In 2018, the New Mexico Nurses Affiliation celebrated 25 years of the state’s nurse practitioners having the ability to follow independently of physicians and having prescriptive authority.

Regardless of this inflow in rural healthcare suppliers, New Mexico’s rural residents — like many across the nation — are battling entry to care and a extreme scarcity of main care suppliers.

In keeping with Georgetown College’s Well being Coverage Institute, 20% of the U.S. inhabitants lives in rural areas. Nevertheless, lower than 11% of America’s physicians are situated close to or follow in rural America. This scarcity creates gaps in rural healthcare.

New Mexico has been hit significantly exhausting with this drawback. Nationally, the U.S. is 19.3% rural, in accordance with 2010 data from the U.S. Census Bureau. On the identical time, New Mexico was decided to be 22.6% rural. Of the state’s 33 counties, 12 had been designated both principally rural or utterly rural in 2010.

With regards to rural healthcare, that doesn’t bode properly.

How huge is the issue?

Johanna Okay. Stiesmeyer, DNP, RN-BC, director of medical training {and professional} improvement at Presbyterian Healthcare Companies in Albuquerque, N.M., says nationally there are 0.83 nurses per 1,000 residents. In New Mexico, the ratio is about one-third of that.

“There’s only a monster hole for sufferers on the market,” she informed the Albuquerque Journal newspaper.

“To assist fight the first care scarcity in rural areas of New Mexico, Presbyterian Healthcare Companies and the College of New Mexico Faculty of Nursing have partnered to increase entry to main healthcare suppliers in rural communities with the creation of a residency program for nurse practitioners,” Stiesmeyer mentioned.

The NP residency program is funded by a $3.2 million grant awarded to Presbyterian by the U.S. Division of Well being and Human Companies, Well being Assets and Companies Administration.

“It is a first for NPs and rural communities and simply what we want in New Mexico,” Stiesmeyer mentioned.

In keeping with a report by the New Mexico Division of Public Well being, rural counties in New Mexico have the best variety of residents older than age 65 (26%) in comparison with combined urban-rural counties (16.1%) in New Mexico. It’s additionally greater than the nationwide common of 15.6%.

With the U.S. inhabitants growing older quickly, this might imply many older adults received’t have entry to needed care.

New Mexico’s NP residency packages

The grant will fund this system — identified formally because the Superior Nursing Schooling Nurse Practitioner Residency Program — for 4 years, and planning formally started in July 2019, Stiesmeyer mentioned.

Years two, three and 4 contain hiring three cohorts of NP residents, she mentioned. 9 new NPs will likely be chosen every year for the one-year NP residency packages, which start every July beginning in 2020.

“This system has two tracks for the one-year residencies — household follow and nurse midwifery,” mentioned Carolyn Montoya, PhD, RN, PCPNP-BC, affiliate dean of medical affairs at UNM’s Faculty of Nursing. “Members will full their residencies at 10 multidisciplinary Presbyterian household medical clinics in six totally different counties in New Mexico.”

The NP residency packages usually are not unique to the UNM’s NP graduates, Montoya mentioned.

“These APRN residencies are open to any graduate of an accredited NP or nurse midwifery program who has graduated inside 18 months of the beginning date of the residency,” she mentioned.

new grad NPs who wish to apply for this system should cross their certification boards and be licensed as an NP or nurse midwife in New Mexico. These necessities have to be met earlier than beginning this system, Montoya mentioned.

“NP graduates who’re accepted into this program may have the chance to be precepted by seasoned main healthcare suppliers for one yr,” she mentioned. “They’ll full their residencies in rural areas of New Mexico, thus affording them the chance to offer rural healthcare with the help of a preceptor and take part in a curriculum that features superior administration of chosen medical situations.”

Rural healthcare challenges in New Mexico

NPs in New Mexico get pleasure from full follow and prescriptive authority.

“When NPs graduate from the College of New Mexico, they’re totally ready for follow,” she mentioned. “This program doesn’t repeat what college students in our program have discovered. These residencies handle medically complicated sufferers along with complicated geriatric sufferers, which New Mexico has a big inhabitants of.”

The hope is rural immersion expertise will lead extra NPs and nurse midwives to stay in rural healthcare follow New Mexico after their NP residency packages, Montoya mentioned.

Numerous methods for rising NPs’ retention charges for remaining in rural healthcare follow are being examined, in accordance with Stiesmeyer.

“These one-year residencies will present NPs with a wage and advantages from Presbyterian Healthcare Companies,” she mentioned.

They’re in search of NPs who’ve a ardour for caring for sufferers in rural communities because it takes particular individuals to serve in rural areas, Stiesmeyer mentioned. “We wish NPs who’re almost definitely to realize success working within the rural setting and want to stay working in rural communities.”

Rural healthcare sufferers face quite a few social and well being challenges, in accordance with Montoya. They usually have decrease incomes, decrease ranges of well being literacy and infrequently take care of a number of and complicated medical situations.

“We’re thrilled that Presbyterian Healthcare Companies selected UNM as their educational accomplice for this program to offer us the chance to serve these rural communities,” Montoya mentioned.

The choice to accomplice with UNM was straightforward due to the constructive previous experiences Presbyterian has had with the nursing faculty and Montoya, in accordance with Stiesmeyer.

“To be accepted for the HRSA grant is an excellent praise,” Stiesmeyer mentioned. “It’s an ideal alternative to share greatest nursing practices within the state of New Mexico.”


Take these programs to be taught extra about precepting and mentorship:

Precepting: The Likelihood to Form Nursing’s Future
(1 contact hr)
Preceptors are position fashions for professionalism and greatest practices within the medical setting, socializing nurses into the work group, whereas educating and orienting them. Excessive turnover charges, elevated price, and low morale amongst nurses can happen when the preceptor position is weak or not valued. The variety of new graduates, specifically, continues to develop, and consequently, extra preceptors are required.

Partnership: Making the Most of Mentoring
(1 contact hr)
Nurses usually confuse mentoring with different profession improvement relationships, resembling teaching, precepting, or peer strategizing. This persevering with training module presents details about the mentor/protégé relationship, the advantages of such relationships, and the best way to go about establishing one.

Teaching: An Important Ability for Nurses
(5.6 contact hrs)
Leaders in nursing, from the senior administration staff to the cost nurse and the workers nurse on the entrance line, can enhance efficiency, facilitate distinctive teamwork, and improve skilled improvement with teaching. The ideas and training abilities described on this course will present the map to remodeling your unit and your group.

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