Critical care encompasses elements of emergency medicine, anaesthesia, intensive care, acute internal medicine, postsurgical care, trauma management, and retrieval. In metropolitan teaching hospitals these elements are often distinct, with individual specialists providing discrete services. This may not be possible in rural centres, where specialist numbers are smaller and recruitment and reten...

R ural or remote communities may be ideal locations to train residents in general psychiatry. In addition, evidence from the rural medical education literature suggests that developing educational experiences in these communities may also improve recruitment and retention. University departments of psychiatry, in partnership with national organizations and underserved communities themselves, ar...

Due to the ever-growing teacher shortage, attention retention of teachers, in particular within rural settings, is important. While studies have been conducted lower grades and upper grade level focus on kindergarten through12 music teachers has yet be done. The overarching objective this qualitative study was discover stories Missouri tenured why they chose remain their place, guided by concep...

BACKGROUND There is a great need for physicians in Tanzania. In 2012, there were approximately 0.31 physicians per 10,000 individuals nationwide, with a lower ratio in the rural areas, where the majority of the population resides. In response, universities across Tanzania have greatly increased the enrollment of medical students. Yet evidence suggests high attrition of medical graduates to othe...

While a dairy cooperative provided the bylaws, managing a cooperative of rural hospitals has been a learn-as-you-go experience. This article presents the management principles that have been learned over the last 13 years. Its experience suggests that developing and managing partnerships requires behaviors different from those typically associated with the management of individual organizations.

INTRODUCTION 'Belonging' is a universal characteristic of human beings and is a basic human need. Rural nurses describe the nature of their practice as being embedded in working as a team where belonging is central to the success of the team and the individual nurse. As a result they form close professional and personal ties. The challenge for nursing students is to develop a sense of belonging...

The purpose of this study is to identify barriers to the adoption of new technology in rural settings. Specifically, this paper focuses on identifying and overcoming barriers to the adoption of a medication error reporting system in eight rural hospitals. Prior research has generally focused on barriers to the adoption of new technology in urban areas, medical centers, or large hospitals. The l...

AIMS AND OBJECTIVES To redefine the practice of rural nurses and describe a model that conceptualises the capabilities and characteristics required in the rural environment. BACKGROUND The way in which the practice of rural nurses has been conceptualised is problematic. Definitions of rural nursing have been identified primarily through the functional context of rural health service delivery....

We report on rates of patient retention and attrition in the context of scaling-up antiretroviral treatment (ART) within a district hospital and its primary health centres in rural Malawi. 'Retention' was defined as being alive and on ART or transferred out, whereas 'attrition' was defined as died, lost to follow-up or stopped treatment. A total of 4074 patients were followed-up for 1803 person...

New Brunswick (NB) Canada uses its breast cancer screening service program to assess the extent to which eligible NB women are complying with mammography guidelines. While many studies have investigated factors associated with participation in periodic breast cancer screening in Canada and elsewhere, most work has relied on self-reported surveys or smaller scale primary data collection. Using a...