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Factors influencing community nursing roles and health service provision in rural areas: A review of literature


Barrett, A and Terry, D and Le, Q and Hoang, Ha, Factors influencing community nursing roles and health service provision in rural areas: A review of literature, Contemporary Nurse, 52, (1) pp. 119-135. ISSN 1839-3535 (2016) [Refereed Article]

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Copyright 2016 Informa UK Limited, trading as Taylor & Francis Group

DOI: doi:10.1080/10376178.2016.1198234


Aims: This review seeks to better understand the issues and challenges experienced by community nurses who work in rural areas where other health care organisations are limited and how these issues and challenges shape their roles.

Methods: EPOCH, MEDLINE, PubMed, ProQuest Health and Medical, Nursing Consult, CINAHL, and Informit Health Collection databases were searched using key search terms to identify relevant English studies focusing on the issues and challenges experienced by rural generalist community nurses in developed countries published between 1990 and 2015. Reference lists of retrieved articles were manually searched for other relevant studies. Generic and grey literature, including dissertations, relating to the subject area was also searched. The search was systematically conducted multiple times to assure accuracy.

Results: A total of 78 articles were obtained and 14 articles met the inclusion criteria. This critical review identifies some common issues impacting community nursing. These issues were influenced by a range of factors including role definition, organizational change, human resource, workplace and geographic challenges.

Conclusion: This review indicates community nurses are flexible, autonomous, able to adapt care to the service delivery setting, and have a diversity of knowledge and skills. Considerably more research is essential to identify, quantify and articulate the factors that impact rural community nursing practice. In addition, greater advocacy is required for role definition that moves beyond the interests of the profession to focus more on developing the role that addresses client outcomes.

Item Details

Item Type:Refereed Article
Keywords:Rural Population, Community Health Nursing, Health Services Needs and Demand, Rural Health
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Health and Community Services
Objective Division:Health
Objective Group:Specific Population Health (excl. Indigenous Health)
Objective Field:Rural Health
Author:Le, Q (Dr Quynh Le)
Author:Hoang, Ha (Dr Ha Hoang)
ID Code:109657
Year Published:2016
Deposited By:Centre for Rural Health
Deposited On:2016-06-24
Last Modified:2016-12-19
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