Background: Midwifery practice is a requirement in the integrated undergraduate nursing programme which includes general, midwifery, community, and psychiatric nursing disciplines. Students are placed in these clinical areas for learning experiences. Students' experiences in midwifery practice are mostly overwhelming due to the nature of the…

Purpose: This paper aims to generate knowledge about relevant evaluation topics that align with and represent the unique character of the midwifery programme for students living in the rural and remote areas of Scotland. Design/methodology/approach: The first two central concepts of Practical Participatory Evaluation (P-PE) framed the research…

This exploratory study investigates how a typically disadvantaged user group of older, female learners from rural, low-tech settings used and perceived a Facebook group as a research supervision and distance learning tool over time. The within-stage mixed-model research was carried out in a module of a part-time, advanced midwifery education…

We examined the continuation of community-organized and financed emergency transport systems implemented by the Community-Based Reproductive Health Project (CBRHP) from 1998 to 2000 in two rural districts in Tanzania. The CBRHP was a multipronged program, one component of which focused on affordable transport to health facilities from the…

Purpose: We examined the association between rural residence and birth outcomes in older mothers, the effect of parity on this association, and the trend in adverse birth outcomes in relation to the distance to the nearest hospital with cesarean-section capacity. Methods: A population-based retrospective cohort study, including all singleton…

Context: It has long been a concern that professional liability problems disproportionately affect the delivery of obstetrical services to women living in rural areas. Michigan, a state with a large number of rural communities, is considered to be at risk for a medical liability crisis. Purpose: This study examined whether higher malpractice…

Context: Scope of practice is an important factor in both training and recruiting rural family physicians. Purpose: To assess rural Idaho family physicians' scope of practice and to examine variations in scope of practice across variables such as gender, age and employment status. Methods: A survey instrument was developed based on a literature…

The delivery of pre-registration Bachelor of Nursing courses in Australia has primarily been through the traditional on-campus mode. The development and implementation of an external course mode necessitates pedagogical reflection on a number of delivery, design, implementation, and consequently evaluation, processes. This paper discusses one…

Context: Pregnant women in rural areas may give birth in either rural or urban hospitals. Differences in outcomes between rural and urban hospitals may influence patient decision making. Purpose: Trends in rural and urban obstetric deliveries and neonatal and maternal mortality in California were compared to inform policy development and patient…

Background: The present study was performed to evaluate the effectiveness of a training course designed to improve the knowledge, skills, and attitudes of healthcare personnel to allow them to provide a comprehensive community-based antenatal care (ANC) program in rural Paraguay. Methods: Sixty-eight of 110 healthcare personnel in the Caazapa…

A rural southwestern New York hospital that instituted a rural residency track (RTT) in concert with a physician-centered strategy increased its admissions, physicians, employment, and profits. Developing an RTT requires dedicated CEO leadership, a strong on-site chief of service, family physicians who perform cesarean sections, and midlevel…

Ina May Gaskin, a traditional midwife and founder of The Farm Midwifery Center in Summertown, Tennessee, discusses how she first became involved in midwifery, where she learned her skills, the status of midwifery, and her future plans. Ms. Gaskin has been instrumental in the revolution of birth practices worldwide. (LP)

A survey of 53 obstetrical and rural fellowship programs found that graduates of rural health fellowships were more likely to locate in rural areas. Almost all graduates from obstetrical and rural health programs attained general hospital privileges in family practice and low-risk obstetrics, and a significant number attained privileges in…