prior assigned readings in addition to the readings assigned for this module. Respond to the situation

Module 3: Rural Health Disparities

This module introduces some of the health disparities that are a reality for many rural dwellers.

Get Your Custom Essay Written From Scratch prior assigned readings in addition to the readings assigned for this module. Respond to the situation

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Approaches nurses can utilize to mitigate the impact of some disparities will be addressed.

Module Objectives:

1) Appraise barriers to optimal health care that exist in rural areas.

2) Analyze factors that impact access to care in rural areas.

3) Explore consequences of limited access to healthcare.

4) Explore ways nurses can promote health in areas of limited health care access.

Assigned readings:

Bushy, A. (2013). Health Disparities in Rural Populations Across the Lifespan. In C.A. Winters (Ed.), Rural

nursing: Concepts, theory, and practice (pp.225 – 239). Springer.


American Nurses Association (2015). Code of ethics for nurses: With interpretive statements. Silver

Spring, MD: ANA. (choose portions that will be valuable in your synthesis and application post)


COVID – 19 and Rural Health Care. (2020). Online Journal of Rural Nursing & Health Care, 20(1),

1–5. Available at


Erwin, C., Aultman, J., Harter, T., Illes, J., & Kogan, R. C. J. (2020). Rural and Remote

Communities: Unique Ethical Issues in the COVID-19 Pandemic. American Journal of Bioethics,

20(7), 117–120.


Shreffler-Grant, J.M., Nicols, E., Weinert, C, & Ide, B. (2013). Complementary Therapy and Health

Literacy in Rural Dwellers. In C.A. Winters (Ed.), Rural nursing: Concepts, theory, and practice

(pp.205- 214). Springer.


Be sure to take adequate time to peruse Rural Health Information (RHI) Hub and Center for Disease

Control (CDC) sites as well as other information linked into this module

Key points

• Communities in rural areas are impacted by policies developed at the national level.

• Competition between rural and urban areas in the domain of healthcare occurs increasingly as

resources become scarcer.

• Healthcare policies impact rural and urban areas in unique ways.

• A variety of social determinants may impact the health of individuals and families.

• Although health disparities occur in all settings, there are a number that are particularly

noteworthy in rural areas.

• Poverty often compounds other risks and vulnerabilities.

• A high proportion rural residents are among the ‘working poor’ and uninsured. Low income

correlates with lower educational levels, poorer nutrition, fewer preventative health care

practices, increased risk of trauma, developmental delays, inadequate immunization, and

increased chronic illness.

• Rural people are often older. Many elderly adults have a low fixed income, relying primarily on

social security benefits. They may have difficulty accessing additional benefits

Graded Assignment:

You will complete your next synthesis and application assignment. Synthesis and Application

assignments have two separate components. Please see the information in the Synthesis and

Application Assignment folder for a video and more detailed direction. Refer to the grading rubric

(Appendix B in your syllabus or at the end of this document) for how points can be earned.  Carefully

note the criteria for a professional nursing journal as found in the course syllabus (p. 9).

Part 1: Choose one of the situations /topics below. You may need to refer back to information from

prior assigned readings in addition to the readings assigned for this module. Respond to the situation

you choose in the discussion forum adhering to the grading rubric in Appendix B. Note that all parts of

the discussion question/topic must be addressed to earn full points.  You can earn up to 15 points for

your initial post.

Part 2: There is an opportunity to review what your peers have posted and build on their knowledge and

insights by the date included on the course schedule.  You will post a substantive addition to one of your

peers' post. Your substantive addition must address the topic/situation other than the topic/ situation

addressed in your original synthesis and application post. You can earn up to 10 points a substantive

addition that meets rubric criteria.

As you search for articles the first weeks of this course, two journals that may be especially helpful are

the Online Journal of Rural Nursing and Health Care and the Journal of Rural Health.  Both are readily

accessible via the SMSU library.  There are many other articles and journals that will be helpful as well.

Topic One

1. Examine three barriers that may impact access to health care (not including lack of services) that may

be especially prevalent in rural areas in the United States. Note: A professional examination

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