title: 21st century rural nursing: Navajo Traditional and Western medicine.
abstract: Past experiences enhance the future. Health care providers gaining expertise in creative thinking, traditional medicine, spirituality, and cultural sensitivity is an essential requirement for 21st century health care. We must stay mindful that poverty, isolation, and rural living may create new forms of social exclusion because of lack of communication and rapidly changing technology. Conversely, sensory overload resulting from a faster paced lifestyle and rapid enhancements in technology may cause increased tension and stress. This article reviews successes that may offer the reader ideas on coping with the provision of health care services in such a volatile changing environment, while honoring tradition and cultural competency.
authors.affiliation: Magnetic Health Care Strategies, LLC, Middletown, New Jersey, USA.
authors.forename: Barbara L
authors.initials: BL
authors.lastname: O'Brien
authors.forename: Rosemary M
authors.initials: RM
authors.lastname: Anslow
authors.forename: Wanda
authors.initials: W
authors.lastname: Begay
authors.lastname: Sister Benvinda A Pereira
authors.forename: Mary Pat
authors.initials: MP
authors.lastname: Sullivan
mesh_terms: D001130:Arizona; D019090:Case Management / Q000458:organization & administration*; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D007198:Indians, North American; D008519:Medicine, Traditional; D009516:New Mexico; D009722:Nurse Practitioners; D019035:Rural Health Services / Q000458:organization & administration*