Abstract
Fly-in/Fly-out models of health care for rural-remote communities are currently the focus of evaluation and debate, as the health inequalities of rural and remote communities continue to challenge both health service providers and healthcare consumers. At first glance, these models of health care may attract new graduate nurses transitioning to practice, because they appear to resolve some of the tensions in career planning and aspirations. However, FIFO models may also present significant tensions between healthcare services and the communities they serve. This article presents the thoughts and perceptions of new graduate nurses as they explore future career pathways in rural-remote nursing. It draws on the rural and remote health literature, in recognition of the enduring inequalities of rural and remote health in Australia.
Highlights
Thought-provoking editorial Wakerman and colleagues presented a balanced exploration of Fly in/Fly Out (FIFO) health care, posing the question of whether it is a 'problem or panacea'[1]
If FIFO nursing services are to be provided to rural-remote areas, continuity of mental health care is essential for recovery-focused care
We would be attracted to FIFO nursing if a well-planned model of care was in place that had been devised with the input of the community itself, which worked to provide flexibility in care delivery to ensure that the needs of each particular community were met
Summary
Thought-provoking editorial Wakerman and colleagues presented a balanced exploration of Fly in/Fly Out (FIFO) health care, posing the question of whether it is a 'problem or panacea'[1]. Fly- in/ Fly-out models of health care attracted our attention as emerging forms of equitable healthcare provision and pathways for us in rural-remote nursing. We have endeavoured to bring some insights into the issues surrounding the recruitment of rural and remote nurses, and the possibilities of our engagement with new models of healthcare delivery as graduating nursing students transitioning to practice.
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