Rural concept analysis

Rural concept analysis

Paper 3 – Concept Analysis: Rural – Analyze the concept of “rural” following the
order of and including each of the steps of concept analysis as discussed in the recorded
class session on concept analysis and on the Concept Analysis handout posted in the
Blackboard Course Documents: 1) select a concept (Note: Analysis of the concept of
rural is required for this course assignment, 2) clarify your purpose as it relates to your chosen advanced nursing practice Rural concept analysis
role ( psychiatric mental health nurse practitioner
role), 3) look at sources of evidence, 4) construct contrary and related/borderline cases, 5)
formulate criteria/defining attributes, 6) construct a model case, and 7) pose a concluding
definition. It is recommended that you use the steps as sub-headings in the discussion
section of your paper.


Concept Analysis


This paper will analyze the concept of rural. This will clearly refine rural in relation to the role of the psychiatric mental health nurse practitioner (PMHNP) role. This will assist the PMHNP to understand the features of rural and assist in guiding care provision within the setting.

Step 2: Clarified Purpose.

Working within a rural set up can be a challenge for the PMHNP’s, due to the associated hardships such as poor infrastructure which results in a high turnover of the PMHNPs within the rural setting (Jaeger et al, 2018). Due to the many definitions of rural, this paper focuses to describe the rural setting, in order to help the PMHNP to understand how the setting operates, and serve the population better.

Step 3: Sources of Evidence

U.S. Census Bureau (2016) defines rural as all population, housing, and region not included in an urban area. Barclay et al (2018) associate rural with a high rate of unemployment, low population, and regions with high number of poor and uninsured residents. Rural areas fewer healthcare facilities, residents travel for long distances to seek health care services and have higher rates of overhead per-patient revenue (Barclay et al, 2018)

Step 4: Contrary & Related/Borderline Cases.

Contrary cases of rural includes as the rural setting being densely populated, metropolitan, having good transportation and infrastructure, commercial, many healthcare facilities, municipal, nonagricultural, and developed region (Chamhuri et al, 2016). Related/borderline cases of rural were identified as having large agricultural land; sparsely populated; rural residents normally travel for long distances to seek mental care services and have a low likelihood of having insurance for mental health services, countryside, and poor road network (Chamhuri et al, 2016).

Step 5: Criteria/Defining Attributes

The rural setting is characterized by the presence of huge chunks of lands that are unsettled; the presence of livestock; farming and agricultural activities; people being familiar with their neighbors; majority of people walking rather than driving; poor infrastructure; people traveling for long distances to seek healthcare services; and sparse population (Chamhuri et al, 2016) Rural concept analysis.

Step 6: Model Case

The rural setting has large pieces of unoccupied land, with a small number of inhabitants. A collaborative and integrated practice consisting of a mental health practitioner, visiting psychiatrist, the general practitioner, social worker, psychologist, patient, and family/carer(s). Rural concept analysis the psychiatrist should play the role of assessing the clients and prescribing the medications in collaborating with the PMHNP (Yazdani et al, 2016). The social worker can play the role of visiting and educating community members within the rural setting regarding mental health and creating awareness while the psychologist is involved in providing counselling and performing psychological tests allied to mental health (Health et al, 2015). The patient and the family should always be informed about all steps of the treatment. This will ensure collaborative care planning and care provision for people with mental health problems within the rural setting (Health et al, 2015).

Step 7: Concluding Definition

Rural areas are located far away from cities or towns and are sparsely populated. The main activities within the rural setting include agriculture and casual/manual sources of labor. The rural setting is undeveloped with poorly developed infrastructure where people have to walk for long distances to seek healthcare services. In addition, rural life also presents more risks for mental health problems because of lack of adequate resources to assess, treat, and access mental health care; all these are barriers to accessing mental healthcare for people in rural areas (Maulik et al, 2017). Rural concept analysis.


The rural setting is characterized by a low population, few healthcare services, and poorly developed infrastructure. It is important for the PMHNP to understand the features of a rural setting in order to service the residents better. It is important for the PMHNPs to understand the concept of rural setting and how the rural setup operates in order to reduce the turnover of the nursing staff within rural setup. Rural concept analysis.


Barclay L, Phillips A & Lyle D. (2018). Rural and remote health research: Does the investment match the need? Aust J Rural Health. 26(2), 74–79.

Health O, Church E, Curran V, Hollet A, Peter C & Callanan T. (2015). Interprofessional mental health training in rural primary care: findings from a mixed methods study. Journal of Interprofessional Care. 29(3), 195-201.

Maulik P, Sudha K, Vamsi K, Jha V & Patel A. (2017). Increasing use of mental health services in remote areas using mobile technology: a pre-post evaluation of the SMART Mental Health project in rural India. J Glob Health. 7(1), 010408. Rural concept analysis

U.S. Census Bureau (2018). Urban and Rural <

Yazdani S, Hosseini F & Ahmady S. (2016). System based practice: a concept analysis. J Adv Med Educ Prof. 4(2), 45–53. Rural concept analysis

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