Pregnant girls/young women and new mothers living in situations of social and economic disadvantage are at increased risk for poor health. Rural living may compound marginalization and create additional challenges for young mothers. Public health nurses (PHNs) delivering the Nurse-Family Partnership (NFP) to mothers living in rural communities may help to improve maternal and child health outcomes. The purpose of this analysis, grounded in data collected as part of a broader process evaluation, was to explore and understand the influence of rural geography on the delivery of NFP in British Columbia, Canada. For the analysis of this qualitative data, principles of inductive reasoning based on the methodology of interpretive description were applied. A total of 10 PHNs and 11 supervisors providing the NFP program in rural communities were interviewed. The results of this analysis reflect the factors and challenges of providing the NFP program in rural communities. PHNs noted the importance of NFP in the lives of their rural clients, especially in the face of extreme financial and social disparity. Remaining flexible in their approach to rural nursing and protecting time to complete NFP work supported nurses practicing in rural environments. Rural PHNs were often the sole NFP nurse in their office and struggled to remain connected to their supervisors and other NFP colleagues. Challenges were compounded by the realities of rural geography, such as poor weather, reduced accessibility, and long travel distances; however, these were considered normal occurrences of rural practice by nurses. PHNs and NFP supervisors are well-positioned to identify the modifications that are required to support the delivery of NFP in rural geography. NFP nurses need to articulate what classifies as rural in order to effectively determine how to best provide services to these populations. Environmental conditions must be considered when offering NFP in rural communities, particularly if they impact the time required to deliver the program and additional services offered to young mothers. Regular NFP meetings and education opportunities address common problems associated with rural nursing but could be enhanced by better use of technology.

中文翻译：

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应对农村现实：在加拿大不列颠哥伦比亚省农村地区实施护士家庭伙伴关系家访计划

生活在社会和经济不利条件下的怀孕女孩/年轻妇女和新妈妈健康状况不佳的风险更大。农村生活可能会加剧边缘化，并给年轻母亲带来额外的挑战。公共卫生护士 (PHN) 向农村社区的母亲提供护士家庭合作伙伴关系 (NFP)，可能有助于改善孕产妇和儿童健康状况。这项分析以作为更广泛的过程评估的一部分收集的数据为基础，旨在探索和了解农村地理对加拿大不列颠哥伦比亚省非农就业交付的影响。为了分析这些定性数据，应用了基于解释性描述方法的归纳推理原理。共有 10 名 PHN 和 11 名在农村社区提供 NFP 项目的主管接受了采访。本分析的结果反映了在农村社区提供 NFP 计划的因素和挑战。PHN 指出 NFP 在农村客户生活中的重要性，特别是在面临极端的财务和社会差距的情况下。在农村护理方面保持灵活的方法并保留完成 NFP 工作的时间，支持了在农村环境中执业的护士。农村 PHN 往往是办公室里唯一的 NFP 护士，他们很难与主管和其他 NFP 同事保持联系。农村地理的现实情况加剧了挑战，例如恶劣的天气、交通不便和旅行距离长；然而，这些被护士认为是农村实践中的正常现象。PHN 和 NFP 主管有能力确定支持在农村地区实施 NFP 所需的修改。NFP 护士需要阐明农村人口的分类，以便有效地确定如何最好地为这些人群提供服务。在农村社区提供 NFP 时必须考虑环境条件，特别是如果环境条件影响到向年轻母亲提供该计划和提供额外服务所需的时间。定期的 NFP 会议和教育机会解决了与农村护理相关的常见问题，但可以通过更好地利用技术来加强。