https://door.donau-uni.ac.at/o:5221 Nursing interventions in a newly established community health nursing system: A cross sectional survey Kovacevic, Raimund M. Raimund M. Kovacevic 0000-0003-1359-8112 Universität für Weiterbildung Krems Behrens, Doris A. Doris A. Behrens 0000-0002-5772-5307 Universität für Weiterbildung Krems Hyll, Walter Walter Hyll Universität für Weiterbildung Krems Elsevier journal article eng Abstract Background Community health nursing was introduced in Austria in 2022. Information about nurses' activities, their alignment with established public health frameworks, and their relationship to existing care services is crucial for understanding the role's implementation and potential impact. Objective This study examines the activities of the first cohort of Austrian Community Health Nurses, focusing on their alignment with the Public Health Intervention Wheel and the Nursing Intervention Classification. An important aspect comes from the question, whether these new services complement or substitute existing direct care services. In this process, we also address heterogeneity across urbanization levels. Design Cross-sectional survey. Setting(s) An online survey (April to June 2023) among Community Health Nurses captured their perception of activity frequencies based on the Public Health Intervention Wheel and Nursing Intervention Classification. Participants 130 nurses (59 %, N = 220) answered >6 (out of 33) questions, 98 nurses (45 %, N = 220) provided all required information. Methods The analysis used descriptive statistics, statistical tests, and hierarchical cluster analysis, employing Excel®, Stata® and R. Results Austrian Community Health Nurses implement many principles of the Public Health Intervention Wheel, with a focus on counselling, consultation, and health teaching. Direct care interventions (according the Nursing Intervention Classification) are rarely performed. Findings indicate that community health nurses complement rather than substitute existing direct care and home nursing services. However, unlike international practices, activities are primarily at the individual level, with limited engagement at community and systems levels. Conclusions Community health nursing in Austria demonstrates a public health focus and therefore complements existing care services. However, it focuses primarily at the individual level, which differs from international norms where activities span individual, community, and systems levels. Tweetable abstract First Austrian Community Health Nurses implement public health intervention principles mainly on individual level. Activity Profile Clustering Community Health Nursing Cross-sectional survey Nursing Intervention Classification Public Health Intervention Wheel http://creativecommons.org/licenses/by-nc-nd/4.0/ https://door.donau-uni.ac.at/api/object/o:5221/download 10.1016/j.ijnsa.2024.100258 https://door.donau-uni.ac.at/o:5859 application/pdf International Journal of Nursing Studies Advances International Journal of Nursing Studies Advances 7 706.96 kB 2024-12