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Summary

Rural hospitals need more advanced practice nurses (APNs) skilled in common conditions. Tailored education focusing on clinical and soft skills is crucial for improving rural healthcare delivery and patient outcomes.

Keywords:
advanced practice nursingcurriculum developmentelectronic health recordshealthcare disparitiespatient care managementrural health services

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Area of Science:

  • Healthcare delivery
  • Nursing education
  • Rural health

Background:

  • Rural hospitals face challenges like limited resources and a scarcity of healthcare professionals.
  • Advanced practice nurses (APNs) are vital for addressing healthcare gaps in rural areas.
  • This study focuses on Shimane Prefecture, Japan, a geographically isolated region.

Purpose of the Study:

  • To evaluate the demand for APNs in rural community hospitals.
  • To identify specific educational needs and clinical competencies for APNs.
  • To improve healthcare outcomes in rural settings through enhanced APN training.

Main Methods:

  • Mixed-methods approach combining qualitative stakeholder interviews and quantitative electronic health record (EHR) analysis.
  • Sequential exploratory design to integrate qualitative and quantitative data.
  • Study conducted at Unnan City Hospital.

Main Results:

  • Critical demand identified for APNs skilled in managing common rural medical issues (infections, circulatory/respiratory problems).
  • Stakeholder interviews emphasized the need for enhanced clinical competencies and soft skills (communication, leadership) in APN curricula.
  • EHR analysis identified 21 specific diseases across six categories requiring targeted APN education.

Conclusions:

  • Urgent need for specialized APN education programs tailored to rural healthcare challenges.
  • A curriculum focusing on essential clinical and soft skills can significantly improve care quality.
  • Implementing tailored educational programs will empower APNs, promoting healthcare equity and better patient outcomes in rural areas.