 This grounded theory study examines the experiences of fourth-year nursing undergraduate students and their rural-based preceptors, revealing issues related to orientation, communication, integration, severe weather, lack of resources, relocation, accessing information, faculty contact, travel, and accommodation. Addressing these issues and increasing theoretical content related to rural nursing practice may recruit younger nurses to rural practice via positive preceptorship experiences, ensuring continued access to limited health services and rural settings. The findings have implications for the role of faculty in preparing, orienting, and supporting both preceptors and students. This article was authored by Olive Young, Linda Ferguson, and Florence Myrick.