An Analysis of Key Concepts for Rural Nursing

Lee, Helen J.; Winters, Charlene A.; Boland, Robin L.; Raph, Susan J.; Buehler, Janice A.

doi:10.1891/9780826170866.0030

Cited by 8 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Wilson et al reviewed rural workforce policy in Australia and noted a focus on the shortage of physicians rather than the shortage of all health professionals across the health care system [14]. Lee and Winters also found that recruitment and retention strategies centred on medicine and nursing [15]. …”

Section: Introductionmentioning

confidence: 99%

Recruitment and retention of occupational therapists and physiotherapists in rural regions: a meta-synthesis

Roots

2013

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundSignificant efforts have been made to address the shortage of health professionals in rural communities. In the face of increasing demand for rehabilitation services, strategies for recruiting and retaining occupational therapists (OTs) and physiotherapists (PTs) have yielded limited success. This study aims to broaden the understanding of factors associated with recruitment and retention of OTs and PTs in rural regions, through a synthesis of evidence from qualitative studies found in the literature.MethodsA systematic search of three databases was conducted for studies published between 1980 - 2009 specific to the recruitment and retention of OTs and PTs to rural areas. Studies deemed eligible were appraised using the McMaster Critical Review Form. Employing an iterative process, we conducted a thematic analysis of studies and developed second order interpretations to gain new insight into factors that influence rural recruitment and retention.ResultsOf the 615 articles retrieved, 12 qualitative studies met the eligibility criteria. Our synthesis revealed that therapists’ decision to locate, stay or leave rural communities was influenced to a greater degree by the availability of and access to practice supports, opportunities for professional growth and understanding the context of rural practice, than by location. The second-order analysis revealed the benefits of a strength-based inquiry in determining recruitment and retention factors. The themes that emerged were 1) support from the organization influences retention, 2) with support, challenges can become rewards and assets, and 3) an understanding of the challenges associated with rural practice prior to arrival influences retention.ConclusionsThis meta-synthesis illustrates how universally important practice supports are in the recruitment and retention of rehabilitation professionals in rural practice. While not unique to rural practice, the findings of this synthesis provide employers and health service planners with information necessary to make evidence-informed decisions regarding recruitment and retention to improve availability of health services for rural residents.

show abstract

Section: Introductionmentioning

confidence: 99%

Recruitment and retention of occupational therapists and physiotherapists in rural regions: a meta-synthesis

Roots

2013

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…7 The “rural mindset,” while difficult to measure, is also an important factor that influences how people perceive themselves and their illness. 29 If patients believe they can manage their health without following guidelines on worsening symptoms, they may delay seeking treatment and experience more frequent exacerbations. Decreased cognitive function before receiving an LVAD could mean that rural people may have worse postsurgical outcomes compared with urban people.…”

Section: Discussionmentioning

confidence: 99%

Pre-left Ventricular Assist Device Cognition: A Comparison of Rural and Urban Implant Recipients

et al. 2021

View full text Add to dashboard Cite

Mild cognitive impairment (MCI) is common in patients before left ventricular assist device (LVAD) placement. The consequences of these deficits may differentially impact groups of patients with limited access to postimplantation resources, such as those in rural areas. However, to date, no studies have examined preimplantation cognition in rural and urban patients. Therefore, the purpose of this study was to compare cognition in rural and urban patients before LVAD implantation. This observational cohort study is a secondary analysis of 265 patients undergoing LVAD implantation between July 2004 and June 2019. Preimplantation cognitive function was assessed. Rural-Urban Commuting Area Codes designated rural and urban. Independent-samples Mann-Whitney U tests were used to compare rural and urban cohorts. Subjects were 75.8% (201/265) male, 75.4% (200/265) urban, and 56.6% (±13.2) years old. Rural subjects scored significantly lower on the Mini Mental Status Exam (MMSE) (27 ± 2.20) and Wide Range Achievement Test (WRAT) (32 ± 22.9) compared with urban counterparts (MMSE, 27.6 ± 2.7) (p = 0.009); WRAT (44.4 ± 26.2) (p = 0.02) pre-LVAD. These findings suggest rural patients may have greater MCI before LVAD implantation. Rural LVAD recipients with MCI may require additional intensive education and tailored resource identification before discharge.

show abstract

“…Key concepts were identified in terms of beliefs regarding work and health, isolation and distance, self-reliance and interdependence, lack of anonymity, outsider/insider, and old-time/newcomer and are generally recognized as necessary to understand rural healthcare and rural nursing (Long & Weinert, 1989). Lee, Winters, Boland, Raph, and Buehler (2013) further analyzed these concepts, reviewed the empirical evidence to date, and highlighted where there was a need for additional testing of the relational statements that provide the bridge among these concepts. Leaders who excel in rural healthcare arenas understand the interconnectedness of rural communities and use this to their advantage (Bish, Kenny, & Nay, 2015).…”

Section: Context Mattersmentioning

confidence: 99%

Leading-Following in the Context of Rural Nursing

Fahs

2017

Nurs Sci Q

View full text Add to dashboard Cite

Leading-following, as defined by Parse, is "deliberately innovating with potent engaging in persistently pursuing excellence. It is an indivisible, unpredictable, ever changing cocreation." Parse noted that processes forming the essence of leading-following require commitment, risk-taking, acknowledging ambiguity, respecting others, and vigilance. There is a bond between members of society and nurses-an expectation that nurses will provide care to individuals, families, and communities. Nursing is a profession where the potential to create meaning in healthcare has not yet been fully realized.

show abstract

An Analysis of Key Concepts for Rural Nursing

Cited by 8 publications

References 0 publications

Recruitment and retention of occupational therapists and physiotherapists in rural regions: a meta-synthesis

Recruitment and retention of occupational therapists and physiotherapists in rural regions: a meta-synthesis

Pre-left Ventricular Assist Device Cognition: A Comparison of Rural and Urban Implant Recipients

Leading-Following in the Context of Rural Nursing

Contact Info

Product

Resources

About