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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 4 OF 9 · NEWEST FIRST

• RNSystematic Review2025Breastfeeding strategies following nurslings' hospitalization: a scoping review.Revista latino-americana de enfermagemAfter a baby is hospitalized, nurses can support breastfeeding with home visits, latch guidance, skin-to-skin, milk expression, restarting breastfeeding and digital follow-up. This scoping review maps strategies, not proof they work.
• RNOther2025Transcultural adaptation, validity, and reliability of the SINBAD System Classification for Brazilian Portuguese.Revista latino-americana de enfermagemThe Brazilian Portuguese SINBAD foot-ulcer scoring tool was adapted and judged relevant by experts, but its six items did not consistently act as one measure. Use each item clinically; do not rely on the total score alone.
• RNSystematic Review2025Caring for the Informal Caregivers: Systematic Review of Unmet Needs in Palliative Care.Nursing openFamily caregivers in palliative care settings commonly reported unmet needs for timely information, practical help, a dedicated contact, emotional support and respite. Existing assessment tools do not fully capture financial and legal burdens.
• RNQualitative2026Qualitative Exploration of Black Canadian Parents' Experiences of Having a Preterm Infant and Navigating Racism in the NICU.Journal of advanced nursingBlack parents described NICU staff, including nurses, as sometimes dismissive or stereotyping. They learned infant care but felt emotional distress was overlooked. Parents asked for empathy, culturally safe peer support, and clearer communication.
• RNCohort2026Clinical Performance of the Remote After-Hours Telemedicine Medical Officer of the Day (Tele-MOD) Program: A Cohort Study.Journal of the American Medical Directors AssociationEmergency department visits, hospitalizations, readmissions, and costs were lower after the first Tele-MOD visit in 492 VA nursing home Veterans. Most were managed in place, but this pre-post study cannot prove the program caused the reductions.
• RNCohort2026Prepregnancy Overweight and Obesity in Kuwait Birth Cohort Study.Public health nursing (Boston, Mass.)In Kuwait, 28.82% of analyzed pregnant women were obese and 37.92% were overweight before pregnancy. Older age, earlier menarche, more children, and fertility treatment were associated with prepregnancy overweight or obesity.
• RNCohort2026End-of-life care utilization of older adults with heart failure and/or COPD: the role of family availability.Heart & lung : the journal of critical careFor older adults with heart failure or COPD near the end of life, having a spouse in Utah was linked to higher hospitalization rates; having a spouse without children was linked to higher emergency visit rates. The study did not show that spouses caused this.
• RNSurvey2025Health History, Health Condition, Health Behaviours and Health-Seeking Behaviours of Middle-Aged Women Living in a Modern Rural Community: A Survey Research.Nursing openIn 342 middle-aged rural Thai women, high blood pressure, high cholesterol, reduced kidney function and overweight or obesity were common; many did not exercise, and distress was usually managed with family rather than health services.
• RNQualitative2025Perspectives of Advance Care Planning for Latinos During COVID-19.The American journal of hospice & palliative careParticipants said language barriers, death taboos, and telehealth made advance care planning hard for Latino families, but COVID raised urgency to plan.
• OTRNOther2026Translation and Psychometric Evaluation of the Diabetes Self-Management Questionnaire in Hebrew (H-DSMQ) for Adults With Type 2 Diabetes in Israel.Research in nursing & healthA Hebrew diabetes self-management questionnaire for adults with type 2 diabetes found higher self-care scores matched lower HbA1c, but the healthcare-use part was inconsistent. Use it as a patient-reported screen, not proof of cause.
• RNSurvey2025Psychological impact of caregiving: anxiety and depression levels among caregivers of patients with pressure ulcers.Revista da Escola de Enfermagem da U S P54.9% of caregivers of home-care patients with pressure ulcers had anxiety symptoms and 56.6% had depression symptoms. Distress was higher with stage IV ulcers, care over 12 hours daily, continuous care, no personal income, or caregiver chronic illness.
• RNCohort2026Retrospective Cohort Study on Racial and Ethnic Disparities in Cesarean Birth in a Midwifery-Integrated Health System.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNAmong term singleton vertex births in a Colorado health system, cesarean birth remained more likely for Asian, Black, Hispanic, and all other race women than White women after accounting for age, insurance, provider, and hospital region. Midwifery care was linked to lower rates.
• RNOther2025Effectiveness of the Comprehensive-Humanized Care Model in nursing consultation: a case study with older adults.Revista brasileira de enfermagemIn six older adults receiving nursing consultation, nutrition and family scores changed, spirituality rose, and anxiety increased from 6.8 to 13.8. Gait and social resources were reported as unchanged. This is not proof the model works.
• RNQualitative2025Perceptions Towards Climate Change and Environmental Resilience Among Adults Living With Mental Illness: A Qualitative Study.International journal of mental health nursingAdults with mental illness saw climate change as real, but many felt their own actions would not matter. They placed responsibility on corporations and governments, and said seminars or news were the biggest cues to act.
• PTRNMeta-Analysis2025Evidence-Based Pathways to Healthy Aging: A Systematic Review and Meta-analysis of Lifestyle Interventions for Longevity and Well-Being.Investigacion y educacion en enfermeriaOlder adults who followed Mediterranean diet, exercised, slept well, and stayed socially active showed better cardiovascular fitness, strength, balance, mood, and cognition. These are broad lifestyle effects, not a single proven treatment.
• RNRCT2025Sustainability of Complex Interventions: Recommendations From a Pragmatic Clinical Trial to Manage Cancer Symptoms.Nursing researchAfter funding ended, an oncology symptom programme continued with clinic-visit patient-reported symptom checks and RN symptom care managers for severe symptoms, social work and palliative referrals. This reports sustainment steps, not patient outcomes.
• RNQualitative2025Elderly Medical Patients' Experience of an Acute Readmission to the Emergency Department-An Interpretative Phenomenological Analysis.Scandinavian journal of caring sciencesOlder adults readmitted to an emergency department felt trapped by fragmented care. They needed a clear explanation, someone who believed them, and support from family or one trusted clinician. Missing these made them doubt symptoms and lose trust.
• RNQualitative2026Timely Implementation of Patient-Reported Outcomes in Clinical Care: Insights From Clinicians and Health Informatics Experts.Journal of advanced nursingClinicians and informatics experts identified timing as critical for patient-reported outcomes. Early collection supports prevention, while routine integration aids disease management. Barriers include time constraints, language differences, and lack of standardization. Support staff and electronic health record alerts facilitate timely use.
• RNSystematic Review2026Structural Vulnerability in Health Research: A Systematic Mixed Studies Review.Journal of advanced nursingDefinitions of structural vulnerability were consistent across thirty-seven U.S. studies, but measurement varied. Quantitative work often used individual indicators such as housing, food insecurity and criminal justice experiences, while qualitative work focused on upstream systems.
• PTOTRNCohort2026Healing at Home: Receipt of Home Health Care and Patient-Centered Outcomes Among Older Adults After Acute Myocardial Infarction.Journal of the American Medical Directors AssociationHome health care after AMI made no significant difference to days not at home in older adults. It was linked to a lower chance of a 5-point or greater physical health status decline.
• RNSystematic Review2025Experiences and Perceptions of Hospital to Home Transitional Care for Parents of Premature Infants in Neonatal Intensive Care Unit: A Qualitative Meta-Synthesis.Nursing openParents of preterm infants moving from NICU to home felt relieved but unsafe without hospital monitoring. Many lacked confidence in feeding and care; parents reported feeling more prepared when they had hands-on NICU involvement and continued support.
• RNQualitative2026"We Don't Take Care of Ourselves": A Qualitative Study on Self-Management Challenges and Health Needs Among Older Family Care Partners of Persons With Heart Failure.Research in gerontological nursingOlder heart failure caregivers described time, anxiety and physical limits blocking their own self-care, yet duty to care recipients motivated them to stay active. They wanted peer support for caregivers and practical guidance, not patient-focused groups.
• RNQualitative2025Use of Social Media to Support Gestational Diabetes Risk Reduction for American Indian and Alaska Native Females: A Qualitative Study Soliciting Perspectives From American Indian and Alaska Native Youth, Mothers, and Content Experts.The science of diabetes self-management and careAI/AN female youth and mothers said gestational diabetes risk messages should use short videos, humor, culture, and real AI/AN role models. They also warned social media can be unsafe and spread misinformation. These were content preferences, not tested interventions.
• RNSurvey2026Underrated risk: Food insecurity and distress of Filipino Americans with hypertension in a primary care setting.Journal of the American Association of Nurse PractitionersFilipino American adults with hypertension who reported food insecurity had higher distress, more sleep problems, worry, and sadness than food-secure adults, even after accounting for income, age, and gender.
• PTRNQualitative2026A Sisterhood of Women: The Process of Co-Creating Recommendations for Improved Pessary Self-Management Support.Journal of advanced nursingEight women who already self-manage pessaries described barriers including painful insertion, limited pessary choice, conflicting information, stigma, and worry about losing clinic support. They asked for practical written guidance, accessible follow-up, peer support, and care that acknowledges emotional impact.
• PTOTRNCohort2025Community Cardiac Rehabilitation Program: Lessons Learned for Long-Term Outcomes.Worldviews on evidence-based nursingSix months after cardiac rehabilitation, patients continued to improve walking distance and kept waist size down, but blood pressure, weight, BMI, depression, physical activity and medication adherence worsened. Diet and smoking gains held.
• RNOther2025Adherence to pharmacological treatment after hematopoietic stem cell transplantation: context analysis.Revista brasileira de enfermagemAfter stem cell transplant, medication adherence at home was shaped by distress, side effects, forgetfulness, complex regimens, family support, and clear discharge teaching. The review mapped these factors but did not show which intervention improves adherence.
• RNOther2025Myocardial Infarction and Traditional Cardiovascular Risk Factors in Older Patients in Primary Care.Revista brasileira de enfermagem10.5% of 1,322 older primary-care patients in northern Brazil had myocardial infarction. MI was more frequent with hypertension, diabetes, high cholesterol, obesity and kidney disease; smoking was not.
• RNQualitative2025Experiences of women facing intimate partner violence during the revocation of protective orders.Revista da Escola de Enfermagem da U S PWomen who revoked protective orders felt guilt and shame but believed the violence would stop. They cited financial dependence, children's needs, and emotional bonds. Nurses should assess these complex motivations rather than viewing revocation as passivity.
• RNSurvey2026The Differential Impact of Emotional Support on Social Problem-Solving and Mental Health Among Latina Immigrant Survivors of Adverse Childhood Experiences.Research in nursing & healthAmong Latina immigrant women with childhood trauma, emotional support was associated with better problem-solving for some trauma profiles and lower depression and anxiety for others, but it did not buffer all symptoms equally.
• PTRNQualitative2026Perspectives and Beliefs Surrounding Postpartum Care and Physical Activity of South Asian Immigrant Women in Canada.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieresSouth Asian immigrant mothers in Canada often count housework and childcare as their physical activity, while viewing leisure exercise as optional or guilt-inducing. They relied on online sources for postpartum exercise advice and found outdoor walking limited by cold weather.
• RNCohort2025Diastolic dysfunction in primary care: medical and nursing interlocutions.Revista brasileira de enfermagemIn primary-care adults, E/A ratio abnormality was not linked to cardiovascular hospitalization or death once age and sex were considered, although 84.9% of participants had E/A alterations without a formal heart failure diagnosis.
• PTRNCohort2025Cognitive and physical functions among Chinese community-dwelling older adults with motoric cognitive risk syndrome: A prospective cohort study.International journal of nursing sciencesIn 4,217 Chinese older adults, those with motoric cognitive risk syndrome had lower cognition and physical function, and both groups declined over follow-up. Adults without it showed better global cognition and repeated chair stand performance, but worse visuospatial ability.
• RNSystematic Review2025Enhancing accessibility through nurse-led clinics in primary care: An integrative review of models of care.International journal of nursing sciencesNurse-led primary care clinics reported better access and outcomes across models, but most evidence was observational, so they cannot prove a single model works.
• RNOther2025An Expert Knowledge Algorithm and Model Predicting Wound Healing Trends for a Decision Support System for Pressure Injury Management in Home Care Nursing: Development and Validation Study.JMIR nursingA home-care pressure injury algorithm matched an expert nurse's recommendations in most of 12 test cases, but its wound-healing prediction ranges were narrower than intended. It may guide wound care, but it does not prove better patient outcomes.
• RNCohort2025Development and validation of a stroke risk prediction model using regional healthcare big data and machine learning.International journal of nursing sciencesA machine-learning stroke risk model beat a standard model in 92,172 Chinese adults; hypertension, age, and diabetes were top factors, but it was not tested outside its original records.
• RNSystematic Review2025Large language model-driven agents in nursing practice: A scoping review.International journal of nursing sciencesAI agents built on large language models are mostly prototype or simulation work in nursing, not proven patient care. They are being tested for clinical, home, and community tasks, but outcomes need trials.
• RNSurvey2026Gender Differences in Psychological Strengths Among Rural Adolescents.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncRural Texas adolescents reported low optimism and resilience, with males scoring higher than females and non-binary peers on most strengths. These differences were small and the study is cross-sectional, so it identifies a risk group but does not prove interventions work.
• RNSurvey2026Do Injury, Depression, and PTSD Mediate the Relationships Between Latent Profiles of Cumulative Lifetime Violence and Chronic Pain Disability in Men?Research in nursing & healthCanadian men reporting severe lifetime violence as both targets and perpetrators had the highest chronic pain disability; PTSD and injuries were associated with pain disability, depression was not.
• RNQualitative2026Implementing Peer Support in Community Mental Health Nursing Teams: Qualitative Evaluation.Journal of psychiatric and mental health nursingSwiss community mental health nursing teams found clients expressed feeling understood and hopeful with peer support workers, while unclear roles, low hours, billing gaps and weak team understanding limited integration.
• RNOther2025Adolescents' Mental Well-Being and Social Support: Mixed Methods Study.International journal of mental health nursingAdolescents' mental well-being drops as they age, with family support mattering most in primary school and friends taking over in secondary school. School nurses are seen as approachable experts, but interactions remain informal and unstructured rather than part of formal care.
• RNOther2025'I Am Not Going, So You're Doing It': Management of Pregnant People With High BMI at Rural Hospitals in British Columbia: A Mixed Methods Analysis.The Australian journal of rural healthAdverse maternal-newborn outcome scores were higher for underweight and high-BMI groups, but BMI was not clearly linked to them at rural British Columbia hospitals. Local birth rates fell as BMI rose, and providers described applying BMI transfer rules differently, with some patients refusing referral.
• RNCohort2025Factors Associated With an Elder Mistreatment Diagnosis Among Medicare Home Health Care Recipients.Journal of the American Medical Directors AssociationAmong Medicare home health patients, elder mistreatment diagnoses were rare at 0.3%, but literacy, housing or income problems, TBI, behavioral health, mobility, skin symptoms, and hospitalization risk were associated with higher risk.
• RNQualitative2025Perceptions of discharge readiness among primiparas based on the King's theory of goal attainment: a qualitative study.Revista da Escola de Enfermagem da U S PFirst-time mothers going home after birth wanted support for recovery and baby care. Many felt unprepared and excluded from discharge decisions. They valued family help and asked for interactive assessment and ongoing guidance.
• RNSystematic Review2025Strategies for implementing HIV self-testing in diverse populations: an integrative review.Revista brasileira de enfermagemHIV self-test distribution reached people mainly through community and peer routes, but no single method was enough. Counseling, privacy, and clear instructions mattered, and positive tests did not always lead to treatment.
• RNOther2025Development and assessment of an educational video to promote self-efficacy in newborn care.Revista brasileira de enfermagemCaregivers rated a newborn-care video clear and relevant and said it made them feel more confident. This validates the video as a nurse education tool, not as proof that newborn care improves.
• RNOther2025Development and Psychometric Testing of the Self-Efficacy for Heart-Healthy Lifestyle Behaviors (SE-HeartLife) Scale in Cardiovascular Disease Prevention.The Journal of cardiovascular nursingA new 35-item questionnaire measured confidence in exercise, food choices, avoiding smoking and alcohol, and monitoring heart-health signs among Korean adults. Answers were consistent and stayed similar after 15 days, but it was not tested in patients.
• RNOther2025Development and validity of a booklet on myocardial revascularization for patient and caregiver education.Revista brasileira de enfermagemA booklet for people having cardiac surgery and their caregivers was judged by experts to be appropriate and relevant. It was not tested for improving recovery, self-care, or complications, so use it as an education aid, not proven therapy.
• RNSurvey2026Health Outcomes of Women on Community Supervision in South Central Texas During the Perinatal Period.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNSixty Texas women on community supervision reported high rates of unplanned pregnancy, partner violence, depression or anxiety, and limited birth support. Longer supervision was linked to more adverse perinatal outcomes, but not with gestational age.
• RNRCT2026Investigating the effectiveness of mobilisation alarms to prevent hospital falls using disinvestment: A randomised clinical trial.International journal of nursing studiesReducing mobilisation alarms on hospital wards did not increase falls beyond an agreed limit, but eliminating them did not meet that limit. Patients in eliminated wards reported less sleep disturbance. Reduce carefully rather than remove.