The revised remote area nurse model of consultation
Lenthall, Sue, Knight, Sabina, Watson, Colin, Byers, Lyn, Cameron, Fiona, Wright, John, West, Sally, West, Roianne, Ford, Madeline, Mobsby, Stuart, Pennington, Katie, and Ajayi, Oluwatobi (2024) The revised remote area nurse model of consultation. Australian Journal of Rural Health, 32 (6). pp. 1246-1255.
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Abstract
Aim: The aim of this revision was to update the Remote Area Nurse (RAN) Model of Consultation (MoC) and was prompted by publication of the National Rural and Remote Nursing Generalist Framework (2013–2018), shifts in RAN workforce patterns, community health patterns and technology use. Context: Rural and remote residents face higher rates of hospitalisations, deaths and poorer access to health care with a significant burden of avoidable fatal conditions among Aboriginal and Torres Strait Islander peoples. Health care is mostly provided by RANs and Aboriginal and Torres Strait Islander Health Practitioners (ATSIHPs), addressing diverse health needs, a mobile population and navigating cross-cultural situations. Despite challenges such as clinician shortages, RANs manage a significant portion of non-emergency consultations. The RAN MoC was developed to ensure comprehensive, systematic and person-centred care and to mitigate risk to the client, the nurse and the health service. Approach: The 11 expert panel members, all authors, revised the RAN MoC through a series of Microsoft Teams meetings, one face-to-face meeting and an exchange of emails. The principles were reorganised under the four domains of the National Rural and Remote Nursing Generalist Framework and mapped against the National Safety and Quality Primary and Community Health Care Standards. Conclusion: The revised RAN MoC is designed to provide evidence based culturally informed care, standardise RAN consultation best practice and improve the health outcomes of their clients. With the increased turnover and number of nurses ‘new’ to remote, more innovative approaches to education and dissemination of the model is necessary.
| Item ID: | 87140 |
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| Item Type: | Article (Short Note) |
| ISSN: | 1440-1584 |
| Keywords: | Aboriginal and Torres Strait Islander Health, client consultation, remote area nurse, remote health |
| Copyright Information: | © 2024 The Author(s). Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Date Deposited: | 03 Nov 2025 00:59 |
| FoR Codes: | 42 HEALTH SCIENCES > 4203 Health services and systems > 420321 Rural and remote health services @ 100% |
| SEO Codes: | 28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280112 Expanding knowledge in the health sciences @ 100% |
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