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Background: Healthcare disparities for rural U.S. populations occur in part due to lack of healthcare providers. Increasing numbers of registered nurses (RNs) commuting away from rural communities for employment contributes to the rural population's challenges accessing healthcare. It is largely assumed in the literature that wages are the driving force behind rural nurses' commuting decisions. However, the actual experiences of RNs living in rural communities who commute to larger communities for employment is absent in the extant literature. Purpose: This descriptive, phenomenological study explored the phenomenon of commuting away among RNs living in rural communities who commuted to larger communities for employment. Methods: Participants included currently licensed RNs, residing in rural communities with a critical access hospital, that had a population of less than 2,500, who commuted for employment in larger communities. Purposeful sampling with snowballing led to 16 RNs from two Midwestern states, providing rich variations in personal and professional experiences. Data were collected via semi-structured interviews. Findings: The core meaning, or essence, of the phenomenon of commuting away was found to be "Commuting to achieve personal and professional goals while being a nurse in a rural community." Multifaceted reasons surfaced for RNs to commute for employment. Most noteworthy reasons for employment decisions included opportunities for specialized areas of nursing not available in rural healthcare settings, along with advancement opportunities. Additionally, all RNs in the study were found to appreciate feeling valued as a nurse by members of their rural communities. Conclusion: The multi-faceted reasons for commuting away indicated that "one size fits all" plans for recruitment and retention efforts will not meet the needs of rural nurses, and neither will simply increasing rural nurse wages. Study results are relevant to policy development, nursing practice, nursing education, and future development, recruitment, and retention efforts of nurses serving rural populations. [ABSTRACT FROM AUTHOR]

Diet may play a significant role in cancer prevention, disease progression, and treatment tolerance. An in-depth search of the literature revealed limited information geared toward nurses about diet assessment methods used in research. The purpose of this review is to synthesize the evidence regarding diet assessment methods important in oncology studies. The method used varied based on the study size, duration, and research question. For example, studies focusing on mean nutrient intake of a group used a 24-hour dietary recall, estimated food diary or dietary record, or food frequency questionnaire. Studies investigating usual nutrient intake predominately used multiple 24-hour dietary recalls, dietary records, biomarkers, or food frequency questionnaires. Measuring dietary intake accurately in a cost-effective manner is a difficult task. Selection of the appropriate assessment tool is critical for the generation of quality data. Oncology nurses are increasing their involvement in nutrition research, and the findings from this review may promote a better understanding of the published and ongoing research in this important field of study.