Full Description
This pioneering text is the first to present a framework for remote-rural and frontier nurse practitioners (NPs), with a focus on the political and contextual forces that influence practice. This groundbreaking text distills contextual knowledge required for frontier practice, describes how it differs from work in more populated locations, and discusses the special skills and training needed in this setting. It addresses the art and ethics of frontier practice, the relationship between federal policy and frontier health care, and how to advocate for adequate health care in remote areas.
Also included are rich narrative case studies, in which NPs vividly describe why they decided to practice in the frontier environment. They also discuss the educational and work experience needed for frontier practice, the potential complications of treating patients who are also friends and neighbors, and how to manage emergency medical and trauma experiences in remote environments.
Key Features:
Provides the first model for frontier and remote-rural NP practice based on narrative evidence
Introduces the new frontier and remote (FAR) methodology and demonstrates its use in nursing research
Illustrates how narrative nursing knowledge contributes to the discipline and informs theory
Provides a systematic review of key literature relating to frontier NP practice
Discusses the link between federal policy and rural health care and its impact on NP practice
Distills educational and policy recommendations from the practice experiences of frontier NPs
Contents
Contents
Foreword Charlene A. Winters, PhD, RN
Preface
Acknowledgments
PART I. THE FRONTIER
1. Life in the Frontier
Rural and Frontier Taxonomies
The Frontier and Remote Methodology
Frontier Lands
Frontier Demographics
Social Capital
Frontier Culture
Seasonal Population Variations in the Frontier
Poverty in the Frontier
Racial Diversity in the Frontier
The Frontier Economy
Conclusion
Questions for Discussion
2. Health and Health Care in the Frontier
Health Status of Frontier Dwellers
Access to Health Care Services
Federal Programs to Address Health Disparities in the Frontier
Access to Mental Health in the Frontier
Access to Dental Health in the Frontier
Public Health in the Frontier
EMS in the Frontier
Recruitment and Retention of Frontier Health Care Workers
Conclusion
Questions for Discussion
3. Frontier Nursing in the Literature
Theory of Rural Nursing
Frontier Skillset
Expert Generalist
Transitions
Personal and Professional Challenges
Isolation and Emergency Medical Care
Recruitment and Retention
Summary of the Literature
Discussion
Conclusion
Questions for Discussion
PART II. THE NARRATIVES
4. Bob: An Early Pioneer
Overview
Concepts
Themes
Conclusion
5. Ann: A Grow-Your-Own Story
Overview
Concepts
Themes
Conclusion
6. Jim: A Midlife Transition
Overview
Concepts
Themes
Conclusion
7. Pam: The Traveler
Overview
Concepts
Themes
Conclusion
8. Sue: A Corporate-Frontier Challenge
Overview
Concepts
Themes
Conclusion
9. Amy: A Mobile Experience
Overview
Concepts
Themes
Conclusion
10. Lori: A Career Choice
Overview
Concepts
Themes
Conclusion
PART III. THE MODEL
11. Narrative Knowledge
Reflected Experience as Knowledge
Types of Frontier Knowledge
Personal Challenges
Theoretical Constructs
Conclusion
Questions for Discussion
12. A Conceptual Model for Frontier Nursing Practice
Nursing Models
Relational Statements
The Model
Conclusion
Questions for Discussion
13. Recommendations and Conclusions
Nursing Education
Research
Health Care Policy
Recommendations for Further Research
Conclusion
Questions for Discussion
Appendix: Useful Websites
Index
