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This article explores relationships between rural nurse cultural self-efficacy and job satisfaction using an online survey of 104 rural nurses in the Northwest. The authors found that self-efficacy was associated with personal characteristics: rural lifestyle and job satisfaction. Nurses who were older, experienced, and with urban backgrounds reported more efficacies when caring for people of different ethnic or racial backgrounds, preferences, and health conditions. Nurses with high cultural self-efficacy expressed intention to leave employment. Rural background nurses expressed the most job satisfaction. The authors conclude exposure to diversity may increase cultural self-efficacy.

The Rural Nurse Internship program is a distance education-based nurse residency designed to meet the needs of rural hospitals across the country. Nurses learn to perform the generalist role by practicing crisis assessment and management in six subnursing specialties. The collaborative yearlong residency provides preceptors, mentors, monthly seminars, and just-in-time information to novice nurses in their own hospitals using instructional technologies. Expert rural nurses teach novice employees using a standardized curriculum. Hospitals individualize the program to meet employee and hospital needs.

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