Preventing occupational illness and injury: nurse practitioners as primary care providers.
Lipscomb-J; Burgel-B; McGill-LW; Blanc-P
Am J Publ Health 1994 Apr; 84(4):643-645
The occupational health services provided by primary care nurse practitioners was surveyed to understand the role they play in the recognition and prevention of occupational illness and injury, and to assess their abilities. A survey was completed by 254 nurse practitioners with master's degrees; 224 of the nurse practitioners had specialized in areas other than occupational health. The survey covered past employment, and the volume and type of occupational health services provided in the past 6 months. In addition, the survey assessed their knowledge in the field based on ten multiple choice clinical case scenarios. The results indicated that 36% of the nonoccupational health nurse practitioners had caseloads with at least 10% of the cases having occupationally related chief complaints, and 21% treated occupational injury and illness at least weekly. Only four in ten of these health specialists achieved passing scores on the examination testing diagnosis and case management. The authors conclude that primary care nurse practitioners are very important for identifying and possibly preventing occupational injury and illness, but are not provided the best training for such a position.
NIOSH-Publication; NIOSH-Cooperative-Agreement; Occupational-health; Occupational-medicine; Preventive-medicine; Clinical-diagnosis; Questionnaires; Health-care; Occupational-health-services
Jane Lipscomb, RN, PhD, Department of Mental Health, Community, and Administrative Nursing, School of Nursing, Box 0608, University of California, San Francisco, CA 94143-0608
American Journal of Public Health
University of California