Stakeholder-Perceived Needs in Early Community Nursing Implementation: A Qualitative Study.
Background/Objectives: Health systems across Europe are increasingly challenged by population ageing, multimorbidity, and persistent inequities in access to care. Community Nursing has emerged as a promising approach to strengthening preventive, community-based services, yet evidence on stakeholder-...
| Publicado en: | Nursing Reports Vol. 16; no. 7; pp. 228 - 247 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195804746&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195804746 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Jul2026 vid: 16 iid: 7 pid: 97109 pub: MDPI artinfo: ui: 195804746 195804746 195804746 10.3390/nursrep16070228 195804746 ppf: 228 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Stakeholder-Perceived Needs in Early Community Nursing Implementation: A Qualitative Study. aug: au: Feichtinger, Cornelia Beichler, Helmut Tiainen, Minna Grabovac, Igor affil: Center for Applied Nursing Research, Department of Applied Nursing Science, University of Applied Sciences Campus Vienna, 1100 Vienna, Austria sug: subj: Community Health Nursing Austria Caregiver Attitudes Evaluation Attitude of Health Personnel Evaluation Public Figures Psychosocial Factors Health Services Needs and Demand Program Implementation Human Austria Descriptive Research Qualitative Studies Male Female Adult Middle Age Aged Content Analysis Interview Guides Audiorecording Preventive Health Care Continuity of Patient Care Patient Advocacy Organizational Structure Trust Transitional Care Health Services Accessibility Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background/Objectives: Health systems across Europe are increasingly challenged by population ageing, multimorbidity, and persistent inequities in access to care. Community Nursing has emerged as a promising approach to strengthening preventive, community-based services, yet evidence on stakeholder-perceived needs during early implementation remains limited. This study aimed to explore how different types of needs are perceived and articulated during the early implementation of Community Nursing in Austria. Methods: An interpretive descriptive qualitative study was conducted as part of an Austrian Community Nursing pilot project. Semi-structured interviews were carried out with eleven stakeholders, including informal caregivers, network partners (e.g., local healthcare providers), and local political decision-makers. Data were analyzed using qualitative content analysis, guided deductively by Bradshaw's Taxonomy of Needs and complemented by inductive sub-category development. Interviews were conducted via telephone or video call (Zoom) and ranged from approximately 30 min to an hour. Results: Normative needs reflected expectations for preventive services, continuity of care, advocacy, and sustainable organizational structures. Felt needs centered on trust, emotional security, and relational continuity. Expressed needs became visible through active use of Community Nursing services, including preventive programs, transitional care support, and administrative navigation. Comparative needs highlighted geographic inequities and differences between municipalities with and without access to Community Nursing. Across stakeholder groups, concerns regarding long-term financing and sustainability were prominent. Conclusions: The findings suggest that Community Nursing addresses multiple stakeholder-perceived needs simultaneously, particularly by providing relational, accessible, and preventive support. However, sustained impact depends on stable funding and systemic integration beyond pilot phases. These results offer transferable insights for the development and scaling of community-based nursing models in ageing societies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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