Overview

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 evidence Introduces the new frontier and remote (FAR) methodology and demonstrates its use in nursing research Illustrates how narrative nursing knowledge contributes to the discipline and informs theory Provides a systematic review of key literature relating to frontier NP practice Discusses the link between federal policy and rural health care and its impact on NP practice Distills educational and policy recommendations from the practice experiences of frontier NPs

Full Product Details

Author:   Lynn Jakobs
Publisher:   Springer Publishing Co Inc
Imprint:   Springer Publishing Co Inc
Dimensions:   Width: 15.20cm , Height: 1.20cm , Length: 22.90cm
Weight:   0.320kg
ISBN:  

9780826169112

ISBN 10:   0826169112
Pages:   180
Publication Date:   22 March 2017
Audience:   College/higher education ,  Tertiary & Higher Education
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
We will order this item for you from a manufactured on demand supplier.

Table of Contents

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

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Author Information

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.

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