Nursing, Health, and the Environment (1995) / Chapter Skim
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Appendix E: Focus Group Summary and List of Participants
Appendix E: Focus Group Summary and List of Participants
Pages 239-252
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From page 239... ...
focus groups were held with nurses in California, Iowa, Massachusetts, New Jersey, North Carolina, South Carolina, Texas, Washington, DC, and Louisiana. Participants included specialists in the fields of occupational health, nurse practitioner and public health nursing faculty, practicing public health nurses, practicing family nurse practitioners, nursing doctoral students, nurses representing the American Organization of Nurse Executives, and representatives from the American Association of Colleges of Nursing.
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· Hostile, life threatening environments created by crime dos) · Psychological effects of overcrowding, high density living (con Cultural issues around food and water contamination Environmental racism (burden of environmental hazards greatest on poor and minorities)
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From page 241... ...
cited issues Water and air pollution (indoor and outdoor) most frequently Sanitation in general Contamination of soil and play areas Contamination of seafood and recreational waters · Contamination of drinking and recreational water by irrigation, farm chemical, and urban runoff Other Hazards cial All types: chemical, biological, physical, mechanical, psycho-so Waste management and toxic waste (mentioned by more than half of groups)
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Sick building syndrome · Legionnaires disease; childhood asthma; increasing incidence of allergic reactions . Carpal tunnel syndrome 2.
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From page 243... ...
many groups commented on this) Focus on prevention, advocacy and as knowledgeable resource Research in environmental science and technology · Suggest avenues of recourse, make recommendations to improve work conditions Environmental Assessment Although this is "routine practice" for some, it was mentioned so frequently and in such varied contexts, I made it a separate sub-section.
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From page 244... ...
· Nurses and clients will be better able to think at a system level to effect change · Primary prevention would be enhanced · Decrease health care costs over long term, with earlier detection of "real" problem or etiology of disease, and interventions that address causative factors as well as medical symptoms. · More holistic approach · Nurses would become resource brokers · Increasing power of lay-groups, if nurses openly stand with them and educate them.
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From page 245... ...
by this derstand impacts of enhancing knowledge base about EH issues Nursing curricula already full No faculty expertise in this area, and curricula is driven (in Practicing nurses already spread too thin, no time to add new routine duties - Will require "revolution" or "new paradigm" of nursing education and practice based on systems level approach and/or critical thinking May require redrawing the picture of nursing ea., rather than just adding content - No reimbursement structure for these activities - Be careful about creating expectations of quick fixes and easy solutions to EH problems.
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From page 246... ...
, to administrators, government officials, and legislators · Develop reimbursement structure for nursing EH interventions, e.g., working with insurance industry, change in NANDA codes of EH Amend ANA definition of nursing, NLN accrediting criteria · Amend credentialing/licensure exams to include EH content · Amend some specialty practice area definitions, e.g., CHN, PHN · Build coalitions with other disciplines for education and practice National Legislative Initiatives/Federal Government Role · Create national info. systems with data elements that trigger indepth examination of environmental exposures (e.g., for asthma, lead poisoning, birth defects)
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From page 247... ...
Educate current workforce Alter basic nursing curricula Identify common threads and basics Examine models of practice that are successful Mandate competencies in accreditation of ed. programs Include environmental risk in nursing assessment Need some schools of nursing to test a new paradigm Create new specialists and expertise Educate nursing deans,faculty, preceptors Funding and resource development · Make funding of health professionals a mandatory component of other federal funding related to EH · Federal and foundation funding · Work with national professional organizations to create initiatives in EH education
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From page 248... ...
· Policy makers, legislators, public officials · Industry, employers, CEOs · Nursing administrators · National nursing organizations, State Boards of Nursing, Accrediting Bodies · Federal sector, private foundations, insurers · Consumers, community activists, environmental groups (even extremists, because nurses mediate well, good brokers and coalition builders)
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From page 249... ...
) , the arts Workshops/Seminars · Visiting workshops, professional conference topic, faculty education programs, lunch time seminars, CE, informal (fun)
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· School Nurses, Nurse Educators, Geriatrics, Home Health, Cruise Ship Nurses, Employee Health, Insurance Industry Nurses, Genetics (1)
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American Nurses Association Robert Mehl, B.S.N., R.N., C.S.N. National Association of School Health Nurses Ellen S
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American Association of Occupational Health Nurses Barbareta A Welch, M.S.N., R.N., F.N.P., C.S.
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