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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 5 OF 9 · NEWEST FIRST

• RNOther2026Discrimination Against Immigrant Latina Mothers Associated With Pro-Inflammatory Gene Expression in Their Preschool-Aged Children.Biological research for nursingPreschool children whose mothers reported frequent discrimination had higher expression of pro-inflammatory genes. This association persisted after adjusting for maternal depression and child body mass index, suggesting a biological link between maternal stress and child immune activity.
• RNSurvey2026Resource Factors Associated With Avoidable Transfers in Nursing Homes.Journal of the American Medical Directors AssociationNursing home transfers were more often judged avoidable when staff were uncomfortable with the resident's change in condition or an advanced practice registered nurse or RN was unavailable. Onsite clinician and equipment gaps were more often linked to transfers judged unavoidable.
• RNSystematic Review2025Digital Health Interventions for Cardiometabolic Health Outcomes in Rural and Remote Australia: A Systematic Review.The Australian journal of rural healthIn rural and remote Australia, digital diabetes care lowered HbA1c in some studies, a telestroke study reported reduced mortality, but weight results were mixed and engagement gaps persisted.
• RNOther2025Intrinsic Motivation Inventory for Heart-Healthy Lifestyle (IMI-HeartLife) in Cardiovascular Disease Prevention: A Validation Study.Nursing openA 16-item questionnaire measured motivation for heart-healthy lifestyle in 703 Korean adults without cardiovascular disease. It gave stable scores over two weeks and worked the same for men and women. Nurses could use it to assess motivation before prevention education.
• RNSystematic Review2026Evidence on the Reasons and Factors Influencing Contraceptive Nonutilization Among Women of Childbearing Age in Suburban Setting in Sub-Saharan Africa: A Scoping Review.Nursing & health sciencesAcross seven studies, women's contraceptive nonuse was reported alongside fear of side effects, misinformation, partner or cultural pressure, provider attitudes, and access barriers. Nurses in suburban reproductive care can ask about these concerns directly.
• RNRCT2026Exploring the Effects of a Yoga Intervention on Stress and Coping Self-Efficacy on People Living With HIV: A Randomized Controlled Trial.The journal of nursing research : JNREight weeks of live online Hatha yoga lowered perceived stress in people with HIV versus usual care, and gains partly remained one month later. It also improved confidence in coping, though the trial was small and single-site.
• RNSystematic Review2026The effects of multimedia education tools on patients' health knowledge.British journal of community nursingEleven of 15 studies found multimedia patient education increased knowledge, but four did not show clear benefit and no study measured long-term clinical outcomes.
• RNQualitative2026Facilitators and Barriers to Prenatal Exercise from the Biopsychosocial Perspective of Pregnant Individuals: "If You Keep Moving, Then You Won't Stop".Journal of midwifery & women's healthPregnant people rated exercise highly important and reported moderate-to-high confidence. Fatigue, pain, fear of harming the baby, work and caregiving, and unclear safety advice limited activity. Walking, stretching, routines, family support, and clear reassurance helped.
• RNQualitative2026Parents' Experiences of Having an Adolescent With a Mental Disorder Admitted to a Public Hospital's Psychiatric Unit.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingParents of adolescents admitted to a public hospital psychiatric unit in South Africa described grief, anxiety, physical stress, stigma, and feeling unsupported. Prayer and church helped, but they wanted clear information about diagnosis, medication, and discharge.
• RNNarrative Review2026Monitoring Vaccine Safety: United States Vaccine Safety Surveillance Systems.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersPediatric nurses and nurse practitioners should familiarize themselves with U.S. vaccine safety surveillance systems like V-safe and VAERS to effectively address caregiver concerns and support vaccine confidence.
• RNSurvey2026Development of the Indonesian Version of the Consumer Access, Appraisal, and Application of Services and Information for Dementia Instrument into Indonesian and Validation on a Sample of Older Adults.The journal of nursing research : JNRThe Indonesian dementia literacy questionnaire gave consistent answers in older adults, but some parts may overlap. Use it to ask patients and families about confidence finding and using dementia information and services.
• RNSurvey2026Families' Perception of Cognitive and Emotional Support From Healthcare Professionals Across the Maternal and Newborn Care Continuum.Nursing in critical careFamilies in Ghana gave maternal and newborn staff an overall support score of 45.3 of 70. Emotional support was rated lower than information, and families wanted clearer updates, inclusion of male partners and family members, and time for discussions.
• RNOther2026Achieving Cancer Prevention Equity: A Policy Analysis of American Cancer Society HPV Vaccination Guidelines.Journal of advanced nursingFragmented US HPV vaccination policy leaves 46 jurisdictions without school-entry mandates, while five mandate jurisdictions exceed 70% coverage. Rural, immigrant, Black and Latino adolescents face lower access despite free vaccine funding.
• RNSurvey2026Characteristics of Vaccine-Hesitant and Nonhesitant Parents in Italy: A Cross-Sectional Study.Nursing researchAmong 308 Italian parents, 40 were vaccine-hesitant. Hesitant parents had lower education, health literacy, vaccine literacy and confidence, relied more on television, and 30 had vaccinated but no longer intended to.
• RNCohort2026Short Delays in Time to First Contact With Community Health Services and Risk of Emergency Hospital Attendance: Retrospective Observational Study.Journal of advanced nursingA short weekend delay in first community health service contact after a primary care referral was not associated with increased emergency department attendance within 56 days, even though Thursday referrals were less likely to be seen on days two or three.
• RNQualitative2026Community Dwelling Adults' Lived Experiences of Participating in Death Cafés: A Phenomenological Study With Photovoice.Journal of clinical nursingCommunity adults in Singapore said death cafés made talking about death safer and more normal. Participants said small groups, strangers, and casual settings made it easier to discuss suicide, grief, advance directives, and practical end-of-life planning.
• RNSurvey2025Association between preventive health management and high-risk drinking among women of childbearing age: a correlational study of the ninth Korea National Health and Nutrition Examination Survey.Women's health nursing (Seoul, Korea)Among Korean women aged 19-49, high-risk drinking was associated with smoking, skipping breakfast, no dental check-up, employment and lower education; it was not associated with stress, physical activity, general check-ups, cancer screening or flu vaccination.
• RNOther2026The Sense of Security and Associated Factors Among Older Home Care Clients: A Register Study.Scandinavian journal of caring sciencesAmong 5,759 older Finnish home care clients, 23% lacked a sense of security. Younger age, male gender, no recent falls, no housing deficiencies and strong family support were linked to feeling more secure.
• RNNarrative Review2026Narrative Review of Opioid Use Disorder Treatment Changes During the COVID-19 Pandemic and Their Impact on American Indian/Alaska Native Communities.Nursing openTelehealth and take-home methadone were reported as increasing access for some patients, but AI/AN people were rarely identified and technology, housing and state implementation gaps remained.
• PTRNQualitative2026Understanding Barriers and Facilitators to Cardiovascular Rehabilitation Participation Among Rural Residents With Cardiovascular Disease in Brazil.Public health nursing (Boston, Mass.)Rural patients with heart disease or risk factors lacked knowledge about cardiac rehabilitation; 15 named it as a barrier, 20 reported no referral, and 16 struggled with phones or apps. They also feared exercising alone.
• RNCohort2026Hair Cortisol as a Biomarker of Chronic Stress in Community-Dwelling Adults With Longstanding Multiple Sclerosis.Western journal of nursing researchMailed hair samples were returned by 59.6% of consenting adults with longstanding MS; 84.4% were eligible for cortisol analysis, but cortisol did not track reported stress.
• RNSystematic Review2026Barriers Encountered by Migrant Farm Workers When Accessing Health Care Services in Canada: A Scoping Review.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieresMigrant farm workers in Canada avoid care due to fear of repatriation, language barriers, and lack of transport. They often self-medicate or delay treatment to keep their jobs, as health coverage is tied to employment status.
• RNOther2026Health Needs and Challenges in Preventing Secondhand Smoke Exposure Among Rural Adolescents: Implications for Innovative Health Education.The journal of nursing research : JNRAfter a nurse-led school program, 46.9% of rural adolescents living with smokers reported advising family members, but only 8.1% reported success such as family members smoking outside or quitting.
• RNQualitative2026Adapting mainstreaming genetic education and clinical communication materials for cancer patients of varying backgrounds.Patient education and counseling61 cancer patients helped adapt genetic testing education materials. They needed cost, timing, plain terms, and clear result types. Haitian Creole speakers found materials effortful. Use patient-reviewed materials and check understanding; standard materials are not assumed adequate.
• RNOther2026Anticipated Stigma in Nursing: A Concept Analysis Informed by Cannabis Use Disclosure.Journal of advanced nursingAnticipated stigma is the fear of being judged if cannabis use is disclosed. Nurses may see patients hide use during assessments, risking unsafe medication reconciliation and pain management.
• RNQualitative2026Lived Experiences of Thai Children Applying Five Love Languages to Promote Emotional Well-Being of Rural Bedridden Older Adults: A Phenomenological Study.International journal of community based nursing and midwiferyChildren described becoming more aware of bedridden older adults' loneliness, offering comfort through touch, presence, and small gestures, and feeling valued through repeated visits. These are their experiences, not evidence that love languages improve older adults.
• RNOther2026Identifying Factors Associated With Loneliness in Older United States Veterans: An Ecological Systems Approach.Research in gerontological nursingLoneliness in hospitalized older Veterans is driven by community vulnerability and lack of emotional support, not military history. Widowed Veterans and those living alone had significantly higher odds of loneliness. Clinical care should prioritize assessing perceived emotional support and social isolation over service-connected diagnoses.
• RNPilot2026Feasibility and Acceptability of a Co-Designed Self-Management Programme for People Living With Kidney Failure.Journal of renal careA 12-week nurse-led, co-designed kidney self-management programme was feasible and acceptable: 97% retention, 100% adherence, and 90% rated it valuable. Mean patient activation did not improve, so effectiveness remains unproven.
• RNQualitative2026Co-Designing End-of-Life Care for People With Pre-Existing Severe Mental Illness: Insights From Multiple Stakeholder Consultations.International journal of mental health nursingPeople with severe mental illness and staff described end-of-life care as late, poorly assessed, and stigmatised. Stakeholders co-designed priorities: simpler assessment tools, legal help, dying-in-place protocols, and joint palliative-mental health training.
• RNCohort2026An Updated Mortality and Community Discharge Prognostic Model for Older Adults Admitted to Skilled Nursing Facilities for Post-Acute Care.Journal of the American Medical Directors AssociationAdding skilled nursing facility assessment data to Medicare claims improved prediction of death within six months and return to the community without rehospitalization or death within 30 days. The model applies to patients still in the facility on day seven.
• RNOther2026Development of Telenursing Guidelines to Improve the Quality of Services in Diabetic Wound Care in a Hospital in Thailand: Case Study.JMIR nursingIn 20 patients with diabetic wounds, telenursing follow-up was paired with wound care and assessments, and wound severity scores fell significantly over 8 weeks. No amputations were reported, but there was no control group, so this cannot prove telenursing alone healed wounds.
• RNSystematic Review2026People Living with HIV Experiences from Peer Support: A Meta-Synthesis.International journal of community based nursing and midwiferyPeople living with HIV valued peer support for connection, HIV knowledge, adherence, and reduced isolation. They also reported confidentiality fears, unstable groups, and harmful peer pressure to stop treatment.
• RNQualitative2026Pretesting Parenting Instruments with Indigenous Fathers and Two-Spirit Parents: A Qualitative Study.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieresSix Indigenous fathers and Two-Spirit parents found common parenting and depression questionnaires confusing, culturally narrow, and unsafe around self-harm wording. They asked for plain language, clearer scales, and immediate culturally safe support before use.
• RNQualitative2026Exploring the Relationship Between Palliative Care Knowledge, Health Concerns, and Education Among Seriously Ill Older Adults and Their Family Caregivers Using Survey and Interview Data: A Novel Approach.The American journal of hospice & palliative carePeople who declined palliative care often understood it could help stress but still worried. Those who did not know it could help stress were all worried and had less education. Ask about stress and side effects before explaining what palliative care can do.
• RNSurvey2026Informal Caregivers' Knowledge, Attitude, and Practice on the Prevention, Care, and Healing of People With Pressure Injuries: A Cross-Sectional Study in China.Advances in skin & wound careFamily caregivers of pressure injury patients in China scored 0.5% of the maximum for knowledge, 86.90% for attitude, and 41.87% for practice.
• PTRNQualitative2026Surviving a Critical Care Admission for COVID-19: A Qualitative Study of Experiences and Unmet Needs During the Recovery Period.Nursing in critical careFifteen COVID-19 ICU survivors said they often did not feel as unwell as they were, then found recovery confusing and support too late. They wanted clear explanations, early practical help, and consistent follow-up.
• RNCohort2026Factors Associated With Initial Type of Long-Term Services and Supports Among Dual-Eligible Beneficiaries.Journal of the American Medical Directors AssociationAmong older adults starting long-term care, half began with home services and half in nursing homes. Black adults and women were more likely to start at home. ADRD, prior hospitalization, older age, and higher education were associated with starting in nursing homes.
• RNQualitative2026Experiences of people diagnosed with malaria regarding signs and symptoms at a selected village in the Vhembe District, Limpopo province, South Africa.CurationisPeople with malaria described headaches, dizziness, fever, chills, vomiting, fatigue and trouble sleeping. They sought care quickly after health education, a prior episode, a sick child or family encouragement; delay was linked to ignorance and lack of money.
• RNOther2026Medication Reconciliation in Outpatient Psychiatry: An Indicator of Communication With Primary Care? A Quantitative Descriptive Study.Journal of advanced nursingIn this outpatient psychiatry setting, 84.8% of the 33 patients with data showed at least one medication discrepancy between their psychiatrist and GP records. This highlights a major communication gap, but the small sample and lack of patient interviews limit certainty.
• PTOTRNSystematic Review2026Impact of Lymphedema on Women's Lives After Gynaecological Cancer: An Integrative Review.Scandinavian journal of caring sciencesWomen after gynaecological cancer described lower-limb lymphedema as swelling, heaviness, pain and body-image distress that limited walking, work, clothing and sex. Clinicians often missed or delayed diagnosis. Women often had to self-manage.
• RNSurvey2026Contraception and Amenorrhea: An Exploratory Cross-Sectional Study on Acceptability in Filipino/Filipino-American Women.Journal of transcultural nursing : official journal of the Transcultural Nursing SocietyMost Filipino and Filipino-American women in this survey disliked monthly periods, but 56% would not consider contraception that stops them. Many believed stopping periods was harmful. Philippine-born women who immigrated as young adults or older were more likely to avoid it.
• RNPilot2026Feasibility and Acceptability of a Remote, Asynchronous, Stroke-Tailored Mindfulness Intervention for Stroke Survivors and Support Persons.The Journal of neuroscience nursing : journal of the American Association of Neuroscience NursesStroke survivors and their support persons completed a remote eight-week mindfulness course at high rates and said it helped manage stress and quality of life. The study shows the program was feasible and acceptable, not that it improved stress or quality of life.
• RNCohort2026COPD Management in Primary Care: Underutilisation of Nursing Consultations.Journal of clinical nursingMany patients recorded as having COPD in primary care lacked spirometry confirmation, and dyspnea or inhaler adherence was often missing. A COPD label may not mean the diagnosis is confirmed or care is documented.
• PTOTSLPRNSystematic Review2026The use of virtual reality in cancer patient health education: A scoping review.International journal of nursing sciencesCancer VR education tools include videos, immersive environments, radiotherapy simulations, 3D models, games and virtual characters. Small studies report better knowledge, less anxiety and some behavior change, but long-term effects and privacy are unclear.
• RNQualitative2026Experiencing Cultural Safety in Nursing Care: A Focused Ethnography With Refugees.Nursing & health sciencesLaotian refugees in Japan experienced culturally safe nursing care through access to temples as spiritual sanctuaries, negotiation of bicultural caregiving practices, and holistic body-mind-spirit approaches. End-of-life dignity required honoring Lao funeral customs and addressing anxieties about legal status and refugee labels.
• RNSystematic Review2026Primary care services role in supporting families of children or adolescents with disabilities or neurodevelopmental disorders.Revista da Escola de Enfermagem da U S PFamilies of children with disabilities or neurodevelopmental disorders described primary care as having weak nurse-family bonds, underused home visits, and teaching limited to equipment and medications.
• RNCohort2026Development of a Nomogram-Based Prediction Model for Postoperative Delirium in Patients After Total Hip Arthroplasty: A Retrospective Cohort Study.Nursing openAfter hip replacement, older age, higher fall risk, indwelling catheter and lower total protein were linked to postoperative delirium; a visual model could help nurses estimate individual risk.
• RNSurvey2026Latent Profile Analysis of Self-Management Ability and Its Influencing Factors in Patients With Atrial Fibrillation.Nursing open185 of 208 patients had high self-management and 23 had low. Longer disease course, family caregiver, and more negative illness perception were linked with low self-management.
• PTOTRNSystematic Review2026Experiences of Individuals With Chronic Obstructive Pulmonary Disease and Their Caregivers During the Pandemic: A Systematic Review.Nursing openCOPD patients and caregivers described pandemic fear, anxiety and loneliness, plus reduced activity. Some managed exacerbations at home. Telemedicine helped some, but others wanted face-to-face care.
• RNCohort2026Predictors for Home Discharge and Need for Medical Care at Home in Paediatric ICU Patients: A Single-Centre Retrospective Study.Nursing in critical carePostoperative admission and lower admission heart rate were linked to a higher chance of direct home discharge in 118 paediatric ICU patients; arrest before ICU and early ventilation were linked to a lower chance. Longer ICU stay was linked to needing medical care at home.