TOPIC

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.

1,474 PAPERS · PAGE 25 OF 30 · NEWEST FIRST

• RNSystematic Review2025Social Drivers of Health and Cognition in Cirrhosis: A Scoping Review.Clinical nursing researchIn cirrhosis, higher education and employment were linked to better cognitive test scores. Most studies measured people at one time, so these are associations, not causes. Education and job history may flag patients for cognitive screening.
• RNQualitative2025Exploring Self-Management Among Adolescents With Type 2 Diabetes Mellitus: A Descriptive-Qualitative Study.Nursing openThai adolescents with type 2 diabetes wanted short, engaging telehealth help for food, insulin, monitoring and stress. Many had symptoms before diagnosis, but school and family screening also found cases. Parental scolding after high glucose reduced motivation.
• RNOther2026Strengthening Perinatal Services Through Social Care: Outcomes of a Quality Improvement Initiative for a Health Center-Based Perinatal Care Program.Journal of midwifery & women's healthA perinatal program integrating midwifery care and social support served high-risk patients in a safety-net clinic. While rates of preterm birth and cesarean delivery were lower than national averages, large for gestational age births were higher and only 44% of patients attended the recommended number of prenatal visits.
• RNOther2025Factors associated with the diagnosis of Brain Death in hospitals in the State of Sergipe.Revista da Escola de Enfermagem da U S PIn hospitals in Sergipe, adults suspected of brain death were more likely to have the diagnosis confirmed if they lived near the capital, and less likely if they were older or had cancer.
• PTOTSLPRNNarrative Review2025An overview of clinical presentation and management of long COVID.The Nurse practitionerLong COVID can be considered when symptoms persist beyond 12 weeks and alternative causes are excluded. Management is supportive: screen cardiac risk before exercise, use graded exercise, fluids, salt and compression for POTS, and refer to PT, OT, speech and swallowing rehab.
• RNOther2026Development of the Preparation for Community-Based Labor and Birth Instrument Centering Black Perspectives in the United States: A Participatory Adaptation.Journal of midwifery & women's healthA childbirth-confidence questionnaire was adapted for people planning home or birth-center births, centering Black perspectives and adding items on safety, dignity, and racial identity. It is a tool for conversation, not yet a tested measure of birth outcomes.
• RNQualitative2026The Experiences of Service Providers Who Care for Homeless Pregnant or Early Parenting Women.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieresService providers caring for homeless pregnant women described navigating punitive systems and resource gaps by extending their roles into advocacy. They found meaning in small, incremental client successes, despite facing professional stigma and ethical distress when colleagues treated clients with judgment.
• RNSystematic Review2026Nursing Interventions to Support Family Caregivers of Patients on Haemodialysis: A Mixed-Methods Systematic Review.Journal of advanced nursingNursing-led caregiver programmes for haemodialysis families mostly improved quality of life, depression, anxiety and self-efficacy, but burden results were mixed. Use structured education, coping, support and follow-up, not information alone, because effects can fade.
• RNQualitative2025Employing Yarning to Explore the Impact of Endorsed Midwives in an Aboriginal Medical Service.Nursing openIn one Aboriginal Medical Service, midwives with prescribing endorsement and Aboriginal women described maternity care as flexible, comprehensive and built on personal relationships. Women valued continuity and cultural safety, and wanted the same midwives to follow them through birth.
• RNSurvey2026Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study.Japan journal of nursing science : JJNSJapanese adults with diabetes who reported more support from doctors and nurses had lower stigma scores. The links were clearer in those under 65 than in those 65 and older.
• RNQualitative2025The Lived Experiences of Family Caregivers in Caring for Older Adults at Risk of Falls: A Phenomenological Study.International journal of community based nursing and midwiferyNot knowing how to prevent falls, being exhausted, and making home changes were described by family caregivers of older adults at risk of falls. They also faced stigma around walking aids and relied on traditional healers after falls.
• RNOther2026Capturing Gender Identity Through Documentation: A Program Evaluation of a Rural Mental Health Clinic.Public health nursing (Boston, Mass.)A rural clinic recorded gender identity for 95% of 101 children and adolescents in 2023, compared with none of 3 in 2020. The paper did not measure whether this improved mental health or patient care.
• RNQualitative2026'Being an Outsider' and 'Being an Insider': A Focused Ethnography of Family Members' Visitation Experiences in an Adult ICU.Journal of advanced nursingIn a Chinese adult ICU with brief daily visits, families described being kept outside as powerless and uninformed. They made the waiting area a shared support space, using a designated visitor to bring back condition updates.
• RNQualitative2025Quality midwifery care during childbirth at a midwife obstetric unit: A qualitative study.CurationisBirthing women reported verbal abuse, ignored complaints, little support and no companion. Midwives said they provided information and safe delivery but lacked staff and management support. Women and midwives disagreed about quality care.
• RNQualitative2025Stressors experienced by informal caregivers: implications for home care for dependent older adults.Revista brasileira de enfermagemInformal caregivers of dependent older adults described sleep deprivation, physical exhaustion, and financial strain as primary stressors. They relied on coping strategies like prayer and music, but these were insufficient to manage the high levels of emotional and physical overload they experienced.
• RNOther2026Does Cognitive Function Influence the Benefits of Multicomponent Team Interventions?Journal of the American Medical Directors AssociationCognitive screening scores did not significantly change the quality-of-life benefit of multi-component team care with nurse symptom management, social work counseling, and clinician-signed orders. 83% screened positive, but lower scores were linked to fewer visits, not less intervention time.
• RNOther2025The Role of a Stroke Specialist Nurse in Early Supported Discharge and Secondary Prevention in the Community. A Scoping Review.Nursing openCommunity stroke nurse follow-up was reported with better blood pressure self-monitoring, medication review, and patient knowledge. Expect nurse-led post-stroke education and home or telephone follow-up, not evidence that the nurse alone caused recovery.
• RNSurvey2025Health-Related Quality of Life of Patients Undergoing Haemodialysis: A Structural Equation Modelling Approach.Nursing openIn 208 adults on haemodialysis, feeling supported by healthcare professionals and able to choose, competent, and connected was linked to better physical and mental quality of life. Self-management was linked to lower physical quality of life.
• RNOther2025An Internet Hospital Plus Home Nursing Model for Chronic Disease Patients: Mixed-Methods Study in Tianjin, China.JMIR nursingHome nursing delivered after online doctor consultations served mostly older adults with cancer. Patients waited one to two days and reported near-perfect satisfaction. Simulated costs were lower than ambulance transfers, but the study lacked a control group, so it cannot prove the model works better than standard care.
• RNQualitative2025Cultural and Contextual Barriers to Sustained Home Blood Pressure Monitoring Practices Among Indigenous People in Northern Thailand: A Qualitative Study.International journal of community based nursing and midwiferyAkha participants viewed hypertension as a condition requiring attention only when symptoms appeared. Fear of lifelong medication and cultural norms discouraged monitoring. Work schedules and lack of flexible community support prevented adherence to daily home blood pressure checks.
• RNSurvey2026Trauma Exposure and Posttraumatic Stress Disorder in a Rural Perinatal Population.Journal of midwifery & women's healthRural prenatal patients screened anonymously: 53% of 421 screens reported trauma exposure, and 13.5% screened positive for probable PTSD. Of those with probable PTSD, 63.2% were interested in treatment research.
• RNQualitative2025"Consider the Following Situation," Parental Treatment Preferences for Children With Rare Diseases: A Content Analysis of Pediatric Advance Care Plans.The American journal of hospice & palliative careIn a hypothetical worsening scenario, 13 of 14 families chose to continue all treatments for a child with a rare disease, but 10 of 13 added conditions under which they would reconsider.
• RNSystematic Review2025Breastfeeding strategies following nurslings' hospitalization: a scoping review.Revista latino-americana de enfermagemAfter a baby is hospitalized, nurses can support breastfeeding with home visits, latch guidance, skin-to-skin, milk expression, restarting breastfeeding and digital follow-up. This scoping review maps strategies, not proof they work.
• RNOther2025Transcultural adaptation, validity, and reliability of the SINBAD System Classification for Brazilian Portuguese.Revista latino-americana de enfermagemThe Brazilian Portuguese SINBAD foot-ulcer scoring tool was adapted and judged relevant by experts, but its six items did not consistently act as one measure. Use each item clinically; do not rely on the total score alone.
• RNSystematic Review2025Caring for the Informal Caregivers: Systematic Review of Unmet Needs in Palliative Care.Nursing openFamily caregivers in palliative care settings commonly reported unmet needs for timely information, practical help, a dedicated contact, emotional support and respite. Existing assessment tools do not fully capture financial and legal burdens.
• RNQualitative2026Qualitative Exploration of Black Canadian Parents' Experiences of Having a Preterm Infant and Navigating Racism in the NICU.Journal of advanced nursingBlack parents described NICU staff, including nurses, as sometimes dismissive or stereotyping. They learned infant care but felt emotional distress was overlooked. Parents asked for empathy, culturally safe peer support, and clearer communication.
• RNCohort2026Clinical Performance of the Remote After-Hours Telemedicine Medical Officer of the Day (Tele-MOD) Program: A Cohort Study.Journal of the American Medical Directors AssociationEmergency department visits, hospitalizations, readmissions, and costs were lower after the first Tele-MOD visit in 492 VA nursing home Veterans. Most were managed in place, but this pre-post study cannot prove the program caused the reductions.
• RNCohort2026Prepregnancy Overweight and Obesity in Kuwait Birth Cohort Study.Public health nursing (Boston, Mass.)In Kuwait, 28.82% of analyzed pregnant women were obese and 37.92% were overweight before pregnancy. Older age, earlier menarche, more children, and fertility treatment were associated with prepregnancy overweight or obesity.
• RNCohort2026End-of-life care utilization of older adults with heart failure and/or COPD: the role of family availability.Heart & lung : the journal of critical careFor older adults with heart failure or COPD near the end of life, having a spouse in Utah was linked to higher hospitalization rates; having a spouse without children was linked to higher emergency visit rates. The study did not show that spouses caused this.
• RNSurvey2025Health History, Health Condition, Health Behaviours and Health-Seeking Behaviours of Middle-Aged Women Living in a Modern Rural Community: A Survey Research.Nursing openIn 342 middle-aged rural Thai women, high blood pressure, high cholesterol, reduced kidney function and overweight or obesity were common; many did not exercise, and distress was usually managed with family rather than health services.
• RNQualitative2025Perspectives of Advance Care Planning for Latinos During COVID-19.The American journal of hospice & palliative careParticipants said language barriers, death taboos, and telehealth made advance care planning hard for Latino families, but COVID raised urgency to plan.
• OTRNOther2026Translation and Psychometric Evaluation of the Diabetes Self-Management Questionnaire in Hebrew (H-DSMQ) for Adults With Type 2 Diabetes in Israel.Research in nursing & healthA Hebrew diabetes self-management questionnaire for adults with type 2 diabetes found higher self-care scores matched lower HbA1c, but the healthcare-use part was inconsistent. Use it as a patient-reported screen, not proof of cause.
• RNSurvey2025Psychological impact of caregiving: anxiety and depression levels among caregivers of patients with pressure ulcers.Revista da Escola de Enfermagem da U S P54.9% of caregivers of home-care patients with pressure ulcers had anxiety symptoms and 56.6% had depression symptoms. Distress was higher with stage IV ulcers, care over 12 hours daily, continuous care, no personal income, or caregiver chronic illness.
• RNCohort2026Retrospective Cohort Study on Racial and Ethnic Disparities in Cesarean Birth in a Midwifery-Integrated Health System.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNAmong term singleton vertex births in a Colorado health system, cesarean birth remained more likely for Asian, Black, Hispanic, and all other race women than White women after accounting for age, insurance, provider, and hospital region. Midwifery care was linked to lower rates.
• RNOther2025Effectiveness of the Comprehensive-Humanized Care Model in nursing consultation: a case study with older adults.Revista brasileira de enfermagemIn six older adults receiving nursing consultation, nutrition and family scores changed, spirituality rose, and anxiety increased from 6.8 to 13.8. Gait and social resources were reported as unchanged. This is not proof the model works.
• RNQualitative2025Perceptions Towards Climate Change and Environmental Resilience Among Adults Living With Mental Illness: A Qualitative Study.International journal of mental health nursingAdults with mental illness saw climate change as real, but many felt their own actions would not matter. They placed responsibility on corporations and governments, and said seminars or news were the biggest cues to act.
• PTRNMeta-Analysis2025Evidence-Based Pathways to Healthy Aging: A Systematic Review and Meta-analysis of Lifestyle Interventions for Longevity and Well-Being.Investigacion y educacion en enfermeriaOlder adults who followed Mediterranean diet, exercised, slept well, and stayed socially active showed better cardiovascular fitness, strength, balance, mood, and cognition. These are broad lifestyle effects, not a single proven treatment.
• RNRCT2025Sustainability of Complex Interventions: Recommendations From a Pragmatic Clinical Trial to Manage Cancer Symptoms.Nursing researchAfter funding ended, an oncology symptom programme continued with clinic-visit patient-reported symptom checks and RN symptom care managers for severe symptoms, social work and palliative referrals. This reports sustainment steps, not patient outcomes.
• RNQualitative2025Elderly Medical Patients' Experience of an Acute Readmission to the Emergency Department-An Interpretative Phenomenological Analysis.Scandinavian journal of caring sciencesOlder adults readmitted to an emergency department felt trapped by fragmented care. They needed a clear explanation, someone who believed them, and support from family or one trusted clinician. Missing these made them doubt symptoms and lose trust.
• RNQualitative2026Timely Implementation of Patient-Reported Outcomes in Clinical Care: Insights From Clinicians and Health Informatics Experts.Journal of advanced nursingClinicians and informatics experts identified timing as critical for patient-reported outcomes. Early collection supports prevention, while routine integration aids disease management. Barriers include time constraints, language differences, and lack of standardization. Support staff and electronic health record alerts facilitate timely use.
• RNSystematic Review2026Structural Vulnerability in Health Research: A Systematic Mixed Studies Review.Journal of advanced nursingDefinitions of structural vulnerability were consistent across thirty-seven U.S. studies, but measurement varied. Quantitative work often used individual indicators such as housing, food insecurity and criminal justice experiences, while qualitative work focused on upstream systems.
• PTOTRNCohort2026Healing at Home: Receipt of Home Health Care and Patient-Centered Outcomes Among Older Adults After Acute Myocardial Infarction.Journal of the American Medical Directors AssociationHome health care after AMI made no significant difference to days not at home in older adults. It was linked to a lower chance of a 5-point or greater physical health status decline.
• RNSystematic Review2025Experiences and Perceptions of Hospital to Home Transitional Care for Parents of Premature Infants in Neonatal Intensive Care Unit: A Qualitative Meta-Synthesis.Nursing openParents of preterm infants moving from NICU to home felt relieved but unsafe without hospital monitoring. Many lacked confidence in feeding and care; parents reported feeling more prepared when they had hands-on NICU involvement and continued support.
• RNQualitative2026"We Don't Take Care of Ourselves": A Qualitative Study on Self-Management Challenges and Health Needs Among Older Family Care Partners of Persons With Heart Failure.Research in gerontological nursingOlder heart failure caregivers described time, anxiety and physical limits blocking their own self-care, yet duty to care recipients motivated them to stay active. They wanted peer support for caregivers and practical guidance, not patient-focused groups.
• RNQualitative2025Use of Social Media to Support Gestational Diabetes Risk Reduction for American Indian and Alaska Native Females: A Qualitative Study Soliciting Perspectives From American Indian and Alaska Native Youth, Mothers, and Content Experts.The science of diabetes self-management and careAI/AN female youth and mothers said gestational diabetes risk messages should use short videos, humor, culture, and real AI/AN role models. They also warned social media can be unsafe and spread misinformation. These were content preferences, not tested interventions.
• RNSurvey2026Underrated risk: Food insecurity and distress of Filipino Americans with hypertension in a primary care setting.Journal of the American Association of Nurse PractitionersFilipino American adults with hypertension who reported food insecurity had higher distress, more sleep problems, worry, and sadness than food-secure adults, even after accounting for income, age, and gender.
• PTRNQualitative2026A Sisterhood of Women: The Process of Co-Creating Recommendations for Improved Pessary Self-Management Support.Journal of advanced nursingEight women who already self-manage pessaries described barriers including painful insertion, limited pessary choice, conflicting information, stigma, and worry about losing clinic support. They asked for practical written guidance, accessible follow-up, peer support, and care that acknowledges emotional impact.
• PTOTRNCohort2025Community Cardiac Rehabilitation Program: Lessons Learned for Long-Term Outcomes.Worldviews on evidence-based nursingSix months after cardiac rehabilitation, patients continued to improve walking distance and kept waist size down, but blood pressure, weight, BMI, depression, physical activity and medication adherence worsened. Diet and smoking gains held.
• RNOther2025Adherence to pharmacological treatment after hematopoietic stem cell transplantation: context analysis.Revista brasileira de enfermagemAfter stem cell transplant, medication adherence at home was shaped by distress, side effects, forgetfulness, complex regimens, family support, and clear discharge teaching. The review mapped these factors but did not show which intervention improves adherence.
• RNOther2025Myocardial Infarction and Traditional Cardiovascular Risk Factors in Older Patients in Primary Care.Revista brasileira de enfermagem10.5% of 1,322 older primary-care patients in northern Brazil had myocardial infarction. MI was more frequent with hypertension, diabetes, high cholesterol, obesity and kidney disease; smoking was not.