Current issues in nursing, 8th edition. Cowen PS, Moorhead S., eds., St. Louis, MO: Mosby Elsevier, 2010 Feb; :259-268
For the last 20 years, the American workforce has been drifting away from production, manufacturing, and agricultural jobs toward more service-oriented, professional, and skilled jobs. These changes have shaped occuational health nursing, which has historically focused on the practice of nursing in industrial and business settings as well as in community-based occupational health clinics. In addition, hospitals have now developed speciality resources in occupational health, and many companies contract for serivces from these acute-care-oriented institutions. Those industries with on-site clinics have scaled back the size of their on-site employee health operations, redirected injury reporting and work absence monitoring to human resource personnel, or reconceptualized the occupational health service (OHS) to include a team of professionals with nursing, occupational medicine, industrial hygiene, ergonomics, and safety staff (Rogers, 2003). In fact, the most frequent model of delivery for nursing services in many industrial settings with an on-site OHS is the one-nurse unit.