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Community & primary care research

Everything we have read on community & primary care. Each paper is summarised from the full article rather than its abstract, so the limitations are in there too, and the funding wherever the paper declares it.

927 PAPERS · PAGE 12 OF 19 · NEWEST FIRST

• RNOther2025Targeted Digital Health Intervention in End-of-Life and Hospice Care: A Scoping Review.Journal of advanced nursingAcross 38 studies, end-of-life and hospice digital health research mostly mapped prediction models, mHealth, telehealth and records systems. It did not test whether care improves. Most lacked control groups and no acceptability, cost or equity outcomes were measured.
• PTOTSLPRNQualitative2026Perspectives and Requirements of Patients with Prostate Cancer on Mobile Health Interventions During Androgen Deprivation Therapy: A Descriptive Qualitative Study.Journal of clinical nursingMost prostate cancer patients on hormone therapy use smartphones daily, but only half want mHealth for their care. They need simple, passive monitoring and trusted medical advice, while rejecting mindfulness and peer groups due to stigma and independence.
• RNOther2026Race and Ethnicity, Neighborhood Social Deprivation and Medicare Home Health Agency Quality for Persons Living With Serious Illness.The American journal of hospice & palliative careSeriously ill older adults in the US were less likely to receive home health care from high-quality agencies if they were Black, had Medicaid, or lived in more socially deprived neighborhoods. The gap by race did not depend on neighborhood deprivation.
• RNSurvey2025Development and Validation of the Family and Community Nursing Advanced Practice Scale.Journal of clinical nursingA new scale identifies five core areas of advanced practice for family and community nurses: clinical care, leading practice, clinical reasoning, health promotion, and ethics. The research domain was largely absent from the final tool, suggesting a gap in advanced research engagement.
• RNCohort2025Assessing the Impact of an Integrated Community Care Program on Unplanned Hospital and Emergency Department Representations: Interrupted Time Series Analysis.Journal of advanced nursingAfter PAC, RIR and HARP were merged into one Community Care program, readmission and ED-only re-presentation trends did not change significantly at 30, 60 or 90 days. Enrolments rose, but the readmission and ED outcomes were null.
• RNOther2025A Mixed Methods Evaluation of a Nurse-Led Domestic and Family Violence Service.Journal of advanced nursing233 women in a nurse-led domestic violence service were contacted quickly and assessed for injuries, including strangulation. Staff said outreach and coordination helped them reach health care. This was a service evaluation, not a tested intervention.
• RNSurvey2026Antibiotic Usage Patterns of Community-Dwelling Adults in Thailand: A Cross-Sectional Study.Journal of advanced nursingPatients' antibiotic use behaviour was good on average, but 54.5% had inadequate medicine literacy and 13.3% thought antibiotics could stop once symptoms improved. Patient literacy, awareness, care process, nurse experience and diarrhoea prescribing were linked to behaviour.
• RNCohort2026The Development of a Model to Predict Cognitive Decline Within 12 Months in Home Care Clients.Journal of clinical nursingA model using routine home-care assessments flagged clients without a dementia diagnosis who were likely to decline cognitively within 12 months. It was moderately accurate, so it can prompt further review rather than diagnose decline.
• RNQualitative2025Factors and Strategies Influencing Integrated Self-Management Support for People With Chronic Diseases and Common Mental Disorders: A Qualitative Study of Canadian Primary Care Nurses' Experience.Journal of advanced nursingNurses managing both physical and mental health conditions in primary care reported feeling unprepared, with training focused on chronic disease and no clear protocols for mental health. They described referring patients away rather than supporting them, citing workload and unclear roles as barriers.
• OTRNPilot2025A Multi-Method Study to Develop and Pilot Test an Interprofessional Transitional Care Model for Frail Older Adults - AdvantAGE.Journal of advanced nursingAn interprofessional transitional care model, with nurse-led home visits, was piloted in 62 frail older adults; 14 were readmitted. It refined the model but did not test whether it reduces readmissions.
• RNCohort2026A 28-Day Ecological Momentary Assessment of Mental Health Among Psychiatric Outpatients With Suicidal Ideation.Journal of advanced nursingAverage 28-day suicidal ideation did not differ between high- and low-risk outpatients. Daily depression, anxiety and stress were associated with higher momentary suicidal ideation, especially depression, and high-risk showed flatter daily patterns.
• RNQualitative2025Parents' Experiences of Family-Centred Care in Home-Based Paediatric Care of Their Child With Life-Limiting Illness: A Qualitative Descriptive Study.Journal of advanced nursingParents valued home-based care for children with life-limiting illness but found it burdensome when services were not tailored. They wanted privacy, sibling support, inclusion in decisions and competent home care teams.
• RNQualitative2025Self-Care Behaviors of Patients With Heart Failure in Thailand: A qualitative descriptive study.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyThai patients with heart failure described fluid and salt limits as hard in hot weather, with family cooked foods, street meals, sugary drinks, and little weight monitoring. They wanted practical support after discharge, not more vague diet warnings.
• RNOther2026Resourceful Aging Among Migrants and Refugees: A Concept Analysis and Model Development for Holistic Nursing Care.Journal of holistic nursing : official journal of the American Holistic Nurses' AssociationConcept analysis defines resourceful aging for older migrants through adaptability, social connectedness, resilience, and resource navigation. Holistic nursing aligns with this by providing culturally competent, whole-person care that supports independence and cultural identity.
• RNOther2026Multi Perspective Considerations for Health Smart Home: Early Phase Exploratory Study.Journal of advanced nursingHome care nurses, support workers, older adults and families saw smart-home sensors as useful for spotting changes in daily routines, but worried about privacy, alerts and unclear roles.
• RNSystematic Review2025Nurse-Led Models of Service Delivery for Skin Cancer Detection: A Systematic Review.Journal of advanced nursingNurse-led skin cancer clinics provided assessment, treatment and education, and one nurse-led eyelid service achieved accuracy similar to physician-led care. Evidence was limited, so use local governance and clear role explanations.
• RNOther2025Community Supervision Engagement to Examine Health Outcomes: A Scoping Review.Public health nursing (Boston, Mass.)Only 11 studies were found for people on probation or parole, and the one randomized trial found no effect on probation violations. Collaboration and empathy were reported as factors that supported care access, while stigma, transport and medication gaps were reported as barriers.
• RNSystematic Review2026Clinical Guidelines for Virtual Health Assessment and Care: A Scoping Review.Journal of advanced nursingClinically focused guidelines for virtual health assessment remain sparse despite widespread telehealth use. Most existing resources prioritize technical logistics over patient care. Nurses and clinicians lack standardized frameworks for safe triage, physical examination, and follow-up in virtual settings.
• RNCohort2026Relationship Between Health Literacy, Health Protective Behaviour, Quality of Life and Social Health in Older Adults Living in the Community.Journal of clinical nursingOlder adults had an average social health score of 50.48 ± 8.98 on a scale from 5 to 125. Lower scores were linked to older age, higher health literacy, lower quality of life, living alone, living with children, higher education and poor health perception.
• OTRNSurvey2025Examining the Relationship Between Daily Activity Levels and Elder Abuse and Neglect: Bringing Light on Elder Abuse.Journal of advanced nursingDaily-activity dependence was not linked to elder abuse in 448 older adults in Turkey. Psychological abuse was most common, and family conflict or poor self-rated health were associated with higher abuse risk.
• RNCohort2025Nonlinear Relationship Between Vital Signs and Hospitalization/Emergency Department Visits Among Older Home Healthcare Patients and Critical Vital Sign Cutoff for Adverse Outcomes: Application of Generalized Additive Model.Clinical nursing researchAmong older home healthcare patients, hospitalization or ED visits were linked to a U-shaped risk pattern. Heart rate above 83.24 was linked to a sharp rise in modeled risk; critical points were 120.36 for systolic and 72.00 for diastolic pressure.
• RNSurvey2026Care Needs of Community-Dwelling Older Adults Living in Poverty and Their Relationship With Other Biopsychosocial Variables: A Cross-Sectional Study.Journal of advanced nursingHalf of older adults living in poverty had unmet needs for money and food budgets. Lower independence, higher loneliness, and poorer quality of life were linked to fewer met care needs. Assessing these social and functional factors is essential for this population.
• RNSystematic Review2026Self-Care Activities of Community-Residing Adults With Indwelling Urinary Catheters: A Scoping Review.Journal of advanced nursingCommunity adults with long-term indwelling urinary catheters do most daily catheter care themselves, but little patient-facing guidance covers what to do when complications arise. Nurses should teach monitoring and when to call for help.
• RNSystematic Review2026The Role of School Nurses in Promoting Positive Sexual Health Education: A Scoping Review.The Journal of school nursing : the official publication of the National Association of School NursesSchool nurses were described as able to broaden sexual health teaching beyond disease prevention, but this scoping review found no standard curriculum and little direct evidence of their effectiveness.
• RNOther2026Indigenous Peoples' Experiences in Palliative and End-of-Life Care in Canada: A Scoping Review.Journal of advanced nursingIndigenous people in Canada described barriers to palliative and end-of-life care, including delays, less home support, culturally unsafe practices, and isolation when transferred for care. Many preferred dying at home with family and cultural practices.
• RNOther2026Pain Assessment and Management Among Nursing Home Residents Living With Dementia.Pain management nursing : official journal of the American Society of Pain Management NursesIn nursing home residents with dementia, 74% had pain assessed with the wrong tool, and only three assessments used an observation tool appropriately. Pain was rarely recorded, but that may reflect poor assessment rather than good control.
• RNSurvey2026Mediating Effects of Family and Clinical Characteristics on the Quality of Life of Children With Spina Bifida and Their Parents.Journal of advanced nursingIn 141 spina bifida parent-child pairs, higher parenting stress tracked with lower quality of life for both. Family resilience was part of this link. Transition readiness was not part of the link overall, but may matter when children had incontinence, catheter or mobility needs.
• RNCohort2026The Role of Nursing Diagnoses in Enhancing Prognostic Accuracy in Home-Based Cancer Care: Insights From a Retrospective Cohort Study.Journal of clinical nursingIn home-based cancer care, nurses' documented diagnoses of poor nutrition and death anxiety, plus a high palliative prognostic score and terminal illness, were associated with death. They may help flag patients needing earlier comfort-focused palliative care.
• RNRCT2026How does addressing diabetes distress lead to positive glycemic change? Results from the EMBARK trial.Patient education and counselingAdults with type 1 diabetes and high distress who joined group programs had lower distress and lower HbA1c after 12 months. Programs that included emotional validation improved distress and problem solving more than education alone. Lower HbA1c was linked with more low glucose episodes.
• RNQualitative2026The Family Caregiver Role From the Perspective of Older Women Experiencing Poverty in a High-Income Country: A Qualitative Study.Journal of advanced nursingOlder women caring for relatives in poverty relied mainly on daughters, granddaughters and neighbours, not formal services. They described skipping food, losing dignity, and seeing care as a woman's duty, while feeling unsupported by health and social services.
• PTOTRNMeta-Analysis2026Effects of Psychosocial Interventions on Loneliness Amongst Long-Term Care Residents: A Systematic Review and Meta-Analysis.Journal of advanced nursingFace-to-face group activities lasting under eight weeks cut loneliness in long-term care residents. Lifestyle activities like laughter, gardening and exercise worked better than psychological therapies. Virtual visits with family showed no benefit.
• RNSystematic Review2025How Do Spouses Experience Living Alone After Their Partner With Dementia Moves Into a Care Home?Journal of clinical nursingSpouses left at home after a partner with dementia enters a care home often describe loss, guilt and grief. Visiting can feel like duty, surveillance or relieving loneliness. Some report practical relief, yet many feel unable to move on.
• RNQualitative2025Attitudes towards different weight loss approaches among adults with type 2 diabetes and obesity.Patient education and counselingAdults with type 2 diabetes and obesity preferred lifestyle changes first, then medication, and saw surgery as last resort. In 30 interviews, they wanted clinicians to avoid labels, personalize weight talk, and compare risks, benefits, and costs.
• RNMeta-Analysis2026Examining the Impact of Telehealth Stoma Care Interventions on the Ostomates: A Systematic Review and Meta-Analysis.Journal of clinical nursingTelehealth stoma care, delivered by nurses in most included studies, improved stoma adjustment and self-efficacy versus usual care, but did not show a reduction in anxiety and had inconsistent quality-of-life effects.
• RNQualitative2026Caregiver experiences of children living with a diagnosed neurological disability and using medical cannabis.Journal of child health care : for professionals working with children in the hospital and communityCaregivers of 12 children using medical cannabis described little physician guidance, caregiver-led trial-and-error dosing, and relief when they reported symptoms improved. Two families saw no benefit. These are experiences, not proof cannabis works.
• RNQualitative2025A Qualitative Study Exploring the Experience of Double-Duty Nurse Caregivers.Western journal of nursing researchNurses who also care for family members described being unable to stop 'being a nurse,' leading to burnout and financial strain. They valued the insider knowledge for advocacy but needed peer support groups and flexible workplaces to manage the dual role.
• RNSystematic Review2026The Use of Triage in Primary Care in the UK: An Integrative Review and Narrative Synthesis.Journal of advanced nursingNurse-led telephone triage in UK primary care shifted work from GPs to nurses, but some studies increased total contacts and showed mis-triage, low compliance and access inequities.
• RNQualitative2026A Qualitative Study Exploring Nursing Scope of Practice for the Care of People Experiencing Homelessness.Journal of advanced nursingPeople experiencing homelessness and nurses said care should be non-judgemental, flexible and culturally safe, with nurses able to assess physical and mental health, manage wounds and medications, and navigate services. These are perceptions, not tested effects.
• RNRCT2025The Role of Social Support on Self-Management of Gestational Diabetes Mellitus: A Qualitative Analysis.Journal of midwifery & women's healthPregnant and postpartum patients with gestational diabetes said family, friends, and support groups helped with appointments, food, glucose checks, and motivation. Some support also caused stress through stigma, limited knowledge, or overly controlling reminders.
• RNSystematic Review2025Self-management interventions to improve health outcomes in youth living with congenital heart disease: a systematic review and narrative synthesis.European journal of cardiovascular nursingTransition support programmes for young people with congenital heart disease did not show better hospitalization or reintervention results, but some improved self-management, transition readiness, and self-efficacy.
• RNSystematic Review2025What Is Known About Family-Inclusive Inpatient Care From Patient and Family Perspectives? An Integrative Review.Journal of advanced nursingPatients and families described culturally safe care, relationship building, and clear information as helping them feel included. Culturally unsafe care, unwelcoming environments, inconsistent rules, and poor communication made them feel excluded. These are experiences, not proof any intervention works.
• RNQualitative2025Nurturing Connection: The Emotional and Existential Dimensions of the Relationship Between Older Women and Registered Nurses in Aged Care.Scandinavian journal of caring sciencesOlder women and home-care nurses described their relationship as more than task delivery. Women valued nurses who noticed their home, shared life beyond care, and stayed consistent; nurses felt time and turnover made this hard.
• RNCohort2025Effects of Sociospatial Inequality on Exposure to Stress, Symptoms of Depression, and Cortisol Rhythms in Pregnancy.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNCortisol slope and total output were not linked to sociospatial inequality. Pregnant women in concentrated privilege areas had fewer lifetime stress exposures, and elevated depression symptoms were more likely in concentrated deprivation. Income extremes showed larger cortisol rhythm fluctuations.
• RNCohort2025A Multi-Outcome Prognostic Model for Community-Dwelling Older Adults Admitted to Skilled Nursing Facilities for Post-Acute Care.Journal of the American Medical Directors AssociationA model using age, diagnoses, hospital stay and comorbidities estimated death within 6 months and successful return to the community after skilled nursing. It can guide goals-of-care and discharge planning, but was not tested outside Medicare data.
• PTRNCohort2025Family Caregiver Availability and Capacity Associated With Home Health Service Types for Patients With Dementia.Journal of the American Medical Directors AssociationFor home health patients with dementia, clinician-reported lack of caregiver capacity for functional tasks was linked to receiving physical therapy; lack of caregiver availability for medical tasks was linked to receiving skilled nursing.
• RNSystematic Review2025A systematic review of psychosocial screening tools for identification of postpartum mental health status beyond depressive symptoms.MidwiferyPostpartum screening beyond depression, especially anxiety and PTSD tools, can find cases missed by depression screening alone. But most studies did not show that screening led to more treatment or better symptoms, so referral pathways must be ready.
• RNOther2025Creating a Community of Safety in Black Maternal Health Research.Nursing researchBlack community members guiding a maternal health study said being listened to, shaping consent language, and helping create plain-language reports for participants made research feel safer. This describes a partnership process, not tested patient care.
• PTOTRNOther2026A Realist Evaluation of the Implementation and Use of Patient-Reported Outcomes in Four Value-Based Healthcare Programmes.Journal of advanced nursingHeart Failure nurses used PROMs to triage and plan resources, but patients did not self-manage or share decisions. In Epilepsy, mood scores identified problems without services to act on them.
• RNRCT2025Mental Health Stressors of the COVID-19 Pandemic Negatively Affect Self-Management of Comorbid Cardiovascular Disease Among Persons Living With HIV in the United States: A Qualitative Study.The Journal of the Association of Nurses in AIDS Care : JANACIn 24 adults living with HIV, hypertension and high cholesterol, worry and isolation were common, 14 reported worse mood, and distress was tied to poorer diet, activity and weight, but nearly all kept taking HIV and cardiovascular medicines.
• RNQualitative2026Co-Producing Evidence-Based Care: Nurses' and Patients' Lived Experiences in Long-Term Condition Management.Journal of advanced nursingNurses and patients in long-term condition care described co-producing care as relational work. Trust, time, and respect for lived experience mattered, while short appointments and target chasing made shared decisions harder.