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APRN Model Paper
Easy as Pie: A Rural Nursing Model

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



References: Arcury, T. A., Grzywacz, J. G., Stoller, E. P., Bell, R. A., Altizer, K. P., Chapman, C., & Quandt, S. A. (2009). Complementary therapy use and health self-management among rural. Journal of Gerontology: Social Sciences, 64B(5), 635-643. doi:10.1093/geronb/gbp011 Bailey, J. (2009). The Top 10 Rural Issues for Healthcare Reform. Retrieved from http://files.cfra.org/pdf/Ten-Rural-Issues-for-Health-Care-Reform.pdf Dolan, E. M., Bauer, J. W., & Katras, M. J. (2011). Making rural employment work. In J. W. Bauer, & E. M. Dolan (Eds.), Rural Families And Work, 55-76. doi: 10.1007/978-1-4614-0382-1_4 Griffith, B. N., Lovett, G. D., Pyle, D. N., & Miller, W. C. (2011, April 13). Self-rated health in rural appalachia: Health perceptions are incongruent with health status and health behaviors. BMC Public Health, 11(229). doi:10.1186/1471-2458-11-229 Lee, H.J. & Winters, C.A. (2004). Testing rural nursing theory: Perceptions and needs of service providers. Online Journal of Rural Nursing and Health Care, 4(1), 52-61. Retrieved from http://rnojournal.binghamton.edu/index.php/RNO McCoy C. (2009). Professional development in rural nursing: Challenges and opportunities. The Journal of Continuing Education in Nursing, 40(3), 128-131. Retrieved from http://www.slackjournals.com/article.aspx?rid=37705 McEwen, M. & Wills, E.M. (2011) Theoretical basis for nursing. (3rd ed.). Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins. Stoller, E. P., Grzywacz, J. G., Quandt, S. A., Bell, R. A., Chapman, C., Altizer, K. P., & Arcury, T. A. (2011, February 10). Calling the doctor : A qualitative study of patient-initiated physician consultation among rural older adults. Journal of Aging and Health, 23(5), 782-805. doi:10.1177/089826431039704 Weinert, C. & Long, K. (1998). Rural nursing: Developing the theory base. 1989. Scholarly Inquiry for Nursing Practice, 13(3), 257-269.

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