Improving health outcomes in rural and remote Australia: Optimising the contribution of nurses
Improving health outcomes in rural and remote Australia: Optimising the contribution of nurses Report
Discussion Paper
- Author(s): Australian College of Nursing
- Published: 2018
- Publisher: Australian College of Nursing
Abstract: People living in rural and remote areas face particular health challenges, many of which are attributable to their living conditions, social isolation, socioeconomic status and distance from services. Nurses constitute the largest group of health providers in the rural and remote workforce, and many communities are dependent on nurse-led services. The health status of rural and remote Australians is worse than other populations on almost every indicator of health status. Overall, in remote areas, they experience a 20% increase in disease compared to those living in major cities. Risk factors such as tobacco smoking, alcohol consumption, low levels of physical activity and nutritional insufficiency are higher in rural and remote areas, increasing the likelihood of developing numerous chronic diseases. This discussion paper drew on case studies in rural and remote settings and a review of policy, discussion papers, editorials and research studies. The paper highlights several nurse-led initiatives that are innovative and person centred. These initiatives highlight talent and potential, however, issues related to security of funding and staffing are also highlighted. There are many opportunities for nurses to play a greater role in chronic disease prevention and management in rural and remote settings. Better outcome data are needed to show how investment and enhancing the role of nursing can benefit rural and remote Australians’ health care. In rural and remote areas, nurses and other health professionals can take on greater leadership roles as “agents of change” in developing innovative practice solutions, engaging individuals, families and communities, maximising the role of other staff groups, for example visiting medical and allied health professionals and resident support care staff, and the incorporation of new technologies into practice. However, adequate investment is vital to ensure there are enough nurses based in rural and remote settings, with adequate education and support and access to such opportunities.