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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 23 OF 25 · NEWEST FIRST

• PTOTSLPRNSystematic Review2026Identifying types of non-pharmacological interventions administered by healthcare providers for older adults with neurocognitive disorders who have lower urinary tract symptoms: A scoping review.Japan journal of nursing science : JJNSNon-drug continence care for older adults with neurocognitive disorders and urinary symptoms was mapped into individualized, behavioral, cognitive, and educational interventions across 18 studies. As severity increased, care shifted from self-management to caregiver-led and technology-assisted support.
• RNSurvey2026Perspectives on COVID-19 vaccine decision-making in women of reproductive age: A social approach.Patient education and counselingWomen worried about vaccine effects on reproductive health were less likely to be vaccinated. Knowing someone with pregnancy loss, infertility, or vaccine-linked menstrual changes was linked to higher hesitancy. Trusted provider information was linked to lower hesitancy, not uptake.
• RNSurvey2026Exploring Health Literacy Heterogeneity in Prehypertension: Tailored Intervention Strategies Based on Latent Profile Analysis.The Journal of cardiovascular nursingAdults with prehypertension grouped into low, moderate, or high health literacy. The low group had more people with lower education, low income, smoking, salty or meat-based diets, less exercise, and sleep deficit. This can guide education, not prove it works.
• RNRCT2026A Home-Based Online Psychoeducation Programme on Subjective Well-Being Amongst Community-Dwelling Older Adults With Frailty: A Pilot Randomised Controlled Trial.International journal of older people nursingHome-based online psychoeducation for frail older adults was feasible and acceptable, with 81% attendance and satisfaction 4.4 to 4.6 of 5. Well-being improved in the intervention group, but this small pilot cannot prove it worked.
• RNRCT2026The Effect of Telenursing Using Self-care Education Podcasts on Anxiety and Quality of Life of Patients with Diabetic Retinopathy Undergoing Intravitreal Injection: A Randomized Clinical Trail.International journal of community based nursing and midwiferyPatients with diabetic retinopathy receiving injections who got nurse-led WhatsApp self-care education and monitoring reported less anxiety before injections and better quality of life than those given hospital pamphlets alone.
• RNCohort2026Bridging the Distance for Ischaemic Stroke Treatment in Regional Australia: A Retrospective Cohort Study.The Australian journal of rural healthOnly 13% of 305 regional stroke patients received thrombolysis and 19% underwent clot retrieval. Transferred patients had a median 401 minute onset to centre time. It describes delays, not tested treatments.
• RNSurvey2026Supportive Care Needs and Associated Factors Among Family Caregivers of Elderly Patients With Dementia and Diabetes Mellitus: A Cross-Sectional Study.Nursing openFamily caregivers of older adults with dementia and diabetes rated physiological, emotional, and safety needs highest. Caregiver burden was associated with most need domains, but not social needs. Needs varied by caregiver age, sex, income, and living situation.
• SLPRNSystematic Review2026Bridging the Gap: Barriers to Access Autism Support for Immigrant and Refugee Communities in Canada and the United States.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyImmigrant families faced language barriers and financial constraints most often, followed by culturally incongruent services and long wait times. Interpreters without autism knowledge still left communication incomplete. Bilingual, autism-trained providers and funded navigation support are needed.
• RNQualitative2026Using the Health Belief Model to Explore Behavior Change in the Community to Improve Blood Pressure Control: A Qualitative Study.Western journal of nursing researchIn rural northern Thailand, people with or at risk of hypertension said busy work, unsafe exercise places, high-salt foods, and distrust of nurses and village health volunteers blocked lifestyle change. High blood pressure often caused no symptoms, so many did not feel at risk.
• RNCohort2026Associations between pregnancy-related anxiety and positive health behaviors across pregnancy in a sample of low-income, vulnerable women.MidwiferyAt the first pregnancy interview, higher pregnancy-related anxiety was associated with fewer positive health behaviours. The association was not seen over time and appeared only in women with elevated depression, state anxiety or PTSD symptoms.
• RNOther2026How Can Community Paramedics Help in Addressing Mental Health for Vulnerable Australians?The Australian journal of rural healthRural clients described the community paramedic clinic as helping mental health by connecting them to services and by reducing loneliness, food insecurity and physical health worries. It shows what clients valued, not that the clinic works.
• RNSystematic Review2026Tuberculosis in the South America's homeless: a systematic review of social determinants, control strategies and health equity.Revista da Escola de Enfermagem da U S PHomeless people with tuberculosis in South America had high treatment abandonment and mortality. Directly observed therapy was reported to increase cure rates, but access and social barriers were uneven.
• RNRCT2026Impact of Self-Management Education on Self-care Behaviors, Quality of Life and, Readmission in Heart Failure Patients: A Randomized Controlled Trial.International journal of community based nursing and midwiferyHeart failure patients who received four weekly self-management videocasts with routine care had better self-care scores, better quality of life, and no readmissions during follow-up than routine care alone.
• RNSystematic Review2026Adults' Experiences and Perceptions of Electronic Devices for Diabetes Self-Management: A Qualitative Evidence Synthesis.Nursing & health sciencesAdults with type 1 diabetes described glucose monitors, pumps and apps as helping them feel more in control and making daily life less intrusive, but technical failures, alarms and limited support reduced trust and added burden.
• RNOther2026How to Involve Families in Hospital Care: Development, Content Validation, and Feasibility of a Concise Family Assessment Framework.Scandinavian journal of caring sciencesA brief family assessment framework for hospital admission was built from existing tools, validated by 34 experts, endorsed by 10 family members, and judged feasible by 10 nurses. It guides conversations about family roles, needs and burden, not patient outcomes.
• RNRCT2026The Effect of Mental Health Education on the Resilience and Psychosocial Adjustment in Patients with Heart Failure under the Care of Home Counseling and Nursing Services: A Randomized Controlled Trial.International journal of community based nursing and midwiferyPatients with heart failure who received home care, weekly mental-health education, and follow-up calls showed better resilience and psychosocial adjustment than routine care. The study cannot separate which part helped.
• RNOther2026Lexical analysis of terms related to nursing care for pregnant women with syphilis.Revista da Escola de Enfermagem da U S PNursing care terms for pregnant women with syphilis grouped into thematic classes: policy, service, community, bonding, maternal-child care, detection, and diagnosis and treatment. The paper maps prenatal syphilis care language, not patient outcomes.
• RNOther2026Scaling up pre-exposure prophylaxis: A global analysis of processes and challenges regarding the implementation of the pre-exposure prophylaxis guidelines.CurationisTask-shifting PrEP delivery to nurses, lay counsellors and pharmacy workers was reported to improve service availability, but training gaps, stigma, partner opposition, stockouts and paperwork limited access. Same-day initiation and community engagement were reported facilitators.
• RNMeta-Analysis2026Psychological and Cognitive Sequelae of COVID-19: Systematic Review and Meta-Analysis.Journal of psychiatric and mental health nursingAnxiety, cognitive problems, sleep disturbance and depression were common after laboratory-confirmed COVID-19 symptoms lasting at least 12 weeks, but frequency varied so widely that combined figures are not reliable individual risk numbers.
• OTRNQualitative2026The complexity of caregiving amid challenges: experiences of families with young caregivers.Revista da Escola de Enfermagem da U S PFamilies with young caregivers described exhausting, hidden care routines. Young people lost leisure and school time, while guardians feared being reported. Ask who is caring at home and support the whole family.
• RNQualitative2026Social Circumstances Affecting Asthma: A Group Concept Mapping Study of School Stakeholders.The Journal of school nursing : the official publication of the National Association of School NursesSchool nurses, clinic providers, staff and caregivers rated smoking/vaping exposure and asthma education as most impactful and feasible school asthma issues. Other social risks were seen as impactful but less feasible. These are opinions, not tested outcomes.
• RNOther2026Exploring How Effective, Acceptable, and Practical a CBT-Sensory Modulation Approach Is for Supporting Children Aged 4-7 Experiencing Anxiety.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncA six-session CBT plus sensory modulation programme was followed by reduced anxiety, better functioning, and four of six children no longer meeting anxiety disorder criteria at follow-up. It was acceptable to five of six mothers, but the study was small and had no comparison group.
• RNQualitative2026Community voices, strategies to improve understanding, and access to prostate cancer genomic testing.Patient education and counselingProstate cancer survivors, caregivers, and community members said they often confuse tumor-based genomic testing with ancestry or inherited risk. They asked for plain-language visuals, family-inclusive conversations, trusted messengers, and help with cost and coverage.
• RNSurvey2026Longitudinal Relationship of eHealth Literacy With Self-Management Via Self-efficacy in Individuals With Type 2 Diabetes: Autoregressive Cross-Lagged Modeling.The journal of nursing research : JNRHigher eHealth literacy was not directly associated with better diabetes self-management over the three time points. It was associated through patients' confidence in managing diabetes, so confidence may be the link rather than online information skills alone.
• RNQualitative2026Access to Healthcare in Thailand During the COVID-19 Pandemic: A Qualitative Interview Study of Migrants From Myanmar.Nursing openMigrants from Myanmar described avoiding formal healthcare despite severe stress, relying on self, Buddhist practice, and herbal remedies; language barriers and cost made care hard to reach.
• RNSurvey2026Knowledge, Attitudes, and Practices Toward LARS Prevention in Rectal Cancer Patients With Prophylactic Stomas: A Multicenter Cross-Sectional Study.Nursing openIn 206 patients, most wanted pelvic floor training but knowledge and practice were low. Attitudes were strong, and education needs focused on technique, diet, and follow-up.
• RNQualitative2026Accessing and Administering Anticipatory Medications for Community End-of-Life Symptom Control: A Qualitative Focus Group Study.Journal of clinical nursingNurses and GPs reported that slow communication, complex paperwork and pharmacy delays block timely end-of-life symptom relief at home. They relied on informal workarounds like bypass numbers or driving to collect meds themselves, highlighting systemic barriers to care.
• RNSurvey2026Caregivers' Early Experiences Using CareMobi: An mHealth Application to Support Care Coordination.Western journal of nursing researchCaregivers using a care-coordination app reported high satisfaction and ease of use. They valued shared calendars, health tracking, medication reminders, and file storage. This is self-reported early feedback, not proof the app improves care.
• RNOther2026Evaluating the Impact of Telehealth Prenatal Care at a Federally Qualified Health Center.Journal of midwifery & women's healthSpanish-speaking Latinx clients who chose telehealth group prenatal care had higher adequate prenatal care (67.9% vs 39.1%) and high satisfaction (4.85/5), but because they chose it, this does not prove the model caused better care.
• RNCohort2026Obesity Prevalence and Associated Factors Among Users of Specialized Community Mental Health Services: An Observational Study.International journal of mental health nursing32.1% of 358 adults using specialized mental health services in Brazil had obesity and 65.6% had increased waist-circumference risk. Obesity was more common among women, people identifying as Black, and those with hypertension. 9.2% had never had a health professional measure weight and height.
• RNOther2026Scoping Review of Adolescent Autonomy and Responsibility for Managing Chronic Physical Conditions.Nursing researchAdolescents with chronic physical conditions described taking on self-management as uneven: setbacks were more common after premature transfer, illness, or distrust. Age did not always match readiness, and adolescents reported that direct clinician communication and clear plans increased satisfaction.
• PTOTRNOther2026Health Outcomes Following the Health-Promoting "Reflective STRENGTH-Giving Dialogue" Intervention Among Community-Dwelling Older Adults.Scandinavian journal of caring sciencesParticipants reported lower impact of health problems on daily life and higher well-being after each dialogue on average. Over 14 weeks, no significant within-group changes were found.
• RNSurvey2026Mental Health Outcome Trends in a Nationally Representative Sample of Canadian Migrant Adolescents From 2014 to 2022.The Journal of school healthAdolescent self-reported mental health worsened over time, especially for girls. Gaps between migrant and nonmigrant youth mostly stayed similar; migrant girls reported fewer health complaints and higher confidence than nonmigrant girls.
• RNSurvey2026Adolescent Online Gaming in Jordan: A Cross-Sectional Study on Habits and Health Perceptions Through the Health Belief Model.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncJordanian adolescents averaged 3.1 gaming hours daily. More daily hours and older age were linked with lower self-rated physical and mental health. 28.8% said gaming was not physically harmful. 36.7% had never received counseling about gaming harms.
• RNQualitative2026Access to public healthcare services for transgender people: experiences in Brazil's capital.Revista da Escola de Enfermagem da U S PTransgender adults in Brasília described access as blocked by misrecognition, discrimination, and long referral delays, but some felt safe when staff listened, used chosen names, and supported medication care.
• RNSurvey2026Factors Predicting Depression Among Thai Adolescents During the Transition From the COVID-19 Pandemic to the Endemic Phase.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncIn 605 Thai high school students, perceived stress was most strongly linked with depressive symptoms, and avoidance coping also mattered. Approach coping and social support did not add separate information after stress and avoidance were considered.
• RNQualitative2026Developing implementation strategies for a community-based digital weight management program: A hybrid deductive-inductive thematic analysis grounded in implementation theory.International journal of nursing sciencesImplementers and patients described a dual expectation gap: patients found counseling either too brief or long-winded, while clinicians expected patients to self-manage. Nurses were identified as key implementers for coaching and care coordination.
• RNCohort2026Psychometric Validation of the PHQ-9 in Ostomy Patients and Their Informal Caregivers: Evidence From A European Multicenter Study.Nursing openThe PHQ-9 was supported as a brief depression screen in ostomy patients and their informal caregivers, and scores can be compared between the two groups. Use the total score for screening; physical and mental symptom groups are not separate clinical scales.
• RNQualitative2026'A Moment for Me': The Role of Respite in Sustaining Mental Health Carers.International journal of mental health nursingCarers of adults with mental illness said respite was only restful when the person they cared for came home safe, happy and well supported. Guilt, cost, poor access and untrained staff kept them mentally on duty.
• RNSystematic Review2026Tracing the Satisfactory Care of the Chronically Ill in Emergency Departments: A Scoping Review.Scandinavian journal of caring sciencesFor adults with chronic illness, ED care was considered satisfactory when pain relief, communication, respect and follow-up were timely. Waiting, fragmented discharge and stigma undermined it. Team-based transition support may help, but effectiveness was not tested.
• RNQualitative2026Coping Strategies and Experiences of Patients With Crohn's Disease During the COVID-19 Epidemic: A Descriptive Phenomenology Study.Nursing openMost participants with Crohn's disease delayed care under isolation, and 7 participants had acute flare-ups. Two elderly and two remote-area patients gave up hospitalization due to cost. Only 2 found masks made going out easier. Patients wanted clear vaccine guidance.
• RNSurvey2026Posttraumatic Stress in Caregivers of Burn-Injured Children: A Cross-Sectional Study.The American journal of nursing48.33% of caregivers of children with burn injuries reached the score threshold for posttraumatic stress symptoms. Witnessing the burn had a greater influence among factors tested. The finding points to caregiver distress, not only child injury.
• RNCohort2026Assessment of Caregiver Burden and Perceived Social Support Among Individuals Providing Care to Patients Under Home Health Services: A Descriptive Study.Scandinavian journal of caring sciencesMost informal caregivers for home health patients reported moderate to severe burden, with family as the main support source. Contrary to expectations, higher perceived social support was associated with higher reported burden, suggesting support may reflect coping efforts or unmet needs.
• RNQualitative2026Community Perspectives on Japanese Encephalitis Risk and Prevention in an Endemic Region of Australia.The Australian journal of rural healthIn a high-risk Australian city, people and clinicians reported low recent JEV awareness and confusion about vaccine eligibility. Nurse-led vaccine reviews and walk-in options were described as ways to identify eligible patients.
• PTOTRNOther2026The Moderating Effect of Physical Activity on the Association Between Cognitive Function and Fear of Falling in Low-Income Community-Dwelling Older Adults.Research in gerontological nursingCognitive function was not linked to fear of falling in low-income community-dwelling older adults without measured cognitive impairment, and physical activity did not appear to change this link. More sitting time was linked to more fear; more moderate-to-vigorous activity was linked to less fear.
• RNRCT2026Effects of Compassion Meditation on Psychological Status in Patients With Diabetes: A Pilot Randomized Controlled Trial.Western journal of nursing researchPatients with diabetes randomly assigned to four short virtual compassion meditation sessions reported lower diabetes distress and higher confidence in managing diabetes than controls. In the meditation group, depressive symptoms, resilience and self-esteem did not improve. This pilot analysed 46 people.
• RNQualitative2026Qualitative Analysis of Community Dwelling Older Adults' Advance Care Planning Interviews: Patients Want a Chance.The American journal of hospice & palliative careOlder adults facing serious illness often chose full treatment and CPR because they wanted a chance to return to normal, even after acknowledging their illness was not curable and hearing that recovery after CPR was unlikely.
• RNRCT2026Empowering Patients Through Literacy: A Randomized Controlled Trial of an Educational App for Evaluating Complementary Therapies in Diabetes Management.Nursing openPeople with diabetes who received an app package with nurse contacts, compared with printed and verbal education, improved complementary-therapy risk-benefit understanding and quality of life. Empowerment did not improve compared with control.
• RNQualitative2026Diet Modification in Saudi Women Living With Cardiovascular Disease: A Qualitative Study of Barriers and Motivators.The journal of nursing research : JNRSaudi women with cardiovascular disease described family meal demands, hospitality pressure, low literacy, poor dietitian follow-up, and rural food access as barriers; symptom worry and family support as motivators.
• PTOTSLPRNOther2026Patient-Driven Grouping Model and Home Health Use Among Traditional Medicare Beneficiaries.Journal of the American Medical Directors AssociationHome health visits and episode length fell after PDGM, especially for beneficiaries with dementia. Therapy visits drove much of the decline, and the largest reductions appeared in advanced dementia. This is service use, not proof of harm.