The Roles of Public Health Nurse in Rural Area: A Narrative Review.
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| Title: | The Roles of Public Health Nurse in Rural Area: A Narrative Review. |
|---|---|
| Authors: | Nam HJ; College of Nursing, Seoul National University, Seoul, South Korea., Lee S; Department of Nursing, Kyungdong University, Wonju, South Korea., Park HN; Community Health and Care Services, University of South Wales, Wales, UK. |
| Source: | Research in nursing & health [Res Nurs Health] 2025 Aug; Vol. 48 (4), pp. 466-477. Date of Electronic Publication: 2025 May 20. |
| Publication Type: | Journal Article; Systematic Review |
| Language: | English |
| Journal Info: | Publisher: Wiley Country of Publication: United States NLM ID: 7806136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-240X (Electronic) Linking ISSN: 01606891 NLM ISO Abbreviation: Res Nurs Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, Wiley. |
| MeSH Terms: | Nurse's Role* , Public Health Nursing* , Nurses, Public Health* , Rural Health Services*/organization & administration , Rural Population*, Humans |
| Abstract: | This narrative review aims to identify the role of public health nurses in rural areas and provide a comparative description of their roles and duties. The literature search was conducted in May 2024 using four electronic databases including PubMed, EMBASE, CINAHL, and COCHRANE. The review adhered to the Preferred Reporting System for Systematic Review and Meta-Analysis. Of the 2249 retrieved articles, 500 duplicates were removed. After title and abstract screening, 1734 were excluded, followed by two due to unavailable full text. Six more did not meet eligibility criteria, while two additional articles were identified through hand searching. Study quality was assessed using the Mixed Methods Appraisal Tool. Nine studies were selected, including four descriptive studies, one mixed-methods study, and four qualitative studies. In all nine studies, the nurse was a registered nurse; some studies also included practice nurses and advanced practice nurses. From the selected studies, eight distinct roles of rural public health nurses were identified: Assessment, Health Prevention and Promotion, Intervention, Care Coordination and Management, Communication, Community Solidarity, Education and Research, and Administration and Evaluation. Duties were matched according to these roles. This review highlights the essential roles and duties of rural public health nurses, providing foundational data for future research and practice, guiding the development of standardized role definitions, job descriptions, and training programs for rural public health nurses. (© 2025 Wiley Periodicals LLC.) |
| References: | American Nurses Association. 2007. Public Health Nursing: Scope and Standards of Practice, Vol. 33. American Nurses Association. Bigbee, J. L., P. Gehrke, and N. Otterness. 2009. “Public Health Nurses in Rural/frontier One‐Nurse Offices.” Rural and Remote Health 9: 1282. Drury, V., K. Drury, and G. Dulhunty. 2005. “The Lived Experience of Rural Mental Health Nurses.” Online Journal of Rural Nursing and Health Care 5, no. 1: 17–27. Farmer, J., C. West, B. Whyte, and M. Maclean. 2005. “Primary Health‐Care Teams as Adaptive Organizations: Exploring and Explaining Work Variation Using Case Studies in Rural and Urban Scotland.” Health Services Management Research 18, no. 3: 151–164. https://doi.org/10.1258/0951484054572501. Garcia, M. C., M. Faul, G. Massetti, et al. 2017. “Reducing Potentially Excess Deaths From the Five Leading Causes of Death in the Rural United States.” Morbidity and Mortality Weekly Report. Surveillance Summaries (Washington, D.C.: 2002) 66, no. 2: 1–7. https://doi.org/10.15585/mmwr.ss6602a1. Griffiths, J., G. Ewing, and M. Rogers. 2013. “Early Support Visits by District Nurses to Cancer Patients at Home: A Multi‐Perspective Qualitative Study.” Palliative Medicine 27, no. 4: 349–357. https://doi.org/10.1177/0269216312451949. Han, Y. R., B. S. Lee, and B. J. Kim. 2016. “Public Health Nurse's Perception of Their Roles & Duties.” Journal of Korean Public Health Nursing 30, no. 3: 526–543. Hart, L. G., E. H. Larson, and D. M. Lishner. 2005. “Rural Definitions for Health Policy and Research.” American Journal of Public Health 95, no. 7: 1149–1155. https://doi.org/10.2105/AJPH.2004.042432. Hong, Q. N., S. Fàbregues, G. Bartlett, et al. 2018. “The Mixed Methods Appraisal Tool (MMAT) Version 2018 for Information Professionals and Researchers.” Informatics in Education 34, no. 4: 285–291. Hounsgaard, L., A. Birgitte Jensen, J. Præst Wilche, and I. Dolmer. 2013. “The Nature of Nursing Practice in Rural and Remote Areas of Greenland.” International Journal of Circumpolar Health 72: 20964. https://doi.org/10.3402/ijch.v72i0.20964. Huy, N. V., K. S. Bang, H. Xuan, et al. 2018. “The Roles of, Activities of, and Competencies for, Community Nursing Services in Rural Vietnam: Implications for Policy Decisions.” International Journal of Health Planning and Management 33, no. 4: 1147. https://doi.org/10.1002/hpm.2600. Kaplan, L. 2020. “The Importance of Building a Strong, Rural NP Workforce.” Nurse Practitioner 45, no. 9: 8–9. Koponen, P., and H. Kalkas. 1997. “Practice Patterns of Finnish Public Health Nurses.” International Journal of Nursing Practice 3, no. 2: 97–104. https://doi.org/10.1111/j.1440-172x.1997.tb00081.x. Korean Nursing Association. (n.d). Resources. Nurse employment. Accessed August 1, 2024. https://www.koreanursing.or.kr/resources/nurse_job.php. Kueakomoldej, S., E. Turi, A. McMenamin, Y. Xue, and L. Poghosyan. 2022. “Recruitment and Retention of Primary Care Nurse Practitioners in Underserved Areas: A Scoping Review.” Nursing Outlook 70, no. 3: 401–416. https://doi.org/10.1016/j.outlook.2021.12.008. MARUTANI Miki. 2022. “The Roles and Education System of Public Health Nurses in Japan: With Introduction of Social Workers as Their Collaborator.” Journal of National Institute of Public Health 71, no. 1: 17–26. Minore, B., M. Boone, M. Katt, P. Kinch, S. Birch, and C. Mushquash. 2005. “The Effects of Nursing Turnover on Continuity of Care in Isolated First Nation Communities.” Canadian Journal of Nursing Research = Revue canadienne de recherche en sciences infirmieres 37, no. 1: 86–100. National Rural Health Association (NRHA). 2011. Public Health Nursing: Strengthening the Core of Rural Public Health. NRHA. https://www.ruralhealth.us/getmedia/a6a32dd3-85f5-4326-9236-5e5ec9c9227f/PublicHealthNursingPolicyPaper.pdf. Northland district health board. 2022. Job Description: Public Health Nurse Rural Family and Community Health Services. (4–5). Page, M. J., J. E. McKenzie, P. M. Bossuyt, et al. 2021. “The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews.” BMJ 29, no. 372: n71. https://doi.org/10.1136/bmj.n71. Pavloff, M., D. S. Edge, and J. Kulig. 2022. “A Framework for Nursing Practice in Rural and Remote Canada.” Rural and Remote Health 22, no. 3: 1–8. Popay, J., H. Roberts, A. Sowden, et al. 2006. Guidance on the Conduct of Narrative Synthesis in Systematic Reviews: A Product From the ESRC Methods Programme. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=ed8b23836338f6fdea0cc55e161b0fc5805f9e27. Robert Wood Johnson Foundation. 2008. Charting Nursing's Future. Strengthening Public Health Nursing – Part 1. Policies and Programs That Recognize Nursing's Role in Assuring the Public's Halth. Robert Wood Johnson Foundation. Accessed July 26, 2024. http://www.rwjf.org/files/research/20081010chartingissue7.pdf. Ross, J. 1999. “The Development of the Advanced Role of Rural Nurses in New Zealand.” Australian Journal of Rural Health 7, no. 4: 253–257. https://doi.org/10.1046/j.1440-1584.1999.00246.x. Rusaanes, V., H. Eide, E. A. Brembo, L. Gladhus, B. M. Oswald, and L. G. Heyn. 2023. “Educating Nursing Students for Sustainable Future Rural Health Care Services: An Umbrella Review.” International Journal of Nursing Studies 151: 104688. Sha, S., O. Aloba, J. Watts‐Isley, and T. McCoy. 2021. “The Adaption of the Work Environment Survey for Public Health Nurses.” Western Journal of Nursing Research 43, no. 9: 834–842. https://doi.org/10.1177/0193945920982790. Stanton, M. P., and J. Dunkin. 2002. “Rural Case Management: Nursing Role Variations.” Lippincott's Case Management 7, no. 2: 48–55. United Kingdom National Health Service. (n.d.). Public Health Nurse. Accessed August 1, 2024. https://www.healthcareers.nhs.uk/explore-roles/public-health/roles-public-health/public-health-nurse. Winters, C. A. 2021. Rural Nursing: Concepts, Theory, and Practice, 6th ed., 19–22. Springer Publishing Company. Winters, C. A., H. J. Lee, J. Besel, et al. 2007. “Access to and Use of Research by Rural Nurses.” Rural and Remote Health 7, no. 3: 758. Yamashita, M., F. Miyaji, and R. Akimoto. 2005. “The Public Health Nursing Role in Rural Japan.” Public Health Nursing 22, no. 2: 156–165. https://doi.org/10.1111/j.0737-1209.2005.220209.x. |
| Grant Information: | This study was supported by the Research Grant of Korean Academy of Community Health Nursing in 2024. |
| Contributed Indexing: | Keywords: narrative review; public health nurse; role; rural area |
| Entry Date(s): | Date Created: 20250520 Date Completed: 20250702 Latest Revision: 20250707 |
| Update Code: | 20250708 |
| DOI: | 10.1002/nur.22470 |
| PMID: | 40392212 |
| Database: | MEDLINE |
| Abstract: | This narrative review aims to identify the role of public health nurses in rural areas and provide a comparative description of their roles and duties. The literature search was conducted in May 2024 using four electronic databases including PubMed, EMBASE, CINAHL, and COCHRANE. The review adhered to the Preferred Reporting System for Systematic Review and Meta-Analysis. Of the 2249 retrieved articles, 500 duplicates were removed. After title and abstract screening, 1734 were excluded, followed by two due to unavailable full text. Six more did not meet eligibility criteria, while two additional articles were identified through hand searching. Study quality was assessed using the Mixed Methods Appraisal Tool. Nine studies were selected, including four descriptive studies, one mixed-methods study, and four qualitative studies. In all nine studies, the nurse was a registered nurse; some studies also included practice nurses and advanced practice nurses. From the selected studies, eight distinct roles of rural public health nurses were identified: Assessment, Health Prevention and Promotion, Intervention, Care Coordination and Management, Communication, Community Solidarity, Education and Research, and Administration and Evaluation. Duties were matched according to these roles. This review highlights the essential roles and duties of rural public health nurses, providing foundational data for future research and practice, guiding the development of standardized role definitions, job descriptions, and training programs for rural public health nurses.<br /> (© 2025 Wiley Periodicals LLC.) |
|---|---|
| ISSN: | 1098-240X |
| DOI: | 10.1002/nur.22470 |
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