

COMPARISON OF FACTORS INFLUENCING A NURSE'S CHOICE TO WORK IN A RURAL OR IN AN URBAN ENVIRONMENT
Abstract
This paper explores the factors that influence a nurse's choice between working in a rural and an urban area. An understanding of how nurses make the choice of which type of environment to work in is critical to addressing this shortage. A comprehensive literature review suggested a number of factors worthy of investigation, and these assessments were made through 6 focus groups and 1,046 usable surveys. Using analysis of variance (ANOVA), the data analyzed were to determine if there were significant differences among nurses living and/or working in rural versus urban areas, with different levels of education, and with varying amounts of experience.
Results indicate that native geographic preferences dominate the decision to work in a rural or urban area regardless of education or experience, but that value congruence, economics, work facilities, and stress also play significance. In addition, increases in education and experience contribute to nurses being less willing to work in rural settings, desiring instead greater economic and value congruency rewards. However, rural health providers can take advantage of new entrants willing to work in rural settings by working to increase the availability of nursing education in these areas where the most willing participants are already there.
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References
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