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Rural Project Examples: Nurses

Promising Examples

funded by the Health Resources Services Administration Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2020
  • Need: To make it easier for rural nurses to continue their education by decreasing the need to travel.
  • Intervention: An innovative, online health assessment course uses telehealth to allow rural RN-BSN students to demonstrate skills acquisition.
  • Results: Rural participants had similar learning outcomes to those participating in the onsite version of the course, with fewer travel costs, less time away from work, and higher overall satisfaction.
Munson Healthcare Charlevoix Hospital School Nurse Program
Updated/reviewed April 2019
  • Need: School nurses to assess and care for students in rural Michigan schools who have limited access to healthcare.
  • Intervention: Munson Healthcare Charlevoix, a CAH in Northern Michigan, created the School Nurse Program to provide medical care and education to students, school staff, and families.
  • Results: The School Nurse Program brings healthcare to over 3,400 students in 8 schools every year and chronic absenteeism in participating schools has dramatically decreased.

Other Project Examples

CAPABLE (Community Aging in Place—Advancing Better Living for Elders)
Updated/reviewed July 2020
  • Need: To help older adults age in place.
  • Intervention: For five months, CAPABLE participants receive home visits from a registered nurse, occupational therapist, and home repair services.
  • Results: The CAPABLE site in rural Bath, Maine, has helped 15 clients so far, one of whom went from 15 falls and one hospitalization in the 6 months prior to starting the program to one fall and no hospitalizations. The site in Hawaii has served three clients in the last year and has reconnected clients with their families and communities.
funded by the Health Resources Services Administration Implementation of a Nursing Veterans' Initiative to Transform Education (INVITE)
Updated/reviewed June 2020
  • Need: To support rural veterans pursuing a career in nursing.
  • Intervention: The INVITE program improved the curriculum and reworked admission requirements to better support veteran students' experiences in the College of St. Scholastica undergraduate nursing program.
  • Results: The number of veterans pursuing nursing has more than doubled since program implementation, and all students have reported an increased interest in serving rural communities.
funded by the Federal Office of Rural Health Policy Garrett County Regional Cancer Patient Navigator Program
Updated/reviewed March 2020
  • Need: Comprehensive cancer services for residents of an 8-county, 3-state area in Appalachia.
  • Intervention: Using a Cancer Patient Navigation Tool Kit, a Maryland acute care facility led a multidisciplinary collaboration that provided the area's patients with expanded cancer treatment services.
  • Results: In addition to several new cancer-related programs, expanded services are now available for cancer patients, families, and cancer survivors.
funded by the Health Resources Services Administration Sexual Assault Nurse Exams through the National TeleNursing Center
Updated/reviewed April 2019
  • Need: Clinicians in rural areas are often unprepared to treat sexual assault victims after an assault.
  • Intervention: The National TeleNursing Center (NTC) in Massachusetts uses telemedicine to connect Sexual Assault Nurse Examiners to clinicians in remote areas, offering them guidance through examinations.
  • Results: Clinicians report that the help gives them confidence through the examination process and NTC has assisted in the care of over 300 patients.
Pathways to Healthcare Professions
Added December 2018
  • Need: Healthcare professionals and support staff are in high demand on tribal reservations in the Great Plains region.
  • Intervention: The Great Plains Tribal Chairmen's Health Board of South Dakota offer healthcare occupation courses for industry-recognized healthcare certifications and post-secondary degrees through the Health Profession Opportunity Grants program.
  • Results: Since the program's start, 241 participants have completed a healthcare training program, and 109 have found employment in healthcare occupations. Both participants and healthcare providers have expressed the value in local and cultural training for these healthcare professions.

For examples from other sources, see: