Those who are most interested in a rural healthcare practice are those who grew up in and prefer a rural setting. With the need for rural practitioners critical, the most effective way for rural hospitals and health systems to adequately staff for nurses and nurse practitioners is to grow their own, says nurse educator and practicing clinician. The need for advanced practice nurses (APRNs) in rural areas is great, as hospitals close and the number of physicians declines. Nearly 80% of U.S. rural counties are medical deserts, with no access to healthcare services, according to the National Rural Health Association.