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.

2,253 PAPERS · PAGE 33 OF 46 · NEWEST FIRST

• RNSurvey2024Health literacy and diabetes information preferences among Chinese immigrants: An Australian cross-sectional study.Nursing openChinese immigrants with diabetes or high risk reported higher health literacy when English or Chinese-language proficiency was stronger. 75.6% were willing to receive Australian diabetes materials in Chinese, but 19.7% had received Chinese-language diabetes information from major Australian diabetes bodies.
• RNQualitative2025'I Don't Know How to Live Real Life Sober'-Identifying Needed Supports Through the Voices of Pregnant and Parenting People Seeking Recovery.International journal of mental health nursingPregnant and parenting people seeking recovery from substance use disorder described needing parenting and addiction knowledge, mental health care, housing, childcare and peer support. Longer-term recovery participants more often described self-care routines. It does not show these supports improve outcomes.
• RNQualitative2025Social networks as facilitators and barriers to behavior change among U.S. South Asian adult participants of a culturally adapted, group lifestyle intervention.Patient education and counselingSouth Asian adults in a lifestyle program said family and group peers helped them eat better and be active, but caregiving duties, language barriers, and community norms could block change. Clinicians can ask which network members support or resist changes.
• RNOther2025Learning & motivational talk in smoking cessation interventions: An examination of session language in two randomized trials.Patient education and counselingIn smoking cessation sessions with unmotivated smokers, health education had more client learning talk, while motivational interviewing had more change talk and sustain talk. Rejection talk was more common in health education sessions. Learning talk was rare, less than 5% of client utterances.
• RNQualitative2025The Experiences of Patients Enrolled in Community Mental Health Centers Regarding the Illness Process: A Phenomenological Study.Journal of psychiatric and mental health nursingPatients at Turkish community mental health centres described relief and confidence after diagnosis and medication, but also sadness, stigma, isolation, inability to work, and reliance on family support. The paper reports similar themes in eastern and western regions.
• RNQualitative2024Experiences and Supportive Care Needs of Latinx Millennial Caregivers.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyLatinx Millennial family caregivers described juggling work, family, and caregiving as 'super caregivers,' while facing financial and healthcare access barriers. They asked for respite, caregiver connections, education, and support that recognizes their family and social context.
• RNNarrative Review2024Remote Patient Monitoring at Home in Patients With COVID-19: Narrative Review.JMIR nursingRemote monitoring of COVID-19 patients at home did not significantly reduce hospital visits, readmissions, length of stay, or mortality compared with usual care. Patients generally felt reassured by the approach, but evidence remains too heterogeneous to confirm clinical benefits or cost savings.
• RNQualitative2024Stakeholder Perspectives on Research, Policy and Practice Priorities to Increase Human Milk Feeding Rates in the United Kingdom.Journal of human lactation : official journal of International Lactation Consultant AssociationStakeholders said UK human milk feeding support starts too late and is underfunded. They wanted earlier antenatal education, funded peer groups, family inclusion, and less formula advertising. These are views, not tested changes.
• RNQualitative2024Patient-Perceived Challenges to Type 2 Diabetes Self-Management in Sub-Saharan Africa: A Qualitative Exploratory Study.The science of diabetes self-management and carePatients in Ethiopia described barriers to diabetes self-management including using herbal remedies instead of medication due to cultural beliefs, inability to afford insulin or syringes, and social pressure to eat unhealthy food at communal meals. These findings highlight the need for culturally tailored education and financial support.
• RNQualitative2024Telelactation Within the Landscape of Breastfeeding Support: Experiences of Latina Parents.Journal of human lactation : official journal of International Lactation Consultant AssociationLatina parents viewed telelactation as a high-quality but burdensome option, using it only after exhausting easier resources like internet searches. They preferred starting with direct messaging or FAQs before escalating to video calls, and wanted their pediatricians to endorse the service.
• RNQualitative2025Exploring the Impact of Cognitive Dysfunction During Recurrent Depression in a Sample of Mid-to-Older Age British South Asians: A Qualitative Study.Journal of psychiatric and mental health nursingTwelve British South Asian adults with recurrent depression described memory and attention problems that made conversations, daily tasks and prayers exhausting. They said this led to withdrawal and self-blame.
• RNSystematic Review2025The Transition of Care Between Emergency Department and Primary Care: An Integrative Systematic Review.Journal of clinical nursingMany patients struggled to get primary care after emergency department discharge because of cost, insurance, appointment access, unclear instructions and poor communication. Having insurance, a regular primary care provider and clear discharge support helped follow-up.
• RNSurvey2024Assessing the Disruption of Health Services During the COVID-19 Pandemic Among Adults Living With HIV by Age in Essex County, NJ: A Cross-Sectional Study.The Journal of the Association of Nurses in AIDS Care : JANACIn 133 adults living with HIV, age groups did not differ across COVID-19 outcomes. Older adults were more likely to report missing HIV medication doses. Most could reach HIV care by telemedicine.
• RNSystematic Review2025The Influence of Patient-Provider Communication on Self-Management Among Patients With Chronic Illness: A Systematic Mixed Studies Review.Journal of advanced nursingPatients with chronic illness reported managing their condition better when providers explained disease-specific information in plain language, linked test results to symptoms, and considered their daily life. Communication mattered, but this review did not prove any one communication method works.
• RNOther2025A Hybrid Concept Analysis of Frailty Among Older Adults Living in the Community.Journal of advanced nursingFrailty is not just physical decline. Seven community-dwelling older adults defined it by powerlessness and life changes, rejecting the label despite meeting clinical criteria. Nurses should assess psychosocial resilience and avoid using the term 'frail' without care.
• RNCohort2025Predictive model for the risk of paediatric intensive care utilization in children with medical complexity: A longitudinal retrospective cohort study.Nursing in critical care47.2% of children with medical complexity were admitted to intensive care over six years. Malignancy, surgery, transplant, home devices, comorbidities and more health contacts raised risk. Younger age and higher maternal education lowered it.
• RNCohort2025Successful Aging and Self-Neglect Among Community-Dwelling Older People.Public health nursing (Boston, Mass.)Self-neglect is a strong predictor of lower successful aging scores in community-dwelling older adults. Higher perceived social support predicts better aging outcomes. Screening for self-neglect and assessing social networks are practical steps for nurses supporting older people in primary care.
• RNSurvey2025The Relationship Between Discomfort Intolerance And the Fear Of Self-Injection And Testing In Patients With Diabetes Using Insulin: A Cross-Sectional Study.Journal of clinical nursingAmong adults with diabetes who inject insulin, higher discomfort tolerance was linked to lower fear of self-injection and finger-prick testing. Nurses can ask about these fears during diabetes education, but this survey did not test whether reducing fear improves control.
• RNSystematic Review2025Barriers and Facilitators to Mental Health Service Integration: A Scoping Review.International journal of mental health nursingClinical outcomes were not consistently better in integrated mental health models, although some showed better access, screening, referral or care quality. Barriers included staff confidence, workload, territorialism and funding.
• RNQualitative2024Pregnant women's experiences of online prenatal education in Korea during COVID-19: a phenomenological study.Women's health nursing (Seoul, Korea)Pregnant women found online prenatal education safe and convenient, allowing them to learn from home without travel or infection risk. However, they felt isolated by the lack of interaction, hesitant to ask personal questions, and distracted by the passive nature of the lectures.
• RNQualitative2025Understanding Older Persons' Experiences of Care Encounters in the Home Environment: A Hermeneutic Study.Journal of advanced nursingOlder people described home care visits as a lottery because they could not choose which nurse came. They valued nurses who listened and explained, but felt overlooked when visits were rushed or nurses changed.
• RNSurvey2024Factors influencing happiness and depression in high-risk pregnant women: a cross-sectional study using the ecological systems approach.Women's health nursing (Seoul, Korea)High-risk pregnant women had high stress; 51% were at depression risk, and hospitalized women had lower happiness and higher depression. Mindfulness, marital intimacy, social support and outpatient status were linked to greater happiness.
• RNSystematic Review2024Parents' Experiences of Accessing Mental Health Services for Their Adolescents With Mental Health Challenges: A Scoping Review.Journal of clinical nursingParents describe fragmented mental health services, waits up to 18 months, and feeling unheard. Many bring adolescents to emergency departments for care; clear communication, family involvement, and privacy were valued.
• OTRNSystematic Review2025The Experiences and Perceptions of Telehealth in Patients Living With Advanced Chronic Obstructive Pulmonary Disease: A Qualitative Evidence Synthesis.Journal of advanced nursingPatients with advanced COPD described telehealth as supporting independence, symptom monitoring and connection to clinicians, but small screens, poor internet, cost, privacy worries and fixed call times made it burdensome.
• RNQualitative2025Perceptions of brain health and aging among middle-aged latinos: A qualitative paper.Patient education and counselingMiddle-aged Latino adults linked brain health to memory, cognition, physical health, social connection, emotions and mental health. They described actions to keep the brain healthy, but unhealthy aging was mostly described as memory loss. They suggested education through media and community settings.
• RNOther2024Translation and Validation of the Diabetes Knowledge Questionnaire in Indonesian Patients With Type 2 Diabetes.The science of diabetes self-management and careA translated 23-item diabetes knowledge questionnaire gave consistent scores and identified common knowledge gaps in 304 Indonesian adults with type 2 diabetes. It can help clinics plan diabetes education.
• RNCohort2024Utilization of Diabetes Self-Management Education and Support Among Medicare Beneficiaries Newly Diagnosed With Diabetes in Arkansas, 12 Months Postdiagnosis (2015-2018).The science of diabetes self-management and careOnly 4% of newly diagnosed older adults with type 2 diabetes used diabetes self-management education within a year. Use was lower in Medicare Advantage, rural areas, Black beneficiaries, and those aged 85 and over.
• RNOther2024Effect of Emergency Scenario-Based Training Program on Knowledge, Self-confidence, and Competency of Elderly Caregiver Volunteers in a Rural Thai Community: A Quasi-Experimental Study.International journal of community based nursing and midwiferyKnowledge and self-confidence did not show a clear change after emergency scenario training for rural Thai caregivers, but competency scores rose.
• RNSurvey2025Evaluation of Psychological Symptoms in Terms of Childhood Traumas, Spirituality, and Conflict Tactics in Sheltered Battered Women.Public health nursing (Boston, Mass.)Sheltered women in Türkiye reported high psychological distress; 64.1% had a psychiatric diagnosis and 37.5% had attempted suicide. Childhood abuse, witnessed parental violence and lower spiritual well-being were linked to more distress. This did not test cause and effect.
• RNOther2025Indirect Effects of Municipal Public Health Nurse Workforce on Cancer Standardized Mortality Ratios Mediated by Cancer Screening Rates.Public health nursing (Boston, Mass.)More public health nurses in a municipality linked to higher cancer screening rates, which in turn linked to lower cancer death rates. This was an ecological study of areas, not patients, so it cannot prove hiring nurses causes the drop.
• RNSurvey2025Social Media Addiction and Cognitive Behavioral Physical Activity Among Adolescent Girls: A Cross-Sectional Study.Public health nursing (Boston, Mass.)Adolescent girls who used the internet two hours or more daily had higher social media addiction and lower physical activity attitude scores. Those who saw themselves as inactive also showed the same pattern.
• RNRCT2024Participants' Perspectives on Diabetes Self-Management Programming at Church: Faith-Placed Versus Faith-Based Approach.The science of diabetes self-management and careBoth groups of Hispanic churchgoers with diabetes or elevated A1C described better knowledge, skills, and daily self-management after a church-based program. Faith-based participants especially valued trusted lay leaders and scripture, and participants wanted ongoing support and flexible sessions.
• RNSystematic Review2025Lesbian, Gay, Bisexual, Transgender and Queer People's Experiences of Stigma Across the Spectrum of Inpatient Psychiatric Care: A Systematic Review.International journal of mental health nursingLGBTQ+ patients in inpatient psychiatric care reported pervasive stigma from admission to discharge, including misgendering, pathologisation of identity, and unsafe rooming. Nurses, who provide around-the-clock care, are identified as key to implementing affirming practices and reducing this harm.
• RNQualitative2025Experience Using Multi-Technology for Fall Risk Assessments Among Low-Income Community-Dwelling Older Adults With Mild Cognitive Impairment.Journal of gerontological nursingFourteen older adults with mild cognitive impairment found fall-risk devices acceptable, but needed simple instructions and support. For nurses, teach device use step by step and check for balance or charging problems before relying on results.
• RNCase Report2025Acute Cystitis in a Transfeminine Patient: Assessment and Treatment of Urinary Tract Symptoms.Journal of midwifery & women's healthA transfeminine patient developed acute cystitis after tucking with tape. Urinalysis showed blood, leukocytes, and nitrite, and she was treated with antibiotics. She reported all symptoms resolved three days later. Gender identity alone does not tell clinicians which genital anatomy to assess.
• RNSurvey2025The Mediating Role of Health Empowerment in the Relationship Between Social Support and Loneliness Among Nursing Home Residents: A Correlational Study.Journal of advanced nursingNursing home residents who reported more social support also reported more health empowerment and less loneliness. Empowerment partly explained this link. The study cannot show that increasing support reduces loneliness.
• RNQualitative2025Disentangling gender, sex, and biology: a mixed methods study of gender identity data collection tools.Patient education and counselingMore transgender and gender diverse adults preferred the usual gender identity questions over community-developed ones. They found terms unclear, wanted questions optional, and said safety shaped whether they answered.
• 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.