Advanced Nursing Practice in Rural Areas: Connectedness versus Disconnectedness

Scarcity of health care providers leads to reduced access to health care for rural residents. Better understanding of constraints confronting nurses in rural practice is needed. Our program prepares Advanced Practice Nurses (APNs) to work in rural areas. Using interpretive phenomenology we studied p...

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Bibliographic Details
Main Authors: Margaret M. Conger, Karen A. Plager
Format: Article
Language:English
Published: Rural Nurse Organization; Binghamton University 2012-03-01
Series:Online Journal of Rural Nursing and Health Care
Online Access:https://rnojournal.binghamton.edu/index.php/RNO/article/view/127
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author Margaret M. Conger
Karen A. Plager
author_facet Margaret M. Conger
Karen A. Plager
author_sort Margaret M. Conger
collection DOAJ
description Scarcity of health care providers leads to reduced access to health care for rural residents. Better understanding of constraints confronting nurses in rural practice is needed. Our program prepares Advanced Practice Nurses (APNs) to work in rural areas. Using interpretive phenomenology we studied program terminal outcomes as practiced by our APN graduates. Individual interviews and focus groups were conducted with graduates who had been in practice for at least one year. This paper describes one theme – rural connectedness versus disconnectedness– that was uncovered in the larger study. Elements leading to rural connectedness included development of support networks, relationships with urban health care centers, connections with local communities, and support through electronic means. Rural disconnectedness resulted from lack of relationships with other health care providers, lack of mentors and support staff, and the absence of electronic support. Implications for education for rural advanced practice are discussed.
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spelling doaj.art-c0ff494ae1d64703b5f72b9845421e4c2023-11-08T20:14:58ZengRural Nurse Organization; Binghamton UniversityOnline Journal of Rural Nursing and Health Care1539-33992012-03-0181243810.14574/ojrnhc.v8i1.127119Advanced Nursing Practice in Rural Areas: Connectedness versus DisconnectednessMargaret M. Conger0Karen A. Plager1Northern Arizona UniversityNorthern Arizona UniversityScarcity of health care providers leads to reduced access to health care for rural residents. Better understanding of constraints confronting nurses in rural practice is needed. Our program prepares Advanced Practice Nurses (APNs) to work in rural areas. Using interpretive phenomenology we studied program terminal outcomes as practiced by our APN graduates. Individual interviews and focus groups were conducted with graduates who had been in practice for at least one year. This paper describes one theme – rural connectedness versus disconnectedness– that was uncovered in the larger study. Elements leading to rural connectedness included development of support networks, relationships with urban health care centers, connections with local communities, and support through electronic means. Rural disconnectedness resulted from lack of relationships with other health care providers, lack of mentors and support staff, and the absence of electronic support. Implications for education for rural advanced practice are discussed.https://rnojournal.binghamton.edu/index.php/RNO/article/view/127
spellingShingle Margaret M. Conger
Karen A. Plager
Advanced Nursing Practice in Rural Areas: Connectedness versus Disconnectedness
Online Journal of Rural Nursing and Health Care
title Advanced Nursing Practice in Rural Areas: Connectedness versus Disconnectedness
title_full Advanced Nursing Practice in Rural Areas: Connectedness versus Disconnectedness
title_fullStr Advanced Nursing Practice in Rural Areas: Connectedness versus Disconnectedness
title_full_unstemmed Advanced Nursing Practice in Rural Areas: Connectedness versus Disconnectedness
title_short Advanced Nursing Practice in Rural Areas: Connectedness versus Disconnectedness
title_sort advanced nursing practice in rural areas connectedness versus disconnectedness
url https://rnojournal.binghamton.edu/index.php/RNO/article/view/127
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