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 80 OF 216 · NEWEST FIRST

• RNSurvey2022The actuality of resilience, social support and quality of life among patients with inflammatory bowel disease in China.Nursing openChinese patients with inflammatory bowel disease reported resilience that was higher with more use of social support and lower in rural areas. Nurses can ask about support use and rural residence.
• RNCohort2022Quality of life in patients with endometrial carcinoma: A Longitudinal Study.Nursing openEndometrial cancer patients reported better quality of life at the second and third months after surgery than at the first month. Higher monthly income was linked to better postoperative quality of life. The study did not test nursing care.
• RNCohort2022Patterns of Health Care Services During Pediatric Concurrent Hospice Care: A National Study.The American journal of hospice & palliative careChildren in concurrent hospice were classified into low, moderate, and high service-use groups. Most (61.1%) were low intensity, likely to use mainly medications, physician services, and labs. High-intensity children were often rural, with neurological/muscular conditions and technology dependence.
• RNOther2022Caregiver Depressive Symptoms and Primary Medication Nonadherence in Children With Asthma.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersChildren whose caregivers reported more depressive symptoms were less likely to have asthma medication pharmacy records. Ask caregivers about depression when a child's asthma medications are not being filled.
• RNMeta-Analysis2022Effectiveness of intergenerational participation on residents with dementia: A systematic review and meta-analysis.Nursing openIntergenerational activities for residents with dementia did not improve quality of life or depression. They increased pleasure and reduced disengagement in the reviewed studies. Use them as a care activity, not as a treatment for mood or overall wellbeing.
• RNSystematic Review2022Nursing care factors influencing patients' outcomes in the intensive care unit: Findings from a rapid review.International journal of nursing practiceTwenty-one ICU nursing care factors were associated with patient outcomes, from staffing and work environment to mobility, feeding protocols, music and family participation. Most studied factors were bedside care processes, and the review did not combine study results.
• RNQualitative2021Dread and solace: Talking about perinatal mental health.International journal of mental health nursingWomen described perinatal mental health as silenced by expectations to be happy mothers. Peer support and supportive clinicians were described as helping women feel less alone and find help.
• RNCohort2021State Variation in Chronic Opioid Use in Long-Term Care Nursing Home Residents.Journal of the American Medical Directors AssociationChronic opioid use in nursing home residents fell from 14.1% in 2014 to 11.4% in 2018. State differences shrank, but differences among nursing homes grew, so facility-level opioid use remains uneven.
• RNPilot2021Smoke or smokeless moxibustion treatment for breech presentation: A three-arm pilot trial.Japan journal of nursing science : JJNSSmokeless moxibustion at home had more fetuses head-down after treatment than control. Smoke moxibustion did not. At birth, the groups were not shown to differ, and this was a small non-randomized pilot.
• RNQualitative2021Post-Traumatic Growth Experiences among COVID-19 Confirmed Cases in China: A Qualitative Study.Clinical nursing researchSurvivors described feeling more grateful for life, closer to family, and more motivated to exercise and wear masks after their infection. They reported becoming more mature and proactive about vaccinations, viewing the illness as a turning point for positive personal change.
• RNSystematic Review2021Creating an Indigenous Māori-centred model of relational health: A literature review of Māori models of health.Journal of clinical nursingNine Māori health models describe relational care as requiring trust, extended family involvement, spiritual beliefs, and awareness of colonisation and racism. These concepts may guide culturally safe patient and family engagement.
• RNSurvey2022Endorsement of COVID-19 related misinformation among cancer survivors.Patient education and counselingCancer survivors in active treatment endorsed more COVID-19 misinformation than adults without cancer; survivors not in treatment endorsed less. Men endorsed more, and older adults endorsed less. Patients in treatment may need extra misinformation counseling.
• RNSystematic Review2022Optimizing the InterRAI Assessment Tool in Care Planning Processes for Long-Term Residents: A Scoping Review.Clinical nursing researchInterRAI helps long-term care teams collect resident data, assess pain, falls, pressure ulcers, and compare care quality. But only one included study tested its care plans, and it did not show improved resident health outcomes.
• RNCohort2022Preoperative Advance Care Planning for Older Adults Undergoing Major Abdominal Surgery.The American journal of hospice & palliative careMost older adults undergoing major abdominal surgery had no advance directive available in their medical record, no surrogate decision-maker identified, and no documented goals of care. Patients who died or had complications were no more likely to have had this planning than those who did well.
• RNCohort2022Prognostic value of three rapid scoring scales and combined predictors for the assessment of patients with coronavirus disease 2019.Nursing openIn patients admitted with COVID-19, the REMS score predicted death better than MEWS or RAPS. Combining scores did not beat REMS. Use it cautiously as an early severity assessment aid, not a proven outcome changer.
• RNSystematic Review2022Patient safety educational interventions: A systematic review with recommendations for nurse educators.Nursing openPatient safety training for nursing students produced mixed results. While some courses improved reported competencies and systems thinking, others showed no significant change in attitudes or knowledge. No study measured actual behaviour change or patient harm, leaving evidence for effective curriculum design inconclusive.
• RNSystematic Review2022A Systematic Review of the Effects of Skin-to-Skin Contact on Biomarkers of Stress in Preterm Infants and Parents.Advances in neonatal care : official journal of the National Association of Neonatal NursesSkin-to-skin contact did not consistently lower infant cortisol. Parent cortisol fell in some studies, oxytocin rose in others, and a small study suggested lower oxidative stress, so the stress-marker evidence remains mixed.
• RNQualitative2022Women's Initial Experiences and up to a Year in Retrospect of Their Life Situation With a Confirmed Takotsubo Syndrome Diagnosis: A Single Case Study Literature Review.Journal of holistic nursing : official journal of the American Holistic Nurses' AssociationWomen with Takotsubo syndrome described persistent fatigue, anxiety, scattered thinking, lost confidence, and isolation up to a year, even when medical follow-up showed heart function returned.
• RNSurvey2021Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors.MidwiferyDuring Argentina's social isolation, 37% of postpartum breastfeeding women showed suggestive symptoms of depression, 46% reported insomnia, and 42% reported memory complaints. Depression was linked to insomnia, worse self-rated memory and concentration, and poorer breastfeeding confidence.
• RNCohort2021High-flow Nasal Cannula therapy: A feasible treatment for vulnerable elderly COVID-19 patients in the wards.Heart & lung : the journal of critical careHigh-flow nasal cannula therapy failed to save most frail, elderly COVID-19 patients on hospital wards who were not eligible for intensive care. Only 25% survived to discharge, with failure driven by persistent low oxygen levels.
• RNMeta-Analysis2021Effects of online stigma-reduction programme for people experiencing mental health conditions: A systematic review and meta-analysis.International journal of mental health nursingOnline anti-stigma programmes produced a small reduction in public stigma toward people with mental health conditions compared with control. The gain was not clear versus face-to-face programmes and was fragile when one study was excluded.
• RNCohort2021Pre-hospital antiplatelet medication use on COVID-19 disease severity.Heart & lung : the journal of critical carePre-hospital antiplatelet use showed no association with COVID-19 severity after adjusting for age and comorbidities. Apparent higher mortality in users before adjustment reflected older, sicker patients, not the medication. Routine antiplatelet use is not recommended for treating COVID-19.
• RNQualitative2021Asian Pacific Americans Living with HIV Who Were Smuggled Immigrants: A Qualitative Study.Clinical nursing researchSmuggled Asian Americans living with HIV described dangerous journeys, debt, delayed testing, and stigma. Their accounts suggest that immigrant HIV care may need culturally tailored screening and treatment support.
• RNCase Report2021Topical Vapocoolant-Associated Vaso-occlusive Event in a 10-year-old with Sickle Cell Disease.Pain management nursing : official journal of the American Society of Pain Management NursesA child with sickle cell disease had pain at an IV site during transfusion after IV placement and a cold anesthetic spray. Warm packs, ketorolac, and acetaminophen with codeine were given. The authors think the spray may have triggered sickling, but cannot separate its role.
• RNRCTEffect of Ventricular Assist Device Self-care Simulation-Based Mastery Learning on Driveline Exit Site Infections: A Pilot Study.The Journal of cardiovascular nursingVAD self-care simulation training for patients and caregivers did not significantly reduce driveline exit-site infections at 12 months compared with usual training.
• PTRNQualitativeFacilitators and Challenges to Exergaming: Perspectives of Patients With Heart Failure.The Journal of cardiovascular nursingPatients with heart failure described Nintendo Wii exergaming at home as fun and convenient at first, but reported playing less over time because of boredom, repetitive games, and hand-eye coordination frustrations.
• RNSurvey2022The effects of the COVID 19 pandemic on vaccine decisions in pregnant women.Women and birth : journal of the Australian College of MidwivesAmong 152 pregnant women in Turkey, 29.6% were hesitant about vaccines. The pandemic did not change opinions for 63.9%, but 52.6% wanted a future COVID-19 vaccine. Health workers were the most trusted source.
• PTOTSLPRNQualitative2022Can sharing clinic notes improve communication and promote self-management? A qualitative study of patients with COPD.Patient education and counselingPatients with COPD reported that reading their clinic notes helped them remember care plans, understand their role in self-management, and feel listened to. However, medical jargon, abbreviations, and errors in the notes caused confusion or anxiety, limiting their usefulness.
• RNOther2022Youth suicide risk screening in an outpatient child abuse clinic.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncSwitching from a depression screen to the Ask Suicide-Screening Questions tool in a child abuse clinic more than doubled the detection of youth at risk for suicide. The new tool also identified significant risk in 10-12 year olds who were previously not screened.
• RNCohort2022Changes in Antisecretory Factor in Human Milk During the Postpartum and Length of Gestation.Journal of human lactation : official journal of International Lactation Consultant AssociationA milk antisecretory factor complex was higher in colostrum than mature milk. Preterm mothers' mature milk had higher and more variable levels. Holder pasteurization increased this complex in donor milk.
• PTRNSystematic Review2022Enhanced recovery protocols in patients undergoing pancreatic surgery: An umbrella review.Nursing openReviews of enhanced recovery after pancreatic surgery reported shorter hospital stays, lower costs and fewer complications, with no reported increase in mortality or readmission. All included reviews were critically low quality, so this is not firm evidence.
• RNNarrative Review2022A narrative review of paracetamol-induced hypotension: Keeping the patient safe.Nursing openIntravenous paracetamol can cause clinically important hypotension, especially in febrile critically ill patients, sometimes needing fluids or vasopressors. Nurses should monitor blood pressure after administration and consider fluid status first.
• RNOther2022Patient engagement and presence in a virtual world world diabetes self-management education intervention for minority women.Patient education and counselingAbout two-thirds of women in virtual diabetes education felt socially and physically present, and half felt their avatar was them. These experiences supported engagement and peer support, but discomfort, avatar stereotypes, and technical interruptions reduced presence for some.
• OTRNQualitative2022Experiences of quality of life in people with Multiple Sclerosis who are in a wheelchair.Nursing openSix wheelchair users with MS living at home said quality of life depended on managing everyday life and being seen as themselves. Hope, aids and talking about limits helped; fatigue and people addressing family members instead threatened identity.
• RNSystematic Review2021The incidence, clinical characteristics, and outcomes of pneumothorax in hospitalized COVID-19 patients: A systematic review.Heart & lung : the journal of critical carePneumothorax was rare in hospitalized COVID-19 patients, 0.3% overall, but reached 12.8% among those on mechanical ventilation. It was often right-sided, appeared 9.0 to 19.6 days after admission, and mortality reached 74.2% among those affected.
• RNSurvey2021Relationship between free fatty acids, body mass index and depressive symptoms in patients with chronic heart failure.Nursing openDepressive symptoms were common in 195 hospitalized adults with chronic heart failure. Higher free fatty acids and lower BMI were linked to more severe depression scores, but this cannot prove cause or test treatment.
• SLPRNRCT2021VidaTalk™ patient communication application "opened up" communication between nonvocal ICU patients and their family.Intensive & critical care nursingFamily members of nonvocal ICU patients said a tablet with a speech-generating app, added to standard hospital tablet apps, opened two-way conversation, helped patients express needs and feelings, and made talk less difficult. Weakness or sedation often stopped use.
• RNOther2021Using an economic evaluation approach to support specialist nursing services for people with Parkinson's in a regional community.Journal of advanced nursingEmploying a specialist Parkinson's nurse in a regional hospital was associated with shorter stays. The analysis suggested each additional nurse service reduced length of stay by 0.37 days, saving about $1924 per patient. However, this was a retrospective comparison, not a randomised trial.
• RNCohort2021Victimization among children and adolescents accessing the Meyer pediatric hospital: A retrospective study.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncVictimization was recorded for 108 children and adolescents, 15.3%. Overall rates were similar across services, but older patients in the psychiatry service were more often victimized.
• RNCohort2021Uncontrolled Pain and Risk for Depression and Behavioral Symptoms in Residents With Dementia.Journal of the American Medical Directors AssociationIn nursing home residents with dementia, uncontrolled pain was associated with higher risk of later depression and behavioral symptoms.
• RNNarrative Review2021Does COVID-19 pneumonia signify secondary organizing pneumonia?: A narrative review comparing the similarities between these two distinct entities.Heart & lung : the journal of critical careSecondary organizing pneumonia was reported in some hospitalized people with COVID-19, mostly in case reports, series, and autopsies. Symptoms, CT patterns, and lung tissue findings overlapped with organizing pneumonia, but no tested treatment evidence was available.
• OTRNSurveySelf-Care Capacity and Its Relationship to Age, Disability, and Perceived Well-Being in Medicare Beneficiaries.Nursing researchMedicare beneficiaries with worse daily self-care, limited social activity, or depressive symptoms were more likely to see their health as poor or worry about it. Clinicians can ask about these when patients report poor health or worry.
• RNOther2022A patient-centered gout information value chain: a scoping review.Patient education and counselingGout patients repeatedly lacked clear information about why long-term urate-lowering therapy matters, why flares can start after treatment begins, and what lifestyle changes help. They wanted more clinician time, not just written handouts.
• RNSystematic Review2022The impact of "missed nursing care" or "care not done" on adults in health care: A rapid review for the Consensus Development Project.Nursing openMissed nursing care was linked to higher mortality and adverse events in some adult care studies but others found no link. Most evidence came from nurses reporting omitted tasks, so it suggests association rather than proof of harm.
• RNRCT2022A Randomized Controlled Trial of Heart Failure Disease Management in Skilled Nursing Facilities.Journal of the American Medical Directors AssociationNurse-led heart failure management in skilled nursing facilities did not significantly reduce the main combined outcome of rehospitalization, emergency visits, or mortality. Rehospitalization and mortality were lower in the intervention group.
• RNSystematic Review2022Implementation of School Diabetes Care in the United States: A Scoping Review.The Journal of school nursing : the official publication of the National Association of School NursesFacilitators to school diabetes care included competent nurses, engaged parents, responsible teachers, adequate resources, and communication. Barriers included inadequate training, heavy nurse workload, unclear roles, and rules against glucose checks, snacks, or insulin.
• RNQualitative2022Life-and-Death Attitude and Its Formation Process and End-of-Life Care Expectations Among the Elderly Under Traditional Chinese Culture: A Qualitative Study.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyOlder adults in China rarely talked about death, formed attitudes passively, and hoped for home care with family, physical comfort, and avoiding painful rescue, mainly to reduce burden on children.
• RNSurvey2022Exploring variables related to medical surrogate decision-making accuracy during the COVID-19 pandemic.Patient education and counselingSurrogates predicted hypothetical end-of-life treatment choices poorly. 53.9% of pairs disagreed on at least one scenario, and 61.2% of inaccurate pairs chose less treatment than the patient wanted.
• RNCohort2022A prospective clinical evaluation of a patient isolation hood during the COVID-19 pandemic.Australian critical care : official journal of the Confederation of Australian Critical Care NursesTwenty ICU/ED patients and staff found the isolation hood acceptable, with no patient adverse events. It did not prove reduced transmission and sometimes affected communication and comfort.
• RNQualitative2022Assessment of parent understanding in conferences for critically ill neonates.Patient education and counselingIn these NICU family meetings, clinicians never used teach-back. Open-ended questions got more detailed parent answers in 55 of 60 cases, while partial checks such as 'okay?' mostly got no response.