Nursing, Health, and the Environment (1995) / Chapter Skim
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1 Introduction
1 Introduction
Pages 13-22
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From page 13... ...
However, despite the good fit between environmental health concerns, core nursing values, and the profession's early history, over the years environmental factors increasingly came to be treated as separate from the nursing domain. As hospitals assumed a greater role in the health care system, more nurses were employed in noncommunitybased settings (Kalisch and Kalisch, 1986~.
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From page 14... ...
Neither the present organizational structure of nursing practice nor the reimbursement mechanisms presently in place for nurses favor the development of nursing skills related to environmental health hazards. In fact, numerous barriers discourage or prevent nurses from fulfilling their potential in this regard.
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From page 15... ...
Thus, adverse health outcomes related to environmental conditions include worker and childhood lead poisoning, childhood and occupationally induced asthma, and repetitive motion injury, among many others. Taken in this context, use of the term environmental health throughout this report refers to freedom from illness or injury related to exposure to toxic agents and other environmental conditions that are potentially detrimental to human health.
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From page 16... ...
The environmental justice issue has special relevance to this report, because for many disadvantaged populations, nurses represent the initial and most consistent point of contact with the health care system. Because of their close contact, nurses are well positioned to represent the environmental concerns of members of these communities in discussions of health policy.
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From page 17... ...
The organization subsequently developed into a national resource center (see Appendix D) , offering technical assistance to communities facing environmental health threats.
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From page 18... ...
Tension between the paradigm of public health and the paradigm of individual care, a serious concern in environmental health, also underlies many other current debates in health care (Barnes et al., 1995~. One goal of this report is to provide realistic guidance and assistance to nurses in various practice roles so that they can bridge the gulf between the two frameworks in relation to environmental health.
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From page 19... ...
One of the fundamental problems related to enhancing environmental health content in nursing practice is the fact that only about one-third of the nurses in community-based settings have formal training in public health or environmental health concepts and the related clinical experience necessary to deal adequately with the environmental aspects of health. This problem has occurred because only nurses prepared at the baccalaureate level or higher are likely to have formal training in basic public health and environmental health concepts, and only one-third of the RNs in community-based settings have training at the baccalaureate lA small number of nurses obtain their basic nursing preparation in master's degree programs.
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From page 20... ...
, the IOM established the Committee on Enhancing Environmental Health in Nursing Practice to address issues related to the need for enhancing environmental health content in nursing practice. The committee was charged with the following tasks: · assess the current status of environmental health in the practice of nursing and the need for enhanced education and research; · provide guidance on the development of environmental health curricula for nurses; · identify barriers to the integration of environmental health content into nursing education and the practice of nursing; · develop implementation strategies for enhancing environmental health in nursing education, practice and research, including methods and resources for faculty development; · describe methods for evaluating the effectiveness of an enhanced environmental health curriculum; and · identify and describe: (a)
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From page 21... ...
Following this introduction, Chapter 2 outlines some of the environmental health hazards of concern. The subsequent three chapters examine, in turn, the complexities of enhancing environmental health content in nursing practice, education, and research.
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From page 22... ...
:~.,< "I was sick Arty ye visited!
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