AimThe aim of this discussion paper is twofold: (1) To critically examine the challenges related to resuscitations among rural nurses and how these contribute to a sense of professional isolation and (2) To discuss practical solutions and strategies that could be implemented to mitigate the effects of professional isolation.BackgroundProfessional isolation is not unique to rural nursing practice. It is a complex issue often observed in low‐resourced environments that are geographically distant from larger hospitals, such as small rural emergency departments. With a greater research focus placed on the recruitment and retention challenges associated with professional isolation, studies often overlook the intermediary factors contributing to this issue, such as the effect of resuscitations on rural nurses. In addition, there are few studies that have evaluated interventions or strategies to address professional isolation.DesignA critical discussion paper.MethodsThis discussion paper is based on data drawn from current evidence and is guided by the authors research experience as part of a doctoral study.ResultsProfessional isolation negatively affects rural nurses' experiences of resuscitation by creating barriers to skill acquisition and professional growth and reducing career intent in rural areas. Strategies such as leadership training, rural mentorship, debriefing and cognitive aids are possible strategies that could address these challenges.ConclusionsThe trajectory of professional isolation is contingent upon the capacity of rural nurses to have access to professional avenues that enhance connection, sharing of knowledge, skills and experiences. Addressing professional isolation is crucial for the well‐being of rural nurses and the overall sustainability and growth of the rural healthcare workforce.

中文翻译：

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专业隔离：对农村护士复苏实践和经验的影响


目的本讨论文件的目的有两个：（1） 批判性地研究与农村护士复苏相关的挑战以及这些挑战如何导致职业孤立感，以及 （2） 讨论可以实施以减轻专业孤立影响的实际解决方案和策略。背景专业隔离并非农村护理实践所独有。这是一个复杂的问题，通常在地理位置上远离大型医院的资源匮乏环境中观察到，例如小型农村急诊科。随着研究重点更多地放在与专业隔离相关的招聘和保留挑战上，研究往往忽视了导致此问题的中介因素，例如复苏对农村护士的影响。此外，很少有研究评估了解决职业孤立的干预措施或策略。设计批判性讨论论文。方法本讨论论文基于从当前证据中提取的数据，并以作者作为博士研究一部分的研究经验为指导。结果专业隔离通过为技能获取和专业发展制造障碍并降低农村地区的职业意向，对农村护士的复苏体验产生负面影响。领导力培训、农村指导、汇报和认知辅助等策略是可以应对这些挑战的可能策略。结论专业隔离的轨迹取决于农村护士获得专业途径的能力，这些途径可以增强联系、知识、技能和经验的共享。 解决职业孤立问题对于农村护士的福祉以及农村医疗保健劳动力的整体可持续性和增长至关重要。