Mid Cheshire Hospitals NHS Foundation Trust, Leighton Hospital, Middlewich Road, Crewe, Cheshire, UK.
Occup Med (Lond). 2012 Oct;62(7):574-7. doi: 10.1093/occmed/kqs144. Epub 2012 Aug 27.
There is a concern that current specialist occupational health (OH) training programmes in the UK are not delivering nurses equipped to deal with the challenges of emerging practice. The development of new training programmes and advanced nurse practitioner (ANP) roles provide a potential solution. Although a model of advanced nursing practice has been developing, its relevance to OH has not been assessed.
To collate information about OH nurses in the UK, their levels of training, and to collect their views on the relevance of ANP competencies to the specialty.
An online questionnaire survey was carried out using a database of nurses working in OH. Each nurse received a direct invitation to participate with a link to the survey and one reminder.
Nine hundred and ninety-eight responses were included in the analysis. Eighty nine per cent had a specialist qualification in OH. A large majority of respondents believed that almost all the generic ANP competencies were important in current and future OH nursing practice. Only a few competencies (examination, diagnosis, referral, treatment) were felt to be more important in the future than currently. Over half (57%) agreed that in the future where OH nurses were working as specialists they should be trained as advanced nurse practitioners. Seventy one per cent of OH nurses agreed that a new multi-disciplinary qualification would be beneficial.
OH nurses recognize that ANP competencies are important to their current and future practice. There is enthusiasm in OH nursing for the introduction of advanced nursing practice and a new training programme.
有人担心，英国目前的专科职业健康（OH）培训计划并没有培养出能够应对新兴实践挑战的护士。新的培训计划和高级护士从业者（ANP）角色的发展提供了一个潜在的解决方案。尽管高级护理实践模式一直在发展，但它与 OH 的相关性尚未得到评估。
收集英国 OH 护士的信息，包括他们的培训水平，并收集他们对 ANP 能力与该专业相关性的看法。
使用 OH 工作护士数据库进行在线问卷调查。每位护士都收到了直接参与的邀请，附有调查链接和一条提醒。
998 份回复被纳入分析。89%的人拥有 OH 专科资格。绝大多数受访者认为，几乎所有的通用 ANP 能力在当前和未来的 OH 护理实践中都很重要。只有少数能力（检查、诊断、转诊、治疗）被认为在未来比现在更重要。超过一半（57%）的人同意，未来 OH 护士作为专家工作时，他们应该接受高级护士从业者的培训。71%的 OH 护士认为新的多学科资格将是有益的。
OH 护士认识到 ANP 能力对他们当前和未来的实践很重要。OH 护理对引入高级护理实践和新的培训计划充满热情。
