Community Nurses Research Articles

Determining the Impact of Lifestyle on the Health of Primary School Children in Slovenia Through Mixed Membership Focus Groups

Lifestyle choices made by children and adolescents can lead to a variety of health problems. It is therefore crucial to evaluate the state health-related lifestyles of primary school children’s and identify areas for improvement. The aim of this study was to investigate the experiences and perspectives of those involved in educating current generations of primary school children about their lifestyle and the associated health implications of their behavior. Four focus groups were formed, comprising parents, primary school teachers, health professionals, and leisure activity teachers, with five participants in each group. Semi-structured interviews were conducted with each group as part of the qualitative research paradigm of the study. The study revealed three central themes, emphasizing the need to promote health and educate children about healthy behaviors, environmental influences, and health literacy. Community nurses need to take a proactive role in promoting school health. Although adults, peers, and the environment exert a strong influence on children’s lifestyles, they often fail to live up to their responsibilities and allow harmful habits to form. To instill positive behaviors and an optimistic attitude towards a healthy lifestyle, all those involved in a child’s education need to collaborate. Health-related topics should be included or reinforced in primary school curricula, and parents and school staff should receive appropriate training.

Experiences in the training of specialist family and community nurses: a qualitative study.

The specialist Family and Community Nurse Practitioner (FCNP) is a professional who, after a period of training, is qualified to be part of multidisciplinary teams in primary care. The aim of this study was to describe and understand the experiences of nurses during their training process in the specialty of Family and Community Nursing in Spain. A descriptive qualitative study was carried out. Participants were recruited by means of convenience sampling from January to April 2022. Sixteen specialist nurses in Family and Community Nursing from different autonomous communities in Spain participated in the study. Twelve individual interviews and one focus group were conducted. Data were analyzed following a thematic analysis method in ATLAS.ti 9. The results showed two themes and six subthemes: (1) Residency period, more than a training: (a) Training during the residency period; (b) Specializing through a constant struggle; (c) Moderate optimism about the future of the specialty; and (2) A journey from illusion to disappointment: (a) Beginning of the residency: feeling special; (b) During the residency: between satisfaction and misunderstanding; (c) At the end of the residency: power and frustration. The residency period is important in the training and acquisition of competencies for the Family and Community Nurse Practitioner. Improvements are needed to ensure quality training during residency and to help give visibility to the specialty.

Community nursing as a career.

British Journal of Community NursingVol. 28, No. 5 While's WordsCommunity nursing as a careerAlison WhileAlison WhileEmeritus Professor of Community Nursing, Florence Nightingale Faculty of Nursing, King's College London and Midwifery and Fellow of the Queen's Nursing InstituteSearch for more papers by this authorAlison WhilePublished Online:2 May 2023https://doi.org/10.12968/bjcn.2023.28.5.216AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Caers R, Du Bois C, Jegers M, De Gieter S, De Cooman R, Pepermans R. Measuring community nurses' job satisfaction: literature review. J Adv Nurs. 2008;62(5):521-529. https://doi.org/10.1111/j.1365-2648.2008.04620.x Crossref, Medline, Google ScholarDelgado C, Upton D, Ranse K, Furness T, Foster K. Nurses' resilience and the emotional labour of nursing work: An integrative review of empirical literature. Int J Nurs Stud. 2017;70:71-88. https://doi.org/10.1016/j.ijnurstu.2017.02.008 Crossref, Medline, Google ScholarDowrick A, Mitchinson L, Hoernke K, Mulcahy Symmons S, Cooper S, Martin S, Vanderslott S, Vera San Juan N, Vindrola-Padros C. Re-ordering connections: UK healthcare workers' experiences of emotion management during the COVID-19 pandemic. Sociol Health Illn. 2021;43(9):2156-2177. https://doi.org/10.1111/1467-9566.13390 Crossref, Medline, Google ScholarHalcomb E, Smyth E, McInnes S. Job satisfaction and career intentions of registered nurses in primary health care: an integrative review. BMC Fam Pract. 2018;19(1):136. https://doi.org/10.1186/s12875-018-0819-1 Crossref, Medline, Google ScholarHughes JA. Just a conversation between friends about nothing new. Br J Community Nurs. 2023;28(3):109-110. https://doi.org/10.12968/bjcn.2023.28.3.109 Link, Google ScholarLu H, Barriball KL, Zhang X, While AE. Job satisfaction among hospital nurses revisited: a systematic review. Int J Nurs Stud. 2012;49(8):1017-1038. https://doi.org/10.1016/j.ijnurstu.2011.11.009 Crossref, Medline, Google ScholarLu H, Zhao Y, While A. Job satisfaction among hospital nurses: A literature review. Int J Nurs Stud. 2019;94:21-31. https://doi.org/10.1016/j.ijnurstu.2019.01.011 Crossref, Medline, Google ScholarMiles B. A review of the potential impact of professional nurse advocates in reducing stress and burnout in district nursing. Br J Community Nurs. 2023;28(3):132-136. https://doi.org/10.12968/bjcn.2023.28.3.132 Link, Google ScholarMurrells T, Robinson S, Griffiths P. Job satisfaction trends during nurses' early career. BMC Nurs. 2008;7:7. https://doi.org/10.1186/1472-6955-7-7 Crossref, Medline, Google ScholarNHS Employers. Preceptorships for newly qualified staff. 2022. https://www.nhsemployers.org/articles/preceptorships-newly-qualified-staff (accessed 03 April 2023) Google ScholarNHS England. National preceptorship framework for nursing. 2022.https://www.england.nhs.uk/long-read/national-preceptorship-framework-for-nursing/ (accessed 03 April 2023) Google ScholarNursing and Midwifery Council. Principles for preceptorship. 2022. https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-principles-for-preceptorship-a5.pdf (accessed 03 April 2023) Google ScholarQueen's Nursing Institute. Pre-registration community nursing placements: survey report. 2021. https://qni.org.uk/wp-content/uploads/2022/08/Pre-registration-community-nursing-placements-survey-report-2021.pdf (accessed 03 April 2023) Google ScholarSenek M, Robertson S, Ryan T, King R, Wood E, Taylor B, Tod A. Determinants of nurse job dissatisfaction - findings from a cross-sectional survey analysis in the UK. BMC Nurs. 2020;19:88. https://doi.org/10.1186/s12912-020-00481-3 Crossref, Medline, Google ScholarThe King's Fund. The courage of compassion: supporting nurses and midwives to deliver high-quality care. 2020. https://www.kingsfund.org.uk/sites/default/files/2020-09/The%20courage%20of%20compassion%20full%20report_0.pdf (accessed 03 April 2023) Google ScholarTraynor M, Wade B. The development of a measure of job satisfaction for use in monitoring the morale of community nurses in four trusts. J Adv Nurs. 1993;18(1):127-136. https://doi.org/10.1046/j.1365-2648.1993.18010127.x Crossref, Medline, Google ScholarTucker G, Atkinson J, Kelly J, Parkin L, McKenzie A, Scott S, Joyce S, Davidson D. Evaluation of a structured preceptorship programme. Br J Community Nurs. 2019;24(11):554-557. https://doi.org/10.12968/bjcn.2019.24.11.554 Link, Google Scholar FiguresReferencesRelatedDetails 2 May 2023Volume 28Issue 5ISSN (print): 1462-4753ISSN (online): 2052-2215 Metrics History Published online 2 May 2023 Published in print 2 May 2023 Information© MA Healthcare LimitedPDF download

Intermittent self-catheterisation: the community nurse's role in identifying and overcoming the barriers.

With their expertise and ability to leverage the therapeutic relationship, community nurses are well-placed to manage the complications and challenges associated with intermittent self-catheterisation. Francesca Ramadan provides an overview of the patient-, training- and environmentally-related barriers to intermittent self-catheterisation and of the ways in which these can be overcome by personalised, person-centred training and education.

Oral healthcare in the community.

Oral health is an essential part of a person's wellbeing. However, with increasing community nursing caseloads and more severe issues to tend to, dental hygiene might be overlooked in patients who are in the community. In this article, Sarah Jane Palmer discusses how nurses in the community can assess oral health, the types of assistance and provisions available/given to older adults/disabled individuals, and the extent of research and advice available for community nurses.

A Faith Community Nursing Intervention for Informal Caregiver-Older Adult Dyads.

The purpose of this study was to test the impact of embedding trained Faith Community Nurse (FCN) interventionists in a Catholic Health System affiliated primary care practice as liaisons of care in the homes of older adult clients (OACs) and their informal caregiver (IC). Specific aims were to examine if a FCN intervention improved IC and OAC health, well-being, knowledge and understanding of chronic disease management, self-advocacy, and self-care. A non-random quasi-experimental design was used. Most ICs were spouses or adult children (M age = 66) who lived with the older adult (M age = 79). The ICs' scores significantly increased after the intervention on the Preparedness for Caregiving Scale (p = .002), Spirituality as Life, Meaning, and purpose (p = .026), and Rosenberg Self Esteem Scale (p = .005). Future research is needed examining the FCN intervention with larger sample sizes in more diverse communities and acute care settings.

Cultivating Community: Women and Agricultural Fairs in Ontario

Cultivating Community is a fascinating exploration of an understudied area of Canadian history. Nurse masterfully utilizes a plethora of archival and private materials in order to tell the century-long story of women's participation in local agricultural fairs in southern Ontario. This book offers an engaging interplay of macro and micro history, telling a broader history of women's movements and nationalism in Canada, while also offering colorful snapshots of many individual women's stories. The example of a woman cheating in the honey jarring competition by dyeing kerosene to look like the purest honey represents the type of colorful anecdote that brings this history to life. Nurse's work inspires the reader to look into their own local and familial past, for the ways in which women have made their mark through baking, handicrafts, and other pursuits.On the surface the idea of studying baked goods and produce might seem daunting. But Nurse creatively uses sources such as newspaper clippings and competition records to reconstruct women's participation in Ontario's agricultural fairs. Nurse writes lush descriptions of the fairs' events—from judging criteria to contestant presentation to the packaging and staging of organic materials—so that the reader can imagine themselves as participants, judges, and audience members. These narratives also provide detailed information about the social context within which this history takes place. For example, women were initially prohibited from participating in riding shows, but it became increasingly more common for women to demonstrate their horsemanship as they pushed more and more into the “public sphere.” The importance of rural reform, and women as the centers of rural family life, are repeated themes throughout the book. Nurse demonstrates how reformers utilized fairs to teach women about new homemaking technologies and encourage these women to compete for prizes and prestige for their prowess in fields that were seen as “women's expertise.” Winning competitions in these areas demonstrated how much of a “good” woman, wife, mother, and community member you were.In Cultivating Community Nurse goes beyond the typical written archival sources on which historians tend to rely. Many beautiful photographs of fairgoers, competitors, and handicrafts alike grace the pages of this book and enrich the reader's understanding of the fairs' material culture. These images display, for instance, the intricacies of a hand-darned sock and handmade lace and quilts, demonstrating evidence of skills with which the modern reader likely is unfamiliar. A quilt made with poorly cut fabric and messy stitching compared to one that was meticulously sewn with even stitching is very obvious when looking at comparison photos. In her analysis, Nurse brings a real appreciation of these skills and the work that these women produced, reminding the reader of the many ways that women's cooking, gardening, and handicraft skills benefited their families and households. Before fabric was easily commercially available, homespun fabric was valued in these fairs, but only a few short years later, with the availability of cheap fabric in stores, this skill ceased to be exhibited. These stories exemplify how women adapted their household skills to the changing technology and economic needs of the time.In the book's introduction, Nurse acknowledges the limitations of her analysis, and she reminds the reader throughout that this is just the start of a conversation on women and agricultural fairs. She has little space to devote to deep racial analysis or the intersections of gender, class, and ethnicity in this book. These rural people were all individuals with unique and nuanced life experiences, some of which are unexplored in this study. Nurse encourages others to take up this mantle and further explore agricultural fairs as microcosms of Canadian society that can teach us about changing values and mores of rural communities.

Opportunity for Innovation: Community Nursing Clinical Experiences.

Kobiske, Karie R. PhD, RN; Bright, Elizabeth MSN, RN; Ulmen, Brenda F. PhD, RN; Cronin, Lori DNP, RN Author Information

Ensuring effective infection prevention and control in the community.

Managing community-acquired infections remains an ongoing challenge for community nursing teams. The coronavirus disease 2019 (COVID-19) pandemic meant that community nurses had to ensure they were using evidence-based infection prevention and control measures to limit the effects of the pandemic and maintain patient safety. Community environments can be unpredictable, and compared with acute settings nurses will often lack the appropriate resources when visiting patients in their homes or in residential care. This article outlines effective infection prevention and control measures that nurses can implement in the community, such as the appropriate use of personal protective equipment, optimal hand hygiene, safe waste management and adherence to an aseptic technique.

Capacitar o utente hipocoagulado e família na gestão da doença: uma intervenção da Enfermagem Comunitária

Introduction Brain and cardiovascular diseases require regular and specialized follow-up, including those pathologies that require oral anticoagulants, in order to reduce hospitalizations due to clinical decompensation, maintain the person active, and reduce their degree of dependence. This requires a professional/patient/family partnership in their management. This project was based on Dorothea Orem's Theory of Self-Care Deficit. Objective To train the hypocoagulated users and their families in disease management. Methods The health planning methodology was applied. The situation diagnosis was developed using questionnaires applied to the patient to validate their knowledge about disease management and a second one applied to the family to understand their knowledge about their relative's needs. The non-probability convenience sample was composed of 18 patients and 5 family members in the consultations performed during the internship period. Results The situation diagnosis revealed a deficit of knowledge about disease management: in self-care, therapeutic regimen, and their interaction, as well as a deficit of the family's role in monitoring their family member and perceiving their needs. Health education was used as a strategy to improve the problems identified through the empowerment of users and families. After intervention, there was an increase in knowledge in all the addressed points: self-care (92.85%), therapeutic regime and its interaction (85.71%). As for the family intervention, we found that participants are family members who live with hypocoagulated patients and have already taken over the role of caregiver. Conclusion This project contributed to the knowledge of hypocoagulated patients and family, through the intervention of community nursing, as well as the reflection on how to develop strategies with families, to empower them in the early detection of intervention in the self-care of their family member and in the management of family roles.

Community nursing delivery in urban China: A social power perspective

Community nurses remain understudied in research on interactional power, especially in China where community healthcare is an emerging practice. Grounded in French & Raven's typology of social power, this article conceptualises the power of community nurses in a Chinese urban context. Through thematic analysis of textual data from 26 semi-structured interviews and two additional focus group discussions with community nurses in Shenzhen, we identified six power varieties, i.e. indirect reward, indirect coercion, legitimate position, peer reference, field expertise, and caring information. We classified these powers trichotomously, as nurse-to-doctor, nurse-to-nurse, and nurse-to-patient, to show the potential influences nurses bring to healthcare relationships. Our analysis indicated nurses' exercise of some powers was constrained by two elements, i.e. doctor-nurse power polarity and patient prejudices against nursing, which together contributed to nurses' adverse power loss. These power adversities permeated the community health environment, contributing to healthcare delivery dysfunctions by undermining nurses' self-improvement, self-assurance, enthusiasm, and cooperation in care. Our analysis, using the insights of social power, develops a novel reading of community nursing delivery in urban China. We argue that nurse empowerment could promote community healthcare delivery. Role enhancement and pro-nursing policy development would reduce adverse power scenarios for community nurses and help convert their potential power resources into practical powers in support of patients' needs.

The Dutch version of the Oral Health Assessment Tool: Translation and inter-rater reliability among community nurses.

Translating the Oral Health Assessment Tool (OHAT) into Dutch and assessing the inter-rater reliability among community nurses. The original version of the OHAT was translated following the five stages of the 'Guidelines for the Process of Cross-Cultural Adaptation'. After a forward and backward translation, consensus on the pre-final version was obtained in an expert panel discussion. This version was pre-tested on its comprehensibility among 31 nurses and hereafter finalized. Then, inter-rater reliability of the OHAT-NL was determined by two trained nurses during oral assessments of 37 care-dependent community-dwelling older people. Intraclass correlation coefficient (ICC) and the Cohen's kappa statistic for individual items were estimated. Feedback from nurses in the pre-test did lead to minor changes of the OHAT-NL. Inter-rater reliability was good (ICC 0.79; 95% CI 0.63-0.89) on the total score. Agreement on item level ranged from fair to very good, the kappa ranged from 0.36-0.89. OHAT is now available in Dutch having good inter-rater reliability among trained community nurses. Future research can further validate the OHAT-NL and develop intervention according to total OHAT-NL scores.

A qualitative study of the interaction experiences between family caregivers and community nurses for disabled elderly people at home

BackgroundFamily members are currently the main caregivers of the disabled elderly people at home. With declining health and increasing frailty, caregiving of disabled elderly people becomes a task of family caregivers in conjunction with community nurses. Interaction between family caregivers and community nurses can effectively improve the quality of home care for the disabled elderly people. This study aimed to investigate the interaction experiences between family caregivers and community nurses for disabled elderly people at home.MethodsThis research was a study of qualitative descriptions based on semi-structured face-to-face interviews. This study was to purposefully select family caregivers of the disabled elderly and community nurses in Zhengzhou city, Henan Province and explore the interaction patterns between them. Directed content analysis method was used to generate qualitative codes and identify themes.ResultsA total of 12 interviews were completed, including 7 family caregivers and 5 community nurses. Four themes were identified: 1) Information interaction; 2) Emotional interaction; 3) Practical interaction; 4) Factors that promote and hinder the interaction.ConclusionsIt was found that the interaction between family caregivers and community nurses was not optimistic. Lack of communication and collaboration between community nurses and caregivers. Providing a new perspective that we can develop and implement intervention to facilitate positive interactions, which will reduce the burden of family caregivers, bring the highest quality of care to older adults with disabilities and improve the quality of care for disabled elderly people.Trial registrationRegistered in the Chinese Clinical Trial Registry on April 19, 2021, number ChiCTR2100045584.

A global exploration of palliative community care literature: An integrative review.

This review sought to discover how community nurses globally provide palliative care, with specific focus on how they manage the personal and professional stressors associated with caring for dying clients in the home. An integrative review methodology was used to gain insight into how community palliative care is delivered worldwide. The provision of home palliative care by community nurses gives clients the ability to spend their final days in familiar surroundings. Research has focussed on the provision of palliative care in the inpatient setting, with little known about the community setting. Data were collected through a literature search, then a critical analysis approach was used to evaluate the strengths of palliative care literature by analysing recurrent themes to stimulate further research on the topic. The following databases were used to conduct the literature search: CINAHL, Medline, Pubmed, Scopus, Ovid. The results highlighted the importance of building a skilled palliative community nursing workforce and the need to offer specialised palliative care training to nurses, particularly around difficult conversations and service coordination. The literature identified the challenges implicit within the community nursing role in delivering palliative care, but it did not identify the factors that enhance the nurses' ability to manage the stressors associated with this role. The input of nurses must be sought to understand the development of resilience. Community palliative care nursing requires time spent with clients and family members who are suffering, therefore predisposing nurses to stress. Effort must be made to provide palliative care nurses with support to enhance professional resilience.

Challenges and perspectives of palliative medicine: Awebinar by the Paediatric Virology Study Group.

Palliative medicine focuses on the quality of life of patients with incurable conditions, who require the adequate relief of physical symptoms, adequate information to make decisions and spiritual wellbeing. Generalist palliative care is provided by family members, general practitioners, care home workers, community nurses and social care providers, as well as non-specialist hospital doctors and nurses. Patients with more complex, physical or psycho-social problems require the shared work of specialized doctors in palliative medicine, nurses, social workers and allied professionals. It is estimated that ~40 million patients require palliative care annually, worldwide; of these, 8 out of 10 patients reside in low- or middle-income countries, and only ~14% are able to access this type of care. Palliative medicine was recognised as a distinct medical specialty in the UK in 1987, with its own specialist curriculum and training pathway, which was recently revised in 2022. The main obstacles that palliative medicine had to overcome in order to be accepted as a separate specialization were the following: i) Defining a unique body of knowledge; ii) standardisation of training; and iii) proving that it warranted being a specialty in its own right. Over the past decade, it has been accepted as more than end-of-life care, supporting patients with an incurable illness at much earlier stages. Given the current absence of specialized palliative care in low- or middle-income countries, as well as the aging population across most European countries and the USA, it is estimated that there may be an increasing need and demand for specialists in palliative medicine in the ensuing years. This article is based on a webinar on palliative medicine, which was performed on October 20, 2022 in the context of the '8th Workshop of Paediatric Virology' organized by the Institute of Paediatric Virology based on the island of Euboea (Greece).

Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: qualitative study

BackgroundIntegrated care involves good coordination, networking, and communication within health care services and externally between providers and patients or informal caregivers. It affects the quality of services, is more cost-effective, and contributes to greater satisfaction among individuals and providers of integrated care. In our study, we examined the implementation and understanding of integrated care from the perspective of providers - the health care team - and gained insights into the current situation.MethodsEight focus groups were conducted with health care teams, involving a total of 48 health care professionals, including family physicians, registered nurses, practice nurses, community nurses, and registered nurses working in a health education center. Prior to conducting the focus groups, a thematic guide was developed based on the literature and contextual knowledge with the main themes of the integrated care package. The analysis was conducted using the NVivo program.ResultsWe identified 12 main themes with 49 subthemes. Health care professionals highlighted good accessibility and the method of diagnostic screening integrated with preventive examinations as positive aspects of the current system of integrated care in Slovenia. They mentioned the good cooperation within the team, with the involvement of registered nurses and community nurses being a particular advantage. Complaints were made about the high workload and the lack of workforce. They feel that patients do not take the disease seriously enough and that patients as teachers could be useful.ConclusionPrimary care teams described the importance of implementing integrated care for diabetes and hypertension patients at four levels: Patient, community, care providers, and state. Primary care teams also recognized the importance of including more professionals from different health care settings on their team.

Why patients do not take their medicine – and what you can do about it

Primary care and community nurses can tailor conversations with patients to boost individuals’ confidence in prescribed medicines and empower them to optimise their drug regimen

Evaluation of a co-designed educational e-resource about oral health for community nurses: study protocol

BackgroundOral health is a crucial aspect of health and wellbeing for older people. Poor oral health has been found to significantly increase the risk of chronic health conditions and poor quality of life for older people. Nurses practicing in the community are well-placed to provide oral health care to older people in their own homes, yet there has been little research in this field to develop accessible support for them to do so. Previous literature, reviewed in an earlier phase of this work, revealed that there has, historically, been a paucity of oral health care education for nurses and very few educational resources have been developed in this field.MethodsThis study will evaluate an educational e-resource which has been co-designed by service users, carers and clinicians. In the first phase of research, evidence of promise will be evaluated by analysing quantitative data on community nurses’ oral health attitudes and self-efficacy for oral health assessments of older people. In the second phase of research, facilitators and barriers to community nurses’ provision of oral health care to older people and the acceptability of the educational e-resource will be evaluated.DiscussionThis research will investigate the potential of an educational e-resource to improve community nurses’ capabilities to deliver oral health care to older people in their own homes. This research will inform both future intervention design and understanding of community nurses’ knowledge and attitudes about oral health care. Facilitators and barriers to provision of this care for older people will also be explored.

Governance Of Community Nurses Participation In The Renal Care Center: A Document Review

The emergence of new regulations regarding the mandatory ownership of new Peritoneal Dialysis Units (PD Units) in regional hospitals in Indonesia creates new problems for PD patients after undergoing therapy. They need treatment by CAPD professionals who are still on the move. This study aims to discuss how far the community nurses are involved in the management of patient care in the PD unit so that an overview of their duties and functions is obtained in handling PD patients in the CAPD unit under management nursing. This document review used PRISMA analysis. Data were taken from Google Engine, with keywords: Peritoneal Dialysis, community nursing, and public health. Select documents from reputable journals for the last five years. The documents that were filtered (n=14) all met the search criteria for documents according to keywords. There were only two documents (n = 2) that raise the issue of community nurses and their role specifically in PD units in the community. The most discussed role was training (n=5). The challenges were bureaucracy or government regulations. This study recommended that community nurses could be empowered to care for PD patients after getting short CAPD training.

Delegation of insulin administration to non-registered healthcare workers in community nursing teams: A qualitative study.

To explore stakeholder perspectives on the benefits and/or disadvantages of the delegation of insulin injections to healthcare support workers in community nursing services. Qualitative case study. Interviews with stakeholders purposively sampled from three case sites in England. Data collection took place between October 2020 and July 2021. A reflexive thematic approach to analysis was adopted. A total of 34 interviews were completed: patients and relatives (n = 7), healthcare support workers (n = 8), registered nurses (n = 10) and senior managers/clinicians (n = 9). Analysis resulted in three themes: (i) Acceptance and confidence, (ii) benefits and (iii) concerns and coping strategies. Delegation was accepted by stakeholders on condition that appropriate training, supervision and governance was in place. Continuing contact between patients and registered nurses, and regular contact between registered nurses and healthcare support workers was deemed essential for clinical safety. Services were reliant on the contribution of healthcare support workers providing insulin injections, particularly during the COVID-19 pandemic. Benefits for service and registered nurses included: flexible team working, increased service capacity and care continuity. Job satisfaction and career development was reported for healthcare support workers. Patients benefit from timely administration, and enhanced relationships with the nursing team. Concerns raised by all stakeholders included potential missed care, remuneration and task shifting. Delegation of insulin injections is acceptable to stakeholders and has many benefits when managed effectively. Demand for community nursing is increasing. Findings of this study suggest that delegation of insulin administration contributes to improving service capacity. Findings highlight the essential role played by key factors such as appropriate training, competency assessment and teamwork, in developing confidence in delegation among stakeholders. Understanding and supporting these factors can help ensure that practice develops in an acceptable, safe and beneficial way, and informs future development of delegation practice in community settings. A service user group was consulted during the design phase prior to grant application and provided comments on draft findings. Two people with diabetes were members of the project advisory group and contributed to the study design, development of interview questions, monitoring study progress and provided feedback on study findings.