{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T07:03:43Z","timestamp":1790147023623,"version":"4.0.1"},"reference-count":66,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":264,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore what motivates nurses to enter and remain in community nursing within Austria\u2019s national pilot project and to examine how autonomy, competence and relatedness shape their professional experiences and retention intentions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Community nursing has been introduced in Austria as an innovative, preventive, community\u2010based model of care. As nursing systems face growing workforce shortages, understanding why nurses choose to transition into and remain in new nursing roles is critical for workforce sustainability and effective service implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study guided by self\u2010determination theory was conducted. Semistructured interviews were carried out with 15 community nurses working in Austria\u2019s community nursing pilot project. Data were analysed using qualitative content analysis, combining inductive coding with a theory\u2010informed analytical framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nurses reported high levels of motivation when their needs for autonomy, competence and relatedness were met. Autonomy was supported through flexible scheduling, independent decision\u2010making and opportunities to shape emerging service structures. Competence was strengthened through direct client contact, diverse responsibilities, interprofessional collaboration and professional development. Relatedness emerged from strong connections with local communities, professional networks and interdisciplinary partners. While intrinsic motivation was driven by meaningful work and contribution to preventive care, extrinsic motivation was strongly influenced by dissatisfaction with previous working conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Community nursing offers an attractive alternative career pathway for nurses by providing working conditions that support psychological needs and professional fulfilment. However, the discontinuation of the pilot project threatens the long\u2010term sustainability of this role.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nursing managers and policymakers should prioritize work environments that support autonomy, competence and relatedness to enhance nurse retention. Integrating community nursing into long\u2010term workforce and primary care strategies may strengthen workforce stability and support sustainable, community\u2010based care delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/7221720","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:36:23Z","timestamp":1790145383000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Motivations to Enter and Remain in Community Nursing: Implications for Workforce Sustainability"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7635-9392","authenticated-orcid":false,"given":"Cornelia","family":"Feichtinger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0166-2455","authenticated-orcid":false,"given":"Helmut","family":"Beichler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Rappold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9605-1467","authenticated-orcid":false,"given":"Igor","family":"Grabovac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_13_1_2","article-title":"Joint Report on Health Care and long-term Care Systems & Fiscal Sustainability: Country Document\u2013Austria (Institutional Paper No. 37, Vol. 2)","author":"European Commission","year":"2016","journal-title":"Directorate-General for Economic and Financial Affairs"},{"key":"e_1_2_13_2_2","unstructured":"Federal Ministry of Social Affairs Health Care and Consumer Protection Implementation Report on the Council Recommendation on Access to Affordable High-Quality Long-Term Care 2024 https:\/\/broschuerenservice.sozialministerium.at\/Home\/Download?publicationId=799%26attachmentName=Implementation_report_on_the_Council_Recommendation_on_access_to_affordable_high_quality_long_term_care.pdf."},{"key":"e_1_2_13_3_2","unstructured":"Eurostat Healthy Life Years Statistics 2024 https:\/\/ec.europa.eu\/eurostat\/statistics-explained\/index.php?title=Healthy_life_years_statistics."},{"key":"e_1_2_13_4_2","unstructured":"Statistics Austria Above-Average Increase in Austria\u2019s Healthcare Expenditure in 2023: Increase of 4.9% Despite Decline in Pandemic-Related Expenditure 2025 https:\/\/www.statistik.at\/fileadmin\/announcement\/2025\/01\/20250130Gesundheitsausgaben2023EN.pdf."},{"key":"e_1_2_13_5_2","unstructured":"OECD State of Health in the EU: Austria: Country Health Profile 2023 2023 https:\/\/www.oecd.org\/content\/dam\/oecd\/en\/publications\/reports\/2021\/12\/austria-country-health-profile-2021_c6864b0a\/d4349682-en.pdf."},{"key":"e_1_2_13_6_2","unstructured":"Statistics Austria Labour Force Stagnates Despite Population Growth: Proportion of the 65+ Age Group Increases to Just Under 27% by 2040 2024 https:\/\/www.statistik.at\/fileadmin\/announcement\/2024\/11\/20241127BevoelkerungsprognoseEN.pdf."},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/01640275231209683"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000034374"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.32481\/djph.2022.08.007"},{"key":"e_1_2_13_10_2","unstructured":"Federal Ministry of Social Affairs Health Care and Consumer Protection Factsheet Zu Community Nursing 2021 https:\/\/cn-oesterreich.at\/system\/files\/inline-files\/factsheet_CommunityNursing_final_barrierefrei.pdf."},{"key":"e_1_2_13_11_2","article-title":"Pilotierung Von Community Nursing in \u00d6sterreich 2022\u20132024","author":"Eberle L.","year":"2025","journal-title":"Erkenntnisse und Ergebnisse aus der Pilotphase"},{"key":"e_1_2_13_12_2","volume-title":"Community Nursing in \u00d6sterreich: Grundlagen Und Methoden F\u00fcr Die Gemeindenahe Pflege","author":"Austrian National Public Health Institute (G\u00d6G)","year":"2025"},{"key":"e_1_2_13_13_2","volume-title":"Aufgaben\u2010Und Rollenprofil","author":"Kozisnik P.","year":"2021"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1446.1998.tb00341.x"},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-021-00775-0"},{"key":"e_1_2_13_16_2","unstructured":"WHO Enhancing the Role of Community Health Nursing for Universal Health Coverage 2017 https:\/\/iris.who.int\/bitstream\/handle\/10665\/255047\/9789241511896-eng.pdf."},{"key":"e_1_2_13_17_2","unstructured":"OECD Nurses. 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