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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.

402 PAPERS · PAGE 2 OF 9 · NEWEST FIRST

• 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.
• RNOther2025From Conversation to Standardized Terminology: An LLM-RAG Approach for Automated Health Problem Identification in Home Healthcare.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingAn automated system classified standard home-care health problems from nurse-patient conversations and matched expert labels better when it was given examples and step-by-step prompts. It was not tested for patient outcomes or real workflow use.
• RNCohort2025Sustainability of a Nurse-Led End of Life (PEACH) Community Model of Care.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationMost people receiving a nurse-led home palliative package, alongside usual GP, community nurse and specialist palliative care services, died at home: 436 of 598 and 395 of 482 in two service periods. Carers reported high satisfaction, especially pain relief.
• RNSystematic Review2025Safeguarding Experiences of People in Mental Distress, Police and Healthcare Practitioners: An Integrative Review.Journal of psychiatric and mental health nursingPeople in mental distress often felt unheard, dismissed or unsafe in police and emergency care. Stigma, delays caused by intoxication and poor transfer of care were recurring problems.
• RNSystematic Review2025Interventions for Caregivers Caring for a Family Member With Advanced Illness at Home: A Systematic Review.Nursing & health sciencesHome-based support for caregivers of relatives with advanced illness showed mixed short-term benefits. Interventions improved preparedness and reduced burden in some studies, but effects on depression, anxiety, and quality of life were inconsistent or faded over time.
• RNQualitative2025Barriers and Equity in Paid Parental Leave: Insights from Diverse Postpartum Experiences in Connecticut.Journal of midwifery & women's healthPostpartum women said paid leave helped recovery but 12 weeks felt short, benefits were hard to find, and workplace stigma pressured early return. Nurses can discuss leave eligibility and help with applications during prenatal and postpartum care.
• RNOther2026The Role of Advance Care Planning on Community Dwelling Adults' Coping Abilities and Death Attitudes: A Sequential Mixed-Methods Study.Journal of clinical nursingCommunity-dwelling adults who had completed advance care planning had similar attitudes about death to those who had not. They reported better coping with death, describing relief that family knew their wishes, though some still feared death.
• RNPilot2025E-Cigarette Use Prevention Among Youth.International journal of addiction nursingA nurse-led presentation increased e-cigarette knowledge in 24 adults who work with youth, but it did not test whether this changed youth vaping. Adults most commonly missed that e-cigarettes produce aerosol, not vapor, and that one pod holds nicotine equal to two packs of cigarettes.
• RNCohort2025Social Connectedness and Successful Nursing Home Discharge After Heart Failure Hospitalization.Journal of the American Medical Directors AssociationIn veterans after heart failure hospitalization who entered skilled nursing care, staff-rated high social connectedness was linked to successful community discharge within 90 days. It was an association, not proof that boosting connection causes better discharge.
• RNCohort2025Racial and Rural Disparities in Stroke Discharge Disposition Stratified by 90-Day Survival Status.Journal of the American Medical Directors AssociationBlack, Hispanic, and other-race stroke patients who died during hospitalization or within 90 days after discharge were less likely than non-Hispanic White patients to be discharged to hospice or other care. Among longer survivors, no clear race or rurality differences appeared.
• RNQualitative2025A Family Camp for Families Where a Parent Experiences Mental Health Challenges: A Qualitative Evaluation.International journal of mental health nursingParents and children said a weekend Family Camp combining family activities, peer connection, creative play and nature gave them time to connect and talk about mental health, but parents found it emotionally exhausting. This reports experiences, not measured effects.
• RNSurvey2024Comparative Study of Diabetes Knowledge, Attitudes, Family Support, Self-efficacy, and Self-management Behaviors Between Cancer Survivors With Diabetes and Diabetes Patients Without Cancer.Cancer nursingCancer survivors with diabetes reported less diabetes knowledge, less family support, and lower uptake of eye and HbA1c tests than patients without cancer. Self-efficacy did not differ significantly.
• RNOther2026Research Priorities for Nursing and Allied Health: A Priority-Setting Project Using a Partnership Approach.Journal of advanced nursingPatients, carers and clinicians in two Australian hospitals prioritised access, patient journey, streamlining care, dementia and delirium, mental health, older adults, carers, Aboriginal and Torres Strait Islander Peoples and workforce. These are nursing and allied health research priorities, not tested care changes.
• RNSystematic Review2026Community-Based Initiatives to Improve Maternal and Newborn Health in High-Income Settings: A Mixed-Methods Systematic Review.Journal of midwifery & women's healthPeer support in high-income countries consistently improves maternal mental health and breastfeeding rates, with 9 of 10 studies showing benefit. Social support alone is often ineffective, but gains value when combined with health education. Women valued connectedness and practical information.
• PTRNOther2025Assessment of Fall Risk in Community-Dwelling Older Adults Using the Stopping Elderly Accidents, Deaths, and Injuries Algorithm.Nursing openSTEADI screening found 59.6% of community older adults at fall risk, versus 39.5% by questionnaire alone. Physical tests added mobility, balance, and strength concerns. Participants set goals for safety and exercise.
• RNNarrative Review2025The Relevance of Sustainability and the Climate Crisis to the Nursing Profession and Nursing Education: A Literature Review.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingNursing curricula and professional roles currently lack sufficient integration of climate change and sustainability topics. Nurses often have variable knowledge and do not fully understand their potential role in addressing these health impacts, highlighting a gap in education and practice.
• RNOther2025Characterizing symptom clusters for older adults with urinary incontinence in home healthcare.Geriatric nursing (New York, N.Y.)Most home healthcare episodes for older adults with urinary incontinence had no tracked symptoms documented. When symptoms appeared, anxiety, dizziness, constipation, and a complex all-symptom cluster emerged; dizziness-anxiety was tied to a history of two or more falls.
• RNSurvey2025Adherence to a Heart-Healthy Lifestyle: Testing of the Information-Motivation-Behavioral Skills Model.The Journal of cardiovascular nursingHeart-healthy motivation was associated with adherence to a heart-healthy lifestyle. Diet and exercise confidence also helped. Heart facts alone were not linked to adherence after motivation and confidence were considered, and were linked to lower exercise confidence.
• OTRNQualitative2026Structural Resilience Across the Life Course: Perspectives From Older Adults Racialized as Black.Journal of advanced nursingOlder adults racialized as Black described community and societal resources such as schools, healthcare, housing, and community groups as safeguarding, empowering, or restoring them across life. Financial support, home modifications, and hospice care were part of these accounts.
• RNSystematic Review2026Scoping Review of Sexual and Gender Minority Health Research in Ireland.Journal of advanced nursingIrish sexual and gender minority health research is narrow: most studies cover gay and bisexual men, adults, mental health and HIV. Nurses may see patients report stigma, hidden identities, misgendering and barriers to care.
• RNSurvey2026Perceptions of Trans and Gender Non-Conforming People on General Health Care in the Being LGBTQI+ in Ireland Study.Journal of advanced nursingTrans and gender non-conforming patients in Ireland reported significantly poorer self-rated health and far more negative interactions with clinicians than cisgender peers, including misgendering and invasive questioning. Many avoided disclosing their identity or seeking care entirely due to fear of discrimination.
• OTRNOther2025Adverse Social Determinants of Health and Urinary Incontinence Among Older Adult Women in Home Health Care.Journal of the American Medical Directors AssociationOlder women in home health care with documented unsafe housing, financial strain, or food insecurity were more likely to have urinary incontinence. Ask about these social risks and consider continence evaluation and home modifications.
• RNCohort2025Real-world comparison of phone versus video consultation in a tobacco treatment program during the COVID-19 pandemic.Patient education and counselingPhone and video initial consultations in a cancer tobacco treatment program produced similar self-reported quit rates at 3, 6, and 9 months. Let patients choose the format.
• RNSystematic Review2026Implementation Outcomes and Their Determinants for Hospital-Led Care Coordination Interventions Targeting Patients With Complex Care Needs: A Qualitative Systematic Review.Journal of clinical nursingHospital care coordination for complex patients relied on clear roles, community knowledge, and relationships. Nurses or social workers often delivered it. Training gaps and weak transition planning were common limitations after discharge.
• RNCohort2026Stress and Health-Related Quality of Life in Adults With Type 1 Diabetes: The Mediating Role of Perceived Support and Treatment Adherence.Journal of clinical nursingHigh diabetes distress was most strongly linked to poorer quality of life in adults with type 1 diabetes. Perceived support was also linked to better quality of life and adherence. These are links, not proof of cause.
• RNQualitative2026Social Representations of Bedside Milk Expression Among Mothers of Preterm Newborns in Neonatal Intensive Care Units.Journal of advanced nursingMothers described bedside milk expression as bonding and protection, but cramped space, staff shortages, procedures and shame hindered it. They said proactive nursing support and clear information helped them feel capable and continue.