Palliative Care in Rural Communities.

IF 2.5 4区 医学 Q1 NURSING
American Journal of Nursing Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI:10.1097/01.NAJ.0001027716.70431.35
Tracy Fasolino, Megan E Mayfield, Kathleen Valentine, William E Rosa, Anne Koci
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引用次数: 0

Abstract

Abstract: Rural communities in the United States are frequently marginalized and misrepresented. These communities face unique challenges, such as limited access to health care, nutritious food, and clean water, that contribute to persistent health disparities. This article presents the CARE (Complex, Access, Resourceful, Extraordinary) framework, which illustrates the dichotomy of rurality-its negative and positive aspects-in order to inform the development of palliative care delivery in rural settings. Various palliative care models are described that address access gaps, bolster provider capacity, and increase the provision of specialty palliative care. However, workforce shortages and reimbursement structures restrict the expansion of these services. Nurses, the largest segment of the health care workforce and the most trusted professionals, must partner with interdisciplinary colleagues and rural communities to advocate for equitable and inclusive care.

农村社区的姑息关怀。
摘要:美国的农村社区经常被边缘化和被歪曲。这些社区面临着独特的挑战,如获得医疗保健、营养食品和清洁水的机会有限,这导致了持续的健康差距。本文介绍了 "CARE"(Complex, Access, Resourceful, Extraordinary)框架,该框架说明了农村的二分法--其消极和积极的方面,从而为在农村环境中提供姑息关怀服务提供参考。该框架描述了各种姑息关怀模式,以解决获取途径的差距,提高医疗服务提供者的能力,并增加专业姑息关怀的提供。然而,劳动力短缺和报销结构限制了这些服务的扩展。护士是医疗队伍中人数最多的部分,也是最值得信赖的专业人员,他们必须与跨学科的同事和农村社区合作,倡导公平和包容性的医疗服务。
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来源期刊
CiteScore
1.10
自引率
3.70%
发文量
604
审稿时长
6-12 weeks
期刊介绍: The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN adheres to journalistic standards that require transparency of real and potential conflicts of interests that authors,editors and reviewers may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; www.icmje.org), the World Association of Medical Editors (WAME; www.wame.org), and the Committee on Publication Ethics (COPE; http://publicationethics.org/). AJN welcomes submissions of evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts on a variety of clinical and professional topics. The journal also welcomes submissions for its various departments and columns, including artwork and poetry that is relevant to nursing or health care. Guidelines on writing for specific departments—Art of Nursing, Viewpoint, Policy and Politics, and Reflections—are available at http://AJN.edmgr.com. AJN''s mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.
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