This pioneering text is the first to present a framework for remote-rural and frontier nurse practitioners (NPs), with a focus on the political and contextual forces that influence practice. This groundbreaking text distills contextual knowledge required for frontier practice, describes how it differs from work in more populated locations, and discusses the special skills and training needed in this setting. It addresses the art and ethics of frontier practice, the relationship between federal policy and frontier health care, and how to advocate for adequate health care in remote areas. Also included are rich narrative case studies, in which NPs vividly describe why they decided to practice in the frontier environment. They also discuss the educational and work experience needed for frontier practice, the potential complications of treating patients who are also friends and neighbors, and how to manage emergency medical and trauma experiences in remote environments. Key
A read that would give any nurse a clearer perspective on frontier practice. As someone who holds rural health close to my heart, this was a well-done, accessible book that irons out specific concerns and areas where advocacy and education need to be ramped up to improve access to and quality of healthcare for not only frontier and rural dwellers, but those living in areas where these may be lacking for any variety of reasons. While only one narrative study culminated into a practice model, it gives clear voice to the well-rounded, “expert generalist” requirement of frontier providers.