeople of color in Boston described quality maternity care as being seen, heard, and treated as individuals. Racism and rigid health care rules made them feel unknown, so they did extra work to advocate for themselves.
• RNQualitative2021Diabetes Self-Management Education and Support Culturally Tailored for African Americans: COVID-19-Related Factors Influencing Restart of the TX STRIDE Study.The science of diabetes self-management and careAfrican American adults with diabetes told researchers they wanted TX STRIDE restarted remotely, mainly by Zoom or phone. They described pandemic barriers to food, activity, medications, glucose testing, and stress. Family or church help and mailed materials supported remote restart.
• RNQualitative2021Understanding South African mothers' challenges to adhere to exclusive breastfeeding at the workplace: A qualitative study.International journal of nursing sciencesWorking mothers wanted exclusive breastfeeding but returned to work early for money, were denied breaks, and had no clean private place to express or store milk. Some switched to mixed feeding or stopped, feeling anxious and embarrassed.
• RNCohort2021A retrospective observational study on maintenance and complications of totally implantable venous access ports in 563 patients: Prolonged versus short flushing intervals.International journal of nursing sciencesIn 563 cancer patients with unused implanted ports, longer flushing intervals did not significantly increase port complications. Total complication rates were 2.26%, 1.76%, and 5.00% in short, medium, and long interval groups.
• RNRCT2021The effect of a supportive program on coping strategies and stress in women diagnosed with breast cancer: A randomized controlled clinical trial.Nursing openWomen undergoing chemotherapy who joined a six-session supportive program reported higher problem-focused coping, lower emotion-focused coping and lower stress than routine care, with gains still present one month later.
• RNQualitative2021A qualitative study of nurses' experiences of self-care counseling in migrant patients with heart failure.International journal of nursing sciencesNurses found self-care counseling for migrants with heart failure difficult due to language barriers, cultural differences, and low health literacy. They used creative strategies like drawings, teach-back methods, and professional interpreters to ensure patients understood medication and symptom management.
• RNOther2021Relationship of the type of breastfeeding in the sexual function of women.Revista latino-americana de enfermagemBreastfeeding type did not change overall sexual function scores. Women mixing breast milk with formula reported significantly better vaginal lubrication than those using complementary foods. Nurses should screen for sexual dysfunction in all postpartum women, not just those exclusively breastfeeding.
• RNOther2021Prevalence of latent tuberculosis and associated factors in patients with chronic kidney disease on hemodialysis.Revista latino-americana de enfermagemIn hemodialysis patients, 8.5% tested positive for latent tuberculosis. Having regular garbage collection or diabetes was linked to a lower chance of a positive skin test. A negative test does not rule out infection in this high-risk group.
• RNCase Series2021Clinical course of COVID-19 patients treated with ECMO: A multicenter study in Daegu, South Korea.Heart & lung : the journal of critical careEight of 19 ECMO-treated COVID-19 patients were weaned off ECMO after a median 9.8 days, and 10 died. Of the 8 weaned, 4 came off ventilators.