scholarly journals Collaboration, culture and communication: Preparing the next generation to provide rural primary health care

2021 ◽  
Vol 11 (6) ◽  
pp. 50
Author(s):  
Tami L. Thomas ◽  
Michelle Caldera ◽  
Derrick Glymph
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Rural Communities ◽  
Rural Areas ◽  
Primary Care Providers ◽  
Care Providers ◽  
Rural Healthcare ◽  
Care Needs ◽  
Healthcare Needs ◽  
Project Model

Background and objective: In an ever-changing landscape of health care needs and demands, the ability to provide care for rural communities is often overwhelming. Rural health care in a new decade demands targeted programs to improve recruitment, training, and sustained employment of primary care providers. This project served to address rural primary healthcare needs by the development of a project model to recruit, train, educate and evaluate Advanced Practice Registered Nurse students (APRN) students who were rigorously selected for a rural traineeship and practiced in rural counties. The evaluation of preceptors was also done to assist in retention and increased numbers of rural preceptors and clinical sites. This program was designed collaboratively and implemented with rural community partners and rural healthcare leaders.Methods: Graduate nursing students completed both a paper application and in person interviews to be selected for a rigorous 16-week clinical traineeship in the rural communities. Qualitative data were collected during interview and feedback sessions during their traineeship. Quantitative Data were collected on Process and Outcome Measures focused on learning objectives during their rural traineeship. These data were analyzed and evaluated to measure the effectiveness of program goals, outcomes, and sustainability of the program. Results and conclusions: The results support the structured process for selecting graduate students and with an innovative program design focused on rural culture and accessing resources for patients in these same rural areas. Both students and preceptors had improved performance and satisfaction over time. The results provide a road map to recreate programs with high clinical impact and increasing numbers of rural healthcare providers. Current follow-up data with APRN post program completion demonstrated increase in employment within rural areas post-graduation.

scholarly journals Electronic Advice Request System for Nephrology in Alberta: Pilot Results and Implementation

2019 ◽  
Vol 6 ◽  
pp. 205435811987977
Author(s):  
Aminu K Bello ◽  
Deenaz Zaidi ◽  
Branko Braam ◽  
Sophia Chou ◽  
Mark Courtney ◽  
...  
Keyword(s):  
Rural Communities ◽  
Response Time ◽  
Rural Areas ◽  
Positive Impact ◽  
Primary Care Providers ◽  
Referral And Consultation ◽  
Care Providers ◽  
Specialist Care ◽  
Optimal Care ◽  
Timely Access

Background: Residents of rural areas of Alberta face significant barriers regarding access to specialist care, resulting in delays in provision of optimal care. Electronic referral and consultation systems are promising tools for facilitating timely access to specialist care, especially for people living in rural locations. Objective: To report our initial experience with the launch of an electronic advice request system for ambulatory kidney care in Alberta, Canada. Methods: We analyzed electronic advice requests for nephrology services in Alberta after the system’s pilot launch, from October 2016 to December 2017. Data for province-wide advice request utility by primary care providers (PCPs) were extracted from Alberta Netcare for analysis. Results: The total number of electronic advice requests directed to nephrology was 118 (mean number of requests: 2 per week). Only 31 (26.3%) of the cases required a face-to-face clinic visit with a nephrologist. Most (87; 73.7%) cases were managed by PCPs with ongoing nephrologist support via the advice request tool. Typical nephrologist response time was 5.7 ± 0.6 (mean ± SEM) days. Conclusion: These preliminary data suggest that the electronic advice request program has potential to enhance timely access to specialist kidney care and minimize unnecessary nephrologist visits while reducing response time. Broad implementation of this system may have a substantial positive impact on health outcomes and improve cost-effectiveness for nephrology care in the long term, particularly in rural communities of Alberta.

scholarly journals Maternal Health Care Providers and the Challenges of Quality Services in Rural Communities of Kaduna State, Nigeria

2012 ◽  
Vol 10 (1) ◽  
Author(s):  
Godswill James ◽  
Ada Helen Ochi
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Maternal Health ◽  
Health Care Providers ◽  
Rural Areas ◽  
Maternal Health Care ◽  
Care Providers ◽  
Quality Health Care ◽  
Cross Sectional

It is widely assumed by maternal health care programmers and policy makers that expanding coverage of maternal health care services will improve reproductive health indices such as maternal mortality; this is without taking into account the quality of care especially in rural areas. Despite various attempts by Governments to increase the utilization of maternity service and improve maternal health, the progress made so far remains little in rural areas. This study examines the challenges faced by maternal health care providers in providing quality services in rural communities of Kaduna State. A community-based cross-sectional research design was adopted and data were obtained using both quantitative and qualitative methods. A survey of 300 women aged 15-49 years was carried out, using multi-stage sampling techniques involving Local Government Areas, wards, main streets, houses, households and individuals. Focus group discussions were conducted among women who delivered three months before the survey, and those who experienced acute morbidity and complications. In-depth interviews were conducted with maternal health care providers in the study communities. The study reveals inadequacy in equipment, number and quality of staff in the rural health facilities; younger women were more likely to have positive experience of care than older women. Care was discontinued if health care providers were perceived as unqualified, neglectful or too young. Many pregnant women were discouraged from taking their drugs due to the perception that the drugs increased the baby’s weight which makes delivery difficult. Engagement with political, religious leaders and community groups needs to be fostered through sensitization and sustained advocacy to remove constraints to accessibility of quality health care in rural areas.

scholarly journals Specialized Rural Pain Clinics: Lessons for a Small Country like Lebanon

2019 ◽  
pp. Fred-Saleh
Author(s):  
Fred Saleh ◽  
Ghassan Mouhanna
Keyword(s):  
Chronic Pain ◽  
Palliative Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Significant Proportion ◽  
Primary Care Providers ◽  
Care Providers ◽  
Pain Clinics ◽  
Care Approach ◽  
South Lebanon

Background: People with chronic pain and who live in rural communities often lack access to pain specialists. They end up relying on primary care providers who may be less prepared to deal with their conditions. Purpose: The purpose of this study is to survey the existence of specialized pain clinics/services in rural Lebanon. It also aims at highlighting the importance of the existence of such clinics/services rurally. Method: A review of the literature about pain in Lebanon was conducted using PubMed, Medline, Google Scholars, and Research Gate. Another search was conducted using Google Maps to locate any specialized pain clinics in the rural areas. The Lebanese Society for Pain Medicine was also contacted for information about the distribution of specialized pain clinics/services in Lebanon. Results: Our results showed that the total number of pain clinics/services in Lebanon is ten. They are distributed as follows: Five in Greater Beirut including Metn (50%), one in North Lebanon (10%), two in South Lebanon (20%), one in Beqaa (10%), and one in Mount Lebanon (Chouf, Aley, Kesrouan/Jbeil) (10%). The majority (90%) of these services are hospital-based and are governed by the Anesthesia Departments. Moreover, a comprehensive palliative care approach towards pain management in terminally-ill cancer and non-cancer patients is still lacking nationwide. Conclusion and implications: Rural Lebanon is still significantly underserved as far as the existence of specialized pain clinics is concerned. This calls for a quick interference by the health officials considering the fact that a significant proportion of Lebanese people live in the rural areas. In parallel, the international approaches to palliative care for chronic pain should be adopted. Lastly, an alternative to out-of-pocket payment for the consultation fees and treatments should be taken into consideration

Primary Care Medical Practices: Are Community Health Care Providers Ready for Disasters?

2018 ◽  
Vol 13 (02) ◽  
pp. 128-132 ◽  
Author(s):  
Rachel M. Peters ◽  
Thomas J. Hipper ◽  
Esther D. Chernak
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Care Providers ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Providers ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health

AbstractObjectiveThis study seeks to determine the capacity of community primary care practices to meet the needs of patients during public health emergencies and to identify the barriers and resources necessary to participate in a coordinated response with public safety agencies.MethodsThe self-administered web-based survey was distributed in January 2014 via e-mail to primary care providers in Pennsylvania using the listservs of several professional societies.ResultsA total of 179 primary care providers participated in the survey. In total, 38% had practice continuity of operations plan in place and 26% reported that they had a plan for patient surge in the outpatient setting. Thirty percent reported that they were registered on the state Health Alert Network and 41% said they were able to communicate with patients during disasters. Only 8% of providers reported that they believed that their patients with special health care needs were prepared for a disaster, although over two-thirds of responding practices felt they could assist these patients with disaster preparedness. Providers indicated that more information regarding government agency plans and community resources, patient education materials, and more time to devote to counseling during patient encounters would improve their ability to prepare their patients with special health care needs for disasters. Providers also reported that they would benefit from partnerships to help the practice during emergencies and communications technology to reach large numbers of patients quickly.ConclusionsCommunity-based primary care practices can be useful partners during public health emergencies. Efforts to promote continuity of operations planning, improved coordination with government and community partners, as well as preparedness for patients with special health care needs, would augment their capabilities and contribute to community resilience. (Disaster Med Public Health Preparedness. 2019;13:128–132).

scholarly journals IMPROVING HEALTH CARE OF LGBT OLDER ADULTS: INTERDISCIPLINARY PROJECT ENHANCES HEALTH OUTCOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S742-S742
Author(s):  
Noell L Rowan ◽  
Stephanie D Smith ◽  
Tamatha Arms ◽  
Kris L Hohn
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Social Work ◽  
Nursing Students ◽  
Gender Identity ◽  
Health Care Providers ◽  
Cultural Awareness ◽  
Linear Models ◽  
Care Providers ◽  
Care Needs

Abstract To date, there is a dearth of interdisciplinary simulation education and research that involves LGBT older adults within schools of social work and nursing. The purpose of this mixed method study was to examine the use of an intervention among social work and nursing students to determine if lecture and simulations impacted their health-related knowledge and cultural sensitivity/awareness of health provisions with LGBT older adults. Interprofessional faculty created lecture and interdisciplinary simulations with actual members of the older LGBT communities using simulation clinic/lab and health care scenarios. An adapted survey with permission from Grubb et al (2013) was used to include quantitative and qualitative measures of cultural awareness with LGBT populations. Pre-Post test data were analyzed using Generalized Linear Models in SAS software. Results indicated that the intervention positively changed perceptions and increased knowledge among (N=90; 32 social work; 58 nursing) allied health students. Statistically significant change experiences in their work with LGBT individuals were noted to positively alter their beliefs about sexuality, gender identity, and sexual development (Agree to Strongly Agree, X2(1)=26.51, p<0.001). Qualitative findings include four primary themes about how gender identity and sexual orientation influences health: (a) bias of health care providers, (b) access to quality care, (c) specific health care needs, and (d) health risks of LGBT older adults. As older adults continue to be the largest population needing health care, it is imperative that professionals are trained to give culturally sensitive health care and demonstrate this competency in their practice and interpersonal interactions with clients.

Social media and peer-to-peer support for individuals with health care needs and their caregivers: a scoping review (Preprint)

2019 ◽  
Author(s):  
Katherine Kelly ◽  
Shelley Doucet ◽  
Alison Luke ◽  
Rima Azar ◽  
William Montelpare
Keyword(s):  
Health Care ◽  
Social Media ◽  
Peer Support ◽  
Scoping Review ◽  
Emotional Support ◽  
Peer To Peer ◽  
Health Care Needs ◽  
Care Providers ◽  
Care Needs ◽  
The Many

BACKGROUND Individuals with health care needs and their caregivers require substantial informational and emotional support. Providing this support is a major challenge for care providers, who are often not able to adequately address barriers and may not be aware of available services and programs. Online P2P support offers an accessible and inexpensive source of support; however, the breadth of these supports on social media has not been previously documented. OBJECTIVE This study was a scoping review of research examining the use of peer-to-peer support on social media by individuals with health care needs and their caregivers. METHODS This review used the PRISMA-SR method to search for articles from 1997 to 2019. RESULTS A total of 94 articles were included. Patients and caregivers use many social media websites for P2P interaction, including: Facebook (n = 19), Twitter (n = 7), and YouTube (n = 6). Providing and receiving informational and emotional support were important uses of social media for P2P support; however, the specific needs and experiences of patients and caregivers appeared to change as knowledge regarding the condition(s) improved. Despite the many benefits associated with participating in online P2P groups, concerns related to ethics, privacy, and the potential to spread misinformation are outlined as risks associated with its use. CONCLUSIONS This study revealed that patients and caregivers engage in P2P support on social media to receive informational and emotional support from peers, despite known risks and limitations. Social networking websites were revealed to be particularly suited for P2P support communication.

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