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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 45 OF 46 · NEWEST FIRST

• RNSystematic Review2026A Context-Informed Evolutionary Concept Analysis of Ikigai in Later Life: Evidence Relevant to Older People in Korea.International journal of older people nursingIkigai in older Korean people is described as a sense life is worth living, built through valued roles, family ties, routines and reflection. Nurses can use these cues in assessment, but this is a concept analysis, not evidence of benefit.
• RNSystematic Review2026Three-Stage Care Experiences and Needs of Parents With Children in NICU: A Qualitative Meta-Synthesis.Nursing openParents of babies in NICU described repeated strain across hospital stay, discharge, and home care: separation, unclear information, restricted visits, and communication gaps. Needs shifted from emotional contact to practical skills and ongoing support.
• RNMeta-Analysis2026Family-Centred Breastfeeding Interventions to Improve Exclusive Breastfeeding: A Systematic Review and Meta-Analysis.Nursing openFamily breastfeeding support raised exclusive breastfeeding rates after birth. Effects were seen when fathers or both parents were included, when interventions used theory, combined face-to-face and online formats, and spanned prenatal and postnatal care.
• RNSystematic Review2026WeChat-Based Nursing Interventions in Women's Mobile Health: Systematic Review.JMIR nursingWeChat nursing interventions for women were reported to improve education, self-management and some outcomes. But most included studies had high risk of bias, so effectiveness remains uncertain.
• RNQualitative2026Intensive Home Treatment in Mental Health: A Qualitative Exploration of Carers' Experiences.International journal of mental health nursingFamily carers during intensive home mental health treatment described exhaustion, disrupted routines and anxiety, but also closer relationships. They wanted private time with professionals without the patient present to express doubts and distress.
• PTOTRNSystematic Review2026Rebuilding life after breast cancer treatment among Korean breast cancer survivors: an integrative review.Women's health nursing (Seoul, Korea)Korean breast cancer survivors reported persistent pain, sleep disturbance, decreased muscle strength, reduced exercise tolerance and lymphedema after treatment, plus body-image distress, fear of recurrence and return-to-work struggles. Exercise, diet, self-management and surveillance support are framed as possible nursing targets, not proven effects.
• PTOTSLPRNCohort2026Applying the Brief Interview for Mental Status in a Diverse Home Health Patient Population.Journal of the American Medical Directors AssociationMost home health patients score as cognitively intact on the BIMS, but non-English speakers and minority patients score lower regardless of actual ability. This tool misses mild impairment and should not be used alone to judge a patient's cognition.
• RNSurvey2026The Effect of Caregiver Burden on Healthy Lifestyle Behaviours of People Caring for Patients With Alzheimer's Disease: A Cross-Sectional Study.Scandinavian journal of caring sciencesHigher caregiver burden was linked to lower healthy lifestyle behaviours in caregivers of people with Alzheimer's disease. Social burden was the clearest burden dimension linked to lower health habits. The study cannot show cause.
• RNCohort2026Experiences and Perceptions of Patient Watch, a Rural Telehealth Case Management Model, for Frequent Presenters to the Emergency Department: A Longitudinal Mixed Methods Study.The Australian journal of rural healthFrequent ED presenters made fewer ED presentations after rural telehealth case management, but without a control the reduction cannot be attributed to the programme. Participants valued monitoring and coordination; some found calls repetitive, and quality of life did not improve.
• RNQualitative2026Perspectives and support needs for a spouse-inclusive digital intervention for perinatal depression and anxiety: a qualitative study.Women's health nursing (Seoul, Korea)Women and spouses described perinatal distress as emotional, cognitive, and social. They suggested a spouse-inclusive app with symptom information, communication and role guidance, and trusted professional content.
• RNSurvey2026Association of Fatalism and Diabetes-Related Stigma With Self-Care in Individuals With Type 2 Diabetes: A Cross-Sectional Study.Nursing openHigher fatalism and stigma scores were linked to lower diabetes self-care in 150 adults. Fatalism had the stronger association. Screening for these beliefs during nurse-led education may help identify patients at risk of poor self-management.
• RNCohort2026Correlates of Glycemic Status Among American Indian Adults With Type 2 Diabetes in Rural Southeastern Oklahoma.Nursing researchIn 2021, 39.3% of adults with type 2 diabetes in a rural Oklahoma Tribal health system had HbA1c below 7%. Prior HbA1c was strongly associated with next year's HbA1c.
• RNSystematic Review2026The Core Competencies of Nurses Providing Home-based Palliative Care to Patients with Incurable Diseases: A Scoping Review.International journal of community based nursing and midwiferyNurses delivering home-based palliative care need knowledge of disease and health systems, attitudes supporting teamwork and ethics, and skills in pain, symptom, psychological, spiritual, and social care. These competencies span the whole disease trajectory from diagnosis through death.
• RNQualitative2026Marginalised Caregivers: A Qualitative Study of Grandmothers in Postpartum and Infant Care.Nursing openGrandmothers caring for postpartum women and infants in China described feeling sidelined by younger parents' scientific knowledge, yet they remained highly motivated to learn. They reported social isolation and physical strain, but trusted nurses and doctors as the best source of infant care guidance.
• RNQualitative2026Experiences and Views of African Australian Consumers on the Role of Spirituality, Religion and Culture on Mental Health.International journal of mental health nursingAfrican Australian consumers described distress from migration, lost community and stigma. They valued care that understood faith and culture, saw medication-only as disconnected, and wanted trusted community or faith figures involved.
• RNQualitative2026Risk perception in peritoneal dialysis waste management: contributions for audiovisual material.Revista brasileira de enfermagemHome peritoneal dialysis patients and caregivers reported uncertainty about safe waste disposal, especially sharps, and participants asked for nurse-led, simple audiovisual guidance linking disposal to the full home treatment routine.
• RNOther2026Effectiveness of an educational intervention on knowledge about anticoagulant therapy: a quasi-experimental study.Revista brasileira de enfermagemPatients on warfarin who received nurse-led Supported Self-Care by phone and messages raised their knowledge scores. The study had no control group, so it cannot prove the intervention alone caused the gain.
• RNOther2026Development and Validation of a Chinese Version of the Readiness for Hospital Discharge Instrument After Initial Invasive Percutaneous Transhepatic Biliary Drainage: A Methodological Study.Nursing openA Chinese 22-item questionnaire for patients with biliary drains asks about drain knowledge, coping, personal readiness and support. It may help nurses spot gaps before discharge, but has not yet been shown to reduce complications or readmission.
• RNOther2026Chronic Kidney Disease-Associated Pruritus in Haemodialysis: A Mixed-Methods Study of Symptom Burden and Patient Experience.Journal of renal care16.3% of haemodialysis patients had moderate-to-severe itch, with sleep loss, stigma and unsafe self-care. Patients wanted nurses to ask, assess and document itch routinely.
• RNOther2026Health promotion and disease prevention: Advanced Practice Nursing competencies in women's health consultations.Revista brasileira de enfermagemIn women's health nursing consultations, prenatal prescriptions were common, but tailored educational materials were absent and lifestyle counseling was documented in 24.64% of visits.
• RNQualitative2026'The Right to Have a Family Should Not Be Determined by Your Postcode': Rural Community Experiences With Fertility Care.The Australian journal of rural healthRural women described fertility care as delayed, costly and hard to keep private, with long travel, GP waits, unclear options and little support. They wanted local hubs, telehealth, medication help and counselling.
• RNOther2026Content Validation of Primary Care Network Assessment Scale for Palliative Care Patients (ARCP) and Clinical Utility in Patients With Advanced Cancer.Scandinavian journal of caring sciencesSocial workers found the ARCP palliative care network assessment clear and relevant. Among 148 advanced cancer patients, 80% had networks that met all care needs, but 42% relied on one caregiver. High satisfaction did not rule out fragile caregiving.
• RNQualitative2026A model for professional nurses to facilitate culturally sensitive nursing care for children.CurationisNurses and mothers of hospitalised children described cultural care as strained by nurses’ knowledge gaps, misunderstood expectations and disregard for cultural practices. A model developed from these interviews asks nurses to clarify values, assess culture and partner with families.
• RNQualitative2026Appreciation and coping strategies adopted by children hospitalized for COVID-19 and their primary caregivers.Revista brasileira de enfermagemChildren hospitalized for COVID-19 and their caregivers described fear, boredom, isolation, pain and worry about death. They coped through family contact, screens, play, self-care, faith, staying with the child and talking with staff.
• RNOther2026The Role of Community Health Professionals in Addressing Intimate Partner Violence: A Scoping Review.Public health nursing (Boston, Mass.)Community nurses and other health professionals commonly delivered intimate partner violence prevention and response through screening, referral, safety planning, education, and home visiting. Most studies did not test whether IPV itself changed; some reported reductions, others did not.
• RNCohort2026Trends in Pediatric Mental Health-Related Emergency Department Visits During the School Year and School Breaks.The Journal of school healthSchool breaks did not coincide with more suicidal ideation visits, but visits during breaks were more often admitted or transferred. Youth mental health ED visits rose after August 2020.
• RNSurvey2026The relationship between religious health fatalism, medication adherence, and health literacy among patients with hypertension: a cross-sectional study.Revista da Escola de Enfermagem da U S PAmong 211 patients with hypertension, stronger belief that health outcomes are predetermined by religion was linked to lower medication adherence. Health literacy was slightly higher when fatalism was higher, but literacy was not linked to adherence.
• RNSurvey2026Sociodemographic characteristics and comorbidities of older adults associated with Primary Health Care quality.Revista brasileira de enfermagemOlder adults in Brazil rated essential primary care as satisfactory overall, 7.5 of 10. But first-contact accessibility and available services scored low. Men, higher income, and people with chronic conditions rated some aspects better.
• OTRNOther2026Recovery-Oriented Care Planning in Mental Healthcare Services: A Combined Concept Analysis and Scoping Review.International journal of mental health nursingRecovery-oriented mental health care planning was described as a flexible, person-led conversation, not a form. It centred the person's strengths, goals and supports, with clinicians acting as facilitators rather than directors.
• RNSurvey2026The Association Between Lifestyle Factors and Sleep Quality in Haemodialysis Patients.Nursing openIn patients receiving maintenance haemodialysis, 73.4% had poor sleep. Depression and lower self-management were linked to worse sleep even after accounting for age, dialysis duration, nutrition, exercise, smoking, and drinking.
• RNRCT2026Exploring a Facilitator-Enabled Flexible iSupport for Dementia Program: An Internal Pilot Mixed-Methods Study.Nursing openFacilitator-supported dementia program for 84 carers was feasible but hard to recruit: only 10% of eligible carers joined, and 20% dropped out by 6 months. Early outcome trends were mixed and not proof of benefit.
• RNOther2026Risk of ulceration in people with diabetes mellitus and factors associated with adherence to self-care.Revista brasileira de enfermagemThe overall self-care score was not linked to foot ulcer risk among 769 people with diabetes, and adherence was low. Longer diagnosis time, more visits, and taking five or more medicines related to better testing or medication taking, but links were small.
• SLPRNQualitative2026Exploring the Interactions Between Healthcare Professionals and Parents of Children With Feeding Problems: A Qualitative Study.Scandinavian journal of caring sciencesParents and clinicians described paediatric feeding care as a long, emotionally charged journey. They said trust, shared understanding, early referral and continuity mattered; poor coordination made parents feel forced to advocate.
• PTOTRNQualitative2026Community-Dwelling Older Adults' Experience With Activity Trackers: Effects of Monitoring Physical Activity.Journal of gerontological nursingOlder adults in a community exercise program said tracking with a Fitbit helped them set goals, feel more active, manage fear of falling, and describe changes in memory, social connection, and function. These were self-reported experiences, not proof the tracker caused change.
• RNOther2026Medicaid Claims-Based Diabetes Self-Management Education and Support Utilization in Adults With Diabetes: Sociodemographic and Geographic Assessments.The science of diabetes self-management and careOnly 5.6% of Medicaid adults with diabetes ever used diabetes self-management education during 2016 to 2023. Use was lower in men, adults in other age groups, Hispanic beneficiaries, non-Hispanic Black beneficiaries, American Indian/Alaska Native groups, and high social vulnerability counties.
• RNSurvey2026Associations of Illness Perception, Resignation Coping, and Social Support With Self-Regulatory Fatigue in Patients With Type 2 Diabetes: A Cross-Sectional Study.Nursing openIn 302 adults with type 2 diabetes, more negative illness beliefs, more resigned coping, and lower social support were linked to more fatigue in self-control. This one-time survey does not show cause or that treatment helps.
• RNOther2026Health promotion strategies for adolescents with suicidal behavior: a scoping review.Revista da Escola de Enfermagem da U S PTwo linked approaches emerged for adolescents with suicidal behavior: build life skills, peer support and mental health literacy; train teachers, community leaders and families; use digital platforms. Most studies were school-based in high-income countries.
• PTRNSurvey2026Understanding Exercise Facilitators, Preferences, and Goals in Females With Type 2 Diabetes: A Mixed-Methods Analysis.The science of diabetes self-management and careFemales with type 2 diabetes most often wanted weight loss and glucose control, often to reduce medication. They preferred moderate aerobic activity at home, 30 to 45 minutes, with weekly support, and goals were similar across younger and older groups.
• RNQualitative2026Experiences and perceptions of sleep quality among older adults in Bangka Belitung, Indonesia: a qualitative study.Revista da Escola de Enfermagem da U S POlder adults described poor sleep driven by worry, family stress, heat, and lighting. They managed it with prayer, dhikr, calming thoughts, and short daytime naps, while receiving little formal sleep guidance.
• RNOther2026Direct cost of trabeculectomy in the Brazilian public health system: a micro-costing analysis in a university hospital.Revista da Escola de Enfermagem da U S PTrabeculectomy direct supply costs averaged R$388.32 and were below public health system reimbursement, but waiting time rose from 18 days in 2020 to 122 days in 2025, so direct cost alone did not translate into timely access.
• RNNarrative Review2026Artificial Intelligence in Family Nursing: An Evidence-Informed Policy Framework for Safe and Equitable Integration.International nursing reviewNurses should use artificial intelligence outputs as prompts for assessment and conversation, not as decisions. This policy framework is not tested evidence that the tools improve family care.
• RNQualitative2026Developing personas and empathy maps to understand perceptions of HPV self-sampling in the Somali American Community.Patient education and counselingSomali American women in Minnesota described varied reasons for avoiding cervical screening, from trauma and modesty to lack of knowledge. Nurses and providers may use these six patient personas to tailor education and offer HPV self-sampling, rather than assuming a single barrier.
• RNSystematic Review2026Application of Digital Health Interventions in Home Self-Management of Patients Undergoing Transcatheter Aortic Valve Replacement: A Scoping Review and Future Perspectives.Nursing openDigital tools for post-TAVR home care show promise in improving exercise capacity and reducing readmissions. However, evidence is weak for hard outcomes like mortality, and adoption is hindered by poor digital literacy, connectivity issues, and lack of insurance coverage. Nurse-led screening and simplified tools are key.
• RNRCTA Comparative Randomized Crossover Pilot Study Comparing Male External Urine Collection Devices in Home Settings.Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses SocietyBoth devices captured nearly all urine overnight, and no adverse events needed medical care. Thirteen men preferred the suction-assisted device, though it had more dislodgements, driven by one participant.
• RNOther2026Family Care Management of Patients With Chronic Diseases: A Concept Analysis.Nursing openFamily care management for chronic disease was defined as active family participation, holistic support, collaboration with providers, and adaptability. Nurses can use this as an assessment framework, but it is not evidence that it improves outcomes.
• RNQualitative2026Why Women Don't Return: Nurse Perspectives on Follow-Up Care After Abnormal Cervical Cancer Screening Results in Mississippi's Public Health System.Public health nursing (Boston, Mass.)Nurses described barriers to women returning after abnormal cervical screening: low health literacy, cost, unreliable contact information, language barriers, staffing limits, poor EHR use, and limited specialty care. They suggested targeted education, proactive outreach, language support, staffing and training, and EHR tools.
• RNSurvey2026Association Between Stroke-Related Knowledge and Self-Management Behaviours in Patients With Ischemic Stroke: Serial Mediation by Health Beliefs and Depression.Nursing openIn patients recovering from ischemic stroke, better stroke knowledge was linked with stronger health beliefs, fewer depressive symptoms and better self-management. The paper cannot show knowledge caused these behaviours.
• RNQualitative2026Focus Groups With American Indian/Alaska Native Adults to Discuss Substance Misuse and Access to Services.International journal of addiction nursingAmerican Indian/Alaska Native participants said they are missing from state and federal data, and that stigma, historical trauma, and fear of child removal keep them from seeking substance use help. They asked for early, family-based prevention and culturally appropriate treatment.
• RNOther2026Effects of a Digital Decision Support System on Diabetes Management in a Real-World Home Care Setting: Prospective Quasi-Experimental Feasibility and Implementation Study.JMIR nursingFewer emergency admissions and lower morning glucose were recorded while home care nurses used structured nursing training, GlucoTab, physician-guided insulin initiation and standardized insulin titration protocols. The small study cannot separate components.
• RNSystematic Review2026Daily care demands of children with complex chronic conditions at home: a scoping review.Revista brasileira de enfermagemSeven studies identified critical home care needs for technology-dependent children: respiratory management, ostomy care, and skin protection. Nurses must coordinate hands-on caregiver training during hospitalization to ensure safe discharge and prevent complications.