Background: Recruitment and retention of nurses is an ongoing challenge for employers in rural areas worldwide. There is limited information available regarding influences on nurses' job choice in the U.S.
View Article and Find Full Text PDFPromoting interprofessional education (IPE) and practice is a priority in academic health centres; however, implementation of IPE can be challenging. Recognizing the need for faculty development in teaching, and specifically IPE, the University of California, Davis Schools of Health launched the Interprofessional Teaching Scholars Program (ITSP) in 2014. Two cohorts of 11 faculty scholars each completed the nine-month programme and participated in this longitudinal comparative study in which pre- and post-assessments using a validated survey instrument were administered to measure changes in faculty attitudes towards IPE and collaborative practice.
View Article and Find Full Text PDFA needs assessment was conducted regarding an interprofessional faculty development program for promoting excellence in education. Nursing and medical faculty and administrators (N = 156) were surveyed about perceived need, program curriculum, and delivery. The results indicated strong support for the program, particularly related to teaching/learning strategies, leadership, and scholarship.
View Article and Find Full Text PDFPurpose: To explore the relationship between provider-to-population ratios, rurality and population health in the United States using counties as the unit of analysis.
Method: Population ratios for registered nurses (RNs), primary care physicians, and dentists were included in multivariable regression analyses. Population health indices assessed were premature death rate, self-rated health, teen birth rate, and mammography screening rate.
Purpose: Discontinuous and no health insurance are major barriers to health care utilization. This paper examines if nonmetropolitan versus metropolitan residence is associated with differences in health care utilization in the face of insurance instability.
Methods: A cross-sectional analysis of adults aged 18-64 years was conducted using the 2006-2010 Medical Expenditure Panel Survey data set (N = 61,039).
Public Health Nurs
September 2012
The conceptual basis of public health nursing (PHN) has evolved particularly over the past three decades. In October 2010, a national research agenda setting conference was held with grant support from the Agency for Healthcare Research and Quality. From the conference, public health nursing intervention models emerged as one of four top priorities.
View Article and Find Full Text PDFPurpose: The purpose of this study was to compare the characteristics of rural versus urban caregiving grandmothers along with their physical and mental health status.
Methods: A secondary analysis of data produced from the first wave of a longitudinal study of 485 Ohio grandmothers was conducted. Health status was measured using the SF-36 Health Survey and the 20-item CES-D depression scale.
Objectives: To assess the self-reported levels of competency among public health nurses (PHNs) in Idaho.
Design And Sample: A cross-sectional descriptive design was used. The sample consisted of 124 PHNs, including 30 in leadership roles, currently practicing in Idaho's official public health agencies.
Introduction: Public health nursing is the foundation of the United States' (US) public health system, particularly in rural and remote areas. Recent increasing interest in public health in the USA has highlighted that there is limited information available about public health nursing in the most isolated areas, particularly in the US. The purposes of this study were to: (1) describe the characteristics, competency levels, and practice patterns of public health nurses (PHNs) working in remote one-nurse offices; and (2) compare PHNs working in one-nurse offices with nurses working in multi-nurse offices in Idaho, in relation to their demographic characteristics, practice patterns and competency levels.
View Article and Find Full Text PDFJ Community Health Nurs
October 2009
Community health nursing and cooperative extension represent two influential and respected disciplines in rural and frontier communities. The history and philosophy of the two disciplines reveal commonalities related to community-based health promotion and dissemination of research. A review of the extension and health sciences literature revealed some evidence of collaboration between extension and health science professionals, however very little documentation specifically of nurses' involvement with extension professionals.
View Article and Find Full Text PDFPublic Health Nurs
June 2008
Objective: To evaluate the relationship between nurse-to-population ratios and population health, as indicated by state health ranking, and to compare the findings with physician-to-population ratios.
Design: Secondary analysis correlational design.
Sample: The sample consisted of all 50 states in the United States.
Context: Timely access to emergency contraception (EC) has emerged as a major public health effort in the prevention of unintended pregnancies. The recent FDA decision to allow over-the-counter availability of emergency contraception for adult women presents important rural health implications. American women, especially those living in rural and frontier areas, have one of the highest rates of unintended and teen pregnancy among developed countries.
View Article and Find Full Text PDFRural/frontier nursing research poses unique methodological challenges, including definitional inconsistency, social/cultural issues, methodological/statistical concerns, and the inherent diversity among rural communities. These challenges need to be creatively addressed to enhance the rural/frontier nursing research body of knowledge.
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