Easy as Pie: A Rural Nursing Model McEwen and Wills (2011), describe nursing theory as a systematic explanation of an event in which constructs and concepts are identified and relationships are proposed and predictions are made. The use of a nursing theory adds organization and structure to the nursing profession and helps to describe and/or predict nursing practice. In the nursing profession, Florence Nightingale is credited as being the first nursing theorist (McEwen & Wills, 2011). Nightingale proposed the basic premises for nursing practice. Since Nightingale, many theories have been developed in attempt to explain the phenomenon of nursing.
Many theories have been developed, but they do not all apply to the Advanced Practice Nurse (APN) in a rural setting. In 1989, Long and Weinert laid the foundation for the development of a rural nursing theory by defining rural nursing as the “provision of health care by professional nurses to persons living in sparsely populated areas” (McCoy, 2009). An APN faces many challenges by working in a rural community. This paper will present a model developed to describe the components that make up an APN and a patient as well as the interaction between the APN and the patient in a rural setting. A description of the purpose for the model, theories used to help develop the model, description of the model, and an example of the model applied is discussed in this paper.
Purpose for Model Development The purpose of the model presented is to provide a framework and representation of the components that make up the APN and patient and to demonstrate the interactions they share. “Nurses working in rural settings face challenges not found in urban and suburban areas” (McCoy, C., 2009). These challenges affect the APN, patients, families, and community. In 2009 McCoy stated that an understanding of rural persons along with their self-defined
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