Aim To describe diabetes nurses' perspectives on the impact of the COVID‐19 pandemic on people with diabetes and diabetes services across Europe. Methods An online survey developed using a rapid Delphi method. The survey was translated into 17 different languages and disseminated electronically in 27 countries via national diabetes nurse networks. Results Survey responses from 1829 diabetes nurses were included in the analysis. The responses indicated that 28% (n = 504) and 48% (n = 873) of diabetes nurses felt the COVID‐19 pandemic had impacted ‘a lot’ on the physical and psychological risks of people with diabetes, respectively. The following clinical problems were identified as having increased ‘a lot’: anxiety 82% (n = 1486); diabetes distress 65% (n = 1189); depression 49% (n = 893); acute hyperglycaemia 39% (n = 710) and foot complications 18% (n = 323). Forty‐seven percent (n = 771) of respondents identified that the level of care provided to people with diabetes had declined either extremely or quite severely. Self‐management support, diabetes education and psychological support were rated by diabetes nurse respondents as having declined extremely or quite severely during the COVID‐19 pandemic by 31% (n = 499), 63% (n = 1,027) and 34% (n = 551), respectively. Conclusion The findings show that diabetes nurses across Europe have seen significant increases in both physical and psychological problems in their patient populations during COVID‐19. The data also show that clinical diabetes services have been significantly disrupted. As the COVID‐19 situation continues, we need to adapt care systems with some urgency to minimise the impact of the pandemic on the diabetes population.

The researchers' awareness of cultural differences and their ability to work in a culturally sensitive way are key factors in improving study participation and retention in a multicultural context. Taking cultural aspects into account during the whole research process improves the quality of research.

This study investigated the kinds of ethical challenges experienced by nurses in oncology and hematology when nursing care and research overlap in clinical trials, and how the nurses handle such challenges. Individual interviews with 39 nurses from Sweden, Denmark, and Finland indicated that all nurses were positive about research, considering it essential for developing the best care. Ethical challenges exist, however; the most difficult were associated with the end-of-life patients, no longer responsive to standard therapy, who eagerly volunteer for cutting-edge drug trials in the hope of gaining therapeutic benefit. Many nurses lacked systematic strategies for addressing such challenges but found support from their nursing colleagues and relied on the research protocols to guide them.

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The aim of counselling is to optimise diabetic patients' self‐care by increasing knowledge, skills and self‐awareness. Patients' resources during counselling have been supported by highlighting health‐promoting aspects. The aim of this study was to describe diabetes patients' perceptions of their coping resources and experiences of counselling by nurses. The ultimate aim was to understand how health‐promoting aspects are realised in counselling according to diabetes patients. We used a descriptive qualitative approach with thematic individual interviews conducted in December 2011 and January 2012. The data were analysed by inductive content analysis. Study participants comprised 15 adults with type 2 diabetes. Participants considered their coping resources to be an accepting attitude towards the disease, adherence to self‐care, knowledge of the disease and supportive relationships. In addition, activities and support by the nurse were mentioned. Participants reported that the content of counselling focused mainly on medication. The form of counselling was individual in a person‐centred way. It can be concluded from the study that resources that have a positive impact on diabetes patients' self‐care must be emphasised in counselling guidance. Nurses have the professional responsibility for counselling but also the right to have more knowledge. Nurses giving advice to diabetes patients should receive education based on the healthpromoting aspects in order to assist them in providing comprehensive guidance. The findings of the study can be used to develop comprehensive health promotion in nursing.