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Work-related Health: Core Areas of Knowledge and Competence, Part 2

OHA’s can contribute by helping operators to manage sickness absence more effectively. The nurse may be involved in helping to train line operators and supervisors in how to best use the WOW service, in how to refer staff, what type of information Sildenax Funciona Mesmo will be required, what to expect from work-related health. By developing transparent suggestion procedures, ensuring that medical confidentiality is maintained and that the workers’ the law are respected the OHA can do much to ensure that employees referred for assessment due to sickness absence are comfortable with the process.

WOW nurses, with their close relationship with workers, information about the working environment and trends in ill-health in the company are often in a good position to advise management on preventing sickness absence. If you ask me suggestion to General Practitioners have a limited use for work related issues, and gain best results by as well as keeping the GENERAL PRACTITIONER aware, referring to a specialist work-related physician.

Planned rehabilitation strategies, can help to ensure safe get back 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, create the rehabilitation programme, monitor progress and communicate with the individual, the WOW physician and the line manager. Nurses have get embroiled in introducing active rehabilitation strategies that make an effort to detect early changes in health before such conditions result in absence from work. Improving and keeping working ability benefits many groups, the individual, the corporation and society, as costly absence and other health care costs are avoided.

In many cases the WOW nurse has to work within the organization as the clients advocate in order ensuring that operators appreciate fully the value of improving the fitness of the labourforce. WOW nurses have the skills necessary to undertake this work and may develop areas of special interest.

The work-related health nurse may develop pro-active strategies to help the labourforce maintain or restore their work ability. New workers, older workers, women returning to work following pregnancy or workers who have been without a job for a prolonged period of time may all benefit from health advice or a planned programme of work hardening exercises to help maintain 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. WOW nurses, working at the company level, are in a good position to give advice to management on strategies that can be followed to improve the psycho-social overall health of workers.

Health and safety

The OHA can have a task to play in developing health and safety strategies. Where large, or riskly, organizations have their own in-house health and safety specialists the OHA can work closely with your specialists to ensure that the nurses expertise in health, risk assessment, health security and environmental health management is fully utilized into the health and safety strategy. Work-related health nurses are trained in health and safety legislation, risk management and the control of workplace side effects and can therefore make a useful contribution to the overall management of health and safety at work, with particular focus on ‘health’ risk assessment.

Threat identification

The nurse often has close contact with the workers and mindful changes to the working environment. Because of the nurses expertise in the effects of work on health they are in a good position to be involved in threat identification. Hazards may arise due to new 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 place visits by the work-related health nurse to maintain 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 approach. OHA’s are trained in risk assessment and risk management strategies and, based on their level of expertise and the degree of difficulty mixed up in risk assessment, the nurse can undertake risk lab tests or contribute towards the risk assessment working closely with other specialists.

Advice on control strategies

Having been mixed up in threat identification and risk assessment the work-related health nurse can, within the limits of their education and training, provide advice and information on appropriate control strategies, including health security, risk communication, monitoring and on the evaluation of control strategies.

Research and the use of evidence based practice

Specialist OHA’s utilize research findings from a wide range of disciplines, including nursing, toxicology, psychology, environmental health and public health in their daily practice. The principal requirement for an work-related health nurse in practice is they own the skills to learn and critically assess research findings from these different disciplines and to be able to incorporate the findings into evidence based approach to their practice. Research in nursing is well established and there is a small, but growing, body of evidence being created by work-related health nursing researchers who investigate work-related health nursing practices. OHA’s should ensure they own access to and the skills necessary to base their practice on the best available evidence. At the company level work-related health nurses may be involved 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 work-related health interventions. Research skills and the ability to transfer knowledge and information from published research to practice is an important aspect of the role.

Honesty

OHA’s, along with other health, environment and safety professionals on the job health team, are in a happy position 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 included, for legal reasons, additional responsibilities on clinical professionals to protect and safeguard the interest of patients. The meaning standards for each discipline are set and unplaned by all of the professional bodies. Breaches of these codes of conduct may result in the professional being taken from the register and averted for practicing. Nurses have a long and well-respected tradition in society of upholding the trust slipped into them by patients. This level of trust in the work-related health nurse’s professional integrity means that employees feel that they can be open, honest and share information with the nurse in the confidence that the information will not be used for other purposes. This will give the nurse to practice much more effectively than would ever be possible if that trust was not there. The protection of information that is personal enables a reliable relationship between employees and the nurse to be developed and facilitates optimum working relationships and partnership. The International Commission on Work-related Health (ICOH) has published useful help with honesty for work-related health professionals’. This guidance is described below “Occupational Health Practice must be performed according to the highest professional standards and meaning principles. Work-related medical researchers must serve the health and social wellbeing of the workers, individually and collectively. They also contribute to environmental and community health the obligations of work-related medical researchers include protecting living and the fitness of the worker, respecting human dignity and promoting the highest meaning principles in work-related health policies and programs. Integrity in professional conduct, impartiality and the protection of confidentiality of health data and the privacy of workers are part of these obligations. Work-related medical researchers are experts who must enjoy full professional independence in the execution of their functions. They need to acquire as well as the competence necessary for their duties and require conditions which enable them to undertake their tasks according to good practice and professional honesty.

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