{"id":"https://openalex.org/W7204200969","doi":"https://doi.org/10.1097/jxx.0000000000001357","title":"Educational strategies for preparing nurse practitioners for rural practice","display_name":"Educational strategies for preparing nurse practitioners for rural practice","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204200969","doi":"https://doi.org/10.1097/jxx.0000000000001357","pmid":"https://pubmed.ncbi.nlm.nih.gov/42640650"},"language":"en","primary_location":{"id":"doi:10.1097/jxx.0000000000001357","doi":"https://doi.org/10.1097/jxx.0000000000001357","is_oa":false,"landing_page_url":"https://doi.org/10.1097/jxx.0000000000001357","pdf_url":null,"source":{"id":"https://openalex.org/S125263180","display_name":"Journal of the American Association of Nurse Practitioners","issn_l":"2327-6886","issn":["2327-6886","2327-6924"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Association of Nurse Practitioners","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065142666","display_name":"Joyce Knestrick","orcid":"https://orcid.org/0000-0002-8656-635X","observed_orcids":["https://orcid.org/0000-0002-8656-635X"]},"institutions":[{"id":"https://openalex.org/I193531525","display_name":"George Washington University","ror":"https://ror.org/00y4zzh67","country_code":"US","type":"education","lineage":["https://openalex.org/I193531525"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joyce Knestrick","raw_affiliation_strings":["George Washington University School of Nursing, Washington, District of Columbia"],"raw_orcid":"https://orcid.org/0000-0002-8656-635X","affiliations":[{"raw_affiliation_string":"George Washington University School of Nursing, Washington, District of Columbia","institution_ids":["https://openalex.org/I193531525"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034217221","display_name":"Melody R. Wilkinson","orcid":"https://orcid.org/0000-0002-8657-5483","observed_orcids":["https://orcid.org/0000-0002-8657-5483"]},"institutions":[{"id":"https://openalex.org/I184565670","display_name":"Georgetown University","ror":"https://ror.org/05vzafd60","country_code":"US","type":"education","lineage":["https://openalex.org/I184565670"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melody R. Wilkinson","raw_affiliation_strings":["Georgetown University Berkley School of Nursing, Washington, District of Columbia"],"raw_orcid":"https://orcid.org/0000-0002-8657-5483","affiliations":[{"raw_affiliation_string":"Georgetown University Berkley School of Nursing, Washington, District of Columbia","institution_ids":["https://openalex.org/I184565670"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.72447867,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"38","issue":"9","first_page":"718","last_page":"724"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.4560999870300293,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.4560999870300293,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.4424000084400177,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":0.022299999371170998,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nurse-practitioner-education","display_name":"nurse practitioner education","score":0.9129999876022339},{"id":"https://openalex.org/keywords/rural-health-workforce","display_name":"rural health workforce","score":0.7760000228881836},{"id":"https://openalex.org/keywords/cultural-humility","display_name":"cultural humility","score":0.628000020980835},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.9789999723434448},{"id":"https://openalex.org/keywords/telehealth-education","display_name":"telehealth education","score":0.8939999938011169},{"id":"https://openalex.org/keywords/interprofessional-collaboration","display_name":"interprofessional collaboration","score":0.9359999895095825},{"id":"https://openalex.org/keywords/university-community-partnership","display_name":"university-community collaboration","score":0.7979999780654907},{"id":"https://openalex.org/keywords/community-based-learning","display_name":"community-based learning","score":0.8600000143051147},{"id":"https://openalex.org/keywords/service-learning","display_name":"service-learning","score":0.8999999761581421},{"id":"https://openalex.org/keywords/distance-education","display_name":"distance education","score":0.9190000295639038},{"id":"https://openalex.org/keywords/mentoring","display_name":"mentoring","score":0.9279999732971191},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.5839999914169312},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.9269999861717224},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.4230000078678131},{"id":"https://openalex.org/keywords/rural-health-disparities","display_name":"rural health disparities","score":0.421999990940094}],"concepts":[{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.6184999942779541},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.6019999980926514},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.5878000259399414},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.5185999870300293},{"id":"https://openalex.org/C169536714","wikidata":"https://www.wikidata.org/wiki/Q1666159","display_name":"Cultural competence","level":2,"score":0.5146999955177307},{"id":"https://openalex.org/C2779958979","wikidata":"https://www.wikidata.org/wiki/Q3473027","display_name":"Rural health","level":3,"score":0.5098999738693237},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4507000148296356},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.4388999938964844},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.4185999929904938},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3889000117778778},{"id":"https://openalex.org/C93678727","wikidata":"https://www.wikidata.org/wiki/Q7380583","display_name":"Rural management","level":4,"score":0.38420000672340393},{"id":"https://openalex.org/C123353603","wikidata":"https://www.wikidata.org/wiki/Q5421070","display_name":"Experiential knowledge","level":2,"score":0.3734000027179718},{"id":"https://openalex.org/C37228920","wikidata":"https://www.wikidata.org/wiki/Q1307600","display_name":"Experiential learning","level":2,"score":0.3695000112056732},{"id":"https://openalex.org/C2779465365","wikidata":"https://www.wikidata.org/wiki/Q7380600","display_name":"Rurality","level":3,"score":0.3671000003814697},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.33799999952316284},{"id":"https://openalex.org/C71750763","wikidata":"https://www.wikidata.org/wiki/Q646164","display_name":"General partnership","level":2,"score":0.33709999918937683},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.335999995470047},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.3352000117301941},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.3271999955177307},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.3158999979496002},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.30469998717308044},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.30309998989105225},{"id":"https://openalex.org/C185618831","wikidata":"https://www.wikidata.org/wiki/Q1851928","display_name":"Health promotion","level":3,"score":0.296999990940094},{"id":"https://openalex.org/C3018572941","wikidata":"https://www.wikidata.org/wiki/Q595071","display_name":"Nurse practitioners","level":3,"score":0.29019999504089355},{"id":"https://openalex.org/C2779968149","wikidata":"https://www.wikidata.org/wiki/Q8034851","display_name":"Workforce development","level":3,"score":0.28540000319480896},{"id":"https://openalex.org/C125209646","wikidata":"https://www.wikidata.org/wiki/Q1338878","display_name":"Cultural diversity","level":2,"score":0.28200000524520874},{"id":"https://openalex.org/C198231283","wikidata":"https://www.wikidata.org/wiki/Q7075801","display_name":"Occupational health nursing","level":4,"score":0.272599995136261},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.26170000433921814},{"id":"https://openalex.org/C16920402","wikidata":"https://www.wikidata.org/wiki/Q205398","display_name":"Social work","level":2,"score":0.25609999895095825},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.2502000033855438}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009722","descriptor_name":"Nurse Practitioners","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D009722","descriptor_name":"Nurse Practitioners","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019035","descriptor_name":"Rural Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019035","descriptor_name":"Rural Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/jxx.0000000000001357","doi":"https://doi.org/10.1097/jxx.0000000000001357","is_oa":false,"landing_page_url":"https://doi.org/10.1097/jxx.0000000000001357","pdf_url":null,"source":{"id":"https://openalex.org/S125263180","display_name":"Journal of the American Association of Nurse Practitioners","issn_l":"2327-6886","issn":["2327-6886","2327-6924"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Association of Nurse Practitioners","raw_type":"journal-article"},{"id":"pmid:42640650","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42640650","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Association of Nurse Practitioners","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Quality education","score":0.8278999924659729,"id":"https://metadata.un.org/sdg/4"},{"display_name":"Good health and well-being","score":0.8199999928474426,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.4074000120162964,"id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W2802727664","https://openalex.org/W2807292739","https://openalex.org/W3021205334","https://openalex.org/W3046641442","https://openalex.org/W4281785843","https://openalex.org/W4282577470","https://openalex.org/W4291173130","https://openalex.org/W4361190334","https://openalex.org/W4387511283","https://openalex.org/W4391425864","https://openalex.org/W4405517856","https://openalex.org/W4410181991","https://openalex.org/W4411442763","https://openalex.org/W4415647098","https://openalex.org/W7133533992","https://openalex.org/W7161646748"],"related_works":[],"abstract_inverted_index":{"ABSTRACT:":[0],"Rural":[1],"communities":[2],"experience":[3],"health":[4,9,16,21,118,135,143,245,249],"care":[5,17,119,144],"workforce":[6],"shortages,":[7],"poorer":[8],"outcomes,":[10],"and":[11,23,46,86,110,133,137,164,176,189,206,219,239,247],"significant":[12],"barriers":[13],"related":[14],"to":[15,35,61,243],"access,":[18],"transportation,":[19],"behavioral":[20],"services,":[22],"other":[24],"social":[25,128],"drivers":[26,129],"of":[27,56,83,89,114,130,201,203,210],"health.":[28,96],"Nurse":[29],"practitioners":[30],"(NPs)":[31],"are":[32],"well":[33],"positioned":[34],"address":[36],"these":[37],"disparities;":[38],"however,":[39],"traditional":[40],"NP":[41,105],"education":[42],"often":[43],"emphasizes":[44],"urban":[45],"suburban":[47],"practice":[48,109,225],"environments,":[49],"leaving":[50],"graduates":[51],"underprepared":[52],"for":[53,107,223],"the":[54,90,112,138,197,208,240],"realities":[55],"rural":[57,63,95,108,117,124,147,160,166,224,234,253],"practice.":[58],"Preparing":[59,221],"NPs":[60,222],"serve":[62],"populations":[64],"requires":[65],"competencies":[66,211,241],"that":[67,93,102,141,230],"extend":[68],"beyond":[69],"clinical":[70,191],"care,":[71,218],"including":[72],"cultural":[73,182],"humility,":[74,183],"community":[75,126,187],"engagement,":[76,188],"telehealth":[77,158],"delivery,":[78],"interprofessional":[79],"collaboration,":[80],"ethical":[81],"navigation":[82],"dual-role":[84],"relationships,":[85],"an":[87],"understanding":[88],"structural":[91],"factors":[92,140],"influence":[94],"This":[97],"article":[98],"examines":[99],"educational":[100,228],"strategies":[101,194],"can":[103,180],"strengthen":[104],"preparation":[106],"support":[111,207],"development":[113,209],"a":[115],"sustainable":[116],"workforce.":[120],"Key":[121],"considerations":[122],"include":[123,152],"culture,":[125],"strengths,":[127],"health,":[131,214],"occupational":[132],"environmental":[134],"risks,":[136],"contextual":[139],"shape":[142],"delivery":[145],"in":[146,212,251],"communities.":[148],"Educational":[149],"approaches":[150],"discussed":[151],"community-based":[153],"learning,":[154],"service-learning,":[155],"distance":[156],"education,":[157],"training,":[159],"immersion":[161],"experiences,":[162],"mentorship,":[163],"longitudinal":[165],"exposure.":[167],"Examples":[168],"from":[169],"established":[170],"programs":[171],"illustrate":[172],"how":[173],"academic-community":[174],"partnerships":[175],"experiential":[177],"learning":[178],"opportunities":[179],"foster":[181],"professional":[184],"identity":[185],"formation,":[186],"resource-conscious":[190],"reasoning.":[192],"These":[193],"align":[195],"with":[196],"2021":[198],"American":[199],"Association":[200],"Colleges":[202],"Nursing":[204],"Essentials":[205],"population":[213],"systems-based":[215],"practice,":[216],"person-centered":[217],"professionalism.":[220],"involves":[226],"intentional":[227],"experiences":[229],"help":[231],"learners":[232],"understand":[233],"communities,":[235],"build":[236],"authentic":[237],"partnerships,":[238],"necessary":[242],"advance":[244],"equity":[246],"improve":[248],"outcomes":[250],"underserved":[252],"populations.":[254]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2026-08-26T00:00:00"}
