The International Journal of Community Wellness and Care in Nursing (IJCWCN) is committed to publishing impactful, peer-reviewed content in the realm of nursing practice, community health, and wellness care. Our archives represent a growing body of knowledge aimed at enhancing patient-centered and community-based healthcare delivery.
Featured Articles in the Latest Issue
- Volume 2 (Issue 1) JANUARY- JUNE 2026
Research Articles
Community-Led Transitional Care Models for Reducing Hospital Readmissions Among Older Adults: A Mixed-Methods Study
Vol.2(1); Pages:1-9. Published on April-2026
Abstract
Hospital readmission in the elderly is also a major indicator of disjointed community care and insufficient discharge planning. This was a mixed-methods research paper that tested the efficacy of a community-based transitional care model that was to be used to enhance continuity of care after hospital release. Data were gathered quantitatively by use of 240 patients aged 65 and above years of age and who were registered in a structured nurse-coordinated follow-up program in three urban communities. A comparison was made on the readmission rates of 30 days with a historical control group. Qualitative research measured patient experiences and perceived barriers to recovery in 28 participants and 15 community nurses who were interviewed qualitatively. Findings showed statistically significant 30-day readmissions (p< 0.05), better medication compliance, and higher scores on patient self-efficacy. Thematic analysis indicated that frequent home visits, culturally sensitive education and early symptom monitoring were the primary components of successful recovery. The article highlights the importance of community nurses as the linking point between hospital home transitions and presents scaled-up ways to enhance geriatric wellness models within high-income healthcare systems.
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Technology-Focused Health Literacy Strategies for Supporting Self-Management in Chronic Heart Failure
Vol.2(1); Pages:10-16. Published on May-2026
Abstract
The concept of digital health literacy is coming to be recognized as a predeterminer of successful self management of chronic diseases. This randomized controlled trial included the evaluation of the effects of a nurse-led intervention based on digital education on self-care behavior in chronic heart failure patients. The number of the participants (n=180) was randomly divided into an intervention and a control group (n=90 and n=90, respectively). In the former case, the participants were offered a structured digital literacy training and telemonitoring support and in the latter case, the participants were provided with the usual discharge education. The primary outcomes in a period of 12 weeks were self-care maintenance, symptom monitoring adherence, and emergency department visits. The significant differences between the intervention and control groups were observed in the levels of self-management scores and unintentional hospital visits (p < 0.01). The respondents indicated having better confidence in using mobile health applications and understanding symptom alerts. Results may indicate that digital literacy training may improve patient autonomy and clinical stability when incorporated into the community nursing practice. The research process promotes investment at the policy levels, through the provision of readily available digital platforms and training nurses to facilitate technologically mediated chronic care management.
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Psychosocial Support Frameworks for Family Caregivers of Patients with Advanced Dementia in Community Settings
Vol.2(1); Pages:17-25. Published on May-2026
Abstract
Carers of the people with severe dementia are likely to suffer psychological distress, social isolation and burden of care. It was a phenomenological study involving lived experiences of 32 family caregivers involved in community-based psychosocial support programs. The semi-structured interviews were deep in-depth and took place over a period of six months and data were analyzed through the interpretative phenomenological analysis. Emotional exhaustion, role ambiguity and financial strain were mentioned by participants as ongoing problems. But organized peer-support meetings and nurse-led counseling sessions helped towards better coping mechanisms, resiliency and perceived social connectedness. The caregivers placed importance on regular communication with community nurses and respite services. The research notes that there is a need to have an integrated psychosocial framework integrated in community dementia care. They include systematic respite caregivers assessment protocols and increase the community respite infrastructures. Enhancing the caregiver support mechanisms does not only lead to better wellness of the caregivers but also helps in improving the quality and sustainability of home-based delivery of dementia care.
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Evaluating Community-Based Maternal Health Outreach Programs in Socioeconomically Disadvantaged Urban Areas
Vol.2(1); Pages:26-32. Published on June-2026
Abstract
The poor urban communities with low socioeconomic status continue to experience a disproportionate maternal morbidity. This was a prospective cohort study that evaluated the effectiveness of nurse-based outreach programs to enhance the rate of prenatal care adherence and maternal wellness outcomes. They followed a group of 210 pregnant people receiving community outreach services during the first trimester and six weeks of the postpartum period. The outcomes measured were the number of prenatal visits attended, the number of gestational complications and the level of maternal health literacy. Home visitors who used structured visits and culturally sensitive education showed much greater adherence rates in prenatal care as well as a low rate of complications that could be avoided than the baseline rates of the region. Mediating factors were found to be enhanced trust to healthcare providers and better awareness of warning signs. The results highlight the significance of community active intervention, as well as, care maintenance during pregnancy. Financing nurse-led outreach infrastructures can be a long-term measure to reduce maternal health disparities among urban populations.
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Community Wellness Hubs as Integrated Models for Preventive Care Among Multicultural Populations
Vol.2(1); Pages:33-39. Published on June-2026
Abstract
Community wellness hubs have emerged as innovative models for delivering integrated preventive services within culturally diverse populations. This cross-sectional analytical study evaluated service utilization patterns, patient satisfaction, and preventive screening uptake across five urban wellness hubs serving multicultural communities. Data from 1,050 adult participants were analyzed to identify associations between hub engagement and preventive health behaviors, including vaccination uptake, blood pressure monitoring, and lifestyle counseling participation. Multivariate analysis indicated that regular hub attendance was significantly associated with increased preventive screening rates (p < 0.001) and improved health knowledge scores. Participants highlighted the value of culturally competent nursing staff and multilingual educational resources. The hubs also facilitated collaboration between primary care providers, social workers, and community organizations, fostering a holistic model of wellness. The study concludes that community wellness hubs represent a scalable, patient-centered approach to preventive healthcare delivery and recommends policy frameworks to support their long-term sustainability and cross-sector integration.
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