Why you should read this article:

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To understand the unique demands on learning disability nursing in remote and rural locations

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To consider the barriers that can affect care in rural areas, such as lack of access to specialist services

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To appreciate the need for innovation and creative solutions when working in remote locations

Learning disability nursing in remote and rural locations can often be challenging, in part due to limited resources and access to services, but it can also be highly rewarding. This article describes the benefits and challenges of learning disability nursing in Shetland, a remote and rural location that comprises a group of islands north of the Scottish mainland. It also includes the reflections and insights of a nursing student who completed a nine-week placement on Shetland, to provide another perspective of learning disability nursing in this setting.