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Johnson EA, Hellem TL. Working From Within: The Rural Community Participatory Design Framework. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2024:19375867241250323. [PMID: 38738946 DOI: 10.1177/19375867241250323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
OBJECTIVE This article describes the development of the rural community-based participatory design framework to guide healthcare design teams in their integration of rural community and clinical voice during the planning, design, and construction of a healthcare facility. BACKGROUND Rural communities are facing an alarming rate of healthcare facility closures, provider shortages, and dwindling resources, which are negatively impacting population health outcomes. A prioritized focus on rural care access and delivery requires design teams to have a deeper understanding of the contextual considerations necessary for a successful healthcare facility project, made possible through engagement and partnership with rural dwelling community members and healthcare teams. METHOD The rural community participatory design framework is adapted from the rural participatory research model, selected due to its capture of key concepts and characteristics of rural communities. Underpinning theories included rural nursing theory and theory of the built environment. RESULTS The framework encompasses healthcare facility project phases, key translational concepts, and common traits across rural communities and cultures. As a middle-range theoretical framework, it is being tested in a current healthcare project with a Critical Access Hospital in Montana to facilitate design team and stakeholder collaboration. CONCLUSION The rural community participatory design framework may be utilized by design teams as a means of familiarization with rural cultures, norms, values, and critical needs, which relate to meaningful design. The framework further enables design teams to critically appraise best practices of stakeholder engagement throughout the project lifecycle.
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Affiliation(s)
- Elizabeth A Johnson
- Mark & Robyn Jones College of Nursing, Montana State University, Bozeman, MT, USA
| | - Tracy L Hellem
- Mark & Robyn Jones College of Nursing, Montana State University, Missoula, MT, USA
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Ajuebor O, McCarthy C, Li Y, Al-Blooshi SM, Makhanya N, Cometto G. Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016-2020 being implemented in countries? Findings from a cross-sectional analysis. HUMAN RESOURCES FOR HEALTH 2019; 17:54. [PMID: 31300058 PMCID: PMC6626395 DOI: 10.1186/s12960-019-0392-2] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 07/04/2019] [Indexed: 05/29/2023]
Abstract
BACKGROUND Nurses and midwives are the largest component of the health workforce in many countries. The World Health Organization (WHO) together with its partners facilitates the joint development of strategic policy guidance for countries to support the optimization of their nursing and midwifery workforce. The Global Strategic Directions for Strengthening Nursing and Midwifery 2016-2020 (SDNM) is a global policy guidance tool that provides a framework for Member States, the WHO and its partners to adapt, develop, implement and evaluate nursing and midwifery policy interventions in Member States. As part of the broader monitoring and accountability functions of the WHO, assessing the progress of the SDNM implementation at a country level is key to ensuring that countries stay on track towards achieving universal health coverage (UHC) and the sustainable development goals (SDGs). METHODS This is a cross-sectional mixed methods study involving the analysis of quantitative and qualitative data on the implementation of country-level interventions in the SDNM. Data was provided by government chief nursing and midwifery officers or their representatives using an online self-reported questionnaire. The quantitative data was assessed using a three-level scale and descriptive statistics while qualitative comments were analysed and presented narratively. RESULTS Thirty-five countries completed the survey. Summing up the implementation frequency of interventions across all thematic areas, 19% of responses were in the category of "completed"; 55% were reportedly "in progress" and 26% indicated a status of "not started". Findings reveal a stronger level of implementation for areas of nursing and midwifery development related to enhancing regulation and education, creating stronger roles for professional associations and policy strengthening. Leadership and interprofessional collaboration are intervention areas that were less implemented. CONCLUSION Monitoring and accountability of countries' commitments towards implementing nursing and midwifery interventions, as outlined in the SDNM, contributes to strengthening the evidence base for policy reforms in countries. This stock-taking can inform policy- and decision-makers' deliberations on strengthening the contributions of nurses and midwives to achieving UHC and the SDGs.
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Affiliation(s)
- Onyema Ajuebor
- Health Workforce Department, World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland
| | - Carey McCarthy
- Health Workforce Department, World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland
| | - Yin Li
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, USA
| | | | | | - Giorgio Cometto
- Health Workforce Department, World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland
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Van Binst A, Kennedy N, Harland S, Aziz A, Quinton A. The limitations of access to continuing professional development amongst Australia's rural sonographers and its effect on job satisfaction: A pilot study. SONOGRAPHY 2019. [DOI: 10.1002/sono.12177] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Anouck Van Binst
- Roma Diagnostic ImagingMedical Imaging Department Roma Australia
| | | | - Sonya Harland
- Roma Diagnostic ImagingMedical Imaging Department Roma Australia
| | - Aamer Aziz
- School of Health, Medical and Applied Sciences, Medical SonographyCQUniversity Mackay Australia
| | - Ann Quinton
- School of Health, Medical and Applied Sciences, Medical SonographyCQUniversity Sydney Australia
- Nepean Clinical SchoolUniversity of Sydney Sydney Australia
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Vela K, Bardyn T. Increasing rural nurses' awareness of a statewide health information resource: an educational outreach initiative. J Med Libr Assoc 2019; 107:244-250. [PMID: 31019394 PMCID: PMC6466490 DOI: 10.5195/jmla.2019.542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Accepted: 12/01/2018] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND HEALWA is an online library of evidence-based health information resources that are available to Washington state health practitioners. To increase awareness and use of HEALWA among health practitioners in rural areas, the National Network of Libraries of Medicine Pacific Northwest Region and Washington State University Spokane co-funded an outreach librarian position to provide instruction on using HEALWA. CASE PRESENTATION After attempts at frequent in-person workshops failed due to lack of attendance, a one-hour-long webinar targeted at rural nurses was developed to be delivered once a month. These webinars introduced participating health professionals to HEALWA, including how to set up their access and how to navigate the resource. To accommodate the busy schedules and different learning styles of the target audience, the workshops occurred both as monthly webinars and in-person, when available, in addition to an online self-guided tutorial. Continuing education credit was obtained through the Washington State Nurses Association, and a partnership with the Washington State Nursing Commission improved promotion of the webinars. Evaluations for both the webinars and workshops have been largely positive. CONCLUSIONS The webinar series, coupled with in-person workshops and an online tutorial, reached nurses in rural areas of Washington state to increase awareness of HEALWA. To further facilitate access to HEALWA instruction, a recorded version of the live webinar is in development.
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Affiliation(s)
- Kathryn Vela
- Health Sciences Librarian, Washington State University, Spokane, WA 99210,
| | - Tania Bardyn
- Associate Dean of University Libraries, Director of the Health Sciences Library, and Director, National Network of Libraries of Medicine Pacific Northwest Region, University of Washington, Seattle, WA,
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Rohatinsky N, Udod S, Anonson J, Rennie D, Jenkins M. Rural Mentorships in Health Care: Factors Influencing Their Development and Sustainability. J Contin Educ Nurs 2018; 49:322-328. [PMID: 29939380 DOI: 10.3928/00220124-20180613-08] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Accepted: 03/06/2018] [Indexed: 11/20/2022]
Abstract
BACKGROUND The need to recruit and retain health care providers remains a concern in rural communities. This project aimed to better understand what health care providers and senior leaders value in mentorship and determine the best way to implement a mentorship program in rural western Canada. METHOD Health care providers and senior leaders from a rural health region were recruited through convenience and snowball sampling. Participants were interviewed using a semistructured interview guide, and data were analyzed using thematic analysis. RESULTS Two main themes were revealed: rural mentorship challenges and facilitators. Challenges included administrative, scope of practice, and interpersonal, whereas facilitators included mentorship as a recruitment and retention strategy, openness and commitment, structured mentorship programs, and community influence. CONCLUSION This information will enable administrators and educators to more successfully implement mentorship programs for a variety of health care professionals working within rural environments and facilitate staff development, recruitment, and retention. J Contin Educ Nurs. 2018;49(7):322-328.
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Ferguson MS, Reis JA, Rabbetts L, Ashby HJ, Bayes M, McCracken T, Ross C, Procter NG. The Effectiveness of Suicide Prevention Education Programs for Nurses. CRISIS 2017; 39:96-109. [PMID: 28990823 DOI: 10.1027/0227-5910/a000479] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND Education to improve health professionals' responses to suicide is considered an important suicide prevention strategy. However, the effectiveness of this approach for nurses is unclear. AIM To systematically review the peer-reviewed literature regarding the effectiveness of suicide prevention education programs for nurses. METHOD Nine academic databases (CINAHL, Cochrane Reviews & Trials, Embase, Informit Health Collection, Joanna Briggs Institute, Medline, PsycINFO, Scopus, and Web of Science) were searched in November 2016, utilizing search terms related to suicide, education, and nurses, with no limits placed on publication date or study design. RESULTS The search yielded 5,456 identified articles, 11 of which met the inclusion criteria. Studies were primarily quantitative (RCTs n = 3; quasi-experimental n = 6; qualitative n = 2), and involved nurses (range = 16-561) working in a diversity of settings, particularly hospitals (n = 9). Studies revealed positive changes in nurses' competence, knowledge, and attitudes associated with training over the short term. LIMITATIONS The heterogeneity of education programs and methodological weaknesses of included studies limit the conclusions drawn. CONCLUSION There is a moderate body of evidence to support the effectiveness of suicide prevention education programs for nurses. Future research should examine longer-term changes in clinical practice and strategies for continuing education, with more rigorous study designs.
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Affiliation(s)
- Monika S Ferguson
- 1 School of Nursing and Midwifery, University of South Australia, Adelaide, SA, Australia
| | - Julie A Reis
- 2 School of Nursing and Midwifery, University of South Australia, Mount Gambier, SA, Australia
| | - Lyn Rabbetts
- 2 School of Nursing and Midwifery, University of South Australia, Mount Gambier, SA, Australia
| | - Heather-Jean Ashby
- 3 Mount Gambier and District Health Service, Mount Gambier, SA, Australia
| | - Miriam Bayes
- 3 Mount Gambier and District Health Service, Mount Gambier, SA, Australia
| | - Tara McCracken
- 2 School of Nursing and Midwifery, University of South Australia, Mount Gambier, SA, Australia
| | - Christine Ross
- 3 Mount Gambier and District Health Service, Mount Gambier, SA, Australia
| | - Nicholas G Procter
- 1 School of Nursing and Midwifery, University of South Australia, Adelaide, SA, Australia
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Ahern T, Gardner A, Courtney M. A survey of the breast care nurse role in the provision of information and supportive care to Australian women diagnosed with breast cancer. Nurs Open 2015; 2:62-71. [PMID: 27708802 PMCID: PMC5047313 DOI: 10.1002/nop2.18] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2014] [Accepted: 04/13/2015] [Indexed: 12/14/2022] Open
Abstract
AIM To explore the role of the Australian breast care nurse in the provision of information and support to women with breast cancer, with a focus on the differences experienced depending on geographic work context. DESIGN A cross-sectional study. METHODS This study conducted in 2013, involved surveying BCNs currently working in Australia, using a newly developed self-report online survey. RESULTS Fifty breast care nurses completed the survey, 40% from major cities, 42% from inner regional Australia and 18% from outer regional, remote and very remote Australia. Patterns of service indicated higher caseloads in urban areas, with fewer kilometres served. Breast care nurses in outer regional, remote and very remote areas were less likely to work in multi-disciplinary teams and more likely to spend longer consulting with patients. Breast care nurses reported they undertook roles matching the competency standards related to the provision of education, information and support; however, there were barriers to fulfilling competencies including knowledge based limitations, time constraints and servicing large geographical areas. CONCLUSIONS This was the first Australian study to describe the role of the breast care nurse nationally and the first study to investigate breast care nurses perceived ability to meet a selection of the Australian Specialist Breast Nurse Competency Standards. Important differences were found according to the geographical location of breast care nurses.
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Affiliation(s)
- Tracey Ahern
- School of Nursing, Midwifery and Paramedicine Australian Catholic University PO Box 256 Dickson Australian Capital Territory 2602 Australia
| | - Anne Gardner
- School of Nursing, Midwifery and Paramedicine Australian Catholic University PO Box 256 Dickson Australian Capital Territory 2602 Australia
| | - Mary Courtney
- School of Nursing, Midwifery and Paramedicine Australian Catholic University PO Box 456 Virginia Queensland 4014 Australia
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Neill KS, Hammatt J. Beyond urban places: responding to intimate partner violence in rural and remote areas. JOURNAL OF FORENSIC NURSING 2015; 11:93-E1. [PMID: 25996433 DOI: 10.1097/jfn.0000000000000070] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Intimate partner violence is a recognized public health problem impacting the lives of women, families, and communities. Women in rural and more remote areas who experience IPV face unique barriers and challenges to accessing healthcare services to support healthy outcomes. Resources, access to services, presence of compassionate and informed healthcare providers, and environmental circumstances influence effective responses to this issue in rural and more remote areas. In a public health approach to this problem, prevention efforts, victim-centered responses, and the support of safety are imperative to improve outcomes for women. Forensic nurses play an important role in effective response by building linkages across health, human, and social systems through collaboration, partnership, activism, advocacy, and sensitivity to the issue across the rural landscape.
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Affiliation(s)
- Karen S Neill
- Author Affiliation: 1School of Nursing, Idaho State University; and 2DNP Student, School of Nursing, Idaho State University
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Fairchild RM, Everly M, Bozarth L, Bauer R, Walters L, Sample M, Anderson L. A qualitative study of continuing education needs of rural nursing unit staff: the nurse administrator's perspective. NURSE EDUCATION TODAY 2013; 33:364-369. [PMID: 22698757 DOI: 10.1016/j.nedt.2012.05.023] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2012] [Revised: 05/14/2012] [Accepted: 05/20/2012] [Indexed: 06/01/2023]
Abstract
BACKGROUND This study reports perceptions of the continuing education (CE) needs of nursing unit staff in 40 rural healthcare facilities (10 hospitals and 30 long-term care facilities) in a rural Midwestern U.S. region from the perspective of nurse administrators in an effort to promote a community-based academic-practice CE partnership. METHODS Qualitative data collection involving naturalistic inquiry methodology was based on key informant interviews with nurse administrators (n=40) working and leading in the participating health care facilities. RESULTS Major themes based on nurse administrators' perceptions of CE needs of nursing unit staff were in four broad conceptual areas: "Cultural issues", "clinical nursing skills", "patient care", and "patient safety". Major sub-themes for each conceptual area are highlighted and discussed with narrative content as expressed by the participants. Related cultural sub-themes expressed by the nurse administrators included "horizontal violence" (workplace-hospital and LTC nursing unit staff) and "domestic violence" (home-LTC nursing unit staff). CONCLUSIONS The uniqueness of nurses' developmental learning needs from a situational point of view can be equally as important as knowledge-based and/or skill-based learning needs. Psychological self-reflection is discussed and recommended as a guiding concept to promote the development and delivery of relevant, empowering and evidence-based CE offerings for rural nursing unit staff.
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Affiliation(s)
- Roseanne Moody Fairchild
- Indiana State University, College of Nursing, Health, and Human Services, Terre Haute, IN 47807, USA.
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Bratt MM, Baernholdt M, Pruszynski J. Are rural and urban newly licensed nurses different? A longitudinal study of a nurse residency programme. J Nurs Manag 2012; 22:779-91. [PMID: 25208945 DOI: 10.1111/j.1365-2834.2012.01483.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2012] [Indexed: 11/28/2022]
Abstract
AIM This study aimed to compare rural and urban nurse residency programme participants' personal and job characteristics and perceptions of decision-making, job satisfaction, job stress, nursing performance and organisational commitment over time. BACKGROUND Nurse residency programmes are an evolving strategy to foster transition to practice for new nurses. However, there are limited data available for programme outcomes particularly for rural nurses. METHOD A longitudinal design sampled 382 urban and 86 rural newly licensed hospital nurses during a 12-month nurse residency programme. Data were collected at the start of the programme, at 6 months and the end of the programme. RESULTS At the end of the programme, rural nurses had significantly higher job satisfaction and lower job stress compared with urban nurses. Across all time-periods rural nurses had significantly lower levels of stress caused by the physical work environment and at the end of the programme had less stress related to staffing compared with urban nurses. Perceptions of their organisational commitment and competency to make decisions and perform role elements were similar. CONCLUSIONS Differences in these outcomes may be result from unique characteristics of rural vs. urban nursing practice that need further exploration. IMPLICATIONS FOR NURSING MANAGEMENT Providing a nurse residency programme in rural and urban hospitals can be a useful recruitment and retention strategy.
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Fitzgerald CE, Townsend RP. Assessing the Continuing Education Needs and Preferences of Rural Nurses. J Contin Educ Nurs 2012; 43:420-7. [DOI: 10.3928/00220124-20120615-76] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2011] [Accepted: 05/11/2012] [Indexed: 11/20/2022]
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Hold That TIGER! A Collaborative Service-Learning Academic-Practice Partnership With Rural Healthcare Facilities. Nurse Educ 2012; 37:108-14. [DOI: 10.1097/nne.0b013e318250415b] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Assessing Nurses’ Continuing Education Preferences in Rural Community and Urban Academic Settings. ACTA ACUST UNITED AC 2012; 28:279-84. [DOI: 10.1097/nnd.0b013e318272590c] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Predictors of New Graduate Nurses’ Organizational Commitment During a Nurse Residency Program. ACTA ACUST UNITED AC 2012; 28:108-19. [DOI: 10.1097/nnd.0b013e31825515c4] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
Disparities in rural health care are associated with poor patient outcomes. There is a need to further evaluate opportunities to bridge the gaps and improve rural health care. This descriptive, exploratory study examined the current and potential expanded use of nurse practitioners (NPs) in rural hospitals of one Midwestern state. Surveys (N = 136) were mailed to chief executive officers (n = 68) and chief nursing officers (n = 68) of rural hospitals in Nebraska with a response rate of 57.3% and 80.8%, respectively. The majority of respondents represented critical access hospitals. A convenience sample of NPs (N = 19) who practiced in rural communities also completed written surveys. Findings identified potential opportunities to expand the use of NPs to provide emergency department coverage and inpatient hospital management of patients in rural hospitals. Education and training of NPs need to include the essential critical thinking and skill sets to manage these types of health care needs.
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