Rural Nurse Competencies: Experts, Advocates and Activists

Abstract

Recently, I was contacted by a group of rural nurses asking if I had a set of competencies for nurses working in rural hospital. I have along with my colleague Dr. Jeri Dunkin, investigated competencies for rural community case managers. Having worked as a home health nurse in a rural environment and preparing case managers and outreach workers to provide services in the very rural Alabama, I believe that I can make a stab at identifying a beginning skill set for nurses who work in this environment.
I preface my delineation with the characteristics outlined in (Lee & Winters, 2006). Using these characteristics as a context, it becomes easier to start with identifying a basic skill set. I also have recently experienced the loss of a family member where lack of access to emergency care, hesitation to act in an emergent situation, and lack of knowledge or skill in a rural setting may have caused irreparable harm. I am not implying negligence or malpractice, but I am saying that lack of access, loss of precious time and simply the failure to maintain an airway and oxygenate the brain caused brain death once care was accessed. Nurses in the rural area are in a unique position to perhaps change and affect the quality of care received in a geographic ally isolated or rural area in very different ways than their urban counterparts.
https://doi.org/10.14574/ojrnhc.v9i2.81
PDF

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share (for non-commerical purposes) the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).