Considering remote or rural nursing a specialty
- 0Oct 22, '13 by janjan53I am writing a paper that I hope will re-introduce the discussion on Rural Nursing a Specialty in USA. Please help me by responding to this question.
With the start of registration for affordable health care, it is predicted that 32 million new patients will be admitted to the health care system. The forecast for health care staffing in general is poor, in 2020 there will be a severe shortage of doctors and nurses. Currently the health care system in the Rural and Remote areas is already poor. Some states are hiring Advanced Practice Nurses to work independently in undeserved and low income areas. With the uniqueness of the rural nursing practice, and the differences in the nursing practice r/t health care delivery based on limited resources, performance of procedure s/p education that are not done in urban areas, should rural/ remote nursing be considered a specialty a separate entity from Public Health Nursing?Last edit by Esme12 on Oct 22, '13 : Reason: formatting
- 0Oct 22, '13 by malamud69I am not sure about being a "specialty," that is already one of the major obstacle/push-backs to the ACA-all these greedy doctors/"specialists" that are so scared of this so-called "socialism." Its quite comical actually...more access means more jobs in my mind...besides we already have the infrastructure in place...check out the Indian health service ihs.gov, and each state has a local federally funded regional/rural office etc...just like public schools, we need to better what we already have in place and it will flourish once we get more people with access-as it should be in this "advanced" nation of ours....now if we could only get the people out there so afraid of change to wake up! seems like Hippocrates has gone by the wayside!
- 0Oct 22, '13 by GrnTea, BSN, MSN, RNHomework question? What are your thoughts on the matter of nursing specialties, and why, what do you know about the process of getting a nursing specialty recognized (and by whom), what criteria do they use, how would your vision of rural/remote nursing fit into that--- before we write it all for you?
- 0Hellp GrnTea, No not a homework question, a research project. I support specialties because it encourages nurses to seek further education and training, to help them remain current in their scope of practice. There is support in numbers. Shared concerns can bring about change and or improvements. Currently, I am aware that Austrailia and Canada have quite a few organizations for their remote and rural nurses. In the USA many mid-west and south west colleges and universities are offering certification in Remote and Rural Nursing. There are also many offsite training to educate nurses on performing procedures that would normally be done by a MD. The American Nurse Association has a 21 page publication on the recognition of a Nursing specialty 2010 and the process for the recognition of a specialty. Perhaps I should have posted a questionaire to collect data, what do you think?
- 0Thank You Esme. I know that the assignment is that they want to see if I know the steps of developing a research paper. but I would also like to include the actual responses from actual nurses on their opinion about the subject. Currently I have found that the biggest obstacle to specializtiion is that it is very difficult to define what rural or remote actually is .U. S Census has a definition, United Nations has a different definition, World Health Organization has another. I Also learned that remote and rural nurses wsork in low income or underserved areas of the country, but they are considered Public Health Nurses. In Urban areas nurses working in a hospital setting are not considered public health. Please see my post to Grn Tea. I did come up with a questionaire.
- 1Oct 29, '13 by GrnTea, BSN, MSN, RNOh, god, not another Survey Monkey questionnaire. Sorry, hot button.
Everybody and his brother seems to think that a questionnaire constitutes research these days-- some, if not most, of the ones I've seen here for "master's capstones" are poorly designed and no more than opinion polls, and loaded with implicit bias to boot. That does not constitute "research" nor do the returns constitute "data." At very least, you have no idea who's answering it here, so that makes it invalid from the git-go. If you administer it to live nurses, you can get immediate feedback on it, too, like, "There's no 'none of the above' and my experience is different." This also prevents proceeding to crank out a bunch of statistics with what one has just to get it done, academic integrity or meaningfulness be damned. I see that so often and it's so very disheartening, as I think you can imagine.
Thanks for the clarification. I agree with your opinion that specialty practice benefits both patient and nurse, community and profession. I am more familiar with the ANA process of getting specialty certification than I ever planned to be; it is a royal pain in part because the ANA has recently (like for the past two years) been laboring with reorganization and navel-gazing, and as a result several nursing specialties have their applications for recognition withering on the vine, as it were. But it's a good concept, as demonstrated by the ones that have done it already: IV nurses, OR/PACU, legal nurse consultants, oncology, and many others. Perhaps some of that will make it into the background portion of your paper.