Nursing Research
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Item Investing in health education to reduce rural health disparities(IntechOpen, 2023) Ross, J.; Mann, S.; Emond, K.; Otago Polytechnic, Te Pūkenga; Te PūkengaThe global rural population accounts for almost half of the total global population. Access to health care for these rural populations is reduced, leading to increased health disparities. Nurses play a critical role in reducing health disparities but with limited models to guide their practice. The Community Health Assessment Sustainable Education model is a practical teaching and learning solution, which has been developed to engage student nurse learners in a health promotion philosophy for rural areas. Nurse learners assess and gather data to progress community development and navigate the holistic landscape of health. In this chapter, we describe how this approach integrates the sociopolitical, cultural, sustainable, economic, and environmental aspects of rural communities’ health. Our focus is on preparing nurse learners to improve the health of rural populations globally and reduce health disparities. The CHASE model enables nurse learners to influence and change policy and legal responsibilities at local, national, and global levels, while community development aims to address nurses’ role in advocacy that requires them to act on behalf of communities from a social justice perspective as they prepare for registered nurse practice.Item The rural way: Rural nurses’ contribution to new models of health care, reducing health disparities - stories from practice(IntechOpen, 2023-01-27) Ross, J.; Crawley, J.; Parmee, R.; Otago Polytechnic, Te Pūkenga; Te PūkengaThis chapter reports on a research project that set out to capture the unique stories from rural nurses from Aotearoa, New Zealand. During the past three decades changing socio-political and economic contexts have affected the delivery of health care while rural nurses have responded with new models of practice which has resulted in an emerging rural nurse discourse related and specific to rural New Zealand. Rural nurses have maintained and, in some cases, improved the health care of these rural communities. A total of 26 rural nurse participants shared their stories providing data to explore the structured phenomenon of rural nursing in New Zealand. Personal and human dimensions are illuminated, as the in-depth meaning of the experience is described by each individual storyteller. Interviews were conducted to collect retrospective stories uncovering the participants’ rural nurse journey. Revealed are a sense of place and people, involving what nurses’ express, as the rural way. A nursing discourse is developed which complements and extends international theories. The rural nurse of New Zealand is imbued with pioneering spirit; entrepreneurial practice shaped by their rural communities highlighting what we suggest is the rural way. Further expansion of the rural way was uncovered with follow up interviews exploring their practice during the COVID-19 pandemic.