Life in the Frontier

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1 Life in the Frontier The term frontier nurse practitioner (NP) is based on the notion of place as central to practice; that place is the frontier. To understand how…

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Health and Health Care in the Frontier

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2 Health and Health Care in the Frontier This chapter establishes the notion that frontier dwellers fare worse than their urban counterparts on many measures of health. Disparate access to…

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Recommendations and Conclusions

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13 Recommendations and Conclusions Part I of this book paints a picture of life in the frontier for both frontier dwellers and frontier health care providers. This picture includes challenges…

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Narrative Knowledge

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11 Narrative Knowledge The concepts related to frontier nurse practitioner (NP) practice noted in the Chapter 3 summary of the literature (Table 3.1) are supported by the participant narratives. Additional…

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A Conceptual Model for Frontier Nursing Practice

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12 A Conceptual Model for Frontier Nursing Practice The purpose of this book is to explicate concepts related to frontier nurse practitioner (NP) practice and utilize those concepts to develop…

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Bob: An Early Pioneer

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4 Bob: An Early Pioneer   OVERVIEW Bob is interviewed in his home and reflects on a long and satisfying career as a frontier nurse practitioner (NP). He is considered a…

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Pam: The Traveler

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7 Pam: The Traveler   OVERVIEW Pam lives in a community that is 80% Native American. There is a reservation 14 miles from her community with a small hospital and ambulance…

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Lori: A Career Choice

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10 Lori: A Career Choice   OVERVIEW Lori left frontier nurse practitioner (NP) practice several years ago due to unforeseen family issues. She spent a total of 17 years in frontier…

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Amy: A Mobile Experience

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9 Amy: A Mobile Experience   OVERVIEW Amy’s interview takes place in a frontier community clinic, after a long workday and long after the clinic staff have gone home. As is…

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Ann: A Grow-Your-Own Story

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5 Ann: A Grow-Your-Own Story   OVERVIEW Ann wears the hats of clinic administrator and health care provider. She is an example of the grow-your-own concept: I grew up out here,…

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