NURSING INTERFACES IN RURAL CARE: AN INTEGRATIVE REVIEW

a six-stage integrative review. Data was collected from May to July 2017, in the SciELO, CUIDEN, PubMed, and ScienceDirect databases, with “Rural nursing” as descriptor. The analysis used was qualitative with the construction of subsets and topics.

Results:

of the 30 articles analyzed, 32% addressed professional training; 25% collective health-related practices; 12% hospital care; 10% job satisfaction; 7% were dedicated to telehealth and 3% of the studies addressed the following topics: nurses' recruitment and permanence in rural areas, continuing education, and professional practice in urgency and emergency regulation centers.

Conclusion:

working in rural areas demands that nurses face particularities such as isolation, difficulty of access, diverse socioeconomic conditions and specific epidemiological profiles, which influence the professional practice, making it a challenge.

DESCRIPTORS:
Rural nursing; Health of the rural population; Public health; Nursing in community health; Nursing care

Authors	Country	Theme
Knight K, Kenny A.88. Knight K, Kenny A. Assessing clinical urgency via telephone in rural Australia. Nurs Health Sci [Internet]. 2015 [cited 2018 Jul 13];17(2):201-7. Available from: https://dx.doi.org/10.1111/nhs.12161 https://dx.doi.org/10.1111/nhs.12161...	Australia	Regulation Central
Bish M, Kenny A, Nay R.99. Bish M, Kenny A, Nay R. Using participatory action research to foster nurse leadership in Australian rural hospitals. Nurs Health Sci [Internet]. 2013 [cited 2018 Jul 15];15(3):286-91. Available from: https://dx.doi.org/10.1111/nhs.12030 https://dx.doi.org/10.1111/nhs.12030...	Australia	Hospital care
Beckstrand RL, Rohwer J, Luthy KE, Macintosh JLB, Rasmussen RJ.1010. Beckstrand RL, Rohwer J, Luthy KE, Macintosh JLB, Rasmussen RJ. Rural emergency nurses’ end-of-life care obstacle experiences: stories from the last frontier. J Emerg Nurs [Internet]. 2017 [cited 2018 Jul 15];43(1):40-48. Available from: https://dx.doi.org/10.1016/j.jen.2015.08.017 https://dx.doi.org/10.1016/j.jen.2015.08...	USA	Hospital care
Kenny A, Allenby A.1111. Kenny A, Allenby A. Implementing clinical supervision for Australian rural nurses. Nurse Educ Pract [Internet]. 2013;13(3):165-9. Available from: https://dx.doi.org/10.1016/j.nepr.2012.08.009 https://dx.doi.org/10.1016/j.nepr.2012.0...	Australia	Hospital care
Beckstrand RL, Giles VC, Luthy KL, Callister PLC, Heaston S.1212. Beckstrand RL, Giles VC, Luthy KL, Callister PLC, Heaston S. The last frontier: rural emergency nurses’ perceptions of end-of-life care obstacles. J Emerg Nurs [Internet]. 2012 [cited 2018 Jul 15];38(5):e15-25. Available from: https://dx.doi.org/10.1016/j.jen.2012.01.003 https://dx.doi.org/10.1016/j.jen.2012.01...	USA	Hospital care
Fairchild MR, Everly M, Bozarth L, Bauer R, Walters L, Sample M, et al.1313. Fairchild MR, Everly M, Bozarth L, Bauer R, Walters L, Sample M, et al. A qualitative study of continuing education needs of rural nursing unit staff: The nurse administrator’s perspective. Nurse Educ Today [Internet]. 2013 [cited 2018 Jul 14];33(4):364-9. Available from: https://dx.doi.org/10.1016/j.nedt.2012.05.023 https://dx.doi.org/10.1016/j.nedt.2012.0...	USA	Permanent education
Lea J, Cruickshank M.1414. Lea J, Cruickshank M. Supporting new graduate nurses making the transition to rural nursing practice: views from experienced rural nurses. J Clin Nurs [Internet]. 2015 [cited 2018 Jul 12];24(19-20):2826-34. Available from: https://dx.doi.org/10.1111/jocn.12890 https://dx.doi.org/10.1111/jocn.12890...	Australia	Training
Hauenstein EJ, Glick DF, Kane C, Kulbok P, Barbero E, Cox K.1515. Hauenstein EJ, Glick DF, Kane C, Kulbok P, Barbero E, Cox K. A model to develop nurse leaders for rural practice. J Prof Nurs [Internet]. 2014 [cited 2018 Jul 9];30(6):463-73. Available from: https://dx.doi.org/10.1016/j.profnurs.2014.04.001 https://dx.doi.org/10.1016/j.profnurs.20...	USA	Training
Tschetter L, Lubeck P, Fahrenwald N.1616. Tschetter L, Lubeck P, Fahrenwald N. Integrating QSEN and Technology to Address Rural Health Care: Initial Outcomes. Clin Simul Nurs [Internet]. 2013 [cited 2018 Jul 3];9(10):469-75. Available from: https://dx.doi.org/10.1016/j.ecns.2012.09.005 https://dx.doi.org/10.1016/j.ecns.2012.0...	USA	Training
Pront L, Kelton M, Munt R, Hutton A.1717. Pront L, Kelton M, Munt R, Hutton A. Living and learning in a rural environment: A nursing student perspective. Nurse Educ Today [Internet]. 2013 [cited 2018 Jul 4];33(3):281-5. Available from: https://dx.doi.org/10.1016/j.nedt.2012.05.026 https://dx.doi.org/10.1016/j.nedt.2012.0...	Australia	Training
Yonge OJ, Myrick F, Ferguson LM, Grundy Q.1818. Yonge OJ, Myrick F, Ferguson LM, Grundy Q. Nursing preceptorship experiences in rural settings: “I would work here for free”. Nurse Educ Pract [Internet]. 2013 [cited 2018 Jul 4];13(2):125-31. Available from: https://dx.doi.org/10.1016/j.nepr.2012.08.001 https://dx.doi.org/10.1016/j.nepr.2012.0...	Canada USA	Training
Sanderson H, Lea J.1919. Sanderson H, Lea J. Implementation of the Clinical Facilitation model within an Australian rural setting: The role of the Clinical Facilitator. Nurse Educ Pract [Internet]. 2012 [cited 2018 Jul 4];12(6):333-339. Available from: https://dx.doi.org/10.1016/j.nepr.2012.04.001 https://dx.doi.org/10.1016/j.nepr.2012.0...	Australia	Training
Place J, MacLeod M, John N, Adamack M, Lindsey AE.2020. Place J, MacLeod M, John N, Adamack M, Lindsey AE. “Finding my own time”: Examining the spatially produced experiences of rural RNs in the rural nursing certificate program. Nurse Educ Today [Internet]. 2012 Jul [cited 2018 Jul 4];32(5):581-7. Available from: https://dx.doi.org/10.1016/j.nedt.2011.07.004 https://dx.doi.org/10.1016/j.nedt.2011.0...	Canada	Training
Sedgwick MG, Yonge O.2121. Sedgwick MG, Yonge O. Undergraduate nursing students’ preparedness to ‘‘go rural’’. Nurse Educ Today [Internet]. 2008 [cited 2018 Jul 17];28(5):620-6. Available from: https://dx.doi.org/10.1016/j.nedt.2007.09.014 https://dx.doi.org/10.1016/j.nedt.2007.0...	Canada	Training
Mills J, Francis K, Bonner A.2222. Mills J, Francis K, Bonner A. Getting to know a stranger-rural nurses’ experiences of mentoring: A grounded theory. Int J Nurs Stud [Internet]. 2008 [cited 2018 Jul 5];45(4):599-607. Available from: https://dx.doi.org/10.1016/j.ijnurstu.2006.12.003 https://dx.doi.org/10.1016/j.ijnurstu.20...	Australia	Training
Latham H, Giffard L, Pollard M.2323. Latham H, Giffard L, Pollard M. University and Health Service Partnership: A Model to Deliver Undergraduate Nurse Education in Rural Australia. Collegian [Internet]. 2007 [cited 2018 Jul 6];14(1):5-10. Available from: https://dx.doi.org/10.1016/S1322-7696(08)60541-7 https://dx.doi.org/10.1016/S1322-7696(08...	Australia	Training
Kulig JC, Kilpatrick K, Moffitt P, Zimmer L.2424. Kulig JC, Kilpatrick K, Moffitt P, Zimmer L. Recruitment and retention in rural nursing: it’s still an issue! Nurs Leadersh (Tor Ont) [Internet]. 2015 [cited 2018 Jul 6];28(2):40-50. Available from: https://dx.doi.org/10.12927/cjnl.2015.24353 https://dx.doi.org/10.12927/cjnl.2015.24...	Canada	Recruitment
Yates K, Kelly J, Lindsay D, Usher K.2525. Yates K, Kelly J, Lindsay D, Usher K. The experience of rural midwives in dual roles as nurse and midwife: ‘‘I’d prefer midwifery, but I chose to live here’’. Women Birth [Internet]. 2013[cited 2018 Jul 17];26(1):60-4. Available from: https://dx.doi.org/10.1016/j.wombi.2012.03.003 https://dx.doi.org/10.1016/j.wombi.2012....	Australia	Satisfaction
Terri Bolin T, Peck D, Moore C, Ward-Smith P.2626. Terri Bolin T, Peck D, Moore C, Ward-Smith P. Competency and educational requirements: perspective of the rural emergency nurse. J Emerg Nurs [Internet]. 2011 [cited 2018 Jul 9];37(1):96-9. Available from: https://dx.doi.org/10.1016/j.jen.2010.06.022 https://dx.doi.org/10.1016/j.jen.2010.06...	USA	Satisfaction
Hoodless M, Bourke L.2727. Hoodless M, Bourke L. Expanding the scope of practice for enrolled nurses working in an Australian rural health service: Implications for job satisfaction. Nurse Educ Today [Internet]. 2009 [cited 2018 Jul 9];29(4):432-8. Available from: https://dx.doi.org/10.1016/j.jen.2010.06.022 https://dx.doi.org/10.1016/j.jen.2010.06...	Australia	Satisfaction
Knight K, Kenny A, Endacott R.2828. Knight K, Kenny A, Endacott R. From expert generalists to ambiguity masters: using ambiguity tolerance theory to redefine the practice of rural nurses. J Clin Nurs [Internet]. 2016 [cited 2018 Jul 7];25(11-12):1757-65. Available from: https://dx.doi.org/10.1111/jocn.13196 https://dx.doi.org/10.1111/jocn.13196...	Australia	Collective health
MacKinnon K, Moffitt P.2929. MacKinnon K, Moffitt P. Informed Advocacy Rural, Remote, and Northern Nursing Praxis. ANS Adv Nurs Sci [Internet]. 2014 [cited 2018 Jul 7];37(2):161-73. Available from: https://dx.doi.org/10.1097/ans.0000000000000025 https://dx.doi.org/10.1097/ans.000000000...	Canada	Collective health
Moules NJ, MacLeod MLP, Thirsk LM, Hanlon N.3030. Moules NJ, MacLeod MLP, Thirsk LM, Hanlon N. “And Then You’ll See Her in the Grocery Store”: The Working Relationships of Public Health Nurses and High-Priority Families in Northern Canadian Communities. J Pediatr Nurs [Internet]. 2010 [cited 2018 Jul 11];25(5):327-34. Available from: https://dx.doi.org/10.1016/j.pedn.2008.12.003 https://dx.doi.org/10.1016/j.pedn.2008.1...	Canada	Collective health
Fraile MB, Peña ET, González JG, Pozo JG, Vasco IG, Rodríguez BP.3131. Fraile MB, Peña ET, González JG, Pozo JG, Vasco IG, Rodríguez BP. Las cencerradas: una visión antropológica desde la enfermería rural. Temperamentvm [Internet]. 2006 [cited 2018 Jul 10];3. Available from: http://www.index-f.com/temperamentum/tn3/t0130r.php http://www.index-f.com/temperamentum/tn3...	Spain	Collective health
Marilaf MC, Alarcón AM, Illesca MP.3232. Marilaf MC, Alarcón AM, Illesca MP. Rol del enfermero/a rural en la región de la Araucanía Chile: percepción de usuarios y enfermeros. Cien Enfermería [Internet]. 2011 [cited 2018 Jul 10];17(2):111-8. Available from: https://dx.doi.org/10.4067/S0717-95532011000200012 https://dx.doi.org/10.4067/S0717-9553201...	Chile	Collective health
Jiménez-García Á, Granados-Bolívar ME, Fernández-Moreno C.3333. Jiménez-García Á, Granados-Bolívar ME, Fernández-Moreno C. Vivencias de una enfermera en su primera experiencia como profesional de los cuidados en entorno rural. Arch Memoria[Internet]. 2015 [cited 2018 Jul 17];12(2). Available from: http://www.index-f.com/memoria/12/12206r.php http://www.index-f.com/memoria/12/12206r...	Spain	Collective health
Sivamalai S.3434. Sivamalai S. Desired attributes of new graduate nurses as identified by the rural community. Rural Remote Health [Internet]. 2008 [cited 2018 Jul 30];8:938. Available from: https://www.rrh.org.au/journal/article/938. https://www.rrh.org.au/journal/article/9...	Australia	Collective health
Rolland RA.3535. Roland RA. Emergency Room Nurses Transitioning from Curative to End-of-Life Care: The Rural Influence. Online J Rural Nurs Health Care [Internet]. 2016 [cited 2018 Jul 3];16(2):58-85. Available from: https://dx.doi.org/10.14574/ojrnhc.v16i2.396 https://dx.doi.org/10.14574/ojrnhc.v16i2...	USA	Collective health
Pimmer C, Brysiewicz P, Linxen S, Walters F, Chipps J, Gröhbiel U.3636. Pimmer C, Brysiewicz P, Linxen S, Walters F, Chipps J, Gröhbiel U. Informal mobile learning in nurse education and practice in remote areas: A case study from rural South Africa. Nurse Educ Today [Internet]. 2014 [cited 2018 Jul 17];34(11):1398-404. Available from: https://dx.doi.org/10.1016/j.nedt.2014.03.013 https://dx.doi.org/10.1016/j.nedt.2014.0...	South Africa and Switzerland	telehealth
Carter-Templeton HD, Wu L.3737. Carter-Templeton HD, Wu L. Using Mobile Technologies to Access Evidence-Based Resources: A Rural Health Clinic Experience. Nurs Clin N Am [Internet]. 2015 [cited 2018 Jul 2];50:595-03. Available from: https://dx.doi.org/10.1016/j.cnur.2015.05.012 https://dx.doi.org/10.1016/j.cnur.2015.0...	USA	telehealth

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[1] CORRESPONDING AUTHOR
Ângela Roberta Alves Lima angelarobertalima@hotmail.com