On Thursday, November 18, Frontier Nursing University (FNU) will join healthcare providers and organizations across the country to celebrate the “Power of Rural” on National Rural Health Day (NRHD). Organized by the National Organization of State Offices of Rural Health, NRHD is an opportunity to bring awareness to the unique challenges that rural communities face and the efforts of rural healthcare providers to create positive change in these regions.
Founded in the Appalachian area of Kentucky, serving rural communities has always been at the heart of Frontier. FNU strives to provide accessible nurse-midwifery and nurse practitioner education to leaders in primary care to serve all individuals, with an emphasis on women and families in diverse, rural, and underserved populations. Today, 73 percent of FNU students live and complete their clinics in rural areas throughout the United States, including various regions of Alaska, Montana, Oklahoma, and Kentucky.
Throughout the year, FNU shares inspiring stories on its blog about the impact alumni, students and preceptors have on rural communities. As we celebrate NRHD, here are some ways the Frontier community is paving the way for better health conditions in these often underserved regions.
For the past 13 years, Sims has worked in rural South Carolina, helping patients at the Medical University of South Carolina’s Primary Care Center in Great Falls. The rural town of Great Falls once had a thriving economy but has fallen on hard times in recent years due to the closing of a cotton mill. Like many rural areas, Great Falls faces poverty, lack of healthcare education and the need for a complete spectrum of healthcare. Sims hosts up to three preceptors at a time and sees up to 40 patients a day; however, according to those who have studied under him, Sims always takes the time to provide genuine, personalized care to everyone he treats. He also puts his preceptor students at ease with jokes and casual quizzing throughout the day.
“I am forever thankful that Terry will always be my mentor,” Alice Dalena, one of his precepting students, said after finishing her Clinical Practicum with Sims.
Alumni Patty Coldiron, MSN, FNP
Born and raised in rural Harlan County, Ky., Coldiron dropped out of high school at the age of 16 to give birth to her son Joshua, born with spina bifida. Joshua’s condition, and her connection to her homeland, led Coldiron on a journey to improve healthcare in her community. Throughout the past 20 years, Coldiron has worked across the healthcare field as a certified nursing assistant, an ER nurse, and a home health specialist. She earned a master’s degree as a family nurse practitioner from FNU in 2015. In January of this year, Coldiron opened Hometown Urgent Care to meet the gap in care in Harlan County.
“My community had never had an urgent care medical center, and I knew from working in the ER that these were services we desperately needed in Harlan County,” Coldiron said.
Coldiron’s clinic operates daily from 10 a.m. to 8 p.m. to help make healthcare a feasible option for working families, a model that she plans on expanding. Coldiron hopes to open more Hometown Urgent Care clinics in other rural areas where citizens rely on emergency rooms for minor and urgent illnesses. She knows that accessible healthcare is key to helping communities like Harlan County thrive.
Alumni Marli Parobek, DNP, MS, APRN, FNP-C, PMHNP-C
After working a dozen years as a nurse practitioner in Yakima, Wash., Parobek decided to take her career to the next level to meet a growing need for mental health services in her hometown. Becoming a Psychiatric-Mental Health Nurse Practitioner (PMHNP) and earning a Doctor of Nursing Practice degree from FNU, Parobek now serves the mental health needs of her community, composed of predominantly blue-collar workers and minority races facing poverty and substance abuse struggles.
Parobek is currently head of the inpatient psychiatric unit at Astria Toppenish Hospital, where her focus is on voluntary and involuntary inpatient psychiatry, medical withdrawal and detox. The voluntary detox program for alcohol and opiate addicts is 3-5 days of 24/7 nursing care in the hospital. Parobek’s role is to prescribe detox medications and perform psychiatric evaluations for these patients until they are discharged to outpatient programs. Marli and the Astria psychiatric unit received federal and state grants to implement their programs, offering vital services that had previously not existed in eastern Washington.
Serving as the only nurse practitioner at the Front Street Clinic in downtown Juneau, Alaska, David Moore is dedicated to bringing a better quality of life to the people of his rural town. Moore is joined by a registered nurse, two behavioral health specialists, and two case managers at his clinic. Most of his patients are homeless and medically underserved, with many battling chronic illnesses.
“Most of the people we see aren’t coming in to be treated for a cold. The majority of our patients are present with chronic illness, and they’re transient, so we only see them when some crisis arises,” Moore said.
Although his patient load can undoubtedly be challenging, Moore credits FNU for helping to cultivate his desire to serve in rural areas and helping him to think outside of the box.
“The way the FNU nurse practitioner program is designed, I had to be independent and dig for resources,” Moore said. “FNU taught me to go above and beyond to get the job done.”
The Frontier community is proud to develop healthcare leaders in rural America. When modern resources are provided to underserved areas, our country grows closer to reaching a more equitable healthcare system with brighter futures for so many.
Join us in celebrating the value of rural communities and help shine a light on the health disparities facing these regions by sharing information about NRHD with your friends, colleagues, and social media followers. Visit the NRHD site to find ideas and resources. Until all of America has access to quality healthcare, there is work to be done!