Mary Breckinridge and the Frontier Nursing Service: Saddlebags and Swinging Bridges

Cockerham, Anne Z.

doi:10.1891/9780826196156.0006

Cited by 2 publications

(1 citation statement)

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“…Examples of nursing leadership are demonstrated by nurses serving as community advocates bringing needed healthcare services to underserved communities (Cockerham, 2015;Fletcher, Slusher, & Hauser-Whitaker, 2006;Huttlinger, Schaller-Ayers, Kenny, & Ayers, 2004;McDaniel & Strauss, 2006;Snyder & Thatcher, 2014;Winters & Lee, 2018). The literature illustrates how nurses work to improve outcomes for clients and communities, yet little is known about the personal experience of nursing.…”

Section: Rural Nursingmentioning

confidence: 99%

The Lived Experience of Nursing Appalachia

Brewer

Weierbach²,

Fletcher

et al. 2020

OJRNHC

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Purpose: Research in rural areas presents special challenges for sampling and recruitment. Examples of considerations include smaller sampling population, privacy concerns, and the rural context. The purpose of this article is to discuss the results of sampling and recruitment strategies within this study. Sample: Nurses form a central hub of health care in rural communities. However, little is known about the lived experience of nurses serving in this capacity. This study explored stories of nurses in a six-county area of three adjoining states in rural South Central Appalachia. Method: Recruitment for the study was completed using state boards of nursing social marketing strategies and snowball sampling. Findings: Sampling and recruitment efforts enlisted 15 participants. The sample was deemed representative of the population as participants represented diverse employment contexts, education preparation levels, licensure duration, and multiple generations. Conclusions: Understanding implications of rural setting and cultural context are critical to successful recruitment and sampling. Privacy considerations may still be concerning, however, multiple de-identification strategies serve to help lessen this risk. Social marketing strategies failed to recruit the needed number of participants secondary to the fact that participants from only one state were recruited in this manner. Smaller population pool limitations were eased by snowball sampling, an approved recruitment method in qualitative research. Future researchers should be cognizant of the influence of rurality norms and cultural context on recruitment and sampling efforts. Social marketing proved less successful than snowball sampling strategies. Further research is needed to develop best practice for rural recruitment and sampling via social marketing. Finally, time and resource commitment for participation can be a barrier. Flexibility in scheduling interviews, location of interview sites, and the availability of audio/phone interviews served to facilitate agreement to participate. Key words: rural, nursing, Appalachia, research, sampling, recruitment

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Section: Rural Nursingmentioning

confidence: 99%

The Lived Experience of Nursing Appalachia

Brewer

Weierbach²,

Fletcher

et al. 2020

OJRNHC

View full text Add to dashboard Cite

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A Century Later: Rural Public Health’s Enduring Challenges and Opportunities

Ziller

Mph

2020

Am J Public Health

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The US public health community has demonstrated increasing awareness of rural health disparities in the past several years. Although current interest is high, the topic is not new, and some of the earliest public health literature includes reports on infectious disease and sanitation in rural places. Continuing through the first third of the 20th century, dozens of articles documented rural disparities in infant and maternal mortality, sanitation and water safety, health care access, and among Black, Indigenous, and People of Color communities. Current rural research reveals similar challenges, and strategies suggested for addressing rural–urban health disparities 100 years ago resonate today. This article examines rural public health literature from a century ago and its connections to contemporary rural health disparities. We describe parallels between current and historical rural public health challenges and discuss how strategies proposed in the early 20th century may inform current policy and practice. As we explore the new frontier of rural public health, it is critical to consider enduring rural challenges and how to ensure that proposed solutions translate into actual health improvements. (Am J Public Health. Published online ahead of print September 17, 2020; e1–e9. https://doi.org/10.2105/AJPH.2020.305868 )

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Mary Breckinridge and the Frontier Nursing Service: Saddlebags and Swinging Bridges

Cited by 2 publications

References 0 publications

The Lived Experience of Nursing Appalachia

The Lived Experience of Nursing Appalachia

A Century Later: Rural Public Health’s Enduring Challenges and Opportunities

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