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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...

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Updated: Apr 20, 2026

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A model to develop nurse leaders for rural practice.

Emily J Hauenstein¹, Doris F Glick², Catherine Kane³

¹Professor and Associate Dean for Research and Professor Emeritus, University of Virginia, 601 Elmwood Avenue, Box SON, University of Rochester, School of Nursing, Rochester, NY.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing

|December 3, 2014

Summary

Rural nursing education faces challenges due to limited research. The Nursing Leadership in Rural Health Care (NLRHC) program, guided by the transformational nursing leadership in rural health care (TNLRHC) model, integrates rural content into advanced practice nursing education.

Keywords:

Advance practice nursing Nursing education Rural health systems model Rural nursing

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Area of Science:

Nursing Education
Rural Health Disparities
Healthcare Access

Background:

Rural health disparities are exacerbated by limited access to healthcare providers.
Existing rural nursing education lacks sufficient research and practice literature to inform curriculum development.
Advanced practice nursing (APN) education needs tailored content for rural healthcare settings.

Purpose of the Study:

To describe the transformational nursing leadership in rural health care (TNLRHC) model.
To explain how the TNLRHC model guided the development of the Nursing Leadership in Rural Health Care (NLRHC) program.
To demonstrate the integration of rural content into APN education using the TNLRHC model.

Main Methods:

Development of the Nursing Leadership in Rural Health Care (NLRHC) program at the University of Virginia School of Nursing.
Utilization of the transformational nursing leadership in rural health care (TNLRHC) model to guide program content and teaching strategies.
Focus on integrating rural-specific content and innovative teaching methods into advanced practice nursing curricula.

Main Results:

The TNLRHC model effectively guided the integration of rural health content into APN education.
The NLRHC program demonstrated the capacity of the TNLRHC model to foster innovation in nursing education.
The program successfully addressed the need for specialized rural healthcare training for nurses.

Conclusions:

The TNLRHC model provides a framework for developing innovative APN education tailored to rural needs.
Integrating rural content is crucial for addressing healthcare disparities in rural areas.
Recommendations are presented for the future development of APN education to better serve rural populations.