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Flashcards in Professional Issues: Advancing The Specialty Deck (85):
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Major roles and responsibilities of AAOHN

1. Defines the scope of practice and sets standards for occupational health nursing practice
2. Develops standards of professional conduct
3. Promotes the health and safety of work and community environments
4. Promotes and provides continuous learning opportunities
5. Advances profession by encouraging research
6. Advocates for occupational health nursing in business, government and other professional areas
7. Responds to issues critical to the practice

1

Official journal of AAOHN

The AAOHN Journal

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AAOHN's vision

Work and community environments will be healthy and safe

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AAOHN's mission

Ensure that occupational and environmental health nurses are the authority on health, safety, productivity and disability management for worker populations

4

Activities that allow AAOHN to achieve its mission

1. Advancing profession by offering professional leadership and development, networking, career opportunities
2. Protecting the profession by advocating for legislation, regulations, and public policy
3. Guiding profession by providing tools to address distinct role
4. Promoting the profession through a marketing and public relations campaign

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AAOHN tools to guide the profession

1. Code of ethics
2. Standards of practice
3. Competencies
4. Self-assessment
5. Peer reviewed journal
6. Monthly newsletters
7. Weekly e-news
8. Current up-to-date website

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Resources available on AAOHN's website

1. Networking (discussion forum, member directory)
2. Self assessment tool and foundation blocks
3. CE models, advisories, practice questions
4. Mentor partnership programs
5. Public policy resources
6. Career resources
7. Advocacy tools

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Resources included in AAOHN newsletter and weekly e-news

1. Updates on events, products, services
2. Briefs on governmental issues
3. Information on practice issues
4. Resources for career building

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Basis of any process used in credentialing

Obtaining and maintaining high-quality nursing care for the public good

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Credentialing is a complex process intended to....

Define levels of practice and associated knowledge, skills, abilities and competencies

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Credentialing

An umbrella term that includes processes that assure clients, consumers, and the public that a practitioner has the qualifications and competencies necessary to practice nursing according to pre-established standards

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Credentialing process may require...

1. Registration
2. Certification
3. Licensure
4. Accreditation

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Credentialing programs

Aid the profession by encouraging and recognizing professional and institutional achievement

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Credentialing mechanisms affecting occupational and environmental health nurses include...

Licensure and certification of individuals and accreditation of educational and health care organizations

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Certification

The formal recognition of the specialized knowledge, skills and experience demonstrated by the achievement of standards identified by a nursing speciality to promote optimal health outcomes

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According to the American Nurses Credentialing Center certification....

1. Validates nurses specialty knowledge
2. Provides an opportunity for the certified nurse to demonstrate his or her professional competence and to meet nationally recognized standards in a nursing specialty
3. Is a testimonial of the certificant's dedication to nursing, bringing greater accountability to the profession

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Major credentialing processes

1. Accreditation
2. Academic degree
3. Licensure
4. Certification

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Accreditation

A voluntary, self-regulatory process by which governmental, non-governmental and voluntary associations or other statutory bodies grant formal recognition to programs or institutions that meet stated quality criteria

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American Board of Nursing Specialties

-established 1991
-serves as the accrediting board for specialty nursing certification programs
-ABNS

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National Organization for Competency Assurance

-established 1977
-sets quality standards for credentialing organizations
-NOCA

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National Commission for Certifying Agencies

-NCCA
-accreditation body of NOCA

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Organizations with accredited examination programs have indicated that ABNS accreditation:

1. Gives more legitimacy and prestige to the credential and specialty
2. Reflects program has attained highest standards
3. Prevents certification program in a positive manner
4. Allows ABNS to satisfy employer and regulatory requirements
5. Promotes recruitment and retention
6. Offers opportunity to gain valuable feedback on the rigor and value of the examination
7. Useful when responding to candidates concerns or questions about certification and examination policies and procedures
8. Only accreditation offered specifically for nursing certification
9. Reinforces ability to maintain excellence by continuing to meet standards
10. Provides structure and guidelines for the process
11. Provides specialty practice with credibility as a nursing speciality
12. Makes examinations legally defensible by ensuring they are of the highest quality from a validity and reliability standpoint

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Academic degree

Is awarded to an individual upon the completion of pre established requirements in a field of study

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An academic degree forms the basis for...

Nursing practice and is a fundamental pre-requisite to entry into practice through licensure

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Licensure

The process by which an agency of government grants permission to engage in a given profession or occupation

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Granting a license signifies....

That the bearer of the license has attained the minimal degree of competency in a field

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The process of licensure intends to....

Ensure that the public health, safety and welfare will be reasonably protected

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Licensure authorizes the bearer....

Use of a particular title or designation

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Certification

A voluntary process that involves the formal recognition of specialized knowledge, skills and experience demonstrated by achievement of standards identified by a nursing specialty to promote optimal health outcomes

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American Board for Occupational Health Nurses

-ABOHN
-independent, autonomous, nursing speciality certification board

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ABOHN is the sole certifying body for....

Occupational and environmental health nursing in the US

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ABOHN certification program is accredited by...

1. American Board of Nursing Specialities (ABNS)
2. National Certification Credentialing Agency (NCCA) of the National Organization for Competency Assurance (NOCA)

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ABOHN's role in occupational and environmental health nursing includes:

1. Setting criteria and standards for certification
2. Establishing sound policies and procedures for maintaining certification
3. Using the definitions and standards of occupational and environmental health nursing practice established by AAOHN
4. Providing a peer review certification that attests that certified occupational and environmental health nurses have met standards for knowledge, experience and education in the speciality
5. Basing the content of examinations on independent research that validates current practice in occupational and environmental health nursing

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Core certification in occupational health includes:

1. Certified Occupational Health Nurse (COHN)
2. Certified Occupational Health Nurse Specialist (COHN-S)

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COHN

-Available to registered nurses whose role is more focused on direct care and provision of services
-Does not require a bachelor's degree

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COHN roles include:

1. Clinician
2. Coordinator
3. Advisor
4. Case manager

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COHN-S

-Available to registered nurses with a bachelor's degree
-Role is more focused on program management and administration

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COHN-S roles include:

1. Educator
2. Manager
3. Clinician
4. Consultant
5. Case manager

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Requirements for certification as COHN or COHN-S include:

1. Licensure as RN
2. Current practice in occupational and environmental health nursing
3. Experience in an occupational and environmental health nursing role
4. Continuing education in topics related to occupational and environmental health nursing
5. Successful completion of examination

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COHN/COHN-S subspeciality certifications

1. Case manager
2. Safety manager

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Case manager

-COHN/CM or COHN-S/CM
-defined by AAOHN as a distinct role for occupational and environmental health nurses who specialize in the coordination of client's health services from the onset of injury or illness to a safe return to work or an optimal alternative

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Safety manager

-COHN/SM or COHN-S/SM
- to be eligible job must include at least 25% safety functions
- validates knowledge, skills, and abilities of many occupational and environmental health nurses who function in an expanded role that includes responsibility for safety functions and programs

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Sub specialty credentials requirements:

1. COHN or COHN-S core credentials
2. Additional contact hours in area of specialty
3. Focused practice time in area of specialty
4. Successful completion of exam

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What provides the basis for the scope of practice, knowledge, skill and the legal and ethical framework in occupational and environmental nursing?

1. Code of ethics
2. Standards of practice
3. Core curriculum
4. Competencies

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AAOHN Code of Ethics and Interpretive Statement

Provides a guiding ethical framework for decision making and evaluation of nursing actions as occupational and environmental health nurses fulfill their professional responsibilities to society and the profession

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Standards of Occupational and Environmental Health Nursing

Delineates concepts and principles to support the knowledge base for occupational and environmental health nursing

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Competencies in Occupational and Environmental Health Nursing

Provides guidelines that address the continuum of practice experience and are applicable to every occupational and environmental health nurse in every practice role; performance criteria were developed for each competency

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AAOHN defines competency as.....

An outcome-oriented statement of mastery of a particular skill or ability

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Based on these competencies, a self-assessment tool was developed to assist occupational and environmental health nurses....

1. Identify their professional strengths
2. Identify and prioritize their learning needs
3. Organize a self-directed plan to meet these needs

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The AAOHN Standards of Occupational and Environmental Health Nursing, Standard VIII: Professional Development states:

The occupational and environmental health nurse assumes accountability for professional development to enhance professional growth and maintain competency

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Occupational and environmental health nursing is advanced through:

1. Education
2. Research
3. Continuing education
4. Practice
5. Other professional activities

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Primary vehicles for training and educating occupational health and safety professionals

Occupational Safety and Health Education and Research Centers (ERCs), funded by the National Institute for Occupational Safety and Health

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Types of programs provided by ERCs

1. Academic
2. Research
3. Continuing education
4. Outreach programs

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The occupational and environmental health nurse participates in research activities at levels appropriate to the individuals education and experience which may include:

1. Problem identification
2. Critical analysis of reported research
3. Research project participation
4. Acting as a resource person
5. Collaborating with colleagues

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The occupational and environmental health nurse develops ---------- commensurate with education and experience

Grant proposals

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The occupational and environmental health nurse uses research findings in:

The development of policies, procedures and guidelines

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The occupational and environmental health nurse assumes accountability for professional development to.....

Enhance professional growth and maintain competency

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Exercising responsibility in the profession requires -------, -------, and --------- knowledge pertaining to occupational and environmental ------, ---------, ---------, and ----------

Learning
Applying
Assessing

Sciences
Technology
Information systems
Research

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As nurses in occupational and environmental health assume increased responsibility, there is an obligation to.....

Take steps to maintain and increase competency

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In regards to continuing education the occupational and environmental health nurse.....

1. Determines continuing education needs
2. Initiates independent learning opportunities
3. Seeks additional academic/ continuing education
4. Evaluates learning for effectiveness

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--------- should be allocated for professional growth activities

Organizational resources

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The occupational and environmental health nurse acts as a student....

Role model and mentor

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The occupational and environmental health nurse facilitates learning of colleagues through:

1. Discussion
2. Demonstration
3. Quality improvement

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The occupational and environmental health nurse incorporates new knowledge into practice, based on.....

Scientific research

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Occupational health nursing practice is characterized by:

1. Professionalism
2. Professional commitment

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Professionalism

Describes the conduct or qualities that characterize a practitioner in a particular field or occupation

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Professional commitment in occupational health

Is carried out in accordance with occupational health nursing standards, scope of nursing practice and an ethical code

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All nurses are accountable to ------ and ------ for actions taken in nursing practice

The client
Society

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The occupational and environmental health nurse demonstrates practice accountability by...

Validating desired outcomes

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The occupational and environmental health nurse facilitates the leadership role by....

Recognizing the value of and using professional resources

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The occupational and environmental health nurse is guided by standards of practice, which are....

Criteria-based and measurable and ensure accountability to the profession

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The occupational nd environmental health nurse practice within an ethical framework to....

Make ethical judgements for decision making in practice

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Key elements to advancing occupational and environmental health nursing practice include:

1. Creating and communicating a vision statement
2. Creating and communicating a mission statement
3. Developing and communicating the outcomes for the organization

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The implementation of the elements necessary to advance the profession are carried out by:

The AAOHN Board of Directors and the members of the association

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The AAOHN Board of Directors is responsible for....

Creating/developing and communicating change elements

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The occupational and environmental health nurse supports the growth of the profession through the following activities:

1. Membership in professional associations
2. Serving on association committees and boards
3. Assuming leadership positions in elected capacity
4. Coordinating and expanding services into the occupational health/ managed care area to meet the challenges of the current health care environment

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The occupational and environmental health nurse acts as a role model in the following ways:

1. Applies concepts of autonomy, influence, fairness and risk taking to the professional role
2. Supports education to increase knowledge and expertise
3. Supports research as the foundation for professional practice
4. Precepts students regarding the professional role and knowledge enhancement

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Opportunities for role expansion for the occupational and environmental health nurse

1. Case management
2. Environmental health
3. Management
4. Primary care
5. Consulting
6. Presenter/speaker
7. Entrepreneurial

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Case management responsibilities and opportunities will require...

Conducting job analyses and functional-capacity job assessments and working with community agencies to provide the most appropriate and cost effective services for employees and family members with complex illnesses and injuries

79

Environmental health responsibilities and opportunities will include.....

Analyzing aggregate data related to incidence/prevalence, epidemiologic trends and patterns, and work practice related to injury/illness events

80

Management responsibilities and opportunities will include....

Conducting cost-benefit analyses of available internal and external health care services, participating in the selection and design of benefits and benefit programs, and providing expertise in program design, implementation, and management and outcome measurement

81

Primary care responsibilities/ opportunities will be in....

Consumer education related to health promotion, disease prevention, self care and appropriate access to a reformed health care system; nurse managed primary care delivery at the worksite for employees and their families; and provision of international health care services to traveling employees

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Consulting opportunities will provide....

Expertise in occupational and environmental health to colleagues, government and the private sector for the purpose of improving workers' health

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Presenter/speaker responsibilities and opportunities will be...

Increasingly available and will serve as an excellent forum not only for professional development within our specialty, but also for enhancing collaborative efforts with other colleagues, organizations, agencies and disciplines

84

Entrepreneurial responsibilities/ opportunities will....

Allow individuals the ability to promote and manage business with leadership and managerial goals while providing expertise, which is essential as a nurse entrepreneur

Decks in Occupational & Environmental Health Class (49):