Nurs Adm Q. 2002 Fall; 26(5): 47-57.

21st century rural nursing: Navajo Traditional and Western medicine.

O'Brien BL, Anslow RM, Begay W, Sister Benvinda A Pereira , Sullivan MP.

Magnetic Health Care Strategies, LLC, Middletown, New Jersey, USA.

Past experiences enhance the future. Health care providers gaining expertise in creative thinking, traditional medicine, spirituality, and cultural sensitivity is an essential requirement for 21st century health care. We must stay mindful that poverty, isolation, and rural living may create new forms of social exclusion because of lack of communication and rapidly changing technology. Conversely, sensory overload resulting from a faster paced lifestyle and rapid enhancements in technology may cause increased tension and stress. This article reviews successes that may offer the reader ideas on coping with the provision of health care services in such a volatile changing environment, while honoring tradition and cultural competency.