"If Only Someone Had Told Me ...": Lessons from Rural Providers

Autor/inn/en	Chipp, Cody; Dewane, Sarah; Brems, Christiane; Johnson, Mark E.; Warner, Teddy D.; Roberts, Laura W.
Titel	"If Only Someone Had Told Me ...": Lessons from Rural Providers
Quelle	In: Journal of Rural Health, 27 (2011) 1, S.122-130 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2010.00314.x
Schlagwörter	Health Personnel; Rural Areas; Rural Environment; Quality of Life; Barriers; Access to Health Care; Burnout; Labor Turnover; Health Services; Qualitative Research; Focus Groups; Coding; Acculturation; Social Integration; Delivery Systems; Needs Assessment; Rewards; Alaska; New Mexico + Suchen Sie Ihr Suchwort? Medizinisches Personal; Rural area; Ländlicher Raum; Ländliches Milieu; Lebensqualität; Burn out (Psychology); Burnout-syndrom; Burnout-Syndrom; Health service; Gesundheitsdienst; Gesundheitswesen; Qualitative Forschung; Codierung; Programmierung; Akkulturation; Soziale Integration; Auslieferung; Bedarfsermittlung; Reward; Belohnung
Abstract	Purpose: Health care providers face challenges in rural service delivery due to the unique circumstances of rural living. The intersection of rural living and health care challenges can create barriers to care that providers may not be trained to navigate, resulting in burnout and high turnover. Through the exploration of experienced rural providers' knowledge and lessons learned, this study sought to inform future practitioners, educators, and policy makers in avenues through which to enhance training, recruiting, and maintaining a rural workforce across multiple health care domains. Methods: Using a qualitative study design, 18 focus groups were conducted, with a total of 127 health care providers from Alaska and New Mexico. Transcribed responses from the question, "What are the 3 things you wish someone would have told you about delivering health care in rural areas?" were thematically coded. Findings: Emergent themes coalesced into 3 overarching themes addressing practice-related factors surrounding the challenges, adaptations, and rewards of being a rural practitioner. Conclusion: Based on the themes, a series of recommendations are offered to future rural practitioners related to community engagement, service delivery, and burnout prevention. The recommendations offered may help practitioners enter communities more respectfully and competently. They can also be used by training programs and communities to develop supportive programs for new practitioners, enabling them to retain their services, and help practitioners integrate into the community. Moving toward an integrative paradigm of health care delivery wherein practitioners and communities collaborate in service delivery will be the key to enhancing rural health care and reducing disparities. (Contains 1 table.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10