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Rural Nursing, Fifth Edition

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Rural Nursing, Fifth Edition

SKU# 9780826161673

Concepts, Theory, and Practice


  • Charlene A. Winters PhD, RN
  • Helen J. Lee PhD, BS
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“(This book) continues to be the first line resource toward understanding rural health nursing and the interface with cultural, health, health beliefs, and healthcare in rural populations…Highlights the realities of rural nursing from bedside to advanced practice…This book and the chapters within are some of the most often cited in the rural nursing literature.”

Pamela Stewart Fahs, RN, PhD

Associate Dean

Professor and Dr. G. Clifford and Florence B. Decker Chair in Rural Nursing

Decker School of Nursing, Binghamton University

Editor in Chief, Online Journal of Rural Nursing and Health Care

The newly revised fifth edition of this authoritative classic continues to be the only text to focus specifically on rural nursing concepts, theory, research, practice, education, public health, and healthcare delivery from a national and international perspective. Updated with 22 new chapters, these additions expand upon the rural nursing theory base and research. Content delves into the life of rural nurses, addressing their unique day-to-day challenges of living without anonymity, often acting as the sole healthcare provider, and establishing self-reliance as a nurse generalist. New chapters provide information on unique populations, such as veterans and Native Americans, as well as specific types of care, such as palliative nursing, bereavement support, substance abuse treatment, and much more. Free, searchable, digital access to the entire contents of the book and PowerPoint slides accompany the text.

New to the Fifth Edition:

  • How to develop a research program in a rural area
  • Strategies to advance research
  • The lived experiences of rural nurses
  • Chronic illness self-management
  • APRNs in rural nursing
  • A rural knowledge scale to use with students
  • Advancing rural healthcare through technology
  • Interprofessional education

Key Features:

  • Addresses critical issues in nursing practice, education, and research in sparsely populated areas
  • Written by esteemed contributors in the United States and Canada
  • Expands understanding of rural person and place characteristics
  • Identifies challenges and highlights opportunities for innovative practice
  • Serves as a single-source reference for rural nurses, students, faculty, and researchers
  • Print version includes free, searchable, digital access to the entire contents of the book!

Product Details 

  • Publication Date March 13, 2018
  • Page Count 428
  • Product Form Paperback / softback
  • ISBN 13 9780826161673
  • EISBN 9780826161710

Table of Contents 



Foreword Pamela Stewart Fahs, PhD, RN



1. Rural Nursing Theory: Past, Present, and Future

Helen J. Lee and Charlene A. Winters

2. Rural Nursing: Developing the Theory Base

Kathleen A. Long and Clarann Weinert

3. Concept Analysis

Helen J. Lee, Charlene A. Winters, Robin L. Boland, Susan Wallace Raph, and Janice A. Buehler

4. Updating the Rural Nursing Theory Base

Helen J. Lee and Meg K. McDonagh

5. An Updated Literature Review of the Rural Nursing Theory

Deana L. Molinari and Ruiling Guo

6. Lack of Anonymity: Changes for the 21st Century

Marilyn A. Swan and Barbara B. Hobbs

7. A Program of Research in Rural Settings

Clarann Weinert, Elizabeth Nichols, and Jean Shreffler-Grant

8. The Distinctive Nature and Scope of Rural Nursing Practice: Philosophical Bases

Jane Ellis Scharff

9. Understanding the Lived Experiences of the Rural Bedside Nurse

Judith M. Paré, Polly Petersen, and Dayle Boynton Sharp

The Nurse Practitioner as Rural Healthcare Provider

Jana G. Zwilling

Telehealth in Rural Nursing Practice

K. M. Reeder, Victoria Britson, and Mary Kay Nissen

Experiences of Nurses Living in Rural Communities Who Commute for Employment

Laurie J. Johansen

Achieving Congruence Between Rural Nursing Practice and Theory: The Synergy Model for Patient Care

Sheila Ray Montgomery and Judith M. Paré

Assessing Resilience in Older Frontier Women

Gail M. Wagnild and Linda M. Torma

Cultural Aspects of Bereavement in Rural Settings

D. “Dale” M. Mayer and Christy Buttler-Nelson

Beyond the Symptom–Action–Timeline Process: Explicating the Health-Needs–Action Process

Andrea Rasmussen, Chad O’Lynn, and Charlene A. Winters

17. Acceptability: One Component in Choice of Healthcare Provider

Jean Shreffler-Grant

Challenges and Opportunities to Palliative Care for Rural Veterans

Tamara L. Tasseff and Susan S. Tavernier

The “Golden Hour” in Rural America

Renae Christensen

Palliative Care for Rural Chronically Ill Adults

Jane A. Schantz

Healthcare Delivery Model for Critical Access Hospitals

Susan Wallace Raph and Rayn Ginnaty

Tribal Nations

Jenifer Show and Elizabeth Kinion

Improving Health Literacy About Complementary and Alternative Therapy Among Rural Dwellers

Jean Shreffler-Grant, Elizabeth Nichols, and Clarann Weinert

24. Development and Psychometric Evaluation of the Rural Knowledge Scale

Heidi A. Mennenga, Laurie J. Johansen, Becka Foerster, and Lori Hendrickx

Clinical Placements in Rural Hospitals: Expanding Nursing Students’ Knowledge, Skills, and Attitudes Toward Rural Healthcare

Lori Hendrickx, Heidi A. Mennenga, and Laurie J. Johansen

Implications for Education, Practice, and Policy

Jean Shreffler-Grant and Marlene Reimer*

Developing and Sustaining the Rural Nursing Workforce Through Collaborative Educational Models

Polly Petersen, Dayle Boynton Sharp, and Judith M. Paré

28. Rural Public Health Structure and Practice and the Role of the Public Health Nurse

Jo Ann Walsh Dotson and Jane Smilie

Substance Use and Abuse in Rural Communities

Jo Ann Walsh Dotson, Ekaterina Burduli, and Sterling McPherson

Engagement of Rural Residents in Research: The Rural Participatory Research Model

Sandra W. Kuntz, Tanis Hernandez, and Charlene A. Winters