The threshold of rural placement frequency and duration: A repeated cross-sectional study examining rural career aspirations among student nurses

Article


Terry, Daniel, Peck, Blake, Elliott, Jessica, East, Leah, Ryan, Liz, Baker, Ed and Schmitz, David. 2024. "The threshold of rural placement frequency and duration: A repeated cross-sectional study examining rural career aspirations among student nurses." Nurse Education in Practice. 77. https://doi.org/10.1016/j.nepr.2024.103989
Article Title

The threshold of rural placement frequency and duration: A repeated cross-sectional study examining rural career aspirations among student nurses

ERA Journal ID14139
Article CategoryArticle
AuthorsTerry, Daniel, Peck, Blake, Elliott, Jessica, East, Leah, Ryan, Liz, Baker, Ed and Schmitz, David
Journal TitleNurse Education in Practice
Journal Citation77
Article Number103989
Number of Pages9
Year2024
PublisherElsevier
Place of PublicationUnited Kingdom
ISSN1471-5953
1873-5223
Digital Object Identifier (DOI)https://doi.org/10.1016/j.nepr.2024.103989
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1471595324001185
Abstract

Aim
This study aimed to explore what changes rural placement had on the perceptions of nursing students and the impact of placement frequency and duration on student considerations for rural practice.

Background
A strong rural healthcare workforce is a global concern and has led countries to look for creative ways to address this challenge. One approach is to train more health professionals, however, nursing students who grew up or lived in metropolitan or urbanised areas are suggested to be less inclined to pursue a rural career. As such it is posited that recurrent exposure to rural settings may exert a positive impact on future intention for rural practice. However, there is a need to explore the specific thresholds related to both the frequency and duration of rural placement exposure, as well as the cumulative impact multiple rural placements may have on the intention to engage in rural practice.

Design
A repeated cross-sectional design.

Methods
All nursing students from an Australian regional university were invited to complete an online questionnaire between 2019 and 2023. Demographic and placement specific questions were included. A modified version of the Nursing Community Apgar tool also measured the importance of key variables in rural career decision-making. Data were analysed using independent sample t-tests and one-way ANOVAs. Significance was determined at two-tailed p≤.05.

Results
Among the 835 respondents (response rate 15.4%), the average number and duration of rural placements was 2.45 placements and 3.01 weeks respectively. Rural placements did not have an impact on students who resided rurally or regionally. However, among metropolitan students who had experienced more than three rural placements, or more than sixteen cumulative weeks of placement, were significantly more likely to consider rural employment. Greater number of rural placements and longer cumulative duration had the greatest impact.

Conclusion
Issues related to the nursing rural workforce are dynamic and complex. Understanding the unique drivers that improve the rural experiences among students, particularly metropolitan students, can have an impact on decision-making to pursue employment in rural environments. Importantly, whilst professional and clinical motivation and experiences are influential factors, the socialisation, environment and community features are essential elements that influence students’ decisions to pursue a career in rural practice. Undertaking a nuanced approach that facilitates rural practice understanding among students may help shape future employment decision-making.

KeywordsStudents; Learning; Rural nursing; Rural communities; Social participation
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420505. Nursing workforce
Byline AffiliationsSchool of Nursing and Midwifery
Centre for Health Research
Federation University
University of New England
Boise State University, United States
University of North Dakota, United States
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Preregistration nursing students' provision of safe care—Are we leaving too much to chance?
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Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
Thomas, Nissy, Coleman, Mardhie and Terry, Daniel. 2021. "Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis ." Nursing Reports. 11 (1), pp. 164-174. https://doi.org/10.3390/nursrep11010016
Twice-Daily Moisturizer Application for Skin Tear Prevention among Older Adults in Acute Care
Mornane, Carolyn, Peck, Blake, Terry, Daniel and Ryan, Michael. 2021. "Twice-Daily Moisturizer Application for Skin Tear Prevention among Older Adults in Acute Care." Advances in Skin and Wound Care: the journal for wound prevention and healing. 34 (2), pp. 1-4. https://doi.org/10.1097/01.ASW.0000725180.14180.da
Exploring pre-registration nursing students' experience of and attitudes towards intentional rounding within clinical placements
Ryan, Liz. 2021. Exploring pre-registration nursing students' experience of and attitudes towards intentional rounding within clinical placements. PhD by Publication Doctor of Philosophy. University of New England.
Dietary Behavior of Adolescents in the Qassim Region, Saudi Arabia: A Comparison between Cities with and without the Healthy Cities Program
Alasqah, Ibrahim, Mahmud, Ilias, East, Leah, Alqarawi, Nada and Usher, Kim. 2021. "Dietary Behavior of Adolescents in the Qassim Region, Saudi Arabia: A Comparison between Cities with and without the Healthy Cities Program." International Journal of Environmental Research and Public Health. 18 (18). https://doi.org/10.3390/ijerph18189508
Patterns of physical activity and dietary habits among adolescents in Saudi Arabia: A systematic review
Alasqah, Ibrahim, Mahmud, Ilias, East, Leah and Usher, Kim. 2021. "Patterns of physical activity and dietary habits among adolescents in Saudi Arabia: A systematic review." International Journal of Health Sciences Ijhs. 15 (2), pp. 39-48.
Health Impact and Risk Factors Affecting South and Southeast Asian Women Following Natural Disasters: A Systematic Review
Fatema, Syadani Riyad, East, Leah, Islam, Md Shahidul and Usher, Kim. 2021. "Health Impact and Risk Factors Affecting South and Southeast Asian Women Following Natural Disasters: A Systematic Review." International Journal of Environmental Research and Public Health. 18 (21). https://doi.org/10.3390/ijerph182111068
Patient perspectives and experiences of sexual health conversations and cardiovascular disease: A qualitative study
East, Leah, Jackson, D., Manias, E., Dunning, T. and Hutchinson, M.. 2021. "Patient perspectives and experiences of sexual health conversations and cardiovascular disease: A qualitative study." Journal of Clinical Nursing. 30 (21-22), pp. 3194-3204. https://doi.org/10.1111/jocn.15820
The Historic to Contemporary Challenges among International Medical Graduates Seeking to Practise in Australia
Terry, Daniel, Ha, Hoang, Peck, Blake and Le, Quynh. 2021. "The Historic to Contemporary Challenges among International Medical Graduates Seeking to Practise in Australia." Health and History. 23 (1), pp. 61-78. https://doi.org/10.5401/healthhist.23.1.0061
Traversing the Funambulist’s Fine Line between Nursing and Male Identity: A Systematic Review of the Factors that Influence Men as They Seek to Navigate the Nursing Profession
Terry, Daniel, Peck, Blake, Carden, Clarissa, Perkins, Alicia J. and Smith, Andrew. 2020. "Traversing the Funambulist’s Fine Line between Nursing and Male Identity: A Systematic Review of the Factors that Influence Men as They Seek to Navigate the Nursing Profession ." European Journal of Investigation in Health Psychology and Education. 10 (3), pp. 691-703. https://doi.org/10.3390/ejihpe10030051
Factors That Impact Measures of Grit among Nursing Students: A Journey Emblematic of the Koi Fish
Terry, Daniel and Peck, Blacke. 2020. "Factors That Impact Measures of Grit among Nursing Students: A Journey Emblematic of the Koi Fish." European Journal of Investigation in Health Psychology and Education. 10 (2), pp. 564-574. https://doi.org/10.3390/ejihpe10020041
Academic and clinical performance among nursing students: What's grit go to do with it?
Terry, Daniel and Peck, Blake. 2020. "Academic and clinical performance among nursing students: What's grit go to do with it?" Nurse Education Today. 88, pp. 1-6. https://doi.org/10.1016/j.nedt.2020.104371
Occupational Self-Efficacy and Psychological Capital Amongst Nursing Students: A Cross Sectional Study Understanding the Malleable Attributes for Success
Terry, Daniel, Peck, Blake, Smith, Andrew and Nguyen, Hoang. 2020. "Occupational Self-Efficacy and Psychological Capital Amongst Nursing Students: A Cross Sectional Study Understanding the Malleable Attributes for Success." European Journal of Investigation in Health Psychology and Education. 10 (1), pp. 159-172. https://doi.org/10.3390/ejihpe10010014
Television as a Career Motivator and Education Tool: A Final-Year Nursing Student Cohort Study
Terry, Daniel and Peck, Blake. 2020. "Television as a Career Motivator and Education Tool: A Final-Year Nursing Student Cohort Study." European Journal of Investigation in Health Psychology and Education. 10 (1), pp. 346-357. https://doi.org/10.3390/ejihpe10010026
Registered Nurses' understanding, knowledge and perceptions of the association between sexually transmitted infections and domestic violence
Bellia, Sharne, Jackson, Debra, Hutchinson, Marie and East, Leah. 2020. "Registered Nurses' understanding, knowledge and perceptions of the association between sexually transmitted infections and domestic violence." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 27 (5), pp. 561-566. https://doi.org/10.1016/j.colegn.2020.01.003
A cross-sectional study of domestic violence instruction in nursing and midwifery programs: Out of step with community and student expectations
Hutchinson, Marie, Doran, Frances, Brown, Janie, Douglas, Tracy, East, Leah, Irwin, Pauletta, Mainey, Lydia, Saunders, Annette, Sweet, Linda, van de Mortel, Thea and Yates, Karen. 2020. "A cross-sectional study of domestic violence instruction in nursing and midwifery programs: Out of step with community and student expectations." Nurse Education Today. 84. https://doi.org/10.1016/j.nedt.2019.104209
Living with diabetes and disadvantage: A qualitative, geographical case study
Power, Tamara, Kelly, Ray, Usher, Kim, East, Leah, Travaglia, Jo, Robertson, Hamish, Wong, Ann and Jackson, Debra. 2020. "Living with diabetes and disadvantage: A qualitative, geographical case study." Journal of Clinical Nursing. 29 (13-14), pp. 2710-2722. https://doi.org/10.1111/jocn.15295
Pre-registration nursing students' perceptions and experience of intentional rounding: A cross-sectional study
Ryan, Elizabeth (Liz) J., Jackson, Debra, Woods, Cindy and Usher, Kim J.. 2020. "Pre-registration nursing students' perceptions and experience of intentional rounding: A cross-sectional study." Nurse Education in Practice. 42, p. 102691. https://doi.org/10.1016/j.nepr.2019.102691
Nursing care of people with musculoskeletal disorders
Ryan, Liz. 2020. "Nursing care of people with musculoskeletal disorders." LeMone and Burke's Medical-Surgical Nursing: Critical Thinking for Person-Centred Care. Australia. Pearson Education Australia. pp. 1417-1482
Nursing care of people with haematologic disorders
Ryan, Liz. 2020. "Nursing care of people with haematologic disorders." LeMone and Burke's Medical-Surgical Nursing: Critical Thinking for Person-Centred Care. Australia. Pearson Education Australia. pp. 1141-1195
Nurse and patient satisfaction with intentional rounding in a rural Australian setting
East, Leah, Targett, Dianne, Yeates, Hamish, Ryan, Elizabeth, Quiddington, Louisa and Woods, Cindy. 2020. "Nurse and patient satisfaction with intentional rounding in a rural Australian setting." Journal of Clinical Nursing. 29 (7-8), pp. 1365-1371. https://doi.org/10.1111/jocn.15180
Intentional rounding in the context of student learning
Ryan, Liz, Jackson, Debra, Woods, Cindy, East, Leah and Usher, Kim. 2020. "Intentional rounding in the context of student learning." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 28 (3), pp. 289-295. https://doi.org/10.1016/j.colegn.2020.09.008
Chronic ill health in a regional Victoria setting: A 13-year comparison
Glenister, Kristen, Bourke, Lisa, Terry, Daniel and Simmons, David. 2019. "Chronic ill health in a regional Victoria setting: A 13-year comparison." Australian Journal of Rural Health. 27 (6), pp. 527-534. https://doi.org/10.1111/ajr.12565
Intentional rounding – An integrative literature review
Ryan, Liz, Jackson, Debra, Woods, Cindy and Usher, Kim. 2019. "Intentional rounding – An integrative literature review ." Journal of Advanced Nursing. 75 (6), pp. 1151-1161. https://doi.org/10.1111/jan.13897
Communication training and its effects on carer and care-receiver outcomes in dementia settings: A systematic review
Nguyen, Hoang, Terry, Daniel, Phan, Hoang, Vickers, James and McInerney, Fran. 2019. "Communication training and its effects on carer and care-receiver outcomes in dementia settings: A systematic review ." Journal of Clinical Nursing. 28 (7-8), pp. 1050-1069. https://doi.org/10.1111/jocn.14697
Acute circulatory complications in people with diabetes mellitus type 2: How admission varies between urban and rural Victoria
Gardiner, Gardiner, Robins, Shalley and Terry, Daniel. 2019. "Acute circulatory complications in people with diabetes mellitus type 2: How admission varies between urban and rural Victoria." Australian Journal of Rural Health. 27 (1), pp. 49-56. https://doi.org/10.1111/ajr.12459
A systematic review of the prevalence and risk factors of smoking among Saudi adolescents
Alasqah, Ibrahim, Mahmud, Ilias, East, Leah and Usher, Kim. 2019. "A systematic review of the prevalence and risk factors of smoking among Saudi adolescents." Saudi Medical Journal. 40 (9), pp. 867-878. https://doi.org/10.15537/smj.2019.9.24477
Misperceptions and stereotypes in nursing care for sexually transmitted infections and domestic violence: a qualitative exploratory study
Bellia, Sharne, East, Leah, Hutchinson, Marie and Jackson, Debra. 2019. "Misperceptions and stereotypes in nursing care for sexually transmitted infections and domestic violence: a qualitative exploratory study." Contemporary Nurse. 55 (6), pp. 533-542. https://doi.org/10.1080/10376178.2019.1673667
An integrative literature review of pre-registration nursing students' attitudes and perceptions towards primary healthcare
Byfield, Zachary, East, Leah and Conway, Jane. 2019. "An integrative literature review of pre-registration nursing students' attitudes and perceptions towards primary healthcare." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 26 (5), pp. 583-593. https://doi.org/10.1016/j.colegn.2019.01.004
Intentional Rounding - Student Perspectives: A Cross-Sectional Survey
Ryan, Liz. 2019. "Intentional Rounding - Student Perspectives: A Cross-Sectional Survey." UNE Postgraduate Conference 2019. Armidale, Australia 15 201 - 16 Jan 2019 Australai.
Health professional students' rural placement satisfaction and rural practice intentions: A national cross-sectional survey
Smith, Tony, Sutton, Keith, Sabrina, Pit, Muyambi, Kuda, Terry, Daniel, Farthing, Annie, Courtney, Claire and Cross, Merylin. 2018. "Health professional students' rural placement satisfaction and rural practice intentions: A national cross-sectional survey." Australian Journal of Rural Health. 26 (1), pp. 26-32. https://doi.org/10.1111/ajr.12375
Undergraduate nursing assistant employment in aged care has benefits for new graduates
Algoso, Maricris, Ramjan, Lucie, East, Leah and Peters, Kath. 2018. "Undergraduate nursing assistant employment in aged care has benefits for new graduates ." Journal of Advanced Nursing. 74 (8), pp. 1932-1954. https://doi.org/10.1111/jan.13691
Competing food consumption discourses and proper gendered behaviour among over 50s: are you really what you eat?
Malatzky, Christina, Terry, Daniel, Bourke, Lisa, Glenister, Kristen and Ervin, Kaye. 2018. "Competing food consumption discourses and proper gendered behaviour among over 50s: are you really what you eat?" Journal of Research for Consumers. 32, pp. 1-31.
Asthma hospitalisation trends from 2010 to 2015: variation among rural and metropolitan Australians
Terry, Daniel, Robins, Shalley, Gardiner, Samantha, Ruby, Wyett and Islam, Md Rafiqul. 2017. "Asthma hospitalisation trends from 2010 to 2015: variation among rural and metropolitan Australians." BMC Public Health. 17. https://doi.org/10.1186/s12889-017-4704-y
Violated and vulnerable: women's experiences of contracting a sexually transmitted infection from a male partner
East, Leah, Jackson, Debra and Peters, Kath. 2017. "Violated and vulnerable: women's experiences of contracting a sexually transmitted infection from a male partner." Journal of Clinical Nursing. 26 (15-16), pp. 2342-2352. https://doi.org/10.1111/jocn.13723
Nursing care of people with haematological disorders
Ryan, Liz. 2017. "Nursing care of people with haematological disorders." LeMone & Burke’s Medical-Surgical Nursing: Critical Thinking for Person-Centred Care. Australia. Pearson Education Australia. pp. 1146-1201
Health of the individual, family and community
Conway, Jane, Dempsey, Jennifer and Ryan, Liz. 2017. "Health of the individual, family and community." Hill, Robyn, Hall, Helen and Glew, Paul J. (ed.) Fundamentals of Nursing and Midwifery: A Person-Centred Approach to Care. Australia. Lippincott Williams & Wilkins. pp. 37-55
Exploring undergraduate nursing students' perceptions of working in aged care settings: A review of the literature
Algoso, Maricris, Peters, Kath, Ramjan, Lucie and East, Leah. 2016. "Exploring undergraduate nursing students' perceptions of working in aged care settings: A review of the literature." Nurse Education Today. 36, pp. 275-280. https://doi.org/10.1016/j.nedt.2015.08.001
Undergraduate nursing students' attitudes and use of research and evidence-based practice - an integrative literature review
Ryan, Elizabeth Jo. 2016. "Undergraduate nursing students' attitudes and use of research and evidence-based practice - an integrative literature review." Journal of Clinical Nursing. 25 (11-12), pp. 1548-1556. https://doi.org/10.1111/jocn.13229
Deriving Consensus on the Characteristics of Advanced Practice Nursing: Meta-summary of More Than 2 Decades of Research
Hutchinson, Marie, East, Leah, Stasa, Helen and Jackson, Debra. 2014. "Deriving Consensus on the Characteristics of Advanced Practice Nursing: Meta-summary of More Than 2 Decades of Research ." Nursing Research. 63 (2), pp. 116-128. https://doi.org/10.1097/NNR.0000000000000021
Use of the male condom by heterosexual adolescents and young people: literature review
East, Leah, Jackson, Debra, O'Brien, Louise and Peters, Kath. 2007. "Use of the male condom by heterosexual adolescents and young people: literature review." Journal of Advanced Nursing. 59 (2), pp. 103-110. https://doi.org/10.1111/j.1365-2648.2007.04337.x