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LuAnn Townsend
Malad, Idaho Southeastern Idaho town just north of the Utah border
2010 population: 2,095 (county = 4,125)
34.3% homes with children less than 18
Median age 38.2
2009 median household income: $37,290
Oneida County Hospital Spectrum of services from lab to diagnostic
radiology, emergency to operating room, maternal/child to long term care
11 beds/11 certified (+ 41 LTC)
Approximately 35 FTE with 8.25 RN FTE
Rural environment
Unique issues
Must be over 35 miles from another hospital –OR- 15 miles away in mountainous area with only secondary roads
Maximum 25 beds acute care inpatient/swing beds
Multi-specialty practitioners
Limited resources
Recruiting & Retaining RN Competing with larger facility pay practices
Nurses must be knowledgeable in multiple specialties
Independent practice ,which can lead to burnout
Flexibility of work
Objectives Recruitment of nurses within the community.
Exposure to field of nursing
Collaboration for education /advancement
ISU/BSU
Retention of current nursing workforce
American Nurses Credentialing Center
Pathway to Excellence program
Recruitment
Collaboration with Oneida School District for
Career fairs
Initiating school nurse position
Visible Nurses’ Week celebration
Job shadowing
Collaboration for nursing education
OHSU rural education template
ISU internship program
Retention Pathway to Excellence certification
Standards foundational to ideal nursing practice environment
Standards include: Shared governance
Healthy work environment
Systems in place for patient care and practice concerns
Orientation prepares new nurses
Leadership competent, accountable, & participatory
Professional development & achievement recognition
Balanced lifestyle
EBP are utilized
Quality program
Theoretical Application Transformational Leadership Risk-takers
Empowerment
Futuristic thinkers
These leaders are Admired & respected
Inspirational
Cultivate creativity
mentors
Preparation Master’s degree preparation affords
Foundation of theoretical frameworks
Questioning mentality
Creating vision
Mentoring
Conclusion Oneida County Hospital
Decrease turnover by creating an ideal nursing environment
Increase visibility of nursing within the community
Recruitment of nurses within the facility AND the community
References Curtis, E., & O'Connell, R. (2011). Essential leadership skills for
motivating and developing staff. Nursing Management, 18(5), 32-35. Malad city/Oneida county economic development foundation. (n.d.).
Retrieved from http://maladidaho.org/ Mason, W. A. (2004). Oregon's economic crisis and the national
nursing shortage: a transformational opportunity for rural areas. Online Journal of rural nursing and health care, 4(1), 64-74. Retrieved from http://www.thefreelibrary.com/Oregon's economic crisis and the national nursing shortage: a...-a0174057701
McPeck, P. (2006). Growing their own--the rewards and challenges of rural nursing. NurseWeek News, Retrieved from http://www2.nursingspectrum.com/articles/print.html?AID=24966
Moulton, P. (2012) Rural students views on nursing workforce issues: The results of a focus group study. Retrieved from http://ruralhealth.und.edu/presentations/pdf/focusgroupposter5-03.pdf
References (cont.) Skillman, S. M., Palazzo, L., Keepnews, D., & Hart, L. G. (2005).
Characteristics of registered nurses in rural vs. urban areas: implications for strategies to alleviate nursing shortages in the united states. Informally published manuscript, Department of Family Medicine, University of Washington, Seattle, Washington.
Spencer, K. (2012). Rural Assistance Center Idaho. Retrieved from http://www.raconline.org/states/idaho.php
Swartwout, E. ( n.d.) ANCC’s pathway to excellence program. Retrieved from http://www.nursecredentialing.org/Pathway/AboutPathway/Background-and-Overview.aspx
Tomey, A. M. (2009). Nursing leadership and management effects work environments. Journal of Nursing Management, 17, 15-25.
United States Census Bureau. (2010). Profile of general population and housing characteristics: 201o [Data file]. Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk