Navigating Nurse Wellness in Rural America
Karen R Robinson1, Michelle Gierach, Abigail Gramlick-Mueller
1Author Affiliations: Nurse Scientist (Dr Robinson), Clinical Nurse (Holland, Dr McDaniel, and Ferguson), and RN Program Specialist (Bartelt), Sanford Health, Fargo, North Dakota; Associate Professor (Dr Gierach), Augustana University, Sioux Falls, South Dakota; Nurse Scientist (Dr Gramlick-Mueller), Pediatrics Nurse Practitioner (Dr Hickman), and Nursing & Clinical Services Consultant (Wiik), Sanford Health, Sioux Falls, South Dakota; LEAD RN Educator (Dr Smith) and Clinical Nurse (Stow), Sanford Health, Bismarck, North Dakota; and Quality Improvement Advisor (Tverstol), Sanford Health, Bemidji, Minnesota.
This study assessed Registered Nurse (RN) wellness in rural America, identifying key barriers like time constraints and work environment challenges. Findings offer strategies to improve nurse well-being and reduce burnout in these critical settings.
Area of Science:
- Nursing
- Rural Health
- Occupational Wellness
Background:
- Increased nurse anxiety and burnout pre- and post-pandemic.
- Identified gap in literature regarding rural nurses' wellness and maintenance strategies.
Purpose of the Study:
- To determine current wellness levels of Registered Nurses (RNs) in rural American settings.
- To identify barriers impacting RN wellness maintenance.
- To provide recommendations for enhancing RN wellness in rural areas.
Main Methods:
- Utilized the Integrative Health and Wellness Assessment (IHWA) V2 2022 for holistic wellness measurement.
- Survey deployed in 2023 to a large cohort of 6989 clinical nurses, nurse leaders, and advanced practice nurses.
Main Results:
- Overall mean wellness score of 134.72.
- Significant influencing factors included age, years of experience, and professional role.
- Identified barriers: insufficient time, challenging work environment, and family responsibilities.
- Key recommendations focused on improving work environment, stress management, and establishing healthy boundaries.
Conclusions:
- Findings provide actionable insights for leaders to implement interventions supporting rural nurse wellness.
- Promoting nurse wellness is crucial for sustaining the healthcare workforce and ensuring quality patient care.
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