Development of a nurse practice arrangement in rural Appalachia: triumphs and challenges
Janet McDaniel1, Sarah S Strauss
1Radford University, Waldron College of Health and Human Services, School of Nursing, Virginia, USA. jmcdanie@radford.edu
Abstract:
This article describes the development of a nurse practice arrangement for delivery of health services via a mobile health clinic to an underserved, rural Appalachian community in southwestern Virginia. Faculty, students, and staff worked with nontraditional community partners to develop case management strategies for diverse populations of Appalachian and Hispanic clients. The roles of students, faculty, and staff and the successes and obstacles in delivering health services through a university-based outreach program are discussed.
Related Concept Videos
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:30Current Trends in Nursing II
01:28Current Trends in Nursing I
01:17Ethical Dilemmas I
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
01:27Ethical Issues
Ethical Concerns in Healthcare:
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.