PP-23 Exploring the nursing associate and student nursing associate role in the hospice setting: a qualitative study

Background The Nursing Associate (NA) role was introduced in England in 2017 to bridge the gap between healthcare assistants and registered nurses. While integration of the role has been explored in acute and community settings, little is known about its Impact in hospices- despite increasing demand on palliative and end-of-life (EoL) services (Bailey & Talbot, 2024). Understanding how this role functions in hospices is vital for workforce planning and service sustainability. Aims To explore the experiences and perceived Impact of the NA/Student Nursing Associate (SNA) role within hospice settings in South-West England, from the perspective of both those in the role and wider multidisciplinary team members. Methods A qualitative study was undertaken involving 13 semi-structured interviews and one focus group with NAs, SNAs and wider hospice staff across seven hospices. Data were analysed thematically using the principles of reflexive thematic analysis (Braun & Clarke, 2019). Results Participants described the NA/SNA role as enhancing nursing capacity, offering career progression for hospice staff, and enabling more holistic care. Hospices were seen as well-suited environments for developing clinical, communication and holistic care skills due to their slower pace, emphasis on person-centred care, and supportive team culture. However, challenges included defining role boundaries, staffing logistics (especially on night shifts), and initial resistance from some team members. Conclusion The NA role has strong potential to strengthen hospice nursing teams but requires clarity of scope, consistent mentorship, and structured career pathways to ensure successful integration and retention. Impact This study provides new evidence on the contribution of emerging nursing roles to palliative and EoL care delivery. Insights can inform workforce planning, education, and policy to enhance hospice capacity and continuity of care- addressing key national priorities for the future of hospice and palliative care provision. References Bailey A, Talbot R. (2024) Funding Hospice Care: Fit for the Future? All-Party Parliamentary Group for Hospice and End of Life Care. London: UK Parliament. Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health 2019;11(4):589–597.