Depression in Registered Nurses: A State of the Science
(Source: Workplace Health and Safety)
Source: Workplace Health and Safety - October 16, 2016 Category: Occupational Health Tags: CE Module Source Type: research

Depression in Registered Nurses: A State of the Science
Registered nurses suffer from depression at almost twice the rate of individuals in other professions. Major depression affects both employees and organizations. Depression is linked to increases in work absenteeism, short-term disability, and decreased productivity and presenteeism. Depression experienced by registered nurses may not be fully preventable, but realizing its presence and prevalence in the workplace is of vital importance. It is essential that we have a healthy, vibrant, and present registered nurse workforce to ensure that quality patient outcomes are achieved. This review of 36 articles assesses the curren...
Source: Workplace Health and Safety - October 16, 2016 Category: Occupational Health Authors: Brandford, A. A., Reed, D. B. Tags: Continuing Education Source Type: research

Burnout and Engagement: Relative Importance of Predictors and Outcomes in Two Health Care Worker Samples
This study’s purpose was twofold: first, to examine the relative importance of job demands and resources as predictors of burnout and engagement, and second, the relative importance of engagement and burnout related to health, depressive symptoms, work ability, organizational commitment, and turnover intentions in two samples of health care workers. Nurse leaders (n = 162) and licensed emergency medical technicians (EMTs; n = 102) completed surveys. In both samples, job demands predicted burnout more strongly than job resources, and job resources predicted engagement more strongly than job demands. Engagement held mo...
Source: Workplace Health and Safety - October 16, 2016 Category: Occupational Health Authors: Fragoso, Z. L., Holcombe, K. J., McCluney, C. L., Fisher, G. G., McGonagle, A. K., Friebe, S. J. Tags: Articles Source Type: research

Employment Maintenance and Intimate Partner Violence
Intimate partner violence (IPV) is a major public health problem in the United States. Negative outcomes of IPV affect women’s attainment and maintenance of employment. The purpose of this study was to develop a theoretical framework that described and explained the process by which women who have experienced IPV attain and maintain employment. Grounded theory methodology was used to analyze interviews of 34 women who had experienced IPV. Analysis suggested that women who had experienced IPV could attain employment; however, they had difficulty maintaining employment. Entanglement of work and IPV was experienced by a...
Source: Workplace Health and Safety - October 16, 2016 Category: Occupational Health Authors: Borchers, A., Lee, R. C., Martsolf, D. S., Maler, J. Tags: Articles Source Type: research

An Update on Travel Vaccines and Issues in Travel and International Medicine
This article summarizes three of the presentations and includes a portion of the information generated by the Centers for Disease Control and Prevention (CDC) included in the fourth presentation. The first section focuses on the Essential Elements of Travel Medicine Programs including the pre-travel care assessment, trip research and risk identification, medication intervention review, non-pharmaceutical and prevention strategies, and post-travel care. The next section is an overview of key issues for business travelers. The growth in the number of international business travelers and unique aspects of business travel are ...
Source: Workplace Health and Safety - October 16, 2016 Category: Occupational Health Authors: Rogers, B., Bunn, W. B., Connor, B. A. Tags: Articles Source Type: research

Obesity, Prediabetes, and Perceived Stress in Municipal Workers
The primary cause of death for men and women in the United States is heart disease. Obesity and diabetes are major contributors to heart disease, and the risk is worsened in the presence of stress. It is clinically useful to identify predictors of obesity and prediabetes in a working population. The purpose of this current cross-sectional, correlational study was to examine relationships among obesity, prediabetes, and perceived stress in municipal workers using a subset of worksite wellness program data from employees screened in 2010 and 2011. Multiple regression models indicated that age, gender, race, HA1c, shift sched...
Source: Workplace Health and Safety - October 16, 2016 Category: Occupational Health Authors: OKeefe, L. C., Brown, K. C., Frith, K. H., Heaton, K. L., Maples, E. H., Phillips, J. A., Vance, D. E. Tags: Articles Source Type: research

Shoulder Pain Assessment for the Occupational Health Nurse
Shoulder pain is a common complaint in the workplace. A shoulder condition may arise from acute trauma or non-traumatic work-related activities. Shoulder pain falls into three categories: acute, chronic, and referred pain. The occupational health nurse can document detailed health histories and focused complaint-driven physical examinations. Nurses’ expert assessments can guide injured workers to necessary treatment, case management, and return to full employment. (Source: Workplace Health and Safety)
Source: Workplace Health and Safety - October 16, 2016 Category: Occupational Health Authors: Kooienga, S. A., Rasmor, M. Tags: Professional Practice Source Type: research

Ischemic Stroke
Occupational health nurses play a valuable role in educating workers and supervisors about the risk factors and warning signs of ischemic stroke. (Source: Workplace Health and Safety)
Source: Workplace Health and Safety - September 11, 2016 Category: Occupational Health Authors: Randolph, S. A. Tags: Current Topics Source Type: research

Progressing From Metformin to Sulfonylureas or Meglitinides
(Source: Workplace Health and Safety)
Source: Workplace Health and Safety - September 11, 2016 Category: Occupational Health Tags: CE Module Source Type: research

Progressing From Metformin to Sulfonylureas or Meglitinides
The article provides an overview of sulfonylureas and meglitinides as second-line agents for treating type 2 diabetes mellitus (T2DM). Implications for occupational health clinicians who work with these individuals when they take either of these medications to achieve target glycemic indices are emphasized. (Source: Workplace Health and Safety)
Source: Workplace Health and Safety - September 11, 2016 Category: Occupational Health Authors: Grant, J. S., Graven, L. J. Tags: Continuing Education Source Type: research

Tensions of Health: Narratives of Employee Wellness Program Participants
This article examines dialectical tensions in the health narratives of participants of the Employee Wellness Program (EWP) of a large public university in the southeastern United States. Semi-structured interviews (n = 12) with team leaders in the program indicated that health is a multifaceted concept characterized by three pairs of dialectical tensions: autonomy versus connection, private versus public, and control versus lack of control. These findings suggest that to better promote health and wellness in the workplace, EWP staff should consider employees’ unique experiences and beliefs about health when designing...
Source: Workplace Health and Safety - September 11, 2016 Category: Occupational Health Authors: Tang, L., Baker, J. S., Meadows, C. Z. Tags: Articles Source Type: research

Medical and Pharmacy Costs for New Hire Nurses Following a Physical Strength Evaluation Screening in a Large Health System
Nurses often encounter situations that require lifting patients, often using awkward body positions. Hiring nurses with strength suitable for these jobs decreases nurses’ risk for illness and injury and would be expected to result in more appropriate and lower health care, pharmacy, and disability costs. The physical strength of new hire nurse applicants was assessed using a defensible isokinetic evaluation in the years 2011 and 2012. Health care and pharmacy costs were monitored for the first 12 months following date of hire and compared with costs for nurses hired without screening during the prior 2 years (2009 an...
Source: Workplace Health and Safety - September 11, 2016 Category: Occupational Health Authors: Terpeluk, P., Rogen, B., Gilliam, T. Tags: Articles Source Type: research

Reducing Occupational Risk to Ambulatory Caregivers
This study investigated the benefits of introducing new height-adjustable examination tables to an ambulatory care setting. The results of this study indicate that by using height-adjustable examination tables, work-related musculoskeletal disorder (WMSD) risk for caregivers can be significantly reduced. (Source: Workplace Health and Safety)
Source: Workplace Health and Safety - September 11, 2016 Category: Occupational Health Authors: Fragala, G. Tags: Articles Source Type: research

Nurse Practitioners Comfort in Treating Work-Related Injuries in Adolescents
This study examined nurse practitioners’ (NPs) previous experiences and comfort levels in treating adolescents with work-related injuries in two states where NPs have statutory authority to treat work-related injuries. The authors surveyed all actively licensed NPs in Washington and Oregon (N = 4,849). Factors associated with NPs’ previous experiences and comfort in treating adolescents with work-related injuries were identified using modified Poisson regression. Less than a quarter of respondents (21.1%, n = 225) reported having ever treated an adolescent for a work-related injury. Nearly half (43.6%) of respo...
Source: Workplace Health and Safety - September 11, 2016 Category: Occupational Health Authors: Graves, J. M., Klein, T. A. Tags: Articles Source Type: research

Advancing the Practice of Health Coaching: Differentiation From Wellness Coaching
The increasing demand for health coaches and wellness coaches in worksite health promotion and the marketplace has resulted in a plethora of training programs with wide variations in coaching definitions, content, attributes, and eligibility of those who may train. It is in the interest of public awareness and safety that those in clinical practice take the lead in this discussion and offer a reasonable contrast and comparison focusing on the risks and responsibilities of health coaching in particular. With the endorsement of the American Association of Occupational Health Nurses (AAOHN), the National Society of Health Coa...
Source: Workplace Health and Safety - September 11, 2016 Category: Occupational Health Authors: Huffman, M. H. Tags: Professional Practice Source Type: research