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    Invisible pollution: the impact of pharmaceuticals in the water supply.
    AAOHN J 2011 Dec;59(12):525-32; quiz 533
    Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
    During the past decade, interest in the public and environmental health effects of trace levels of pharmaceuticals and personal care products in the water supply has evolved. Although most pharmaceuticals are tested for human safety and efficacy prior to marketing and distribution, the potential for adverse effects in nontarget populations exposed to minute environmental medication doses has not been established. Several recent studies have demonstrated adverse effects from longstanding, low-dose exposures in both aquatic and terrestrial wildlife, although human toxicity related to trace levels of pharmaceuticals in the water supply remains unknown. Read More

    Meetings-the good, the bad, and the ugly.
    AAOHN J 2011 Dec;59(12):509-11
    Much has been written about how to facilitate an effective meeting, but apparently not every meeting facilitator has read the literature because every occupational health nurse has endured a "bad" meeting. Individuals who chair meetings have a responsibility to create meetings that are worthwhile to the attendees; attendees have a responsibility to be prepared for meetings so meetings are productive. This article reviews key meeting strategies, providing readers with ways to improve meetings they attend or facilitate. Read More

    Creating health connections for vulnerable working populations: Goodwill North Central Wisconsin's Circles of Good Care Model.
    AAOHN J 2011 Dec 23;59(12):519-24. Epub 2011 Nov 23.
    Weiss Health Group LLC, Neenah, WI, USA.
    Worker health is influenced by workplace, work processes, and workmates. This case study shows it is possible to create health connections for vulnerable working populations through health and wellness coaching. The health and safety of team members has been improved by providing on-site health coaching linked to mental and emotional well-being, as well as financial security. Read More

    Success of a diabetes health management program in employer-based health care centers.
    AAOHN J 2011 Dec 23;59(12):513-8. Epub 2011 Nov 23.
    Vanderbilt University School of Nursing, Nashville, TN, USA.
    Population health-based chronic care models of care are useful in improving the health of a population while decreasing the health care dollars spent on the population. Diabetes is a disease that can be evaluated and treated using these models of care. The Metro Nashville Public Schools Diabetes Health Management Program has been shown to be beneficial to both clients and their insurance trust in improving the health of this population of individuals and decreasing the dollars spent on this disease. Read More

    An integrated approach to worker self-management and health outcomes: chronic conditions, evidence-based practice, and health coaching.
    AAOHN J 2011 Nov;59(11):491-501; quiz 502
    Miller & Huffman Outcome Architects, LLC, 221 Victor Lane, Ringgold, GA 30736, USA.
    Employee health, prevention, and maintenance programs are growing exponentially each year as costs continue to rise across the health care continuum. Employers and payers alike continue to be challenged by chronic health risks, effective prevention strategies, optimal health and wellness strategies, and programs that are effective for America's work force. In light of these challenges, new and exciting health management approaches are evolving. Read More

    The effect of oil spills on workers involved in containment and abatement: the role of the occupational health nurse.
    AAOHN J 2011 Nov;59(11):477-82
    OHN Program, University of South Florida Education and Research Center (ERC), Tampa, FL, USA.
    The Deepwater Horizon oil spill is the most recent manmade disaster to challenge occupational health nurses caring for a unique worker population. The effects of oil spills on wildlife, marine life, and the ecosystem are well studied and documented, but the effects on workers who contain and abate such disasters are not. These workers can suffer from a multitude of illnesses and injuries, such as ataxia, migraines, and various lung diseases, which can be a challenge for occupational health nurses. Read More

    The value of HAZWOPER medical surveillance.
    AAOHN J 2011 Nov;59(11):465-7
    Occupational Health Services, CTEH, 5120 North Shore Drive, North Little Rock, AR 72118, USA.
    Medical surveillance is mandated for workers with potential exposure to hazardous materials. However, little guidance is provided regarding the components of a medical surveillance testing program for these individuals. This article describes the medical surveillance program for a group of 72 employees who respond to hazardous material releases throughout the United States. Read More

    Managing the risks of on-site health centers.
    AAOHN J 2011 Nov 24;59(11):483-90. Epub 2011 Oct 24.
    Research Services, Cerner LifeSciences, 9100 Wilshire Blvd., Suite 655E, Beverly Hills, CA 90212, USA.
    This review sought to assess compliance concerns, determine risk management strategies, and identify opportunities for future research to contribute to employers' understanding of the laws and regulations that apply to on-site care. A comprehensive review of databases, professional organizations' websites, and journals resulted in 22 publications reporting on the consequences of noncompliance among on-site health centers accepted for inclusion. None of those studies reported a study design or quantifiable outcome data. Read More

    Body mass index misclassification of obesity among community police officers.
    AAOHN J 2011 Nov 24;59(11):469-75. Epub 2011 Oct 24.
    College of Nursing, The University of Iowa, 50 Newton Drive, Iowa City, IA 52242, USA.
    Occupational health nurses are at the forefront of obesity assessment and intervention and must be aware of potential inaccuracies of obesity measurement. The purpose of this study was to identify the prevalence of obesity among a sample of 84 male police officers 22 to 63 years old and determine the accuracy of body mass index (BMI) in estimating obesity compared to body fat percent (BF %). BMI identified 39. Read More

    Focus on the aging worker.
    AAOHN J 2011 Oct;59(10):447-57; quiz 458
    School of Public Health, University of North Carolina at Chapel Hill, NC 27599-7502, USA.
    This article discusses select characteristics of the aging work force, health-related issues that can impact work productivity, and strategies and resources that can foster a more productive work environment. The older work force is vital to the future of the U.S. Read More

    Swedish entrepreneurs' use of occupational health services.
    AAOHN J 2011 Oct;59(10):437-45
    Department of Occupational and Environmental Medicine, Uppsala University Hospital, Sweden.
    Small-scale enterprises are less often covered by occupational health services and have insufficient awareness about health and risks in the work environment. This study investigated how Swedish entrepreneurs in small-scale enterprises use occupational health services. The study used a questionnaire sent in two waves, 5 years apart. Read More

    Protecting pregnant health care workers from occupational hazards.
    AAOHN J 2011 Oct;59(10):417-20
    The safety of pregnant health care workers and their infants is paramount. The scope and variety of hazards within the health care field is profound and diverse. The occupational health nurse can identify early risks and correct them, as well as provide ongoing surveillance, counseling, and prudent policy recommendations for the multitude of hazards to which pregnant health care workers are exposed. Read More

    Exercise among commercial truck drivers.
    AAOHN J 2011 Oct 23;59(10):429-36. Epub 2011 Sep 23.
    University of Kentucky, College of Nursing, Lexington, KY 40536, USA.
    This study examines the exercise habits and perceived barriers to exercise of a convenience sample of 300 commercial truck drivers. Participants reported minimal amounts of exercise, with nearly 20% not exercising in the past week. A high prevalence of obesity was found in this sample: 93. Read More

    Sociodemographic characteristics of women who engage in early breast cancer diagnostic behaviors: the case of Turkish women working in a textile factory.
    AAOHN J 2011 Oct 23;59(10):421-8. Epub 2011 Sep 23.
    Yesliyurt State Hospital, Izmir, Turkey.
    The purpose of this study was to assess behaviors and health beliefs concerning early diagnosis of breast cancer among women working in a textile factory in Turkey. The data were collected with tools designed by the researchers. The study population consisted of 167 women working in a textile factory in Izmir, Turkey. Read More

    Promoting occupational health nursing training: an educational outreach with a blended model of distance and traditional learning approaches.
    AAOHN J 2011 Sep;59(9):401-6; quiz 407
    University of Washington School of Nursing, Seattle, WA, USA.
    In 2009, occupational health nursing faculty and professionals at the University of Washington developed an innovative continuing nursing education offering, the OHN Institute. The OHN Institute was designed to meet the following objectives: (1) extend basic occupational health nursing training to non-occupational health nurses in Federal Region X, (2) target new occupational health nurses or those who possessed little or no advanced education in occupational health nursing, and (3) offer a hybrid continuing nursing education program consisting of on-site and distance learning modalities. Evaluation findings suggested that the various continuing nursing education modalities and formats (e. Read More

    Evaluation of an occupational health nursing program through competency achievement: on-campus and distance education, 2005 and 2008.
    AAOHN J 2011 Sep;59(9):387-99
    Occupational Health Nursing Program, University of North Carolina, Chapel Hill, NC, USA.
    This descriptive cross-sectional study was conducted in 2005 and 2008 to evaluate self-reported competency achievement by occupational health nursing program graduates. Twelve competencies were evaluated at three levels: competent, proficient, and expert. In 2005, most graduates believed they were at the proficient level in 10 of the 12 competencies, with three competencies approaching the expert level. Read More

    Effects of a worksite physical activity intervention for hospital nurses who are working mothers.
    AAOHN J 2011 Sep;59(9):377-86
    Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
    Hospital nurses who are working mothers are challenged to maintain their personal health and model healthy behaviors for their children. This study aimed to develop and test an innovative 10-week worksite physical activity intervention integrated into the work flow of hospital-based nurses who were mothers. Three volunteer adult medical-surgical nursing units participated as intervention units. Read More

    Vitamin D.
    AAOHN J 2011 Aug;59(8):364
    Occidental Oil and Gas Corporation, Houston, TX, USA.
    Evidence is increasing that vitamin D insufficiency is widespread in the general population and that vitamin D plays a key role in bone health and the prevention of chronic health conditions. Nutrition education and risk awareness can be effective in reducing musculoskeletal injuries. Read More

    Low back pain among personal care workers in an old age home: work-related and individual factors.
    AAOHN J 2011 Aug;59(8):345-53
    The Hong Kong Polytechnic University, Hong Kong.
    This cross-sectional study explored the work-related and individual factors that contributed to the occurrence of low back pain and affected activities of 36 personal care workers at an old age home in Hong Kong. The study was divided into four parts: (1) a questionnaire documenting workload exposure factors; (2) a musculoskeletal symptoms survey documenting the prevalence of low back pain in this group of workers; (3) a worksite evaluation focusing on personal care workers' work postures and the work environment; and (4) an evaluation of physical fitness and lifting capacities of personal care workers. Univariate followed by multiple logistic regression analyses were used to identify the risk factors associated with low back pain that affected work activities. Read More

    A lift assist team in an acute care hospital-prevention of injury or transfer of risk during patient-handling tasks?
    AAOHN J 2011 Aug;59(8):329-34
    Duke University Medical Center, Durham, NC, USA.
    A Lift Assist Team (LAT) was created on three units at a medical center where nursing staff were at high risk for patient-handling injuries. LAT members were drawn from the hospital's pool of patient transporters. Using qualitative and quantitative data, this case study summarizes the development, implementation, and experiences of the LAT. Read More

    Yoga to treat nonspecific low back pain.
    AAOHN J 2011 Aug 25;59(8):355-61; quiz 362. Epub 2011 Jul 25.
    US Army Health Clinic, Dugway, UT, USA.
    Low back pain is common and poses a challenge for clinicians to find effective treatment to prevent it from becoming chronic. Chronic low back pain can have a significant impact on an employee's ability to remain an active and productive member of the work force due to increased absenteeism, duty restrictions, or physical limitations from pain. Low back pain is the most common cause of work-related disability among employees younger than 46 years. Read More

    To lift or not to lift: patient-handling practices.
    AAOHN J 2011 Aug 25;59(8):337-43. Epub 2011 Jul 25.
    School of Nursing, Minnesota State University, Minneapolis, MN, USA.
    Musculoskeletal injury is common among nurses as a result of lifting and handling patients. In response to musculoskeletal injuries, safe patient-handling programs are being instituted to decrease the risk of injuries and resulting impaired function. This study was designed to identify patient-handling practices in clinical practice. Read More

    Health disparities of coal miners and coal mining communities: the role of occupational health nurses.
    AAOHN J 2011 Jul;59(7):311-21; quiz 322
    This article investigates how the health disparities of Appalachian coal miners and coal mining communities could be decreased through a partnership with occupational health nurses. On-site health clinics managed by occupational health nurses working in the coal mining industry are proposed as a means to improve health care outcomes. Health effects, economic considerations, environmental impacts, and U. Read More

    Efficiency of workplace surveys conducted by Finnish occupational health services.
    AAOHN J 2011 Jul;59(7):303-10
    Finnish Institute of Occupational Health, Research and Development in OHS, Tampere, Finland.
    In Finland, workplace surveys are used to identify and assess health risks and problems caused by work and make suggestions for continuous improvement of the work environment. With the aid of the workplace survey, occupational health services can be tailored to a company. The aims of this study were to determine how occupational health professionals gather data via the workplace survey and the effect survey results have on companies. Read More

    Health behaviors of Operating Engineers.
    AAOHN J 2011 Jul 23;59(7):293-301. Epub 2011 Jun 23.
    Department of Psychiatry, University of Michigan, School of Nursing, Ann Arbor, MI 48109-0482, USA.
    Operating Engineers (heavy equipment operators in construction) may be at particular risk for heart disease and cancer related to their exposure to environmental dust and smoking, the sedentary nature of their job, and long hours of exposure to the sun. The aim of this study was to characterize the health behaviors of Operating Engineers. This cross-sectional survey from a convenience sample of Operating Engineers (N = 498) used validated instruments to measure smoking, drinking, diet, exercise, sleep, and sun exposure. Read More

    Pertussis.
    AAOHN J 2011 Jun;59(6):276
    Occupational Health, Occidental Oil and Gas Corporation, Houston, TX, USA.
    In 2009, nearly 17,000 cases of pertussis (whooping cough) were reported in the United States, but many more go undiagnosed and unreported. Implications for occupational health nurses include assistance in early diagnosis of adult cases and prevention for employee families at home and abroad. Read More

    Assessment of blood pressure knowledge among workers in a midwestern manufacturing plant. A pilot study.
    AAOHN J 2011 Jun;59(6):253-63
    Workers Compensation and Occupational Health Services, Rockford Orthopedic Associates, Rockford, IL, USA.
    This pilot study assessed knowledge of blood pressure among employees in a midwestern manufacturing plant. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guidelines were used to define blood pressure categories. The Roy Adaptation Model served as the framework. Read More

    Occupational health nursing education.
    AAOHN J 2011 Jun;59(6):243-6
    North Carolina Occupational Safety and Health and Education and Research Center, University of North Carolina, School of Publich Health, NC 27599, USA.
    Occupational health nursing academic education is generally provided at the specialty level through master's and doctoral degree preparation. This graduate education provides preparation for administrative, occupational health specialist, practitioner, academician, and researcher roles. Guided by nursing science, this specialty education encompasses a comprehensive curriculum that requires occupational health and safety coursework, practicum experience, and interdisciplinary learning. Read More

    Implementation of occupational health service improvements through application of total quality management processes.
    AAOHN J 2011 Jun 23;59(6):267-73; quiz 274-5. Epub 2011 May 23.
    School of Nursing, University of California Los Angeles, CA 90095-6917, USA.
    The occupational health services department for a manufacturing division of a high-technology firm was redesigned from an outsourced model, in which most services were provided by an outside clinic vendor, to an in-house service model, in which services were provided by an on-site nurse practitioner. The redesign and implementation, accomplished by a cross-functional team using Total Quality Management processes, resulted in a comprehensive occupational health services department that realized significant cost reduction, increased compliance with regulatory and company requirements, and improved employee satisfaction. Implications of this project for occupational health nurses are discussed. Read More

    Stretching to prevent musculoskeletal injuries. An approach to workplace wellness.
    AAOHN J 2011 Jun 23;59(6):247-52. Epub 2011 May 23.
    Wellness Center, McKnees Flocks, PA, USA.
    A pre-shift stretching protocol to reduce employee injuries was initiated at a beverage company and a tin mill in the northeastern United States. The primary goal of this study was to determine the effects of a pre-shift stretching program on work-related musculoskeletal injuries. A secondary goal was to evaluate daily participation compliance during the 90-day program. Read More

    Phthalate exposures and human health concerns: A review and implications for practice.
    AAOHN J 2011 May;59(5):228-33; quiz 234-5
    School of Nursing, University of Pennsylvania, Philadelphia, PA 19104, USA.
    High levels of exposure to phthalates have been associated with an increased risk for adverse male fetal reproductive development. Although animal studies have consistently demonstrated reproductive health effects, additional human epidemiological studies are needed to fully understand the potential harm to humans. Recent findings reported for humans have demonstrated endocrine-disrupting action similar to that associated with phthalate exposures in animals. Read More

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