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The Rural Nurse

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The Rural Nurse

SKU# 9780826157560

Transition to Practice


  • Deana Molinari PhD, MS, RN, CNE
  • Angeline Bushy PhD, RN, FAAN

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Transitioning to rural practice can be daunting for both experienced nurses and new graduates who have an urban orientation and are accustomed to specialized practice with abundant health care resources. Since most nursing education programs and practicing nurses are located in urban settings, programs are needed to prepare nurses who choose rural practice. In their book, Dr. Molinari and Dr. Bushy provide excellent examples of practice models from North America, New Zealand, and Australia with curricula that address transition issues. The text makes a significant contribution to the discussion about how to best prepare nurses for rural practice and will be of interest to administrators, educators, and clinicians.

From the Foreward by Charlene A. Winters, PhD, APRN, ACNS-BC
Associate Professor
Montana State University College of Nursing

This is the only volume to address the pressing need for practical information about transitioning from an urban-based nursing education or practice to a rural health care environment. It provides successful strategies that nurses in rural settings can use to develop, implement, and evaluate innovative programs that will meet the needs of individual rural communities. The book details current rural nursing transition-to-practice trends and issues, national standards, and evidence-based model programs worldwide. Rural practice culture is described along with professional education issues, competency, patient care, and safety.

Chapters are presented in easy-to-access formats that offer ready solutions for problems commonly encountered in rural practice such as nurse recruitment and retention. In addition to health care delivery issues for specific rural populations, the book presents program descriptions from local to state levels, including locally developed education programs, urban hospital systems outreach to rural facilities, universities collaborating with rural businesses, city-based workshops, statewide competencies tracked by employers, and a distance education program customized by rural agencies. Case studies demonstrate how rural facilities-even the smallest and most isolated-are advancing health care through nurse support. The text will be of value to rural nursing staff developers, critical access hospitals and community clinic administrators, rural professional organizations, small urban health facilities, continuing education providers, nursing workforce centers, and graduate programs.

Key Features:

  • The first transition from academia-to-practice guide for rural nursing
  • Charts evidence-based successes and offers model programs in different rural settings
  • Provides rural-specific information to facilitate statewide health mandates
  • Features residency program development processes, with tips and tools that work

Product Details 

  • Publication Date November 18, 2011
  • Page Count 400
  • Product Form Paperback / softback
  • ISBN 13 9780826157560
  • EISBN 9780826157577

Table of Contents 

Acknowledgements D. L. Molinari

Preface D. L. Molinari

A. Bushy

Foreword C. Winter

Foreword J. Dunkin

Meet the Editors

Meet the Contributors

Section I Foundations of Rural Nursing Transition to Practice

Chapter 1 Rural Nursing A. Bushy

Chapter 2 Rural Nurse Transition-to-Practice Programs D. L. Molinari

Chapter 3 Quality of Care and Patient Safety: The Evidence for N. Spector

Transition-to-Practice Programs J. Silvestre

Chapter 4 Dual Relationships and Rural Nurse’s K. Crooks

Transition-to-Practice: A Canadian Ethnographic Study

Chapter 5 Rural Nurse Perceptions of Organizational Culture D. L. Molinari

And The Intent to Move A. Jaiswal

T. Peterson

Chapter 6 Women’s Health and Nursing Practice in Rural Canada B. Leipert

Section II Transition to Practice: Exemplar Models

Chapter 7 Place Based Practice: A New Zealand Nursing J. Ross

Education Model

Chapter 8 Rural Nursing in the Australian Context K. Francis

E. Jacob

Chapter 9 University Health system Consortium (UHC) & D. McElroy

American Association of Colleges of Nursing (AACN) K. McGuinn

Nurse Residency Program

Chapter 10 National Council of State Boards of Nursing’s J. Silvestre

Transition to Practice (TTP) Regulatory Model N. Spector

Chapter 11 The Northwest Rural Nurse Residency D. Molinari

T. Hollinger-Forrest

Chapter 12 Vermont Nurses In Partnership (VNIP) Model S. Boyer

Chapter 13 North Carolina: Regionally Increasing Baccalaureate M. P. Johnson

Nurses (RIBN) & Evidence-based V. P. Hall

Transition-to-Practice Program J. W. Roth

Chapter 14 Washington State: Rural Outreach Nursing H. H. Kuebel

Education (RONE) Program K. L. Joiner

Chapter 15 Alaska Frontier: Statewide Competency C. Roleff

Development Initiative J. McNulty

J. Montague

Chapter 16 New Mexico: Nurse Residence Collaborative A. von Dielingen


Chapter 17 N2K: From Incumbent Worker To Nurse G. Wappes

Chapter 18 Rural Preceptors’ Concerns with O. Yonge

Nursing Student Evaluation F. Myrick

L. Ferguson

Q. Grundy

Section III Program Development, Management and Evaluation

Chapter 19 Appreciative Inquiry (AI): K. Crusoe

A Model for Positive Change and Innovation

Chapter 20 Building a Business Case L. Tieman

for Rural Transition-to-Practice Programs

Chapter 21 Conversation with a Rural Director of Nurses N. Asay

D. L. Molinari

Chapter 22 Professional Clinical Education Model (PCEM) D. L. Molinari

Chapter 23 Curriculum: To Be or To Do? D. L. Molinari

A. Mladenka

Chapter 24 Rural Distance Education: Delivery and Design J. Josephson

Chapter 25 Simulation in Nursing Continuing Education: A. Bushy

The Where-fore’s and When-tos B. Hewett

Chapter 26 Program Evaluation and Outcome Measurement D.L. Molinari

A. Bushy

Chapter 27 Specialty Topics: Genetics, Genomics and Informatics Mladenka

D.L. Molinari


Preceptor Competencies

Nursing Role Competencies