The benefits and challenges of a rural community-based work-ready placement program for allied health students

Abstract Background Allied health services are core to the improvement in health outcomes for remote and rural residents. Substantial infrastructure has been put into place to facilitate rural work-ready allied health practitioners, yet it is difficult to understand or measure how successful this is and how it is facilitated. Methods A scoping review and thematic synthesis of the literature using program logic was undertaken to identify and describe the contexts, mechanisms and outcomes of successful models of rural clinical placements for allied health students. This involved all empirical literature examining models of regional, rural and remote clinical placements for allied health students between 1995 and 2019. Results A total of 292 articles were identified; however, after removal of duplicates and article screening, 18 were included in the final synthesis. Australian papers dominated the evidence base (n = 11). Drivers for rural allied health clinical placements include: attracting allied health students to the rural workforce; increasing the number of allied health clinical placements available; exposing students to and providing skills in rural and interprofessional practice; and improving access to allied health services in rural areas. Depending on the placement model, a number of key mechanisms were identified that facilitated realisation of these drivers and therefore the success of the model. These included: support for students; engagement, consultation and partnership with key stakeholders and organisations; and regional coordination, infrastructure and support. Placement success was measured in terms of student, rural, community and/or program outcomes. Although the strength and quality of the evidence was found to be low, there is a trend for placements to be more successful when the driver for the placement is specifically reflected in the structure of the placement model and outcomes measured. This was seen most effectively in placement models that were driven by the need to meet rural community needs and upskill students in interprofessional rural practice. Conclusion This study identifies the factors that can be manipulated to ensure more successful models of allied health rural clinical placements and provides an evidence based framework for improved planning and evaluation.

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Rural Community Based Caesarean Section Ratesin A Resource Poor Region

International journal of Gynecology Obstetrics and Neonatal Care ◽

10.15379/2408-9761.2015.02.02.06 ◽

2015 ◽

Vol 2 (2) ◽

pp. 35-41

Author(s):

S. Chhabra ◽

◽

V. Pandit ◽

S. Ahmad ◽

P. Singh

Keyword(s):

Caesarean Section ◽

Rural Community ◽

Community Based ◽

Poor Region ◽

Resource Poor

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Climate change impacts on water resources in a rural community in Limpopo province, South Africa: a community-based adaptation to water insecurity

International Journal of Climate Change Strategies and Management ◽

10.1108/ijccsm-04-2020-0033 ◽

2020 ◽

Vol 12 (5) ◽

pp. 587-598

Author(s):

Sejabaledi Agnes Rankoana

Keyword(s):

Climate Change ◽

South Africa ◽

Water Resources ◽

Water Supply ◽

Rural Community ◽

Limpopo Province ◽

Community Based ◽

Content Type ◽

Adaptation Practices ◽

Community Based Adaptation

Purpose The study explored the impacts of climate change on water resources, and the community-based adaptation practices adopted to ensure water security in a rural community in Limpopo Province, South Africa. Design/methodology/approach The study was conducted in Limpopo Province, South Africa. The participatory approach was used to allow community members to share their challenges of water scarcity, and the measures they have developed to cope with inconsistent water supply. Findings The study results show that the community obtains water for household consumption from the reticulation system supplied by Mutale River and the community borehole. These resources are negatively impacted by drought, change in the frequency and distribution of rainfall, and increased temperature patterns. The water levels in the river and borehole have declined, resulting in unsustainable water supply. The community-based adaptation practices facilitated by the water committee include observance of restrictions and regulations on the water resources use. Others involve securing water from neighbouring resources. Originality/value This type of community-based action in response to climate change could be used as part of rural water management strategies under climate change.

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Social capital development in a rural community based on exchange management with outsiders: The case of Akimoto, a small mountainous settlement in Japan

Town Planning Review ◽

10.3828/tpr.79.4.5 ◽

2008 ◽

Vol 79 (4) ◽

pp. 427-462

Author(s):

Tetsunobu Yoshitake ◽

Chikashi Deguchi

Keyword(s):

Social Capital ◽

Rural Community ◽

Community Based ◽

Capital Development ◽

Exchange Management

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The Uncertainty of COVID-19 Inducing Social Fear and Pressure on the Continuity of Rural, Community-Based Medical Education: A Thematic Analysis

Healthcare ◽

10.3390/healthcare9020223 ◽

2021 ◽

Vol 9 (2) ◽

pp. 223

Author(s):

Ryuichi Ohta ◽

Yoshinori Ryu ◽

Chiaki Sano

Keyword(s):

Medical Education ◽

Direct Observation ◽

Rural Community ◽

Thematic Analysis ◽

Community Based ◽

Postgraduate Students ◽

Medical Trainees ◽

Rural Settings ◽

Social Fear ◽

Medical Educators

Rural community-based medical education (CBME) enriches undergraduate and postgraduate students’ learning but has been impacted by the coronavirus disease 2019 (COVID-19) pandemic. We identified the challenges faced by stakeholders as well as the relevant solutions to provide recommendations for sustainable CBME in community hospitals during the COVID-19 pandemic. A total of 31 pages of field and reflection notes were collated through direct observation and used for analysis. Five physicians, eight nurses, one clerk, fourteen medical trainees, and three rural citizens were interviewed between 1 April and 30 September 2020. The interviews were recorded and their contents were transcribed verbatim and analyzed using thematic analysis. Three themes emerged: uncertainty surrounding COVID-19, an overwhelming sense of social fear and pressure within and outside communities, and motivation and determination to continue providing CBME. Rural CBME was impacted by not only the fear of infection but also social fear and pressure within and outside communities. Constant assessment of the risks associated with the pandemic and the implications for CMBE is essential to ensure the sustainability of CBME in rural settings, not only for medical educators and students but also stakeholders who administrate rural CBME.

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Correlates of human papillomavirus vaccine knowledge and acceptability among medical and allied health students in Northern Nigeria

Journal of Obstetrics and Gynaecology ◽

10.1080/01443615.2021.1910639 ◽

2021 ◽

pp. 1-9

Author(s):

Zubairu Iliyasu ◽

Hadiza S. Galadanci ◽

Aisha Muhammad ◽

Bilkisu Z. Iliyasu ◽

Amina A. Umar ◽

...

Keyword(s):

Human Papillomavirus ◽

Allied Health ◽

Northern Nigeria ◽

Human Papillomavirus Vaccine ◽

Allied Health Students ◽

Papillomavirus Vaccine

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Utilization of a Cardiometabolic Health Nurse – a Novel Strategy to Manage Comorbid Physical and Mental Illness

Journal of Comorbidity ◽

10.15256/joc.2014.4.36 ◽

2014 ◽

Vol 4 (1) ◽

pp. 22-28 ◽

Cited By ~ 8

Author(s):

Brenda Happell ◽

Robert Stanton ◽

David Scott

Keyword(s):

Mental Health ◽

Primary Care ◽

Physical Health ◽

Allied Health ◽

Cardiometabolic Health ◽

Community Based ◽

Mental Health Consumers ◽

Health Nurse ◽

Health Consumers ◽

Community Based Services

Background Comorbid chronic illnesses, such as cardiovascular disease, respiratory conditions, and type 2 diabetes are common among people with serious mental illness. Management of comorbid illness in the mental health setting is sometimes ad hoc and poorly delivered. Use of a cardiometabolic health nurse (CHN) is proposed as one strategy to improve the delivery of physical health care to this vulnerable population. Objective To report the CHN's utilization of primary care and allied health referrals from a trial carried out in a regional community mental health service. Design Feasibility study. Mental health consumers were referred by their case manager or mental health nurse to the CHN. The CHN coordinated the physical health care of community-based mental health consumers by identifying the need for, and providing referrals to, additional services, including primary care, allied health, and community-based services. Results Sixty-two percent of participants referred to the CHN received referrals for primary care, allied health, and community-based services. Almost all referrals received follow-up by the CHN. Referrals were most commonly directed to a general practitioner and for nurse-delivered services. Conclusion The CHN role shows promise in coordinating the physical health of community-based mental health consumers. More studies on role integration and development of specific outcome measurement tools are needed.

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