Core Curriculum for Occupational and Environmental Health Nursing, 3rd ed

By: AAOHN

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Paperback | 13 December 2005 | Edition Number 3

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608 Pages

Edition Type
Revised

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26.04 x 18.42 x 2.54

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A comprehensive overview of occupational and environmental health nursing, this book is AAOHN's statement of the scope of practice for this nursing specialty. It represents the latest body of knowledge significant to this field. Written in an outline format, it can be used as a textbook for an occupational and environmental health nursing course, as a clinical reference in a variety of occupational settings, and as a certification review tool. This new edition is based on recent revisions to the AAOHN's Code of Ethics and Standards of Practice.

Written by experts in the field of occupational health nursing.
Consistent outline format allows ease of access to information.
Addresses the foundational sciences of occupational health: epidemiology, toxicology, industrial hygiene, ergonomics, and injury prevention to provide a comprehensive basis of knowledge.
Incorporates trends in the legal, ethical, economic, political, and business climates as they relate to occupational and environmental health and safety, staying current with all areas that affect the occupational health nurse's roles and responsibilities.

New chapter on disaster planning and management addresses responsibilities of occupational health nurses in hazard situations in both the workplace and in the larger community.
The latest government initiatives and guidelines are covered, such as OSHA's Strategic Management Plan to reduce workplace fatalities, injuries, and illnesses, plus other new workplace-related government programs and legislation.
Revised competencies of practice, with performance criteria, present the current practice expectations at each level of practice.
Revised Code of Ethics is a guide for nurses to maintain and pursue professionally recognized ethical behavior in providing occupational and environmental health services.
Revised Standards of Practice define the practice of this specialty and provide a framework for evaluation.
Expanded content in the environmental, research, and health promotion chapters highlights the latest information in these areas.

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Foundations of Occupational and Environmental Health Nursing Practice
Occupational and Environmental Health Nursing: An Overview	p. 3
Introduction to Occupational Health and Safety	p. 3
Historical Perspective on Work and Occupational Health	p. 4
Evolution of Occupational Health and Safety	p. 7
Brief History of Workers' Compensation	p. 13
The Occupational Safety and Health Act	p. 14
National Health Goals: Healthy People and Healthy Communities	p. 15
Occupational Health in the International Community	p. 15
The Workplace: Occupational Hazards and Their Impact on Workers	p. 17
Work-Related Injury and Illness	p. 19
Assessment and Prevention of Occupational and Environmental Injury and Illness	p. 23
History and Evolution of Occupational and Environmental Health Nursing	p. 24
The Practice of Occupational and Environmental Health Nursing	p. 25
Future Opportunities and Challenges	p. 31
Workers and Worker Populations	p. 35
Demographic and Social Trends	p. 35
Technologic Trends	p. 38
Females in the Workforce	p. 40
Minorities in the Workforce	p. 41
Age of Workers	p. 42
Children in the Workforce	p. 44
Contingent and Other Alternative Workers	p. 48
Workers in Labor Unions	p. 50
Disabled Workers	p. 51
Agricultural Workers	p. 53
Construction Workers	p. 56
Health Care Workers	p. 58
International (Expatriate) Workers	p. 63
Legal and Ethical Issues	p. 71
Sources of Law	p. 71
Basic Legal Concepts Relevant to Occupational and Environmental Health Nursing Practice	p. 72
Legal Responsibilities of the Occupational and Environmental Health Nurse	p. 73
Occupational Safety and Health Act (Public Law 91-596)	p. 73
Americans with Disabilities Act (ADA) of 1990	p. 77
Family and Medical Leave Act (FMLA) of 1993 (29CFR825.118)	p. 79
The Department of Transportation	p. 81
Clinical Laboratory Improvement Amendments (CLIA)	p. 82
Documentation	p. 83
Recordkeeping	p. 84
Access to Employee Medical and Exposure Records	p. 88
HIPAA (Health Insurance Portability and Accountability Act, 1996)	p. 90
Overview of Workers' Compensation	p. 93
Overview of Workers' Compensation Benefits	p. 94
Professional Position on Ethics	p. 95
Ethics: Definitions and Principles	p. 95
Ethical Conflicts	p. 96
Economic, Political, and Business Forces	p. 101
Introduction to Economics	p. 101
Economic State of the Nation	p. 103
The Impact of Economics on the Individual	p. 104
Changes in the National Economy	p. 105
Factors Affecting National and Global Competitiveness	p. 105
International Trade Status of the Nation	p. 106
The Global Marketplace	p. 107
Implications for the Occupational and Environmental Health Nurse	p. 108
Business Trends	p. 108
Major Business Issues	p. 109
Implications for Occupational and Environmental Health Nursing	p. 112
Health Care Reform and Managed Health Care	p. 113
Overview of Managed Care	p. 113
Quality Controls in Managed Care	p. 114
Judging Standards of Care	p. 115
Defining and Evaluating Quality Outcomes	p. 115
Implications for Occupational and Environmental Health Nursing	p. 116
Scientific Foundations of Occupational and Environmental Health Nursing Practice	p. 119
Nursing Science	p. 119
Nursing Science in the Context of Public Health	p. 119
Evolution of Occupational and Environmental Health Nursing Practice	p. 121
Epidemiology	p. 123
Overview of Epidemiologic Terms and Principles	p. 123
Measures of Association	p. 124
Sources of Epidemiologic Data	p. 124
Comparisons of Rates	p. 125
Types of Rates	p. 125
Inferential Statistics	p. 126
Overview of Study Designs	p. 126
Bias and Confounding in Epidemiologic Studies	p. 127
Screening	p. 129
Toxicology	p. 130
Overview of Toxicologic Terms and Principles	p. 130
Major Exposure Routes	p. 131
The Dose-Response Relationship	p. 132
Nature of Effects	p. 132
The Fate of Toxins in the Body	p. 133
Endogenous and Exogenous Host Factors	p. 133
Examples of Exposures and Their Effects	p. 134
Industrial Hygiene	p. 141
Overview of Industrial Hygiene	p. 141
Sources of Information to Facilitate Hazard Recognition	p. 141
Sampling Methods	p. 142
Airborne Contaminants	p. 143
Control Strategies for Occupational Exposures	p. 143
Ergonomics	p. 143
Overview of Ergonomic Terms and Principles	p. 143
Work-Related Musculoskeletal Disorders	p. 144
High-Risk Jobs	p. 145
Evaluating Risk Factors	p. 145
Ergonomic Improvements	p. 146
Injury Epidemiology	p. 147
Occupational Injury Epidemiology	p. 147
Countermeasures	p. 147
Implications for Occupational and Environmental Health Nurses	p. 148
Social and Behavioral Sciences	p. 149
Effects of Social Conditions and Behavior on Health	p. 149
Health Promotion and Risk Reduction	p. 150
Environmental Health	p. 153
Introduction	p. 153
Environmental Health Assessment	p. 155
Children and Environmental Health	p. 158
Environmental Justice and Advocacy	p. 160
Risk Assessment, Risk Management, and Risk Communication	p. 161
Federal Agencies	p. 165
Public Health Infrastructure	p. 168
Accessing Information and the "Right to Know"	p. 169
Environmental Health Risks Across Settings	p. 172
Environmental Health Risks in the Home	p. 172
Environmental Risks in Schools	p. 174
Environmental Risks in the Community	p. 175
Industrial Pollutants	p. 179
Nurses' Roles in Environmental Health	p. 179
General Environmental Health Competency for Nurses	p. 179
The Institute of Medicine's Recommendations on Nursing Practice, Education, Research, and Advocacy	p. 180
Principles of Leadership and Management	p. 183
Leadership	p. 183
Vision	p. 184
Relationship	p. 185
Strategic Planning	p. 186
Management Theories: Historical Perspective	p. 187
The Management Process	p. 189
Phase 1 of Task Cycle: Making Goals Clear and Important	p. 190
Phase 2 of Task Cycle: Planning and Problem-Solving	p. 191
Phase 3 of Task Cycle: Facilitating the Work of Others	p. 194
Phase 4 of Task Cycle: Obtaining and Providing Feedback	p. 200
Phase 5 of Task Cycle: Monitoring and Adjusting the Process	p. 205
Phase 6 of Task Cycle: Reinforcing Performance	p. 207
Power: Concern for Influencing People	p. 208
The Image of the Occupational and Environmental Health Nurse	p. 209
Customer Service	p. 209
Information Management in the Occupational Health Setting	p. 215
Introduction to Nursing Informatics	p. 215
Tools Available to the Occupational and Environmental Health Nurse	p. 216
Selecting and Implementing Information Management Systems	p. 217
The Internet	p. 224
Intranets	p. 227
Security	p. 227
Office Management Programs	p. 229
Implications for Occupational and Environmental Health Nursing	p. 230
Strategies and Approaches to Occupational and Environmental Health Nursing Practice
Developing, Implementing, and Evaluating Comprehensive Occupational Health and Safety Programs	p. 237
Assessment	p. 237
Program Planning	p. 239
Program Implementation	p. 241
Program Evaluation	p. 242
Methods of Evaluation	p. 248
Cost-Effective and Cost-Benefit Programs and Services	p. 249
Other Health and Safety Program Considerations	p. 251
Prevention of Occupational Injuries and Illnesses	p. 255
Recognition and Identification	p. 255
First Steps in a Prevention Program	p. 255
Methods of Identifying Hazards	p. 256
Hazard Evaluation and Analysis	p. 264
Purpose of Hazard Evaluation and Analysis	p. 265
Industry Standards	p. 265
Risk Analysis	p. 267
Exposure Monitoring	p. 268
Worker Populations Analysis	p. 271
Prevention and Control	p. 274
Prevention and Control Approaches That Focus on Engineering Controls	p. 274
Prevention and Control Approaches That Focus on Administrative Controls	p. 279
Prevention and Control Approaches That Focus on Personal Protective Equipment	p. 285
Prevention and Control program That Focus on Comprehensive Containment Approaches	p. 290
Direct Care in the Occupational Setting	p. 295
Direct Care Professional Practice Concepts	p. 295
Overview of Direct Care	p. 296
Health History	p. 300
The Physical Examination	p. 302
Clinical Decision Making	p. 307
Practice Guidelines	p. 309
Application of Levels of Prevention to Direct Care Activities	p. 310
Evaluating Outcomes	p. 323
Disability Case Management	p. 331
Case Management	p. 331
Important Case Management Terms	p. 331
Historical Perspective	p. 333
Case Management Services: Practice Settings and Providers	p. 337
Team Roles and Responsibilities	p. 338
Steps in Program Development	p. 340
Return to Work (RTW)	p. 345
Integrated Disability Management Programs	p. 359
Federal Acts	p. 360
Delivery Models	p. 360
Disaster Planning and Management	p. 365
Disaster Characteristics	p. 365
Disaster Planning and Preparedness	p. 369
Disaster Response	p. 377
Disaster Recovery	p. 385
Natural Hazard-Specific Considerations (FEMA, 2004)	p. 386
Technologic Hazard-Specific Considerations	p. 387
Conflict-Related Hazard-Specific Considerations	p. 389
Terrorism	p. 390
Template Emergency Preparedness/Disaster Management Plan	p. 397
Appendices to Include in a Written Plan	p. 405
Health Promotion and Adult Education	p. 409
Overview of Health Promotion	p. 409
National Health Promotion Objectives	p. 413
Health Models	p. 413
Behavior Change Theories and Models	p. 416
Levels of Prevention	p. 420
Framework for a Health Promotion Program	p. 420
Lifestyle and Health Promotion	p. 424
Employee Assistance Programs (EAPs)	p. 431
Introduction to Adult Education	p. 433
Philosophies of Adult Education	p. 434
Motivating Adults to Learn	p. 436
Teaching Methods and Techniques	p. 437
Effective Presentations	p. 437
Managing Psychosocial Factors in the Occupational Setting	p. 451
Overview of Psychosocial Factors	p. 451
Psychosocial Hazards	p. 453
Occupational Stress	p. 460
Effects of Stress on Workers	p. 461
Effects of Stress on Organizations	p. 462
Occupational Stress Models	p. 462
An Ecologic Approach to Occupational Stress	p. 464
Managing Psychosocial Factors in the Occupational Setting	p. 465
Evaluating Interventions That Promote Psychosocial Health in the Occupational Setting	p. 468
Examples of Occupational Health and Safety Programs	p. 473
Hearing-loss Prevention Programs and Services	p. 473
Noise-Induced Hearing Loss	p. 473
Purposes of a Hearing-loss Prevention Program	p. 474
Roles and Responsibilities Related to Hearing-loss Prevention Programs	p. 475
Assessment and Control of Noise Exposure	p. 476
Worker Training and Education	p. 477
Hearing Protection Devices	p. 479
Audiometric Testing	p. 480
Monitoring and Evaluating a Hearing-loss Protection Program	p. 482
Ergonomics Programs	p. 483
Overview of Ergonomics	p. 483
Work-Related Musculoskeletal Disorders	p. 484
Ergonomic Regulation and Guidelines	p. 485
Purposes of Ergonomics Programs and Services	p. 486
Ergonomics Programs and Services	p. 486
Training and Education	p. 491
Management of Work-Related Musculoskeletal Disorders (WMSD) as Part of a Comprehensive Ergonomics Program	p. 492
Documentation and Recordkeeping	p. 492
Program Evaluation	p. 493
Hazard Communication Programs and Services	p. 494
Hazardous Chemical Exposure	p. 494
Purposes of a Hazard Communications Program	p. 494
Management Roles and Responsibilities	p. 494
Description of the Programs and Services	p. 495
Elements of the HazCom Program	p. 496
Material Safety Data Sheets (MSDSs)	p. 497
Trade Secrets	p. 498
Container Labeling and Warning Requirements	p. 498
Recordkeeping	p. 498
Evaluation	p. 498
Drug and Alcohol Programs and Services	p. 499
Mandated Drug and Alcohol Programs	p. 499
Establishing a Drug-Free Workplace	p. 500
Purposes of a Drug and Alcohol Testing Program	p. 502
Program Components	p. 502
Methods and Procedures of a Drug and Alcohol Testing Program	p. 503
Employee Assistance Programs	p. 505
Training and Education	p. 505
Consequences of Drug and Alcohol Abuse and Return to Duty	p. 506
International Travel Health and Safety Program	p. 506
International Business and the International Work Force	p. 506
Roles and Responsibilities Related to International Travel Programs	p. 507
Health and Safety Education for Travel	p. 508
Control of Prevalent Communicable Diseases	p. 511
Post-Travel Evaluation for Long-Term Travelers	p. 512
Advancing Professionalism in Occupational and Environmental Health Nursing
Research	p. 519
Professional Mandates for Research	p. 519
Research Roles of Occupational and Environmental Health Nurses by Education Level	p. 519
Purposes of Research	p. 520
Ethics in Research	p. 520
Research Development	p. 521
Research Dissemination	p. 526
Research Utilization	p. 526
Research Priorities	p. 527
Evaluating Research	p. 528
Funding Research	p. 529
Professional Issues: Advancing the Specialty	p. 533
Professional Associations	p. 533
Professional Credentialing in Nursing	p. 534
Competency in Occupational and Environmental Health Nursing	p. 537
Strategies for Advancing the Discipline and Practice	p. 538
Role Expansion	p. 540
Partnerships in Occupational and Environmental Health	p. 542
Appendixes
Occupational and Environmental Health and Safety Resources	p. 545
Glossary	p. 551
Acronyms	p. 557
Websites	p. 562
Occupational Safety and Health Administration Act of 1970	p. 565
Competencies in Occupational and Environmental Health Nursing	p. 567
Standards of Occupational and Environmental Health Nursing	p. 568
American Association of Occupational Health Nurses' Code of Ethics	p. 570
Legislation Related to Occupational Health and Safety	p. 571
Index	p. 575
Table of Contents provided by Ingram. All Rights Reserved.

Core Curriculum for Occupational and Environmental Health Nursing, 3rd ed

At a Glance

Paperback

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