Studies have shown that rural Americans have higher rates of chronic disease and poor overall health compared to those living in urban areas. They suffer higher incidence of disease and disabilities, increased mortality, cand lower life expectancies. In rural America, we find fewer job opportunities, a poorer population, and social isolation which all increase the risk for poor health. Also fewer health care practitioners, especially doctors, increases the healthcare risks for this typically older and poorer population.

We also see a disparity in healthcare insurance coverage within this vulnerable population. Very few have employer provided insurance nor do they qualify for Medicaid. These and many other issues we face as APN’s in providng quality care to our rural population. 

The Agency of Healthcare and Research and Quality (AHRQ) is developing initiatives to address healthare disparitiesThe Agency of Healthcare Research and promotes the use of four steps:

1. Developing a collaborative process of research involving researchers and community representatives
2. Recognizing the community as a unit of identity
3. Building on the strengths of resources within the community
4. Facilitating collaborative, equitable partnerships in all phases of research and utilizing an empowering process
5. Promoting co-learning and capacity building among all partners
6. Integrating knowledge generation and intervention for the mutual benefit of all partners.
7. Emphasizing the local relevance of public health problems and multiple determinates of health and disease including biomedical, social, economic and physical environmental factors.
8. Findings can be disseminated to all partners

This method benefits the rural community through the knowledge gained and the resources provided as well as developing a partnership with diverse experts to address the complex health issues. Utilizing the research findings specific interventions can be developed for the under served and may help eliminate rural health disparities.

1. As advanced practice nurses, how can we begin to eliminate disparities in rural underserved areas?   

Instructions:

Use an APA 7 style and a minimum of 350 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

Please complete Log #3. 

Content: Dates/ Hours of completion for listed activities. 

Practice Hours Activities:  Narrative of your activities for completion of practice hours.  The focus is on the collection of data for your community/ county, development of the data assessment document and development of final community paper.  Develop 2-3 objectives that you want to achieve during the log time frames.

REFLECTION: A narrative that addresses what you learned new or was reinforced.   Reflect on how you met your objectives for your designated hours and are planning on new objectives for the next log period.