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.

1,853 PAPERS · PAGE 28 OF 38 · NEWEST FIRST

• RNQualitative2025Facing tuberculosis during the COVID-19 pandemic: the perspective of those who experienced it.Revista brasileira de enfermagemEleven people treated for tuberculosis during the pandemic described delays, stigma, and interrupted follow-up, but also valued nearby primary care and nurse support. Clinicians should check home visits, directly observed treatment, and accurate transmission advice.
• RNOther2025Transition from hospital to home care: a mixed methods study in light of Meleis's Theory.Revista brasileira de enfermagemPatients and families rated hospital-to-home transition poorly: their care-transition score was 59.2 of 100, below 70 considered satisfactory. Most had no post-discharge home visit, but daily-living dependence decreased from moderate to mild.
• RNPilot2025Implementation of a Loneliness Screening and Referral Program in Primary Care: A Mixed Methods Pilot Study.Research in gerontological nursingIn a 2-week primary care pilot, 50% of 102 older adults screened positive for loneliness. Screening was feasible, but only 52% of positive-screen patients received referrals, and referral recipients did not recall or follow them.
• RNCohort2025Impact of Inpatient Stroke Rehabilitation on Caregivers' Perceived Readiness for Patient Discharge.Rehabilitation nursing : the official journal of the Association of Rehabilitation NursesCaregivers' reported readiness for patient discharge rose from admission to discharge after inpatient stroke rehabilitation. The study had no comparison group and included usual team education, so it cannot show which part caused the change.
• RNOther2025Exploration of Perceptions of Mental Health and Self-Stigma Related to Psychological Care Seeking Among Female Refugees From War-Torn Ukraine.Journal of psychiatric and mental health nursingUkrainian female refugees in the US described war-related anxiety, insomnia and shame about seeking mental health care. They often coped through family, faith, work and staying busy, and preferred help only when severe.
• RNOther2025YouTube as a Source for Arabic-Speaking Parent Education on the Oral Hygiene of Children: A Social Media Content Analysis.Public health nursing (Boston, Mass.)Most Arabic-language YouTube videos on child tooth brushing scored moderate total quality, but had poor reliability and low overall quality. Creator credentials did not guarantee quality, so nurses should vet videos before sharing them.
• RNOther2025Effectiveness of Patients' Education and Telenursing Follow-Ups on Self-Care Practices of Patients With Diabetes Mellitus: Cross-Sectional and Quasi-Experimental Study.JMIR nursingDiabetes education plus booklet, calls, SMS, WhatsApp, videos, and voice notes improved patients' reported self-care and observed skills over four weeks. Without a control group, the effect of any component cannot be separated.
• PTOTRNQualitative2025Improving Rehabilitation for People With Type 2 Diabetes: Experiences From a Qualitative Study in a Municipal Setting.Scandinavian journal of caring sciencesPeople with type 2 diabetes found it hard to turn rehabilitation advice into daily habits. Staff said vulnerable people were hard to reach, and referrals varied. They wanted flexible sessions, dietitian help, family support and better communication.
• RNOther2025Implementation of A New, Mobile Diabetic Retinopathy Screening Model Incorporating Artificial Intelligence in Remote Western Australia.The Australian journal of rural healthA van-based AI retinal screening reached remote communities and was accepted by patients: 96% of survey responders were happy with AI, and all rated the experience good or very good.
• RNQualitative2025Intermittent Use of Continuous Glucose Monitoring in Type 2 Diabetes Is Preferred: A Qualitative Study of Patients' Experiences.The science of diabetes self-management and carePeople with type 2 diabetes found that continuous glucose monitoring was a learning tool that showed how food, walking, and daily choices changed glucose. Many preferred intermittent access during illness, vacations, or disrupted routines, because continuous use could feel stressful.
• RNSurvey2025Does Grit Matter? The Relationship Between Grit and Drinking Behavior Among Adolescents: A Cross-Sectional Study of a Nationally Representative Sample of Korean Adolescents.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingAdolescents with higher grit were less likely to report drinking in the past year, even after accounting for gender, depression, peer and teacher relationships, other risk behaviors, and social media use.
• RNOther2025Clinical, Operational, and Economic Benefits of a Digitally Enabled Wound Care Program in Home Health: Quasi-Experimental, Pre-Post Comparative Study.JMIR nursingHome health branches using a digital wound care system saw wounds heal 4.3 days faster on average. Nurses also spent less time on visits and conducted fewer visits per episode. This improvement occurred alongside clinician training, not just the technology.
• RNSystematic Review2025Live Hospice Discharge of Individuals with Cognitive Disabilities: A Systematic Review.Journal of the American Medical Directors AssociationIn studies of hospice patients with cognitive disabilities, live discharge rates ranged from 21% to 45%, and all studies reported that longer stays were associated with live discharge. This identifies risk, not a tested way to prevent it.
• RNSurvey2025Using Multi-Site Research Results to Impact Local Pediatric Pain Evidence-Based Practice: Innovations and Outcomes.Worldviews on evidence-based nursingSharing local pain data with PICU sites led most to change practice, like fixing assessment scales. Nurses saw their own documentation gaps. This was a survey of research teams, not a test of whether the new practices improved patient outcomes.
• RNNarrative Review2025A Narrative Review of Culturally Informed Breastfeeding Interventions for African American Women.The Journal of perinatal & neonatal nursingCulturally informed breastfeeding support for African American women improved breastfeeding knowledge, confidence, intention, initiation, duration, or exclusivity in 13 studies, but study quality was not appraised.
• RNCohort2025Study on the Current Situation and Influencing Factors of Family Resilience of Patients With Recurrent Cancer and Their Caregivers.Nursing openIn 204 pairs of patients with recurrent cancer and caregivers, higher social support and hope were linked to higher family resilience; burden was linked to lower resilience. Patient family resilience showed no reported link with quality of life.
• PTRNSystematic Review2025Emergency Department Navigator Interventions and Outcome Measures: A Scoping Review.International journal of older people nursingScoping review of 10 studies found no consistent definition or outcome measures for ED navigator interventions for older people. Results on admissions and length of stay were mixed, with no clear evidence of effectiveness.
• RNSurvey2025Attitudes of the Population Toward Vaccines During the COVID-19 Pandemic: The PROACTIVE Study.Public health nursing (Boston, Mass.)Among 411 Italian adults, people who worried more about catching COVID-19 also used more preventive measures. Older age, female sex, and chronic disease were associated with higher risk perception and preventive behaviour.
• RNOther2025Integrating Nursing-Teleophthalmology Improves Diabetic Retinopathy Screening in Primary Healthcare, Reducing Unnecessary Referrals to Specialist Healthcare.International journal of nursing practiceNurses captured retinal images, and remote reading allowed analysis in 584 of 779 people with type 2 diabetes; 345 were referred and 56% stayed in primary care.
• RNOther2025Guidelines for Primary Pediatric Care Professionals to Help Patients Establish and Protect Milk Supply.MCN. The American journal of maternal child nursingPrimary care nurses should assess 8-12 feeds or expressions in 24 hours, cue-based feeding, safe skin-to-skin, detailed feeding history, and delayed milk-production risk factors at newborn visits.
• RNQualitative2025Perceptions and Intentions to Prevent Diabetes Among At-Risk Individuals: A Qualitative Study Using the Theory of Planned Behaviour.Journal of clinical nursingAt-risk Singapore adults wanted specific, actionable diabetes prevention advice, not just sugar warnings. Younger adults felt less vulnerable and wanted quick results; older adults were more proactive about prevention.
• RNQualitative2025"Taking Charge and Being Responsible": A Qualitative Study of Meaning Making and Motivations for Preexposure Prophylaxis Adherence Among Gay, Bisexual, and Other Sexual Minoritized Men Engaged in Alcohol Misuse in Kentucky.The Journal of the Association of Nurses in AIDS Care : JANACMen taking PrEP while using alcohol described it as self-care, pride, routine, and peace of mind. Alcohol mostly did not change dosing, but PrEP safety plus heavy drinking sometimes increased condomless sex.
• RNSurvey2025Impact of Depression on Activation and Summer Heat Adaptation in Older Adults With Cardiovascular Concerns: Empirical Research Quantitative.Nursing openSummer heat adaptation did not explain the link between depression and activation in rural older adults with cardiovascular risk. Higher depression was linked to lower activation, and better heat adaptation was linked to higher activation.
• RNSurvey2025The mediating effect of health-promoting behaviors on the relationship between infertility stress and fertility-related quality of life of infertile women: a cross-sectional study.Women's health nursing (Seoul, Korea)Higher infertility stress was linked with lower fertility-related quality of life, while healthier daily habits were linked with better quality of life. The study measured these links together, so it does not prove that changing habits improves quality of life.
• RNSystematic Review2025Factors That Influence Digital Health Implementation in Rural, Regional, and Remote Australia: An Overview of Reviews and Recommended Strategies.The Australian journal of rural healthRural Australian telehealth implementation faced many barriers, including poor connectivity, workflow mismatch, staff turnover and unclear policy. Reviews also found enablers such as local champions, patient and family engagement, and culturally sensitive services.
• RNSurvey2025The mediating effects of convergence of femininity-maternity and marital intimacy in the relationship between postpartum depression and quality of life in postpartum mothers: a cross-sectional study.Women's health nursing (Seoul, Korea)In postpartum mothers, higher depression scores were associated with lower quality of life. Maintaining a feminine identity while adapting to motherhood partly accounted for this association. Marital intimacy was linked to quality of life but did not add to that explanation.
• RNSurvey2025Factors influencing COVID-19 vaccination intentions and the moderating effect of perceived behavioral control among pregnant women: a cross-sectional study applying the revised Theory of Planned Behavior.Women's health nursing (Seoul, Korea)Pregnant women's intention to get vaccinated was predicted by their own positive attitudes and by pressure from family or friends. Women who felt vaccination was easy were more responsive to this social pressure. Those who felt it was difficult needed attitude-focused support instead.
• PTRNOther2025The development and application of the mobile frailty management platform for Chinese community-dwelling older adults.International journal of nursing sciencesFrail or pre-frail older adults using a WeChat platform plus routine community care had better frailty status, mood, sleep, grip strength and quality of life at 12 weeks. The platform bundled exercise, nutrition, education and monitoring, so single parts cannot be separated.
• RNOther2025Exploring Emergency Healthcare for Women Experiencing Intimate Partner Violence With Comorbid Psychological Distress.International journal of mental health nursingSafety planning was absent in 36 of 43 emergency presentations where intimate partner violence and mental health concerns were documented, and only 17 presentations recorded referral to an external violence support service.
• PTRNRCT2025Effects of the hospital-community-family trinity cardiac rehabilitation on patients with acute myocardial infarction after percutaneous coronary intervention: A randomized trial.International journal of nursing sciencesAfter heart attack and PCI, 110 patients in a 12-month hospital-community-family rehab program had better exercise endurance, heart function, and quality of life than routine care.
• RNSurvey2025Association Between Family Support and Breastfeeding Self-Efficacy in a Cross-Sectional Study.Nursing openHigher family support was linked to higher breastfeeding confidence. Mothers whose postnatal caregiver was their parents had lower confidence. Nurses can ask whether family help is supportive or controlling.
• RNCohort2025Impact of Remote Appointments on the Outcomes of Community Mental Health Nurses in Primary Care Since the Covid Pandemic: A Retrospective Observational Cohort Study.International journal of mental health nursingTelephone-only mental health nursing appointments were linked to higher dropout and lower improvement. Video or blended formats were linked to lower dropout, and blended delivery was linked to improvement, so reserve phone for brief support or monitoring.
• RNSurvey2025Counseling received in prenatal care by Brazilian women.Revista da Escola de Enfermagem da U S PMost Brazilian women reported receiving many prenatal counseling topics, but younger, less educated, Black, Brown, Indigenous, North/Northeast and public-care women were less likely to receive key pregnancy and childbirth counseling.
• RNOther2025Developing a website to help women aged 55 + incorporate risk in decision-making about breast cancer screening and prevention medications.Patient education and counselingMost older women and experts found a breast cancer risk website helpful and easy to use, but it was not tested for whether it changes screening or medication decisions.
• RNOther2025Risk Factors for Emergency Department Visits or Hospitalizations Among Older Adults With Urinary Incontinence in Home Health Care.Journal of gerontological nursingOlder adults in home health with urinary incontinence were more likely to have an ED visit or hospitalization when notes showed symptom clusters, especially anxiety, dizziness, constipation, or all listed symptoms, and when an unhealed skin ulcer was present.
• RNRCT2025The Effect of Chewing Gum in Managing Labor Pain Intensity and Anxiety Level in Primiparous Women: A Randomized Controlled Trial.International journal of community based nursing and midwiferyFirst-time mothers who chewed sugar-free gum during active labor reported lower pain at 3-4, 5-7, and 8-10 cm dilation and lower anxiety after the intervention than women receiving standard care.
• OTRNSurvey2025Development of Priority Outcome Domains for Community Mental Health Research via Consensus Among Multiple Stakeholders: Online Delphi Study in Japan.International journal of mental health nursingCommunity mental health stakeholders in Japan agreed on outcome domains including help-seeking, feeling safe, social connectedness, daily living skills, medication adherence and suicidal ideation. It is a research priority list, not evidence that measuring them improves care.
• RNOther2025Chronic Illness Self-Management Latent Profiles in Individuals With Comorbid Type 2 Diabetes and Hypertension.The science of diabetes self-management and careDistinct self-management profiles emerged in adults with diabetes and hypertension. The high-distress group had the highest A1C, while high self-efficacy and high health knowledge groups had similar A1C.
• RNSurvey2025An Assessment of Patient Satisfaction With Home Care Services in an Eastern City of Turkey.Nursing openMost patients receiving free Turkish home care rated the service satisfactory, and experience scores were near the top of the scale. Satisfaction was lower when waiting time to start service increased.
• RNMeta-Analysis2025The impact of machine learning on physical activity-related health outcomes: A systematic review and meta-analysis.International nursing reviewAdults in physical activity programmes that used machine learning took more steps per day than control groups across five randomised trials. The programmes varied, so do not assume any single app or nurse-led plan will reproduce this.
• RNOther2025An Evidence-Based Safe Sleep Program Is Associated With Less Infant Sleep-Related Deaths.Worldviews on evidence-based nursingAudits in 12 Pennsylvania hospitals found more infants supine and fewer unsafe crib items after a comprehensive safe-sleep program; parent advice reports also improved, but death counts were too small to prove fewer deaths.
• RNNarrative Review2025Nursing's Role in Advancing Care for Rare Genetic Diseases.The Nursing clinics of North AmericaNurses can coordinate rare disease care, teach patients about testing and treatment, link families to peer support, and advocate for access. The review describes these roles and examples; it does not test whether they improve outcomes.
• RNNarrative Review2025Community Treatment Orders in Australia in the Context of International Literature: A Narrative Review of Consumers, Families and Health Professionals' Perspectives.International journal of mental health nursingAustralian community treatment orders are used despite weak evidence of benefit. Consumers often describe coercion and distress. Families report support but process problems. Health professionals cite risk and service gaps.
• RNQualitative2025Navigating Type 2 Diabetes Care: Asian American Perspectives on Self-Management Education and Support.The science of diabetes self-management and care82% of participants were unaware of diabetes self-management education; generic advice felt culturally irrelevant, and many relied on family, online sources, or self-directed learning. They wanted shorter, virtual, personalized, culturally tailored education.
• RNOther2025The Multidimensional Factors That Influence the Family Management of Autism Spectrum Disorder: A Mixed Methods Study.Journal of family nursingFamilies with higher confidence and lower effort had more family-centered routines and stronger social support. Nurses can help caregivers shift from child-centered to family-centered routines and identify support networks to reduce management burden.
• RNOther2025Evaluation of a Hub-And-Spoke Model of Care for the Delivery of Sleep Disorder Services to a Remote Australian Community Using the RE-AIM Framework: A Controlled Before-And-After Implementation Outcome Study.The Australian journal of rural healthThe new model reached remote patients much more often. Referrals rose nine-fold, 89.4% of patients in the new model avoided travel, and the modelled service cost was lower. This is about access and delivery, not proof testing improves health.
• RNCohort2025Lifting Federal Visitation Restriction and COVID-19 Infections in Nursing Homes.Journal of the American Medical Directors AssociationLifting federal nursing home visitation restrictions did not increase resident COVID-19 infections. Infection rates tracked community spread, not visitation policy. Clinicians can reassure families that allowing visits, with proper infection control, is unlikely to drive outbreaks.
• PTOTRNQualitative2025Experiences and challenges of family caregivers of people with lower limb amputation: a qualitative study.Revista da Escola de Enfermagem da U S PFamily caregivers of people with major lower limb amputation described exhaustion, fear of falls, and poor preparation for stump care and transfers. They wanted practical home training, clear discharge information, and ongoing phone or visit support.
• RNOther2025Health literacy of adults from primary care with type 2 diabetes mellitus: a cross-sectional study.Revista da Escola de Enfermagem da U S PAdults with type 2 diabetes in primary care who had less schooling reported the most difficulty understanding health information and knowing what to do. Men and people with lower fasting glucose reported easier interaction with health professionals.
• PTOTRNSystematic Review2025Interprofessional Collaborations on Interventions for People With Loneliness: A Scoping Review.Nursing openTeam-based loneliness programmes used home visits, phone calls, digital groups and art sessions. Several studies reported lower loneliness, but collaboration details were unclear and many were not controlled trials.