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Support for Frontline Staff in Rural Aged Care: Making Telehealth a Successful Model.

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Nurse practitioners can offer cost-effective primary care for older adults in rural areas. However, recruitment issues and practice restrictions limited telehealth support, suggesting

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hybrid model of clinical supportimplementation sciencemodel of carenurse practitionerolder adultsresidential aged caretelehealth

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Area of Science:

  • Gerontology
  • Healthcare Management
  • Rural Health

Background:

  • Nurse practitioners (NPs) offer a viable model for primary care in underserved rural communities.
  • Older adults in isolated areas face challenges accessing consistent healthcare services.

Purpose of the Study:

  • To evaluate the implementation of a nurse practitioner-led telehealth support model for primary care in a rural aged care setting.
  • To identify barriers and facilitators to NP utilization in rural aged care.

Main Methods:

  • A telehealth support model was designed, with the intention of engaging multiple NPs.
  • Implementation faced recruitment challenges, with only one NP ultimately participating.

Main Results:

  • Recruitment difficulties limited the scope of the NP telehealth model.
  • Practice restrictions and policy flux hindered NP engagement and model utilization.
  • 'Grow your own' strategies were identified as a potential solution.

Conclusions:

  • Nurse practitioners possess the capability to enhance rural primary care delivery for older adults.
  • Implementation challenges, including recruitment and regulatory constraints, require strategic solutions.
  • Developing local NP talent is recommended to improve rural aged care support.