A Model to Develop Nurse Leaders for Rural Practice

Hauenstein, Emily J.; Glick, Doris F.; Kane, Catherine; Kulbok, Pamela A.; Barbero, Edie Devers; Cox, Kathleen

doi:10.1016/j.profnurs.2014.04.001

Cited by 13 publications

(18 citation statements)

References 93 publications

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“…Nurses are the foundation of rural hospitals and play a pivotal role in these important community resources (Kulig et al, 2015(Kulig et al, , 2009). Rural hospital nurses must be multiskilled and adaptable; they fill the gaps in health care caused by geographic isolation and lack of professional resources (Francis & Mills, 2011;Hauenstein et al, 2014). Despite the important role of nurses in rural hospitals, a nursing workforce shortage is ongoing (Fields, Bell, Bigbee, Thurston, & Spetz, 2018).…”

Section: Impli C Ati On S For N Ur S Ing Manag Ementmentioning

confidence: 99%

“…Rural populations are more likely to have higher morbidity and mortality rates than those in metropolitan areas (Scheil‐Adlung, ). Additionally, rural populations are likely older, less affluent, less educated and have less access to preventative health programs (Hauenstein et al, ; Schlairet, ). These health disparities can be attributed to shortages of health professionals, facilities and specialized services in rural areas (Lauder, Reel, Farmer, & Griggs, ; Nelson, Pomerantz, Howard, & Bushy, ).…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ experiences of working in rural hospitals: An integrative review

2018

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Section: Impli C Ati On S For N Ur S Ing Manag Ementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurses’ experiences of working in rural hospitals: An integrative review

2018

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“…Thirteen articles were selected, (4,5,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) of which 70% were indexed in the Science Direct database, 100% were in English, 36% from Australia, 29% from Canada, 21% from the USA, 7% from Norway, and 7% were multinational (USA-Canada). The year 2013 had the greatest amount of publications (30%).…”

Section: Resultsmentioning

confidence: 99%

Possibilidades de formação em enfermagem rural: revisão integrativa

et al. 2019

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Objective: To understand the formation process in international rural nursing and the repercussions on formation and practice in Brazil. Methods: Integrative review composed of six stages. Data were collected in March 2018 in PubMed and Direct Science with the descriptor 'Rural nursing' and the keyword 'formation' by combining the Boolean operators 'AND' and 'OR'. Original articles from the previous ten years in in Portuguese, Spanish and English that met the inclusion criteria were eligible. Qualitative analysis was performed with the construction of subsets and topics. Results: Inclusion of 13 articles addressing: nursing undergraduate course, distance learning undergraduate courses; curricular internships in rural health services and simulated activity with cases of rural families. Post-graduation: postgraduate internship in rural health unit, advanced nursing practice (ANP) course with emphasis on the rural setting, and the need for continuing education activity in rural nursing. Conclusion:The analysis of studies demonstrated that strategies of qualifi cation of rural health professionals can be applied in different ways, with use of several methodologies and associated technologies according to professionals' needs and availability. A range of possibilities can be discussed and developed by nursing for the qualifi cation and consolidation of rural nursing practice in Brazil. ResumoObjetivo: Conhecer o processo de formação em enfermagem rural internacional e as repercussões na formação e prática no Brasil. Métodos: Revisão integrativa composta por seis etapas. Os dados foram coletados no mês de março de 2018, nas bases PubMed, Direct Science, com o descritor "Rural nursing" e a palavra-chave "formation", com a combinação dos operadores booleanos "AND" e "OR". Foram elegíveis artigos dos últimos 10 anos, originais, nos idiomas: português, espanhol e inglês, coadunando aos critérios de inclusão e exclusão. Realizou-se análise qualitativa com a construção de subconjuntos e tópicos. Resultados: Totalizou-se 13 artigos abordando: graduação em enfermagem, cursos de graduação à distância; estágios curriculares em serviços de saúde rural e atividade simulada com casos de famílias rurais. Pós-graduação: estágio de pós-graduando em unidade de saúde rural, curso de prática de enfermagem avançada com ênfase no contexto rural e a necessidade de atividade de educação permanente em enfermagem rural. Conclusão: Os estudos analisados evidenciam que as estratégias de qualifi cação dos profi ssionais de saúde rural podem ser realizadas de diferentes formas, com a utilização de várias metodologias e tecnologias associadas, conforme a necessidade e disponibilidade dos profi ssionais, apresentando-se como um leque de possibilidades a serem discutidas e desenvolvidas pela enfermagem, para a qualifi cação e consolidação da prática da enfermagem rural no Brasil. ResumenObjetivo: Conocer el proceso de formación en enfermería rural internacional y las repercusiones en la formación y práctica en Brasil. Métodos: Revisión integrativa co...

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“…In addition, a need exists in rural areas for advanced practice nurses (APRNs) who understand rural and community norms and can effectively address the crises that often result when residents wait until they are seriously ill or injured before seeking professional care (Hauenstein et al., ). Data show that, in general, both nationally and internationally, the shortage of adequate health care in rural settings is a function of multiple factors, including provider shortages, deficient quality of the care available, work overload for existing health care professionals, and the feasibility of longstanding, trusted relationships between residents and providers, including nurses (National Conference of State Legislatures, ; Weinhold & Gurtner, ).…”

Section: Resultsmentioning

confidence: 99%

“…Hauenstein et al. () formalized an educational model known as Transformational Nursing Leadership in Rural Health Care to integrate rural health content into the APRN curriculum at the University of Virginia. Their program emphasizes leveraging specific knowledge of rural communities and population groups, led by nurses “in interaction with rural residents and their communities to improve the effectiveness of the rural health care system and health outcomes for rural residents” (Hauenstein et al., , p. 466).…”

Section: Resultsmentioning

confidence: 99%

An Ethnographic Meta‐Synthesis of Three Southwestern Rural Studies

Averill

2015

Public Health Nursing

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Objectives The objectives were to synthesize cumulative findings across three critical ethnographic, community-partnered studies in the southwestern United States and to describe the process of meta-ethnography for that analysis. Design The meta-ethnography followed the design of Noblit and Hare for constructing an analysis of composite data, informed by community-based participatory research and Stringer’s ethnographic strategies of Look-Think-Act. Sample The three studies occurred in rural settings of Colorado and New Mexico, engaging 129 total participants, along with community organizations and agencies as partners. Methods Methods consisted of detailed review of each original study, mapping of major concepts and themes, and general analysis, interpretation, and synthesis across the studies. Results Overall themes were: health is the capacity to care for oneself and do work, meaningful relationships are key in health care interactions, patterns of discrimination persist in rural settings, poor literacy and health literacy are barriers, and food insecurity is a growing concern for older rural adults. Conclusions Resolutions involve practice, policy and research and must incorporate all stakeholder groups in rural settings; a participatory approach is critical to prioritize and impact existing inequities; and work is needed to extend education and understanding of multiple cultures, groups, customs, and rural contexts.

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A Model to Develop Nurse Leaders for Rural Practice

Cited by 13 publications

References 93 publications

Nurses’ experiences of working in rural hospitals: An integrative review

Nurses’ experiences of working in rural hospitals: An integrative review

Possibilidades de formação em enfermagem rural: revisão integrativa

An Ethnographic Meta‐Synthesis of Three Southwestern Rural Studies

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