As the cost for health care delivery increases, so does the demand for access to care. However, individuals in a rural community often do not have access to the care they need. Shortages of rural health care professionals are an ever-increasing problem. The Affordable Care Act of 2010 sought to increase health care access by focusing on team-based care delivery. Thus, the need to educate health care students in the fundamentals of team-based practice has led to an increased emphasis on Interprofessional Education (IPE). While past research focused on urban IPE, a literature gap exists for the effects of a rural team-based educational experience on practice location decisions. This study examined how rural IPE influenced health profession students' perspectives of what it means to be a member of a rural health care team and explored what factors go into making decisions of where to live and provide care. Motivational Theory provided the framework for a mixed methods approach with data from student reflective journaling and a post-experience Q sort. Analysis yielded important understandings about the impact of rural IPE. Accordingly, having a rural IPE experience provided positive motivation for returning after graduation. Further, the time spent in rural IPE generated understandings of what it means to live and provide care to a rural community. One important new discovery gained is the clinical setting is not where most IPE took place. As a result, social interactions with fellow students and community members achieved the goals of rural IPE. Despite these influential findings, noted barriers to genuine rural IPE persisted. In the end, students, educators, and rural health care professionals need to be aware of the multiple factors that guide decisions of where to live and provide care.

During the 1890s, a series of extra-legal and illegal activities known as "whitecapping" occurred in Sevier County, Tennessee. While the early episodes were based on traditional responses to deviant behavior in rural communities, whitecapping reflected the loss of community within the county. This study examines the relationship of whitecapping and community in Sevier County and how it changed during the 1890s. The several, often contradictory, social conditions which affected the life of every Sevier Countian are also examined to show the decline of community consensus during this period. Finally, the events galavanizing public opinion against the whitecaps are analyzed to understand their enduring effect on community in Sevier County.

Rural communities have, for much of history, been left with inadequate or no water service. This is because the traditional state/private dichotomy of water provision is inadequate for addressing the unique needs of small, isolated communities. Drawing from the Common-Pool Resource literature, co-management arose in recent decades as a solution to address this pandemic of rural water exclusion. In Costa Rica, co-management takes the form of community water associations known as ASADAS. This thesis explores the successes and challenges of ASADAS through the use of three case study communities. Using interviews, surveys, water sampling and national legislation in addition to secondary sources, this thesis seeks to understand the possibilities and limits of employing co-management as a tool for achieving the human right to water in Costa Rica and around the globe.

The following study examines gendered learning experiences of a population of Appalachian migrants surveyed from the late 1970s to the early 1990s. The respondents who participated in the survey used for this study began their lives in Appalachia. These respondents then left Appalachia for various other areas in the country and even around the world only to ultimately return to the mountainous region later in their lives. To begin, theory will be introduced concerning the stratification of gender in the Appalachian economic landscape, as well as a theoretical framework placing Appalachian women in an interlocking web of oppression with other subjugated cultural groups. This outsider kinship found among Appalachian women and other socially ostracized groups, I argue with the support of theory, will foster an atmosphere of tolerance and positive interaction among Appalachian females and the people they meet in their new homes. Literature will also be presented regarding the heavily skewed nature of the role of women versus men in Appalachian society and economy. Using logistic regression, various aspects of migrant experiences away from Appalachia will be examined and analyzed, including the acquisition of job skills, tolerance-based knowledge, and positive interactions with neighbors in their new environment.

During the 1890s, a series of extra-legal and illegal activities known as "whitecapping" occurred in Sevier County, Tennessee. While the early episodes were based on traditional responses to deviant behavior in rural communities, whitecapping reflected the loss of community within the county. This study examines the relationship of whitecapping and community in Sevier County and how it changed during the 1890s. The several, often contradictory, social conditions which affected the life of every Sevier Countian are also examined to show the decline of community consensus during this period. Finally, the events galavanizing public opinion against the whitecaps are analyzed to understand their enduring effect on community in Sevier County.

Community development is an ongoing issue that faces communities as they develop. This is a case study where two communities where faced with an identical development proposal involving Bluegrass Stockyards. Bluegrass Stockyards a prominent livestock marketing business, located in Lexington, KY needed to relocate its facility and looked at communities in Lincoln and Woodford County Kentucky as possible new locations. By looking at the case of Bluegrass Stockyards this study is able to use Conflict Theory, Growth Theory and Frame Analysis to look at the development process and issues that was associated with this development proposal. With the two communities being faced with the same proposal, and the proposals having different outcomes, the study is able to gain a better understanding of how development occurs within these two rural communities. This study provides information to both developers and community development professionals on what issues will need to be addressed with a livestock marketing center relocation and how the different issues should be addressed in order to make the process more efficient and beneficial to the involved communities.

Losing a spouse is as devastating an experience anyone will ever deal with in his or her life. Research, however, shows that men have a harder and longer time coping with the loss of a spouse than women. When the widower’s profession is farming, there are no resources to specifically help that individual with their loss. The purpose of this research was to gain insight into the lives of widowed farmers with particular focus on transitions in their farming operation and their family life. Through their stories, we learn what is happening before the loss of the female spouse on the farm, during the bereavement period, and how the farmer handles the situation after the bereavement period has ended. Findings indicate that the Cooperative Extension Service can play a major role in supporting our widowed farmers as they seek a new normal for their farm operation and family life. Also, farming widowers have more stress following the loss of a spouse due to the added aspect of managing the farm and the home simultaneously after the passing of their spouse. Recommendations include further expanding spousal bereavement materials to include a section for males and in particular farming widowers.

This research was completed to deal with many unanswered questions regarding drug use, specifically drug use in areas of rural poverty. Look at any "Faces of Meth" billboard or listen to any corporate-news program and one might assume there is a drug epidemic in rural areas. Without research, this allows the viewer to assume that poverty is the fault of the drug user who happens to live in rural places. This study sought to take a qualitative and ethnographic methodology to "embed" the researcher in this setting to see for himself whether these views were valid or invalid. The questions of functional drug use were at the forefront of the study, as was the possible relationship between drug use and rural poverty. This study transformed into a serious analysis of a network of drug users in the town of Mulch Valley. While standard sociological (and policy issues) concerns are dealt with, this thesis moves beyond such concerns. Theoretical concerns are brought into questions as new concepts, such as: cultural narrative of addiction, master sociality, slave sociality, and Derridity." "Crushing. Cheating. Changing. Am I deaf or dead? Is this constricting construction or just streets with rusty signs of something violent coming?" (Manson, 2012)

Includes bibliographical references (leaves 83-96). / Thesis (D. Min.)--Trinity Episcopal School for Ministry, 2008.

Orientador: Sonia Maria Pessoa Pereira Bergamasco / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Engenharia Agricola / Made available in DSpace on 2018-08-08T06:50:07Z (GMT). No. of bitstreams: 1 Pinto_AbelardoGoncalves_D.pdf: 909102 bytes, checksum: 8d5c4dbcbc4b18762ee41972cceeda22 (MD5) Previous issue date: 2004 / Resumo: Esse trabalho teve como objetivo estudar as estratégias de desenvolvimento rural no Brasil e em São Paulo, e sua relação com as transformações em que Estado e Sociedade civil estão imersos. Através da análise das transformações recentes do Estado brasileiro, foi possível verificar que sua reforma e suas estratégias de ação estão sendo pautadas pelos condicionamentos que a crise fiscal está impondo. Isto reflete diretamente na implementação das estratégias de desenvolvimento rural, limitando programas de reforma agrária, de combate à pobreza e de reestruturação dos serviços de pesquisa e extensão rural. A análise das transformações na sociedade civil mostrou que esta tem um papel estratégico para romper a hegemonia Estado/mercado na condução do processo de desenvolvimento rural. A revitalização da sociedade civil pode ser vista na crescente constituição de novos espaços democráticos para o debate de estratégias de desenvolvimento rural e no enriquecimento da agenda de desenvolvimento trazido pela participação das organizações da sociedade civil. A análise das estratégias que moldaram o Brasil Rural revelou a hegemonia do Estado na formulação e implementação de estratégias de desenvolvimento e mostrou também que os segmentos mais capitalizados do campo foram os maiores beneficiários da ação governamental. O protagonismo dos segmentos excluídos se deu pela condução das lutas sociais, que promoveram uma lenta, porém contínua expansão dos direitos sociais no campo. Os desafios estratégicos colocados para um desenvolvimento rural sustentável são: i) erradicar a pobreza no campo; ii) promover a equidade econômica; iii) promover a sustentabilidade ambiental; iv) realizar a reforma do Estado. As estratégias em curso no Estado de São Paulo são insuficientes para atender a estes desafios, evidenciando a necessidade de reestruturação não somente das estratégias, mas também das organizações que as implementam / Abstract: This work is aimed to study the strategies of development in Brazil and in São Paulo and its relation with the transformation process that civil Society and the State are in. Through the analysis of the recent transformations of the Brazilian State, it was possible to verify that its reform and its strategies of action are being ruled by the conditions that the fiscal crisis imposed. It reflects directly over the implementation of the rural development strategies, limiting programs of agricultural reform, fighting against poverty and restructure of the services of research and rural extension. The transformations in the civil society have shown that it has a strategical part to break on through to the hegemony State/market at the leading of the rural development process. The civil society revitalization can be seen in the growing democratic areas to the rural development strategies debate and in the enrichment of the development schedule brought by the participation of the civil society organizations. The analysis of the strategies that molded the Rural Brazil have shown this hegemony of the State in the formulation and implementation of development strategies and have shown as well that the most capitalist segment of the field were the most beneficiary form the governmental action. The protagonism of the excluded segments happened due to the social fights, that promoted a slowly, but continuous expansion of the social rights in the field. The strategical challenges placed for a sustainable rural development are: i) to eradicate the poverty in the field; ii) improve the rural families¿ life condition; iii) To accelerate the rural spaces; iv) To redirect the state action. The ongoing strategies in the state of São Paulo are insufficient to answer this challenges, highlighting the need of restructuring not only of the strategies, but also of the organizations that implements it / Doutorado / Planejamento e Desenvolvimento Rural Sustentável / Mestre em Engenharia Agrícola