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Journal of Community Nursing and Primary Care
Published by Science Center Group
ISSN : -     EISSN : 3089140X     DOI : https://doi.org/10.63202/jcnpc
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
The Journal of Community Nursing and Primary Care aims to serve as a platform for high-quality, innovative, and evidence-based research in the fields of community nursing and primary healthcare. The journal focuses on promoting health equity, improving access to care, and advancing best practices to enhance the health and well-being of diverse populations. Key areas of interest include, but are not limited to: Community Health Nursing Community-based interventions and nursing practices Health education, promotion, and preventive care strategies Health assessment, diagnostics, and primary prevention in communities Culturally sensitive care in diverse communities Partnerships with community organizations and public health agencies Primary Health Care and Services Models and approaches for delivering primary healthcare services to diverse populations Integrated healthcare delivery in primary care settings Screening, early intervention, and preventive services in primary care Patient-centered care and continuity of care in primary healthcare Accessibility, affordability, and quality improvement in primary care services Family Nursing Nursing approaches to support the health of families as units of care Family dynamics, health education, and caregiver support Interventions for managing family health crises and chronic conditions Family resilience and adaptation in health and illness contexts Gerontology Nursing Nursing care for aging populations in community and primary care settings Health promotion, chronic disease management, and support for elderly individuals Addressing physical, cognitive, and social needs in geriatric care Strategies for promoting healthy aging and quality of life for older adults Health Promotion and Disease Prevention Strategies for improving public health awareness and engagement Screening, early detection, and risk reduction for prevalent diseases Community initiatives for addressing social determinants of health Lifestyle, behavior change, and self-management education for chronic diseases Innovations in Community and Primary Care Technology and telehealth applications in community and primary care settings Data-driven approaches for community health improvements Interprofessional collaboration and team-based care models Health policy, advocacy, and strategies for health system improvement Global Health and Health Equity Approaches to improving health equity and access in low-resource settings Addressing health disparities in rural and underserved areas Community nursing strategies for improving global health outcomes Emergency response, disaster preparedness, and resilience-building in communities
Arjuna Subject : Keperawatan - Community and Home Care
Articles 26 Documents
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“Death may suck, but it’s better than the emergency room”, Lived experiences of healthcare avoidance and systemic harm among people experiencing homelessness: A meta-synthesis Tracey McElwee; Trey Myrick; Tara V. DeJohn; Sheralyn Beck; Mia Dancy; Leah Goldsholl; Samantha Greer; Aubry Hutton; Frida Mateo-Rodriguez; Rachel Norwood; Stephanie Davis-Clegg; Melissa Sanders; Kaylin Walker; Charlotte Watson
Journal of Community Nursing and Primary Care Vol. 3 No. 1 (2026): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v3i1.132

Abstract

Background: People experiencing homelessness face persistent structural and interpersonal barriers to healthcare that contribute to delayed care, avoidance, and preventable harm. While disparities are well documented, less is known about how repeated healthcare encounters shape engagement over time. Purpose: This qualitative interpretive meta-synthesis examined healthcare access and avoidance among people experiencing homelessness and service providers to identify shared barriers influencing system navigation and care delivery. Methods: An adapted qualitative interpretive meta-synthesis design was employed. Systematic searches were conducted across eight academic databases between January and April 2025. Peer-reviewed qualitative studies focused on adult homelessness and healthcare access were included. Verbatim participant quotations were extracted and analyzed using line-by-line coding, constant comparative analysis, and team-based synthesis. Results: Fifteen qualitative studies met inclusion criteria, representing 334 unhoused individuals and 72 service providers. Six interconnected themes emerged: systemic stigma in healthcare settings; financial inaccessibility and cost-related avoidance; fear-based avoidance of healthcare systems; barriers due to bureaucracy and lack of information; dehumanization and the emotional toll of healthcare encounters; and marginalized mental health needs within fragmented healthcare systems. Findings suggest healthcare avoidance often reflects rational responses to cumulative systemic harm rather than disengagement. Conclusions: Healthcare exclusion among people experiencing homelessness is driven by intersecting structural, clinical, and relational failures identified by both service users and providers. Trauma-informed, equity-oriented, and person-centered approaches are essential to improving access, trust, and continuity of care in community nursing and primary care settings.
Effect of an interprofessional collaboration intervention on doctor–nurse collaboration in community health centers: A quasi-experimental study Yuliana, Yuliana; Aulia, Siti
Journal of Community Nursing and Primary Care Vol. 2 No. 2 (2025): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i2.175

Abstract

Background: Interprofessional collaboration is a key component of effective primary healthcare delivery because coordinated teamwork among health professionals supports communication, continuity of care, and service integration. However, structured intervention studies examining doctor–nurse collaboration in community health centers remain limited, particularly in routine primary care settings. Objective: This study aimed to examine the effect of an interprofessional collaboration intervention on doctor–nurse collaboration in community health centers. Methods: A quasi-experimental pretest–posttest study with a control group was conducted among 70 respondents, comprising 35 participants in the intervention group and 35 participants in the control group. Participants were doctors and nurses working in community health centers and directly involved in collaborative patient care. Collaboration was measured using the Collaborative Practice Assessment Tool (CPAT). Baseline data were collected before the intervention, followed by posttest assessment after the intervention period. Descriptive statistics were used to summarize respondent characteristics, while within-group and between-group comparisons were performed to assess changes in total collaboration scores. Effect size was calculated using Cohen’s d. Results: The intervention and control groups had comparable baseline collaboration scores before the intervention. The intervention group showed a marked increase in the mean total collaboration score from 72.8 ± 9.8 at pretest to 80.0 ± 10.0 at posttest, whereas the control group showed a smaller increase from 72.1 ± 10.1 to 73.9 ± 10.0. The posttest mean difference between groups was 6.1 points, indicating better collaboration outcomes in the intervention group. The intervention produced a moderate effect size (Cohen’s d = 0.61), suggesting a meaningful practical effect on doctor–nurse collaboration in community health centers. Conclusion: The interprofessional collaboration intervention was effective in improving doctor–nurse collaboration in community health centers. Structured collaborative strategies may strengthen teamwork in primary care and support better service delivery in routine practice.
The effect of the peer support on stigma among patients with obesity: A quasi-experimental study Li Wei; Zhang Min; Wang Jun
Journal of Community Nursing and Primary Care Vol. 3 No. 1 (2026): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v3i1.128

Abstract

Background: Obesity is a growing global public health concern that is frequently accompanied by weight-related stigma, which negatively affects psychological well-being, social participation, and engagement in health services. Stigma represents a critical psychosocial barrier in obesity management that is often insufficiently addressed by conventional interventions focusing primarily on behavioral and clinical outcomes. Peer support has emerged as a promising approach to address psychosocial challenges through shared experiences and mutual support in community settings. Objective: This study aimed to examine the effect of peer support on stigma among patients with obesity in a community-based context. Methods: A quasi-experimental study with a pretest–posttest control group design was conducted among adults with obesity recruited from community health programs. Participants were allocated into an intervention group receiving a structured peer support program and a control group receiving usual community-based health education. Stigma was measured using a validated weight stigma instrument before and after the intervention. Data were analyzed using descriptive and inferential statistics to assess within-group and between-group differences. Results: The intervention group demonstrated a significant reduction in overall stigma scores following the peer support program, whereas the control group showed no significant change. Post-intervention stigma levels were significantly lower in the intervention group compared to the control group. Subdomain analysis revealed substantial improvements in internalized stigma and perceived social rejection, with a moderate improvement in emotional distress. The findings indicate a clinically meaningful and statistically significant effect of peer support on stigma reduction. Conclusion: Peer support is an effective community-based intervention for reducing stigma among patients with obesity. The intervention addresses key psychosocial dimensions of obesity by enhancing self-acceptance, emotional support, and social connectedness.Community obesity programs should integrate peer support as a complementary strategy to conventional interventions, and future research should explore long-term outcomes and scalability across diverse populations.
Exploring determinants of health-seeking behavior among coastal communities: A qualitative study Rahman Hossain; Ayesha Akter
Journal of Community Nursing and Primary Care Vol. 3 No. 1 (2026): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v3i1.129

Abstract

Background: Health-seeking behavior remains a critical determinant of health outcomes in coastal communities, where  limited access to primary health care often delay timely utilization of health services. Coastal populations frequently rely on subjective illness appraisal and informal care pathways, which may increase health risks and exacerbate inequities in health service utilization. Objective: This study aimed to explore the determinants of health-seeking behavior among coastal communities from a qualitative perspective to inform community nursing and primary health care practices. Methods: A qualitative study using an interpretive descriptive approach was conducted among adults living in coastal communities in Bangladesh. Participants were selected through purposive sampling based on their experience seeking health care services. Data were collected through in-depth, semi-structured interviews conducted in the local language. Thematic analysis was applied using an inductive approach to identify key patterns and determinants of health-seeking behavior. Trustworthiness was ensured through member checking, audit trails, and reflexive analysis. Results: The analysis revealed four major themes influencing health-seeking behavior: illness perception and symptom appraisal, accessibility and structural barriers, sociocultural and household influences, and health system experiences. Participants often delayed seeking formal care due to normalization of symptoms, financial limitations, transportation difficulties, and reliance on family decision-making. Positive or negative prior experiences with health services strongly shaped future care-seeking behavior. These determinants interacted dynamically, resulting in fragmented and non-linear care-seeking pathways. Conclusion : Health-seeking behavior in coastal communities is influenced by multidimensional and context-specific determinants that extend beyond individual decision-making. Community nursing and primary health care interventions should emphasize culturally sensitive health education.
Self-stigma and antiretroviral therapy adherence among people living with HIV/AIDS: A cross-sectional study Chinedu Okafor; Amina Bello
Journal of Community Nursing and Primary Care Vol. 3 No. 1 (2026): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v3i1.178

Abstract

Background: Health-seeking behavior remains a critical determinant of health outcomes in coastal Self-stigma remains a critical psychosocial challenge among people living with HIV/AIDS and may interfere with long-term engagement in antiretroviral therapy. Internalized shame, fear of disclosure, and negative self-perception can disrupt medication-taking routines and reduce adherence, particularly in settings where HIV-related stigma remains socially embedded. Objective: This study aimed to examine the association between self-stigma and antiretroviral therapy adherence among people living with HIV/AIDS attending a Nigerian antiretroviral therapy clinic. Methods: This analytical cross-sectional study was conducted among 87 adults receiving antiretroviral therapy at a single HIV clinic. Consecutive sampling was used to recruit eligible respondents during the data collection period. Self-stigma was measured using the Internalized AIDS-Related Stigma Scale, while adherence was assessed using the AIDS Clinical Trials Group Adherence Questionnaire. Data were analyzed using descriptive statistics, Fisher’s exact test, independent samples t-test, Spearman’s rank correlation, and multivariable logistic regression. Statistical significance was set at p < 0.05.   Results:  Respondents with suboptimal adherence had significantly higher self-stigma scores than those with optimal adherence (18.8 ± 3.6 vs. 13.7 ± 4.0; p < 0.001). Self-stigma showed a moderate negative correlation with adherence percentage (r = -0.49; p < 0.001). Multivariable logistic regression showed that moderate self-stigma (AOR = 0.39; 95% CI: 0.13–0.92; p = 0.034) and high self-stigma (AOR = 0.16; 95% CI: 0.04–0.59; p = 0.006) were independently associated with lower odds of optimal adherence. Conclusion: Self-stigma was significantly associated with poorer antiretroviral therapy adherence among people living with HIV/AIDS in this Nigerian ART clinic. The findings should be interpreted cautiously because of the cross-sectional design, single-clinic setting, and modest sample size. HIV care services should integrate stigma-sensitive adherence counseling, safe disclosure support, family-based support, and clinic retention strategies into routine treatment programs.
Utilization of digital health to improve self-management in patients with type 2 diabetes mellitus in the community: A literature review Yaumil Hafsani Siregar
Journal of Community Nursing and Primary Care Vol. 3 No. 1 (2026): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v3i1.179

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a chronic disease that requires continuous self-management. Conventional community-based education is often limited by time, distance, follow-up intensity, and patients’ access to repeated counseling. Digital health offers an opportunity to strengthen diabetes self-management. Objective: This literature review aimed to synthesize evidence on the utilization of digital health to improve self-management among patients with T2DM in community settings. Methods: A literature review was conducted following the PRISMA 2020 reporting framework. Searches were conducted in PubMed and Google Scholar for articles published between 2022 and 2025 using combinations of “digital health,” “mHealth,” “mobile health,” “self-management,” “type 2 diabetes mellitus,” “community,” “education,” and “nursing.” After screening titles, abstracts, and full texts against predefined inclusion and exclusion criteria, seven articles were included in the final synthesis. Results: The seven included studies showed that digital health interventions, including mHealth, mobile applications, digital-based education, E-DIMAS, telehealth, and smartphone-supported education, were associated with improvements in knowledge, medication adherence, glycemic control, self-monitoring of blood glucose, dietary behavior, physical activity, diabetes self-care skills, and quality of life. Interventions with reminder features, interactive education, self-monitoring support, feedback, and follow-up by health professionals appeared to provide stronger support for sustained self-management behavior. Conclusion: Digital health is a promising strategy to improve self-management among patients with T2DM in community settings. Community nurses can integrate digital education, medication reminders, remote glucose monitoring, online dietary counseling, and scheduled follow-up into routine diabetes care.

Page 3 of 3 | Total Record : 26

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