OHA’s can contribute by helping managers to manage sickness absence more effectively. The nurse may be interested in helping to notify line managers and supervisors in how to best exhaust the OH service, in how to refer staff, what type of information will be required, what to put a question to from occupational health. By developing transparent referral procedures, ensuring that medical confidentiality is maintained and that the workers’ rights are respected the OHA can do worthy to ensure that employees referred for assessment due to sickness absence are comfortable with the process.
OH nurses, with their stop relationship with workers, knowledge of the working environment and trends in ill-health in the company are often in a salubrious area to say management on preventing sickness absence. In my experience referral to General Practitioners have a dinky consume for work related issues, and accept best results by as well as keeping the GP aware, referring to a specialist occupational physician.
Planned rehabilitation strategies, can aid to ensure trustworthy return to work for employees who have been absent from work due to ill-health or injury. The nurse is often the key person in the rehabilitation programme who will, with the manager and individual employee, complete a risk assessment, devise the rehabilitation programme, monitor progress and communicate with the individual, the OH physician and the line manager. Nurses have also become interested in introducing proactive rehabilitation strategies that aim to detect early changes in health before such conditions result in absence from work. Improving and sustaining working ability benefits many groups, the individual, the organization and society, as costly absence and other health care costs are avoided.
In many cases the OH nurse has to work within the organization as the clients advocate in order ensuring that managers relish fully the value of improving the health of the workforce. OH nurses have the skills valuable to undertake this work and may fabricate areas of special interest.
The occupational health nurse may make pro-active strategies to support the workforce possess or restore their work ability. modern workers, older workers, women returning to work following pregnancy or workers who have been unemployed for a prolonged period of time may all encourage from health advice or a planned programme of work hardening exercises to aid believe or restore their work ability even before any health problems arise. Increasingly the problems faced by industry are of a psychosocial nature and these can be even more complex and costly to deal with. OH nurses, working at the company level, are in a sterling set to give advice to management on strategies that can be adopted to improve the psycho-social health and wellbeing of workers.
Health and safety
The OHA can have a role to play in developing health and safety strategies. Where mammoth, or high risk, organizations have their possess in-house health and safety specialists the OHA can work closely with these specialists to ensure that the nurses expertise in health, risk assessment, health surveillance and environmental health management is fully utilized into the health and safety strategy. Occupational health nurses are trained in health and safety legislation, risk management and the control of workplace health hazards and can therefore beget a useful contribution to the overall management of health and safety at work, with particular emphasis on ‘health’ risk assessment.
Hazard identification
The nurse often has terminate contact with the workers and is aware of changes to the working environment. Because of the nurses expertise in the effects of work on health they are in a suited dwelling to be interested in hazard identification. Hazards may arise due to original processes or working practices or may arise out of informal changes to existing processes and working practices that the nurse can readily identify and assess the likely risk from. This activity requires and pre-supposed regular and frequent work position visits by the occupational health nurse to beget an up to date knowledge and awareness of working processes and practices.
Risk assessment
Legislation in Europe is increasingly being driven by a risk management come. OHA’s are trained in risk assessment and risk management strategies and, depending upon their level of expertise and the level of complexity fervent in the risk assessment, the nurse can undertake risk assessments or contribute towards the risk assessment working closely with other specialists.
Advice on control strategies
Having been interested in the hazard identification and risk assessment the occupational health nurse can, within the limits of their education and training, provide advice and information on appropriate control strategies, including health surveillance, risk communication, monitoring and on the evaluation of control strategies.
Research and the employ of evidence based practice
Specialist OHA’s exhaust research findings from a wide range of disciplines, including nursing, toxicology, psychology, environmental health and public health in their daily practice. The indispensable requirement for an occupational health nurse in practice is that they have the skills to read and critically assess research findings from these different disciplines and to be able to incorporate the findings into evidence based arrive to their practice. Research in nursing is already well established and there is a shrimp, but growing, body of evidence being created by occupational health nursing researchers who investigate occupational health nursing practices. OHA’s should ensure that they have access to and the skills vital to detestable their practice on the best available evidence. At the company level occupational health nurses may be eager in producing management reports on for example sickness absence trends, accident statistics, assessment of health promotion needs and in evaluating the delivery of services, the effectiveness of occupational health interventions. Research skills and the ability to transfer knowledge and information from published research to practice is an primary aspect of the role.
Ethics
OHA’s, along with other health, environment and safety professionals in the workplace health team, are in a privileged plot in society. They have access to personal and medical information relating to employees in the company that would not be available to any other group. Society has imposed, by law, additional responsibilities on clinical professionals to protect and safeguard the interest of patients. The ethical standards for each discipline are place and enforced by each of the professional bodies. Breaches of these codes of conduct can result in the professional being removed from the register and prevented for practicing. Nurses have a long and well-respected tradition in society of upholding the trust placed in them by patients. This level of trust in the occupational health nurse’s professional integrity means that employees feel that they can be launch, just and portion information with the nurse in the confidence that the information will not be feeble for other purposes. This allows the nurse to practice mighty more effectively than would ever be possible if that trust was not there. The protection of personal information enables a trusted relationship between employees and the nurse to be developed and facilitates optimum working relationships and partnership. The International Commission on Occupational Health (ICOH) has published useful guidance on ethics for occupational health professionals’. This guidance is summarized below “Occupational Health Practice must be performed according to the highest professional standards and ethical principles. Occupational health professionals must assist the health and social wellbeing of the workers, individually and collectively. They also contribute to environmental and community health the obligations of occupational health professionals include protecting the life and the health of the worker, respecting human dignity and promoting the highest ethical principles in occupational health policies and programs. Integrity in professional conduct, impartiality and the protection of confidentiality of health data and the privacy of workers are portion of these obligations. Occupational health professionals are experts who must indulge in chubby professional independence in the execution of their functions. They must salvage and contain the competence notable for their duties and require conditions which allow them to carry out their tasks according to suited practice and professional ethics.”