Gaps in the primary care of rural and underserved populations: The impact of nurse practitioners in four Mississippi Delta states

Odell, Ellen; Kippenbrock, Tom; Buron, William; Narcisse, Marie‐Rachelle

doi:10.1111/1745-7599.12023

Cited by 10 publications

(13 citation statements)

References 11 publications

(16 reference statements)

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“…NPs' workplace addresses indicated 60% of them were employed in rural settings and 35% were employed in HPSAs. A decade later, Odell, Kippenbrock, Buron, and Narcisse (2013) found similar results with white female and MSN-prepared NPs. Fifty-four percent practiced in a rural area and 24% practiced in a designated HPSA.…”

Section: Previous Np Workforce Research In the Southern United Statessupporting

confidence: 57%

The Southern states: NPs made an impact in rural and healthcare shortage areas

Kippenbrock

Odell

et al. 2015

Journal of the American Association of Nurse Practitioners

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Purpose To investigate the distribution of nurse practitioners (NPs) in the U.S. Southern region with a focus on rural and underserved areas. Described in this study are the NP characteristics and their workforce distribution relative to rural and health professional shortage areas (HPSAs). Data sources Method: A questionnaire was administered to NPs in 12 Southern states. Other data sources included (a) the Health Resources and Services Administration, which identified HPSAs; and (b) data from the U.S. Census Bureau, to distinguish urban and rural areas. Conclusions Approximately 72% of NPs worked in HPSAs and less than half of the NPs worked in the rural area. Family NPs were more likely to practice in rural and HPSAs. Employment in primary care was more likely to occur in rural and HPSAs. Racial diversity was almost nonexistent within the NP population. Implication for practice This research does demonstrate that NPs are practicing in rural and underserved areas as conceived decades ago, but there is still a great demand and gap to fill. To optimize their effectiveness, NPs need to practice to the full extent of their education. Additionally, more research and strategies to help diversify the workforce is needed.

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Section: Previous Np Workforce Research In the Southern United Statessupporting

confidence: 57%

The Southern states: NPs made an impact in rural and healthcare shortage areas

Kippenbrock

Odell

et al. 2015

Journal of the American Association of Nurse Practitioners

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“…Another finding of this study was that the proportion of individuals with at least 1 preventive dental checkup in a year, based on region, was the lowest in the South. Southern states, compared to the rest of the country, have a lower density of health staff and physicians, which includes oral health care providers, to provide care to the population . At the state level, in 1 study, researchers surveyed and screened patients of a rural Oregon family medicine practice.…”

Section: Discussionmentioning

confidence: 94%

“…Southern states, compared to the rest of the country, have a lower density of health staff and physicians, which includes oral health care providers, to provide care to the population. 37 At the state level, in 1 study, researchers surveyed and screened patients of a rural Oregon family medicine practice. They found that 28% of the patients reported experiencing unmet dental needs, and half of the patients who were screened had oral health conditions detected.…”

Section: Discussionmentioning

confidence: 99%

Preventive Dental Checkups and Their Association With Access to Usual Source of Care Among Rural and Urban Adult Residents

Khan

Thapa

Zhang

2017

The Journal of Rural Health

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Individuals with a USC were more likely to obtain a preventive dental visit, with similar effects in rural and urban settings. We attributed the lower odds of having a checkup in rural regions to the lower density of oral health care providers in these areas. Integration of rural oral health care into primary care may help mitigate the challenges due to a shortage of oral health care providers in rural areas.

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“…Their healthcare services are considered to be a substitution for primary care physicians with a positive effect on patient satisfaction and lower mortality (Kippenbrock et al., ; Martinez‐Gonzalez et al., ). Thus, it is important not only to educate NPs for primary care but also to recruit and retain NPs to improve access to care for rural residents, and because job satisfaction is important for the recruitment of healthcare professionals (Odell, Kippenbrock, Buron, & Narcisse, ; Pron, ), the nature of job satisfaction among rural NPs should be examined further.…”

Section: Discussionmentioning

confidence: 99%

Nurse practitioners’ job satisfaction in rural versus nonrural areas

Bae

2016

Journal of the American Association of Nurse Practitioners

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Purpose The purpose of this study is to examine the nature of nurse practitioners’ (NPs) job satisfaction and its relationship to work conditions in rural versus nonrural areas. Data sources A secondary analysis of data extracted from the 2012 National Sample Survey of Nurse Practitioners. NPs in active practice in clinical settings were included in this study. The final analytic sample consisted of 9010 NPs. Conclusions and implications for practice Overall, NPs were satisfied with their positions (satisfied to very satisfied). Both rural and nonrural NPs were most satisfied with the proportion of their time spent in patient care, their level of autonomy, and the respect that they received from other colleagues. Nonrural NPs who said or stated that they performed to the fullest extent of their states’ legal scope of practice were more satisfied than nonrural NPs who did not. When nonrural NPs fully utilized their NP skills, their job satisfaction increased. For rural NPs, a similar pattern was found regarding full use of their NP skills. The evidence found in this study reminds us that given the increasing demands for NPs’ healthcare services, continuous effort should be made to recruit and retain rural NPs.

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Gaps in the primary care of rural and underserved populations: The impact of nurse practitioners in four Mississippi Delta states

Cited by 10 publications

References 11 publications

The Southern states: NPs made an impact in rural and healthcare shortage areas

The Southern states: NPs made an impact in rural and healthcare shortage areas

Preventive Dental Checkups and Their Association With Access to Usual Source of Care Among Rural and Urban Adult Residents

Nurse practitioners’ job satisfaction in rural versus nonrural areas

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