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 79 OF 216 · NEWEST FIRST

• RNSurvey2021Body image and hopelessness among early-stage breast cancer survivors after surgery in China: A cross-sectional study.Nursing openIn the first dressing change after mastectomy, more body image problems went with more hopelessness, but 61.1% had minimal hopelessness before discharge.
• RNCohort2021Nursing Home Profit Margins and Citations for Infection Prevention and Control.Journal of the American Medical Directors AssociationNursing homes with lower profit margins were significantly more likely to receive infection control citations, including repeated citations over three years. Facilities in the lowest profit quintile had 87.6% higher odds of being cited in all three years compared to the highest profit quintile.
• RNCohort2021Health literacy and its relation to continuing with breastfeeding at six months post-partum in a sample of Spanish women.Nursing openHealth literacy did not predict stopping exclusive breastfeeding by six months. The ice-cream label score was linked to continuing any breastfeeding, but the word-reading score was not.
• RNSurvey2021Health promotion behaviours of pregnant women and spiritual well-being: Mediatory role of pregnancy stress, anxiety and coping ways.Nursing openIn pregnant women, higher spiritual well-being was linked to lower anxiety and pregnancy stress, and to more planning-preparation coping. Planning-preparation coping was linked to more health promotion behaviours. This is an association, not proof that spirituality changes behaviour.
• RNCohortHistory of Weight Cycling Is Prospectively Associated With Shorter and Poorer-Quality Sleep and Higher Sleep Apnea Risk in Diverse US Women.The Journal of cardiovascular nursingWomen who had repeatedly lost and gained at least 10 lb in a year reported shorter sleep, poorer sleep quality, and higher sleep apnea risk at follow-up. These findings do not show that weight cycling caused sleep problems.
• RNQualitative2022Receiving maternity care during the COVID-19 pandemic: Experiences of women's partners and support persons.Women and birth : journal of the Australian College of MidwivesPartners and support persons felt isolated and distressed when maternity restrictions blocked them from appointments, birth, education and postnatal contact. Some valued hygiene measures, fewer visitors and telehealth that kept them involved.
• RNCohort2022Physician Palliative Education Associated With High Use of Hospice Care Service.The American journal of hospice & palliative carePatients whose doctors completed hospice training were far more likely to receive end-of-life care services. However, patients admitted for acute conditions like pneumonia or urinary tract infections were significantly less likely to enter hospice, often because clinicians pursued curative treatment first.
• RNCohort2022Milk Volume Outcomes in Pump-Dependent Mothers of Critically Ill Infants.Advances in neonatal care : official journal of the National Association of Neonatal NursesPump-dependent mothers of early preterm infants produced more milk over seven days than mothers of term infants, yet all groups had delayed copious milk production and low milk volumes. NICU nurses should monitor lactation regardless of gestational age.
• RNCohort2022The interaction of sexual orientation and provider-patient communication on sexual and reproductive health in a sample of U.S. women of diverse sexual orientations.Patient education and counselingProvider encouragement of STI testing or sexual and reproductive health discussion was associated with more reported contraceptive use and less reported non-use, but also with more reported lifetime STI diagnosis. Sexual minority women without such communication were 1.7 times as likely to report no method.
• RNQualitative2021Transitional care experiences of caregivers of preterm infants hospitalized in a neonatal intensive care unit: A qualitative descriptive study.Nursing openCaregivers of preterm infants described fear, guilt, exhaustion and low confidence during NICU and after discharge. They wanted more humane visitation, practical care teaching, and ongoing nurse contact.
• RNSurvey2021The mediating effect of self-efficacy on the relationship between family functioning and quality of life among elders with chronic diseases.Nursing openOlder adults with chronic diseases who reported better family functioning and higher self-efficacy also reported better quality of life. Self-efficacy was linked to the relationship between family functioning and quality of life.
• RNSurvey2021Determinants of Face Mask Utilization to Prevent Covid-19 Pandemic among Quarantined Adults in Tigrai Region, Northern Ethiopia, 2020.Clinical nursing researchForty-six percent of quarantined adults did not wear a mask when leaving home. Older age, higher education, better knowledge, male sex, and public or private employment were associated with mask use.
• RNSurvey2021Family Caregivers' Experiences and Changes in Caregiving Tasks During the COVID-19 Pandemic.Clinical nursing researchMost family caregivers surveyed during COVID-19 said caregiving was more stressful than usual. They reported more tasks, less outside support, and worry about infection and their loved one's isolation.
• RNSurvey2021Health literacy and patient activation among adults with chronic diseases in Singapore: A cross-sectional study.Nursing openActively managing health, understanding health information and finding good health information were linked to greater ability to manage their condition in 200 Singapore outpatients with chronic disease. Age, education and income were not linked in the main analysis.
• RNSurvey2021Relationship between stressful life events, coping styles, and schizophrenia relapse.International journal of mental health nursingAmong 248 patients with schizophrenia, stressful life events and negative coping were associated with relapse, while positive coping was associated with lower relapse. Nurses should ask about stress and coping.
• RNQualitative2021A qualitative study on shared decision-making of patients with chronic kidney disease.Nursing openPatients with kidney disease often first refused dialysis, then accepted it only when symptoms or kidney function decline made it unavoidable. Nurse listening, clear information, and family discussion were described as helping them move from fear to choosing treatment.
• RNSurvey2021The role of health beliefs in affecting patients' chronic diabetic complication screening: a path analysis based on the health belief model.Journal of clinical nursingIn 785 adults with type 2 diabetes, screening behaviour was tied to beliefs, not just knowledge. Feeling susceptible, seeing fewer barriers, and receiving prompts were associated with better screening; knowledge alone had no direct association.
• RNQualitative2021Burden and coping strategies of parents of children with attention deficit/ hyperactivity disorder in Hong Kong: A qualitative study.Nursing openParents of Hong Kong children with ADHD described schoolwork pressure, child dependence, pre-diagnosis distress and emotional strain. After diagnosis, almost all felt relief and used practical coping such as tutors, acceptance and focusing on non-academic strengths.
• RNSystematic ReviewFrailty as a Predictor of Postoperative Outcomes in Invasive Cardiac Surgery: A Systematic Review of Literature.The Journal of cardiovascular nursingPreoperative frailty was associated with longer stay, complications, rehabilitation discharge, readmission, longer ventilation and functional decline after invasive cardiac surgery. Only nine of nineteen studies found frailty linked to higher mortality.
• RNRCT2022Engaging patients in population-based chronic disease management: A qualitative study of barriers and intervention opportunities.Patient education and counselingPatients struggling with chronic disease control said skills sessions gave them ways to speak up, but dismissive, rushed, or judgmental care and shame or cost still made them avoid their care team.
• PTOTRNRCT2022Effects of comprehensive intervention on life quality among the elderly with Alzheimer Disease and their caregivers based on mixed models.Nursing openThe main patient quality-of-life score did not differ significantly between groups after six months. Caregiver burden and care ability improved more with the added team-based care package.
• RNSurvey2022Illness uncertainty among patients with COVID-19 in the Mobile Cabin Hospital.Nursing openPatients in a mobile cabin hospital reported moderate illness uncertainty, highest for not knowing how long their treatment would last. Women, those with lower family income, and those sick for over 28 days had significantly higher uncertainty scores.
• RNOther2022Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one-group, pretest, posttest study with a theory-based process evaluation.Nursing openCAUTI prevalence was 18.2% before and 14.1% after, with no clear reduction. Staff interviews identified competing priorities, protocol availability and overlap with other orders as barriers.
• RNMeta-Analysis2022The risk of venous thromboembolism associated with midline catheters compared with peripherally inserted central catheters: A systematic review and meta-analysis.Nursing openPatients with midline catheters had more venous thromboembolism than patients with PICCs in this review. The adult result changed when a study was removed. Monitor midline sites carefully.
• RNOther2021Impact of Sleep Apnea, Daytime Sleepiness, Comorbidities, and Depression on Patients' Heart Failure Health Status.Clinical nursing researchIn 198 advanced heart failure patients, sleep apnea, daytime sleepiness, depression, and four or more comorbidities were linked to worse heart failure health status. Nurses can note these factors, but this study does not show treating them improves status.
• RNOther2021Development of video animations to encourage patient-driven deprescribing: A Team Alice Study.Patient education and counselingOlder adults and caregivers helped create three videos about medication risks and self-advocacy. Participants reported feeling more knowledgeable and comfortable discussing medications with doctors, though the study did not test if the videos actually changed prescribing.
• RNCohort2021Associations between maternal circulating 25-hydroxyvitamin D concentration and birth outcomes-Mode of delivery and episiotomy rate: A prospective cohort study.Nursing openIn 117 pregnant women, first-trimester vitamin D levels showed no link with delivery mode or episiotomy. Low or insufficient vitamin D was frequent, but the study did not test supplementation or prove vitamin D changes birth outcomes.
• RNCohort2021Comparison of Clinical Characteristics and End-of-Life Care Between COVID-19 and Non-COVID-19 Muslim Patients During the 2020 Pandemic.The American journal of hospice & palliative careIn Muslim ICU patients who died, about 60% had do-not-attempt-resuscitation orders before death, but in COVID deaths these decisions were made closer to death. Families rarely reached the bedside, and palliative or chaplain care was minimal.
• RNSurvey2021Availability of Palliative Care in Long-Term Acute Care Hospitals.Journal of the American Medical Directors AssociationOnly 73 of 205 US long-term acute care hospitals answering a 2016 survey reported a palliative care program. California had 1 of 24. Do not assume specialty palliative care is available for these patients.
• RNCohort2021Advertising of Human Milk Substitutes in United Kingdom Healthcare Professional Publications: An Observational Study.Journal of human lactation : official journal of International Lactation Consultant AssociationHuman milk substitute advertising appeared in nearly half the healthcare publications reviewed, and none of the 32 unique advertisements complied with international or UK marketing codes. Many used emotive wording or claimed similarity to breast milk.
• RNQualitative2021Perspectives of Black women in the United States on salon-based intervention to promote the uptake of pre-exposure prophylaxis (PrEP) for HIV.Journal of clinical nursingMost Black women did not know about PrEP but found salon-based information acceptable if privacy, trusted stylists, and non-targeted delivery were addressed.
• RNSurvey2021Childbirth experience and practice changing during COVID-19 pandemic: A cross-sectional study.Nursing openDuring early COVID, 100 mothers reported birth satisfaction similar to 277 women before the pandemic, despite more inductions, oxytocin, and less one-to-one support. Active labour longer than 12 hours and caesarean in labour had the lowest scores.
• RNCohort2021Outcomes of a Nursing Home-to-Community Care Transition Program.Journal of the American Medical Directors AssociationThe program did not reduce 30-day rehospitalizations or emergency visits after nursing home discharge. At 180 days, enrolled patients had more hospitalizations and emergency visits than usual care, but this was not the primary outcome.
• RNRCT2021Burden or benefit? Effects of providing education about and the option to request additional genomic findings from diagnostic exome sequencing: A randomized controlled trial.Patient education and counselingAt two weeks after diagnostic sequencing results, adults given education and option to request additional findings reported higher distress about results than those not given it. They also reported lower uncertainty and anxiety. Differences faded by three and six months.
• RNCohortSocial and Structural Barriers to Primary Care Access Among Women Living With HIV in Metro Vancouver, Canada: A Longitudinal Cohort Study.The Journal of the Association of Nurses in AIDS Care : JANACWomen living with HIV who were immigrants, transgender, suicidal, or experiencing violence had higher odds of being unable to access primary care. Using HIV-specific services was linked to better access. Public funding did not remove these barriers.
• RNOther2022Communication methods between outpatients with limited-English proficiency and ancillary staff: LASI study results.Patient education and counselingFront desk staff and medical assistants rarely used professional interpreters, so many outpatients with limited English relied on their own English, non-verbal cues, or bilingual staff. Nurses should ask what language and method actually worked.
• RNCohort2022Hospice Enrollment, Future Hospitalization, and Future Costs Among Racially and Ethnically Diverse Patients Who Received Palliative Care Consultation.The American journal of hospice & palliative careAfter palliative care consultation, race did not explain hospice discharge. Medicaid patients were 42% less likely to be discharged to hospice. Black/African American patients were more likely to be readmitted and have future hospitalization costs.
• RNOther2022Item Response Theory Analysis: PROMIS® Anxiety Form and Generalized Anxiety Disorder Scale.Western journal of nursing researchBoth anxiety questionnaires worked well in 67 veterans after orthopedic surgery. The PROMIS 6a may be preferable to the GAD-7 for low-to-moderate anxiety, but this is preliminary and needs testing in larger, higher-anxiety samples.
• RNOther2022Development and validation of the information needs questionnaire for differentiated thyroid cancer patient with radioactive iodine therapy (INQ-DTC).Nursing openThyroid cancer patients after radioactive iodine had information needs in five areas: disease, examination and surgery, radioactive iodine therapy, home rehabilitation and psychosocial support. The questionnaire was reliable in 230 patients, but it was not tested for improving care.
• RNSurvey2022The impact of COVID-19 on pregnant womens' experiences and perceptions of antenatal maternity care, social support, and stress-reduction strategies.Women and birth : journal of the Australian College of Midwives59.3% said the number of antenatal appointments was right, but 34.3% said the time between appointments was too long. Pandemic restrictions reduced support and increased stress.
• RNRCT2022Cardiac symptom burden and arrhythmia recurrence drives digital health use: results from the iHEART randomized controlled trial.European journal of cardiovascular nursingAmong 105 patients using an ECG monitor after AF treatment, more premature atrial contractions were linked to moderate or frequent use. Age and technology experience were not linked to use. This is not proof that monitoring changes outcomes.
• PTOTRNQualitative2022The processes of hospital discharge and recovery after blunt thoracic injuries: The patient's perspective.Nursing openPatients recovering from blunt thoracic injuries described discharge as rushed and poorly coordinated. They were often unprepared for pain, mobility and opioid safety at home, including too little medication and no weaning advice.
• RNSurvey2022Risk factors for low self-care self-efficacy in cancer survivors: Application of latent profile analysis.Nursing openIn 1,367 Chinese cancer survivors, 19.4% had low self-care confidence and poorer communication with doctors. Low education, single status, complications, late stage and low social support were linked to this low-confidence group.
• RNQualitative2021"If it's the time, it's the time": Existential communication in naturally-occurring palliative care conversations with individuals with advanced cancer, their families, and clinicians.Patient education and counselingIn palliative care conversations, patients and families expressed existential concerns through practical talk about time, daily routines, and relationships. These moments may be openings to ask what matters most, not merely administrative talk.
• RNSurvey2021Comparison of Postoperative Pain Management Outcomes in the United States and China.Clinical nursing researchFirst postoperative patients in the United States reported better pain care perceptions and more adequate analgesic treatment than patients in China, despite higher reported pain. Chinese patients more often received no analgesia, single orders, intramuscular meperidine, and less pain-related information.
• RNCohort2021Lung ultrasound score as a tool to monitor disease progression and detect ventilator-associated pneumonia during COVID-19-associated ARDS.Heart & lung : the journal of critical careIn 33 ventilated COVID-19 ARDS patients, lung ultrasound score rose around confirmed ventilator-associated pneumonia episodes and changed with oxygenation, but the study did not test whether this improved outcomes.
• RNOther2021Multimorbidity phenotypes in patients presenting to the emergency department with possible acute coronary syndrome.Heart & lung : the journal of critical careAmong emergency department patients evaluated for possible acute coronary syndrome, four chronic-condition patterns emerged. Cardiovascular and cardiovascular-oncologic patterns were associated with an ACS diagnosis; having many conditions overall was not.
• RNOther2021Establishment of evidence-based nursing review indicators for airway management of adult critical patients and analysis of obstacle factors.Nursing openMost ICU airway care indicators were poorly followed, and only 44% of nurses passed a knowledge test. The paper provides review indicators and barriers to address, not proof that care improved.
• RNCase-ControlMalnutrition, Family Support, and Possible Sarcopenia in Patients Undergoing Transcatheter Aortic Valve Implantation.The Journal of cardiovascular nursingAfter TAVI, older adults with possible sarcopenia were more often at risk of malnutrition than those without: 38 of 47 versus 18 of 34. Albumin was a key marker, and family support related to nutrition but did not differ between groups.
• RNSurvey2022Examination of Breast Cancer Screening Knowledge, Attitudes, and Beliefs among Syrian Refugee Women in a Western Canadian Province.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieresAmong 75 Syrian refugee women, 96% had heard of breast self-examination, but only 32% had done it, 12% had a clinical breast exam, and 6.7% had mammography. Knowledge was moderate.