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Improving Client Outcomes Through Differentiated Practice: A Rural Nursing Center Model

Authors

  • Laura Anderko Ph.D., R.N.,

    1. Laura Anderko is an Assistant Professor at Northern Illinois University, DeKalb, Illinois, and Project Director, TriCounty Community Health Center, Malta, Illinois. Mary Uscian is a Community Health Nurse Specialist and Former Director, TriCounty Community Health Center, and an Instructor, Northern Illinois University, DeKalb, Illinois. Julie Fisher Robertson is an Associate Professor, Northern Illinois University, DeKalb, Illinois.
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  • Mary Uscian M.S., R.N.C.,

    1. Laura Anderko is an Assistant Professor at Northern Illinois University, DeKalb, Illinois, and Project Director, TriCounty Community Health Center, Malta, Illinois. Mary Uscian is a Community Health Nurse Specialist and Former Director, TriCounty Community Health Center, and an Instructor, Northern Illinois University, DeKalb, Illinois. Julie Fisher Robertson is an Associate Professor, Northern Illinois University, DeKalb, Illinois.
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  • Julie Fisher Robertson Ed.D., R.N.

    1. Laura Anderko is an Assistant Professor at Northern Illinois University, DeKalb, Illinois, and Project Director, TriCounty Community Health Center, Malta, Illinois. Mary Uscian is a Community Health Nurse Specialist and Former Director, TriCounty Community Health Center, and an Instructor, Northern Illinois University, DeKalb, Illinois. Julie Fisher Robertson is an Associate Professor, Northern Illinois University, DeKalb, Illinois.
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Address correspondence to Laura Anderko, Northern Illinois School of Nursing, 1240 Normal Road, DeKalb, IL 60115.

Abstract

The TriCounty Community Health Center (the Center) was created in 1994 with federal grant monies to increase access and to provide outreach and primary health care services for rural residents. The Center employs a differentiated practice model of nursing care in which all nurses use the nursing process targeted to client systems that match the nurse's level of educational preparation and competence. The model allows nurses to intervene with various client systems, including the individual, family, aggregate, and community. Program outcomes for the Center suggest that using a differentiated nursing practice model for outreach and primary care services appears to have a positive impact on the health of individuals, families, and aggregates in rural settings, using the Omaha Classification System as a framework for evaluation.

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