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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 7 OF 15 · NEWEST FIRST

• RNOther2025Educational technology: educational video to support home care management for liver transplant patients.Revista brasileira de enfermagemNine post-liver transplant patients rated a new home-care video highly. They found the step-by-step instructions for blood glucose monitoring, wound care, and insulin application clear and helpful for managing care at home.
• RNSystematic Review2025Social support for family caregivers of children and youth with special health care needs for home care: a scoping review.Revista da Escola de Enfermagem da U S PFamily caregivers of children needing home care relied mainly on relatives, friends, other parents, volunteers and religious groups for emotional, practical and financial help. Formal health services were often secondary, leaving gaps in discharge guidance, benefits information and respite.
• RNOther2025The middle-range theory of the nursing diagnosis "ineffective health self-management".Revista brasileira de enfermagemA nursing framework for people living with HIV describes ineffective health self-management as difficulty, failure, abandonment, or refusal to reach agreed health goals. It maps factors such as stigma, mental disorders, and access barriers to outcomes including viral resistance.
• PTRNSystematic Review2025Effect of telemedicine on the quality of life of people with heart disease: a systematic review.Revista latino-americana de enfermagemRemote self-management care did not clearly improve quality of life across 44 heart-disease trials. 20 studies showed gains, 19 showed improvement without a clear advantage, and 5 showed none. No study found worse quality of life.
• RNOther2025The inclusion of pregnant women in research during disease outbreaks globally: A scoping review.Revista latino-americana de enfermagemPregnant women were systematically excluded from most clinical trials during recent outbreaks, with exclusion rates between 52% and 97.8%. This lack of data forces clinicians to prescribe off-label without evidence of safety or efficacy for mothers and babies.
• PTRNSurvey2025Exercise Barriers Among Females With Type 2 Diabetes: Exploring Age-Related Differences.The science of diabetes self-management and careYounger Australian women with type 2 diabetes most often said time stopped them exercising; older women more often said social support and not knowing how to start. Many lacked confidence and practical knowledge about safe exercise.
• RNOther2025Creating an Empirically Informed Mental Health Workbook for Racialised Newcomer Youth in Saskatchewan: Community-Based Participatory Action Research.International journal of mental health nursingPilot users reported the workbook increased mental health literacy, validated their stress experiences, and motivated self-care. This was a development report with no control group, so it shows the tool was well-received, not that it improves outcomes.
• RNMeta-Analysis2025The Effectiveness of Patient-Centered Digital Empowerment Programs in Hematological Cancer Care: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Worldviews on evidence-based nursingFatigue did not improve when blood cancer patients used digital empowerment programs, but depression, distress, self-efficacy and quality of life showed small positive changes. Use them as support, not physical symptom treatment.
• RNSurvey2025Attitudes toward caring for terminally ill patients among community nurses in Shanghai: A cross-sectional study.International journal of nursing sciencesCommunity nurses in Shanghai reported moderate attitudes toward caring for terminally ill patients. Those with greater ability to cope with death and those who received blended death education held more positive attitudes. The lowest scores were for communicating with dying patients.
• RNSurvey2025Promoting healthy sexual practices to prevent youth pregnancy in Vhembe district.CurationisSouth African school youth did not consistently identify legal and illegal abortion settings, and many reported staff disrespect, confidentiality concerns, language barriers, parental consent demands and long waits.
• RNOther2025In-home respite care in dementia: An evolutionary concept analysis.International journal of nursing sciencesFor dementia families, in-home respite care is described as a short, home-based substitution for caregiver duties, preserving routines and keeping the person at home. It is framed as patient- and caregiver-centered, not just household help.
• PTOTRNSystematic Review2025Quality of life experience in physically frail people on renal dialysis: A qualitative meta-synthesis on the difficulties and resources for better health care.International journal of nursing sciencesDialysis patients described frailty as limiting daily activity, increasing fall risk, and stripping work, family, and social roles. They also said teams underestimated falls, while family, peers, and exercise programs were reported as supports.
• RNRCT2025Effectiveness of a theory-based tailored individual and family self-management education in adults with uncontrolled diabetes: A randomized controlled trial.International journal of nursing sciencesAdults with poorly controlled type 2 diabetes and a family member who received an 8-week multi-component self-management education improved self-management, lowered a blood marker of insulin resistance, and reduced diabetes distress versus usual care.
• RNRCT2025Effects of a culture-specific behavior modification program on glycated hemoglobin and blood pressure among adults with diabetes and hypertension: A randomized controlled trial.International journal of nursing sciencesIn 51 adults completing, a 12-week nurse-led Isan culture-specific behavior-change package lowered HbA1c from 8.65% to 7.95% and improved blood pressure control compared with usual care.
• PTOTRNSystematic Review2025Transitional Care for Patients with Amyotrophic Lateral Sclerosis to the Home: A Scoping Review.Revista brasileira de enfermagemPeople with ALS going home need individualized transition plans: multidisciplinary care, discharge planning, telehealth, medication administration support, and caregiver training. This review mapped 7 studies, mostly expert opinion, so it shows what care looks like, not what works.
• RNOther2025ICNP® nursing diagnoses and outcomes for community mental health based on the Tidal Model.Revista brasileira de enfermagem426 ICNP nursing diagnosis and outcome statements were constructed for community mental health using the Tidal Model. Most were not already in ICNP 2019/2020, and content validation is still needed.
• RNQualitative2026Improving Community-Based Palliative Care Explanations: Insights From Persons Declining Services.The American journal of hospice & palliative carePatients and caregivers who declined community palliative care often confused it with hospice or knew only part of it. They wanted clear, tailored explanations that explained how it differs, what it offers, and how services work.
• RNQualitative2025Within the Walls: Experiences of Admission to Psychiatric Hospital in Ireland Prior to 2001.International journal of mental health nursingSix people who were psychiatric inpatients in Ireland before 2001 described the hospital as isolating and confusing. They felt stripped of their identity as mothers or individuals, struggled to understand their treatments, and carried lasting trauma from electroconvulsive therapy and medication.
• RNRCT2025Preliminary Efficacy of a Self-Management Programme to Improve Quality-of-Life in Patients With Obesity and Osteoarthritis Awaiting Arthroplasty: A Randomised Trial.International journal of nursing practiceNurse-led self-management support improved mental health, coping and social functioning in obese patients waiting for joint replacement. Physical pain and overall quality of life scores did not differ from usual care. The intervention was feasible and delivered mostly by phone.
• RNOther2025Sustainable development and women's empowerment in vulnerable communities: an experience report.Revista brasileira de enfermagemTwenty-nine women entrepreneurs in vulnerable Brazilian communities attended workshops on business and health topics, including domestic violence and family planning. Participants reported increased self-esteem and self-care. The initiative helped formalize a seamstress cooperative and attracted local business partnerships.
• RNQualitative2025Care for ill-housed persons: access and professional proactivity in primary care.Revista brasileira de enfermagemPrimary care staff in areas without street outreach teams described relying on spontaneous, crisis-driven demand. Intersectoral links with social services and professional proactivity were essential to navigate barriers and provide care to homeless persons.
• RNSystematic Review2025Social determinants of adherence to antiretroviral therapy among adolescents and young people living with HIV: a scoping review.Revista da Escola de Enfermagem da U S PAdolescents with HIV adhere to treatment when they understand it, have stable routines, and receive family or peer support. Barriers include stigma, fear of disclosure, depression, forgetfulness, and distance to clinics. Adherence is not just about motivation.
• RNSystematic Review2025Cultural considerations at end-of-life for people of culturally and linguistically diverse backgrounds: A critical interpretative synthesis.Journal of clinical nursingAustralian end-of-life care for culturally and linguistically diverse people faced barriers: poor interpreter access, jargon, English-only services, and staff cultural competence gaps. Ask each person and family about language, beliefs, rituals, and decision-making preferences.
• RNCohort2024Evaluating Social Determinants of Health Related to Cancer Survivorship and Quality of Care.Cancer nursingAmong 1135 cancer survivors, White participants were more likely than Black participants to report better quality of care for testing, diagnosis, and treatment. Those with higher education also reported better treatment quality. Geographic residence did not significantly affect these perceptions.
• RNQualitative2025Parents' Experiences of Communication With School Nurses About Their Child's Weight Development in Sweden.The Journal of school nursing : the official publication of the National Association of School NursesParents described school nurse health visits as unclear, with little feedback and no access to growth charts. They wanted a digital channel, child-centered talks, and collaboration around their child's weight and context. This is experience, not proof.
• OTRNQualitative2025Exploring how 'wish-granting' interventions foster wellbeing for children with life-threatening health conditions and their families: A qualitative study.Journal of child health care : for professionals working with children in the hospital and communityFamilies and professionals described wish-granting as creating joy, anticipation, and shared memories that helped children with life-threatening conditions cope with treatment and see new possibilities. It reports experiences, not proof the intervention works.
• RNQualitative2025Adolescents' Experience of Pain: A Focus Group Study in Sweden.The Journal of school nursing : the official publication of the National Association of School NursesAdolescents described pain as a warning bell from stress, schoolwork, relationships, and grief. They managed it by distracting themselves, enduring, using painkillers or heat pads, and asking parents, friends, or school nurses for help.
• PTOTRNOther2026Multidimensional associations of physical performance, balance, wellness and daily activities with frailty in older adults with coexisting frailty and diabetes.Journal of clinical nursingIn older adults with diabetes and frailty, faster walking and sit-to-stand movement, better one-leg balance, more moderate-to-vigorous activity, less dependence, better nutrition and health perception were associated with being pre-frail rather than frail. Higher depression scores were associated with being frail.
• RNSystematic Review2025Determinants of the optimal selection of vascular access devices: A systematic review underpinned by the COM-B behavioural model.Journal of advanced nursingVascular access studies mostly described training, equipment, algorithms, and difficulty scales. Only one addressed motivation, so why clinicians choose an appropriate catheter remains poorly explained.
• RNSurvey2025Achieving consensus on the key elements of a nurse-led multidisciplinary chronic heart failure service in Thailand: An e-Delphi study.Journal of advanced nursingThai clinicians agreed a nurse-led heart failure service should focus on education and monitoring, not self-adjusting diuretics. They rejected patient medication changes due to low health literacy, prioritizing weight tracking and office-hours access instead.
• RNOther2025Building a baby-friendly community: Development, strategy, implementation and evaluation of a BFCI program.Journal of advanced nursingBaby-friendly community workshops increased women's confidence in breastfeeding and improved public venue staff knowledge and attitudes after training. The before-and-after design, heavy attrition, and short follow-up mean this shows learning changes, not proven breastfeeding duration.
• RNQualitative2025Adolescent and caregiver perceptions of addressing mental health in inflammatory bowel disease.Journal of child health care : for professionals working with children in the hospital and communityAdolescents with IBD and caregivers said stigma, trust, and who was present shaped mental health talks. Direct, nonjudgmental questions were valued, but written screening alone was not enough. Ask each patient how they want these conversations.
• RNSurvey2026Factors Associated with Advance Care Planning Engagement Among Community-Dwelling Older Adults: A Cross-Sectional Study.Journal of clinical nursingOlder adults with higher anxiety or decisional conflict engaged less in advance care planning. Depression showed no association. Decisional conflict mediated the link between anxiety and reduced engagement, suggesting clarity in care options is key.
• RNSystematic Review2026Virtual reality-based reminiscence therapy for older adults to improve psychological well-being and cognition: A systematic review.Journal of clinical nursingOlder adults generally enjoyed virtual reality reminiscence and had little cybersickness, but effects on anxiety, depression and cognition were mixed. It may help recall personal memories, not prove broader cognitive or mood benefits.
• PTOTSLPRNSystematic Review2026Perceptions and Experiences of Animal-Assisted Interventions for People Living With Dementia: A Qualitative Evidence Synthesis.Journal of clinical nursingPeople with dementia often engage with animal-assisted interventions after initial hesitation, driven by prior positive experiences with animals. Success depends on flexible, individualized sessions and staff training to manage sensory overload, fall risks, and behavioral challenges in care homes.
• RNQualitative2025Empowering Support for Family Members of Patients With Traumatic Brain Injury During the Acute Care: Insights From Family Members and Nurses.Journal of advanced nursingFamily members and nurses agreed acute brain injury care should give timely clear information, hope, participation and support services. They disagreed about delivery: families wanted nurses to guide and stay; nurses cited time, roles and systems.
• RNSurvey2025Children's and parents' attitudes to and knowledge about HPV vaccination following a targeted information intervention.Journal of child health care : for professionals working with children in the hospital and communityMost children were already vaccinated, and parents trusted school nurses most for HPV information. Still, many families had not seen the national information package, and parents worried about side effects.
• RNQualitative2025Adapting Advance Care Planning Interventions for Hispanic Communities Across the U.S.The American journal of hospice & palliative careCertified translation alone failed to adapt advance care planning tools for diverse Hispanic communities due to dialect differences. Adding Spanish-speaking staff resolved engagement barriers, while RSVP systems proved culturally incompatible and were retained despite host resistance.
• RNOther2025Adolescent Chlamydia Screening in Pediatric Primary Care: A Quality Improvement Project.Journal of advanced nursingScreening for chlamydia at adolescent well visits rose from 7.8% to 34.1% when all adolescents were offered testing, regardless of reported sexual activity, through a bundled workflow; 32 chlamydia and 4 gonorrhea cases were identified.
• RNSurvey2025What Are the Infection Prevention Behaviors of Kidney Transplant Recipients and the Factors Related to These?Journal of clinical nursingKidney transplant recipients reported incomplete infection prevention: 51.35% washed hands frequently, 61% had flu vaccine, 49% pneumococcal. Many did not take travel precautions. Nurses should ask specific behaviours, not assume adherence.
• PTOTSLPRNOther2025Palliative Home Care Based on Clinically Relevant Scientific Measures: A Cross-Sectional Study.The American journal of hospice & palliative carePatients with heart failure and dementia and their caregivers rated symptoms similarly, but caregivers reported more concern about pain and information needs. Higher patient symptom scores predicted worse heart health and greater caregiver burden. The practical problems item did not agree between pairs.
• RNQualitative2025Nurse-Assisted Remote Patient Monitoring for Self-Management Support to Patients With Long-Term Illness-A Qualitative Multimethod Study.Journal of advanced nursingPatients described the remote monitoring as a safe space to ask questions and see their own trends, which helped them manage their condition after discharge. Nurses reported being able to spot problems early and offer support, but found it difficult to judge severity from data alone.
• RNCohort2025Multi-Level Factors Influencing eHealth Literacy Among Chinese Older Adults: A Longitudinal Study.Journal of advanced nursingOlder Chinese adults with chronic conditions, lower education, rural residence, or who live alone had persistently lower eHealth literacy over six months. Those with more internet experience, better self-rated skills, and social support for online health use had higher literacy. Access alone does not guarantee effective use.
• OTRNQualitative2026Navigating School Meal Environments: Perspectives of Pupils Diagnosed With Autism Spectrum Disorder or ADHD.The Journal of school nursing : the official publication of the National Association of School NursesFive boys with autism or ADHD stayed near familiar teachers or classmates to navigate school lunch. Crowded serving, repeated trips, and noisy seating made eating hard; some chose solitude to cope.
• RNSystematic Review2026Sociodemographic Disparities in the Use of Hospice by U.S. Nursing Home Residents: A Systematic Review.The American journal of hospice & palliative careNursing home residents who were male, non-White, or in rural facilities were less likely to use hospice in studies accounting for other factors. Evidence was old and mixed, so these findings should not be treated as proof of why use differs.
• RNCohort2025Risk Factors for Peritoneal Dialysis-Associated Peritonitis Due to Home-Based Operation Management: A Retrospective Cohort Study.Journal of clinical nursingIn home peritoneal dialysis patients, improper handwashing, not checking povidone-iodine cap expiry and quality, and poor dialysis fluid storage were independent risk factors for peritonitis. Nurses should retrain these steps, not assume they prevent infection.
• RNSystematic Review2025Recent Advances in Non-Invasive Digital Nursing Technologies for Chronic Pain Assessment and Management: An Integrative Review.Journal of advanced nursingNurses used phone calls and web-based programs to deliver pain education, cognitive behavioural therapy and self-management to adults with chronic pain. Some programs improved pain, disability or adherence, but additional nurse support did not help in every trial.
• RNOther2025Targeted Digital Health Intervention in End-of-Life and Hospice Care: A Scoping Review.Journal of advanced nursingAcross 38 studies, end-of-life and hospice digital health research mostly mapped prediction models, mHealth, telehealth and records systems. It did not test whether care improves. Most lacked control groups and no acceptability, cost or equity outcomes were measured.
• PTOTSLPRNQualitative2026Perspectives and Requirements of Patients with Prostate Cancer on Mobile Health Interventions During Androgen Deprivation Therapy: A Descriptive Qualitative Study.Journal of clinical nursingMost prostate cancer patients on hormone therapy use smartphones daily, but only half want mHealth for their care. They need simple, passive monitoring and trusted medical advice, while rejecting mindfulness and peer groups due to stigma and independence.
• RNOther2026Race and Ethnicity, Neighborhood Social Deprivation and Medicare Home Health Agency Quality for Persons Living With Serious Illness.The American journal of hospice & palliative careSeriously ill older adults in the US were less likely to receive home health care from high-quality agencies if they were Black, had Medicaid, or lived in more socially deprived neighborhoods. The gap by race did not depend on neighborhood deprivation.