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Posted: August 20th, 2023

Policy incentives for rural healthcare professionals

SMSU Department Of Nursing
NURS 434
Module 5 Guide

Strategies to Improve Health in the Rural Population

Description of Module: This module will allow the student to critically think about the knowledge gained in NURS 434 and formulate strategies to improve health in the rural population.

Module Objectives:

1. Explain recruitment and retention strategies for rural healthcare professionals
2. Identify policy incentives for rural healthcare professionals
3. Summarize strategies to improve health in the rural population

Readings:
Buchan, J., Shaffer, F. A., & Catton, H. (2018). Policy brief: Nurse retention. International
Centre on Nurse Migration. https://www.icn.ch/sites/default/files/inline-files/ICNM%20Nurse%20retention%20FINAL.pdf
Callega, P., Adonteng-Kissi, B., & Romero, B. (2019). Transition support for new graduate
nurses to rural and remote practice: A scoping review. Nurse Education Today, 67, 8-20. https://doi.org/10.1016/j.nedt.2019.01.022
Centers for Medicare & Medicaid Services. (2018). CMS rural health strategy.
https://www.cms.gov/newsroom/fact-sheets/cms-rural-health-strategy
County Health Rankings & Roadmaps, & University of Wisconsin Population Health Institute.
(2016). What works? Strategies to improve rural health.
https://www.countyhealthrankings.org/reports/what-works-strategies-improve-rural-health
Holst, J. (2020). Increasing rural recruitment and retention through rural exposure during
undergraduate training: An integrative review. International Journal of Environmental Research and Public Health, 17(17), 6423. https://doi.org/10.3390/ijerph17176423
Leenay, M. (2018). Three strategies that improve access to rural healthcare. Managed
Healthcare Executive. https://www.managedhealthcareexecutive.com/health-management/three-strategies-improve-access-rural-healthcare
Mueller, K. J., Alfero, C., Coburn, A. F., Lundblad, J. P., MacKinney, A. C., McBride, T. D., &
Weigel, P. (2018). Taking stock: Policy opportunities for advancing rural health. Rural
Policy Research Institute. https://rupri.org/2018/01/26/taking-stock-policy-opportunities-for-advancing-rural-health/
Rural Health Information Hub. (2022). Recruitment and retention for rural health facilities –
Resources. https://www.ruralhealthinfo.org/topics/rural-health-recruitment-retention/resources
Skillman, S. M., Hager, L. J., & Frogner, B. K. (2015). Incentives for nurse practitioner and
registered nurses to work in rural and safety net settings. Center for Health Workforce Studies University of Washington. https://depts.washington.edu/fammed/chws/wp-content/uploads/sites/5/2016/03/CHWS_RTB159_Skillman.pdf
Sperry, S. (2018). Strategies to improve rural health care. National Consumer League.

Strategies to improve rural health care – National Consumers League

Optional Readings:
Goodwin, K., & Tobler, L. (2013). Improving rural health: State policy options. National
Conference of State Legislatures. https://www.ncsl.org/health/improving-rural-health
Rohatinsky, N., & Jahner, S. (2016). Supporting nurses’ transition to rural healthcare
environment through mentorship. Rural and Remote Health, 16(1), 1-14.
https://doi.org/10.22605/RRH3637
Rural Health Information Hub. (2021). Healthcare access in rural communities.
https://www.ruralhealthinfo.org/topics/healthcare-access

Resources:
American Psychological Association (2020). Publication manual of the American
Psychological Association (7th ed.).
NURS 434 Strategies to Improve Health in the Rural Population Paper Review Video and
Outline. An outline of the video content is provided as a resource for you to take notes on
as you view the video.

Assignments: This module is completed during the sixth and seventh weeks of NURS 434. The discussion and paper assignment due dates are found in the NURS 434 schedule.

Module 5 – Assignments:

1. Utilize Readings/Resources provided above

2. Discussion 2 (20 points)

a. Assignment not a collaborative team assignment. This assignment is to be completed individually by each student.
b. Following review of the Readings/Resources provided for you, and viewing of the NURS 434 Discussions Review Video in Module 3, post a response to one of the questions listed below. Be sure to follow the discussion rubric guidelines found in the NURS 434 syllabus, Appendix A. Please note the due dates for postings in the NURS 434 schedule provided. It is important to know that as your instructor, I am sensitive to your busy schedules with family, work, and school. There are due dates for postings, created to allow productive discussions between yourself and your peers. If you ever feel that meeting a due date creates a significant challenge for you, please let me know and we will discuss an alternative plan for you. If I do not hear from you, the grading criteria for late submissions will be followed.
c. After the student completes their initial posting, and has responded to at least two other students, the student will self-grade their discussion using the discussion quiz, located within NURS 434 Module 5 content area. The student’s self grade will be reviewed by the course instructor for accuracy, and adjusted as needed.

You may choose to respond to one of the questions below:

Question 1 (Label initial discussion posting as Question 1): Recruitment and retention of rural healthcare providers is key for the rural population to access quality healthcare. What are three recruitment strategies, supported in the literature, that would be effective for rural healthcare professionals? What are three retention strategies, supported in the literature, that would be effective for rural healthcare professionals? In your opinion, what do you believe would be the most effective recruitment or retention strategy and why? Please list the resources used to identify the strategies you have listed. Then describe how the strength and relevance of these resources influence your choice of strategies? This is so important to consider as the end result not only impacts recruitment and retention of healthcare professionals but additionally the provision healthcare down to the level of quality person-centered care.

Question 2 (Label initial discussion posting as Question 2): Recruitment and retention strategies need to be created uniquely to meet rural healthcare professionals’ needs. What incentive policies are available to recruit and retain nurses in rural healthcare settings? Have these incentive policies been effective? If you could create an incentive policy on your dream list to help recruit and retain nurses in rural healthcare settings– what would it be and why? Please list the resources used to identify the policy incentives you have listed. Then describe how the strength and relevance of these resources influence your choice of an incentive you would create? This is so important to consider as the end result not only impacts recruitment and retention of healthcare professionals but additionally the provision healthcare down to the level of quality person-centered care.

3. Strategies to Improve Health in the Rural Population
(fourth portion of sequencing paper in NURS 434 that will be a part of the final Care
of the Rural Population Paper)

Throughout this course, you will write a Care of the Rural Population Paper. This will be a sequencing paper – meaning you will write the paper as four separate assignments, and put those four assignments together at the end of this course to create your final Care of the Rural Populations Paper.

During Module 5, you will write the fourth portion of your paper. This portion of your final paper will be about Strategies to Improve Health in the Rural Population.

View: NURS 434 Strategies to Improve Health in the Rural Population Paper Review Video – view prior to starting this assignment (found in Module 5).
An outline of the video content is provided as a resource for you to take notes on
as you view the video.

Strategies to Improve Health in the Rural Population

Each student, or team of students, will create at least a one to two page paper describing strategies to improve heath in the rural population. If you have done Discussion 2, you have had the opportunity to use review the readings and resources that will be useful for this paper. The paper will be professionally written and in APA format. Also, additional resources include the use of Tutor.com or the SMSU Writing Center for writing support as well as the availability of a draft review for this paper. These resources are totally optional but encouraged. The draft review is provided to provide feedback regarding the content of your paper. Writing mechanics, style, and APA formatting feedback may be sought using Tutor.com or the SMSU Writing Center.

Appendix F – Strategies to Improve Health in the Rural Population

CONTENT Excellent Satisfactory Unsatisfactory
Expands on the description of the landscape of life in rural settings and rural populations by describing:

1) Policy incentives for rural healthcare professionals

2) Recruitment and retention strategies for rural healthcare professionals

3) At least one strategy to improve health in the rural population
Describes some policy incentives for rural healthcare professionals
(6 points)
Describes some recruitment and retention strategies for rural healthcare professionals (7 points)
Describes at least one strategy to improve health in the rural population (7 points) Vague description of policy incentives for rural healthcare professionals (3 points)

Vague description of recruitment and retention strategies for rural healthcare professionals (3.5 points)

Vague description of at least one strategy to improve health in the rural population (3.5 points) No description of policy incentives for rural healthcare professionals (0 points)

No description of recruitment and retention strategies for rural healthcare
View other drafts

_____________________________________

Policy incentives for rural healthcare professionals

Student loan forgiveness programs: This is a popular incentive that can help to reduce the financial burden of student loans for healthcare professionals who choose to work in rural areas.
Salary bonuses: Many rural healthcare facilities offer salary bonuses to attract and retain healthcare professionals.
Housing assistance: Some rural healthcare facilities offer housing assistance to help healthcare professionals afford to live in rural areas.
Relocation assistance: This can help healthcare professionals cover the costs of moving to a rural area.

Recruitment and retention strategies for rural healthcare professionals

Create a positive work environment: This includes providing competitive salaries, opportunities for advancement, and a supportive work culture.
Offer training and development opportunities: This can help healthcare professionals stay up-to-date on the latest medical practices and technologies.
Partner with local communities: This can help to build relationships with the community and make healthcare professionals feel more connected to their work.
Provide support for families: This can include offering childcare assistance, flexible work arrangements, and other family-friendly benefits.

Strategies to improve health in the rural population

Increase access to healthcare: This includes expanding the availability of primary care providers, hospitals, and other healthcare services in rural areas.
Promote healthy lifestyles: This includes providing education and resources on healthy eating, physical activity, and other preventive health measures.
Address social determinants of health: These include factors such as poverty, education, and access to safe housing, which can have a significant impact on health outcomes.
Strengthen the rural healthcare workforce: This includes recruiting and retaining healthcare professionals in rural areas, as well as providing them with the training and support they need to be successful.

These are just a few of the many strategies that can be used to improve health in the rural population. By taking these steps, we can help to ensure that all people, regardless of where they live, have access to quality healthcare and the opportunity to live healthy lives.

In addition to these strategies, it is also important to consider the unique challenges faced by rural communities. For example, rural areas often have a shortage of healthcare providers, which can make it difficult for people to get the care they need. Additionally, rural communities may have higher rates of poverty and chronic diseases, which can further complicate the issue of health care access.

By understanding the unique challenges faced by rural communities, we can develop more effective strategies to improve health in these areas. By working together, we can ensure that all people, regardless of where they live, have the opportunity to live healthy lives.

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