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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.

2,253 PAPERS · PAGE 35 OF 46 · NEWEST FIRST

• RNOther2025Antipsychotic Use in Older Adults with Dementia: Community and Nursing Facility Trends in Texas, 2015-2020.Journal of the American Medical Directors AssociationFilled antipsychotic prescriptions for older Texans with dementia without serious psychotic illness fell from 14.5% to 10.8% between 2015 and 2020. The decline was mainly in nursing facilities; community use stayed near 10%.
• RNSurvey2025Factors Associated With Outdoor Frequency Among U.S. Community-Dwelling Medicare Beneficiaries: A Cross-Sectional Study.Research in gerontological nursingMost older adults went outside daily, but probable dementia, needing help, mobility devices, lower physical performance, and street disorder were linked to rarely or never going outside.
• RNCohort2025Informal Caregiving: Health System Cost Implications.Western journal of nursing researchOntario caregivers had lower total government health care costs than non-caregivers, 11.32% lower after 2 years. Costs rose over time, but less than non-caregivers. This does not show caregiving improves health.
• RNSystematic Review2025Racial and ethnic disparities in post-acute care service utilization after stroke.Geriatric nursing (New York, N.Y.)After stroke, Black patients were more likely than White patients to receive home health or skilled nursing, while Hispanic patients received more home health but less inpatient rehab. Lower socioeconomic status, Medicaid or no insurance, urban residence, and service availability were associated with facility discharge.
• RNNarrative Review2025Breaking Barriers Transforming Primary Care to Serve the Physical Health Needs of Individuals With SMI in the NHS.International journal of mental health nursingPeople with severe mental illness in England had 34.9% uptake of physical health checks. Nurses should expect barriers: stigma, medication side effects, inflexible appointments, and poor care coordination. Recommendations are not proven fixes.
• RNSystematic Review2024Web-based cognitive interventions on subjective cognitive impairment in cancer survivors: A systemic review.International journal of nursing sciencesComputer training, online rehabilitation, internet CBT and mindfulness improved cancer survivors' self-reported thinking problems, while telehealth exercise did not show clear benefit. Effects on fatigue, quality of life, anxiety and depression were mixed.
• RNOther2025Physical Health Views Among Individuals Experiencing Mental Illness: A Mixed-Methods Study of Self-Reported Health and Contributing Factors.International journal of mental health nursingPeople using mental health services reported worse physical health when they had long-term limiting conditions. Many wanted help with medication side effects, healthy eating, walking, yoga and group activities.
• RNCohort2025Patient and family engagement in culturally-tailored diabetes self-management education in a Hispanic community.Patient education and counselingIn culturally tailored diabetes education, patients were more likely to engage when their A1C was ≥9% and diabetes was a current priority. Family supporters who attended with patients were more likely to engage. This describes participation, not diabetes control.
• RNOther2025Safer Stimulant Supply: Program Outcomes.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieresIn 28 people receiving prescription stimulant medication, weekly care-team check-ins, housing support, primary care, and Hepatitis C services, self-reported typical daily unregulated cocaine and methamphetamine use fell to zero, and nearly 90% reported accessing primary care.
• RNQualitative2025Empowerment through knowledge: Qualitative perceptions of 'undetectable equals Untransmittable' among people living with HIV and tuberculosis in South Africa.International journal of nursing studiesMost people with HIV and rifampicin-resistant TB did not know what viral suppression or undetectable equals untransmittable meant. They described gaining understanding and motivation after repeated community health worker education, but wanted results explained at clinic visits.
• RNQualitative2025Experiences With a Novel Micro-Choice-Based Concentrated Group Intervention for People With Type 2 Diabetes: A Qualitative Study.The science of diabetes self-management and careParticipants with type 2 diabetes described a concentrated group intervention as valuable for shifting focus from glucose numbers to everyday micro-choices. They reported increased awareness and self-management, though they noted the ongoing difficulty of sustaining changes after the program ended.
• RNQualitative2025Experiences and Perceptions of People With Advanced Cancer and Their Family Caregivers of Shared Decision-Making in Palliative Cancer Care.Journal of advanced nursingPeople with advanced cancer and family caregivers wanted different levels of involvement. Many saw shared decision-making as choosing treatment, felt uncertain about their role, and could not see how nurses contributed.
• RNSystematic Review2025Educational or Behavioural Interventions to Improve Long-Term Haemodialysis Vascular Access Self-Management: A Systematic Review.Journal of renal careEducation helped people on haemodialysis care for their vascular access, improving self-management, knowledge and access checks. Evidence is limited and came from small, mostly non-randomised studies, so it supports nursing education but does not prove a specific programme works.
• RNPilot2025Exploring the impact of a pain assessment information visualization tool on provider-patient pain discussion with limited English proficiency Hmong patients.Patient education and counselingIn Hmong patients with limited English proficiency, interpreter-supported use of a visual pain tool before and during visits was accompanied by more patient pain details (207 vs 136 mentions) and shorter pain discussions (12.39 vs 19.56 minutes).
• RNCohort2025Nurse Practitioner Care Environments and Provider Shortages Among Patients With Multiple Chronic Conditions.Research in nursing & healthBetter nurse practitioner work environments lowered hospitalization odds in areas without provider shortages, but not in shortage areas. Improving practice support alone did not reduce hospitalizations where staffing is critically low.
• RNCohort2025Urinary Incontinence Is an Independent Risk Factor for Nursing Home Placement among Assisted Living Residents.Journal of the American Medical Directors AssociationUrinary incontinence was linked to higher permanent nursing home placement among 247,010 assisted living residents: 21.7% of residents with UI were placed, versus 14.2% without UI. The study did not show treatment prevents placement.
• RNCohort2025A Comparison of Measures for Identifying Possible Dementia in Veterans Affairs Nursing Home Residents.Journal of the American Medical Directors AssociationDiagnosis codes and nursing home cognitive assessment scales found different groups of Veterans with possible dementia. The cognitive scale found more people, while diagnosis-based measures found fewer but were less likely to label residents without cognitive impairment.
• RNOther2025Effects of Visitation Restriction on Antipsychotic Drug Use among Nursing Home Residents with ADRD during the COVID-19 Pandemic.Journal of the American Medical Directors AssociationNursing home visitation restrictions during COVID-19 were not associated with a change in antipsychotic use among residents with dementia. Antipsychotic use still rose overall, from 18.9% to 24.9% in long-stay residents and 21.1% to 26.6% in short-stay residents.
• RNSystematic Review2025A Personalised Caring Approach at Home-Patients, Relatives and Nurses' Experiences of Specialised Palliative Care: An Integrative Literature Review.Nursing openPatients, relatives and nurses described specialised palliative home care as safe when teams were available, continuity was maintained and care was co-created around patient wishes. Relatives' preparation and burden depended on clear information.
• RNRCT2025The Effect of an Educational Application on The Quality of Life and Treatment Adherence in Mothers of Children with Congenital Heart Disease Undergoing Cardiac Surgery: A Randomized Clinical Trial.International journal of community based nursing and midwiferyMothers given a four-week Android app after their child's heart surgery reported higher quality-of-life and treatment-adherence scores than control mothers at one month. Both groups also received booklet, nurse discharge education, and weekly calls.
• SLPRNSystematic Review2025Childhood obesity in the first 2000 days: A focus on primary health care in regional and rural Australia.The Australian journal of rural healthTelemedicine, nurse care navigation and community health workers may improve rural access to care from pregnancy to age 5, but evidence is low/moderate and long-term obesity outcomes were not shown.
• OTRNQualitative2025Perspectives of Older Adults on Self-Care of Chronic Diseases Utilizing Online Health Resources: An Exploratory Descriptive Qualitative Study.Nursing & health sciencesOlder adults in Singapore with chronic diseases trusted doctors, family and friends more than online health information, but were wary of scams and unsure how to judge websites. They wanted guidance to use technology safely.
• RNOther2025Disparities in Diabetes Distress and Nutrition Management Among Black and Hispanic Adults: A Mixed Methods Exploration of Social Determinants.The science of diabetes self-management and careBlack and Hispanic adults used nutrition to manage diabetes less often than White adults, and Hispanic adults had higher diabetes-related distress than White adults. They wanted practical diet guidance, supportive care, and help with food, time, and transportation barriers.
• RNOther2025Cytokines and Depressive Symptoms Among Adolescents.Biological research for nursingHigher salivary IL-6 and IL-8 were linked to more depressive symptoms; IL-1β, IL-8 and TNF-α were linked to a positive depression screen. These are associations only, not a diagnostic test.
• RNQualitative2025Stakeholders' Perspectives on Child Healthcare Services under Rural Health Reform in Thailand: A Qualitative Study.International journal of community based nursing and midwiferyRural Thai families and providers described child health care as uneven, under-resourced, and hard to navigate during reform. They pointed to village volunteers, teachers, local leaders, and clearer family communication as needed supports.
• RNQualitative2025A Qualitative Survey of Mothers' Experiences of Breastfeeding Support at a Family Centre.Nursing openMothers described breastfeeding support at a family centre as practical, continuous, and emotionally reassuring. Two women wanted more breastfeeding education, and one preferred direct conversations over digital links.
• OTRNSurvey2025Housing characteristics of low and moderate income older adults with and without disabilities.Geriatric nursing (New York, N.Y.)About 32% of low and moderate income older adults with disability had an adverse consequence from unmet care needs. Subsidized housing, renting, apartment or mobile home, and interior disorder were associated with having such consequences.
• RNQualitative2025Partial language concordance in primary care communication: What is lost, what is gained, and how to optimize.Patient education and counselingIn 19 primary care visits with Chinese-speaking patients, partial language skills built rapport but could also cause misunderstandings; interpreter standby was described, but not tested.
• RNQualitative2025Experiences With Cancer Screenings Among Arabic-Speaking Refugee Women.Nursing for women's healthArabic-speaking refugee women said clear provider explanations made them more willing to accept cancer screening. Fatalistic cancer language, confusion about how often screening was needed, worry about invasive tests, and interpreter problems made some women hesitant.
• RNSurvey2025Health Literacy and Self-Efficacy in Parents of Toddlers-A Cross-Sectional Study.Nursing openParents of toddlers in this Norwegian survey reported high health literacy and self-efficacy. Higher self-efficacy correlated with better health literacy across all nine domains, with the strongest link seen in understanding health information well enough to know what to do.
• RNOther2025Contribution of the Brief Family Strength-Oriented Therapeutic Conversation Intervention to Early Childhood Sleep Health: A Quasi-Experimental Study.Journal of family nursing57 caregivers of infants with sleep problems reported better sleep beliefs, family support, and quality of life after a nurse-led family conversation intervention. Night-time sleep habits and longest night sleep also improved, but there was no control group.
• RNSurvey2025Explaining the Association Between Number of Teeth and Frailty in Older Chinese Adults: The Chain Mediating Effect of Nutritional Status and Cognitive Function.International journal of nursing practiceHaving fewer natural teeth was linked to greater frailty, poorer nutrition and lower cognition in older adults. Nurses assessing frailty risk may ask about teeth and screen nutrition and cognition, but this does not prove tooth loss causes frailty.
• RNOther2025Cross-cultural adaptation and psychometric evaluation of the Thai version of the Enhancing Recovery in Coronary Heart Disease Social Support Inventory in individuals with chronic illnesses.International journal of nursing sciencesA 6-item Thai social support questionnaire produced one consistent score in adults with chronic illness. The living-with-family item did not fit; use the 6 items to identify support needs.
• RNOther2025Racial and Ethnic Disparities in Accessing High-Quality Home Health Care among Older Adults with and Without Dementia.Journal of the American Medical Directors AssociationNon-Hispanic Black and Hispanic older adults and people with dementia were less likely to receive home health care from high-quality agencies. Dementia widened these gaps, and minority patients were more often in low-quality agencies.
• RNSystematic Review2025The Central Role of Learning in Preventing Foot Complications in Persons With Diabetes: A Scoping Review.Journal of clinical nursingDiabetes foot-care education was described as learning processes: reflection, motivation, hands-on tasks and feedback. Included studies reported practice, peer support and reinforcement; the review did not prove these prevent ulcers.
• RNSurvey2025Colonial Mentality and Diabetes Self-Management in Filipino Americans.Nursing openFilipino American adults with type 2 diabetes who reported more cultural shame or internalised inferiority also reported lower glucose control, healthcare use, and overall diabetes self-management scores. These were associations in 37 survey respondents, not proof of cause.
• RNSurvey2025Identifying Health Services Preferences for a Community-Based HIV Status-Neutral Mobile Clinic Among Marginalized Populations in Oakland, CA: A Maximum-Difference Analysis.The Journal of the Association of Nurses in AIDS Care : JANACMarginalized Oakland community members ranked housing case management, mental health counseling, and mental health screening as most important services for a mobile HIV clinic, ahead of standard medical services.
• RNQualitative2025"I don't think I have been out of fight or flight. Ever." Transgender people's experiences in inpatient psychiatric treatment.International journal of nursing studiesTransgender adults described inpatient psychiatric care as exhausting because staff misgendered them, withheld hormones, and ignored their distress. Nurses who actively corrected names and advocated for affirming care were rare but made the difference between feeling safe and feeling targeted.
• RNOther2025Scale of perception of family self-efficacy in home care for children on peritoneal dialysis.Revista brasileira de enfermagemA new scale helps nurses check if families feel ready to manage a child's home dialysis. It covers fears about equipment failure, financial strain, and confusing advice from staff. Families understood every question, and expert nurses agreed the items measure what matters.
• RNOther2025Prevalence and Predictors of Caregiver Distress in Six European Communities: Data From the IBenC Study, Using interRAI-Home Care Assessments.Scandinavian journal of caring sciencesAmong home care clients with informal caregivers, distress was most common in Iceland (34%) and least in Finland (9%). Client depression risk, incontinence, medical complexity, recent hospitalisation and cohabiting caregivers were linked to higher distress.
• RNCohort2025Health gains for users of long-term home care services in Portugal.Revista brasileira de enfermagemIn 151 home-care users, mobility, daily-living function, pressure-ulcer risk, fall risk and pain were better at discharge than at admission, but mobility, daily-living function and pain were worse while waiting.
• RNQualitative2025Barriers and Facilitators Influencing Parents' Willingness to Follow Healthcare Provider Guidance for Addressing Behaviors Linked to Early Childhood Obesity Risk: A Qualitative Descriptive Study.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersParents of infants said they might set aside provider advice if they believed their baby was hungry or trusted their own intuition. They were more open to changing feeding, sleep, or screen habits when providers explained reasons and they trusted the provider's intentions.
• RNCohort2025Sleep Quality of Persons with Dementia and Family Caregivers in Korean Americans: Wearable Technology to Study the Dyadic Association.Western journal of nursing researchDementia patients' deep sleep, awake time, and sleep efficiency tracked with caregivers' same measures; REM tracked opposite. Objective data showed patients' sleep was more disturbed than their diaries suggested.
• RNQualitative2025A qualitative exploration of perceptions of the aetiology of preterm birth among pregnant Black women.MidwiferyPregnant Black women described preterm birth risk as tied to doing too much, emotional labour of racism, and relationship burdens. This is not evidence of causes. It shows what patients may believe and how maternity nurses can listen better.
• RNQualitative2025Consumer Experiences of the Australian Stepped Care Model in Primary Mental Health Care: A Qualitative Study.International journal of mental health nursingAustralians using stepped mental health care valued empathetic, consistent clinicians but faced long waits, limited sessions, abrupt funding cuts and poor communication. These barriers worsened distress, especially for complex needs.
• PTRNOther2025Influence of the Practice of the Pilates Method on Pain Perception During Pregnancy: A Quasiexperimental Study.Journal of midwifery & women's healthPrenatal classes plus four weeks of Pilates was associated with lower pelvic and abdominal pain risk than classes alone. Lumbar pain reports decreased in the Pilates group. Dorsal pain did not differ. Self-selection limits certainty.
• RNOther2025Psychometric Properties of the Turkish Version of the Partners in Health Scale: Chronic Disease Self-Management in Primary Healthcare.International journal of nursing practiceThe Turkish Partners in Health Scale was reliable and fit the revised version better, giving primary care clinicians a brief self-management assessment for patients with chronic disease.
• RNSystematic Review2025Use of the Health Promotion Model by Nursing in Primary Care: an integrative review.Revista brasileira de enfermagemHealth-promotion work guided by Pender's model was reported in eight primary care nursing articles to be associated with self-efficacy, breastfeeding support, and healthy behaviors, but the review did not prove the model works in routine nursing workflow.
• RNOther2025Hospital Performance, Nursing Resources, and Health Inequities During the COVID-19 Pandemic.Nursing researchMost vulnerable patients had 25.8% 30-day inpatient mortality versus 19.8% for least vulnerable, and were less often admitted to hospitals with lower patient-to-nurse ratios and better work environments. This was an association, not proof.
• RNQualitative2025The symbolic-representational construction of COVID-19 in vulnerable population groups.Revista brasileira de enfermagemResidents of Rocinha, a vulnerable Rio community, linked COVID-19 with death, fear, loss, illness and suffering. Death was the most frequent word. They also named words such as mask, cure, hospital and vaccine. The study reports perceptions, not effects.