Status of coverage of MR vaccination, after supplementary immunization activities in a rural area of South India: a rapid immunization coverage survey.
CONCLUSION: Despite the negative propaganda by social media, the coverage of vaccination by the public healthcare providers was near optimal in phase 1, which shows the strength of the public health system in this rural area of southern India. In accordance with the modern technology, public health policymakers should think about and plan information education and communication activities. PMID: 31529972 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 20, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Bystander CPR training: is non-classroom based CPR training as effective as a classroom based approach? A systematic review of randomised controlled trials.
CONCLUSION: From the available evidence, non-classroom-based training appears at least as effective as classroom-based training for CPR. This could have significant implications for delivery of CPR training nationally, especially in remote and rural areas. However, due to the variation in how outcomes were measured, and the high risk of the presence of bias in each of the studies, further research into CPR training strategies is strongly recommended. PMID: 31533000 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 20, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Psychosocial care provision for terminally ill clients in rural Australian communities: the role of social work.
CONCLUSIONS: Palliative care funding in Queensland is insufficient to effectively address the existing demand. Resourcing for rural and remote palliative care in Queensland is inadequate to ensure holistic and quality approaches to psychosocial care in the end stages of life. Increased resourcing would result in better care, for longer time frames throughout a disease trajectory. Education and training for health practitioners to address skills and competencies in psychosocial care for terminally ill clients is a recommendation for professional development. Furthermore, there is a need for social work to develop national s...
Source: Rural and Remote Health - September 20, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Unmet supportive care needs among Indigenous cancer patients across Australia.
CONCLUSION: Most Indigenous Australians living with cancer experience unmet supportive care needs. Physical/psychological and practical/cultural concerns were identified as priority areas for Indigenous cancer patients. These findings may inform priority areas for intervention towards optimal care pathways for Indigenous Australians diagnosed and living with cancer. PMID: 31521102 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 17, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

'It could have been a lot worse': the psychological effects of farm-related serious injury in Victoria.
CONCLUSION: Overall, a positive outlook was found to be the primary enabler in the farmers' recovery. It is recommended that injured farmers should be provided with additional psychological support and advice to aid in their recovery. Additionally, psychological support services should be extended to include both the family network and the broader farming community, as these were found to experience significant short- and long-term stress following farmers' injury. PMID: 31522511 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 17, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Public health and health professional education at a tribal college: a collaborative immersion program in rural North Dakota.
CONCLUSION: This study assessed the successes and limitations of a collaborative, interprofessional immersion program in rural North Dakota. Similar programs may increase the number of Native Americans in health professions and increase non-Native health professional interest in and engagement with rural communities. PMID: 31519109 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 16, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Traumatic injury and access to care in rural areas: leveraging linked data and geographic information systems for planning and advocacy.
Authors: Yuma P, Orsi R, Dunn JA, Kenyon V, Tulanowski E, Stallones L Abstract INTRODUCTION: The purpose of this ecological study was to apply Geographic Information System (GIS) methods to patterns of traumatic injury and access to trauma care to facilitate system planning and advocacy. METHODS: Four US state (Colorado) and national data sources were linked to examine county-level disparities. Average ambulance drive times to trauma centers for populated places in each county were estimated and mapped. RESULTS: Independent samples t-tests demonstrated Colorado's rural counties had significantly hig...
Source: Rural and Remote Health - September 14, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Improving oral-health-related quality-of-life for rural Aboriginal communities in Australia utilising a novel mobile denture service.
Authors: Irving M, Kumar N, Gwynne K, Talbot F, Blinkhorn AS Abstract PMID: 31505934 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 13, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

The Healthcare Travelling Roadshow: a qualitative study of a rural community engagement initiative in Canada.
CONCLUSIONS: The HCTRS is an interdisciplinary experience that successfully engages rural youth, healthcare students, and community stakeholders. Participants consistently indicated that it encouraged rural youth towards healthcare careers and healthcare students towards rural practice. Success of the program requires meaningful engagement with multiple academic and community stakeholders. PMID: 31500435 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 12, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Are we there yet? Exploring the journey to quality stroke care for Aboriginal and Torres Strait Islander peoples in rural and remote Queensland.
CONCLUSION: An integrated patient centred model of care that spans the care continuum and places value on an extended role for the Aboriginal and Torres Strait Islander health worker workforce is indicated, as is an increased utilisation of allied health and specialist follow-up close to home. PMID: 31487467 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 7, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Reorientation of the Rural Adversity Mental Health Program: the value of a program logic model.
Authors: Maddox S, Read DMY, Powell NN, Caton TJ, Dalton HE, Perkins DA Abstract CONTEXT: The Rural Adversity Mental Health Program (RAMHP) was founded in 2007 with the specific focus of responding to drought-related mental health needs among farmers in rural and remote New South Wales (NSW), Australia. Successive re-funding enabled the program to evolve strategically and increase its reach. Over a decade, the program's focus has expanded to include all people in rural and remote NSW in need of mental health assistance, and not just in times of adversity such as drought. ISSUE: The program's longest re-funding ...
Source: Rural and Remote Health - September 6, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Delivering allied health services to regional and remote participants on the autism spectrum via video-conferencing technology: lessons learned.
Authors: Johnsson G, Kerslake R, Crook S Abstract Context and issues: The introduction of individualised funding under the National Disability Insurance Scheme in Australia aimed to increase individual choice and control over how people received disability supports. An increase in the allied health disability workforce was anticipated; however, disability workforce sector reports have consistently indicated difficulties in attracting and retaining sufficient allied health staff to satisfy current and future demand. Autism spectrum disorder is the most prevalent primary diagnosis of participants receiving individual...
Source: Rural and Remote Health - September 4, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

A novel technology tool to capture the clinical information of patients across rural vision centers in a three-tier eye care network in India using the eyeSmart EMR App.
CONCLUSIONS: This study details the demographic distribution and prevalence of ocular disorders in a large cohort of Indian patients and demonstrates the potential for real-time analytics through the use of EMR systems. This provides rigorous evidence for the community and eyecare providers that the use of a web application/tablet app (eyeSmart) aids in providing better eyecare services in rural areas. It helps in creating government policies and improves the treatment strategies for various preventable ocular disorders in India. PMID: 31476276 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 4, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Trainees' preferences regarding choice of place of work after completing medical training in traditional or problem-based learning/community-based education and service curricula: a study in Ghanaian medical schools.
CONCLUSION: Students using the PBL/COBES curriculum indicated that their curriculum adequately prepared them for future rural practice. Students following the traditional curriculum called for the introduction of an innovative teaching methodology incorporating rural outreach programs. This, they believed, would help them cultivate an interest for rural practice and also increase their willingness to choose rural practice after graduation from medical school. PMID: 31476873 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 4, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Valued but tenuous? Postgraduate clinical psychology placements for psychology students in rural and remote areas - implications for future directions.
CONCLUSION: This study highlights the complexity of developing workplace readiness for psychology students and provides areas for future consideration including the role of practice-based education and where this notion fits within undergraduate psychology degrees. PMID: 31476874 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 4, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Understanding physical activity patterns among rural Aboriginal and non-Aboriginal young people.
Authors: Macniven R, Richards J, Turner N, Blunden S, Bauman A, Wiggers J, Gwynn J Abstract INTRODUCTION: Physical activity across the lifespan is essential to good health but participation rates are generally lower in rural areas and among Aboriginal Australians. Declines in moderate-to-vigorous physical activity (MVPA) commence before adolescence but descriptive epidemiology of patterns of physical activity among Aboriginal children is limited. MVPA variation by season, setting and type at two time points among rural Aboriginal and non-Aboriginal Australian children was examined. METHODS: Children aged 10-14 ...
Source: Rural and Remote Health - August 31, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Social and community networks influence dietary attitudes in regional New South Wales, Australia.
CONCLUSIONS: Greater fruit and vegetable intake was predicted by healthier dietary attitudes which in turn were related to social and community connections, rather than economic factors. PMID: 31466454 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 31, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Learning from those who have gone before: strengthening the rural allied health workforce in Aotearoa New Zealand.
Authors: George JE, Larmer PJ, Kayes N Abstract Context and issues: The pipeline for the allied health, scientific and technical workforce of Aotearoa New Zealand is under growing pressure, with many health providers finding recruitment and retention increasingly difficult. For health providers in rural settings, the challenges are even greater, with fewer applicants and shorter tenures. As the health needs of rural communities increase, along with expectations of uptake of technologies and the Ministry of Health's strategy to ensure care is provided closer to home, being able to retain and upskill the diminishing ...
Source: Rural and Remote Health - August 31, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Unmet needs for family planning among married women aged 15-49 years living in two settlements with different socioeconomic and cultural characteristics: a cross-sectional study from Karabuk Province in Turkey.
Authors: Ozdemir R, Cevik C, Ciceklioglu M Abstract AIM: The aim of the study was to investigate levels and related factors of the unmet needs for family planning among married women aged 15-49 years living in two settlements (rural and urban) having different economic, social and cultural structures in Karabuk, a province in north-western Turkey. METHOD: This cross-sectional study was conducted in the rural Cumayani village and the urban Emek neighbourhood between October 2016 and June 2017. The sample size was determined to be 289 married women aged 15-49 years from each settlement according to the effect siz...
Source: Rural and Remote Health - August 30, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

The rural determinants of health: using critical realism as a theoretical framework.
Authors: Reid S Abstract Rural health needs to be based on robust theory that guides efforts in practice, teaching and research. This could make the sets of assumptions that are inevitably brought to bear on prioritization and decision-making more explicit. It has not yet been described in theoretical terms because to insiders such as health practitioners it seems to be more of a practical endeavour than an academic one. The rural determinants of health, as a more specific expression of the social determinants of health, include issues of geography and topography in addition to the social, economic and political fa...
Source: Rural and Remote Health - August 30, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Supporting rural midwifery practice using a mobile health (mHealth) intervention: a qualitative descriptive study.
CONCLUSION: Geographic and digital isolation pose significant challenges to rural midwifery practice in a high income country such as Scotland. Midwives need to be involved in the development of m-health interventions for them to be acceptable and tailored to their needs in a rural and remote context. The study highlights how m-health interventions can support continuous professional development whilst on the move with no internet connectivity. However, pride in current practice and unease with advances in mobile technology are barriers to the adoption of an m-health intervention. M-health interventions could be of value t...
Source: Rural and Remote Health - August 28, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Anaphylactic shock following a bite of a wild Kayan slow loris (Nycticebus kayan) in rural Sarawak, Malaysian Borneo.
Authors: Steve Utap M, Bin Mohd Jamal MS Abstract Nycticebus spp, commonly known as the slow lorus, is a small nocturnal primate found mainly in Asia. The adult slow loris weighs between 265 g and 1150 g depending on the type of species. It has a characteristic round head with large, forward-facing eyes. Slow lorises are known for their poisonous bite and are the only venomous primates. To date, there have been two published cases of slow loris bite in humans. This case report illustrates a case of anaphylactic shock following a bite of a wild Kayan slow loris (Nycticebus kayan) to a young man at Mulu District, in ...
Source: Rural and Remote Health - August 21, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Evaluating the experience of rural individuals with prostate and breast cancer participating in research via telehealth.
CONCLUSIONS: For studies and assessments requiring face-to-face contact, telehealth is clearly a feasible option for improving research representativeness and access for individuals residing in rural areas. Future research should make use of telehealth services, to give a voice to rural individuals who are too often left out. PMID: 31412701 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 17, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Appearance of ureterorenal stones after gouty arthropathy: a retrospective cohort study for ethnic disparity.
CONCLUSION: Among males, aboriginal Taiwanese patients exhibited gouty arthropathy at younger ages than did non-aboriginal Taiwanese because of a higher rate of alcoholic hepatitis. The longer time until stone appearance after gouty arthropathy was attributed to alcoholic diuresis. Decreasing alcohol consumption may postpone or halt the development of gouty arthropathy. PMID: 31412702 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 17, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Point-of-care ultrasound for FAST and AAA in rural New Zealand: quality and impact on patient care.
CONCLUSIONS: In the rural context, POCUS AAA is a reliable 'rule out' test for ruptured abdominal aortic aneurysm and FAST scan has a role as a 'rule in' test for solid organ injury. These findings are consistent with larger studies in the emergency medicine literature. PMID: 31401838 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 15, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Perceptions of medical students regarding community-based teaching experiences: an observation from Bangladesh.
CONCLUSIONS: Overall, the study tours had a positive effect, enhancing students' awareness and understanding of common rural health problems. As study tours failed to increase the motivation of the students (approximately 60%) to work in rural areas, CBT in the medical curriculum should be reviewed and implemented using effective and evidence-based models to promote interest among medical students to work in rural and underserved or unserved areas. PMID: 31400766 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 13, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

E-health: psychosocial challenges for South Australian rural mental health consumers.
CONCLUSION: This quantitative investigation sought to describe the barriers to and enablers of internet use generally, based on the assumption that before people will use the internet for health, they need to be prepared to use it for general purposes. The model proposed in the current research offers an indication of some of the factors that may influence rural mental health consumers' use of the internet for both general and health purposes. To appropriately design future e-health initiatives, the initial focus must be on consumers' individual capacity and willingness to use the internet generally. Policymakers and servi...
Source: Rural and Remote Health - August 10, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Barriers of colorectal cancer screening in rural USA: a systematic review.
CONCLUSIONS: Main barriers for CRC screening at both the individual and healthcare system level are identified in rural areas and they are in line with those found in urban areas in general. In particular, lack of prevention attitude toward cancer, perceived lack of privacy, shortage of specialists, and distance to test facilities disproportionately hamper CRC screening for rural Americans. PMID: 31394041 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 10, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Female doctors in the bush: national estimates of mobility among female general practitioners in Australia across the urban-rural gradient.
Authors: Mazumdar S, McRae IS Abstract PMID: 31370666 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 4, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

'We have to drive everywhere': rural nurses and their precepted students.
CONCLUSIONS: Nursing students should have the same occupational health and safety protections as their rural preceptors, especially the right to refuse travel, without penalty, in unsafe circumstances. Better travel subsidies and road safety measures during rural preceptorship may help increase the likelihood of students considering a rural career path. Furthermore, the frontline, community-based road safety experience of rural nurses is an untapped source of information for educators and policymakers. Such information will become more and more vital as a diminishing number of rural nurses are called upon to care for an ag...
Source: Rural and Remote Health - August 1, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Measurement and rural primary health care: a scoping review.
CONCLUSION: These differences between rural and non-rural PHC will need to be considered in the design of performance measurement systems. Key words: Canada, health reporting, performance measurement, primary health care. PMID: 31365828 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 1, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Geographic variation in compliance with Australian colorectal cancer screening programs: the role of attitudinal and cognitive traits.
CONCLUSIONS: Sub-optimal compliance rates are evident in non-metropolitan areas with intervention most needed in regional areas where compliance is lowest, leaving residents at a potentially higher risk of CRCs going undetected. Efforts to increase CRC screening in rural and regional areas should promote the consideration of one's future and discourage attitudes that minimise health issues. This research highlights the way in which individual attitudes and thinking styles may impact preventive health behaviours differently in non-metropolitan communities. PMID: 31340653 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 26, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Outcomes of a 1-year longitudinal integrated medical clerkship in small rural Victorian communities.
CONCLUSION: This study demonstrates the value of rural LICs, coupled with additional rural training, in contributing to improving Australia's medical workforce distribution. Whilst other evidence has already demonstrated positive educational outcomes for doctors who participate in rural LIC placements, this is the first known study of work location outcomes. The study provides evidence that expanding this model of rural undergraduate education may lead to a better geographically distributed medical workforce. PMID: 31340654 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 26, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

What about the health workforce distribution in rural China? An assessment based on eight-year data.
CONCLUSIONS: Chinese village physician distribution is generally equitable. But there are obvious inequalities existing with the divisions. To achieve a more equitable distribution of health workforce in rural China, the cultivation and retention of village physicians needs to keep pace with the increase in health service demand among rural residents. In addition, government should pay more attention to the inequality in village physician distribution between different regions, as well as within a region. PMID: 31340655 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 26, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Continued development of the Rural Active Living Perceived Environmental Support Scale (RALPESS): preliminary evidence for validity among American Indians.
CONCLUSIONS: This pilot study produced confirmatory evidence that the RALPESS is likely a valid and reliable tool for use with rural American Indian populations. Continued validation of this scale, particularly in international rural communities, will support further investigation into this important public health issue, and may further efforts towards the development and promotion of effective programming to increase exercise engagement. PMID: 31340656 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 26, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

'Not all fevers are malaria': a mixed methods study of non-malarial fever management in rural southern Malawi.
CONCLUSION: Additional simple-to-use diagnostic tests as well as additional training in patient examination and clinical assessment are needed in rural settings where health providers risk over-prescribing antibiotics or missing a potentially dangerous infection in febrile patients who test negative for malaria. PMID: 31200600 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - June 17, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Health behaviours of rural Australians following percutaneous coronary intervention: a systematic scoping review.
CONCLUSIONS: The systematic scoping review highlights the need for future research to determine strategies to improve healthy behaviours of rural Australians post-PCI. PMID: 31142120 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - June 1, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

'We just don't talk about it': Aboriginal and Torres Strait Islander peoples' perceptions of cancer in regional Queensland.
CONCLUSION: Silence around cancer may influence awareness and discussion about cancer, screening participation and help-seeking behaviour in this community. In this project, engaging with the community created a safe space for conversation around a previously taboo topic, which could lead to improved screening and help seeking behaviour. The role of primary health care in reducing health disparities by partnering with community to conduct awareness and prevention activities and by providing culturally appropriate care for Indigenous people is emphasised. PMID: 31137938 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 30, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Patient transportation in Canada's northern territories: patterns, costs and providers' perspectives.
CONCLUSION: Patient transportation, especially emergency air evacuations, is an essential but costly component of the healthcare system serving Canada's north. It is the 'glue' that binds an extensive network of facilities staffed by different categories of health professionals. While system design is largely dictated by geography, addressing human factors such as interprofessional communication is important for improving the system's effectiveness. This study is primarily descriptive and it points to additional areas for improved understanding of the performance of the system. PMID: 31128577 [PubMed - in process] (Sou...
Source: Rural and Remote Health - May 29, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

What factors influence the treatment decisions of women with breast cancer? Does residential location play a role?
Authors: Youl P, Morris B, Jenny A, Morstyn L Abstract INTRODUCTION: Inequalities in cancer outcomes continue to exist throughout the world. In Australia, rural women diagnosed with breast cancer have significantly poorer 5-year survival, with variations in clinical management additionally observed. While factors impacting clinical management have been identified, there is little understanding about the factors that influence treatment decisions of women diagnosed with breast cancer. METHODS: A mixed-methods study was conducted with women diagnosed with either pre-invasive or invasive breast cancer in Australia...
Source: Rural and Remote Health - May 29, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

The Northern Territory Medical Program - growing our own in the NT.
This article describes the development, implementation and outcomes of the Northern Territory Medical Program (NTMP), which commenced in Darwin in 2011. This was a major development of the Flinders University distributed program, which aimed to develop the medical workforce for the challenging NT environment. ISSUES: Based on evidence regarding the importance of selection in achieving rural workforce outcomes, and a national priority to graduate more Indigenous Australian doctors, NT residents and Indigenous applicants to the NTMP were prioritised in the selection process. Aspiring doctors would not now have to move in...
Source: Rural and Remote Health - May 29, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

A nurse-led structured education program improves self-management skills and reduces hospital readmissions in patients with chronic heart failure: a randomized and controlled trial in China.
Authors: Cui X, Zhou X, Ma LL, Sun TW, Bishop L, Gardiner FW, Wang L Abstract INTRODUCTION: Patient self-management skills are an important part of heart failure (HF) management. However, there is a lack of knowledge about the effectiveness of nurse-led education on patient self-management and the associated clinical outcomes of rural Chinese patients with chronic heart failure (CHF). As such, this study was designed to evaluate the impact of a nurse-led education program on patient self-management and hospital readmissions in rural Chinese patients with CHF. METHODS: Ninety-six patients in the eastern Chinese ...
Source: Rural and Remote Health - May 23, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Satisfaction and limitation of primary health care nurses' work in rural areas.
CONCLUSIONS: The nurses appreciate each other in their work, establish good relations with the population and work as a team despite the difficulties. The study reveals that nurses and the population experience isolation in the rural area as well as difficulty in accessing the workplace, in the case of practitioners, and in consolidating policies maintained in the urban area. It evidences the nurse as an essential element for PHC in the rural setting, which can make the difference in the care of populations often in the sideline of health services. PMID: 31104467 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 22, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Improving behavioral health workforce supply and needs estimates using active surveillance data.
CONCLUSION: Enumeration methods such as ongoing surveillance, in addition to licensure data, curtails the issues and improves identification of shortage areas and future behavioral workforce related planning and implementation strategies. PMID: 31103026 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 20, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

TB or not TB? That is the question regarding TB treatment in a remote provincial hospital in Solomon Islands.
CONCLUSION: TB remains a common clinical diagnosis in KKH. TB consumes 15% of the current healthcare budget of Makira-Ulawa Province. The limited capacity and data about the management of TB in Makira province mean that it is not currently possible to measure if there has been any progress towards eradicating TB in Solomon Islands. Laboratory investigations for TB available in Makira including sputum analysis and the GeneXpert are required to improve the accuracy of diagnosis and identify multidrug resistant strains of TB. This needs to be coupled with robust monitoring and data collection of both inpatients and outpatient...
Source: Rural and Remote Health - May 19, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Chest pain and dyspnoea in a young primiparous woman following prolonged labour at a remote Australian community health centre.
Authors: Mohd Hashim MA, Linton T, Heraganahally S Abstract Reported here is a rare respiratory complication in a young primiparous woman in a remote community hospital in the Northern Territory, Australia. A Caucasian primiparous woman aged 23 years presented with chest pain following a very prolonged second stage of labour. On clinical examination a crunching and crackling sound was heard over the precordium, synchronous with the heartbeat (Hamman's sign). A chest radiograph confirmed the presence of pneumomediastinum. Complete resolution of symptoms and signs was achieved with supportive management. PMID: 31...
Source: Rural and Remote Health - May 19, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Analysis of a decade of skin cancer prevention using a mobile unit in Brazil.
CONCLUSIONS: This study showed that the MU positively contributes to the early diagnosis and treatment of skin cancer among populations residing in remote areas of Brazil. PMID: 31084033 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 16, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

A case report suggestive of strongyloidiasis infection occurring in temperate Australia.
Authors: Fraser J Abstract Strongyloides stercoralis is a nematode that can cause fatal systemic or disseminated infections in immunocompromised persons. It is known to be endemic in tropical Australia. Sporadic cases arising from temperate regions are reported in Russia and North America. An Aboriginal woman aged 71 years with ovarian carcinoma developed worsening lethargy and tiredness. She was diagnosed with strongyloidiasis based on serology in 2015. She had resided in the state of New South Wales all her life. This case report provides further evidence that strongyloides transmission is possible in temperate a...
Source: Rural and Remote Health - May 16, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

What are the support needs of nurses providing emergency care in rural settings as reported in the literature? A scoping review.
CONCLUSION: Delivering appropriate evidence-based education to this isolated practice community is vital for safe patient care and improves rural nurse satisfaction and retention. There were gaps in current knowledge, and the body of research to date lacks information on the work of emergency nurse practitioners in the rural context, the effectiveness of graduate mentorship programs and the psychosocial aspect of the rural role. Recommendations are for improved role-specific ongoing education and the availability and development of graduate mentoring programs. Further input into recruitment and retention is required, and f...
Source: Rural and Remote Health - May 16, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

The implications of isolation for remote industrial health workers.
CONCLUSIONS: Nurses and paramedics working in remote industrial roles are not prepared for the broad scope of practice of the role, and the physical and profession isolation presents barriers to obtaining skills and confidence necessary to meet the needs of the role. Limited resources in rural and remote areas combined with the isolation of many industrial sites pose challenges for industrial staff in accessing primary healthcare services, yet industrial organisations are resisting attempts to make them responsible for the health as well as the safety of their onsite workers, particularly in off-duty hours. Health workers ...
Source: Rural and Remote Health - May 15, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research