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Question: Discuss about the Remote nursing. Answer: Introduction Due to uniqueness of health care issues occasionally witnessed in remote areas, nurses need to be well equipped in terms of advanced skills to be able to tackle the health problems that face people living in those areas. Advanced Nursing Practices requires good education and continuance development of Nurses on emerging health issues in remote and rural areas. These advanced skills help these nurses to be well informed and hence able to deliver good service to the people. Due to the dynamism in the health sector frequent training is important if these practitioners are to remain relevant in terms of delivering quality services to the rural and remote residents. Plastering Of Limbs, Management Of Eye Injuries And Advanced Life Support Skills Among the most required skills that a health officer should have while working in rural and remote area includes, plastering of limbs, management of eye injuries and advanced life support. Most people in rural and remote areas get their livelihood from farming, rearing of cattle and hunting. As a result, the issue of breaking limbs is prevalent. While farming, one may hurt him or herself with the farming tool hence causing broken limb. In rural areas there is high scarcity of water where residents have to walk for quite a long distance in such of water for their animals and their own use, some of these places where water is found is very slopy and therefore poses danger to the residents as they may slip while carrying their belongings hence causing breaking of limbs. While gathering fruits and hunting the people involved may fall while running after an animal or they may fall from treetops while gathering fruits hence breaking their limbs. As a result of the profound danger posed by this kind of lifestyle, There is need to train and equip Nurses with high specialized skills as regarding the plastering of limbs to ensure that people in remote and rural areas gets proper treatment for them to continue with their life as usual. People in rural and remotes areas use traditional form of energy. This cause emission of carbon smoke which may end up damaging their eyes. Furthermore the air in rural areas is characterized by immense dust particles or fragments that may accidently find their way in the eyes of the people living there causing eye injuries. In the view of these possible occurrences it is important that Nurses in rural and remote areas be well versed with treatment of eyes injuries. Advanced life support is a life saving skill that goes far and beyond the normal life support to include adequate airway. Its important for Nurses working in rural and remote areas be equipped with this kind of skill because most of these areas don`t have nearby hospitals. In ca se where the patients are in critical conditions that requires highly and immediate supportive medical system for him or her to atleast be evacuated to the hospital, it requires a Nurse who has this kind of skill to at least guarantee the survival of this patients before they arrive to the hospital for specialized treatment. Continous Professional Development Continuous Professional Development is pivotal to ensuring that the Nurses remain relevant in their fields of specialty in rural and remotes areas.CPD are activities that ensures professional development of a person in line with his or her line of specialization. This can comprise of attending seminars, conferences, conducting audit and critical analyses of cases handled in the field so as to come up with recommendation on how to make improvement in some areas. For the Nurses to remain upbeat in the above skills they need to be subjected to vigorous Continuous Professional Development exercise in order to guarantee their competence. It will also ensure that Nurses are able to address and handle unprecedented issues while in the field. Hence enhancing their service delivery. There a number of Continuous Professional Development resources available to rural and remote Nurses to ensure the continues improvement of their skills among them includes:1. Online learning-this is also known as e-learning this includes: power points presentation, lectures note, journals and webinars. This help the learner to have a wide variety of learning resources at ago .It is most preferred as it poses great benefit in terms of reduced additional cost, It is flexible i.e. one can switch on to internet anytime provided there is adequate network. It saves on time I.e. no time to travel. This method is good for Nurses working in shift.2.Face to face-This involves attending conferences, seminars and workshop. This may also include compulsory training offered at work places. This aid in sharpening the nurses skills and make them remain abreast and relevant in the dynamic health environment.3.Postgraduate training/programme-training is offered to the undergraduate students who are new in the field of nursing to ensure they gain the high notch experience. This training is offered partime to ensure that operation in these areas are not hampered as a result of deficit of the personnel. Challenges Faced By Continous Professional Development However the Continuous Professional Development faces a number of challenges in its implementation. Funding is one of the challenges that is faced as CPD requires funding i.e registration costs. Also to attend CPD rural and remote travelling and accommodation cost is incurred. Therefore lack of funding will automatically inhibit the actualization of CPD.Time factor is also an issue. Due to heavy workload in the remote and rural areas, nurses may lack time to attend to the CPD activities. This is further worsened when staffs are not replaced when they are away on CPD activities. Lack of proper technical support has been a problem in actualization of CPD programme as equipment and software for CPD is changing and becoming obsolete. Remote areas are characterized by poor infrastructure in terms of transport facilities; this may affect the movement of nurses to attend the CPD activities. Also lack of close education providers makes it difficult for nurses in rural areas to have proper ac cess to the programme as they have to travel a long distance to get access to the CPD classes. Conclusion From the above it can be inferred that remote nursing is paramount in ensuring that the remote and rural residents get access to the much needed proper health care.Continous Professional Development is imperative in ensuring that these practitioners remain upbeat as far as emerging health issue in remote and rural areas is concerned. This will ensure that remote nurses are proactive as opposed to reactive. Proper education facilities should be developed to ensure easy access of CPD by the remote nurses; this should include making huge investment in terms of human and physical resources. The challenges facing the implementation of CPD should be addressed. Funding should be availed to promote the CPD.Supportive facilities should also be established in the remote areas to support the nurses working in those harsh conditions. References Bertulis R, Cheeseborough J:(2008) The Royal College of Nursings information needs survey of nurses and health professionals. Cote D.M:(2007) A survey of British Columbia Family Physicians and Nurses expereinces with Continuing Proefessional Development and Technology.Columbia British Columbia University: Simon Fraser University. Davids J.M (2006) Continuing Professional Development in Nursing. Stellenbosch: Univeristy of Stellenbosch Doyle .C (2006): Methods of continuing professional education preferred by Irish pediatric nurses Drey N, Gould D, Allan T (2009): The relationship between continuing professional education and commitment to nursing. Fleet LJ, Kirby F, Cutler S, Dunikowski L, Nasmith L, Shaughnessy R:(2008) Continuing professional development and social accountability: a review of the literature. Journal Of Interprofessional Care Gould D, Fontenla M (2006): Strategies to recruit and retain the nursing workforce in England: a telephone interview study. Chipchase LS, Johnston V, Long PD (2012): Continuing professional development: Dickerson PS (2010): Continuing nursing education: enhancing professional development. Dixon D, Takhar J, Macnab J, Eadie J, Lockyer J, Stenerson H, Franois J, Bell M, Monette C, Campbell C (2011): Controlling quality in CME/CPD by measuring and illuminating bias.