title: An integrative review of the role of registered nurses in remote and isolated practice.
abstract: OBJECTIVE
  To examine the role of the registered nurse in remote and isolated areas of Queensland, the Northern Territory, South Australia and Western Australia; and to illustrate the impact of the burden of disease on nursing practice.
  
  
  METHODS
  A literature search was undertaken using electronic databases and the grey literature (including policy documents, project reports and position descriptions).
  
  
  RESULTS
  The role of the nurse in remote areas is diverse, and varies according to the context of practice. Although some states and territories offer formal programs to prepare nurses for the role, it is unclear whether this is routinely provided. The burden of disease is higher in remote Australia, and although nurses work to reduce the burden, the need to provide primary care can be at the expense of primary health care.
  
  
  CONCLUSIONS
  Whilst the nature of nursing practice is influenced by many factors, considerable agreement exists between states and territories around the role of the registered nurses in remote and isolated communities. The higher burden of disease in remote and isolated areas of Australia impacts on nursing practice, and nurses are uniquely placed to assist in reducing the burden of disease. Greater agreement around what constitutes 'remote' is needed.
authors.affiliation: School of Nursing and Midwifery, Monash University, Gippsland Campus, Northways Road, Churchill, VIC 3842, Australia. meaghan.coyle@med.monash.edu.au
authors.forename: Meaghan
authors.initials: M
authors.lastname: Coyle
authors.forename: Mohammad A
authors.initials: MA
authors.lastname: Al-Motlaq
authors.forename: Jane
authors.initials: J
authors.lastname: Mills
authors.forename: Karen
authors.initials: K
authors.lastname: Francis
authors.forename: Melanie
authors.initials: M
authors.lastname: Birks
mesh_terms: D001315:Australia; D006801:Humans; D024802:Nurse's Role; D009741:Nursing Staff, Hospital; D012196:Review Literature as Topic; D019035:Rural Health Services