@article{8319277f04894b9fac3dc28fd2941f89,
title = "Are Advanced Providers Prepared to Care for the Agricultural Population?",
abstract = "This article concerns a pilot project for continuing education regarding agricultural health. We surveyed nurse practitioners (NPs) and physician assistants (PAs) in a rural state regarding hazardous agricultural respiratory exposures and the diagnosis and treatment of related agricultural health conditions. Most respondents could not identify hazardous agricultural agents and exposure sources. Many could not correctly answer questions about the diagnosis and treatment of associated health conditions, and 71% were uncomfortable concerning agricultural-related health issues and care. We used findings to develop an evidence-based educational program to address deficits, and presented at state and national professional conferences.",
keywords = "agriculture, chronic disease, farmers, hazardous exposures, respiratory",
author = "Cramer, {Mary E} and Kathy Wulf and Mary Wendl and Keeler, {Heidi J}",
note = "Funding Information: Advanced providers are pivotal in assuring health care access to rural populations and where agriculture is a major industry. 25 About 60 million Americans, or about 19% of the U.S. population, lives in rural communities where advanced providers are an essential component in primary care. 26 Yet, few are well prepared to provide preventive health education to mitigate the respiratory risk exposures associated with the agricultural industry. 27 Indeed, many are not familiar with the diagnosis and treatment of agricultural-related respiratory conditions. 14 This project demonstrated the need to develop educational programs that better prepare advanced providers for caring for rural agricultural populations. Data from this needs assessment and pilot education program were used to support the application for a 3-year $769,000 grant from the Health Services and Resource Administration. The purpose of the grant was to design and implement new coursework at UNMC for NPs that focused on rural population health care. The grant was funded and is currently being implemented. Funding Information: This study was funded by the National Institute for Occupational Safety and Health (NIOSH U54 OH010162) through the Central States Center for Agricultural Safety and Health. The project was also supported by the National Institute of General Medical Sciences, 1U54GM115458-01. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",
year = "2019",
month = feb,
doi = "10.1016/j.nurpra.2018.09.018",
language = "English (US)",
volume = "15",
pages = "e41--e44",
journal = "Journal for Nurse Practitioners",
issn = "1555-4155",
publisher = "Elsevier Inc.",
number = "2",
}