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Frontier Nurse Practitioner (eBook)

A Conceptual Model for Remote-Rural Practice
eBook Download: EPUB
2017
180 Seiten
Springer Publishing Company (Verlag)
978-0-8261-6912-9 (ISBN)

Lese- und Medienproben

Frontier Nurse Practitioner - FNP-C Lynn Jakobs PhD
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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 evidenceIntroduces the new frontier and remote (FAR) methodology and demonstrates its use in nursing researchIllustrates how narrative nursing knowledge contributes to the discipline and informs theoryProvides a systematic review of key literature relating to frontier NP practiceDiscusses the link between federal policy and rural health care and its impact on NP practiceDistills educational and policy recommendations from the practice experiences of frontier NPs

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

Erscheint lt. Verlag 28.3.2017
Sprache englisch
Themenwelt Pflege Fachpflege Anästhesie / Intensivmedizin
Pflege Studiengänge Pflegewissenschaft
Schlagworte Affordable Care Act • Demographics • Education • Federal policy • frontier nurse practitioner • funding priorities • Health Care Systems • narrative inquiry study • narrative nursing knowledge • nursing experience • Research • Socioeconomics • State Policy • workforce issues
ISBN-10 0-8261-6912-0 / 0826169120
ISBN-13 978-0-8261-6912-9 / 9780826169129
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