The study registered nurses ’ practice was independent of the domestic violence infrastructure. Nurse researchers provided the clinical supervision, protocols, and training; these activities evolved in response to interventionist experiences. RNs functioned autonomously, intentionally using a social determinants of health perspective within their professional scope of practice. We gradually realized that integrating a health care provider within a community-based domestic violence outreach program would require significant change in infrastructure to bridge existing sectoral silos and provide the level of supervision and practice guidelines that registered nurses needed