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March 6, 2026Journal of the American Association of Nurse Practitioners0 citations

Promoting access to chronic illness management and nursing education in a rural Illinois nurse-led mobile health unit

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CSCarol K. SieckKRKelly D. RosenbergerSRSummer Roeschley-Park

Key Points

  • This research aims to evaluate the effectiveness of nurse-led mobile health units in managing chronic illnesses in rural populations while training nursing students.
  • Implementation of a nurse-led mobile health unit in a rural area.
  • Utilization of point-of-care testing for chronic illness management.
  • Provision of clinical training for advanced practice nursing students.
  • Assessment of patient awareness and adherence to chronic care management.
  • Significant improvements in identifying and managing chronic illnesses in rural patients.
  • Increased patient awareness regarding chronic diseases due to POC testing.
  • Enhanced training experiences for nursing students in mobile health care settings.

Abstract

ABSTRACT Preventable mortality between rural and urban communities demonstrates disparities for nonmetropolitan areas, with chronic illness representing four of the five leading causes of death, including heart disease, stroke, respiratory disease, and cancer. Nurse-led mobile health units (MHUs) provide an efficient approach to improving access to screening and managing chronic care for vulnerable communities. Point-of-care (POC) testing provides a convenient approach for nurses to monitor various diagnoses in mobile settings for rural patients who often lack access to a car or public transportation. Additionally, this testing has been linked to improved patient awareness and adherence to chronic care diagnosis and management. This article describes a nurse-led MHU in a rural region that demonstrated significant improvements in the identification and management of chronic illness using POC testing while training advanced practice nursing students to provide clinical care. Literature is lacking in providing clinical experiences for nurses to lead MHUs within nurses' college programs. Implementing a rural nurse educational program in conjunction with a nurse-led MHU offers the opportunity to train the next generation of advanced practice registered nurses to lead mobile health care with sensitivity to the cultural needs of vulnerable underserved communities, with the potential for improving health equity and access to chronic care management.

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Cite This Study

Sieck et al. (2026) studied this question.

synapsesocial.com/papers/69aa7077531e4c4a9ff5a49bhttps://doi.org/10.1097/jxx.0000000000001260
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