Rural Nursing: Developing the Theory Base

Long, Kathleen Ann; Weinert, Clarann

doi:10.1891/9780826170866.0001

Cited by 64 publications

(43 citation statements)

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“…In rural locales, it is important to hear from nursing staff as these providers help offset physician shortages in geographically isolated communities (Gamm, Castillo, & Pittman, ). Further, nursing professionals play a variety of professional and personal roles in rural areas including a formal caretaker, neighbor, church member, community stakeholder, and friend (Long & Weinert, ). Nursing professionals, especially, play a key role in HPV vaccination decisions (Chao et al., ; Rosenthal et al., ; Teitelman et al., ) and may offer important perceptions of patient health that differ from the patients themselves (Fitzgerald et al., ).…”

Section: Introductionmentioning

confidence: 99%

Health Care Providers' Perspectives on Low HPV Vaccine Uptake and Adherence in Appalachian Kentucky

Head

Vanderpool

Mills

2013

Public Health Nursing

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Objective-Previous intervention research conducted in Appalachian Kentucky resulted in extremely low uptake and adherence to the human papillomavirus (HPV) vaccine among women ages 18 -26, despite provision of free vaccine. Because of these findings, the purpose of this qualitative, follow-up study was to elicit health care providers' perspectives on barriers and facilitators to HPV vaccination and suggested strategies for improving vaccination rates.Design and Sample-Researchers conducted semi-structured qualitative interviews with a purposive sample of eight health care providers (seven nursing professionals, one physician) at the health clinic where the original HPV vaccination intervention took place. Interviews were audiorecorded and transcribed and authors used a constant-comparative method to analyze the data.Results-Significant themes emerged from the interviews, centering around two primary issues: vaccine uptake and vaccine adherence. Related to uptake, health care providers identified perceived patient barriers and inadequate HPV vaccine education. They also identified the vaccine schedule and clinic-centered communication deficiencies as adherence-related barriers. Conclusion-TheseAppalachian Kentucky health care providers provided important insights into barriers and facilitators to HPV vaccine uptake and adherence that need to be readily addressed in this community. As informed by these providers, several suggestions for improving HPV vaccination, such as more targeted education efforts and patient-centered reminder systems, may be applicable to other nursing professionals working in rural and medically underserved communities. HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptUptake and adherence to the three-dose human papillomavirus (HPV) vaccine remains low, which is particularly concerning for communities that shoulder an excessive burden of cervical cancer and have limited access to health care, such as Appalachian Kentucky. A previous intervention study conducted in this geographic region revealed low HPV vaccination rates among young women ages 18-26, despite waiving the cost of the vaccine series. The current study serves as a qualitative follow-up to this previous intervention research, seeking to understand health care providers' perspectives on actual barriers and facilitators to HPV vaccination and garnering strategies for improving vaccination rates in this region.

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Section: Introductionmentioning

confidence: 99%

Health Care Providers' Perspectives on Low HPV Vaccine Uptake and Adherence in Appalachian Kentucky

Head

Vanderpool

Mills

2013

Public Health Nursing

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“…Nursing positions in rural areas have distinctive characteristics; rural nurses often face a variety of environmental, professional and financial challenges. [4][5][6] In the context of the global nursing workforce shortage, the nursing workforce shortage in rural areas is often exacerbated by geographical imbalance. [7][8][9] Research has revealed some influencing factors on rural nurse recruitment, such as financial rewards, working environment, the opportunities for professional development and community environment.…”

Section: Review Of the Literaturementioning

confidence: 99%

Nursing students’ views on rural nursing practice in China: A questionnaire survey

Tao

Haycock-Stuart

2016

JNEP

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Objective: The purpose of this study was to investigate final year nursing students' views on rural nursing practice in China. There are fewer nurses in rural areas compared to urban areas in China. Little is known about how current nursing students view rural nursing practice, and what influences their intentions to work rurally in their career. Methods: A questionnaire survey was designed. Data were collected in one area in Eastern China between December 2011 and March 2012. A self-completion questionnaire was hand distributed to final year nursing students in six nursing schools and collected by the researcher with a response rate of 89% (n = 445). Results: Nursing students in China had some unique perceptions on rural nursing practice. Respondents viewed nursing posts in rural areas as having lower incomes, lower professional status and fewer opportunities for learning skills. They also associated rural nursing with a light workload, less stress and few night shifts. In contrast to the wider literature, Chinese nursing students did not consider that rural nursing posts could foster autonomy in practice or offer the opportunities to broaden their skills. Conclusions: The perceived lower financial rewards, fewer opportunities for skills development and the low professional status of rural nurses make recruitment of a skilled nursing workforce to rural areas a major challenge in China. Policies, such as reforming the rural nursing delivery system, providing financial incentives and supporting for professional development, should be considered.

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“…Extending rural nurse practice boundaries may not address underlying failings in organisational processes, and other factors, such as the role of the community and dual relationships, which are well recognised in the literature (Bushy , Mills et al . , Long & Weinert ). These factors created contextual ambiguity and contributed directly to the practices found in our study.…”

Section: Introductionmentioning

confidence: 98%

“…Current definitions and descriptions of rural nursing are problematic. The term expert generalist has provided a foundational theory of rural nursing (Bushy , Long & Weinert ). The term expert generalist is used to describe the practice of rural nurses within the boundaries of the age and disease spectrum of rural people and the functional context of rural care.…”

Section: Introductionmentioning

confidence: 99%

From expert generalists to ambiguity masters: using ambiguity tolerance theory to redefine the practice of rural nurses

Knight

Kenny

Endacott

2016

Journal of Clinical Nursing

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Rural Nursing: Developing the Theory Base

Cited by 64 publications

References 0 publications

Health Care Providers' Perspectives on Low HPV Vaccine Uptake and Adherence in Appalachian Kentucky

Health Care Providers' Perspectives on Low HPV Vaccine Uptake and Adherence in Appalachian Kentucky

Nursing students’ views on rural nursing practice in China: A questionnaire survey

From expert generalists to ambiguity masters: using ambiguity tolerance theory to redefine the practice of rural nurses

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