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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.

2,116 PAPERS · PAGE 31 OF 43 · NEWEST FIRST

• RNQualitative2024Unplanned pregnancy at advanced maternal age: analysis in light of Transition Theory.Revista da Escola de Enfermagem da U S PWomen aged 35 or older with unplanned pregnancy described shock, fear, age stigma and financial strain, but used faith, family, neighbours and prenatal care to cope.
• RNSystematic Review2024Use of Telenursing in the conservative treatment of patients with chronic renal insufficiency: scoping review.Revista latino-americana de enfermagemRemote nursing tools for chronic kidney disease were mapped in nine articles and one dissertation. Included studies reported improved adherence, self-care, monitoring and education, but this scoping review cannot show how much benefit patients get.
• PTOTRNSurvey2024Prevalence and Risk Factors of Self-Reported Sarcopenia and Its Association With Multimorbidity in Community-Dwelling Older Adults: A Cross-Sectional Study.Nursing & health sciencesCommunity older adults with two or more chronic conditions had self-reported sarcopenia more often: 43.5% versus 20.8%. Consider SARC-F to flag low strength, walking assistance, rising, stairs and falls in multimorbid patients.
• RNCohort2024Parental norms and perceptions regarding use of mobile devices by children under five years.Revista latino-americana de enfermagemSpanish parents who allowed children under five to use smartphones or tablets without time limits reported higher daily use. Using devices to entertain or as reward was also linked to more screen time, and use was higher when the father was absent.
• RNQualitative2024Experiences of access and use of primary health care by users with systemic arterial hypertension.Revista da Escola de Enfermagem da U S PPeople with hypertension in Brazilian primary care said appointments took one to three months, medicines were missing, lab results were delayed, and almost none had been invited to education groups. Users reported difficulty distinguishing nurses from technicians.
• PTOTRNRCT2024mHealth-Based Self-Management Program for Patients With Rheumatoid Arthritis: A Pilot Randomized Controlled Study.Nursing & health sciencesQuality of life and disease activity did not differ between groups, though nurse-led mHealth self-management improved knowledge, confidence controlling symptoms, perceived health, depression levels and physical activity at some time points.
• RNOther2025Developing a clinical decision support framework for integrating predictive models into routine nursing practices in home health care for patients with heart failure.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingRecent visit patterns, missed visits, and documented symptoms were among the strongest model signals of heart failure emergency risk, not routine vital signs. A proposed EHR alert could give nurses a four-day window before hospitalization or emergency visits.
• RNRCT2025Implementing Resourcefulness Training© with Parent Caregivers of Children Dependent on Medical Technology During the COVID-19 Pandemic: Lessons Learned from a Randomized Controlled Trial.Clinical nursing researchTelehealth caregiver training for parents of technology-dependent children needed constant changes: virtual visits, text reminders, online logs, and preferred contact times. This paper reports delivery problems, not whether the training worked.
• RNSurvey2025Determinants of Cervical Cancer Screening Among Rural Women in Zimbabwe.Public health nursing (Boston, Mass.)Among rural Zimbabwean women, only 274 of 840 had ever been screened for cervical cancer. Screening was less likely in women aged 25 to 45 years and those without medical insurance, and more likely in women living with HIV or with recent malaria.
• PTOTRNOther2024Multidisciplinary Inpatient Community Rehabilitation Programmes for Frail Older People: A Scoping Review.Nursing openMultidisciplinary inpatient rehabilitation for frail older people is reported in few studies, mostly focused on mobility and function. The intervention studies had no control group, and outcomes varied widely, so the review cannot show which programme works.
• RNSystematic Review2024Post-informal caregiver's perspectives and experiences of the support network: a systematic literature review and meta-synthesis.Revista da Escola de Enfermagem da U S PAdults who had stopped caring described support gaps after care ended: isolation, financial strain, grief, and services that stopped too soon. They wanted continued help, practical guidance, and community connection.
• RNOther2025Estimating the Prevalence of Child Abuse and Neglect Among Adolescents in Primary Care Through Diagnoses Codes and Free-Text EHR Clinical Notes.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersAdolescent clinical notes contained more suspected or confirmed child abuse and neglect than diagnosis codes: 294 patients versus 111. Primary care providers should review free-text notes, not rely only on coded diagnoses.
• OTRNQualitative2025Eating Together but Often Feeling Lonely: Residents' Mealtime Experiences in a Nursing Home.Journal of clinical nursingResidents said familiar, tasty, easy-to-chew food mattered most. Stable routines and staff who knew their preferences made mealtimes calmer. Many felt lonely, found it hard to talk with incompatible companions, and sometimes ate in apartments.
• RNOther2025Applying natural language processing to understand symptoms among older adult home healthcare patients with urinary incontinence.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingOnly 29% of home healthcare episodes for older adults with urinary incontinence had symptoms documented in notes. Anxiety was most common, urinary symptoms rare. Episodes for Black, Asian/Pacific Islander, and Hispanic patients were less likely to have any symptoms documented than White patients.
• RNSystematic Review2025Cultural Influences, Experiences and Interventions Targeting Self-Management Behaviours for Prediabetes or Type 2 Diabetes in First-Generation Immigrants: A Scoping Review.Journal of advanced nursingAdult first-generation immigrants with prediabetes or type 2 diabetes reported language barriers, limited health literacy, cost, family roles and cultural beliefs shaping self-management. Culturally tailored education, interpreters, family and peer support, and flexible scheduling were described as supports.
• RNPilot2024Evaluation of a Cohort-Based Healthy Aging With HIV Wellness Pilot Intervention: "People Aging and Thriving With HIV" in Colorado.The Journal of the Association of Nurses in AIDS Care : JANACIn older adults with HIV, weekly steps did not show improvement in this wellness pilot, and depression, physical function, quality of life, and social isolation also did not show improvement. Participants liked it, but the study does not show it works.
• PTOTRNPilot2024A Pilot Home-Telehealth Program to Enhance Functional Ability, Physical Performance, and Physical Activity in Older Adult Veterans Post-Hospital Discharge.Research in gerontological nursingA 6-month home telehealth program with a physical activity trainer nearly doubled daily steps in older veterans post-discharge. Functional ability and physical performance showed modest, non-significant improvements. High dropout rates and small sample size limit conclusions on efficacy.
• PTRNSystematic Review2024Cultural Tailoring and Implementation Science for Cardiometabolic Interventions in Asian Americans: A Systematic Review.Nursing openOnly three of nine studies in Asian American adults found significant weight, blood pressure, or A1C changes, although nine reported improvements in knowledge, self-efficacy, or behavior. Interventions varied widely, so no single culturally tailored approach is proven.
• RNRCT2025Nurse-Led Mobile Phone Intervention to Promote Self-Management in Type 2 Diabetes in Ghana: A Randomized Controlled Trial.The science of diabetes self-management and careNurse-led phone calls plus usual care did not improve blood sugar or self-management more than usual care alone. Both groups improved, but the extra calls added no significant benefit over standard clinic visits.
• RNRCT2025The Impact of Hospice Care on the Prognosis, Quality of Life, and Emotional Well-being of Patients With Chronic Heart Failure.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses AssociationFor chronic heart failure, adding pain, comfort, sleep, psychological, spiritual and end-of-life education to standard care improved cardiac function, reduced anxiety and pain, and raised quality of life; daily living improved similarly in both groups.
• PTOTRNOther2024Purposes and characteristics of virtual reality technologies for the elderly in the community: a scoping review.Revista latino-americana de enfermagemCommunity older adults used VR for balance, gait, strength, cognition, mood, and leisure. Devices included screens, Kinect, goggles, and sensors; only four studies reported dizziness, nausea or anxiety, so safety reporting was incomplete.
• RNSurvey2024Quality of home visits by community health workers in primary care and associated factors.Revista latino-americana de enfermagemJust 51.9% of home visits by community health workers met the study's full set of quality actions. Teams that defined catchment areas, monitored health indicators, assessed user satisfaction, and used risk criteria were more likely to have adequate visits.
• RNSurvey2024Development and Testing of the Comprehensive Prenatal Care Index: Relationship With Preterm Birth and Small for Gestational Age Across Racial and Ethnic Groups.Journal of midwifery & women's healthComprehensive prenatal care quality, including counseling and screening content, was associated with lower odds of preterm birth across racial and ethnic groups. It did not consistently predict small for gestational age. Visit count alone did not capture care quality.
• RNCase Report2024Negative pressure therapy in pediatric patient with surgical site infection: experience report.Revista da Escola de Enfermagem da U S PIn a child with an infected abdominal surgical wound, surgery, cleaning, dressings, skin barriers and negative pressure therapy were followed by reduced wound size and wound assessment scores. This single case cannot prove any component worked.
• RNQualitative2025Using Collective Intelligence to Develop Design Requirements for a Complex Intervention for Advance Care Planning in the Community.Journal of clinical nursingCommunity dwellers, families and professionals named 109 barriers to advance care planning in Ireland, including fear, low awareness, unclear processes, family conflict and lack of time or tools. These are design requirements, not tested care changes.
• RNSurvey2024Smartphone and tablet use pattern in children up to 5 years old in Spain: a cross-sectional study.Revista latino-americana de enfermagem44.7% of parents of children aged 3 months to 5 years reported smartphone or tablet use. Older children used devices more often. Smartphone use was linked to parent education, tablet use to siblings and parent age.
• RNOther2025Nurse-Administered Screening Tools for Detecting Elder Abuse in Emergency Departments: A Scoping Review.Journal of advanced nursingNo nurse-administered screening tool is the gold standard for detecting elder abuse in emergency departments. The ED Senior AID tool showed the strongest validation data, but most tools rely on subjective judgement, lack reliability testing, or were not designed specifically for nurses.
• PTRNPilot2024Feasibility of Using Rebound Exercise in Community-Dwelling Adults With Neurological Disorders.Nursing & health sciencesSupervised mini-trampoline rebound exercise was feasible and safe for community-dwelling adults with neurological disorders: 52 of 53 completed 12 weeks with no adverse events. Walking speed, blood pressure and activity improved, but without a control group efficacy is not proven.
• RNQualitative2024Healthcare needs and expectations of family members caring for mental healthcare users in South Africa.CurationisFamily caregivers described physical, psychological, social, financial, educational and spiritual needs. They expected medication access, home visits and day care rehabilitation. These are caregiver reports, not evidence that services improve outcomes.
• RNCohort2024Validation of Spanish Version of the Spirituality and Spiritual Care Rating Scale (SSCRS-Sp) in Nursing Professionals.Nursing openA Spanish survey of 325 nurses showed the scale reliably captures their views on spiritual care, but its underlying structure differs from the original English version. Use the total score for training needs assessments, but do not rely on the original four subscales.
• RNQualitative2025A Narrative Exploration of Family Members' Perspectives of Life Story Phases Following Transition of an Older Family Relative Into Long-Term Care.International journal of older people nursingFamily members described life-story phases after moving an older parent into long-term care: before transition, crisis, transition, and after. They felt unprepared, with relief and guilt. Matching information and family support to each phase could help nurses.
• RNRCT2025The feasibility of sharing digital audio-recordings of clinic visits online with older adults in primary care settings: A multisite trial.Patient education and counselingOlder adults with diabetes and hypertension found online visit recordings feasible to use; 40 of 45 recording-group patients accessed recordings, and retention was 98%. Patients and clinicians reported recordings helped recall, but the trial was not powered to prove health benefits.
• RNSurvey2024Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross-Sectional Survey.Nursing openUnvaccinated adolescents who felt at higher risk and saw supports like trusted advice, affordability and access reported stronger intention to get HPV vaccination. Knowledge alone was not linked to intention. Many were interested in games or social media.
• RNQualitative2024Exploring sociocultural factors and ubuntuism for women living with HIV in rural Zimbabwe.CurationisRural Zimbabwean women living with HIV described being excluded from community health and empowerment activities after disclosure. Patriarchal blame, loss of land, and education restrictions were reported alongside stress, isolation, and reduced access to care.
• OTRNQualitative2025Perceptions of Frail Older Adults on Contributing Factors Causing the Onset of Crises Leading to Hospital Admissions: A Qualitative Study.Journal of advanced nursingFrail older adults saw a fall, UTI or dizziness as the reason for the emergency department visit, but described months of unaddressed decline, stigma around frailty and delayed help-seeking.
• RNQualitative2025Co-creating an Indigenous-led virtual health services model for Indigenous Australians living with chronic disease.The Australian journal of rural healthIndigenous consumers valued a virtual chronic disease service when they could control their own readings and when support came from local, culturally connected health coaches. More welcoming, less clinical technology and fewer device steps may help uptake.
• RNOther2025HPV Vaccine Hesitancy and Uptake: A Conceptual Analysis Using Rodgers' Evolutionary Approach.Journal of advanced nursingNurses discussing HPV vaccination may find hesitancy linked to safety fears, misinformation, cultural beliefs, low perceived risk, cost and access, and trust in providers.
• RNRCT2025Perceptions of Coping With Breastfeeding Pain: A Secondary Analysis.Journal of midwifery & women's healthThirty of 57 parents said coping with breastfeeding pain felt different, describing it as new, time-limited, and tied to infant care; some feared failure. Pain scores did not differ between these parents and others.
• RNQualitative2025Playing the Admission Game: Young People and Their Parents Negotiating Access or Discharge to Adolescent Inpatient Mental Health Services.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncYoung people and parents described little choice or control over admission, discharge and care in adolescent inpatient mental health services. They said physical risk and visible distress mattered more than reported emotional distress, and families often felt they had to advocate hard to get care.
• RNOther2025The Effect of Reminiscence Therapy on the Assessment of Depression, Anxiety and Self-Esteem in Community-Dwelling Older Adults: An Intervention Study.International journal of older people nursingIn 24 community-dwelling older adults, 12 weeks of group reminiscence sessions were followed by lower depression and anxiety scores and higher self-esteem scores. Quality of life scores did not improve.
• RNSurvey2024The impact of perception bias for cardiovascular disease risk on physical activity and dietary habits.International journal of nursing sciencesMost adults misjudged their cardiovascular risk. Many overestimated it, but people with high calculated risk often underestimated it. Those who underestimated it also reported less healthy eating.
• PTRNQualitative2024An Outdoor Walking Program for Immigrant Muslim Older Adults: A Community-Based Participatory Intervention.Nursing openOlder immigrant Muslim adults reported a 10-week outdoor walking program was acceptable and motivating when sessions included social time, language and cultural support, and Fitbit step tracking. Transportation and activity literacy were main barriers.
• RNPilot2025Implementation of a Pilot Study in Adolescent Health Care Transition Program for Chronic Granulomatous Disease: A Single Institution Experience.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersA nurse-led transition education program was acceptable to young people with chronic granulomatous disease, but knowledge scores did not clearly improve. It identified topics, formats, and gaps, not evidence the program works.
• RNSystematic Review2024Strategies for expanding vaccination coverage in children in Brazil: systematic literature review.Revista brasileira de enfermagemBolsa Família conditionalities did not improve child vaccination coverage overall; reminders raised completeness, and home-visit monitoring helped identify unvaccinated children.
• RNQualitative2024Self-management behavior preferences and influencing factors in Chinese patients with recurrent gout: A qualitative study.International journal of nursing sciencesChinese patients with recurrent gout described poor self-care. They underestimated gout, took painkillers only during attacks, delayed clinic visits, and found diet, water, and exercise hard to maintain. Their beliefs and stigma shaped these habits.
• RNPilot2025Development of and Testing Novel Questionnaires Assessing Palliative Care-Related Knowledge, Attitudes, and Confidence Among Home Healthcare Clinicians, Patients, and Caregivers.Home healthcare nowHome healthcare clinicians and patients/caregivers often lacked accurate pain and opioid knowledge, while attitudes toward palliative care were positive. The new questionnaires can measure this, but they do not prove training improves care.
• RNOther2025Enhancing primary healthcare in under-resourced communities with mobile health clinics.NursingHaiti mobile clinics screened over 4,900 individuals from 2015 to 2019, found hypertension, diabetes, infections, and other conditions, referred critical cases to hospitals, and taught water purification and warning signs. It is a service model, not proven outcomes.
• RNQualitative2024Health literacy development of Primary Health Care patients: qualitative research.Revista brasileira de enfermagemPatients with chronic disease said they built health knowledge mainly through family, friends, social media, body sensations and trusted professionals. These relationships shaped self-care, while online information was useful for learning but less helpful for acting on care.
• RNNarrative Review2025Contributing Factors to the Rise in Adolescent Anxiety and Associated Mental Health Disorders: A Narrative Review of Current Literature.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncAdolescent anxiety is rising, and this review links it to biology, social media, family strain, school pressure, extracurricular load, and political or climate worry. Nurses can use these factors to ask targeted questions and counsel families.
• RNQualitative2025Family Caregivers' Experiences of Long-Term Care Residents Living With Dementia During the COVID-19 Pandemic: An International Grounded Theory Study.Journal of advanced nursingFamily caregivers of people with dementia in long-term care described lockdowns as painful exclusion. They fought to keep connection, distrusted inconsistent care, and found video calls inadequate without staff support.