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 84 OF 216 · NEWEST FIRST

• RNCohort2022Full Code to Do-Not-Resuscitate: Culturally Adapted Palliative Care Consultations and Code Status Change Among Seriously Ill Hispanic Patients.The American journal of hospice & palliative careIn this palliative care consultation service, Hispanic and Spanish-speaking patients were more likely to request DNR rather than remain full code, but the bundled service cannot be shown to cause that.
• RNPilot2022Describing cognitive function and psychosocial outcomes of COVID-19 survivors: A cross-sectional analysis.Journal of the American Association of Nurse PractitionersCognitive test scores were normal on average in 52 mostly mild to moderate COVID survivors, but 40% scored below the normal range for their age and education on at least one cognitive test. Some had more anxiety, depression, or sleep problems than the general population.
• RNPilot2022Spiritual Care Assessment and Intervention (SCAI) for Adult Outpatients With Advanced Cancer and Caregivers: A Pilot Trial to Assess Feasibility, Acceptability, and Preliminary Effects.The American journal of hospice & palliative careChaplain-delivered spiritual care for advanced cancer outpatients and caregivers was feasible and acceptable, with high visit attendance and most visits by phone. Small pilot showed preliminary spiritual well-being and quality-of-life improvements, not proof of benefit.
• OTRNSurvey2022Preparedness for Serious Illnesses: Impact of Ethnicity, Mistrust, Perceived Discrimination, and Health Communication.The American journal of hospice & palliative careAdults with chronic illness who felt discriminated against because of income or insurance, or did not trust providers, were less likely to feel ready for worsening. Ask about trust and discrimination before assuming race explains preparedness.
• RNOther2022Cognitive Function and Sleep in Caregivers of Persons Living with Dementia.Western journal of nursing researchFamily caregivers of people with dementia who had poor sleep had total cognitive scores no different from expected norms, but speed of thinking was lower, while knowledge and language were higher. Sleep diary measures were not linked to scores.
• RNOther2021Implementation and Evaluation of an Acute Care Multicomponent Intervention for Dementia-Related Behavioral Expressions.Journal of gerontological nursingNursing staff on an inpatient unit reported greater confidence and less stress after a nurse-led multicomponent approach for dementia-related behaviors. Historical patient comparisons included shorter stays, less one-to-one observation, and more acetaminophen; antipsychotic use did not differ.
• RNSurvey2021Appetite loss, death anxiety and medical coping modes in COVID-19 patients: a cross-sectional study.Nursing openAll 76 patients diagnosed with COVID-19 had appetite loss, and higher death anxiety was linked to worse appetite. Severe disease, married status, and lower education were also linked to poorer appetite.
• RNCohort2021Relationship between coronavirus disease 2019 in pregnancy and maternal and fetal outcomes: Retrospective analytical cohort study.MidwiferyPregnant women hospitalized with COVID-19 had higher ICU admission, fetal distress, preterm birth and NICU admission than women without COVID-19. Maternal death and Apgar scores showed no clear difference after adjustment.
• RNRCT2021Influence of Appetite and Perceived Ability to Control Cravings on Excessive Gestational Weight Gain.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNPregnant women who reported being no hungrier or less hungry than before pregnancy were less likely to gain too much weight. Women confident they could avoid overeating when they had cravings also seemed less likely, but that link faded when appetite was included.
• RNCohort2021Performance of scores in the prediction of clinical outcomes in patients admitted from the emergency service.Revista latino-americana de enfermagemqSOFA ≥2 was associated with sepsis, septic shock, and hospital death in 122 emergency patients; SIRS >2 was associated with sepsis and septic shock.
• RNSurvey2021Jail as a Point of Contraceptive Care Access: Needs and Preferences Among Women in an Urban Jail.Journal of midwifery & women's health73% of women surveyed in a Utah jail wanted access to contraceptive care while incarcerated. Nurses can ask about preferences, provide voluntary education, and help with insurance after release.
• RNCohort2021Differences in metabolic syndrome indicators by body mass index of women with endometriosis.Nursing openIn 281,810 Korean women with endometriosis, abnormal waist circumference, high fasting sugar, and low HDL cholesterol all increased from 2009 to 2016, and every metabolic risk indicator became more common as BMI rose.
• RNCohort2021Covid-19 given opportunity to use ultrasound in the plaster room to continue secondary fracture prevention care: A retrospective Fracture Liaison Service study.International journal of orthopaedic and trauma nursingAdding an ultrasound bone test to plaster-room fracture education was associated with more patients receiving DXA/VFA scans and ruled out further scans in 69 women aged 50-70.
• RNSystematic Review2021Algorithmic approaches to ostomy management: An integrative review.Nursing openOnly one ostomy algorithm has been expert-validated, and its full treatment advice is not published; current tools mostly guide assessment and accessory use, not complete pouching decisions.
• RNOtherFactors Associated With the Quality of Staff-Resident Interactions in Assisted Living.Journal of nursing care qualityAssisted living residents with agitation had lower-quality staff interactions. For-profit facilities had higher interaction scores than nonprofit facilities. In this sample, functional status, depressive symptoms, resistiveness to care, and facility size were not associated.
• PTRNQualitativePain in Homebound Older Adults with Heart Failure after Hospital Discharge.Home healthcare nowHomebound older adults with heart failure reported pain averaging 5.2 out of 10 after discharge, with sleep and walking most affected. Patients often waited until pain was severe before taking medication and said providers did not always acknowledge it.
• RNRCT2022Disease Management in Skilled Nursing Facilities Improves Outcomes for Patients With a Primary Diagnosis of Heart Failure.Journal of the American Medical Directors AssociationIn skilled nursing facilities, a nurse-led heart failure program reduced 60-day hospitalization, emergency visits, or death in patients admitted primarily for heart failure. The intervention lowered mortality to zero compared to 14.7% in usual care. This was a small subgroup analysis.
• RNCohort2022Opportunities to Improve Palliative Care Delivery in Trauma Critical Illness.The American journal of hospice & palliative carePalliative care consults and goals-of-care notes were rarely documented in trauma ICU patients, including high-risk groups, and often occurred late.
• RNSurvey2022Impact of language preference and health literacy on health information-seeking experiences among a low-income, multilingual cohort.Patient education and counselingMost adults surveyed in English, Spanish, or Chinese reported negative health information-seeking experiences. Spanish-language respondents were more likely to report that information was hard to understand; Chinese-language respondents were more likely to report frustration; limited health literacy was associated with more negative experiences.
• RNOther2022Changes in health and health care utilization following eviction from public housing.Public health nursing (Boston, Mass.)Evicted public housing heads of households had more diagnosed health conditions and more emergency and inpatient care after eviction. Nurses should ask about housing loss when health worsens and document it.
• RNSurvey2022Contraceptive literacy among school-going adolescents in Botswana.International nursing reviewMost of 233 adolescents knew a contraceptive existed, but fewer knew where to get one. Girls were less likely than boys to report correct condom use, and those willing to ask a health professional were more likely to know correct use.
• RNOther2022Association of Hypertension with Knee Pain Severity Among People with Knee Osteoarthritis.Pain management nursing : official journal of the American Society of Pain Management NursesPeople with knee osteoarthritis and stage 2 hypertension reported worse knee pain over 7 and 30 days than those with normal blood pressure, even after accounting for age, body size, depression, activity, arthritis severity, and pain medicines. Elevated or stage 1 hypertension did not.
• RNCohort2021COVID-19 Incidence and Mortality Among Long-Term Care Facility Residents and Staff in South Carolina.Journal of the American Medical Directors AssociationLong-term care residents with COVID-19 had much higher infection and death rates than community-dwelling older adults. Staff had more cases early but lower death risk than comparable adults not in facilities. The authors suggest staff testing and protection.
• SLPRNSystematic Review2021Symptom Clusters in Head and Neck Cancer: A Systematic Review and Conceptual Model.Seminars in oncology nursingStudies found head and neck cancer patients often had symptom clusters: pain with fatigue and appetite loss, dry mouth with swallowing and mouth sores, and nausea with vomiting. Names varied, but these patterns can guide assessment.
• RNMeta-Analysis2021Comparative efficacy of non-pharmacological interventions on behavioural and psychological symptoms in elders with dementia: A network meta-analysis.Nursing openReminiscence therapy reduced neuropsychiatric symptoms compared with no specific non-pharmacological care. Individualized nursing reduced depression and anxiety and raised cognitive test scores, but many comparisons were not head-to-head and study quality was uncertain.
• RNOther2021Adherence to Guidelines for Managing Severe Traumatic Brain Injury in Children.American journal of critical care : an official publication, American Association of Critical-Care NursesNine pediatric severe TBI protocols varied from 2019 guidelines: all included normothermia and AEDs, none included coagulopathy treatment, and tiered ICP therapies differed. It describes written protocols, not patient outcomes.
• RNSurvey2021Prevalence of pharmacological adherence in patients with coronary artery disease and associated factors.Revista latino-americana de enfermagemMost hospitalized patients with coronary artery disease did not take medications as prescribed, often forgetting. Nurses should ask about alcohol use, how complex the medication routine feels, and whether care is through public services.
• RNRCT2021Income-driven socioeconomic status and presenting illness severity in children with acute respiratory failure.Research in nursing & healthNeighborhood median family income was not associated with illness severity at intensive care admission for children with acute respiratory failure after accounting for age, gender, race, ethnicity and diagnosis.
• RNSurveyDecision-Making Involvement, Self-Efficacy, and Transition Readiness in Youth With Sickle Cell Disease.Nursing researchIn 50 young people with sickle cell disease and their caregivers, higher confidence in managing the disease and asking for information were linked to feeling ready for adult care. But expressing opinions more was linked to less readiness and more taking charge of care.
• PTRNMeta-AnalysisPhysical Activity Interventions for Colorectal Cancer Survivors: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Cancer nursingAcross 803 colorectal cancer survivors, physical activity programs improved disease-specific quality of life, activity levels and oxygen use. Fatigue and BMI did not improve. Only 6 trials could be pooled, and programs varied.
• RNRCT2022Challenges faced by families of critically ill patients during the first wave of the COVID-19 pandemic.Patient education and counselingFamilies of ICU patients during early COVID-19 visitation restrictions reported four challenges: waiting for phone updates, relaying information to relatives, tracking medical details, and distress from not visiting. They adjusted with routines, group messages, notes, and video calls.
• RNQualitative2022African American Mothers' Decision to Discontinue Breastfeeding and Switch to Formula.Western journal of nursing researchMost mothers intended to breastfeed, but formula felt easier, support varied, and early breastfeeding seemed enough. Nurses can ask about latch pain, discharge resources, and social norms rather than assume lack of intent.
• RNQualitative2022Patient values in healthcare decision making among diverse older adults.Patient education and counselingOlder adults, including people with mild cognitive impairment, described medical decisions as shaped by family advice, physician input, quality of life, side effects, cost, faith, and changing priorities as health declines. Clinicians may need to ask explicitly and revisit values over time.
• RNQualitative2022Stigma, guilt and motherhood: Experiences of pregnant women with COVID-19 in Brazil.Women and birth : journal of the Australian College of MidwivesPregnant women with COVID-19 described fear, guilt, stigma, and denial, worsened by isolation. They said daily calls, ultrasound reassurance, and small nurse gestures helped them feel safe.
• RNSurvey2022Factors affecting parent health-promotion behavior in early childhood according to family cohesion: Focusing on the COVID-19 pandemic.Journal of pediatric nursingParents with higher family cohesion reported more health-promoting behavior. Parents' psychological resources were linked to more health-promoting behavior in both cohesion groups. This study did not test an intervention.
• RNMeta-Analysis2022Non-Surgical Management of Malignant Bowel Obstruction in Advanced Ovarian Cancer patients: A Systematic Review and Meta-Analysis.The American journal of hospice & palliative carePatients with advanced ovarian cancer and bowel obstruction managed without surgery survived a median of 44 days. The type of medical treatment used did not significantly change survival. Care should be tailored to the patient's needs rather than chosen for life extension.
• RNCohort2022Predictors for lower urinary tract symptoms in patients underwent radical prostatectomy: implications for postoperative nursing care.Journal of clinical nursingIn men after prostatectomy, pelvic floor muscle exercise was linked with fewer urinary symptoms; body mass index 25 or higher was linked with more. Catheter clamping and catheter duration were not.
• RNRCT2021Reflexology and meditative practices for symptom management among people with cancer: Results from a sequential multiple assignment randomized trial.Research in nursing & healthHome-based reflexology and meditative practices, with caregiver involvement, did not differ in fatigue severity over 12 weeks. For patients whose fatigue did not improve, adding the other therapy after 4 weeks did not improve outcomes, so choice can guide symptom management.
• RNSurvey2021The relationship between quality of life and fear of Turkish individuals during the COVID-19 pandemic: A cross-sectional study.Archives of psychiatric nursingIn 1060 Turkish adults, higher fear of COVID-19 was very weakly linked to lower self-reported physical and psychological quality of life. Income less than expenses and sore throat, muscle pain, and headache were also linked to lower quality of life.
• RNSurvey2021Relationships between physical activity, social isolation, and depression among older adults during COVID-19: A path analysis.Geriatric nursing (New York, N.Y.)Older adults who reported more social isolation had more depression, and less physical activity was also linked to depression. Isolation had the stronger association. This was a survey, so it shows links, not that activity or contact reduced depression.
• RNOther2021High blood pressure levels and cardiovascular risk among Munduruku indigenous people.Revista latino-americana de enfermagemAmong 459 Munduruku indigenous adults, 10.2% had hypertension and 4.1% had pre-hypertension. Older age, larger waist, diabetes, smoking, and inactivity were linked to hypertension.
• RNSurvey2021Family and community guidance in adolescence: assessment in the family health strategy.Revista latino-americana de enfermagemAdolescents reported weak family and community guidance from primary care nurses, while nurses reported delivering it well. Ask adolescents directly, spend time alone, and check their experience rather than trusting staff reports.
• RNRCT2021Feasibility and Acceptability of Guided Imagery to Sequentially Address Multiple Health Behaviors During Pregnancy.Journal of midwifery & women's health46 pregnant women used a guided imagery app on 50% or more of days over 5 weeks. Sleep and relaxation was most used. Some self-reported stress, activity, and body image changed, but there was no control group.
• RNOther2021Decontamination of stainless-steel bowls with 80% (w/v) alcohol for 30 s and 60 s: randomized experimental study.Revista latino-americana de enfermagemAfter washing, rubbing bed-bath bowls with 80% alcohol for 60 s did not decontaminate them better than 30 s; bacteria, including resistant P. aeruginosa, remained.
• RNCohort2021Do depressive symptoms among pregnant women assisted in Primary Health Care services increase the risk of prematurity and low birth weight?Revista latino-americana de enfermagemIn 193 low-risk pregnant women, EPDS scores indicating depression were not associated with low birth weight or prematurity. Premature labor and gestational age at labor were associated with low birth weight.
• RNSurvey2021Breastfeeding Experiences During the COVID-19 Lockdown in the United Kingdom: An Exploratory Study Into Maternal Opinions and Emotional States.Journal of human lactation : official journal of International Lactation Consultant AssociationDuring the UK lockdown, breastfeeding mothers kept using the internet for advice while in-person support fell. Many reported anxiety and depressive symptoms, especially mothers with more than one child. They largely supported continuing breastfeeding if they had coronavirus symptoms.
• RNOther2021Effectiveness of a support intervention for family caregivers and stroke survivors.Revista latino-americana de enfermagemCompared with usual care plus laboratory tests and referral, an 8-month caregiver programme of group education, physiotherapy and psychology consultations showed no significant between-group difference in burden, stress, or survivor independence. Burden and stress did fall within the programme group.
• RNSurvey2021Influence of chronic illness resources on self-management and the mediating effect of patient activation among patients with coronary heart disease.Nursing openAmong patients with coronary heart disease, higher patient activation was linked to better self-management, and activation partly explained the link between illness resources and self-management. Support may build confidence and skills, not only provide information.
• RNCohort2021Ecological Analysis of the Decline in Incidence Rates of COVID-19 Among Nursing Home Residents Associated with Vaccination, United States, December 2020-January 2021.Journal of the American Medical Directors AssociationNursing homes that held first vaccination clinics in early January had 27% and 17% greater reductions in resident COVID-19 case rates in weeks 3 and 4 than unvaccinated facilities; no difference was seen in weeks 1 and 2, and rates were already falling before vaccination.
• RNSurvey2022Lockdown babies: Birth and new parenting experiences during the 2020 Covid-19 lockdown in South Africa, a cross-sectional study.Women and birth : journal of the Australian College of MidwivesSouth African parents who gave birth during lockdown reported missing support people, less lactation help, earlier discharge, and more negative birth feelings; most mothers still felt positive about birth, while 63.3% of mothers screened positive for probable minor depression.