The Frontier Nurse Practitioner

Klappentext This pioneering text is the first to present a framework for remote-rural and frontier nurse practitioners (NPs), with a focus on the political and contextual forces that influence practice. This groundbreaking text distills contextual knowledge required for frontier practice, describes how it differs from work in more populated locations, and discusses the special skills and training needed in this setting. It addresses the art and ethics of frontier practice, the relationship between federal policy and frontier health care, and how to advocate for adequate health care in remote areas.Also included are rich narrative case studies, in which NPs vividly describe why they decided to practice in the frontier environment. They also discuss the educational and work experience needed for frontier practice, the potential complications of treating patients who are also friends and neighbors, and how to manage emergency medical and trauma experiences in remote environments.Key Features:Provides the first model for frontier and remote-rural NP practice based on narrative evidenceIntroduces the new frontier and remote (FAR) methodology and demonstrates its use in nursing researchIllustrates how narrative nursing knowledge contributes to the discipline and informs theoryProvides a systematic review of key literature relating to frontier NP practiceDiscusses the link between federal policy and rural health care and its impact on NP practiceDistills educational and policy recommendations from the practice experiences of frontier NPs

Auteur

Lynn Jakobs, PhD, FNP-C, is a family nurse practitioner with nearly 20 years of experience practicing in a frontier setting. She is an instructor at California State University, Fresno, and currently practices at Sierra Family Medical Clinic in North San Juan, a small rural community in northern California.

Contenu

Contents

Foreword Charlene A. Winters, PhD, RN

Preface

Acknowledgments

PART I. THE FRONTIER

1. Life in the Frontier

Rural and Frontier Taxonomies

The Frontier and Remote Methodology

Frontier Lands

Frontier Demographics

Social Capital

Frontier Culture

Seasonal Population Variations in the Frontier

Poverty in the Frontier

Racial Diversity in the Frontier

The Frontier Economy

Conclusion

Questions for Discussion

2. Health and Health Care in the Frontier

Health Status of Frontier Dwellers

Access to Health Care Services

Federal Programs to Address Health Disparities in the Frontier

Access to Mental Health in the Frontier

Access to Dental Health in the Frontier

Public Health in the Frontier

EMS in the Frontier

Recruitment and Retention of Frontier Health Care Workers

Conclusion

Questions for Discussion

3. Frontier Nursing in the Literature

Theory of Rural Nursing

Frontier Skillset

Expert Generalist

Transitions

Personal and Professional Challenges

Isolation and Emergency Medical Care

Recruitment and Retention

Summary of the Literature

Discussion

Conclusion

Questions for Discussion

PART II. THE NARRATIVES

4. Bob: An Early Pioneer

Overview

Concepts

Themes

Conclusion

5. Ann: A Grow-Your-Own Story

Overview

Concepts

Themes

Conclusion

6. Jim: A Midlife Transition

Overview

Concepts

Themes

Conclusion

7. Pam: The Traveler

Overview

Concepts

Themes

Conclusion

8. Sue: A Corporate–Frontier Challenge

Overview

Concepts

Themes

Conclusion

9. Amy: A Mobile Experience

Overview

Concepts

Themes

Conclusion

10. Lori: A Career Choice

Overview

Concepts

Themes

Conclusion

PART III. THE MODEL

11. Narrative Knowledge

Reflected Experience as Knowledge

Types of Frontier Knowledge

Personal Challenges

Theoretical Constructs

Conclusion

Questions for Discussion

12. A Conceptual Model for Frontier Nursing Practice

Nursing Models

Relational Statements

The Model

Conclusion

Questions for Discussion

13. Recommendations and Conclusions

Nursing Education

Research

Health Care Policy

Recommendations for Further Research

Conclusion

Questions for Discussion

Appendix: Useful Websites

Index