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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.

402 PAPERS · PAGE 3 OF 9 · NEWEST FIRST

• PTOTRNCohort2025Frailty, Nutrition, and Quality of Life in Urban-Dwelling Older Adults Facing Vulnerability: Observational Study in Primary Heath Care Settings in Underpopulated Areas.Nursing & health sciencesPoor functional independence and performance were the strongest indicators of vulnerability in older adults in Brazilian primary care, and poor nutrition was also linked. Quality of life was linked to vulnerability but was not analyzed as a predictor.
• RNPilot2025Exploring the Feasibility of the LEAD Trial: Online Dyadic Dementia Care Planning for Early Alzheimer's and Other Dementias.The American journal of hospice & palliative careCare partners' confidence in making medical decisions improved and stayed high for six months. Their relationship strain with the person with dementia also dropped. The web-based planning tool was feasible but did not change the care recipients' own relationship scores.
• RNOther2025The Ripple Effect of COVID-19: How Lockdown Regulations Shaped Antiretroviral Therapy Initiation Among People Living With HIV in Johannesburg.Nursing & health sciencesDuring COVID-19 lockdowns, Soweto facilities diagnosed fewer people with HIV and started fewer on treatment, but a higher share of those diagnosed were started on ART. Facilities recovered unevenly. Some facilities kept high initiation rates, while others lagged.
• RNQualitative2026Navigating Prediabetes in a Foreign Country: A Qualitative Study of Self-Management Experiences Among Chinese-Speaking Immigrants in Australia.Journal of advanced nursingChinese-speaking immigrants with prediabetes described self-management as shaped by migration, language barriers, family food habits, and anxiety. The findings suggest nurses should use plain language, native-language materials, and family or community support.
• RNQualitative2025The Impact of Trauma-Informed Care on Patient Engagement, Experience and Barriers to Care: A Qualitative Study: Empirical Research Qualitative.Nursing openPatients described trauma-informed nursing as removing the burden of explaining their reactions, which built trust and helped them access services. Nurses advocated for them in appointments and simplified navigation, making care feel achievable.
• RNQualitative2025Women's Breastfeeding Support Experiences in Ireland: A Qualitative Framework Analysis.Journal of human lactation : official journal of International Lactation Consultant AssociationWomen's diaries described breastfeeding support as shaped by family, friends, colleagues and health professionals. Practical, reassuring advice was described as helpful; conflicting comments and formula offered after a health care assistant said the baby was starving were described as leaving some confused and less confident.
• RNSystematic Review2025Non-Suicidal Self-Injury in Adolescents: A Systematic Review on Prevention and Intervention Programmes.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncTwo included programmes reported reduced self-injury or improved emotional regulation in adolescent observational studies, but evidence was limited and neither was nurse-led. Risk factors were inconsistent.
• RNSurvey2025Factors Impacting Pneumococcal Vaccination Among Non-Hispanic Black Adults With Type 2 Diabetes: A Nationwide Cross-Sectional Study.The science of diabetes self-management and careNon-Hispanic Black adults with type 2 diabetes were more likely to report pneumococcal vaccination if they felt at risk and had a past-year flu vaccine. Those who thought the disease was more severe were less likely to report vaccination.
• RNCohort2025Exploring Emotional Communication Between Older Persons and Nursing Assistants in Home Care: A Qualitative Study.International journal of older people nursingDuring home care visits, older people's sadness, worry and pain often appeared as hints, jokes, repeated concerns or mismatched tone. When nursing assistants noticed these cues, they could respond with comfort; when tasks dominated, the concerns were missed or redirected.
• RNQualitative2026Evaluating Treatment Burden in Patients with Complex Needs Receiving a Transition of Care Intervention: A Rapid Qualitative Analysis.Clinical nursing researchMost recently hospitalized patients with complex needs reported minimal treatment burden, aided by family support and provider communication. Nurse-led outreach calls were appreciated for reminders and reassurance, but did not resolve deeper issues like insurance gaps or lack of home help.
• RNOther2025Type 2 Diabetes and Lifestyle Discussions With Practice Nurses in Primary Health Care: A Scoping Review of Patient Experiences.Nursing openPeople with type 2 diabetes valued practice nurse consultations that were unhurried, friendly and specific. They wanted clear diet and activity advice, help interpreting blood glucose results, and continuity, not generic leaflets or rushed 10-minute checks.
• RNSurvey2026Psychometric Validation of Culturally Adapted Tool for Measuring Attitudes Toward Domestic Violence: Bridging Social Norms and Community Interventions.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyA six-item scale for Saudi adults captured recognition of domestic violence and support for intervention. Three questions about accepting violence did not fit, so it measures awareness, not personal acceptance.
• RNCohort2025Type 2 Diabetes Management in Aotearoa New Zealand: A Comparison of Urban and Rural Primary Care Clinics.The Australian journal of rural healthRural T2D clinics had similar HbA1c levels to urban clinics, but more rural patients lacked HbA1c and urine albumin tests, and rural patients were less often prescribed metformin, ACE inhibitors, or statins.
• RNNarrative Review2025PrEP-ared for Surgery? A Comprehensive Narrative Review of Perioperative Recommendations for Anesthesia Providers.AANA journalThe review suggests continuing PrEP around surgery unless contraindicated. Teams should plan for kidney, bone, blood pressure, injection timing, and stigma concerns.
• RNQualitative2025The Disease Self-Management Among Patients With Chronic Heart Failure in an Affluent Economy: A Grounded Theory Study.Nursing openPatients in Macau managed heart failure by leaning on family and accessible social services to maintain control over their lives. They adjusted diets and medications, but emotional regulation and family cooperation were central to their daily coping strategies.
• RNCohort2025Comparative study of the vulnerability profile of young people and adults with reactive HIV tests.Revista da Escola de Enfermagem da U S PMost people with reactive HIV tests were under 30, cisgender men, and inconsistent condom users. Young people were more likely to be men who have sex with men and had tested previously, while adults were more likely to be heterosexual with partners living with HIV.
• PTRNQualitative2026The Forgotten Caregivers: A Qualitative Study Exploring the Experiences of Fathers of Children With Medical Complexity.Journal of clinical nursingFathers of children with medical complexity described night care, lifting, financial pressure and emotional support as central. They wanted peer support, flexible work, mental health help and physiotherapy for caregiver strain.
• RNSurvey2025Development of a peer support and precision matching mobile platform for health management for people living with HIV.International journal of nursing sciencesUsers of an HIV peer-support WeChat platform rated its usability as good. It offers matching, medication reminders, mood tracking and health records, but this study did not test whether it improves HIV health outcomes.
• RNSystematic Review2025Advance care planning among stroke patients: A scoping review.International journal of nursing sciencesAdvance care planning for stroke patients was delivered through formal and informal discussions, documentation, and family or surrogate involvement. Two studies reported higher documented advance directive rates. Only eight studies were found, and implementation remained limited.
• RNQualitative2026"Rolling the Boulder Up the Hill": A Qualitative Study of Parents' Experiences Providing Ongoing Care at Home for Their Child with Complex Medical Needs.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieresParents caring for medically complex children at home described doing nursing tasks, advocacy, and round-the-clock care, often without enough support, with strain on sleep, identity, and finances. Ask what support is missing.
• RNSurvey2026Provider effects and racial inequities in breast cancer risk-management adoption: Findings from a community-based study of high-risk women.Patient education and counselingHigh-risk women who had a long relationship with a provider, discussed breast cancer risk, or saw a specialist were more likely to follow screening guidance and know prevention options. Black women reported less access to all three.
• RNOther2025Consensus Guidelines for the Follow-Up Care of Long-Term Cancer Survivors and Their Families for Primary Care Nurses in Spain: A Modified Delphi Study.Nursing & health sciencesSpanish primary care nurses reached consensus on follow-up plans for long-term cancer survivors and families: identify survivors, assess physical, psychosocial and socioeconomic needs, involve families, coordinate hospital and primary care, and use flexible consultations or telehealth as complements.
• RNOther2025Self-Health Monitoring by Smart Devices and Ontology Technology for Older Adults With Uncontrolled Hypertension: Quasi-Experimental Study.JMIR nursingOlder adults with uncontrolled hypertension who used a smartwatch, app, and nurse-led messaging for 12 weeks saw their mean arterial pressure drop significantly compared to usual care. However, self-reported behavior scores did not differ between the two groups.
• RNSystematic Review2026Patient-clinician communication in longitudinal care settings about adverse childhood experiences (ACEs) and adult traumas: A systematic review of reviews.Patient education and counselingTrauma screening alone was not endorsed as a stand-alone intervention. Supportive communication, confidentiality, and follow-up resources were essential before asking patients about trauma.
• RNRCT2026Integrating patient education on deprescribing into care delivery: Learnings from the Optimize pragmatic trial.Patient education and counselingOlder adults and care partners accepted deprescribing education, but brochures given at the start of visits were seldom remembered. Only 5 of 160 contacted recalled receiving one. Some preferred mail, portal, or pharmacy delivery.
• RNSystematic Review2025Interventions for Psychological Stress in Pregnant African American Women: A Scoping Review.Issues in mental health nursingStress interventions for pregnant African American women showed mixed results. Quantitative data did not consistently prove reduced stress, but participants valued culturally matched support and mind-body techniques. Current evidence is too sparse to recommend specific protocols as effective treatments.
• RNQualitative2025What Aspects Promote Health and Well-Being Among Autistic Adults and How Can They Be Incorporated Into Nursing Care? A Theoretical Podcast-Based Study.Scandinavian journal of caring sciencesAutistic adults described health-promoting needs: pursuing intense interests, routines for eating, hygiene and toileting, straightforward communication, sensory comfort and time alone. The paper maps these to nursing care, but reports expert suggestions, not tested interventions.
• RNQualitative2025Barriers and Facilitators to the Symptom Self-Management in Patients With Decompensated Cirrhosis: A Qualitative Study Using Capability, Opportunity, Motivation-Behaviour Model.Nursing openPatients with decompensated cirrhosis, families and clinicians described symptom self-management barriers: poor symptom recognition, fatigue, alcohol social pressure, cost and low confidence. Facilitators were family support, useful information, visible improvement and culturally familiar therapies.
• 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.