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Confidence in helping was analyzed together with background characteristics and selected explanatory variables, such as the workplace and work experience of the participants, their personal experiences of and attitudes to mental ill-health, as well as their knowledge in mental ill-health among older adults, by means of descriptive statistics and logistic regression analysis.

To increase confidence in helping older adults with mental ill-health, we recommend confidence-building interventions, for example, educational programs, through which knowledge of mental health among older adults is increased and negative attitudes are challenged, especially within the context of specialist somatic healthcare.

Methodological Design and Justification: A phenomenological hermeneutical design was applied, as there is a need to understand the lifeworld and the meaning of being a nurse in the archipelago. All participants provided consent to participate. Research Method: Individual interviews were conducted with 11 nurses Registered Nurses or primary health nurses.

The interviews were transcribed, and the text was analysed by means of phenomenological hermeneutical method. Results: The analyses ended in one main theme: Standing alone on the frontline, and three themes: 1.