Our phone lines are closed Monday 27th May. You can still place your order online as usual.

Nursing Student’s Perceptions of Rural Healthcare

1207 words (5 pages) Essay in Nursing

01/02/18 Nursing Reference this

Disclaimer: This work has been submitted by a student. This is not an example of the work produced by our Essay Writing Service. You can view samples of our professional work here.

Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of UK Essays.

In quantitative research, the goal is to establish a relationship between the independent variable and the dependent variable or outcome in a population. Quantitative research designs may be descriptive or experimental. A descriptive design establishes an association between variables. Experimental or quasi-experimental design are used to determine the effectiveness of an intervention, and to provide evidence to guide clinical practice. In this study, a non-experimental descriptive design will be used. The method will be a survey plan utilizing open-ended questionnaires.

The theoretical framework of the adaptation model occurs when people react encouragingly to situational changes, and it is the process and outcome of individual and groups who use deliberate reasoning, self-reflection and selection to develop human and environmental assimilation. The key concepts are person, health, environment, and nursing (Jones and Barlett Learning, LLC).

A person is a bio-psycho-social being in constant coolaboration with an altering environment, using intuitive and intellectual methods to accomodate (Jones and Barlett Learning, LLC). The model incorporates people as an individual and a group. Person can be a presentation of an individual or group. The person is an adaptive entity whom practices coping skills to manage stressors (AbuShosha, 2012).

Health is a component of a person’s existence and isignified as the appearance and aspect of being assimilated. The environment is all situations,contexts, and motivations that affect the transformation and behavior of theindividual. The model includes two sub-sets, the cognitive-emotive, perceptual and informational processing, learning, judgment, and emotion. Nursing is the promotion of acclimation in four manners; biological, self-concept, character function, and interdependence. The regulator sub- set is a prime integration means that reacts through neural, chemical, and endocrine coping channels (AbuShosha, 2012).

There are ten adaptation model assumptions: 1) the person is a bio-psycho-social being (Jones and Barlett Learning, LLC). 2) The person is in constant associations with a fluctuating situation. 3) The person uses coping mechanisms, instinctive and learned to cope with a changing domain. 4) wellbeing and scikness are unavoidable characteristics of life. 5) An individual must change in order to react positively to the circumstances. 6) The individual’s adaptation is an event of the provocation that they are subjected. 7) The person’s acculmation situation is such that it comprises an expanse indicating a difference of stimulation that will lead to an affirmative response (Jones and Barlett Learning, LLC). 8) There are four types of adaptation; physiological needs, self- concept, role function, and interdependence (AbuShosha, 2012). 9) Interpersonal associations are a essential segment of the profession of nursing. 10) There is a vital purpose for existence with the definitive aim of achieving confidence and honor (AbuShosha, 2012).

There are also four basic assumptions; 1) people can be reduced to agments for examination and investigation. 2) Nursing is based on cause and effect 3) people’s ethics and opinions should be reviewed and appreciated. 4) A condition of adaption liberates a person’s resources to respond to other incentives (AbuShosha, 2012).

The application of this theory in the project is to identify perceptions of nurse practitioner students of clinical rotation in rural and urban healthcare settings. The approach is a quantitative approach using a survey method. The data collection design is snowball approach, which is an application used for collecting research subjects through the association of a primary subject who is used to give names of other people (Tappen, 2011). An advantage for the snowball method is the ability to engage hidden populations. Disadvantages are over sampling of a network of peers can lead to discrimination. The sampling is fifty (50) nurse practitioner students. Concepts used are the four adaptive methods, to create closed ended questions based on the four methods and cognator subsets, to process changes in the environment through cognitive and emotional avenues involve personal perceptions and data processing, learning, judgment, and emotions (AbuShosha, 2012).

Get help with your essay today, from our professional essay writers!

Qualified writers in the subject of nursing are ready and waiting to help you with your studies.

Get help with your essay today

from our professional essay writers!

Visit www.ukessays.com to see how we can help you!

Instruments used will be surveys given at the end of the clinical rotation. Validity and reliability estimates will be based on two methods; factor analysis to determine if items are theoretically associated show similar link in the answers. Split-half reliability means using two versions of the questions and comparing the results (Etchegaray, 2006). The means to verify the questions will be a scale of (1-5) one to five, and not likely to extremely likely. Reliability is the consistency of the measurement of the survey. This means the item measures the same thing across like responses. Piloting or pre-testing the survey can help check for reliability. Validity is the degree to which the instrument measures what it is proposed to measure, and what is the relationship between information provided and what is desired to know. A scale that measures a concept consistently is viewed as reliable; a scale that measures the proposed concept is viewed as credible (Etchegaray, 2006).

The sampling size and criteria for inclusion will be a sampling of fifty (50) students. Inclusion criteria are to have students one year before graduation that live within one hour of a rural area or are willing to drive to a rural setting. Obtaining the sampling group will be through nurse practitioner students known to the developer and referrals from these students. Description of the study and informed consent will be obtained when the student agrees to participate. To obtain permission for the study, the schools in question will be approached through the academic offices and the director of the nurse practitioner programs for permission, through a proposal request. The setting will be rural and urban clinical sites within the northern Kentuckian area that are amenable to the study, where surveys will be distributed after the clinical experience is complete. The preceptors will be informed of the study, and informed consent will be obtained at that time. The sampling strategy is a non-probability sample design using the snowball network or referral sampling method; this is where one starts with known individuals and asks them to refer others with the same concern or interest (Tappen, 2011). The sampling will be divided into two groups, one that shadows a rural nurse practitioner and one that shadows an urban practitioner. The surveys will be distributed to both groups after the clinical rotation is completed and may be faxed or emailed when finished.


AbuShosha, G. &. (2012, July). A critical analysis of using Roy’s adaptation model in nursing research. International Journal of Academic Research, 4(4), 26-31. Retrieved April 8, 2014, from http://www.academia.edu/1775409/A_Critical_Analysis_of_Using_Roy’s_Adaptation_Model_in_Nursing_Research

Etchegaray, J. &. (2006, June). Survey research: Be careful where you step. Quality and Safety in Healthcare, 15(3), 154-155. Doi:10.1136/qshc:2005.016659

Jones and Barlett Learning, LLC. (N.d.). Roy Adaptation Model. In Nursing theories:A framework for professional practice (pp. 127-141). Jones and Barlett Learning, LLC. Retrieved April 8, 2014, from http://www.samples.jbpub.com/9781449626013/7376_CH10_masters

Tappen, R. (2011). Advanced nursing research: From theory to practice. In R. Tappen, Advanced nursing research: From theory to practice (1 ed., Pp. 75-76). Sudbury, MA: Jones & Barlett Learning,LLC. Retrieved March 29, 2014

Cite This Work

To export a reference to this article please select a referencing stye below:

Reference Copied to Clipboard.
Reference Copied to Clipboard.
Reference Copied to Clipboard.
Reference Copied to Clipboard.
Reference Copied to Clipboard.
Reference Copied to Clipboard.
Reference Copied to Clipboard.

Related Services

View all

DMCA / Removal Request

If you are the original writer of this essay and no longer wish to have the essay published on the UK Essays website then please.

McAfee SECURE sites help keep you safe from identity theft, credit card fraud, spyware, spam, viruses and online scams Prices from

Undergraduate 2:2 • 250 words • 7 day delivery

Order now

Delivered on-time or your money back

Rated 4.6 out of 5 by
Reviews.co.uk Logo (95 Reviews)

We can help with your essay