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Stakeholder-Perceived Needs in Early Community Nursing Implementation: A Qualitative Study
Cornelia Feichtinger1, Helmut Beichler2, Minna Tiainen3
1Center for Applied Nursing Research, Department of Applied Nursing Science, University of Applied Sciences Campus Vienna, 1100 Vienna, Austria.
Nursing Reports (Pavia, Italy)
|July 27, 2026
Summary
Community Nursing addresses diverse stakeholder needs, offering preventive and relational support. Sustainable funding and integration are crucial for its long-term success in aging societies.
Area of Science:
- Public Health
- Nursing Science
- Health Services Research
Background:
- European health systems face challenges from aging populations, multimorbidity, and care access inequities.
- Community Nursing is a potential solution for enhancing community-based, preventive services.
- Limited evidence exists on stakeholder-perceived needs during Community Nursing's early implementation.
Purpose of the Study:
- To explore how various needs are perceived and articulated during the initial phase of Community Nursing implementation in Austria.
Main Methods:
- Qualitative interpretive descriptive study within an Austrian Community Nursing pilot project.
- Semi-structured interviews with 11 stakeholders (informal caregivers, network partners, political decision-makers).
- Qualitative content analysis using Bradshaw's Taxonomy of Needs, supplemented by inductive sub-category development.
Main Results:
- Normative needs included expectations for preventive care, continuity, advocacy, and sustainable structures.
- Felt needs focused on trust, emotional security, and relational continuity.
- Expressed needs involved active service use (prevention, transitional care, navigation), while comparative needs revealed geographic inequities.
Conclusions:
- Community Nursing effectively addresses multiple stakeholder needs through relational, accessible, and preventive support.
- Long-term impact hinges on stable funding and systemic integration beyond pilot stages.
- Findings offer transferable insights for scaling community-based nursing models in aging societies.
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