Wednesday, May 25, 2022


The nation is jolted by another mass shooting, this time at a Texas elementary school; a mixture of hope and stark realities on the 2nd anniversary of Floyd Murder; a new map shows more Americans live within oil & gas "Threat Radius."


At least 19 children and two adults killed at Texas elementary school, President Biden delivers remarks on shooting from White House, lawmakers plead on gun control, NRA to hold conference in Houston this week, Stacey Abrams and Gov. Brian Kemp favored to win Georgia primary.


From off-Broadway to West Virginia: the stories of the deadly Upper Big Branch mine explosion, baby formula is on its way back to grocery shelves, and federal funds will combat consolidation in meatpacking.

Rural NC Farmworker Clinics Rely on APRNs


Tuesday, January 18, 2022   

Volunteer Advanced Practice Registered Nurses serve North Carolina's most vulnerable communities, yet many say the state's supervising physician requirements are an additional obstacle to providing patients with timely, high-quality health care.

Assistant Professor with the School of Nursing in the College of Health and Human Services at the University of North Carolina at Wilmington, Amanda Culp-Roche, said she's been volunteering with a rural farmworkers clinic in the Sampson-Duplin County area for the past year.

Her collaborating physician retired last month, so she's had to search around for a new one. She said she believes it's an unnecessary burden.

"And during this whole pandemic," said Culp-Roche, "we have really shown that, yes, we can provide a great service to patients and to those vulnerable populations that really need us - without having that oversight or that restriction of a collaborating physician."

Legislation proposed last year sought to remove supervising physician requirements.

According to the National Academy of Medicine, North Carolina is one of the most restrictive states in the country for APRNs.

The American Medical Association and other physician groups argue that collaborations are needed for patient safety.

Culp-Roche added that many of her clients suffer from chronic health conditions, lack insurance, and have nowhere else to turn for medical care. She said she's been luckily enough to find a doctor willing to be her supervising physician so she can resume volunteering.

"Well, thankfully for me," said Culp-Roche, "this particular farmworkers clinic has a really good relationship with a community clinic. The wonderful director there has said that he would be my collaborating physician."

Research from UNC Chapel Hill shows that by 2033, North Carolina will face an estimated shortage of more than 12,000 registered nurses. However, experts note the novel coronavirus pandemic could shift the course of supply and demand.

get more stories like this via email
A bill to phase out plastic packaging has passed several committees and is expected to go to the full California State Assembly for a vote by Friday. (Oceana)


The California State Assembly is expected to vote this week on a bill that would phase out some of the plastics used in online shipping because they …

Health and Wellness

As Kentucky students head into the unofficial start of summer this weekend, children's advocates are urging families to prioritize physical activity…

Social Issues

President Joe Biden is using today's second anniversary of George Floyd's murder to sign executive orders on police reform. From criminal justice to …

According to the U.S. Department of Agriculture, Wisconsin had 64,400 farms in 2020, down 500 from 2019. (Adobe Stock)

Health and Wellness

From inflation to climate change, Wisconsin farmers face numerous sources of stress that can't help but affect their health. And one program is …


By Bryce Oates for The Daily Yonder. Broadcast version by Chance Dorland for North Carolina News Service, reporting for The Daily Yonder-Public News …

Degrees When Due is one of many ways Missouri is working to meet its goal of 60% of working-age residents having a degree or credential by 2025. (zimmytws/Adobe Stock)

Social Issues

More than 600,000 Missourians have some postsecondary experience but have not earned a college degree or credential. Some Missouri colleges and …


A newly created map reveals more Americans are being exposed to health threats from proximity to oil-and-gas production facilities. The map's release …

Social Issues

May is Community Action Month, and Community Action Agencies in Massachusetts are raising awareness about the wraparound services they provide to low-…


Phone: 303.448.9105 Toll Free: 888.891.9416 Fax: 208.247.1830 Your trusted member- and audience-supported news source since 1996 Copyright 2021