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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.

1,203 PAPERS · PAGE 22 OF 25 · NEWEST FIRST

• RNCohort2026Predictors for Home Discharge and Need for Medical Care at Home in Paediatric ICU Patients: A Single-Centre Retrospective Study.Nursing in critical carePostoperative admission and lower admission heart rate were linked to a higher chance of direct home discharge in 118 paediatric ICU patients; arrest before ICU and early ventilation were linked to a lower chance. Longer ICU stay was linked to needing medical care at home.
• RNSurvey2026Demographic factors and rural residence history associated with smoking history.Journal of the American Association of Nurse PractitionersSmoking history was more common in men, adults aged 31 to 50, and women who had lived in rural areas. Rural living was not linked to smoking history in men. Race was not linked to smoking history once other factors were considered.
• RNQualitative2026A model to assist psychiatric nurses in facilitating support of parents who are caring for an adolescent with a mental disorder.CurationisParents of adolescents admitted to a psychiatric unit described grief and anxiety and said services gave little guidance. Psychiatric nurses have an expert-evaluated three-phase model to structure support, but it was not tested.
• RNCohort2026Disparities in the Setting of Initial Dementia Diagnosis: Influence of Race, Ethnicity, and Primary Care Use.Journal of the American Medical Directors AssociationIn newly diagnosed dementia, Black Medicare beneficiaries were more likely than White beneficiaries to first receive diagnosis in hospital or nursing home. Recent primary care visits were associated with more community diagnoses and a smaller Black and White gap.
• RNSurvey2026Influencing factors and coping strategies of self-management ability in patients undergoing continuous ambulatory peritoneal dialysis.Revista da Escola de Enfermagem da U S PDialysis patients’ self-management scores were moderate. Older age, lower education, higher perceived burden, lower income, weaker support, and fewer education sessions were linked to lower scores.
• RNSurvey2026Latent Class-Specific Psychosocial and Behavioral Determinants of Preventive Behavioral Intentions for Emerging Infectious Diseases Among Korean Adults: A Mixture Regression Model Approach.Public health nursing (Boston, Mass.)Korean adults separated into subgroups with different factors linked to intention to prevent emerging infectious diseases. The larger subgroup linked to awareness, responsibility, mask habits and prior infection; the smaller subgroup to responsibility, confidence and vaccination, with prior infection linked to lower intention.
• RNOther2026Impact of a Volunteer-Delivered Spiritual Care Strategy on Preventing Post-Intensive Care Syndrome-Family in Relatives of Critically Ill ICU Patients: A Quasi-Experimental Study.Nursing in critical careTrained volunteers delivering three structured spiritual care sessions by video call were associated with lower PTSD symptoms in ICU family members at 3 months. Anxiety and depression showed no clear difference.
• RNSystematic Review2026Self-Management Experiences of Adolescents With Diabetes Mellitus After Participating in a Structured Diabetes Education Program: A Qualitative Systematic Review and Thematic Synthesis.The science of diabetes self-management and careAdolescents with type 1 diabetes described confidence in adjusting insulin and exercise, changed routines, and coping after structured education. Parents, peers, and clinic communication were described as shaping whether they continued self-management.
• RNSystematic Review2026Nursing interventions promoting parenting during child hospitalization: a scoping review.Revista brasileira de enfermagemNursing actions mapped for parents during child hospitalization include teaching care skills, validating emotions, encouraging skin-to-skin contact and parental presence, and linking families to community resources. The review did not test whether these actions improve outcomes.
• RNOther2026Development and Validation of Self-Management Infographics for Patients With Type 2 Diabetes Mellitus in Rural Kenya.Public health nursing (Boston, Mass.)Rural Kenyan patients and healthcare workers helped simplify diabetes self-management infographics until 28 images were judged comprehensible. Local language text, familiar images, side-by-side comparisons, and pointer position mattered more than red-green color coding.
• RNQualitative2026The Work of Faith Care: An Interpretive Phenomenological Analysis on the Role of Spirituality and Religion in Diabetes Self-Management Among Black Older Adults in the Greater Toronto Area.The science of diabetes self-management and careBlack older adults with prediabetes or type 2 diabetes described faith, prayer, worship music, and family-centered spiritual practices as helping them manage stress and carry out daily diabetes care.
• RNOther2026Exploring the Quality of TikTok-Based Diabetes Self-Management Education in English and Spanish: A Digital Health Study.The science of diabetes self-management and careMost popular type 2 diabetes TikTok videos in English and Spanish were low quality and covered few self-management topics. Healthy eating dominated; coping was rare, especially in English. Professional creators scored higher than personal or company videos.
• RNRCT2026Comparing the Effects of Diabetes-Specific and Overall Medication Regimen Complexity on Diabetes Distress.The science of diabetes self-management and careIn adults with poorly controlled type 2 diabetes, diabetes-specific and overall medication complexity were not associated with overall diabetes distress. A secondary subscale finding linked high overall complexity to lower regimen-related distress, but this does not prove more medications reduce distress.
• RNQualitative2026Perceptions of dolutegravir-based regimen use among people living with HIV in Limpopo province: A qualitative study.CurationisPeople living with HIV in Limpopo mostly accepted the tenofovir, lamivudine and dolutegravir regimen because they found it tolerable and reported more strength, energy, appetite. Many did not know it was their new regimen. Missed doses were linked to alcohol or work, not side effects.
• RNCohort2026The Association Between Home-Visit Nursing Use and the Incidence of Potentially Avoidable Hospitalisation and Its Duration Among Community-Dwelling Older People: A 12-Month Prospective Cohort Study.International journal of older people nursingAfter accounting for differences, home-visit nursing use was associated with lower chance of hospital stays that might have been avoided with home care. It was not associated with fewer hospital days.
• RNOther2026Adaptation and Validation of the Indonesian Version of the Problem Areas in Diabetes Scale Among People With Type 2 Diabetes: An Exploratory and Confirmatory Factor Analysis.Nursing openA translated Indonesian diabetes distress questionnaire identified emotional and self-management strain, treatment and social support strain, and complication worries among adults with type 2 diabetes. Repeating it after 14 days gave similar total scores.
• RNOther2026Designing and Psychometric Properties of Self-Care Tool for Adults With Pre-Diabetes: Exploratory Sequential Mixed Method.Nursing openA new 19-item questionnaire measures self-care behaviours in adults with pre-diabetes. It takes about six minutes to complete and scores from 0 to 100, with higher scores indicating better self-care. It was developed and tested in Iran, so its use in other cultures is untested.
• PTRNMeta-Analysis2026Non-Pharmacological Interventions for Cough in Patients With Lung Cancer: A Systematic Review and Meta-Analysis.Journal of clinical nursingNon-drug treatments were associated with lower cough severity in lung cancer patients, especially pulmonary rehabilitation, but the evidence was very low certainty and most trials were high risk of bias.
• RNQualitative2026Co-Creating a Digital Learning Platform for Cross-Sectoral Virtual Consultations: An Action Research Study.Scandinavian journal of caring sciencesFor cross-sector virtual consultations, participants identified four competencies: technical setup, patient involvement, meeting leadership, and role clarity with communication. They co-created an eight-module training platform, but no outcomes were tested.
• RNQualitative2026Defining Cultural Care for Immigrant Women Through Leininger's Sunrise Model: A Qualitative Study.Nursing openImmigrant women in Türkiye described care barriers that go beyond language. They reported feeling judged by staff, needing female caregivers for privacy, and relying on family for support. Nurses should anticipate these cultural and structural needs rather than assuming language fluency solves access.
• RNPilot2026Mindfulness meditation for pulmonary hypertension program development: Acceptability and feasibility of technology-assisted complementary health intervention for symptom self-management.Heart & lung : the journal of critical carePatients with pulmonary hypertension found a video-based mindfulness program acceptable and feasible, scoring high on usability. Video engagement was strong initially but declined over eight weeks, while app use for daily practice remained suboptimal.
• RNQualitative2026Living with type 1 diabetes mellitus: experiences of Colombian teenagers and parents.Revista da Escola de Enfermagem da U S PColombian teens with type 1 diabetes and their parents described diagnosis as an emotional shock followed by constant 24-hour vigilance. They reported poor initial education on carbohydrate counting and insulin, unsympathetic healthcare staff, and social stigma at school. Families relied on peer support groups and faith to cope.
• RNOther2026Implementing the Virtual Integrated Practice (VIP) Program to Support Rural General Practice Viability in Australia.The Australian journal of rural healthRural practices ran a virtual GP service with 8309 episodes of care, mostly video. Practice staff supported 39% of episodes, mostly nursing. It describes implementation and workflow needs, not better patient outcomes.
• RNOther2026Impact of the COVID-19 pandemic on domestic violence, 2019-2022.Revista latino-americana de enfermagemReported domestic violence in Maputo fell 42% during the pandemic, but authors warn this likely reflects underreporting, not safer homes. Adult women had the highest rates; girls showed sexual violence and older women abuse.
• RNSurvey2026Factors associated with externalized anger among early adolescents in rural Appalachia: A conceptual proposition with implications for violence prevention.Archives of psychiatric nursingIn 1564 rural adolescents, harsh parenting was linked to higher externalized anger, while caregiver support, supportive adults at school and perceived neighborhood safety were linked to lower anger. Girls reported higher anger than boys, contrary to the expected male risk.
• OTRNSystematic Review2026Social Isolation and Loneliness Among Older Asian Immigrants Through the Lens of Sense of Coherence: Systematic Review of Qualitative Studies.Journal of advanced nursingOlder Asian immigrants linked loneliness to language barriers, reversed family roles and lost cultural connection. Ask about these when assessing older adults, not only mood.
• RNQualitative2026Outpatient discharge management model: a strategy to promote continuity of care.Revista brasileira de enfermagemNurses and physicians at a Brazilian teaching hospital described barriers to sending chronic patients back to primary care, including poor communication and unclear criteria. They helped design a discharge model where a nurse coordinates the transition, but the model's impact on patient outcomes has not yet been tested.
• RNOther2026The effect of menstrual education on knowledge on menstruation: a quasi-experimental study.Revista da Escola de Enfermagem da U S PAdolescent girls' menstruation knowledge scores rose from 7.16 to 9.62 on a 10-question test after two 40-minute school education sessions.
• RNQualitative2026Patients' Perceptions of the Role of Nursing in Substance Use Disorder Treatment Programs: Qualitative Study.JMIR nursingPatients in substance use rehabilitation valued nurses for listening, emotional support, and trust. They often did not recognize nurses' technical tasks and confused nurses with doctors or social workers.
• RNOther2026"We're All in This Together": A Mixed-Methods Study of Provider and Patient Perceptions of Emergency Care for Opioid Use Disorder.Journal of advanced nursingPeople with opioid use disorder described avoiding emergency care due to fear of judgment and pain dismissal. Providers reported feeling helpless and unsafe. Both groups agreed addiction is a disease, but disagreed on whether naloxone changes behavior or if disclosure is honest.
• OTRNSystematic Review2026Experiential Aspects in Patients With Permanent Urostomy Following Bladder Cancer Surgery: Meta-Synthesis of Qualitative Studies.Nursing openPeople living with a permanent urostomy after bladder cancer surgery described fear of leaks and odour, changed body image, sexual problems, family and financial stress, and gaps in home stoma care. These themes describe daily life, not treatment effects.
• RNSurvey2026Pathways to self-management among older adults with multimorbidity in rural China: A fuzzy-set qualitative comparative analysis.International journal of nursing sciencesIn 487 rural older adults with multiple chronic conditions, high self-efficacy sat at the centre of good self-management. Social support, resilience and resource access shaped different pathways, while low self-efficacy marked poor self-management.
• OTRNSurvey2026Knowledge, Attitude, and Practice of Bathing Care Among Patients with a Stoma and Their Correlations With Quality of Life: A Cross-sectional Study.Advances in skin & wound carePatients with a stoma had moderate bathing knowledge but more affected attitudes and practices. Bathing knowledge, attitude, and practice were linked to quality of life, especially timing, products, leakage, and confidence.
• OTRNOther2026Healing Steps on Country-Exploring Care Pathways for Aboriginal People in the Kimberley With Diabetes-Related Foot Disease.The Australian journal of rural healthRemote Aboriginal patients with diabetes foot disease had many acute foot-care visits and hospital admissions, but little preventive care. They valued local Aboriginal health services, support people, and self-care, while hospital discharge left some under-informed and under-equipped.
• RNQualitative2026Addressing Older Adults' Sexual Health Needs in Regional Primary Care: A Qualitative Study of Barriers and Enablers.The Australian journal of rural healthSexual health is important to older adults in regional Australia, but conversations with clinicians remain rare and ad-hoc. Patients and clinicians both prefer GPs over nurses for these discussions. Barriers include stigma, lack of privacy in small towns, and time constraints.
• RNQualitative2026Building Research Capacity to Enroll Spanish-Speaking Patients and Families in a Traumatic Brain Injury Transitional Care Intervention.Western journal of nursing researchProviders and interpreters emphasized that transitional care managers must act as cultural brokers, not just translators. They recommended respecting family networks, faith, and regional language nuances to improve engagement for Spanish-speaking patients with traumatic brain injury.
• RNNarrative Review2026Exploring the Intersection of Rare Diseases and Mental Health Within the Diagnostic Odyssey: A Narrative Review and Thematic Synthesis.Nursing openPeople living with rare diseases described distress, stigma and fragmented care during the diagnostic odyssey, alongside resilience and hope. Nurses should ask about mental health, explain uncertainty, and coordinate care rather than leaving it to patients.
• RNSystematic Review2026Effectiveness of nurse-led hypertension self-management interventions: A mixed-methods systematic review and meta-analysis.International journal of nursing sciencesNurse-led hypertension self-management lowered systolic and diastolic blood pressure versus usual care. The reductions were still seen at later follow-up. It also improved knowledge and some health behaviours.
• RNQualitative2026Adherence to Self-Management for Chronic Diseases Among Unemployed Jobseekers in Finland-A Qualitative Study.Scandinavian journal of caring sciencesUnemployed jobseekers with chronic illnesses said being heard by professionals, clear instructions, regular nurse follow-up and help with daily routines made managing their conditions easier. Pain, fatigue, money problems, medication fears, long waits and record problems made it harder.
• RNOther2026Time toxicity in chronic disease comorbidity care: A concept analysis using Walker and Avant's approach.International journal of nursing sciencesTime pressure from appointments, medications, travel and costs was described as a persistent burden for patients with multiple chronic conditions, linked to poorer adherence, mood, caregiver strain and quality of life. No tested intervention is shown.
• RNOther2026Effects of family-based nursing interventions on mothers' knowledge, attitudes, and self-efficacy related to stunting prevention in Indonesia: A quasi-experimental study.International journal of nursing sciencesA seven-week family-based nursing program significantly improved mothers' knowledge, attitudes, and self-efficacy regarding stunting prevention. These gains persisted three months after the program ended, suggesting the intervention effectively empowered caregivers within the family context.
• OTRNQualitative2026Self-Care Experiences and Support Needs of Community-Dwelling Older Adults With Multimorbidity: A Qualitative Study Informed by the Caring Life-Course Theory.Journal of clinical nursingEighteen older adults with multimorbidity said self-care was learned through trial and error, not clinic education. They felt emotional needs were overlooked in healthcare and relied on family, peers and online groups.
• RNRCT2026Transition to Virtual Diabetes Self-Management Education Delivery in the Setting of Health Care Disruption for Adults With Diabetes and Their Support Persons.The science of diabetes self-management and careVirtual and hybrid diabetes education allowed continued group participation during pandemic, but care-management call completion fell and support-person attendance rose in the family-focused arm.
• RNOther2026Consensus-Based Safety Recommendations for Informal Home Care: A Mixed Methods Study.Research in nursing & healthExperts generated 288 safety recommendations for informal home care, covering tasks like medication storage and fall prevention. These are consensus-based suggestions for future testing, not proven interventions, and have not yet been evaluated for real-world effectiveness or caregiver usability.
• RNCohort2026Enhancing Community-Based Nursing Decision Support: Machine Learning Models for Diabetes Risk Prediction Using Home Health Nursing Notes.Public health nursing (Boston, Mass.)A machine learning model analyzing home health nursing notes predicted diabetes risk with high accuracy. Hyperlipidemia, dysuria, and dressing care were strong indicators, offering nurses a potential tool for early detection in home settings.
• RNRCT2026A Nurse-Led Educational Intervention for Patients With Type 1 Diabetes Using Continuous Glucose Monitoring.Worldviews on evidence-based nursingIn adults with type 1 diabetes scanning a glucose sensor 4 or fewer times/day, a nurse-taught session raised daily scans from 3.1 to 6.1 and improved time in range. No control group, so benefit may not be due only to the session.
• OTRNSystematic Review2026Meaning and Influencing Factors of a Good Death for Community-Dwelling Individuals With Dementia: An Integrative Review.International journal of older people nursingPeople with dementia and families described a good death as pain-free, at home, with family present, dignity and autonomy, and meaningful activities. Community resources and advance care planning were linked to these views.
• RNOther2026Effect of a culturally tailored educational intervention on women's knowledge and attitudes toward cervical cancer screening: a single-group pre-post study.Women's health nursing (Seoul, Korea)Jordanian women's knowledge and attitudes toward cervical cancer screening improved significantly after a 10-session educational program. However, the study did not measure whether women actually got screened, and deep-seated barriers like embarrassment and fear remained high.
• RNQualitative2026Stakeholders' Perspectives on Implementing the iSupport for Dementia Program to Address Inequalities in Dementia Care: A Qualitative Study.Scandinavian journal of caring sciencesCarers and staff said translated self-guided dementia training may not reach culturally and linguistically diverse carers unless bilingual staff coach them, use simpler inclusive language, add short videos and local case studies, and embed peer support in existing care services.
• RNQualitative2026The Patient, the Provider, and the TikTok Creator: Qualitative Analysis of the Content and Quality of Videos on Prenatal Genetic Screening.Journal of midwifery & women's healthPrenatal genetic screening videos on TikTok were often inaccurate. 42.2% used gender instead of sex, and 31.3% framed NIPT as determining fetal sex. Patient videos had high engagement but were often rated poor or very poor.