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The rural nurse practitioner: a challenge and a response

J.A. Sullivan, C.Z. Dachelet, H.A. Sultz and M. Henry

American Journal of Public Health, 1978, vol. 68, issue 10, 972-976

Abstract: From a cohort of 525 employed nurse practitioners (NPs) who graduated between May 1975 and June 1976, 85 (16%) reported practising in rural areas. While 91% of the rural NPs chose the short-term certificate programs rather than the master's degree for their NP preparation, 47% had already earned a baccalaureate or master's degree prior to NP training. Family NPs comprised the most frequent specialty area chosen, followed by pediatric and adult specialties. Of the 85, 99% were actually providing a broad array of primary care services to clients over a wide age range. Physicians were periodically available on site in about 80% of the practices, by telephone in 97% of the practices, and in 60% of the practices provided additional consultation by record review. Major motivations of the NPs for entering rural practice were to participate in a creative approach to health care delivery (50% of the practice settings were less than five years old), and for the opportunity for role autonomy. Over 95% of these NPs and employers were satisfied with the NP role.

Date: 1978
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