An important way to address the chronic shortage of registered nurses in rural healthcare is to provide undergraduate education opportunities in rural settings. Few programs however, prepare all of their graduates for rural practice. The purpose of this article is to discuss undergraduate programs in a School of Nursing in mid-northern Canada with a focus on caring for rural populations. Issues posed by a vast, sparsely populated rural and northern geography for nursing education are explored. Key concerns in curriculum, clinical practice opportunities, student support, administration, and faculty engagement are discussed in light of how they may be embraced and addressed in ways that promote high quality nursing education, particularly undergraduate education. Central to the School and program's success is a practice-driven approach to nursing education that is built upon a multi-faceted partnership with the regional health authority. Instead of viewing rural nursing as a program component, this paper offers an approach to making rural practice central to the character of nursing education programs.
Substance use is a phenomenon affecting over 250 million people worldwide, with approximately 27 million people identified as living with a substance use disorder (SUD). This research study addressed the question "what are registered nurses' experiences caring for people with SUD in Emergency Department settings?" A qualitative descriptive methodology was used in the investigation which consisted of semi-structured interviews with 13 Registered Nurses recruited from three Emergency Departments within northern British Columba. Data was analyzed thematically and three major themes emerged: People with SUD in the Emergency Department; Organizational Barriers to Care and; Beliefs andAttitudes. This research provides insights into the challenges that nurses face caring for people with SUD in the Emergency Department setting, the need for education and resources aimed at improving outcomes for people with SUD, and the varying attitudes and beliefs that nurses hold regarding SUDs and people with SUDs, and how these impact care provision.iii
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