title: Occupational health surveillance, screening, and prevention activities in occupational health nursing practice.
abstract: Occupational health nursing practice is broad and encompasses surveillance, screening, and prevention activities as part of the scope of practice. While there has been some controversy about who is responsible for these activities, it is clear occupational health nurses play a pivotal role in overseeing, managing, implementing, and evaluating these programs. In fact, recent OSHA standards have included broad language that permits licensed health care professionals acting within their legal scope of practice to conduct medical and health surveillance activities. While the contributions of occupational health nurses are well documented, little is known about the degree and emphasis in practice related to surveillance, screening, and prevention programs. This study examined the scope of independent and interdependent practice by occupational health nurses related to these activities and found 71% of occupational health nurses had overall responsibility for program management, and the majority performed surveillance, screening, and prevention functions as independent practice. Physician supervision for any of these activities ranged from only 0% to 8% in reporting. The results of this study validate the independent functioning in scope of occupational health nursing practice related to surveillance, screening, and prevention activities while recognizing the contributions all providers make to a healthy work force.
authors.affiliation: Occupational Health Nursing Program, School of Public Health, University of North Carolina at Chapel Hill, USA.
authors.forename: B
authors.initials: B
authors.lastname: Rogers
authors.forename: K
authors.initials: K
authors.lastname: Livsey
mesh_terms: D003430:Cross-Sectional Studies; D006801:Humans; D007587:Job Description; D008403:Mass Screening / Q000379:methods*; D009722:Nurse Practitioners; D015403:Nursing Evaluation Research; D009784:Occupational Diseases / Q000451:nursing / Q000517:prevention & control*; D009785:Occupational Health Nursing / Q000379:methods*; D011159:Population Surveillance / Q000379:methods*; D017009:Professional Autonomy; D012956:Societies, Nursing; D011795:Surveys and Questionnaires; D014481:United States; D014489:United States Occupational Safety and Health Administration