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The care of populations in remote and frontier areas requires an expanded understanding of the geographical elements, situational factors, and the unique issues that occur when resources are scarce, distant, or culturally inappropriate. We will identify what constitutes the definition of rural nursing, and what kinds of needs are presented by individuals and populations living in rural communities. Historical, geographical, cultural, and systems challenges to the provision of nursing care will be explored, and approaches to overcoming barriers to support the development of healthy communities in rural areas will be presented. Students will identify a rural or frontier area in which they are either currently practicing or expect to practice, and using elements from the course, design a program, policy, or intervention to address the specific health care needs of the population in that area.