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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.

1,701 PAPERS · PAGE 26 OF 35 · NEWEST FIRST

• RNQualitative2025Invisible Struggle: Diabetes Self-Management Through the Eyes of Diabetic Individuals With Retinopathy.Nursing & health sciencesThirteen women with diabetic retinopathy described vision loss making insulin dosing, glucose reading, meal preparation, and exercise unsafe or hard. They wanted family and health professional support, and audible or automated diabetes devices.
• RNQualitative2025Cultural Interpretations of Patients and Employees in an Organization Certified Through the Baby-Friendly Hospital Initiative: A Focused Ethnographic Study.Journal of human lactation : official journal of International Lactation Consultant AssociationPatients and staff described breastfeeding support as depending on accessible education, hands-on help, and coordination with families and discharge. Workload, infant health problems, and pandemic barriers could still make consistent support difficult.
• RNRCT2025Central Nervous System Polypharmacy Among People Living With Dementia.Journal of the American Medical Directors AssociationDeprescribing education did not reduce the proportion of people with dementia meeting criteria for risky central nervous system polypharmacy. The most common high-risk medication combinations involved antidepressants, opioids, and gabapentin or pregabalin.
• PTOTSLPRNCohort2025Association Between Residents' Perceived Importance of Family Involvement in Overall Care Planning and Rehabilitative Therapy Administration in Nursing Homes.Journal of the American Medical Directors AssociationNursing home residents who rated family involvement as very important received more physical and occupational therapy minutes than those who did not. The difference was small, averaging 5 fewer minutes for those rating it somewhat important.
• RNOther2025Nursing and Continuing Care Management Work Plan for People Living With COVID-19: Case Study of the Nakhon Pathom Province.JMIR nursingA community database and post-COVID care plan was rated highly by health professionals. It sets out monitoring, education and referral steps, but does not test patient outcomes.
• RNCohort2025Incidence of prevalent diseases in infants in Primary Health Care: a cohort study.Revista da Escola de Enfermagem da U S PRespiratory problems were the most common recorded health issue in infants in primary care, peaking around month 5. More than half had at least one treatment, and most care was delivered by family health strategy doctors.
• RNRCT2025A Randomized Controlled Trial of a Telehealth Group Intervention to Reduce Perinatal Depressive Symptoms: A Mixed Methods Analysis.Journal of midwifery & women's healthThe mindfulness telehealth group did not reduce perinatal depression symptoms more than childbirth/parenting classes; both groups improved similarly, and participants valued connection and shared experience.
• RNRCT2025An Embedded Pragmatic Clinical Trial of the Individualized Positive Psychosocial Interaction (IPPI) Program.Journal of the American Medical Directors AssociationResident mood improved immediately in 59% of brief preference-based one-to-one interactions delivered by nursing home staff. There was no control group, so this does not show IPPI reduced distress versus usual care.
• RNSurvey2025Factors Associated With Dementia Worry Among Middle-Aged or Older Adults Living in a Japanese Community: A Cross-Sectional Study.International journal of mental health nursingAmong middle-aged or older community adults without dementia, greater worry about developing dementia was linked to greater knowledge of dementia, more bothersome symptoms, moderate or severe depression, and a parent diagnosed with dementia.
• RNQualitative2025The Role of Stigma in Help-Seeking Strategies Among African Migrants in Australia: A Qualitative Study.International journal of mental health nursingAfrican migrants described stigma delaying mental health help-seeking: fear of being called mad, communal shame, and spiritual beliefs led some to suffer silently or seek church first. Clinicians should expect late presentation and ask about stigma and spiritual beliefs.
• RNCohort2025Efficiency of AIMS: A 4-Week Recovery Oriented Suicide Prevention Pathway.International journal of mental health nursingIn 552 people in suicidal crisis, a 4-week team pathway was entered mainly from emergency or acute care and discharged participants to community services; 6-month re-presentation was low, but no control group.
• RNSystematic Review2025Efficacy and cost-effectiveness of digital health interventions in improving hypertensive outcomes among patients with uncontrolled hypertension: A systematic review.International journal of nursing sciencesDigital health interventions for uncontrolled hypertension improved self-management and blood pressure control, reduced cardiovascular risk, and two studies showed cost-effectiveness. They worked best when combined with provider support, especially nurse feedback and consultation, rather than stand-alone.
• RNQualitative2025Support Networks and Care Needs: Insights From Older Vietnam-Born Australians Living With Chronic Disease.Nursing & health sciencesOlder Vietnam-born adults with chronic disease relied on family and ethnic networks, often said they had enough support, but needed Vietnamese-language health information. Ask about carer burden and language before assuming they want formal self-management programmes.
• RNOther2025Health team practices to improve vaccination coverage of children in a favela.Revista da Escola de Enfermagem da U S PIn a Rio de Janeiro favela, health teams used daily tracking, home searches, Saturday vaccination days, messaging and daycare visits. The report says all registered children aged 0 to 2 years had vaccination records updated, but it is not a trial.
• PTOTSLPRNQualitative2025Walk for Mental Well-Being as a Third Place: A Qualitative Study of the Bathurst Men's Walk and Talk.The Australian journal of rural healthRural men described a weekly walk as a place where status is left at the door. Rituals like free coffee and walking in pairs facilitated conversation, helping isolated men feel safe to share personal struggles without clinical pressure.
• RNSystematic Review2025The Factors That Affect Sexual Safety on Adult Mental Health Inpatient Units: A Scoping Review and Content Analysis.International journal of mental health nursingConsumers and staff in adult mental health units described unsafe spaces, disbelieved reports and limited trauma training as threats to sexual safety. Women-only areas helped some feel safer, but did not alone solve it.
• RNCohort2025Exploring Willingness: What Drives Dialysis Withdrawal Decisions in Patients With End-stage Renal Disease? A Cross-sectional Study.The journal of nursing research : JNRWillingness to withdraw from dialysis rose as hypothetical prognosis worsened, but more than half of 121 hemodialysis patients still preferred to continue. Poor dialysis quality, junior high school education, and better palliative care knowledge were linked to withdrawal willingness.
• RNSystematic Review2025Exploring Nursing Interventions for Frail Individuals in Primary Care: A Systematic Review.International nursing reviewNurse-led home assessments for frail older adults showed little clear improvement in quality of life or disability, but trust, coordination, pain checks, and fall risk assessment were central.
• RNQualitative2025Knowledge of pregnant women living in riverside community about exclusive breastfeeding in the context of Primary Health Care.Revista da Escola de Enfermagem da U S PPregnant women said nurse guidance helped them understand breastfeeding, but vague or contradictory advice left them unsure. They linked breast milk to child growth and six-month exclusivity, yet some planned early foods because of work, family pressure and myths about weak milk.
• RNQualitative2025A framework for developing spouse-inclusive digital applications in preventing perinatal depression and anxiety.International journal of nursing sciencesWomen and spouses described adjusting to a new period of life, dealing with perinatal distress, and mobilizing needs and supports. Experts judged the proposed spouse-inclusive digital framework appropriate, but no app was tested.
• RNSystematic Review2025Period poverty: a scoping review.Revista brasileira de enfermagemPeriod poverty was linked to missing school or work, stigma, anxiety and depression, and improvised products that risk infections. Nurses can ask about menstrual supplies, privacy, information and pain, not just pad use.
• RNSystematic Review2025Caregiving Experiences of Caregivers of Adolescents With Inflammatory Bowel Disease: A Qualitative Meta-Synthesis.Nursing openCaregivers of teenagers with inflammatory bowel disease felt shocked, guilty and financially strained, but many found strength through family and healthcare team support.
• RNOther2025Translation, Cultural Adaptation and Validation of the Advance Care Planning Engagement Survey for Korean Older People.International journal of older people nursingA 12-item Korean survey identified three ways older people engage with advance care planning: thinking about it, readiness and confidence. It was adapted by removing decision-maker questions and rewording life-not-worth-living questions after pretest discomfort.
• RNSystematic Review2025Telenursing as an Effective Ally for Improving Patient Outcomes in Diabetes? An Umbrella Review.Nursing openNurse-led telehealth for adults with diabetes was usually linked with better blood sugar control, self-management and less hospital use. Evidence quality was low, and effects varied by tool and diabetes type. Use it as an adjunct, not a replacement.
• RNQualitative2025Cultural modulation of family care for technology-dependent children: an ethnographic study.Revista da Escola de Enfermagem da U S PBrazilian families caring for technology-dependent children built care around home, school, faith and kin, but mothers did most medical procedures. Supply gaps and long trips shaped daily care.
• RNOther2025Association Between Smartphone Attachment and Mental Health in Adolescents.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncAdolescents with stronger smartphone attachment reported more anxiety and depressive symptoms, even after accounting for sleep and overall health. Forty-five of 137 exceeded a moderate-to-severe attachment threshold and had higher anxiety and depression scores.
• RNOther2025Risk behavior for obesity: a conceptual analysis according to Walker and Avant.Revista brasileira de enfermagemNo reviewed study clearly defined risk behavior for obesity. The concept centers on diet, physical inactivity, and general habits such as screen time, smoking, and alcohol, not risk factors like age, family history, conditions, or medications.
• RNOther2025Educational technology: educational video to support home care management for liver transplant patients.Revista brasileira de enfermagemNine post-liver transplant patients rated a new home-care video highly. They found the step-by-step instructions for blood glucose monitoring, wound care, and insulin application clear and helpful for managing care at home.
• RNSystematic Review2025Social support for family caregivers of children and youth with special health care needs for home care: a scoping review.Revista da Escola de Enfermagem da U S PFamily caregivers of children needing home care relied mainly on relatives, friends, other parents, volunteers and religious groups for emotional, practical and financial help. Formal health services were often secondary, leaving gaps in discharge guidance, benefits information and respite.
• RNOther2025The middle-range theory of the nursing diagnosis "ineffective health self-management".Revista brasileira de enfermagemA nursing framework for people living with HIV describes ineffective health self-management as difficulty, failure, abandonment, or refusal to reach agreed health goals. It maps factors such as stigma, mental disorders, and access barriers to outcomes including viral resistance.
• PTRNSystematic Review2025Effect of telemedicine on the quality of life of people with heart disease: a systematic review.Revista latino-americana de enfermagemRemote self-management care did not clearly improve quality of life across 44 heart-disease trials. 20 studies showed gains, 19 showed improvement without a clear advantage, and 5 showed none. No study found worse quality of life.
• RNOther2025The inclusion of pregnant women in research during disease outbreaks globally: A scoping review.Revista latino-americana de enfermagemPregnant women were systematically excluded from most clinical trials during recent outbreaks, with exclusion rates between 52% and 97.8%. This lack of data forces clinicians to prescribe off-label without evidence of safety or efficacy for mothers and babies.
• PTRNSurvey2025Exercise Barriers Among Females With Type 2 Diabetes: Exploring Age-Related Differences.The science of diabetes self-management and careYounger Australian women with type 2 diabetes most often said time stopped them exercising; older women more often said social support and not knowing how to start. Many lacked confidence and practical knowledge about safe exercise.
• RNOther2025Creating an Empirically Informed Mental Health Workbook for Racialised Newcomer Youth in Saskatchewan: Community-Based Participatory Action Research.International journal of mental health nursingPilot users reported the workbook increased mental health literacy, validated their stress experiences, and motivated self-care. This was a development report with no control group, so it shows the tool was well-received, not that it improves outcomes.
• RNMeta-Analysis2025The Effectiveness of Patient-Centered Digital Empowerment Programs in Hematological Cancer Care: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Worldviews on evidence-based nursingFatigue did not improve when blood cancer patients used digital empowerment programs, but depression, distress, self-efficacy and quality of life showed small positive changes. Use them as support, not physical symptom treatment.
• RNSurvey2025Attitudes toward caring for terminally ill patients among community nurses in Shanghai: A cross-sectional study.International journal of nursing sciencesCommunity nurses in Shanghai reported moderate attitudes toward caring for terminally ill patients. Those with greater ability to cope with death and those who received blended death education held more positive attitudes. The lowest scores were for communicating with dying patients.
• RNSurvey2025Promoting healthy sexual practices to prevent youth pregnancy in Vhembe district.CurationisSouth African school youth did not consistently identify legal and illegal abortion settings, and many reported staff disrespect, confidentiality concerns, language barriers, parental consent demands and long waits.
• RNOther2025In-home respite care in dementia: An evolutionary concept analysis.International journal of nursing sciencesFor dementia families, in-home respite care is described as a short, home-based substitution for caregiver duties, preserving routines and keeping the person at home. It is framed as patient- and caregiver-centered, not just household help.
• PTOTRNSystematic Review2025Quality of life experience in physically frail people on renal dialysis: A qualitative meta-synthesis on the difficulties and resources for better health care.International journal of nursing sciencesDialysis patients described frailty as limiting daily activity, increasing fall risk, and stripping work, family, and social roles. They also said teams underestimated falls, while family, peers, and exercise programs were reported as supports.
• RNRCT2025Effectiveness of a theory-based tailored individual and family self-management education in adults with uncontrolled diabetes: A randomized controlled trial.International journal of nursing sciencesAdults with poorly controlled type 2 diabetes and a family member who received an 8-week multi-component self-management education improved self-management, lowered a blood marker of insulin resistance, and reduced diabetes distress versus usual care.
• RNRCT2025Effects of a culture-specific behavior modification program on glycated hemoglobin and blood pressure among adults with diabetes and hypertension: A randomized controlled trial.International journal of nursing sciencesIn 51 adults completing, a 12-week nurse-led Isan culture-specific behavior-change package lowered HbA1c from 8.65% to 7.95% and improved blood pressure control compared with usual care.
• PTOTRNSystematic Review2025Transitional Care for Patients with Amyotrophic Lateral Sclerosis to the Home: A Scoping Review.Revista brasileira de enfermagemPeople with ALS going home need individualized transition plans: multidisciplinary care, discharge planning, telehealth, medication administration support, and caregiver training. This review mapped 7 studies, mostly expert opinion, so it shows what care looks like, not what works.
• RNOther2025ICNP® nursing diagnoses and outcomes for community mental health based on the Tidal Model.Revista brasileira de enfermagem426 ICNP nursing diagnosis and outcome statements were constructed for community mental health using the Tidal Model. Most were not already in ICNP 2019/2020, and content validation is still needed.
• RNQualitative2026Improving Community-Based Palliative Care Explanations: Insights From Persons Declining Services.The American journal of hospice & palliative carePatients and caregivers who declined community palliative care often confused it with hospice or knew only part of it. They wanted clear, tailored explanations that explained how it differs, what it offers, and how services work.
• RNQualitative2025Within the Walls: Experiences of Admission to Psychiatric Hospital in Ireland Prior to 2001.International journal of mental health nursingSix people who were psychiatric inpatients in Ireland before 2001 described the hospital as isolating and confusing. They felt stripped of their identity as mothers or individuals, struggled to understand their treatments, and carried lasting trauma from electroconvulsive therapy and medication.
• RNRCT2025Preliminary Efficacy of a Self-Management Programme to Improve Quality-of-Life in Patients With Obesity and Osteoarthritis Awaiting Arthroplasty: A Randomised Trial.International journal of nursing practiceNurse-led self-management support improved mental health, coping and social functioning in obese patients waiting for joint replacement. Physical pain and overall quality of life scores did not differ from usual care. The intervention was feasible and delivered mostly by phone.
• RNOther2025Sustainable development and women's empowerment in vulnerable communities: an experience report.Revista brasileira de enfermagemTwenty-nine women entrepreneurs in vulnerable Brazilian communities attended workshops on business and health topics, including domestic violence and family planning. Participants reported increased self-esteem and self-care. The initiative helped formalize a seamstress cooperative and attracted local business partnerships.
• RNQualitative2025Care for ill-housed persons: access and professional proactivity in primary care.Revista brasileira de enfermagemPrimary care staff in areas without street outreach teams described relying on spontaneous, crisis-driven demand. Intersectoral links with social services and professional proactivity were essential to navigate barriers and provide care to homeless persons.
• RNSystematic Review2025Social determinants of adherence to antiretroviral therapy among adolescents and young people living with HIV: a scoping review.Revista da Escola de Enfermagem da U S PAdolescents with HIV adhere to treatment when they understand it, have stable routines, and receive family or peer support. Barriers include stigma, fear of disclosure, depression, forgetfulness, and distance to clinics. Adherence is not just about motivation.
• RNSystematic Review2025Cultural considerations at end-of-life for people of culturally and linguistically diverse backgrounds: A critical interpretative synthesis.Journal of clinical nursingAustralian end-of-life care for culturally and linguistically diverse people faced barriers: poor interpreter access, jargon, English-only services, and staff cultural competence gaps. Ask each person and family about language, beliefs, rituals, and decision-making preferences.