Effects of size of health service on scope of rural nursing practice

Hegney, Desley and McCarthy, Alexandra and Pearson, Alan (1999) Effects of size of health service on scope of rural nursing practice. Collegian, 6 (4). 21-26, 42. ISSN 1322-7696

Abstract

This paper presents the findings of an analysis of the activities of rural nurses from a national audit of the role and function of the rural nurse (Hegney, Pearson and McCarthy 1997). The results suggest that the size of the health service (defined by the number of acute beds) influences the activities of rural nurses. Further, the study reports on the differences of the context of practice between different size rural health services and the impact this has on the scope of rural nursing practice. The paper will conclude that the size of the health service is an outcome of rurality (small population densities, distance from larger health facilities, lack of on-site medical and allied health staff). It also notes that the size of the health service is a major contextual determinant of patient acuity and staff skill-mix in small rural hospitals, and therefore the scope of rural nursing practice.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published version deposited in accordance with the copyright policy of the publisher.
Faculty / Department / School: Historic - Faculty of Sciences - Department of Nursing
Date Deposited: 30 Nov 2007 11:47
Last Modified: 18 May 2017 06:16
Uncontrolled Keywords: rural nursing; scope of nursing practice; context of practice; nursing activities; skills-mix
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111708 Health and Community Services
11 Medical and Health Sciences > 1110 Nursing > 111099 Nursing not elsewhere classified
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150305 Human Resources Management
Socio-Economic Objective: C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health
Identification Number or DOI: 10.1016/S1322-7696(08)60605-8
URI: http://eprints.usq.edu.au/id/eprint/13858

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