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 87 OF 216 · NEWEST FIRST

• RNSurvey2022COVID-19 lockdown impacts the wellbeing of parents with infants on a Dutch neonatal intensive care unit.Journal of pediatric nursingDuring Dutch NICU lockdown, parents reported high stress, especially being separated from their infant and unable to visit with their partner. Parents also missed siblings and other visitors. Only half reported good or excellent closeness to their infant.
• OTRNSystematic Review2021Social connectedness among parents raising children in low-income communities: An integrative review.Research in nursing & healthParents in low-income communities often lack social connection due to scarce resources and fear of unsafe neighborhoods. Group-based interventions that foster a sense of belonging and acceptance were associated with lower parenting stress and better mental health for parents.
• RNSurvey2021The effects of fear of COVID-19, loneliness, and resilience on the quality of life in older adults living in a nursing home.Geriatric nursing (New York, N.Y.)In Turkish nursing home residents, higher loneliness tracked lower quality of life, while higher fear of COVID-19 tracked higher social and environmental quality. Resilience showed no association. These are links, not proof that changing them improves outcomes.
• RNSurvey2021Dignity and its related factors among older adults in long-term care facilities: A cross-sectional study.International journal of nursing sciencesDignity was reported as most affected by physical and autonomy factors among older adults in Chinese long-term care facilities. It was associated with daily living ability, medications, chronic diseases, economic status, and previous rural residence.
• PTOTRNQualitative2021Perceived predictors of quality of life in patients with end-stage renal disease on dialysis.CurationisPatients with end-stage renal disease on dialysis linked quality of life to family support, finances, changed social roles, physical health, comorbidities, sleep, travel distance and scarce renal services. These are perceived themes, not effects proven by treatment.
• RNOther2021Characteristics of Asian-American Breast Cancer Survivors Retained in a 3-Month Technology-Based Intervention.Cancer nursing79.4% of 155 Asian American breast cancer survivors remained in a 3-month online support program. Stage I disease, Chinese ethnicity, older age at immigration, low loneliness and perceived barriers were linked to retention.
• RNCohort2021Absence of COVID-19 Disease Among Chronically Ventilated Nursing Home Patients.Journal of the American Medical Directors AssociationDuring a nursing home outbreak, one ventilated patient had a mild positive test, but no ventilated deaths were judged COVID-19 related, while staff and nonventilated residents were infected.
• RNCohort2021Pepsin A in Tracheal Secretions From Patients Receiving Mechanical Ventilation.American journal of critical care : an official publication, American Association of Critical-Care NursesAfter accounting for illness severity, pepsin A in tracheal secretions did not show a clear association with ventilator-associated conditions or death. Pepsin-positive patients had longer ventilation and ICU stay, but this observational study cannot prove microaspiration caused them.
• OTRNSurvey2021Relationships of leisure social support and flow with loneliness among nursing home residents during the COVID-19 pandemic: An age-based moderating model.Geriatric nursing (New York, N.Y.)Nursing home residents with more leisure social support and more flow reported less loneliness. Flow was linked to lower loneliness at younger ages, but not at older ages.
• RNOther2021Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses.CurationisA nurse-led guideline recommends partnering with mothers, coordinating ward routines, reducing noise and light, and screening sleep for hospitalised children. It was adapted from adult intensive care recommendations and has not been tested in children.
• RNQualitative2021Community-based flood disaster management for older adults in southern of Thailand: A qualitative study.International journal of nursing sciencesOlder adults and community members described flood plans built around mapping vulnerable households, warning via leaders and volunteers, shelters with beds and toilets, medication and mental health screening, and post-flood home visits and house repair.
• RNOther2021Self-care: A concept analysis.International journal of nursing sciencesSelf-care is defined by awareness, self-control, and self-reliance. Nurses can use these attributes to assess whether a patient can manage a wound, medication or chronic disease, and to target education and resources.
• RNOther2021Characterizing shared and distinct symptom clusters in common chronic conditions through natural language processing of nursing notes.Research in nursing & healthPain was the most documented symptom in nursing notes, and cancer notes recorded fatigue at least two times more often than other chronic conditions. A cognitive and neurological symptom cluster also appeared in patients with heart failure, T2DM, or cancer.
• RNOther2021Role of the nurses in partnering with mothers to give oral medication to their hospitalised child: Modification and development of a contextualised evidence-based practice guideline.CurationisA new guideline standardises how nurses in South Africa can safely delegate oral medication administration to mothers. It replaces informal ward practices with a structured process for assessing maternal competence, obtaining consent, and maintaining nurse supervision.
• RNCohort2021Risk factors for prolonged intensive care unit stays in patients after cardiac surgery with cardiopulmonary bypass: A retrospective observational study.International journal of nursing sciences137 of 395 patients stayed longer than 72 hours after heart surgery with bypass. Oxygenation index within 6 hours, arrhythmias, prolonged mechanical ventilation, and non-invasive assisted ventilation were linked to longer ICU stays.
• RNQualitative2021Self-monitoring of blood pressure for preeclampsia patients: Knowledge and attitudes.CurationisPreeclampsia patients wanted home blood pressure checks, but many had received little teaching and feared using machines wrongly. Cost, low confidence and unfamiliarity were practical barriers in this small study.
• RNSurvey2022Factors associated with media use for parenting information: A cross-sectional study among parents of children aged 0-8 years.Nursing openAmong 658 parents of children aged 0 to 8, 77.4% used media for parenting information. More questions, younger parents, younger children, and tips from personal contacts were linked with use.
• RNSurvey2022Mental health nursing practice in rural and remote Canada: Insights from a national survey.International journal of mental health nursingIn rural Canada, most nurses providing mental health care are generalists, not specialists. They reported moderate resources but high safety concerns, with over half experiencing or witnessing violence in the previous four weeks.
• RNPilot2022Camera-assisted nursing observation of restless patients in an acute care setting, a multi-method feasibility study.Nursing openIn an acute ward, nurses used phone-connected cameras to watch restless patients and generally accepted them as supplemental observation, while relatives generally reacted positively. The study did not show the cameras reduced falls or adverse events.
• RNQualitative2022Family caregivers' advocacy in voluntary stopping of eating and drinking: A holistic multiple case study.Nursing openFamily caregivers accompanying voluntary stopping of eating and drinking often became advocates when healthcare professionals refused support or pressured the dying person to eat and drink. They monitored care almost around the clock, defended the person's will, and were often exhausted.
• RNRCT2022User preferences for and engagement with text messages to support antihypertensive medication adherence: Findings from a pilot study evaluating an emergency department-based behavioral intervention.Patient education and counselingMost hypertensive emergency department patients chose daily reminders and informational texts, rated them helpful, and many wanted to share adherence with their doctor, but response was modest and declined over 45 days.
• RNRCT2022Mothers' Perspectives on Co-Parenting with African American Non-Resident Fathers.Issues in mental health nursingTwelve mothers said they felt motherhood was constant, wanted fathers to be present, and saw respectful communication as key to co-parenting. They wanted mediation or counseling. These are experiences, not tested outcomes.
• RNSurvey2022Status and factors related to post-traumatic growth in continuous ambulatory peritoneal dialysis: A multi-centre study.Nursing openAverage post-traumatic growth score was 57.36 out of 100. Higher stress scores were weakly linked to higher growth scores, but burden was not linked to overall growth.
• RNQualitative2022Barriers to cancer pain management from the perspective of patients: A qualitative study.Nursing openPatients with cancer described barriers to pain relief: seeing pain as God's will, fearing opioid addiction or side effects, lacking home pain methods, and feeling staff dismissed pain or withheld analgesics.
• RNQualitative2022Experiences of current vital signs monitoring practices and views of wearable monitoring: A qualitative study in patients and nurses.Journal of advanced nursingNurses used vital signs to justify escalation, but doubted automated readings and often checked pulse, blood pressure and respiration manually. Continuous monitoring was seen to help safety, but also to reduce contact and mobility. Wearable monitoring was welcomed if it did not add alarms.
• RNOther2022Remote Advance Care Planning in the Emergency Department During COVID-19 Disaster: Program Development and Initial Evaluation.Journal of emergency nursingRemote nurses held goals-of-care calls with families of 64 emergency patients during visitation restrictions. DNR, DNI, and MOLST were discussed, yet 48% remained Full Code and 80% were admitted to hospital.
• RNCohort2022Symptom Prevalence and Place of Death Preference in Advanced Cancer Patients: Factors Associated With the Achievement of Home Death.The American journal of hospice & palliative careIn advanced cancer patients, a high symptom burden did not prevent most from dying where they preferred. Older age was linked to choosing and achieving home death, while nausea, vomiting, and constipation were associated with hospital death.
• RNRCT2021Exploring Social and Demographic Factors as Determinants of Intestinal Inflammation in Very Low Birth-Weight Infants.Advances in neonatal care : official journal of the National Association of Neonatal NursesAfrican American infants had higher adjusted stool calprotectin levels than non-African American infants, and infants with private insurance had higher adjusted levels than infants with Medicaid; S100A12 showed no differences.
• RNRCT2021Maintenance phase of a physical activity intervention in older kidney transplant recipients: A 12-month follow-up.Geriatric nursing (New York, N.Y.)In older kidney transplant recipients, adding step goals and tracker feedback to a Fitbit raised tracker-wearing adherence to 96.5% versus 80.8% and step change by 1041 steps/day versus Fitbit plus education; blood pressure, heart rate and waist size did not differ between groups.
• RNSurvey2021Involvement, worries and loneliness of family caregivers of people with dementia during the COVID-19 visitor ban in long-term care facilities.Geriatric nursing (New York, N.Y.)Caregivers who visited at least weekly worried more during the ban, but daily visitors with weekly or more contact worried less than low visitors with low contact. Loneliness did not follow visits; resilience was linked to less loneliness only with both social and task-related activities.
• RNSystematic Review2021Systematic Review of Cognitive Impairment in Colorectal Cancer Survivors Who Received Chemotherapy.Oncology nursing forumAfter chemotherapy started, reported cognitive impairment ranged from 13.3% to 57% at different time points. Objective tests did not show change, while patient-reported concerns were mixed. Ask about memory and concentration.
• RNOtherRacial Disparities in Stillbirth Risk Factors among non-Hispanic Black Women and non-Hispanic White Women in the United States.MCN. The American journal of maternal child nursingWomen who experienced stillbirth: non-Hispanic Black women had higher prepregnancy BMI, lower Bachelor’s degree rates, and earlier gestational age than non-Hispanic White women; several other risk factors did not differ.
• RNOther2022Family Sex Communication Among Arab American Young Adults: A Mixed-Methods Study.Journal of family nursingFamily sex communication was not linked to Arab American young adults' sexual attitudes, but it was rare and gendered: 61% reported some/a little, and 10 of 15 topics were never discussed by over half.
• RNOther2022Mobile web-based self-management program for breast cancer patients with chemotherapy-induced amenorrhoea: A quasi-experimental study.Nursing openBreast cancer patients with chemotherapy-induced amenorrhoea using a 12-week mobile web-based self-management program reported fewer menopausal symptoms, more confidence in managing their health, and better quality of life at 6 months than a control group in a non-randomised study.
• RNSurvey2022Self-Care of African Immigrant Adults with Chronic Illness.Clinical nursing researchAcculturation was not linked to self-care behaviors in African immigrants with chronic illness. Self-care self-efficacy and perceived income adequacy were significant determinants. Patients with low confidence in managing their health or insufficient income reported poorer self-care, particularly in managing symptoms.
• RNQualitative2022What Matters Most to Older Chinese Adults.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyOlder Chinese adults in Canada described daily life as needing language access, culturally familiar routines, trusted relationships, and learning about services. Small interviews do not show what care works, but highlight what they value.
• RNSystematic Review2022A systematic search and review of the discrimination in health care measure, and its adaptations.Patient education and counselingA seven-item patient-reported measure of discrimination in health care was used in 22 mostly cross-sectional studies, mostly for race or ethnicity. Across studies, patients who reported discrimination also reported poor communication, access problems, lower satisfaction, and adherence issues.
• RNOther2022Lower serum selenium concentration associated with anxiety in children.Journal of pediatric nursingLower blood selenium was associated with higher anxiety scores and meeting cutoffs for several anxiety disorders in Chinese children. The study cannot show selenium causes anxiety or that supplementation helps.
• RNCohort2022Characteristics and Outcomes of US Patients Hospitalized With COVID-19.American journal of critical care : an official publication, American Association of Critical-Care NursesHospital mortality was 17.7% among 1480 US adults hospitalized with symptomatic COVID-19, and many survivors left with new respiratory support or health care services.
• OTRNQualitative2022Experiences of Family Caregivers of People with Dementia during the COVID-19 Pandemic.Western journal of nursing researchFamily caregivers of people with dementia described stress, isolation and relatives' anxiety, anger and agitation as hard to manage. They used routine, humor, distraction and reorientation at home, but many still found agitation difficult.
• RNCohort2021Biomarkers and Cognitive Function in Children and Adolescents During Maintenance Therapy for Leukemia.Oncology nursing forumIn children finishing leukemia maintenance therapy, higher spinal-fluid oxidative-stress marker levels were linked to lower attention/inhibitory-control scores. Parent-reported thinking improved, but objective tests were only done at the end in a small sample.
• RNSystematic Review2021Reusing and/or reprocessing the N95 face respirator mask or equivalent: An integrative review.Revista latino-americana de enfermagemThe review found no evidence that face respirator masks can be safely reprocessed. Chemical methods damage filtration, and reuse is contraindicated, though shortages push institutions to reuse masks anyway.
• RNCohort2021Factors Influencing CAM-ICU Documentation and Inappropriate "Unable to Assess" Responses.American journal of critical care : an official publication, American Association of Critical-Care NursesNurses documented 66% of CAM-ICU delirium checks in a medical ICU. Among alert or lightly sedated patients, 16% were recorded as unable to assess. Intubation, sedation, older age, non-White race, night shift, and ICU side were linked to incomplete assessment.
• RNQualitative2021Experiences of long-term care and supportive living residents and families during the COVID-19 pandemic: "It's a lot different for us than it is for the average Joe".Geriatric nursing (New York, N.Y.)Long-term care residents and families described loneliness, sadness and frustration during pandemic restrictions. Communication gaps made residents ask staff or nurses for updates, while families wanted regular calls about their loved one.
• OTRNCohort2021Race, Ethnicity, and 60-Day Outcomes After Hospitalization With COVID-19.Journal of the American Medical Directors AssociationAfter COVID-19 hospital discharge, nonwhite patients accounted for most readmissions, while white patients had the highest death percentage, often after palliative discharge. Black patients had the longest work-return delays, and nonwhite patients reported worse financial strain.
• RNQualitative2021Dating violence among adolescents from a region of high social vulnerability.Revista latino-americana de enfermagemAdolescents in a high-vulnerability school in Brazil described dating control, jealousy, and monitoring as normal relationship signs. They did not name these behaviours as violence, while traditional gender rules shaped how boys and girls judged each other.
• RNOtherFinancial Toxicity in Adolescents and Young Adults With Cancer: A Concept Analysis.Cancer nursingFor oncology nurses, financial toxicity in adolescents and young adults with cancer means bills, lost income, distress and competing life-stage pressures. It may lead to skipped appointments, medication nonadherence, debt and poorer quality of life. This work does not test an intervention.
• RNNarrative ReviewWhole Blood for Resuscitation of Traumatic Hemorrhagic Shock in Adults.Advanced emergency nursing journalReview evidence does not show whole blood lowers mortality compared with separate blood components in adult traumatic hemorrhagic shock. It may simplify transfusion logistics and reduce later blood product use, but randomized trials are needed.
• RNMeta-Analysis2022The evidence base of nurse-led family interventions for improving family outcomes in adult critical care settings: A mixed method systematic review.International journal of nursing studiesNurse-led ICU family interventions sometimes improved satisfaction, communication and decision-making, but benefits were modest and several studies showed no improvement. Evidence is mixed and not enough for strong conclusions.
• RNSurvey2022Predictors of low birth satisfaction among Iranian postpartum women: A cross-sectional study.Nursing openPostpartum women in Iran reported lower birth satisfaction when they had severe fear of childbirth, emergency caesarean, long interval from admission to delivery, first birth, low well-being, or low satisfaction with pregnancy or spouse support.