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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.

724 PAPERS · PAGE 6 OF 15 · NEWEST FIRST

• PTRNRCT2025Effects of the hospital-community-family trinity cardiac rehabilitation on patients with acute myocardial infarction after percutaneous coronary intervention: A randomized trial.International journal of nursing sciencesAfter heart attack and PCI, 110 patients in a 12-month hospital-community-family rehab program had better exercise endurance, heart function, and quality of life than routine care.
• RNSurvey2025Association Between Family Support and Breastfeeding Self-Efficacy in a Cross-Sectional Study.Nursing openHigher family support was linked to higher breastfeeding confidence. Mothers whose postnatal caregiver was their parents had lower confidence. Nurses can ask whether family help is supportive or controlling.
• RNCohort2025Impact of Remote Appointments on the Outcomes of Community Mental Health Nurses in Primary Care Since the Covid Pandemic: A Retrospective Observational Cohort Study.International journal of mental health nursingTelephone-only mental health nursing appointments were linked to higher dropout and lower improvement. Video or blended formats were linked to lower dropout, and blended delivery was linked to improvement, so reserve phone for brief support or monitoring.
• RNSurvey2025Counseling received in prenatal care by Brazilian women.Revista da Escola de Enfermagem da U S PMost Brazilian women reported receiving many prenatal counseling topics, but younger, less educated, Black, Brown, Indigenous, North/Northeast and public-care women were less likely to receive key pregnancy and childbirth counseling.
• RNOther2025Developing a website to help women aged 55 + incorporate risk in decision-making about breast cancer screening and prevention medications.Patient education and counselingMost older women and experts found a breast cancer risk website helpful and easy to use, but it was not tested for whether it changes screening or medication decisions.
• RNOther2025Risk Factors for Emergency Department Visits or Hospitalizations Among Older Adults With Urinary Incontinence in Home Health Care.Journal of gerontological nursingOlder adults in home health with urinary incontinence were more likely to have an ED visit or hospitalization when notes showed symptom clusters, especially anxiety, dizziness, constipation, or all listed symptoms, and when an unhealed skin ulcer was present.
• RNRCT2025The Effect of Chewing Gum in Managing Labor Pain Intensity and Anxiety Level in Primiparous Women: A Randomized Controlled Trial.International journal of community based nursing and midwiferyFirst-time mothers who chewed sugar-free gum during active labor reported lower pain at 3-4, 5-7, and 8-10 cm dilation and lower anxiety after the intervention than women receiving standard care.
• OTRNSurvey2025Development of Priority Outcome Domains for Community Mental Health Research via Consensus Among Multiple Stakeholders: Online Delphi Study in Japan.International journal of mental health nursingCommunity mental health stakeholders in Japan agreed on outcome domains including help-seeking, feeling safe, social connectedness, daily living skills, medication adherence and suicidal ideation. It is a research priority list, not evidence that measuring them improves care.
• RNOther2025Chronic Illness Self-Management Latent Profiles in Individuals With Comorbid Type 2 Diabetes and Hypertension.The science of diabetes self-management and careDistinct self-management profiles emerged in adults with diabetes and hypertension. The high-distress group had the highest A1C, while high self-efficacy and high health knowledge groups had similar A1C.
• RNSurvey2025An Assessment of Patient Satisfaction With Home Care Services in an Eastern City of Turkey.Nursing openMost patients receiving free Turkish home care rated the service satisfactory, and experience scores were near the top of the scale. Satisfaction was lower when waiting time to start service increased.
• RNMeta-Analysis2025The impact of machine learning on physical activity-related health outcomes: A systematic review and meta-analysis.International nursing reviewAdults in physical activity programmes that used machine learning took more steps per day than control groups across five randomised trials. The programmes varied, so do not assume any single app or nurse-led plan will reproduce this.
• RNOther2025An Evidence-Based Safe Sleep Program Is Associated With Less Infant Sleep-Related Deaths.Worldviews on evidence-based nursingAudits in 12 Pennsylvania hospitals found more infants supine and fewer unsafe crib items after a comprehensive safe-sleep program; parent advice reports also improved, but death counts were too small to prove fewer deaths.
• RNNarrative Review2025Nursing's Role in Advancing Care for Rare Genetic Diseases.The Nursing clinics of North AmericaNurses can coordinate rare disease care, teach patients about testing and treatment, link families to peer support, and advocate for access. The review describes these roles and examples; it does not test whether they improve outcomes.
• RNNarrative Review2025Community Treatment Orders in Australia in the Context of International Literature: A Narrative Review of Consumers, Families and Health Professionals' Perspectives.International journal of mental health nursingAustralian community treatment orders are used despite weak evidence of benefit. Consumers often describe coercion and distress. Families report support but process problems. Health professionals cite risk and service gaps.
• RNQualitative2025Navigating Type 2 Diabetes Care: Asian American Perspectives on Self-Management Education and Support.The science of diabetes self-management and care82% of participants were unaware of diabetes self-management education; generic advice felt culturally irrelevant, and many relied on family, online sources, or self-directed learning. They wanted shorter, virtual, personalized, culturally tailored education.
• RNOther2025The Multidimensional Factors That Influence the Family Management of Autism Spectrum Disorder: A Mixed Methods Study.Journal of family nursingFamilies with higher confidence and lower effort had more family-centered routines and stronger social support. Nurses can help caregivers shift from child-centered to family-centered routines and identify support networks to reduce management burden.
• RNOther2025Evaluation of a Hub-And-Spoke Model of Care for the Delivery of Sleep Disorder Services to a Remote Australian Community Using the RE-AIM Framework: A Controlled Before-And-After Implementation Outcome Study.The Australian journal of rural healthThe new model reached remote patients much more often. Referrals rose nine-fold, 89.4% of patients in the new model avoided travel, and the modelled service cost was lower. This is about access and delivery, not proof testing improves health.
• RNCohort2025Lifting Federal Visitation Restriction and COVID-19 Infections in Nursing Homes.Journal of the American Medical Directors AssociationLifting federal nursing home visitation restrictions did not increase resident COVID-19 infections. Infection rates tracked community spread, not visitation policy. Clinicians can reassure families that allowing visits, with proper infection control, is unlikely to drive outbreaks.
• PTOTRNQualitative2025Experiences and challenges of family caregivers of people with lower limb amputation: a qualitative study.Revista da Escola de Enfermagem da U S PFamily caregivers of people with major lower limb amputation described exhaustion, fear of falls, and poor preparation for stump care and transfers. They wanted practical home training, clear discharge information, and ongoing phone or visit support.
• RNOther2025Health literacy of adults from primary care with type 2 diabetes mellitus: a cross-sectional study.Revista da Escola de Enfermagem da U S PAdults with type 2 diabetes in primary care who had less schooling reported the most difficulty understanding health information and knowing what to do. Men and people with lower fasting glucose reported easier interaction with health professionals.
• PTOTRNSystematic Review2025Interprofessional Collaborations on Interventions for People With Loneliness: A Scoping Review.Nursing openTeam-based loneliness programmes used home visits, phone calls, digital groups and art sessions. Several studies reported lower loneliness, but collaboration details were unclear and many were not controlled trials.
• RNOther2026Comparison of the Effects of Plastic-Free Diet, Plastic-Free Diet Education and Exposure Feedback on Urinary Bisphenol: A Levels in Adolescents.The Journal of school nursing : the official publication of the National Association of School NursesThe approaches did not differ, but plastic-free diet, plastic-free diet education, and BPA exposure feedback all lowered adolescents' urinary BPA from pre-test to post-test.
• RNMeta-Analysis2025Effectiveness of Transtheoretical Model-Based Motivational Interviewing on Glycemic Control Among Adults With Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Control Trials.Worldviews on evidence-based nursingIn adults with type 2 diabetes, stage-based motivational interviewing lowered HbA1c by 0.92 versus usual care, and improved self-management and self-efficacy. Session dose varied, so exact frequency is uncertain.
• RNQualitative2025Invisible Struggle: Diabetes Self-Management Through the Eyes of Diabetic Individuals With Retinopathy.Nursing & health sciencesThirteen women with diabetic retinopathy described vision loss making insulin dosing, glucose reading, meal preparation, and exercise unsafe or hard. They wanted family and health professional support, and audible or automated diabetes devices.
• RNQualitative2025Cultural Interpretations of Patients and Employees in an Organization Certified Through the Baby-Friendly Hospital Initiative: A Focused Ethnographic Study.Journal of human lactation : official journal of International Lactation Consultant AssociationPatients and staff described breastfeeding support as depending on accessible education, hands-on help, and coordination with families and discharge. Workload, infant health problems, and pandemic barriers could still make consistent support difficult.
• RNRCT2025Central Nervous System Polypharmacy Among People Living With Dementia.Journal of the American Medical Directors AssociationDeprescribing education did not reduce the proportion of people with dementia meeting criteria for risky central nervous system polypharmacy. The most common high-risk medication combinations involved antidepressants, opioids, and gabapentin or pregabalin.
• PTOTSLPRNCohort2025Association Between Residents' Perceived Importance of Family Involvement in Overall Care Planning and Rehabilitative Therapy Administration in Nursing Homes.Journal of the American Medical Directors AssociationNursing home residents who rated family involvement as very important received more physical and occupational therapy minutes than those who did not. The difference was small, averaging 5 fewer minutes for those rating it somewhat important.
• RNOther2025Nursing and Continuing Care Management Work Plan for People Living With COVID-19: Case Study of the Nakhon Pathom Province.JMIR nursingA community database and post-COVID care plan was rated highly by health professionals. It sets out monitoring, education and referral steps, but does not test patient outcomes.
• RNCohort2025Incidence of prevalent diseases in infants in Primary Health Care: a cohort study.Revista da Escola de Enfermagem da U S PRespiratory problems were the most common recorded health issue in infants in primary care, peaking around month 5. More than half had at least one treatment, and most care was delivered by family health strategy doctors.
• RNRCT2025A Randomized Controlled Trial of a Telehealth Group Intervention to Reduce Perinatal Depressive Symptoms: A Mixed Methods Analysis.Journal of midwifery & women's healthThe mindfulness telehealth group did not reduce perinatal depression symptoms more than childbirth/parenting classes; both groups improved similarly, and participants valued connection and shared experience.
• RNRCT2025An Embedded Pragmatic Clinical Trial of the Individualized Positive Psychosocial Interaction (IPPI) Program.Journal of the American Medical Directors AssociationResident mood improved immediately in 59% of brief preference-based one-to-one interactions delivered by nursing home staff. There was no control group, so this does not show IPPI reduced distress versus usual care.
• RNSurvey2025Factors Associated With Dementia Worry Among Middle-Aged or Older Adults Living in a Japanese Community: A Cross-Sectional Study.International journal of mental health nursingAmong middle-aged or older community adults without dementia, greater worry about developing dementia was linked to greater knowledge of dementia, more bothersome symptoms, moderate or severe depression, and a parent diagnosed with dementia.
• RNQualitative2025The Role of Stigma in Help-Seeking Strategies Among African Migrants in Australia: A Qualitative Study.International journal of mental health nursingAfrican migrants described stigma delaying mental health help-seeking: fear of being called mad, communal shame, and spiritual beliefs led some to suffer silently or seek church first. Clinicians should expect late presentation and ask about stigma and spiritual beliefs.
• RNCohort2025Efficiency of AIMS: A 4-Week Recovery Oriented Suicide Prevention Pathway.International journal of mental health nursingIn 552 people in suicidal crisis, a 4-week team pathway was entered mainly from emergency or acute care and discharged participants to community services; 6-month re-presentation was low, but no control group.
• RNSystematic Review2025Efficacy and cost-effectiveness of digital health interventions in improving hypertensive outcomes among patients with uncontrolled hypertension: A systematic review.International journal of nursing sciencesDigital health interventions for uncontrolled hypertension improved self-management and blood pressure control, reduced cardiovascular risk, and two studies showed cost-effectiveness. They worked best when combined with provider support, especially nurse feedback and consultation, rather than stand-alone.
• RNQualitative2025Support Networks and Care Needs: Insights From Older Vietnam-Born Australians Living With Chronic Disease.Nursing & health sciencesOlder Vietnam-born adults with chronic disease relied on family and ethnic networks, often said they had enough support, but needed Vietnamese-language health information. Ask about carer burden and language before assuming they want formal self-management programmes.
• RNOther2025Health team practices to improve vaccination coverage of children in a favela.Revista da Escola de Enfermagem da U S PIn a Rio de Janeiro favela, health teams used daily tracking, home searches, Saturday vaccination days, messaging and daycare visits. The report says all registered children aged 0 to 2 years had vaccination records updated, but it is not a trial.
• PTOTSLPRNQualitative2025Walk for Mental Well-Being as a Third Place: A Qualitative Study of the Bathurst Men's Walk and Talk.The Australian journal of rural healthRural men described a weekly walk as a place where status is left at the door. Rituals like free coffee and walking in pairs facilitated conversation, helping isolated men feel safe to share personal struggles without clinical pressure.
• RNSystematic Review2025The Factors That Affect Sexual Safety on Adult Mental Health Inpatient Units: A Scoping Review and Content Analysis.International journal of mental health nursingConsumers and staff in adult mental health units described unsafe spaces, disbelieved reports and limited trauma training as threats to sexual safety. Women-only areas helped some feel safer, but did not alone solve it.
• RNCohort2025Exploring Willingness: What Drives Dialysis Withdrawal Decisions in Patients With End-stage Renal Disease? A Cross-sectional Study.The journal of nursing research : JNRWillingness to withdraw from dialysis rose as hypothetical prognosis worsened, but more than half of 121 hemodialysis patients still preferred to continue. Poor dialysis quality, junior high school education, and better palliative care knowledge were linked to withdrawal willingness.
• RNSystematic Review2025Exploring Nursing Interventions for Frail Individuals in Primary Care: A Systematic Review.International nursing reviewNurse-led home assessments for frail older adults showed little clear improvement in quality of life or disability, but trust, coordination, pain checks, and fall risk assessment were central.
• RNQualitative2025Knowledge of pregnant women living in riverside community about exclusive breastfeeding in the context of Primary Health Care.Revista da Escola de Enfermagem da U S PPregnant women said nurse guidance helped them understand breastfeeding, but vague or contradictory advice left them unsure. They linked breast milk to child growth and six-month exclusivity, yet some planned early foods because of work, family pressure and myths about weak milk.
• RNQualitative2025A framework for developing spouse-inclusive digital applications in preventing perinatal depression and anxiety.International journal of nursing sciencesWomen and spouses described adjusting to a new period of life, dealing with perinatal distress, and mobilizing needs and supports. Experts judged the proposed spouse-inclusive digital framework appropriate, but no app was tested.
• RNSystematic Review2025Period poverty: a scoping review.Revista brasileira de enfermagemPeriod poverty was linked to missing school or work, stigma, anxiety and depression, and improvised products that risk infections. Nurses can ask about menstrual supplies, privacy, information and pain, not just pad use.
• RNSystematic Review2025Caregiving Experiences of Caregivers of Adolescents With Inflammatory Bowel Disease: A Qualitative Meta-Synthesis.Nursing openCaregivers of teenagers with inflammatory bowel disease felt shocked, guilty and financially strained, but many found strength through family and healthcare team support.
• RNOther2025Translation, Cultural Adaptation and Validation of the Advance Care Planning Engagement Survey for Korean Older People.International journal of older people nursingA 12-item Korean survey identified three ways older people engage with advance care planning: thinking about it, readiness and confidence. It was adapted by removing decision-maker questions and rewording life-not-worth-living questions after pretest discomfort.
• RNSystematic Review2025Telenursing as an Effective Ally for Improving Patient Outcomes in Diabetes? An Umbrella Review.Nursing openNurse-led telehealth for adults with diabetes was usually linked with better blood sugar control, self-management and less hospital use. Evidence quality was low, and effects varied by tool and diabetes type. Use it as an adjunct, not a replacement.
• RNQualitative2025Cultural modulation of family care for technology-dependent children: an ethnographic study.Revista da Escola de Enfermagem da U S PBrazilian families caring for technology-dependent children built care around home, school, faith and kin, but mothers did most medical procedures. Supply gaps and long trips shaped daily care.
• RNOther2025Association Between Smartphone Attachment and Mental Health in Adolescents.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, IncAdolescents with stronger smartphone attachment reported more anxiety and depressive symptoms, even after accounting for sleep and overall health. Forty-five of 137 exceeded a moderate-to-severe attachment threshold and had higher anxiety and depression scores.
• RNOther2025Risk behavior for obesity: a conceptual analysis according to Walker and Avant.Revista brasileira de enfermagemNo reviewed study clearly defined risk behavior for obesity. The concept centers on diet, physical inactivity, and general habits such as screen time, smoking, and alcohol, not risk factors like age, family history, conditions, or medications.