ArticleJournal of advanced nursing2026
'We've Taken on a More Advanced Clinical Role': A Multimethod Study of Community Nurses' Extended Roles in Palliative Care.
Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Provision of palliative and end-of-life care by community health nurses: A scoping review on the challenges and potential solutions.International journal of nursing studies advances · 2026Review
- Hidden work and blurred boundaries: a qualitative study of how community nurses navigate and adapt injectable medication processes to provide timely end-of-life symptom control.BMC palliative care · 2026Article
- Nurse Managers' Strategies to Navigate Clinical Leadership and Managerial Responsibilities: A Scoping Review.Journal of nursing management · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
aimTo explore community nurses' experiences of changes to their roles in palliative and end-of-life care.
designAn e-survey was followed by focus groups.
methodsFifty-one community nurses with recent experience of delivering end-of-life care in the United Kingdom completed a survey about changes to their roles. A purposive sample of 35 respondents participated in focus groups exploring these changes in more depth; thematic analysis was used with constant comparison.
resultsAs well as two new roles-prescribing and verifying death-many participants talked about a broader expansion of their role, increasing their leadership in making complex end-of-life care decisions with patients and families. Most nurses expressed pride in their new knowledge and skills, and satisfaction with the care they were providing. Yet many also expressed distress that heavy workloads impaired their capacity both to provide good clinical care and to train junior colleagues. The importance of General Practitioner support with complex cases was often highlighted, but accessing such support was sometimes difficult.
conclusionWhile welcoming the opportunity to extend their palliative care roles, many participants indicated experiencing moral distress. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Excessive workloads and patchy medical support threaten the retention of the experienced nurses upon whom community palliative care depends. IMPACT: Our findings suggest that new and extended palliative care roles are viewed positively by nurses. To be sustainable, these changes require better workload management and consistent medical back-up. REPORTING: We adhered to relevant EQUATOR guidelines, using the SRQR checklist. PATIENT OR PUBLIC CONTRIBUTION: Our Public and Clinician Advisory Group helped shape questions and commented on findings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.