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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.

927 PAPERS · PAGE 9 OF 19 · NEWEST FIRST

• OTRNSurvey2025Housing characteristics of low and moderate income older adults with and without disabilities.Geriatric nursing (New York, N.Y.)About 32% of low and moderate income older adults with disability had an adverse consequence from unmet care needs. Subsidized housing, renting, apartment or mobile home, and interior disorder were associated with having such consequences.
• RNQualitative2025Partial language concordance in primary care communication: What is lost, what is gained, and how to optimize.Patient education and counselingIn 19 primary care visits with Chinese-speaking patients, partial language skills built rapport but could also cause misunderstandings; interpreter standby was described, but not tested.
• RNQualitative2025Experiences With Cancer Screenings Among Arabic-Speaking Refugee Women.Nursing for women's healthArabic-speaking refugee women said clear provider explanations made them more willing to accept cancer screening. Fatalistic cancer language, confusion about how often screening was needed, worry about invasive tests, and interpreter problems made some women hesitant.
• RNSurvey2025Health Literacy and Self-Efficacy in Parents of Toddlers-A Cross-Sectional Study.Nursing openParents of toddlers in this Norwegian survey reported high health literacy and self-efficacy. Higher self-efficacy correlated with better health literacy across all nine domains, with the strongest link seen in understanding health information well enough to know what to do.
• RNOther2025Contribution of the Brief Family Strength-Oriented Therapeutic Conversation Intervention to Early Childhood Sleep Health: A Quasi-Experimental Study.Journal of family nursing57 caregivers of infants with sleep problems reported better sleep beliefs, family support, and quality of life after a nurse-led family conversation intervention. Night-time sleep habits and longest night sleep also improved, but there was no control group.
• RNSurvey2025Explaining the Association Between Number of Teeth and Frailty in Older Chinese Adults: The Chain Mediating Effect of Nutritional Status and Cognitive Function.International journal of nursing practiceHaving fewer natural teeth was linked to greater frailty, poorer nutrition and lower cognition in older adults. Nurses assessing frailty risk may ask about teeth and screen nutrition and cognition, but this does not prove tooth loss causes frailty.
• RNOther2025Cross-cultural adaptation and psychometric evaluation of the Thai version of the Enhancing Recovery in Coronary Heart Disease Social Support Inventory in individuals with chronic illnesses.International journal of nursing sciencesA 6-item Thai social support questionnaire produced one consistent score in adults with chronic illness. The living-with-family item did not fit; use the 6 items to identify support needs.
• RNOther2025Racial and Ethnic Disparities in Accessing High-Quality Home Health Care among Older Adults with and Without Dementia.Journal of the American Medical Directors AssociationNon-Hispanic Black and Hispanic older adults and people with dementia were less likely to receive home health care from high-quality agencies. Dementia widened these gaps, and minority patients were more often in low-quality agencies.
• RNSystematic Review2025The Central Role of Learning in Preventing Foot Complications in Persons With Diabetes: A Scoping Review.Journal of clinical nursingDiabetes foot-care education was described as learning processes: reflection, motivation, hands-on tasks and feedback. Included studies reported practice, peer support and reinforcement; the review did not prove these prevent ulcers.
• RNSurvey2025Colonial Mentality and Diabetes Self-Management in Filipino Americans.Nursing openFilipino American adults with type 2 diabetes who reported more cultural shame or internalised inferiority also reported lower glucose control, healthcare use, and overall diabetes self-management scores. These were associations in 37 survey respondents, not proof of cause.
• RNSurvey2025Identifying Health Services Preferences for a Community-Based HIV Status-Neutral Mobile Clinic Among Marginalized Populations in Oakland, CA: A Maximum-Difference Analysis.The Journal of the Association of Nurses in AIDS Care : JANACMarginalized Oakland community members ranked housing case management, mental health counseling, and mental health screening as most important services for a mobile HIV clinic, ahead of standard medical services.
• RNQualitative2025"I don't think I have been out of fight or flight. Ever." Transgender people's experiences in inpatient psychiatric treatment.International journal of nursing studiesTransgender adults described inpatient psychiatric care as exhausting because staff misgendered them, withheld hormones, and ignored their distress. Nurses who actively corrected names and advocated for affirming care were rare but made the difference between feeling safe and feeling targeted.
• RNOther2025Scale of perception of family self-efficacy in home care for children on peritoneal dialysis.Revista brasileira de enfermagemA new scale helps nurses check if families feel ready to manage a child's home dialysis. It covers fears about equipment failure, financial strain, and confusing advice from staff. Families understood every question, and expert nurses agreed the items measure what matters.
• RNOther2025Prevalence and Predictors of Caregiver Distress in Six European Communities: Data From the IBenC Study, Using interRAI-Home Care Assessments.Scandinavian journal of caring sciencesAmong home care clients with informal caregivers, distress was most common in Iceland (34%) and least in Finland (9%). Client depression risk, incontinence, medical complexity, recent hospitalisation and cohabiting caregivers were linked to higher distress.
• RNCohort2025Health gains for users of long-term home care services in Portugal.Revista brasileira de enfermagemIn 151 home-care users, mobility, daily-living function, pressure-ulcer risk, fall risk and pain were better at discharge than at admission, but mobility, daily-living function and pain were worse while waiting.
• RNQualitative2025Barriers and Facilitators Influencing Parents' Willingness to Follow Healthcare Provider Guidance for Addressing Behaviors Linked to Early Childhood Obesity Risk: A Qualitative Descriptive Study.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersParents of infants said they might set aside provider advice if they believed their baby was hungry or trusted their own intuition. They were more open to changing feeding, sleep, or screen habits when providers explained reasons and they trusted the provider's intentions.
• RNCohort2025Sleep Quality of Persons with Dementia and Family Caregivers in Korean Americans: Wearable Technology to Study the Dyadic Association.Western journal of nursing researchDementia patients' deep sleep, awake time, and sleep efficiency tracked with caregivers' same measures; REM tracked opposite. Objective data showed patients' sleep was more disturbed than their diaries suggested.
• RNQualitative2025A qualitative exploration of perceptions of the aetiology of preterm birth among pregnant Black women.MidwiferyPregnant Black women described preterm birth risk as tied to doing too much, emotional labour of racism, and relationship burdens. This is not evidence of causes. It shows what patients may believe and how maternity nurses can listen better.
• RNQualitative2025Consumer Experiences of the Australian Stepped Care Model in Primary Mental Health Care: A Qualitative Study.International journal of mental health nursingAustralians using stepped mental health care valued empathetic, consistent clinicians but faced long waits, limited sessions, abrupt funding cuts and poor communication. These barriers worsened distress, especially for complex needs.
• PTRNOther2025Influence of the Practice of the Pilates Method on Pain Perception During Pregnancy: A Quasiexperimental Study.Journal of midwifery & women's healthPrenatal classes plus four weeks of Pilates was associated with lower pelvic and abdominal pain risk than classes alone. Lumbar pain reports decreased in the Pilates group. Dorsal pain did not differ. Self-selection limits certainty.
• RNOther2025Psychometric Properties of the Turkish Version of the Partners in Health Scale: Chronic Disease Self-Management in Primary Healthcare.International journal of nursing practiceThe Turkish Partners in Health Scale was reliable and fit the revised version better, giving primary care clinicians a brief self-management assessment for patients with chronic disease.
• RNSystematic Review2025Use of the Health Promotion Model by Nursing in Primary Care: an integrative review.Revista brasileira de enfermagemHealth-promotion work guided by Pender's model was reported in eight primary care nursing articles to be associated with self-efficacy, breastfeeding support, and healthy behaviors, but the review did not prove the model works in routine nursing workflow.
• RNOther2025Hospital Performance, Nursing Resources, and Health Inequities During the COVID-19 Pandemic.Nursing researchMost vulnerable patients had 25.8% 30-day inpatient mortality versus 19.8% for least vulnerable, and were less often admitted to hospitals with lower patient-to-nurse ratios and better work environments. This was an association, not proof.
• RNQualitative2025The symbolic-representational construction of COVID-19 in vulnerable population groups.Revista brasileira de enfermagemResidents of Rocinha, a vulnerable Rio community, linked COVID-19 with death, fear, loss, illness and suffering. Death was the most frequent word. They also named words such as mask, cure, hospital and vaccine. The study reports perceptions, not effects.
• RNQualitative2025Facing tuberculosis during the COVID-19 pandemic: the perspective of those who experienced it.Revista brasileira de enfermagemEleven people treated for tuberculosis during the pandemic described delays, stigma, and interrupted follow-up, but also valued nearby primary care and nurse support. Clinicians should check home visits, directly observed treatment, and accurate transmission advice.
• RNOther2025Transition from hospital to home care: a mixed methods study in light of Meleis's Theory.Revista brasileira de enfermagemPatients and families rated hospital-to-home transition poorly: their care-transition score was 59.2 of 100, below 70 considered satisfactory. Most had no post-discharge home visit, but daily-living dependence decreased from moderate to mild.
• RNPilot2025Implementation of a Loneliness Screening and Referral Program in Primary Care: A Mixed Methods Pilot Study.Research in gerontological nursingIn a 2-week primary care pilot, 50% of 102 older adults screened positive for loneliness. Screening was feasible, but only 52% of positive-screen patients received referrals, and referral recipients did not recall or follow them.
• RNCohort2025Impact of Inpatient Stroke Rehabilitation on Caregivers' Perceived Readiness for Patient Discharge.Rehabilitation nursing : the official journal of the Association of Rehabilitation NursesCaregivers' reported readiness for patient discharge rose from admission to discharge after inpatient stroke rehabilitation. The study had no comparison group and included usual team education, so it cannot show which part caused the change.
• RNOther2025Exploration of Perceptions of Mental Health and Self-Stigma Related to Psychological Care Seeking Among Female Refugees From War-Torn Ukraine.Journal of psychiatric and mental health nursingUkrainian female refugees in the US described war-related anxiety, insomnia and shame about seeking mental health care. They often coped through family, faith, work and staying busy, and preferred help only when severe.
• RNOther2025YouTube as a Source for Arabic-Speaking Parent Education on the Oral Hygiene of Children: A Social Media Content Analysis.Public health nursing (Boston, Mass.)Most Arabic-language YouTube videos on child tooth brushing scored moderate total quality, but had poor reliability and low overall quality. Creator credentials did not guarantee quality, so nurses should vet videos before sharing them.
• RNOther2025Effectiveness of Patients' Education and Telenursing Follow-Ups on Self-Care Practices of Patients With Diabetes Mellitus: Cross-Sectional and Quasi-Experimental Study.JMIR nursingDiabetes education plus booklet, calls, SMS, WhatsApp, videos, and voice notes improved patients' reported self-care and observed skills over four weeks. Without a control group, the effect of any component cannot be separated.
• PTOTRNQualitative2025Improving Rehabilitation for People With Type 2 Diabetes: Experiences From a Qualitative Study in a Municipal Setting.Scandinavian journal of caring sciencesPeople with type 2 diabetes found it hard to turn rehabilitation advice into daily habits. Staff said vulnerable people were hard to reach, and referrals varied. They wanted flexible sessions, dietitian help, family support and better communication.
• RNOther2025Implementation of A New, Mobile Diabetic Retinopathy Screening Model Incorporating Artificial Intelligence in Remote Western Australia.The Australian journal of rural healthA van-based AI retinal screening reached remote communities and was accepted by patients: 96% of survey responders were happy with AI, and all rated the experience good or very good.
• RNQualitative2025Intermittent Use of Continuous Glucose Monitoring in Type 2 Diabetes Is Preferred: A Qualitative Study of Patients' Experiences.The science of diabetes self-management and carePeople with type 2 diabetes found that continuous glucose monitoring was a learning tool that showed how food, walking, and daily choices changed glucose. Many preferred intermittent access during illness, vacations, or disrupted routines, because continuous use could feel stressful.
• RNSurvey2025Does Grit Matter? The Relationship Between Grit and Drinking Behavior Among Adolescents: A Cross-Sectional Study of a Nationally Representative Sample of Korean Adolescents.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingAdolescents with higher grit were less likely to report drinking in the past year, even after accounting for gender, depression, peer and teacher relationships, other risk behaviors, and social media use.
• RNOther2025Clinical, Operational, and Economic Benefits of a Digitally Enabled Wound Care Program in Home Health: Quasi-Experimental, Pre-Post Comparative Study.JMIR nursingHome health branches using a digital wound care system saw wounds heal 4.3 days faster on average. Nurses also spent less time on visits and conducted fewer visits per episode. This improvement occurred alongside clinician training, not just the technology.
• RNSystematic Review2025Live Hospice Discharge of Individuals with Cognitive Disabilities: A Systematic Review.Journal of the American Medical Directors AssociationIn studies of hospice patients with cognitive disabilities, live discharge rates ranged from 21% to 45%, and all studies reported that longer stays were associated with live discharge. This identifies risk, not a tested way to prevent it.
• RNSurvey2025Using Multi-Site Research Results to Impact Local Pediatric Pain Evidence-Based Practice: Innovations and Outcomes.Worldviews on evidence-based nursingSharing local pain data with PICU sites led most to change practice, like fixing assessment scales. Nurses saw their own documentation gaps. This was a survey of research teams, not a test of whether the new practices improved patient outcomes.
• RNNarrative Review2025A Narrative Review of Culturally Informed Breastfeeding Interventions for African American Women.The Journal of perinatal & neonatal nursingCulturally informed breastfeeding support for African American women improved breastfeeding knowledge, confidence, intention, initiation, duration, or exclusivity in 13 studies, but study quality was not appraised.
• RNCohort2025Study on the Current Situation and Influencing Factors of Family Resilience of Patients With Recurrent Cancer and Their Caregivers.Nursing openIn 204 pairs of patients with recurrent cancer and caregivers, higher social support and hope were linked to higher family resilience; burden was linked to lower resilience. Patient family resilience showed no reported link with quality of life.
• PTRNSystematic Review2025Emergency Department Navigator Interventions and Outcome Measures: A Scoping Review.International journal of older people nursingScoping review of 10 studies found no consistent definition or outcome measures for ED navigator interventions for older people. Results on admissions and length of stay were mixed, with no clear evidence of effectiveness.
• RNSurvey2025Attitudes of the Population Toward Vaccines During the COVID-19 Pandemic: The PROACTIVE Study.Public health nursing (Boston, Mass.)Among 411 Italian adults, people who worried more about catching COVID-19 also used more preventive measures. Older age, female sex, and chronic disease were associated with higher risk perception and preventive behaviour.
• RNOther2025Integrating Nursing-Teleophthalmology Improves Diabetic Retinopathy Screening in Primary Healthcare, Reducing Unnecessary Referrals to Specialist Healthcare.International journal of nursing practiceNurses captured retinal images, and remote reading allowed analysis in 584 of 779 people with type 2 diabetes; 345 were referred and 56% stayed in primary care.
• RNOther2025Guidelines for Primary Pediatric Care Professionals to Help Patients Establish and Protect Milk Supply.MCN. The American journal of maternal child nursingPrimary care nurses should assess 8-12 feeds or expressions in 24 hours, cue-based feeding, safe skin-to-skin, detailed feeding history, and delayed milk-production risk factors at newborn visits.
• RNQualitative2025Perceptions and Intentions to Prevent Diabetes Among At-Risk Individuals: A Qualitative Study Using the Theory of Planned Behaviour.Journal of clinical nursingAt-risk Singapore adults wanted specific, actionable diabetes prevention advice, not just sugar warnings. Younger adults felt less vulnerable and wanted quick results; older adults were more proactive about prevention.
• RNQualitative2025"Taking Charge and Being Responsible": A Qualitative Study of Meaning Making and Motivations for Preexposure Prophylaxis Adherence Among Gay, Bisexual, and Other Sexual Minoritized Men Engaged in Alcohol Misuse in Kentucky.The Journal of the Association of Nurses in AIDS Care : JANACMen taking PrEP while using alcohol described it as self-care, pride, routine, and peace of mind. Alcohol mostly did not change dosing, but PrEP safety plus heavy drinking sometimes increased condomless sex.
• RNSurvey2025Impact of Depression on Activation and Summer Heat Adaptation in Older Adults With Cardiovascular Concerns: Empirical Research Quantitative.Nursing openSummer heat adaptation did not explain the link between depression and activation in rural older adults with cardiovascular risk. Higher depression was linked to lower activation, and better heat adaptation was linked to higher activation.
• RNSurvey2025The mediating effect of health-promoting behaviors on the relationship between infertility stress and fertility-related quality of life of infertile women: a cross-sectional study.Women's health nursing (Seoul, Korea)Higher infertility stress was linked with lower fertility-related quality of life, while healthier daily habits were linked with better quality of life. The study measured these links together, so it does not prove that changing habits improves quality of life.
• RNSystematic Review2025Factors That Influence Digital Health Implementation in Rural, Regional, and Remote Australia: An Overview of Reviews and Recommended Strategies.The Australian journal of rural healthRural Australian telehealth implementation faced many barriers, including poor connectivity, workflow mismatch, staff turnover and unclear policy. Reviews also found enablers such as local champions, patient and family engagement, and culturally sensitive services.
• RNSurvey2025The mediating effects of convergence of femininity-maternity and marital intimacy in the relationship between postpartum depression and quality of life in postpartum mothers: a cross-sectional study.Women's health nursing (Seoul, Korea)In postpartum mothers, higher depression scores were associated with lower quality of life. Maintaining a feminine identity while adapting to motherhood partly accounted for this association. Marital intimacy was linked to quality of life but did not add to that explanation.