Monday, November 3, 2003

This presentation is part of : Evidence in Nursing

Surveying Evidence-Based International Nursing Practice

Rita M. Carty, DNSc, RN, FAAN, College of Nursing and Health Science, College of Nursing and Health Science, George Mason University, Fairfax, VA, USA
Learning Objective #1: Identify specific rural health needs as identified by WHO regions of the world
Learning Objective #2: Identify and understand current research as it relates to rural health needs

Objective: The objective of this study was to identify specific rural health needs and strategies to meet these needs from a global perspective.

Design: The design of this study was descriptive, using a combination of email outreach and on-line surveys. The surveys are short, issue-focused and time sensitive, providing for data collection on-line in an electronic format.

Population, Sample, Setting: The sample (n = 220) was a sample of convenience drawn from a global population of World Health Organization (WHO ) Collaborating Centres (CCs) for Nursing and Midwifery; Institutions affiliated with WHO CCs for Nursing and Midwifery; WHO Regional Nursing Advisors; Chief Nurses; National Nurses Associations; ICN; and ICM.

Concepts: Using the World Health Organization list of priority health needs and WHO Regions in the world as the setting, global rural health needs and strategies to meet these needs were identified by nurses in the six regions.

Findings: Findings included: the identification of those providing global rural health care, priority rural health needs in the six WHO Regions, strategies to meet those needs including existing models of care, including research models of care and future priorities for meeting rural health care needs.

Conclusion: Nurses and midwives are critical to meeting health care needs in global rural areas as primary care providers and as the educators and trainers who pass needed knowledge on to other providers who can implement care in the field.

Implications: The challenge for the future is to make sure that there are adequate numbers of health care providers, faculty and researchers not only to provide the care necessary in the priority health needs studied, but also to make sure there are innovative community based primary health care delivery systems developed and enhanced to meet the needs of people living in rural areas of the world.

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