Nursing care in patients with dependency-related skin injuries in the community: a scoping review.

PURPOSE: Dependency-related skin injuries (DRSI) occur in people who need a high level of support to carry out day-to-day activities. Owing to the ageing population, the number of people at risk of DRSI is increasing. Most wound care is performed by nurses in the community. This scoping review aimed to identify the extent of literature on nursing care for patients with or at risk of developing DRSI living in their own home. MATERIALS AND METHODS: A scoping review was conducted. RESULTS: A total of 28 studies met the inclusion criteria and four main themes emerged: features of the community setting; wound types, causes and management; prevention strategies around aetiology and holistic care; care management and local wound care. CONCLUSION: Although most wounds occur in and are treated in the community, there is a paucity of research on wounds in this setting. The care of patients with DRSI in the community is complex and prevention according to the individual aetiology of each lesion is the key factor in wound care.

Risco de Lesões Osteoporóticas - Perfil das pessoas que frequentam uma USF da Região Centro / Risk of Osteoporotic Injuries - Profile of people who attend a USF in the Central Region

Enquadramento: A osteoporose é uma doença de início silencioso e que se carateriza pela redução da densidade mineral óssea, com consequente fragilidade óssea, favorecendo um elevado risco de fraturas. São vários os fatores de risco associados, tais como, idade avançada, género feminino, raça caucasiana, história familiar de osteoporose, alterações osteoblásticas/hormonais, baixa ingestão de cálcio e vitamina D e o sedentarismo, influenciando diretamente a incidência desta patologia e, consequentemente, as lesões osteoporóticas. Objetivos: Caraterizar o perfil das pessoas que frequentam uma Unidade de Saúde Familiar (USF) da Região Centro, relativamente ao risco de lesões osteoporóticas. Como objetivos específicos, pretende-se, determinar o risco de lesão osteoporótica Major (coluna, punho, anca e ombro) e da anca a dez anos e analisar a influência das variáveis sociodemográficas, antropométricas e hábitos de vida no risco de lesões osteoporóticas. Metodologia: O domínio da investigação enquadra-se num estudo descritivo - correlacional, transversal e do tipo quantitativo. A amostra é não probabilística por conveniência, constituída por 364 pessoas com mais de 50 anos, de uma USF da Região Centro e selecionadas de forma aleatória, no período compreendido entre o mês de Abril e Julho de 2019. Aplicado um protocolo de avaliação constituído por variáveis sociodemográficas, antropométricas e hábitos de vida em associação como o uso da ferramenta Frax ® Port. O tratamento estatístico foi efetuado informaticamente, recorrendo ao programa de tratamento estatístico Statiscal Package for the Social Science (SPSS), na versão 25.0. Resultados: As pessoas mais velhas tendem a evidenciar maior probabilidade de fraturas e, consequentemente, maior risco de lesões osteoporóticas, sendo este risco superior nas mulheres; as pessoas casadas ou que vivem em união de facto evidenciam menor risco de lesões osteoporóticas; as pessoas com nível de escolaridade mais baixo apresentam um risco de lesões osteoporóticas mais elevado; as pessoas com Índice de Massa Corporal (IMC) mais elevado revelam alguma tendência para apresentarem menor risco de lesões osteoporóticas. Conclusão: No global o presente trabalho evidencia que os fatores sociodemográficos, o IMC e alguns hábitos de vida, influenciam diretamente o risco de fratura, sendo essencial uma intervenção eficaz a esse nível. No âmbito do papel e das competências do Enfermeiro Especialista em Enfermagem Comunitária destaca-se a sua intervenção no que concerne à educação das pessoas para a adoção de hábitos de vida saudáveis, integrando projetos em desenvolvimento e propondo a elaboração de outros que visem o controlo dos fatores de risco identificados e, neste sentido, a prevenção da doença e a promoção da saúde.

Background: Osteoporosis is a disease of silent onset and characterized by a reduction in bone mineral density, with consequent bone fragility, favoring a high risk of fractures. There are several associated risk factors, such as advanced age, female gender, Caucasian race, family history of osteoporosis, osteoblastic / hormonal changes, low calcium and vitamin D intake and physical inactivity, directly influencing the incidence of this pathology and, consequently, osteoporotic injuries. Objectives: To characterize the profile of people who attend a Family Health Unit (FHU) in the Centro Region, regarding the risk of osteoporotic injuries. As specific objectives, it is intended to determine the risk of major osteoporotic injury (spine, wrist, hip and shoulder) and hip for ten years and to analyze the influence of sociodemographic, anthropometric variables and life habits on the risk of osteoporotic injuries. Methodology: The field of research is part of a descriptive study - correlational, transversal and quantitative. The sample is non-probabilistic for convenience, consisting of 364 people over 50 years of age, from a FHU in the Central Region and selected at random, in the period between April and July 2019. An evaluation protocol consisting of sociodemographic, anthropometric and lifestyle habits in association with the use of the Frax ® Port tool. The statistical treatment was carried out by computer, using the statistical treatment program Statiscal Package for the Social Science (SPSS), in version 25.0. Results: Older people tend to show a higher probability of fractures and, consequently, a higher risk of osteoporotic injuries, with this risk being higher in women; people who are married or in a long time relationship have a lower risk of osteoporotic injuries; people with a lower level of education have a higher risk of osteoporotic injuries; people with a higher Body Mass Index (BMI) show some tendency to have a lower risk of osteoporotic injuries. Conclusion: Overall, this study shows that sociodemographic factors, BMI and some lifestyle habits, directly influence the risk of fracture, wath means that un efective intervention at this level is essential. Within the scope of the role and competences of the Community Nurse Specialists, his intervention stands out with regard to educating people to adopt healthy lifestyle habits, integrating projects in development and proposing the development of others aimed at controlling identified risk factors and, in this sense, disease prevention and health promotion.

Osteomyelitis, diabetic foot ulcers and the role of the community nurse.

Community nurses face numerous challenges in both diagnosing and effectively treating their patients. The diabetic patient has complex needs requiring a holistic approach. With a reported increase in diabetic patients, and a possible decline in some routine screening following Covid-19 pandemic, complications in diabetic patients are likely to rise. It is estimated that 25% of diabetic patients will develop a diabetic foot ulcer (DFU), with a reported 43% of DFU already infected at first presentation to a health professional. NICE categorise the level of infection in DFU based on standardised assessments such as SINBAD. A high categorised DFU has the possibility of osteomyelitis. It is imperative that osteomyelitis is treated immediately to achieve positive outcomes, benefitting the patients' health and wellbeing in addition to reducing the financial implications to the NHS.

[Gorgeous Colorful Rainbow: The Beauty and Sorrow of Indigenous People`s Health].

Residing across this island for over 8,000 years, Taiwan`s indigenous people represent the world`s northernmost population of Austronesian islanders. Although Taiwan`s more than 500,000 indigenous citizens today account for only 0.11% of the 300 million Austronesians worldwide, Taiwan and Taiwan`s long-thriving Austronesian culture played an indispensable role in the historical migrations of ancient Austronesian peoples from Mainland Asia and their proliferation throughout the Pacific (Council on Indigenous Peoples, n.d.). The cultural diversity of Taiwan`s indigenous people allowed their many ethnic groups to adapt to the island`s climatic and environmental diversity, ranging from high, temperate mountains to tropical coastlines, for thousands of years. These groups have adapted well to local conditions, developing living habits, livelihood patterns, life customs, and ceremonies suited to their lives. Traditional wisdom and knowledge, like a colorful rainbow, have shone from ancient times up through the present and are woven deeply through the unique life values of the 16 ethnic tribal groups on Taiwan Island. However, the modernization and transformation of Taiwan`s economy during the past three decades have left indigenous citizens significantly behind mainstream society in many important aspects, including average lifespan, income, education level, and access to medical resources, with mainstream society enjoying more social advantages and a longer average life span (Health Promotion Administration, 2017). Thus, social determinants have promoted various inequalities in health, and the rainbow is no longer beautiful under the impact of modern values. The inequitable distribution of healthcare resources and inadequate human resources have cast a shadow of sadness over this originally beautiful rainbow. Some scholars have raised the cultural security model as a possible framework for formulating policies and regulations to protect the health rights of disadvantaged groups (Coffin, 2007). Using knowledge and values to emphasize cultural safety in the health field and cultural awareness holds the potential of reversing the role of traditional wisdom and knowledge transmitters to gain a deep understanding of the health needs of ethnic groups and of implementing related strategies in acute, chronic, and long-term medical care. This issue is rooted in the current, inequitable deployment of long-term care resources and provision of policy recommendations. In this paper, we discuss strategies for considering and actualizing the main concerns and priorities of ethnic groups, cultivating long-term care 2.0 cultural safety seed tutors, and employing ethnically indigenous nurses in their hometowns / communities. Furthermore, in terms of caring for minorities, we also discuss the long-term care needs of disadvantaged groups such as individuals with mental health needs to achieve the goal of holistic care. We look forward to seeing the bright and colorful rainbow once again. From systemic, educational, and practice perspectives, we will jointly promote public health for all and work to let the beauty of the rainbow surpass the traces of sorrow.

The Practice of Home Visiting by Community Health Nurses as a Primary Healthcare Intervention in a Low-Income Rural Setting: A Descriptive Cross-Sectional Study in the Adaklu District of the Volta Region, Ghana.

BACKGROUND: Home visit is an integral component of Ghana's PHC delivery system. It is preventive and promotes health practice where health professionals render care to clients in their own environment and provide appropriate healthcare needs and social support services. This study describes the home visit practices in a rural district in the Volta Region of Ghana. Methodology. This descriptive cross-sectional study used 375 households and 11 community health nurses in the Adaklu district. Multistage sampling techniques were used to select 10 communities and study respondents using probability sampling methods. A pretested self-designed questionnaire and an interview guide for household members and community health nurses, respectively, were used for data collection. Quantitative data collected were coded, cleaned, and analysed using Statistical Package for Social Sciences into descriptive statistics, while qualitative data were analysed using the NVivo software. Thematic analysis was engaged that embraces three interrelated stages, namely, data reduction, data display, and data conclusion. RESULTS: Home visit is a routine responsibility of all CHNs. The factors that influence home visiting were community members' education and attitude, supervision challenges, lack of incentives and lack of basic logistics, uncooperative attitude, community inaccessibility, financial constraint, and limited number of staff. Household members (62.3%) indicated that health workers did not adequately attend to minor ailments as 78% benefited from the service and wished more activities could be added to the home visiting package (24.5%). CONCLUSION: There should be tailored training of CHNs on home visits skills so that they could expand the scope of services that can be provided. Also, community-based health workers such as community health volunteers, traditional birth attendants, and community clinic attendants can also be trained to identify and address health problems in the homes.

La humanización del cuidado enfermero del anciano en estado de necesidad en la comunidad / Humanization of Nursing Care for the Community Elderly in Needs

Introducción: La enfermería tiene como esencia el cuidado humanizado desde una perspectiva holística, orientada hacia la búsqueda de soluciones específicas para cubrir las necesidades de los ancianos en estado de necesidad en la comunidad. Objetivo: Sistematizar el alcance y la naturaleza de la literatura científica existente sobre la humanización del cuidado enfermero del anciano en estado de necesidad en la comunidad. Métodos: Revisión integrativa realizada en 2019 para desarrollar un análisis crítico reflexivo, en documentos, artículos originales y de revisión disponibles en SciELO, Redalyc, Medigraphic y Medline, publicados en español, portugués e inglés entre 2005 y 2019. La pregunta guía se elaboró a través del acrónimo CPC. La estrategia de búsqueda se realizó mediante las palabras clave "cuidado enfermero en la comunidad"; "cuidados humanizado en ancianos"; "humanización de la atención", identificadas en DeCS o MeSH enlazados por los operadores booleanos AND y OR. Se utilizó el diagrama de flujo (PRISMA). El análisis, síntesis y sistematización de contenido permitió interpretar los referentes teóricos y la organización del conocimiento de las 13 bibliografías seleccionadas. Conclusiones: Mediante la sistematización de las bibliografías científicas se abordó el alcance y la naturaleza del cuidado humanizado del anciano en estado de necesidad en la comunidad, con una visión integradora desde una perspectiva holística en la atención comunitaria, a través de la relación del profesional de enfermería en las instituciones de salud(AU)

Introduction: Nursing's essence is humanized care from a holistic perspective, oriented towards searching for specific solutions to meet the needs of community elderlies. Objective: To systematize the scope and nature of the existing scientific literature about humanization of nursing care for the community elderlies in needs. Methods: Integrative review carried out in 2019 to develop a reflective-critical analysis in documents, as well as in original and review articles, available in SciELO, Redalyc, Medigraphic and Medline, published in Spanish, Portuguese and English between 2005 and 2019. The guiding question was elaborated through the CPC acronym. The search strategy was carried out using the keywords cuidado enfermero en la comunidad [community nursing care], cuidados humanizado en ancianos [humanized care for elderlies], and humanización de la atención [humanization of care], identified in DeCS or MeSH and linked using the Boolean operators AND and OR. A flow chart (PRISMA diagram) was used. The analysis, synthesis and systematization of content allowed to interpret the theoretical references and the organization of knowledge from the thirteen selected bibliographies. Conclusions: Through the systematization of the scientific bibliographies, the scope and nature of humanized care for community elderlies in needs was addressed, with an integrative vision, from a holistic perspective oriented towards community care, and through the relationship of the nursing professional in health institutions(AU)

Contribuciones de los profesionales de enfermería y de partería a la salud de las mujeres. Relatos de la Región de las Américas

[Introducción]. En el informe Situación de la enfermería en el mundo 2020: invertir en educación, empleo y liderazgo, publicado el mismo año por la Organización Mundial de la Salud (OMS), se estima que hay en el mundo cerca de 28 millones de profesionales de la enfermería, un número que representa más de la mitad de los profesionales de la salud. También se destaca que sigue existiendo un défi cit mundial de 5,9 millones de profesionales de la enfermería, la mayoría en países de África, Asia Sudoriental y la Región del Mediterráneo Oriental de la OMS, así como en algunos países de América Latina. Las acciones necesarias para disminuir el défi cit de estos profesionales son aumentar la inversión nacional para evitar una situación de escasez mundial, incrementar el número de graduados en enfermería, mejorar las opciones de empleo y retener a los profesionales en el sistema de salud. El informe también concluye que invertir en profesionales de enfermería y de partería permitirá lograr mejoras en el campo de la salud, pero también contribuirá a mejorar la calidad de la educación, promoverá la igualdad de género y garantizará el trabajo decente y el crecimiento económico, logros todos ellos en línea con los Objetivos de Desarrollo Sostenible. La OMS declaró el 2020 Año Internacional de los Profesionales de Enfermería y de Partería. Sin embargo, los planes de celebración resultaron afectados por el intenso trabajo de los profesionales durante la pandemia de COVID-19, declarada el 11 de marzo del 2020 por la OMS. En consecuencia, la OMS declaró el 2021 Año Internacional de los Trabajadores y Cuidadores de la Salud. La pandemia de COVID-19 ha evidenciado las desigualdades y las inequidades que existen en los sistemas de salud y en los países de la Región de las Américas. Los países han implementado medidas de salud pública no farmacológicas durante la respuesta a la pandemia, entre ellas el confi namiento domiciliario y el cierre de escuelas y negocios, que han tenido distintos efectos sobre las condiciones sociales, económicas y culturales de los diferentes grupos de población. En los países donde el acceso a la salud ha resultado aún más afectado por la pandemia, los profesionales y cuidadores de la salud han personifi cado una de las mejores respuestas para poder combatirla...

Contribuciones de los profesionales de enfermería y de partería a la salud de las mujeres. Relatos de la Región de las Américas / Contributions of nursing and midwifery professionals to women's health. Stories from the Region of the Americas

En el informe Situación de la enfermería en el mundo 2020: invertir en educación, empleo y liderazgo, publicado el mismo año por la Organización Mundial de la Salud (OMS), se estima que hay en el mundo cerca de 28 millones de profesionales de la enfermería, un número que representa más de la mitad de los profesionales de la salud. También se destaca que sigue existiendo un défi cit mundial de 5,9 millones de profesionales de la enfermería, la mayoría en países de África, Asia Sudoriental y la Región del Mediterráneo Oriental de la OMS, así como en algunos países de América Latina. Las acciones necesarias para disminuir el défi cit de estos profesionales son aumentar la inversión nacional para evitar una situación de escasez mundial, incrementar el número de graduados en enfermería, mejorar las opciones de empleo y retener a los profesionales en el sistema de salud. El informe también concluye que invertir en profesionales de enfermería y de partería permitirá lograr mejoras en el campo de la salud, pero también contribuirá a mejorar la calidad de la educación, promoverá la igualdad de género y garantizará el trabajo decente y el crecimiento económico, logros todos ellos en línea con los Objetivos de Desarrollo Sostenible. La OMS declaró el 2020 Año Internacional de los Profesionales de Enfermería y de Partería. Sin embargo, los planes de celebración resultaron afectados por el intenso trabajo de los profesionales durante la pandemia de COVID-19, declarada el 11 de marzo del 2020 por la OMS. En consecuencia, la OMS declaró el 2021 Año Internacional de los Trabajadores y Cuidadores de la Salud. La pandemia de COVID-19 ha evidenciado las desigualdades y las inequidades que existen en los sistemas de salud y en los países de la Región de las Américas. Los países han implementado medidas de salud pública no farmacológicas durante la respuesta a la pandemia, entre ellas el confi namiento domiciliario y el cierre de escuelas y negocios, que han tenido distintos efectos sobre las condiciones sociales, económicas y culturales de los diferentes grupos de población. En los países donde el acceso a la salud ha resultado aún más afectado por la pandemia, los profesionales y cuidadores de la salud han personifi cado una de las mejores respuestas para poder combatirla...(AU)

Nutritional management of patients during and after COVID-19 illness.

The impact of nutrition on recovery from various illnesses is well recognised. Malnutrition can affect duration of hospitalisation and impede recovery, and therefore it is important to monitor this condition, especially in at-risk groups, such as older adults and those with chronic disease. Underlying malnutrition impairs the immune system, potentially making people more vulnerable to infections such as COVID-19 and impacting recovery. Patients recovering from severe illness are likely to have muscle wasting or feel weak and may have increased protein needs. In addition individuals who have been discharged from hospital may need ongoing nutritional rehabilitation. This article explores the range of symptoms of COVID-19 that can interfere with dietary intake, such as respiratory issues, loss of taste and smell and fatigue and weakness. It goes on to describe how community nurses can identify risk of malnutrition and dietary issues when working remotely. Additionally, it signposts to a range of resources developed to assist patients and carers in accessing appropriate dietary advice.

Nurses and Churches Are Essential to Postdisaster Recovery.

Two nurses, a mother and daughter, each participated in disaster relief efforts after Hurricane Andrew in 1992 and Hurricane Dorian in 2019. In recounting their experiences, both nurses demonstrate the vital contributions nurses can make at the sites of disasters. The invaluable role of churches in contributing to the disaster recovery effort is also described.

Social prescribing: a 'natural' community-based solution.

This paper discusses social prescribing as part of the wider NHS England universal personalised care model, and it describes how community nurses can engage with social prescribing systems to support community resilience. A case study based on the example of gardening, as a nature-based social prescription provided by the RHS Bridgewater Wellbeing Garden, is provided to illustrate the scope, reach and impact of non-medical, salutogenic approaches for community practitioners. The authors argue that social prescribing and, in particular, nature-based solutions, such as gardening, can be used as a non-medical asset-based approach by all health professionals working in the community as a way to promote health and wellbeing. They consider how the negative impact of social distancing resulting from COVID-19 restrictions could be diluted through collaboration between a holistic, social prescribing system and community staff. The paper presents a unique perspective on how community nurses can collaborate with link workers through social prescribing to help combat social isolation and anxiety and support resilience.

Using the Omaha System to Evaluate the Integration of Behavioral Health Services into Nurse-Led Primary Health Care.

Integrating behavioral health services into nurse-led primary care at one location ensures that individuals receive a comprehensive array of preventive and restorative services, based on their varying needs. A formative program evaluation of a federally funded behavioral health integration (BHI) project in a small nurse-led clinic used the Omaha System taxonomy to explore the changes in the documented practice of providers due to the BHI implementation. The evaluation provided evidence of the benefits of a collaborative care model to urban low-income, underserved, adults who were predominantly African American/Blacks.

The Global Year of the Nurse and Midwife.

A closer look at the impetus for this designation and implications for U.S. nurses and midwives.

Systematic and integrative reviews: synthesising evidence for community nursing practice.

Ease of access to vast amounts of information presents significant opportunities and challenges for nurses in the community as they seek to base their practice on the best available evidence. Growing expectations around evidence-based practice have developed alongside developments in evidence synthesis, which adopts robust approaches to identifying, appraising and synthesising key evidence for clinical decision-making. The context in which evidence-based practice occurs is key, and this article discusses the skills and knowledge needed for community nurses to discern how evidence and information should influence their decisions to review and change approaches to clinical practice. Importantly, if nurses understand the status of evidence underpinning areas of practice, they can ensure that the preferences and needs of patients and families are met.

Aplicação do arco de Charlez Maguerez na implementação de estratégias para prevenção do câncer de pênis / Application of the arch of Charlez Maguerez on the implementation of penis cancer prevention strategies / Aplicación del arco de Charlez Maguerez en la implementación de estrategias para prevención del cáncer de pene

Objetivo: Descrever a aplicação do Método do Arco da Problematização de Charles Maguerez para promover estratégias de promoção e educação em saúde nos acadêmicos de uma IES localizada no interior do estado de Goiás em relação à prevenção do câncer de pênis. Método: Trata-se de em estudo descrtivo, com abordagem qualitativa. Utilizou-se para este estudo a população dos 422 estudantes dos cursos de enfermagem, farmácia e fisioterapia de uma IES, de uma cidade goiana. A partir deste pressuposto teórico e abordagem, foi realizada intervenção com base no arco da problematização. Resultados: Foram executados e descritos os passos: observação na realidade, levantamento de pontos chaves, teorização, indicação de hipóteses de solução e aplicação à realidade. Foi criado um projeto extensionista intitulado "Lave o Seu Pinto" que teve foco na conscientização dos 27,5 % dos estudantes que apresentaram médio e baixo nível de conhecimento acerca do câncer de pênis. Considerações finais: A utilização de novas práticas educacionais e a avaliação do modo de ensino possibilitam a formação de um profissional holístico detentor de aptidões, a fim de prevenir doenças, como o câncer de pênis através de estratégias de promoção e educação em saúde.

Objective: Describe the application of Charles Maguerez's problem arc method to promote health promotion and education policies in academics of an HEI located in the interior of the state of Goiás in relation to penis cancer tests. Method: This is a descriptive study, with a qualitative approach. Used for this study in the population of 422 students of nursing, pharmacy and physiotherapy courses at an HEI, in a city in the interior of Goiás. Based on this theoretical assumption and approach, an intervention was carried out based on the problem arc. Results: the following steps were carried out and monitored: observation in reality, survey of key points, theorization, indication of solution hypotheses and application in reality. It was created in an extension project entitled "Wash your Pinto", which resulted in the awareness of 27.5% of students who had medium and low level of knowledge about penile cancer. Final considerations: The use of new educational practices and an assessment of the teaching method makes it possible to train a holistic professional who holds strategies for disease prevention professionals, such as penis cancer using health promotion and education strategies

Objetivo: Describe la aplicación del Método del Arco de Problematización de Charles Maguerez para promover políticas de educación y promoción de la salud en académicos de una IES ubicada en el interior del estado de Goiás en relación a la prevención de cáncer de pene. Método: Este es un estúdio descriptivo, con un enfoque cualitativo. Se utilizó para este estudio 422 estudiantes de cursos de enfermería, farmacia y fisioterapia en un IES, en una ciudad brasileña. A partir de este presupuesto y enfoque teóricos, se realizó una intervención basada en el arco de problematización. Resultados: Se llevaron a cabo y monitorearon los siguientes pasos: observación en la realidad, recogido de puntos clave, teorización, indicación de hipótesis de solución y aplicación en la realidad. Se creó un proyecto de extensión titulado "Lave o seu Pinto", que resultó en la concienciación del 27.5% de los estudiantes que tenían un nivel medio y bajo de conocimiento sobre el cáncer de pene. Consideraciones finales: El uso de nuevas prácticas educativas y una evaluación del método de enseñanza permiten capacitar a un profesional holístico que posee estrategias profesionales de prevención de enfermedades, como el cáncer de pene, utilizando aptitudes de educación y promoción de la salud.

Transforming community nursing services in the UK; lessons from a participatory evaluation of the implementation of a new community nursing model in East London based on the principles of the Dutch Buurtzorg model.

BACKGROUND: Buurtzorg, a model of community nursing conceived in the Netherlands, is widely cited as a promising and evidence-based approach to improving the delivery of integrated nursing and social care in community settings. The model is characterised by high levels of patient and staff satisfaction, professional autonomy exercised through self-managing nursing teams, client empowerment and holistic, patient centred care. This study aimed to examine the extent to which some of the principles of the Buurtzorg model could be adapted for community nursing in the United Kingdom. METHODS: A community nursing model based on the Buurtzorg approach was piloted from June 2017-August 2018 with a team of nurses co-located in a single general practice in the Borough of Tower Hamlets, East London, UK. The initiative was evaluated using a participatory methodology known as the Researcher-in-Residence model. Qualitative data were collected using participant observation of meetings and semi-structured interviews with nurse team members, senior managers, patients/carers and other local stakeholders such as General Practitioners (GP) and social workers. A thematic framework analysis of the data was carried out. RESULTS: Implementation of a community nursing model based on the Buurtzorg approach in East London had mixed success when assessed against its key principles. Patient experience of the service was positive because of the better access, improved continuity of care and longer appointment times in comparison with traditional community nursing provision. The model also provided important learning for developing service integration in community care, in particular, how to form effective collaborations across the care system with other health and social care professionals. However, some of the core features of the Buurtzorg model were difficult to put into practice in the National Health Service (NHS) because of significant cultural and regulatory differences between The Netherlands and the UK, especially the nurses' ability to exercise professional autonomy. CONCLUSIONS: Whilst many of the principles of the Buurtzorg model are applicable and transferable to the UK, in particular promoting independence among patients, improving patient experience and empowering frontline staff, the successful embedding of these aims as normalised ways of working will require a significant cultural shift at all levels of the NHS.