"If Only Someone Had Told Me ...": Lessons From Rural Providers
"If Only Someone Had Told Me ...": Lessons From Rural Providers
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DOI：
10.1111/j.1748-0361.2010.00314.x
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发表时间：
2011-12-01
影响因子：
4.9
通讯作者：
Roberts, Laura W.
中科院分区：
文献类型：
--
作者：
Chipp, Cody;Dewane, Sarah;Roberts, Laura W.
目的：由于农村生活的独特情况，卫生保健提供者在农村服务提供方面面临挑战。农村生活和卫生保健挑战的交叉可能会造成护理障碍，提供者可能没有经过培训，导致倦怠和高流动性。通过经验丰富的农村供应商的知识和经验教训的探索，本研究旨在告知未来的从业者，教育工作者和政策制定者的途径，通过加强培训，招聘，并保持农村劳动力跨多个health care domains.Methods：使用定性研究设计，18个焦点小组进行了，共有127名来自阿拉斯加州和新墨西哥州的医疗保健提供者。从问题中转录的回答，“关于在农村地区提供医疗保健，你希望有人告诉你的3件事是什么？研究结果：新兴主题合并为3个总体主题，解决实践相关因素的挑战，适应和奖励的农村practitioner.Conclusion：基于这些主题，一系列的建议，提供给未来的农村从业者有关社区参与，服务提供，和倦怠预防。所提供的建议可能有助于从业人员更尊重和更称职地进入社区。它们也可以被培训项目和社区用于为新从业者制定支持计划，使他们能够保留他们的服务，并帮助从业者融入社区。走向一个综合的模式，提供医疗保健，其中从业人员和社区合作提供服务将是关键，以加强农村医疗保健和减少差距。
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.