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RESEARCH ARTICLE
Contents Vol 34(2)

An integrative review of the role of registered nurses in remote and isolated practice

Meaghan Coyle A B , Mohammad A. Al-Motlaq A , Jane Mills A , Karen Francis A and Melanie Birks A
+ Author Affiliations
- Author Affiliations

A School of Nursing and Midwifery, Monash University, Gippsland Campus, Northways Road, Churchill, VIC 3842, Australia.

B Corresponding author. Email: meaghan.coyle@med.monash.edu.au

Australian Health Review 34(2) 239-245 https://doi.org/10.1071/AH09743
Submitted: 12 February 2009  Accepted: 26 November 2009   Published: 25 May 2010

Abstract

Objective. To examine the role of the registered nurse in remote and isolated areas of Queensland, the Northern Territory, South Australia and Western Australia; and to illustrate the impact of the burden of disease on nursing practice.

Data sources. A literature search was undertaken using electronic databases and the grey literature (including policy documents, project reports and position descriptions).

Data synthesis. The role of the nurse in remote areas is diverse, and varies according to the context of practice. Although some states and territories offer formal programs to prepare nurses for the role, it is unclear whether this is routinely provided. The burden of disease is higher in remote Australia, and although nurses work to reduce the burden, the need to provide primary care can be at the expense of primary health care.

Conclusions. Whilst the nature of nursing practice is influenced by many factors, considerable agreement exists between states and territories around the role of the registered nurses in remote and isolated communities. The higher burden of disease in remote and isolated areas of Australia impacts on nursing practice, and nurses are uniquely placed to assist in reducing the burden of disease. Greater agreement around what constitutes ‘remote’ is needed.

What is known about the topic? Many papers have reported on the difficulties encountered by registered nurses in remote and isolated practice; however, there is a dearth of information describing the role of registered nurses in remote or isolated Australian communities.

What does this paper add? This review describes the diverse role of nurses and their role in addressing the burden of disease in remote and isolated Australia. Comparison between states and territories highlights differences in preparation for the role.

What are the implications for practitioners? National agreement is needed around preparation for practice, conditions of work, and what constitutes ‘remote’. Greater utilisation of the nursing workforce in remote and isolated areas would assist in addressing the burden of disease.


Acknowledgements

This review was funded by Queensland Health. Dr Jane Mills is funded by an Australian Government National Health and Medical Research Council Primary Health Care Fellowship (NHMRC Grant ID: 431532).


References


[1] Hegney D,  McCarthy A,  Rogers-Clark C,  Gorman D. Retaining rural and remote area nurses. The Queensland, Australia experience. J Nurs Adm 2002; 32(3): 128–35.
| Crossref | GoogleScholarGoogle Scholar | PubMed | [verified 29 September 2008].

[14] Mitchell B. Rural and remote nurses: Third World practitioners or saviours of the bush? Glebe, NSW: NSW College of Nursing; 2000; vol. 1(4): p. 12.

[15] Rosenberg JP,  Canning DF. Palliative care by nurses in rural and remote practice. Aust J Rural Health 2004; 12(4): 166–71.
| Crossref | GoogleScholarGoogle Scholar | PubMed | [verified 6 October 2008].

[19] Queensland Health. Rural and Isolated Practice Health (Drugs & Poisons) Regulation 1996 Registered Nurse Course: Information Brochure 2009. Brisbane: Queensland Health; 2008. Available at http://www.health.qld.gov.au/nahs_workforce/nur/docs/riprn_broc.pdf [verified 6 October 2008].

[20] Department of Health and Families. What is the Pathways to Professional Practice Program? Darwin: Department of Health and Families, Northern Territory Government; 2008. Available at http://remotehealthatlas.nt.gov.au/what_is_the_pathways_to_professional_practice_program.pdf [verified 2 July 2009].

[21] Chaseling M , Mentha R , Davey C . CARPA Standard Treatment Manual 4th Edition Evaluation Report. Alice Springs: Centre for Remote Health; 2008.

[22] Wakerman J. Defining remote health. Aust J Rural Health 2004; 12(5): 210–4.
| Crossref | GoogleScholarGoogle Scholar | PubMed | [verified 20 October 2008].

[28] Health Workforce Queensland. Submission to review of the rural, remote and metropolitan (RRMA) classification. 2005. Available at http://www.healthworkforce.com.au/main.asp?NodeID=27677 [verified 20 October 2008].

[29] Australian Institute of Health and Welfare. Rural, regional and remote health: a study on mortality (2nd edition). 2007. Available at http://www.aihw.gov.au [verified 20 October 2008].

[30] Vos T , Barker B , Stanley L , Lopez A . The burden of disease and injury in Aboriginal and Torres Strait Islander peoples: Summary report Brisbane: School of Population Health, University of Queensland; 2007.

[31] Begg S , Vos T , Barker B , Stevenson C , Stanley L , Lopez A . The burden of disease and injury in Australia 2003. Canberra: Australian Institute of Health and Welfare; 2007.

[32] Australian Institute of Health and Welfare. Rural, regional and remote health: indicators of health status and determinants of health. Canberra: Australian Institute of Health and Welfare; 2008.

[33] Greenhill JA,  Mildenhall D,  Rosenthal D. Ten ideas for building a strong Australian rural health system. Rural Remote Health 2009; 9(2): 1206.
| PubMed |  CAS | [verified 15 September 2008].

[38] Department of Health and Families Northern Territory. Job description – Remote area nurse NT Gov Dept of Health and Families; 2008.

[39] Department of Health and Community Services Northern Territory. Job description – remote area nurse. Department of Health and Community Services, Northern Territory Government; 2008.

[40] Territory Health Services. Towards a Healthy Health Centre. The Public Health Bush Book. Darwin NT: Territory Health Services; 2002.

[41] Queensland Health. Nurse practitioner project report. Queensland Health; 2003.

[42] Timmings RW. Rural and Isolated Practice Registered Nurse (RIPRN) – emergency nurses of the Queensland ‘bush’. Australas Emerg Nurs J 2006; 9(1): 29–34.
| Crossref | GoogleScholarGoogle Scholar | [verified 19 April 2010].

[44] Marmot M. Social determinants of health inequalities. The Lancet 2005; 365 1099–104.
[verified 19 April 2010].

[46] Dowd T. Remote area nurses – on the cutting edge. Collegian 1995; 2(1): 36–40.
| Crossref | GoogleScholarGoogle Scholar | [verified 6 October 2008].

[48] Queensland Government. Remote Area Incentive Package – Registered Nurses. Queensland Government; 2002. Available at http://www.health.qld.gov.au/hrpolicies/irm/section_2/Irm2_7_17.pdf [verified 19 April 2010].

[49] Queensland Nursing Council. Regulating nurse practitioners in Queensland. 2008. Available at http://www.qnc.qld.gov.au/home/content.aspx?content=Registration_&_Enrolment/Applying_for_endorsement/Endorsement_as_a_nurse_practitioner [verified 2 October 2008].

[50] Office of Chief Nursing Officer. Dept of Health, Western Australia. Guiding framework for the implementation of nurse practitioners in Western Australia. Perth; 2003.

[51] Nurses Board of South Australia. NBSA Professional Standards Statement for Nurse Practitioner Practice. Available at www.nursesboard.sa.gov.au; 2002.

[52] Department of Human Services. Nurse Practitioner Project: South Australia (Nu Prac Project). Adelaide; 1999.

[53] Nursing and Midwifery Board of the Northern Territory. Authorisation to practice in a restricted practice area – Nurse Practitioner. Available at http://www.health.nt.gov.au/library/scripts/objectifyMedia.aspx?file=pdf/18/68.pdf&siteID=1&str_title=Nurse%20Practitioner%20Authorisation%20Process%20Policy.pdf [verified 4 October 2008].

[54] National Nursing and Nursing Education Taskforce. Nurse Practitioners in Australia: Mapping of State/Territory Nurse Practitioner (NP) models, legislation and authorisation processes. Melbourne, Victoria; 2005.