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Chapter 25: Occupational Health Nursing

Chapter Highlights

Characteristics of the worker and workplace

Roles and responsibilities of occupational health nurses

Models for occupational health practice

Worker and workplace assessment

Health promotion in workplace settings

Use of epidemiologic techniques in occupational health

Emergency preparedness and disaster management

Emerging issues in occupational health nursing practice

Question #1

Is the following statement true or false?

National Institute of Occupational Safety and Health (NIOSH) is the federal agency that sets exposure standards and is responsible for enforcement of safety and health legislation.

Answer to Question #1

False

Rationale: Occupational Safety and Health Administration (OSHA)—the federal agency that sets exposure standards and is responsible for enforcement of safety and health legislation. National Institute of Occupational Safety and Health (NIOSH)—the federal agency established to help ensure safe and healthy working conditions by conducting scientific research, gathering information, and providing education and training in occupational safety and health.

American Association of Occupational Health Nurses (AAOHN)

Professional association of nurses working in a business setting, dedicated to the health and safety of workers, worker populations, and community groups

National Institute of Occupational Safety and Health (NIOSH)

The federal agency established to help ensure safe and healthy working conditions by conducting scientific research, gathering information, and providing education and training in occupational safety and health

Occupational Safety and Health Administration (OSHA)

The federal agency that sets exposure standards and is responsible for enforcement of safety and health legislation

Primary Responsibility

Injury prevention and health promotion, including recognition of conditions that may harm the individual worker or the community

Nursing process begins with an assessment of both the worker and the workplace.

The Worker and the Workplace

The occupational health nursing process begins with an assessment of both the worker and the workplace.

Hazards

Biologic

Chemical

Physical

Psychosocial

Occupational Health Nursing (OHN)

History

Standards of practice

The primary responsibility of the OHN is that of injury prevention and health promotion, including recognition of conditions that may harm the individual worker or the community.

Conceptual Frameworks

The epidemiologic triad

Host

Agent

Environment

Practice models

Hanasaari

Collaboration and reciprocation

OHN: Practice

Clinician

Worker assessment

Workplace assessment

Case manager

Counselor/consultant

Health promotion specialist

Manager/administrator

Researcher

Implementing Health Promotion in the Workplace

Developing a team approach

Choosing interventions

Implementing a program

Epidemiology and Occupational Health

Epidemiologic surveillance

Incidence

Prevalence

Ratios

Epidemiologic studies

The knowledge base generated through epidemiologic studies is used to identify and prevent injury and disease.

Emergency Preparedness Planning and Disaster Management

Concepts of an emergency preparedness plan

Critical functions of the plan

Nanotechnology and Occupational Safety and Health

Nanotechnology

Nanomaterials

Potential for health hazards to workers, the environment, and consumers